II. Trigger Points: Head and Neck
- Paraspinous Neck Muscles
- Upper Trapezius
- Refer pain to neck and temporal forehead
- Sternocleidomastoid
- Associated with Otalgia and possibly Vertigo
- Associated with increased Lacrimation and Coryza
- Clavicle Musculature
- Referred pain across forehead and behind ear
- Sternal Musculature
- Referred pain into occiput, cheek and periorbital
- Mimics Sinusitis
- Splenius Capitis (cervical paraspinous Muscle)
- Referred Retro-orbital or temporal-orbital pain
- Symptoms include vertex Headache
- Peri-auricular Muscles
III. Trigger Points: Shoulder, Thorax, and Arm
- Anterior Serratus Muscle (lateral to Breast)
- Pectoralis Major Muscle and Pectoralis Minor Muscle
- Referred pain to Breast and ulnar arm
- Levator Scapulae Muscle (lateral Neck)
- Referred pain to base of neck
- Associated with neck stiffness
- Follows cervical Whiplash injury
- Associated with Mood Disorders
- Infraspinatus Muscle (lower Scapula)
- Referred pain to Shoulder joint and down upper arm
- Mimics Cervical Radiculopathy
- Supraspinatus Muscle (upper Scapula)
- Referred pain to middle deltoid and elbow
- Mimics Cervical Radiculopathy
IV. Trigger Points: Back and Buttock
V. Trigger Points: Thigh, Leg and Foot
- Quadriceps Femoris (anterior thigh quad Muscles)
- Rectus femoris referred to Patella and distal thigh
- Vastus intermedius referred to upper thigh
- Vastus medialis referred to medial knee
- Biceps Femoris (Hamstring Muscles)
- Referred pain to calf
- Gastrocnemius (superficial posterior calf)
- Referred pain to calf and foot instep
- Soleus (deep posterior calf)
- Referred pain to heel and to sacroiliac joint