3.1: T2 Fairgame TrPs -- Posture

Question 1

What are the referred pain patterns of an Ilipsoas TrP?

Answer 1

• strong vertical ipsilateral paraspinal pain along lumbar spine, diffusely radiating laterally 3-7 cm
• strong zone of pain 5-8 cm top of anterior thigh, within diffuse zone from ASIS to upper half of thigh

Question 2

What are indications of an Iliopsoas TrP?

Answer 2

• low back pain
• groin pain
• increased (hyper) lordosis of lumbar spine
• anterior thigh pain
• pain prominent in lying to sitting up
• scoliosis (abnormal lateral curvature of spine)
• asymmetry (pelvic)

Question 3

What are referred pain patterns of a Quadratus Lumborum TrP?

Answer 3

several “zones” of pain at:

• lower abdomen
• sacroiliac joint (upper pole)
• lower buttock
• upper hip
• greater trochanter

Question 4

What are referred pain patterns of a Pectoralis Major TrP?

Answer 4

clavicular part:

• local pain, radiating to anterior deltoid and long head of biceps brachii area

sternal part:

• “acute” back pain into anterior chest wall in a 10-20 cm patch of diffuse pain around medial border of upper extremity
• stronger pain below medial epicondyle in a 5 cm patch, diffuse pain into 4th and 5th digits

costal part:

• 5th and 6th ribs leads to severe cardial referral
• intense breast pain (10-15 cm patch)
• diffuse radiations into axillary tail (lateral breast tissue) and into axilla

Question 5

What are referred pain patterns of a Pectoralis Minor TrP?

Answer 5

local radiating into shoulder and down medial arm to medial three digits

Question 6

What are referred pain patterns of a Levator Scapula TrP?

Answer 6

• triangular pattern from top of scapula to nape of neck
• slight overspill to medial border of scapula and posterior glenohumeral joint

Question 7

What are referred pain patterns of a Rhomboids TrP?

Answer 7

medial border of scapula, wrapping around superior aspect of spine of scapula toward acromino process

Question 8

What are referred pain patterns of upper/middle/lower trapezius TrPs?

Answer 8

• Upper fibres: pain and tenderness in posterior and later aspect of upper neck, temporal region and angle of jaw
• Middle fibres: local pain, radiating medially to spine
• Lower fibres: posterior cervical spine, mastoid area, area above spine of scapula

Question 9

What are referred pain patterns of Gluteus Medius TrPs?

Answer 9

• low back
• medial buttock
• sacral and lateral hip
• radiating somewhat into upper thigh

Question 10

What are referred pain patterns of Gluteus Maximus TrPs?

Answer 10

Three to four strong zones of pain in buttock, with intercommunicating diffuse pain, occasionally just below (5-8 cm) gluteal fold