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The Tibialis Posterior is a deep posterior muscle of the leg.
Anatomical Attachments: Action: Plantar flexes and inverts the foot.
Synergist: Gastrocnemius, Flexor digitorum longus, Flexor hallucis longus, Peroneus longus and brevis, Soleus, Plantaris.
Antagonist: Extensor hallucis longus, Extensor digitorum longus, Tibialis anterior, Peroneus tertius.
Nerve Supply: Tibial Nerve (L5, S1).
Vascular supply: Peroneal artery.
Click on a small image to view an enlarged image Trigger Point Signs and Symptoms: Pain in the foot when jogging or walking, it is worse when walking or running on uneven surfaces.
Trigger Point Activating and Perpetuating Factors: Persistent pronation or hyperpronation of the foot, over exercising, walking or running on uneven surfaces.
Differential Diagnosis: (Segmental, Subluxation, Somatic dysfunction) L4 L5 S1 or S2 radiculopathy, Diabetic neuropathy, Posteriomedial Shin splints, Deep posterior compartment syndrome, Tibialis posterior tendon dysfunction, Tarsal tunnel syndrome, Hammer or claw toes, Plantar fasciitis, Plantar wart, Pes cavus, Pes Planus, Osteoarthritis, Rheumatoid arthritis, gout, Bursitis, Frostbite, Neurogenic arthropathy (Charcot’s Joint), Metatarsal stress fracture, Bone cancer, Sprain/strain of the ankle, Peripheral vascular disease (PVD)-Intermittent claudication, Deep Vascular Thrombosis (DVT), Ruptured Achilles tendon, Achilles tendinitis, Sever’s Disease, Calcaneal spur syndrome, Overuse syndrome, Systemic infections or inflammation, Nutritional inadequacy, Metabolic imbalance, Toxicity, Side effects of medication.
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Tibialis Posterior
Travell and Simons Trigger Point Pain Referral: