Piriformis syndrome

Piriformis syndrome is caused by a tight contracted piriformis muscle putting pressure on the sciatic nerve causing symptoms of tingling, numbness, and altered sensation. This muscle is often tight in people who sit for long periods of time. A common cause of this muscle being contracted and tight are trigger points. These trigger points are contracted knots within the belly of the muscle. These knots cause the muscle to become shortened. Trigger points will also cause pain on their own. This is usually felt as a deep achy pain in the glute and hip area, as well as in the back of the leg.

The Rectus Femoris muscle is a large muscle that makes up part of the quadriceps group. It functions to extend the knee and flex the hip. It originates on the anterior inferior iliac spine and part of the acetabulum. It’s insertion is the patella via the quadriceps tendon and tibial tuberosity via the patellar ligament. Trigger points in this muscle refer deep into the knee. This muscle is an often overlooked source of knee pain.

Brachioradialis trigger points.

The Brachioradialis muscle is a muscle located in your forearm. It helps to flex the elbow during semi pronation, such as when drinking a cup of coffee or holding a phone to your ear. When trigger points form in this muscle pain can be felt in the forearm, back of the elbow, and even into the hand.

Trigger points and headaches

One of the most common sources of headache pain is trigger points in the neck muscles. These muscles are often overloaded from poor posture such as sitting in front of a computer or looking down at you phone for long periods of time. Trigger points that form in the upper traps are the most common trigger points in the body. They refer pain up the neck, behind the ear into the temple. The suboccipital muscles refer pain deep into the skull behind the eye. Sternocleidomastoid trigger points will refer pain to the top of the head and around the orbit of the eye. Trigger points need to be manually released to be resolved.

Trigger points in the gluteus medius.

The gluteus medius muscle is located in the hip. It is a major pelvic stabilizer during walking and running. It is also a main abductor of the hip. Trigger points in this muscle will refer pain deep into the sacrum and s.i. joints. Pain will also be refered into the buttock as well as into the low back along the belt line.

Trigger points and myofascial pain.


Sensitive areas of tight muscle fibers can form in your muscles after injuries or overuse. These sensitive areas are called trigger points. A trigger point in a muscle can cause strain and pain throughout the muscle. When this pain persists and worsens, doctors call it myofascial pain syndrome.

What is myofascial pain syndrome?

Myofascial pain syndrome is a chronic pain disorder. In this condition, pressure on sensitive points in your muscles (trigger points) causes pain in the muscle and sometimes in seemingly unrelated parts of your body. This is called referred pain.

This syndrome typically occurs after a muscle has been contracted repetitively. This can be caused by repetitive motions used in jobs or hobbies or by stress-related muscle tension.

Trigger points in the Q.L. Muscle

the quadratus lumborum muscle or “q.l.” Is a muscle located in your lower back. It originates on the iliac crest and iliolumbar ligament, and interns onto the last rib and transverse processes of the lumbar vertebrae. This muscle functions to stabilize the lumbar spine as well as laterally flex the spine. It will also hike the hip. Acting bilaterally it will extend the lumbar spine. Trigger points will often develop in this muscle. Trigger point referral will produce pain in the S.I. Joint and the lateral hip as well as the buttock. The pain referred into the S.I. Joint is often misdiagnosed as S.I. Joint dysfunction.

Trigger points and headaches.

Myofascial trigger points are contracted knots of muscle tissue. They result from overload stress, and are one of the most prevelent injuries to muscle tissue. They are also one of the most common sources of pain in the body. Headaches are one type of pain that trigger points frequently cause. A number of muscles can cause pain to refer into the head and temples. One of the more common offenders is the sternocleidomastoid muscle. This muscle is often overworked from poor neck posture, and the trigger points that can form will refer pain into the head, temple, and around the eye. Trigger points don’t release on their own, a manual therapy like trigger point massage is required to treat the area and relieve symptoms.