Table of Contents

Lateral Knee Pain. 109-110

General Symptom p. 4 Lateral Thigh & Hip Pain..111-119
Foot, Ankle, & Leg Overview p. 5-7 Posterior Thigh Pain120-124
Anterior Ankle Pain....8-11 Lower Torso Overview p. 125-128
Anterior Leg Pain..12-14 Abdominal Pain ...............129-135
Dorsal Forefoot Pain..15- 20 Buttock Pain..136-145
Dorsal Great Toe Pain...21-24 Iliosacral Pain ..146-154
Dorsal Lesser Toe Pain..25-27 Lumbar Pain..155-161
Heel Pain.28-32 Pelvic Pain162-165
Lateral Ankle Pain.33-34
Lateral Leg Pain..35-39
Torso Overview p. 166-167
Medial Ankle Pain....40-41 Low Thoracic Back....168-175
Metatarsal Head Pain....42-49 Lumbar Back Pain..176-183
Plantar Great Toe Pain50-53 Sacral & Gluteal Pain184- 193
Plantar Lesser Toe Pain..54-56 Abdominal Pain..194-201
Plantar Mid- Foot Pain57-63 Anterior Chest Pain202-212
Posterior Ankle Pain.64-66 Side of Chest Pain213-217
Posterior Leg Pain.....67-74 Upper Back, Shoulders, & Arms Overview
Hip, Thigh, & Knee Overview p. 75-76 p. 218-219
Anterior Knee Pain.. 77-80 Upper Thoracic Back Pain..220-231
Anterior Thigh Pain. 81-89 Posterior Shoulder Pain.....232-244
Medial Thigh Pain.90-95 Posterior Arm Pain.245-256
Posterior Knee Pain........96-102 Mid-Thoracic Back Pain..257-267 2
Anteromedial Knee Pain. 103-108 Anterior Shoulder Pain268-279
Anterior Arm Pain280-291
Table of Contents
Forearm & Hand Overview p. 292-294
Antecubital Pain..............................................................295-297
Thumb & Radial Hand Pain.298-308
Dorsal Finger Pain.309-317
Dorsal Forearm Pain318-323
Dorsal Wrist & Hand Pain324-332
Lateral Epicondylar Pain............................................................333-341
Medial Epicondylar Pain..342-348
Olecranon Pain349-352
Radial Forearm Pain353-358
Ulnar Forearm Pain...........................................................359-363
Volar Finger Pain364-373
Volar Wrist & Palmar Pain..374-382
Head & Neck Overview p. 383-386
Vertex Pain............................................................387-389
Posterior Head Pain.......................................................390-398
Temporal Headaches..........................................................399-405
Frontal Headaches...........................................................406-410
Ear & TMJ...................................................411-415
Cheek & Jaw..,..416-424
Toothache425-428
Posterior Neck..429-435
3
Throat & Anterior Neck Pain..436-439
General Symptoms
Swollen glands Digastric

Morning stiffness multiple TrPs

Fatigue multiple TrPs

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serratus anterior, diaphragm, other respiratory muscles
Shortness of breath
[abs (stomach can't rise & fall), pecs]

Muscle twitching local TrPs

Numbness and tingling nerve entrapment by TrPs

Diffuse swelling vascular entrapment by TrPs

Balance problems/staggering gait sternocleidomastoid, Gluteus minimus

Feeling continued movement in car after stopping sternocleidomastoid

Feeling tilted when cornering in car sternocleidomastoid

4
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Symptoms: Legs & Feet
Weak ankles Peroneus, tibialis

Upper/lower leg cramps Sartorius, Gastrocnemius

Tight Achilles tendons Tibialis posterior

thoracolumbar paraspinals, Gluteus minimus, Hamstrings,
Sciatica
Piriformis, Iliopsoas
Buckling knee Vastus medialis, quadriceps, Adductor longus

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Problems climbing stairs Sartorius, quadriceps femoris, Vastus medialis

Problems going down stairs Popliteus

Shin splint-type pain Peroneus, tibialis

Soleus, Quadratus plantae, Abductor hallucis, Tibialis
Heel pain
posterior
Adductor magnus, quadriceps femoris, Iliopsoas, ,
Tight hamstrings: hamstring complex
Gastrocnemius
numbness/tingling on the outer thigh (meralgia quadriceps femoris, Vastus lateralis, Sartorius, Tensor
paresthetica) fasciae latae entrapment
Balance problems/staggering gait sternocleidomastoid, Gluteus minimus
6
Restless leg syndrome Gastrocnemius, Soleus

First steps in the morning feel as if walking on nails long flexors of toes, Tibialis posterior
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7
 Anterior Ankle Pain

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 Tibialis Anterior

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9
 Peroneus Tertius

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10
Extensor Digitorum Longus &
Extensor Hallucis Longus

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11
 Anterior Leg Pain

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 Tibialis Anterior

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13
Adductors Longus & Brevis

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14
 Dorsal Forefoot Pain

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Extensor Hallucis Brevis/ Extensor
Digitorum Brevis

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16
Extensor Digitorum Longus/
Extensor Hallucis Longus

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17
 Flexor Hallucis Brevis

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18
 Interossei of Foot

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19
 Tibialis Anterior

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20
 Pain
Dorsal Great Toe

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 Tibialis Anterior

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22
 Extensor Hallucis Longus

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23
 Extensor Hallucis Brevis

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24
 Pain
Dorsal Lesser Toe

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 Interossei of Foot

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26
Extensor Digitorum Longus/
Extensor Hallucis Longus

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27
 Heel Pain

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 Soleus (TrP1)

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29
 Quadratus Plantae

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30
 Abductor Hallucis

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31
 Tibialis Posterior

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32
 Lateral Ankle Pain

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Peronei Longus, Brevis, Tertius

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34
 Lateral Leg Pain

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 Gastrocnemius

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36
Gluteus Minimus (anterior section)

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37
 Peronei Longus & Brevis

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38
 Vastus Lateralis

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39
 Medial Ankle Pain

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 Abductor Hallucis

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41
 Pain
Metatarsal Head

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 Flexor Hallucis Brevis

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43
 Flexor Digitorum Brevis

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44
 Abductor Hallucis

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45
 Extensor Hallucis Longus

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46
 Interossei of Foot

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47
 Abductor Digiti Minimi

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48
 Tibialis Posterior

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49
 Pain
Plantar Great Toe

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 Flexor Hallucis Longus

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51
Flexor Hallucis Brevis (Abductor Hallucis)

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52
 Tibialis Posterior

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53
 Pain
Plantar Lesser Toe

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 Flexor Digitorum Longus

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55
 Tibialis Posterior

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56
 Plantar Midfoot Pain

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 Gastrocnemius

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58
 Flexor Digitorum Longus

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59
Flexor Hallucis Brevis (Abductor Hallucis)

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60
 Soleus

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61
 Interossei of Foot

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62
 Tibialis Posterior

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63
 Posterior Ankle Pain

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 Soleus (TrP1)

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65
 Tibialis Posterior

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66
 Posterior Leg Pain

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 Soleus (TrP1 & TrP2)

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68
Gluteus Minimus (Posterior Section)

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69
 Gastrocnemius

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70
Semitendinosus &
Semimembranosus (fig. A)

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71
 Flexor Digitorum Longus

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72
 Tibialis Posterior

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73
 Plantaris

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74
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76
 Anterior Knee Pain

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 Rectus Femoris

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78
 Vastus Medialis

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79
Adductors Longus & Brevis

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80
 Anterior Thigh Pain

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Adductors Longus & Brevis

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82
 Iliopsoas

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83
 Adductor Magnus

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84
 Vastus Intermedius

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85
 Pectineus

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86
 Sartorius

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87
 Quadratus Lumborum

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88
 Rectus Femoris

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89
 Medial Thigh Pain

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 Pectineus

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91
 Vastus Medialis

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92
 Gracilis

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93
 Adductor Magnus

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94
 Sartorius

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95
 Posterior Knee Pain

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Gastrocnemius (TrP1, TrP3, & TrP4)

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97
 Biceps Femoris (fig. B)

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98
 Popliteus

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99
Semitendinosus &
Semimembranosus (Fig. A)

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100
 Soleus

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101
 Plantaris

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102
 Pain
Anteromedial Knee

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 Vastus Medialis

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104
 Gracilis

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105
 Rectus Femoris

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106
 Sartorius (lower TrP)

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107
Adductors Longus & Brevis

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108
 Lateral Knee Pain

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 Vastus Lateralis

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110
 Pain
Lateral Thigh & Hip

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 Gluteus Minimus

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112
Vastus Lateralis (TrP1- 5)

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113
 Piriformis

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114
 Quadratus Lumborum

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115
 Tensor Fasciae Latae

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116
 Vastus Intermedius

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117
 Gluteus Maximus

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118
 Rectus Femoris

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119
 Posterior Thigh Pain

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 Gluteus Minimus

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121
Hamstring Complex: Semitendinosus
Semimembranosus/ Bicep Femoris

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122
 Piriformis

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123
 Obturator Internus

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124
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 Symptoms: Chest, Torso,
Abdomen
Dry cough lower end sternal sternocleidomastoid

Reflux esophagitis external oblique

serratus anterior, diaphragm, other respiratory muscles [abs
Shortness of breath
(stomach can't rise & fall), pecs]

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Coccygeus, Levator ani, obturator internus, high Adductor
Menstrual problems or Diarrhea and/or pelvic pain
magnus, Abdominal obliques, lowwer abdominal quadrant
Quadratus lumborum, thoracolumbar paraspinals,
Low back pain longissimus, ilicostalis, multifidi, rectis abdominis (2nd
Picture)
Rapid/fluttery/irregular heartbeat/heart attack-like pain sternalis, pectoralis
abdominals, multifidi, iliocostalis, paraxiphoid Rectus
Bloating/nausea/abdominal cramps abdominis (2nd picture), Quadratus lumborum, upper
thoracic paraspinals
Iliopsoas, Rectus abdominis (2nd picture), Piriformis,
Appendicitis-like pains
iliocostalis
periumbilical Rectus abdominis (2nd picture)
Abdominal cramps, colic
upper public, inguinal ligament, lower internal oblique and 126
Urine retention
lower Rectus abdominis (2nd picture) TrPs
abdominal TrPs, especially in Rectus abdominis (2nd picture)
Lax, pendulus abdomen
 Symptoms: Chest, Torso,
Abdomen
Groin pain Adductors longus & brevis , Iliopsoas
pelvic TrPs, multifidi, high Adductor magnus, Abdominal
Irritable bowel
obliques
Urinary frequency cutaneous and myofascial lower abdominal TrPs

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Impotence Piriformis pudendal nerve entrapment
pelvic floor TrPs, high Adductor magnus, Piriformis,
Stress incontinence, anal/genital/perineal pain
paraspinals
Painful intercourse vaginal TrPs, pelvic floor TrPs, Piriformis

Hypersensitive nipples/breast pain Pectoralis minor, Pectoralis major (2nd picture)

Fibrocystic breasts possible ductile entrapments by TrPs

Subscapularis, infraspinatus, Supraspinatus, upper trapezius,
Problems holding arms up (as when folding sheets)
levator scapulae
Dysmenorrhea lower rectus abdominis

Nausea & vomiting upper rectus abdominis 127

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128
 Abdominal Pain

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 Rectus Abdominis

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130
Obliquus Externus Abdominis

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131
 Iliocostalis Thoracis

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132
 Multifidi

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133
 Quadratus Lumborum

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134
 Pyramidalis

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135
 Buttock Pain

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 Gluteus Medius

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137
 Quadratus Lumborum

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138
 Gluteus Maximus

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139
Iliocostalis Lumborum &
Longissimus Thoracis

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140
Semitendinosus & Semimembranosus (Fig. A)

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141
 Piriformis

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142
 Gluteus Minimus

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143
 Rectus Abdominis

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144
 Soleus

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145
 Iliosacral Pain

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 Levator Ani & Coccygeus

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147
 Gluteus Medius

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148
 Quadratus Lumborum

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149
 Gluteus Maximus

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150
 Multifidi

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151
 Iliopsoas

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152
 Rectus Abdominis

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153
Iliocostalis Lumborum &
Longissimus Thoracis

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154
 Lumbar Pain

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 Gluteus Medius

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156
 Multifidi

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157
 Iliopsoas

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158
Iliocostalis Lumborum &
Longissimus Thoracis

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159
 Rectus Abdominis

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160
 Iliocostalis Thoracis

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161
 Pelvic Pain

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Coccygeus/ Levator Ani/
Obturator Internis

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163
 Adductor Magnus

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164
 Piriformis

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165
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167
 Pain
Low Thoracic Back

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 Iliocostalis Thoracis

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169
 Multifidi

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170
Serratus Posterior Inferior

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171
 Rectus Abdominis

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172
 Intercostals

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173
 Latissimus Dorsi

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174
 Iliopsoas

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175
 Lumbar Back Pain

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 Iliopsoas

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177
 Gluteus Medius

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178
Longissimus Thoracis &
Iliocostalis Lumborum

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179
 Iliocostalis Thoracis

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180
 Multifidi

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181
 Rectus Abdominis

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182
Rectus Abdominis (cont.)

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183
 Sacral & Gluteal Pain

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Longissimus Thoracis &
Iliocostalis Lumborum

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185
 Multifidi

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186
 Quadratus Lumborum

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187
 Piriformis

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188
 Gluteus Maximus

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189
 Gluteus Medius

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190
 Gluteus Minimus

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191
Sphincter Ani/Coccygeus/ Levator Ani/
Obturator Internis

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192
 Soleus

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193
 Abdominal Pain

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 Rectus Abdominis

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195
 Abdominal Obliques

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196
 Transverse Abdominis

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197
 Iliocostalis Thoracis

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198
 Multifidi

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199
 Pyramidalis

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200
 Quadratus Lumborum

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201
 Anterior Chest Pain

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 Pectoralis Major

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203
Pectoralis Major (cont.)

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204
 Pectoralis Minor

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205
 Scalenes

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206
 Sternocleidomastoid

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207
 Sternalis

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208
 Intercostals

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209
 Subclavius

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210
External Abdominal Oblique

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211
 Diaphragm

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212
 Side of Chest Pain

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 Serratus Anterior

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214
 Intercostals

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215
 Latissimus Dorsi

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216
 Diaphragm

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217
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219
 Pain
Upper Thoracic Back

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 Scalenes

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221
 Levator Scapulae

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222
 Supraspinatus

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223
 Trapezius (TrP2 & TrP3)

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224
 Trapezius (TrP5)

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225
 Multifidi

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226
 Rhomboideus

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227
Splenius Cervicis (Fig. B)

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228
 Triceps Brachii

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229
 Triceps Brachii (cont.)

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230
 Biceps Brachii

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231
 Pain
Posterior Shoulder

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 Deltoid

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233
 Levator Scapulae

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234
 Supraspinatus

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235
 Teres Major

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236
 Teres Minor

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237
 Subscapularis

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238
Serratus Posterior Superior

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239
 Latissimus Dorsi

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240
 Triceps Brachii (TrP1)

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241
 Trapezius (TrP3 )

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242
 Trapezius (TrP6 )

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243
 Iliocostalis Thoracis

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244
 Posterior Arm Pain

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 Scalenes

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246
Triceps Brachii (TrP1 & TrP3)

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247
 Deltoid

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248
 Subscapularis

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249
 Supraspinatus

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250
 Teres Major

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251
 Teres Minor

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252
 Latissimus Dorsi

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253
Serratus Posterior Superior

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254
 Coracobrachialis

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255
Scalenus Minimus (Fig. B)

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256
 Pain
Mid-Thoracic Back

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 Scalenes

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258
 Latissimus Dorsi

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259
 Levator Scapulae

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260
 Iliocostalis Thoracis

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261
 Multifidi

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262
 Rhomboideus

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263
Serratus Posterior Superior

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264
 Infraspinatus

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265
Trapezius (TrP4 & TrP5 )

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266
 Serratus Anterior

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267
 Pain
Anterior Shoulder

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 Infraspinatus

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269
 Deltoid

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270
 Scalenes

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271
 Supraspinatus

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272
 Pectoralis Major

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273
 Pectoralis Minor

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274
 Biceps Brachii

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275
 Coracobrachialis

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276
 Sternalis

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277
 Subclavius

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278
 Latissimus Dorsi

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279
 Anterior Arm Pain

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 Scalenes

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281
 Infraspinatus

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282
 Biceps Brachii

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283
 Brachialis

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284
 Triceps Brachii

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285
 Triceps Brachii (cont.)

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286
 Supraspinatus

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287
 Deltoid

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288
 Sternalis

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289
Scalenus Minimus (Fig. B)

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290
 Subclavius

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291
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Symptoms: Arms & Hands
infraspinatus, scaleni, hand extensors (2nd picture) ,
Painful weak grip that may let go
brachioradialis

Thumb pain and tingling numbness Brachialis entrapment of radial nerve, Adductor pollicis

Handwriting difficulties Adductor pollicis / Opponens pollicis

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Subscapularis, infraspinatus, Supraspinatus, upper
Problems holding arms up (as when folding sheets)
trapezius, levator scapulae

Carpal tunnel-like pain in wrist (watchband area) Subscapularis

293
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294
 Antecubital Pain

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 Brachialis

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296
 Biceps Brachii

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297
 Hand Pain
Thumb & Radial

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 Supinator

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299
 Scalenes

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300
 Brachialis

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301
 Infraspinatus

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302
Extensor Carpi Radialis Longus (Fig. C)

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303
 Brachioradialis

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304
Opponens Pollicis & Adductor
Pollicis

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305
 Subclavius

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306
First Dorsal Interosseus

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307
 Flexor Pollicis Longus

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308
 Dorsal Finger Pain

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 Extensor Digitorum

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310
 Interossei

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311
 Scalenes

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312
Abductor Digiti Minimi (Fig. B)

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313
 Pectoralis Major

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314
 Pectoralis Minor

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315
 Latissimus Dorsi

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316
 Subclavius

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317
 Dorsal Forearm Pain

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 Triceps Brachii

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319
 Triceps Brachii (cont.)

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320
 Teres Major

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321
Extensor Carpi Radialis Longus &
Brevis

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322
Scalenus Minimus (Fig. B)

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323
 Pain
Dorsal Wrist & Hand

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Extensor Carpi Radialis Longus &
Brevis (Fig. B & C)

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325
Extensor Digitorum & Indicis

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326
Extensor Carpi Ulnaris (Fig. A)

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327
 Subscapularis

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328
Scalenus Minimus (Fig. B)

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329
 Latissimus Dorsi

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330
Serratus Posterior Superior

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331
First Dorsal Interosseus

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332
 Pain
Lateral Epicondylar

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 Supinator

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334
 Brachioradialis

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335
Extensor Carpi Radialis Longus (Fig. C)

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336
 Triceps Brachii

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337
 Triceps Brachii (cont.)

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338
 Supraspinatus

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339
4th & 5th Finger Extensors

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340
 Anconeus

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341
 Pain
Medial Epicondylar

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 Triceps Brachii

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343
 Triceps Brachii (cont.)

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344
 Pectoralis Major

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345
 Pectoralis Minor

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346
 Serratus Anterior

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347
Serratus Posterior Superior

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348
 Olecranon Pain

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 Triceps Brachii

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350
 Triceps Brachii (cont.)

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351
Serratus Posterior Superior

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352
 Radial Forearm Pain

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 Infraspinatus

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354
 Scalenes

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355
 Brachioradialis

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356
 Supraspinatus

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357
 Subclavius

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358
 Ulnar Forearm Pain

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 Latissimus Dorsi

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360
 Pectoralis Major

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361
 Pectoralis Minor

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362
Serratus Posterior Superior

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363
 Volar Finger Pain

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Flexores Digitorum
Superficialis & Profundus

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365
 Interossei

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366
 Latissimus Dorsi

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367
 Serratus Anterior

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368
Abductor Digiti Minimi (Fig. B)

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369
 Palmaris Longus

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370
 Pronator Teres (Fig. D)

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371
 Triceps Brachii

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372
 Triceps Brachii (cont.)

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373
 Pain
Volar Wrist & Palmar

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Flexor Carpi Radialis & Ulnaris

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375
Opponens Pollicis (Fig. B)

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376
 Pectoralis Major

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377
 Pectoralis Minor

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378
 Latissimus Dorsi

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379
 Palmaris Longus

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380
 Pronator Teres (Fig. D)

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381
 Serratus Anterior

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382
Return to Table of Contents
Symptoms: Head, Neck, & Shoulders
pterygoid (Lateral,Medial), sternocleidomastoid, posterior
Traveling" nocturnal sinus stuffiness
Digastric

Post nasal drip pterygoid (Lateral,Medial), sternocleidomastoid

Masseter , trapezius, temporalis, pterygoid

TMJ symptoms
(Lateral,Medial)

Dizziness when turning head or changing field of view sternocleidomastoid

Runny nose sternocleidomastoid, pterygoid (Lateral,Medial)

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Sore throat sternocleidomastoid, Digastric, pterygoid (Lateral,Medial)

Stiff neck levator scapulae

Reflux esophagitis external oblique

Drooling in sleep internal Medial pterygoid

Swollen glands Digastric

Difficulty swallowing Digastric, pterygoid (Lateral,Medial)

trapezius, sternocleidomastoid, temporalis, splenii,

Headaches/migraines suboccipital, semispinalis capitis, frontalis, zygomaticus 384
major, cutaneous facial, posterior cervical

Visual perception problems sternocleidomastoid

Symptoms: Head, Neck, & Shoulders

Tearing/reddening of eye, drooping of eyelid upper sternal sternocleidomastoid

temporalis, sternocleidomastoid, trapezius, cutaneous

Double/blurry/changing vision: internal eye muscles
facial, splenius cervicis

Earaches/ringing/itch SCM, Masseter , pterygoid (Lateral,Medial)

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Unexplained toothaches temporalis, Masseter , Digastric

Feeling continued movement in car after stopping sternocleidomastoid

Feeling tilted when cornering in car sternocleidomastoid

Pressure of eyeglasses or headbands is painful head, neck, and shoulder TrPs

Bruxism (teeth grinding) Digastric, Masseter , Soleus

385
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386
 Vertex Pain

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Sternocleidomastoid (sternal)

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388
 Splenius Capitis

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389
 Posterior Head Pain

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 Trapezius (TrP1 )

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391
 Sternocleidomastoid

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392
 Semispinalis Capitis

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393
Splenius Cervicis (Fig. B)

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394
 Suboccipital Group

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395
 Occipitalis

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396
 Digastric

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397
Temporalis (TrP4 or Fig. D)

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398
 Temporal Headache

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 Trapezius (TrP1 )

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400
Sternocleidomastoid (sternal)

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401
Temporalis (TrP1- TrP3 or Fig. A- C)

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402
Splenius Cervicis (Fig. B)

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403
 Suboccipital Group

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404
 Semispinalis Capitis

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405
 Frontal Headache

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 Sternocleidomastoid

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407
 Semispinalis Capitis

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408
 Frontalis (Fig. A)

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409
 Zygomaticus Major

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410
 Ear & TMJ

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 Lateral Pterygoid

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412
 Medial Pterygoid

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413
 Masseter (deep)

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414
Sternocleidomastoid (Fig. B)

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415
 Cheek & Jaw Pain

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Sternocleidomastoid (Fig. A)

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417
 Masseter (superficial)

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418
 Digastric

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419
 Medial Pterygoid

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420
 Buccinator

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421
 Platysma

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422
 Orbicularis Oculi

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423
 Zygomaticus Major

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424
 Toothache

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Temporalis (TrP1- TrP3 or Fig. A- C)

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426
 Masseter (superficial)

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427
 Digastric (Anterior)

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428
 Posterior Neck Pain

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 Trapezius (TrP1)

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430
 Trapezius (TrP2 & TrP3)

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431
 Multifidi

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432
 Levator Scapulae

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433
Splenius Cervicis (Fig. B)

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434
 Infraspinatus

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435
 Neck Pain
Throat & Anterior

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Sternocleidomastoid (Fig. A)

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437
 Digastric (Anterior)

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438
 Medial Pterygoid

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439