|Conditions Associated with TPs:||Overuse, over exercise, trauma, Sprain / Strain|
|General Symptoms:||Painful muscles in the region, Weakness in kicking the leg forward, Pain or discomfort on walking or running|
|Common Causal Activities:||Over exercise or trauma|
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Sit on the floor or in a chair with the ankle of the painful leg up and crossed on your other knee. Grip the shin bone with the fingers to help pull a double thumb post into the calf muscles or use a raised knuckle to press into the TP. Use the other hand to help press the treating hand into the TP. Using a hooked tool is good. If you can bend enough to do it you can place your elbow on the TP and lean into it for many on the front of the leg.
For the back of the leg, a tennis ball for therapy is not as effective. A hook tool can do well.
|Therapist Care:||The double thumb post is good. Use a hand tool with a broad tip if you can to save your fingers. Use your elbow with the other hand guiding and controlling the placement. You can use your forearm in a rocking motion across the muscles in the leg. Stand beside the patient. Place the down side of your forearm across the muscle. Clasp your hands together for support and power. Slowly roll laterally across the muscle until the patient tells you there is a TP. Continue this process throughout the muscle to save your hands and thumbs.|
|Special Notes:||This area of the body seems to be able to have many subclinical (below the pain threshold) TPs that a person is unaware of unless they are exercising.|
The treatment techniques for the lower legs, upper legs and Gluteals are essentially the same with minimal variation due to location and the size of the muscles being treated. Please go to the Gluteals and Thigh pages for additional details. The pictures shown here are specific to the lower leg but can be used in those other areas as well.For finding and treating the lower leg a double hand squeeze/pinch combination is best. Take a large amount of muscle between the fingers and thumb and slowly roll it around until the patient tells you that you found a TP. Stop and wait for it to change, then continue for more TPs.Remember to test the ends of the muscles behind the knee and at the Achilles Tendon area.The calf is a little too small to use the elbow but is ideal for using a rolling forearm. The Ulna bone (in line with the little finger) is pressed against the muscle. Don't use the elbow itself to press into the muscles. By clasping the hands it allows you to leverage pressure using your body weight through the shoulder and opposite arm. The opposite hand actually presses the forearm down while using the joint at the elbow as the fulcrum for movement.