The Trigger Point & Referred Pain Guide

brought to you by


trigger point thumbnail

Myofascial Trigger Point Symptoms
Chest, Torso, Abdomen

Dry cough lower end sternal sternocleidomastoid
Reflux esophagitis external oblique
Shortness of breath serratus anterior, diaphragm, other respiratory muscles [abs (stomach can't rise & fall), pecs]
Menstrual problems or Diarrhea and/or pelvic pain Coccygeus, Levator ani, obturator internus, high Adductor magnus, Abdominal obliques, lowwer abdominal quadrant
Low back pain Quadratus lumborum, thoracolumbar paraspinals, longissimus, ilicostalis, multifidi, rectis abdominis (2nd Picture)
Rapid/fluttery/irregular heartbeat/heart attack-like pain sternalis, pectoralis
Bloating/nausea/abdominal cramps abdominals, multifidi, iliocostalis, paraxiphoid Rectus abdominis (2nd picture), Quadratus lumborum, upper thoracic paraspinals
Appendicitis-like pains Iliopsoas, Rectus abdominis (2nd picture), Piriformis, iliocostalis
Abdominal cramps, colic periumbilical Rectus abdominis (2nd picture)
Urine retention upper public, inguinal ligament, lower internal oblique and lower Rectus abdominis (2nd picture) TrPs
Lax, pendulus abdomen abdominal TrPs, especially in Rectus abdominis (2nd picture)
Groin pain Adductors longus & brevis , Iliopsoas
Irritable bowel pelvic TrPs, multifidi, high Adductor magnus, Abdominal obliques
Urinary frequency cutaneous and myofascial lower abdominal TrPs
Impotence Piriformis pudendal nerve entrapment
Stress incontinence, anal/genital/perineal pain pelvic floor TrPs, high Adductor magnus, Piriformis, 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
Problems holding arms up (as when folding sheets) Subscapularis, infraspinatus, Supraspinatus, upper trapezius, levator scapulae
Dysmenorrhea lower rectus abdominis
Nausea & vomiting upper rectus abdominis