Therapist Notes include:
Syndromes and Conditions,
NMT protocols and more…
Peroneal muscles are responsive to craniostructural work, pelvic work, and local joint work. In addition, the proper preparation makes the trigger points in the peroneal muscles very responsive to direct work if it is still needed.
Peroneal muscles are indicated in several ways:
- Instability in the low leg when standing on one foot
- Weakness and pain in the lateral ankle when walking on uneven ground
- Collapse of the foot nmedially
- Lateral ankle sprain
Integrative Treatment Sequencing
Lateral Strain Patterns
A lateral strain pattern of the cranium directly governs the stability of the lateral low leg muscles. In The Typical Pattern, the left lateral strain pattern weakens the right peroneal muscles. Structural release consistently provides lasting results when using the right lateral strain technique. Resolve the functional patterns after this structural release to avoid iatrogenic discomfort.
The valgus thrust of the ankle often creates a weakness in the tibialis anterior. In turn, the peroneal muscles can become unstable. In addition, the squamosal suture of the temporal bone governs the valgus thrust of the ankle.
The atlas and the SBS tend to be anterior on the right and rotated to the left when the peroneus longus has trigger points. Typically, it is more effective to focus on the related craniostructural and pelvic patterns.
If you’re not inclined to do craniostructural techniques, establish joint play in the atlas before addressing the pelvis.
You can find details in this post.
Peroneus longus patterns are directly governed by the shearing of the ilium on the sacrum. As a result, the pelvis tends to be posterior on the side with peroneal trigger points.
Lift the os coxae anteriorly to free the sacroiliac joint.
You can find more details in this post.
Fibular head mobilization consistently releases this trigger point.
Palpate for the tender, swollen tissue at the base of the first metatarsal. Evert the foot while lifting the fibular head anterior and inferior. In 30-90 seconds, the swollen tissue at the base of the first metatarsal will soften. At that point, review the peroneal trigger point. The entire muscle will improve in tone and strength.
Detailed Trigger Point Work
This protocol from The Workbook of Classical Neuromuscular Therapy is a more detailed treatment of the attachments and belly of the lateral low leg muscles.
If you’ve done any of the steps before this, the releases are easy and lasting. If you haven’t done those releases, At least go back and release the fibular head. It will be so much easier for you and your clients.
You can find the detailed steps in this post.
This post includes activities to change, stretches, icing, and yoga tips. It is an excellent resource for clients.
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Tony Preston has a practice in Atlanta, Georgia, where he sees clients. He has written materials and instructed classes since the mid-90s. This includes anatomy, trigger points, cranial, and neuromuscular.
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