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Self Care – Pain in the mid-calf and heel

The sacrotuberous ligament a thick band of connective tissue that ties the low back, sacrum, ilium, ischium and becomes the hamstring tendon. It usually requires some persistence to resolve.

Don’t use heat here. It feels good but inflammation sets in a few hours later. making this worse.

The first line of defense is ice. This is a big, thick ligament without a good blood supply. Ice compresses out the inflammatory agents and pulls in new blood.

Place an ice pack right on the side of your sacrum where that green asterisk is in the picture. Follow the guidelines in this post for icing.

The tennis ball treatment for glutes may be effective in releasing this trigger point. Focus on using the ball along the edge of the sacrum on the spot that creates this referral pattern. Follow that an ice pack on the sacrum. This can be a stubborn problem to resolve and can nag you for years.


Most people overwork this and need some ice afterward. It’s a good idea to ice this afterward even if you didn’t overwork this.

In most cases, you should really see a Neuromuscular therapist or some other bodyworker who specializes in pelvic balancing.

Does another Self-Care post
better match your pain?

Here is the post about the trigger point pattern associated with these Self-Care activities.

This is an unusual referral and not easy to solve. Make sure you’re working on the right thing. Check out other posts for the calf, the foot, and the hip.

Crescent Lunge by YogaDownload.com

Lunges like this tend to rotate the ilium on the sacrum and loosen a jammed SI joint so that the ligament can relax. She does a particularly great job of keeping her shoulders back while dropping her pelvis below her front knee.

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Tony Preston has a practice in Atlanta, Georgia, where he sees clients. He has written and taught about anatomy, trigger points, and cranial therapies since the mid-90s.

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*This site is undergoing significant changes. We are reformatting and expanding the posts to make them easier to read. The result will also be more accessible and will include more patterns with better self-care. In the meanwhile, there may be inconsistencies in formatting, content presentation, and readability. Until we get older posts updated, please excuse our mess.