The people complain of pain down the side of the thigh. When questioned, they will often say that it extends down the calf. It is important to understand where it goes as other patterns extend in front of the ankle and into the foot. These people are clear that it goes behind the ankle.
When there is a pain in the lower buttock, it can be the primary complaint and pain down the thigh as a less concerning problem.
This stiffness and chronic pain may cause them pain on rising from a chair, disturb their sleep and/or cause them to walk with a limp.
People with this trigger point, especially the focus of pain in the buttock, are aggravated by prolonged periods of being seated or standing. One of my clients says that he is always the first to stand during the applause at a play because of the pain. These clients often get a standing desk and swap back and forth between as the day goes on. Long periods of driving, where they cannot shift to a better position or sleeping on their side can activate the pain so that it cannot be relieved without becoming mobile.
This problem usually progresses over time and they are not aware of a specific onset. They may have had something like a jarring motor vehicle accident or stepped in a hole just before noticing that it bothered them to be immobilized for long periods.
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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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