05/16/2024
Trigger Points - Foot Drop 🦶
Foot drop, commonly observed after neurological damage such as a stroke, is characterized by the inability to properly lift the foot and toes during walking, increasing the risk of falls. This condition can be exacerbated by trigger points in the Tibialis Anterior muscle, which can severely impair the muscle's ability to facilitate foot dorsiflexion.
Characteristics of Foot Drop Trigger Point Pain:
- Impairs dorsiflexion, leading to "foot slap" and tripping.
- Often mistaken for gout or turf-toe due to similar pain symptoms.
Anatomy of the Tibialis Anterior:
- Originates from the lateral condyle and lateral tibia surface.
- Inserts at the medial cuneiform and first metatarsal base.
Functionality:
- Dorsiflexes and inverts foot, crucial for a normal walking gait.
- Prevents toe dragging during the swing phase of walking.
Common Indications:
- Trouble lifting toes off the ground.
- "Steppage" gait to prevent toe tripping.
- Muscle atrophy and strength loss in severe cases.
Causes:
- Secondary to CNS disorders like MS or peripheral nerve damage.
- Chronic overuse in activities that engage dorsiflexion heavily (hiking or climbing).
Advice for Patients:
- Perform tibialis anterior-specific stretches to maintain muscle length.
- Use a pressure tool for self-massage to alleviate tightness.
- Modify lifestyle factors to reduce symptoms, like decreasing strain activities.
Trigger Point Therapy Techniques:
- Sustained pressure on trigger points using thumbs or tools.
- Muscle Energy Techniques to strengthen and improve muscle tension.
- Positional Release to gently alleviate tension without pain.
- Dry Needling for deep tissue recovery and pain relief.
Practitioners seeking professional development opportunities, who want to learn more about our online CEU courses, please give us a call at 1-800-741-5716. 🤳
For an in-depth guide on Tibialis Anterior's role in managing foot drop and detailed therapy techniques, visit our blog. 👇
https://nielasher.com/.../trigger-point-therapy-foot-drop