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Muscles

Flexor Digitorum Brevis (Foot) Trigger Points

Symptom Area: Leg, Ankle and Foot

Flexor Digitorum Brevis (Foot) Trigger Points are explored here through their location and referred pain pattern. Muscle knots is an everyday term used for tender muscular spots; myofascial pain describes pain involving muscle and its surrounding connective tissue. Flexes the proximal IP joints of toes 2–5.

Where you feel it

Where the pain spreads: Ball of the foot and central plantar arch. What often sets it off: Long-distance walking, overpronation, weak intrinsics.

Overview

Flexes the proximal IP joints of toes 2–5. Trigger points here are common in everyday and athletic populations and frequently contribute to the referred pain patterns described below.

Trigger point locations

Central plantar foot.

Referred pain pattern

Ball of the foot and central plantar arch.

Palpation & testing

Palpate the muscle belly along its accessible course. Reproduction of the patient's familiar pain on palpation supports involvement.

Common causes

Long-distance walking, overpronation, weak intrinsics.

Self-care & clinical treatment

Intrinsic strengthening, gait retraining. Clinically: needling.

Treatment protocol

For Flexor Digitorum Brevis (Foot), the general protocol applies: sustained pressure release on the taut band, then stretch and active movement in the newly gained range.

Position and palpation: Palpate the muscle belly along its accessible course.

Regional precaution for clinicians: In the calf, ankle and foot the tibial nerve and posterior tibial vessels in the deep posterior compartment, the common peroneal nerve at the fibular neck and the plantar neurovascular bundle guide needle placement.

Read the full trigger point treatment protocol →

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References

  • • Travell & Simons — Myofascial Pain and Dysfunction

Medically reviewed by: Marco Aruffo — physiotherapist since 2006, specialised in myofascial pain · Last reviewed:

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