Symptoms
First Steps in the Morning Feel as if Walking on Nails
Heel and arch pain on first steps in the morning commonly involves soleus, tibialis posterior and intrinsic foot muscle trigger points.
Overview
Heel and arch pain on first steps in the morning commonly involves soleus, tibialis posterior and intrinsic foot muscle trigger points. Identifying which muscle reproduces the patient's familiar pain on palpation guides treatment and often produces meaningful change alongside standard care.
Primary Symptoms
References
- • Travell & Simons — Myofascial Pain and Dysfunction
Medically reviewed by: Physio Energy clinical team — physiotherapists specialised in myofascial pain · Last reviewed:
