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Trigger Points & Musculoskeletal Pain

Where myofascial trigger points refer — and the acupuncture points that release them. From Baldry's trigger-point method.

Upper Trapezius

Neck & Shoulders

Refers to: Up the back of the neck to the temple and behind the ear; sometimes jaw.

Acu: GB 21

Levator Scapulae

Neck & Shoulders

Refers to: Down the inner edge of the scapula and up the back of the neck to the base of the skull.

Acu: SI 14 / BL 43 region

Sternocleidomastoid (SCM)

Neck

Refers to: Face, forehead, around the eye, and sometimes deep into the ear; can cause dizziness.

Acu: ST 9 / LI 18

Splenius Capitis

Neck

Refers to: Vertex of the head and around the eye.

Acu: BL 10

Masseter

Jaw

Refers to: Teeth, jaw, and ear; bruxism pattern.

Acu: ST 6 / ST 7

Temporalis

Jaw & Head

Refers to: Temple, upper teeth, and eyebrow.

Acu: GB 8 / TE 23

Infraspinatus

Shoulder

Refers to: Down the outer arm and forearm, sometimes to the hand; shoulder pain sleeping on the side.

Acu: SI 11

Supraspinatus

Shoulder

Refers to: Outer arm down to the deltoid; pain lifting the arm.

Acu: SI 12 / TE 15

Deltoid (anterior)

Shoulder

Refers to: Localized to the front shoulder and outer arm.

Acu: LI 15

Scalenes

Neck

Refers to: Down the outer arm and into the hand; can mimic thoracic outlet.

Acu: LI 18

Extensor Digitorum

Forearm

Refers to: Back of the hand and fingers; 'tennis elbow' referral.

Acu: LI 11 / LI 10

Flexor Carpi Radialis

Forearm

Refers to: Palm and front of the wrist; 'golfer's elbow'.

Acu: HT 3 / PC 3

Quadratus Lumborum

Lower Back

Refers to: Lower back, hip, and outer thigh; 'hip hitch' pain, worse coughing.

Acu: BL 52 / GB 26

Gluteus Medius

Hip

Refers to: Outer thigh and hip; pain sleeping on the side.

Acu: GB 29 / GB 30

Piriformis

Hip

Refers to: Down the back of the thigh; can compress the sciatic nerve.

Acu: GB 30 / BL 54

Hamstrings

Thigh

Refers to: Back of the thigh to the knee; sometimes the hip.

Acu: BL 37 / BL 36

Gastrocnemius / Soleus

Calf

Refers to: Back of the knee down to the heel and Achilles.

Acu: BL 57 / BL 56

Tibialis Anterior

Shin

Refers to: Front of the ankle and top of the foot; shin splints.

Acu: ST 36 / ST 38

Peroneus / Fibularis Longus

Lower Leg

Refers to: Outer ankle and foot; ankle instability.

Acu: GB 34 / GB 39

Plantar Foot (Foot intrinsic)

Foot

Refers to: Heel and sole; 'plantar fasciitis' first-step pain.

Acu: KI 1

Pectoralis Major

Chest

Refers to: Front of the chest and down the inner arm; can mimic heart pain.

Acu: PC 1 / ST 18 region

Sternalis

Chest

Refers to: Central chest; can cause anterior chest pain.

Acu: CV 17 region

Adductor Longus

Groin

Refers to: Inner thigh and front of the hip; groin strain.

Acu: LR 10 / LR 11 / SP 10

Iliopsoas

Hip & Core

Refers to: Lower back and front of the hip; 'stuck sitting' pain.

Acu: ST 25 / GV 4

Suboccipitals

Head & Neck

Refers to: Top and back of the head, behind the eyes.

Acu: GB 20 / BL 10