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July 13, 2006

"Tennis Leg"

A client presents with low back pain. During the intake interview I found out this client had been favoring one leg because a rupture to the plantaris muscle.

First, I addressed the low back pain which centered around the sacroiliac joint. Loosening the muscles of the hips and lumbar region, along with multifidus and following tensions into the upper torso usually brings me to the attachment of the latissimus dorsi at the humerus. I then use a gentle myofascial technique to mobilize the dense fibrous connective tissue at sacroiliac joint.

Then I investigated down the leg, starting with the lower attachment of the plantaris muscle at the heel or calcaneus. Finding no pain there, I followed the plantaris up the medial side of the lower leg. There was pain at the ankle, pain at the lower border of the soleus muscle and when I got into the body of the plantaris the client said that was the place.

Following my research, this is called "tennis leg" and treatment for the condition seems to be minimal. The condition is caused by running without warming up, overuse, and in some instances is hereditary. Suggested prevention is to warm up the muscles before exercise and avoid shoes that will shorten the calf muscles.

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Posted by linda at July 13, 2006 7:22 AM

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