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Tibialis Anterior

The tibialis anterior trigger point typically causes pain in the front of the shin, ankle and on the big toe

The pain in the big toe can often be mistaken for gout, and the metabolic condition that causes gout may also irritate the trigger points in the lower leg muscles.

In most cases however, these trigger points are related to sports/overuse issues, and are often present in long distance drivers.







[Latin tibia, pipe or ute/shinbone; anterior, before]


Lateral condyle of tibia. Upper half of lateral surface of tibia. Interosseous membrane.


Medial and plantar surface of medial cuneiform bone. Base of 1st metatarsal.


Dorsi flexes ankle joint. Inverts foot. Antagonists: bularis longus, gastrocnemius, soleus, plantaris, tibialis posterior.


Deep peroneal nerve, L4, 5, S1.


Example: walking and running (helps prevent foot from slapping onto ground after heel strikes; lifts foot clear of ground as leg swings forward).






How to Massage the Tibialis Anterior 



Trigger Point Therapy - Tibialis Anterior

Tibialis Anterior - Common Trigger Point Site




Tibialis Anterior - Typical Referred Pattern




Anteromedial vague pain along shin, with zone of pain 3–5 cm in ankle joint (anterior), culminating in great-toe pain (whole toe).


Ankle pain/tenderness, pain in great toe, shin splints (anterior tibial compartment syndrome), foot dragging, ankle weakness (children), gout toe, turf toe, falls, balance issues.


Direct trauma, twisted ankle, ill-fitting boots/shoes, poor orthotics, walking on uneven surfaces, stubbing great toe, overload (e.g. walking, car pedals).


Lumbar discopathy. Arthritic toes. Anterior tibial compartment syndrome. Shin splints (anterior). Varicose veins. Gout.


Extensor hallucis longus, peroneus tertius, extensor hallucis brevis, extensor digitorum brevis/longus, flexor hallucis longus, 1st dorsal interosseous.


Self Help - Pressure tools can be useful but be aware of varicose veins



Self-massage techniques can be helpful. Be careful if there are varicose veins. Balls, hooks, and pressure tools can generally be used, as the muscle is fairly superficial.

Avoid long car journeys and use of pedals. Regularly change running surface/ shoes. Avoid walking (prolonged) on sloping surfaces.

Have stretch program (heat/warmth/cold). Adjust car seat. Use wedge under heel of foot for car pedal.




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This trigger point therapy blog is intended to be used for information purposes only and is not intended to be used for medical diagnosis or treatment or to substitute for a medical diagnosis and/or treatment rendered or prescribed by a physician or competent healthcare professional. This information is designed as educational material, but should not be taken as a recommendation for treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell.  





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Scraping, a manual, ancient practice where pain points are worked with a gua sha (smooth-edged tool), reportedly increases blood flow by up to 400 per cent more than foam rolling and massage guns. By breaking up old, damaged blood vessels to promote new growth and healing, these tools are useful for getting into the nooks and crannies of a pain point, especially in delicate areas like along the shin muscles and under the foot.

Tim Tian has taken the scraper idea and supercharged it, creating a manual, triangular tool that blends heat and vibration therapy. “Cold blades stiffen muscles, blocking a deep release,” he says.

The heated scraper device takes just three seconds to reach 50ºC. This helps muscles soften, making it easier to massage away tension, increase blood flow and promote healing. The scraper is specially great for alleviating delayed onset muscle soreness (DOMS) in the quads, and provides a relaxing switch-up from the foam roller slog.