Soleus, distal third, in front of the Achilles tendon
- TrP1 (Travell & Simons, vol. 2, ch. 22 — soléaire)
Record status
Documentary views
The muscle and the place
Soleus, distal third, in front of the Achilles tendon
What the finger seeks
The pincer searches below the bulge marking the end of the gastrocnemius fibres, in front of the Achilles tendon, on both sides at once; the retained material describes no patient position specific to this gesture.
The cord is taken between thumb and fingers on either side of the muscle in front of the Achilles tendon, then rolled; the tenderness of this place lies beneath the tendon's aponeurosis, and a pincer grip that takes only one side of the tendon misses it.
Sources
- travell-tpm-2 · vol. 2, ch. 22 — p. 446 (locus, examen), p. 465-466 (positions, pince, siège de la sensibilité), p. 469 (contre-appui)
- baldry-tp-acupuncture · p. 315 — douleur référée le long du tendon d’Achille jusqu’au talon (Baldry ne précise pas de locus propre pour ce point)
What pressure brings out
Pressure wakes the heel pain the person recognises as their own — back and sole of the heel, lower end of the Achilles tendon.
The pain gathers at the back and sole of the heel and at the lower end of the Achilles tendon.
It sometimes reaches the region of the sacroiliac joint on the same side — mostly from a rarer spot, a little higher and further out (see the variant).
A rare spot in the same distal third — slightly more proximal and lateral, not to be confused with the proximal locus on the lateral side of the calf — sends a deep pain into the sacroiliac joint of the same side, sometimes with a slight spillover to the heel; the authors report twice an exceptional pattern to the jaw of the same side.
Sources
- travell-tpm-2 · p. 445-448 (patrons, variante rare et cas exceptionnels)
- baldry-tp-acupuncture · p. 315-316 (talon ; sacro-iliaque)
The technique
Invasive technique not publishable: the structured contract is incomplete.
Caution
The authors publish no depth for this place: they give needle lengths, not a distance to a structure; the retained material names no critical structure for this place.
Convergence
This section requires a distance explicitly referencing this geometrically placed locus. A distance to its carrying muscle is never assigned to it.
no convergence calculated for this place