(2) Quick Self-Tests to Tell if You have Trigger Points in Your Rectus Femoris:
Follow the instructions below to test whether myfoscial trigger points in your Rectus Femoris might cause kneecap problems.
TEST 1: Heel to Buttocks Test
While lying on your stomach, grasp the top of the foot or ankle with the same side hand and pull the heel straight toward the buttocks. A Passing
result is when you can bring your heel to touch the buttocks comfortably. A Failing
result occurs when the heel remains further away from the buttocks (as shown). The further the heel is from the buttocks the greater the amount of myofascial dysfunction and trigger points present.
TEST 2: Rectus Femoris Palpation
As always, palpation
(the medical term for pressing, feeling and squeezing to evaluate body tissue) is often the most effective test to identify myofascial trigger points.
The Rectus Femoris
can be palpated from its origin at the front of the hip down to the kneecap. The landmark to use is the ASIS
, which is the bony bump you find as you walk your fingers up your thigh and reach your hip (shown as tan circle in drawing to left). The most important trigger point
is shown in red, just below the ASIS.
To access this point, you need to have your hip straight, not bent. So, palpation of the upper Rectus Femoris should be done while standing or lying on your back.
Press your fingers along the full length of the muscle (shown in green) down to the top of the kneecap
, feeling for tender points and taut bands of muscle tissue. Press gently to tolerance.