Quadratus plantae | Sports massage for foot pain, part 6

Описание: Welcome to the sixth and final video in our sports massage of the foot. This time we look at the quadratus plantae muscle. This wonderful tissue is one of the highlight muscles involved in treatment of Plantar Fascitis.

The quadratus plantae has
two heads. Its larger, medial head attaches
proximally to the medial side of
the calcaneus, and the flat tendinous lateral
head attaches proximally to the lateral
side of that bone and to the long plantar
ligament. The two heads are separated
by the long plantar ligament and converge
distally at an acute angle to join the lateral
margin of the tendon and the tendon
of the flexor digitorum longus.

It assists flexor digitorum longus in flexion of the
phalanges of the four lesser
toes and also provides
proximal stability to the lumbrical
muscles of the foot.

Quadratus plantae changes the
posteromedial pull of the flexor digitorum longus into that of pure flexion of
the toes. This may be especially valuable in
flexing the toes when the weight-bearing
foot is dorsiflexing at the ankle, so you can see why it is involved in plantar fascia conditions.

What is also important to note is that the quadratus plantae, flexor digitorum longus and brevis, lumbricals, and interossei
function as a team to flex the four
lesser toes and to control their extension.

Dysfunction in the quadratus plantae can result in heel pain, especially if the lateral plantar nerve gets entrapped between the two heads. Poor quality or poorly fitted footwear can also result in dysfunction of this muscle.

When we palpate the
quadratus plantae trigger points, you
will need to use deep palpation and sufficient pressure to sink deep
to the plantar aponeurosis with the toes
slightly extended. Spot tenderness is usually
clearly definable, but one should not
expect to feel a taut band in this muscle.
The quadratus plantae
trigger points refer pain and tenderness to the
bottom of the heel but will be very hot just proximal to calcaneal attachment.

Part 1:    • Extensor digitorum brevis and extensor hal...  
Part 2:    • Abductor hallucis | Sports massage for foo...  
Part 3:    • Abductor digiti minimi | Sports massage fo...  
Part 4:    • Flexor digitorum brevis | Sports massage f...  
Part 5:    • Adductor hallucis | Sports massage for foo...  
Part 6:    • Quadratus plantae | Sports massage for foo...  

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These videos are intended to be used for information purposes only and are not intended to be used for medical diagnosis or treatment or to substitute for medical diagnosis and/or treatment rendered or prescribed by a physician or trained healthcare professional. This information is designed as educational material and should not be taken as a recommendation for the treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell.