Patients will describe referral patterns from myofascial trigger points in the tensor fascia lata muscle, as pain in the hip and down the front side of their thigh (Images 1A and 2).
Other symptoms include tenderness and pain, from the pressure of the patient’s own body weight, which prevents them from laying on the affected side. Patients can lay on their opposite side by placing a pillow between their knees. The pillow prevents the tensor fascia lata, and the other hip abductors on the painful side from being lengthened, which can activate trigger points. If both sides are too painful, the patient will sleep on their back with a pillow under their legs or in a reclining chair.