The patient may also have a perception of fullness in the rectum.
![travell and simons trigger point referral patterns adductor travell and simons trigger point referral patterns adductor](https://present5.com/presentacii-2/20171213/39376-myofacialrelease-150118075044-conversion-gate02.ppt/39376-myofacialrelease-150118075044-conversion-gate02_10.jpg)
The pelvic surface of the obturator internus and its fascia form the anterior lateral wall of the true pelvis.
#TRAVELL AND SIMONS TRIGGER POINT REFERRAL PATTERNS ADDUCTOR SKIN#
Strong depression of the subcutaneous tissue is required to reduce the distance from the skin to the muscle. The muscle is needled with flat palpation perpendicular to the muscle along the contour of the iliac crest.
![travell and simons trigger point referral patterns adductor travell and simons trigger point referral patterns adductor](https://0.academia-photos.com/attachment_thumbnails/59038850/mini_magick20190426-19214-wmnr4e.png)
It also has a bursa between the tendon and the insertion at the greater trochanter. It originates between the anterior and inferior gluteal lines of the anterior aspect of the ilium and inserts on the anterior aspect of the greater trochanter.