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The tibialis posterior muscle originates on the inner posterior border of the fibula laterally. [2] It is also attached to the interosseous membrane medially, which attaches to the tibia and fibula. [2] The tendon of the tibialis posterior muscle (sometimes called the posterior tibial tendon) descends posterior to the medial malleolus. [2]
The exercise is performed from a seated position while the weight rests on the upper leg, just above the knee. The person engaged in this exercise lifts the weight by pushing down on the balls of the feet. [1] Due to the discomfort of higher weights on a bar, barbells used for seated calf raises are frequently padded or wrapped in a towel.
The anterior compartment of the leg is supplied by the deep fibular nerve (deep peroneal nerve), a branch of the common fibular nerve. The nerve contains axons from the L4, L5, and S1 spinal nerves. Blood for the compartment is supplied by the anterior tibial artery, which runs between the tibialis anterior and extensor digitorum longus muscles.
The flexor hallucis longus is situated on the fibular side of the leg. It arises from the inferior two-thirds of the posterior surface of the body of the fibula, with the exception of 2.5 cm at its lowest part; from the lower part of the interosseous membrane; from an intermuscular septum between it and the peroneus muscles, laterally, and from the fascia covering the tibialis posterior, medially.
Several effective exercises target the muscles in the lower leg, including the calves, tibialis anterior, and other supporting muscles. Calf raises are a foundational exercise: standing with feet hip-width apart, you raise your heels off the ground and lower them back down, effectively strengthening the gastrocnemius and soleus muscles.
The septa are formed from the fascia which is made up of a strong type of connective tissue. The fascia also separates the skeletal muscles from the subcutaneous tissue. [2] Due to the great pressure placed on the leg, from the column of blood from the heart to the feet, the fascia is very thick in order to support the leg muscles. [3]
Lower leg muscles acting on the ankle are the dorsiflexors (tibialis anterior) and plantarflexors (gastrocnemius and soleus). The gastrocnemius/soleus is active in the last part of swing phase to prepare for foot strike and remain active through stance until just before toe-off in order to propel the body forward.
Foot drop is rarely the result of a pathology involving the muscles or bones that make up the lower leg. The anterior tibialis is the muscle that picks up the foot. Although the anterior tibialis plays a major role in dorsiflexion, it is assisted by the fibularis tertius, extensor digitorum longus and the extensor hallucis longus.