Cervical Counterstrain

Question 1

Anterior Cervical Tenderpoints

Answer 1

AC1 Posterior edge of the ramus of the mandible. Treatment RA “AC1 rotates away son”
AC2 - AC6 Anteriorlateral tip of the transverse process. Treatment FSARA flexion side bending away and rotation away
AC7 Superior surface of the clavicle at the clavicular attachment of the SCM (sternocleidomastoid) FSTRA flexion side bending towards rotation away “Flex straw into 7 up”
AC8 Medial edge of the clavicle at the sternal attachment of the SCM FSARA flexion side bending away rotation away

AC1 and AC7

Question 2

Maverick Tenderpoints

Answer 2

Tenderpoints that’s do not resolve when the muscle is shortened AC1 and AC7. Must be lengthened. They don’t follow the general rule of counterstrain.

Question 3

Posterior Cervical Tenderpoints

Answer 3

PC1 (midline/inion) inferior Nuchal line, just lateral of the inion Treat Flexion “F PC1”
PC1 (lateral/Occiput) Halfway b/w inion & mastoid process Treat ESARA extension side bending away rotate away
PC2 (midline) superior surface of the C2 spinous process Treat ESARA
PC2 (lateral/Occiput) Inf Nuchal line @attachment of semispinalis capitis Treat ESARA
PC3 (midline) Inferolateral aspect of the C2 spinous process FSARA “3 isnt E”
PC3 -PC7 (lateral) Posteriolateral aspect of the corresponding articular process ESARA
PC4-PC7 Inf surface of the Above verebral spinous process ESARA
PC8 (midline) Inf surface of C7 spinous process ESARA

PC1 and PC3 are not ESARA (shortening posterior musculature with these tenderpoint) you are lengtheing

Question 4

Anterior treatment
Posterior Treatment

Answer 4

Cervical SARA = Flex the front and Extend the End

Question 5

Anterior Thoracic Tenderpoints

Answer 5

AT1 below sternal notch along midline F
AT2 - AT6 midline level of corresponding vertebrae F
AT7 1 inferior to Xiphoid 2) left and 3) right are both mid clavicular line @ 7th ICS FSTRA
AT8 T12 midline 2) left and 3) right are both mid clavicular line @ 12th ICS FSTRA
AT9 1) Superior to umbilicus @ L2 2) Left mid clavicular line @ L2 3) Right mid clavicular line @L2 FSTRA
AT10 1) Inferior to umbilicus @ L4 2) Left mid clavicular line @ L4 3) Right mid clavicular line @L4 FSTRA
AT11 1) Midline @ L5 2) Left mid clavicular line @ sacral base 3) Right mid clavicular line @ sacral base FSTRA
AT12 Bilaterally superior to ASIS @ iliac crest FSTRA

Question 6

Posterior Thoracic Tenderpoints

Answer 6

PT1-12 (spinous process) Inferolateral aspect of the corresponding spinous process ESARA

PT1-12 (Transverse process) Lateral aspect of the corresponding transverse process ESART

ESARA = along midline
ESART= Transverse process

Question 7

Anterior Rib Tenderpoints

Answer 7

AR1 First chondrosternal joint FSTRT
AR2 Superior aspect of the 2nd rib @midclavicular line FSTRT
AR3 - AR6 (midline) 3rd - 6th ICS @ sternal border FSTRT
AR3-10 (lateral) corresponding rib @anterior axillary line FSTRT

Ill start with the ribs

Question 8

Posterior rib Tenderpoints

Answer 8

PR1 corresponding rib angle ESART

PR2 - 12 corresponding rib angle F SARA

Question 9

Lumber Counter Strain (Anterior Lumber Tenderpoint)

Answer 9

AL1 Medial to ASIS FSTRA
AL2 Medial to AIIS FSART
AL3 Lateral to AIIS FSART
AL4 inferior to AIIS FSART
AL5 anterior and superior aspect of the pubic ramus FSARA

STRA, SART SART SART SARA

Question 10

Pelvic/ Sacral Tenderpoints Anterior

Answer 10

Psoas 2/3 from ASIS to midline FST (Hips)
Iliacus 1/3 from ASIS to midline F AB ER (Frog legs)
Low illium 2 inches superolaterally to pubic symphysis Flexion
Pectinus (Inguinal) Medial aspect of inguinal ligament near pubic tubercle F AD IR
Low illium Flareout Descending ramus of pubic bone F AB ER

Question 11

Posterior Pelvic/Sacral tenderpoints

Answer 11

Piriformis Halfway b/w the ILA and greater tronchanter F AB ER (Peeing Dog)
Upper Pole L5 (UPL5) Superomedial aspect of PSIS Extension
Lower Pole (LPL5) Inferior aspect of PSIS F AD IR
PL3 Gluteus 2/3 PSIS to tensor fasciae Latae E AB ER
PL4 Posterior aspect of tensor fasciae Latae E AB ER

3 4 EABER