Chapman's points and Trigger points

Question 1

These are smooth, firm, discretely palpable, approximately 2-3 mm in diameter, located within the deep fascia or on the periosteum of a bone

Answer 1

Chapmans points

Question 2

Anterior chapman point for appendix

Answer 2

tip of 12th rib

Question 3

posterior chapman point for appendix

Answer 3

transverse process of T11

Question 4

Anterior chapman point for Adrenals

Answer 4

-2” superior and 1 “ lateral to umbilicus

Question 5

Posterior chapman point for adrenals

Answer 5

-Between the spinous and transverse process of T11 and T12

Question 6

Anterior chapman point for Kidney

Answer 6

1” superior and 1” lateral to umbilicus

Question 7

Posterior chapman point for Kidney

Answer 7

Between the spinous and transverse processes of T12 and L1

Question 8

Chapman point for bladder

Answer 8

periumbilical

Question 9

Chapman point for cecum

Answer 9

right proximal femur

Question 10

chapman point for proximal transverse colon at hepatic flexure

Answer 10

right distal femur

Question 11

Chapman point for sigmoid colon

Answer 11

left proximal femur

Question 12

chapman point for distal transverse colon at the splenic flexure

Answer 12

left distal femur

Question 13

What type of point refers pain

Answer 13

trigger point

Question 14

treatment options for trigger points

Answer 14

• Spray and stretch using vapocoolant spray
• Injection with local anesthetic
• Muscle energy
• Myofascial release
• Ultrasound, reciprocal inhibition, or ischemic compression

Question 15

do tenderpoints refer pain when pressed?

Answer 15

no