Chapter 11 Chapman's Points and Trigger Points Flashcards
How would you describe anterior chapman’s points?
Smooth, firm, discretely palpable nodules approx 2-3mm in diameter
Where are anterior chapman’s points located?
Within deep fascia or on periosteum of bone
Where are posterior chapmna’s points located?
Bt spinous and transverse processes
How would you describe posterior chapman’s points?
Rubbery, similar to tissues texture changes assoc with classic viscero-somatic reflexes
What will gentle pressure on a chapman’s point elicit?
Sharp, nonradiating, exquisitely distressing pain
What are chapman’s points?
Somatic manifestations of a visceral dysfunction
Anterior appendix?
Tip of right 12th rib
Posterior appendix?
Transverse process of T11
The presence of which particular reflex helps to direct the DDx more toward acute appendicitis?
Posterior appendix chapman’s point
Anterior adrenal?
2” superior and 1” lateral to umbilicus
Posterior andrenals?
Bt spinous and transverse processes of T11 and T12
Anterior kidneys?
1” superior and 1” lateral to umbilicus
Posterior kidney?
Bt spinous and transverse processes of T12 and L1
Bladder?
Periumbilical region
Colon?
Lateral thigh within the IT band from greater trochanter to just above knee
Cecum?
Right proximal femur
Hepatic flexure?
Right distal femur
Sigmoid colon?
Left proximal femur
Splenic flexure?
Left distal femur
What is a trigger point?
May refer pain when pressed
What is a tender point?
DOES NOT refer pain when pressed
Where will trigger points of the SCM refer pain?
Ipsilateral occipital and temporal regions
What trigger point is assoc with supraventricular tachycardias?
Right pectoralis muscle bt 5th and 6th ribs near the sternum
What do trigger points represent?
Somatic manifestations of a viscero-somatic, somato-visceral or somato-somatic reflex
Methods are used to eliminate trigger points?
Neurological or vascular methods
How do you treat myofascial trigger points?
Spray and stretch using vapocoolant spray, injection with local anesthetic
What are tenderpoints used for?
Diagnostic criteria and as a treatment monitor for counterstrain
