Counterstrain Points Flashcards
Name the TP:
___: 1.5 inches below xiphoid
___: midline about 1-2 cm below umbilicus
___: midline below xiphoid, 1-2 cm above umbilicus
___: Midline about 3-4 cm below umbilicus
___: mid-axillary line on superior-medial surface of iliac crest
AT8
AT10
AT9
AT11
AT12
Name the TP:
___: On the costal cartilages of T5 and T6
___: On inferior medial surface of costal cartilages, 1 and 2 in from xiphoid
AL 5-6
AL 7-8
List the TP:
___: below clavicle on rib 1 lateral to manubrium
___: 1.5 in lateral to manubriumon rib, on midclavicular line, also found deep to axilla
___: anterior axillary line on ribs 3-6
AR1
AR2
AR 3-6
Name the TP:
____: superior surface of angles of ribs, at medial border of scapula about 2.5 in lateral to midline
___: posterior margin of rib head beneath the margin of trapezius
PR2-6
PR1
List the TP:
___: lateral to AIIS
___: inferior to AIIS
___: medial to ASIS
___: medial to AIIS
___: inferior to pubic tubercle
AL3
AL4
AL1
AL2
AL5
List the TP:
___: midline lumbar spinous process
___: transverse processes of L1-3
___: superior aspect of PSIS
___: inferior aspect of PSIS
___: 1/3 distance from PSIS to greater trochanter
___: 2/3 distance from PSIS to greater trochanter
PL1-5 midline
PL1-3 TP
UPL5
LPL5
PL3Lat
PL4Lat
Name the TP:
___ lower quadrant in the iliac fossa
Iliacus TP
Name the TP:
___: superior aspect of lateral ramus of pubic bone where psoas crosses pelvic rim
Low ilium
Name the TP:
Medial surface of descending ramus of pubic bone. May be related to iliococcygeus muscle
Low ilium flare out
Name the TP:
___: lateral surface of pubic bone, near attachment of inguinal ligament
Inguinal ligament TP
Name the TP:
___: near its muscle attachment on the ASIS. Palpate from about 2-3 cm caudad to ASIS by pushing toward inferior aspect of ASIS
Sartorius
Name the TP:
___: press against lateral aspect of PSIS. Depndening on depth of palpation, may be related to gluteus maximus or medius
High ilium
Name the TP:
___: inferolateral aspect of ILA. Probably sacrospinous or sacrotuberous ligament
High ilium flare out (HIFO)
Name the TP:
___: along sacroiliac joint, inferior to LPL5 and cephalon to ILA
Flare-in sacroiliac (FISI)
Name the TP:
___ : about 1/2 to 2/3 of the way form the ILA to the greater trochanter pushing toward its musculotendinous junction
Piriformis
Name the TP:
___: midline on sacrum between or below spines
___: 1/4 medial and superior to ILA b/l
___: 1/2 inch medial to inferior aspect f PSIS b/l
PS2-4
PS5
PS1
Name the TP:
___: superolateral aspect of posterior surface of greater trochanter. Probably the lateral aspect of piriformis m.
Posterior lateral trochanter
Name the TP:
___: inferior to greater trochanter and in mid-coronal line
Lateral trochanter
Name the TP:
___: close to middle of popliteral space (1 point)
___: at widest part of popliteal space (2 points)
PCL
ACL
name the TP:
__: located at the level of the lower edge of patella, at medial meniscus. Push medial to lateral
Medial meniscus
Name the TP:
__: attachment of medial hamstring tendon, lateral to medial meniscus of TP. Push medial to lateral, posterior to superior
Medial hamstring
Name the group for these 3 TPs:
- On patellar ligament/tendon
- In front on medial meniscus
- on front of medial surface of tibia
Push anterior to posterior
Knee extenders
Name the TP:
___: posterior joint of acromion and clavicle
Posterior acromioclavicular
Name the TP:
___: slightly medial to the tip of the clavicle
Anterior acromioclavicular
Name the TP:
___: in belly of this rotator cuff in the fossa above the spine of the scapula
Supraspinatus
Name the TP:
___: 1 cm from medial margin and 5 cm inferior to spine of scapula
___: 2 or 3 cm below spine and 3 cm more lateral than the lower one
Low infraspinatus
Upper infraspinatus
Name the TP:
___: lateral border of scapula under the arm, back of head of humerus
Teres minor
Name the TP
___: lateral and posterior surface of scapula, at inferior angle.
Teres major
Name the TP:
___: superior medial surface of front of coracoid process. Pec minor muscle
Medial coracoid
Name the TP:
___: on anterior surface of scapula, DEEP in belly of the muscle
Subscapularis
Name the TP:
___: slightly medial of center on the anterior humerus, on the tendon of the muscle
Latissimus dorsi
Name the TP:
___: inferolateral aspect of coracoid process at insertion of this part of biceps muscle
Short head
Name the TP:
___: tendon of this part of biceps muscle in the bicipital groove
Long head
Name the TP:
___: Coronoid process of ulna
Flexion elbow
Name the TP:
___: at side of olecranon process of ulna near triceps tendon
Extension elbow
Name the TP:
___: lateral part of radial head. Push anterior to posterior on flexor surface
Radial head
What are the big 3 muscles to evaluate in Tension headaches?
Trapezius
Levator scapulae
SCM
What are common offender muscles in Anterior Shoulder Pain?
Biceps (LH and SH) Pec major and minor Infra & supraspinatus Deltoid Scalenes
What are common muscle offenders in Posterior Shoulder Pain?
Levator scapulae Teres major and minor Supraspinatus Trapezius Subscapularis Serratus posterior superior (referral pattern is to the shoulder)
What are common tender points for Anterior Thoracic?
Pec major
Serratus anterior
T2-6 points
What are common TPs for forearm/wrist/hand?
Triceps (LH most common)
Medial elbow-Pronator teres, flexor carpi radialis and ulnaris, palmaris longus
Lateral elbow-supinator (radial head), extensor carpi radialis/anconeus/common extensor tendon involved
In regards to anterior lumbar/pelvis/hips TP’s:
Myofascially the ___ TP is in the internal oblique, ___ TP is in the lower external oblique, ___ TP’s in the iliopsoas, and ___ in the Rectus abdominal and pyramidalis
These muscles are often related to GI conditions (e.g., IBS)
AL1
AL2
AL3-4
AL5
Ext oblique, lower rectus, iliacus
What muscles should be considered for deep pelvis pain
Obturator internus and external
Adductor magnus
Lower ext abdominal oblique
What muscles should be considered for anterior hip pain?
Pectineus (inguinal l.)
Lower ext abdominal oblique
For posterior lumbar/pelvis/sacrum, list the common muscles that refer to the pelvis:
Quadratus lumborum
Longissimus thoracis
Iliocostalis
What are common anterior knee offenders?
Rectus femoris
Vastus medialis
Adductor longus/brevis
What are common lateral knee offenders?
Vastus lateralis, IT band
What are common posterior knee offenders?
Gastrocs Biceps femoris (athletes) Soleus Semimembranosus Semitendinosus Popliteal Plantaris
What are common ankle offenders?
Fibularis longus and brevis Tibialis anterior (medial), soleus/posterior tibialis/gastrocnemius (posterior)
What are common plantar heel pain offenders?
Quadratus plantae
Name the common offenders for foot (bunion region):
Flexor digitorum brevis
Adductor hallicis
Flexor hallicis brevis
Name common offenders for dorsum of foot:
Extensor digitorum brevis
Extensor hallicis brevis
Name the TP:
___: midline in Supra sternal notch
___: level of costal cartilage related to named vertebra
___: midline manubrium
___: inch above xiphoid
___: tip of xiphoid
___: xiphoid-sternal junction
AT1
AT3-4
AT2
AT5
AT7
AT6
