HIP Diagnosis Referral Patterns/Prognosis

Question 1

Which muscles can refer pain to the buttock?

Answer 1

Gluteus Minimus
Gluteus Medius
Piriformis
Quadratus Lumborum (QL)

Question 2

What is the piriformis action?

Answer 2

HIP External Rotator (minimally extends the HIP)

Question 3

What pain does the piriformis cause?

Answer 3

Internal HIP rotation

Question 4

Piriformis Origin

Answer 4

Anterior Sacrum

Question 5

Piriformis Insertion

Answer 5

Greater Trochanter

Question 6

Lateral Piriformis TRP location

Answer 6

roughly 1 fun superior to GB30

Question 7

Medial Piriformis TRP location

Answer 7

Midpoint of lateral side of sacrum

Question 8

How should you needle Piriformis TRP?

Answer 8

Perpendicular, insertion 3-4 cun, needle should not be thinner than 32G

Question 9

Muscles referring pain to the groin and front/anterior thigh

Answer 9

• Adductors
• Vastus Intermedius
• Psoas

Question 10

Muscle referring pain to the lateral thigh are

Answer 10

• Vastus Lateralis
• Gluteus Minimus
• TFL

Question 11

How do you find Gluteus Maximus/Medius Inervation Zone

Answer 11

Medial 1/4 on a line drawn from the PSIS to the greater trochanter, palpate for Tenderness, needle to the Medius

Question 12

Prognosis: What is easy to treat, what is more difficult?

Answer 12

Myofascial pain is treated well with acu.

Osteoarthritis, Trochanteric Bursitis, Pelvic Disparities take more of an effort to treat.

Question 13

What is the master point of the HIP? What meridians meet here?

Answer 13

GB30, meeting point for the BL & GB meridians

Question 14

For patella femoral dysfunction, what point would be chosen?

Answer 14

GB29

Question 15

To treat IT-Band friction syndrome and IT-Band snapping syndrome to ‘release’ the TFL, what point should be needled?

Answer 15

GB29, slightly anterior

Question 16

GB29 location

Answer 16

1/2 way between, ASIS & Greater Trochanter