Intro to Counterstrain (non-TP slides) - Treffer

Question 1

What are the 3 big muscles to evaluate in tension HA?

Answer 1

Trap, Levator scapulae, SCM

Question 2

What 5 tenderpoints should be evaluated in HA/Neck Pain/TMJ cases?

Answer 2

Trap, Levator scapulae, Anterior and Posterior Cervical, Cranial points

Question 3

What are the common muscles involved in anterior shoulder pain?

Answer 3

• Biceps (long and short head)
• Pec major/minor
• Infraspinatus
• Supraspinatus
• Deltoid
• Scalenes

Question 4

What are the common muscles involved in posterior shoulder pain?

Answer 4

• Levator scapulae
• Teres major/minor
• Supraspinatus
• Trap
• Subscapularis
• Serratus posterior superior

Question 5

If the person has atypical chest pain, what Anterior Thoracic points are commonly treated?

Answer 5

Pec major, serratus anterior, T2-6 points

Question 6

Forearm/Wrist/Hand common points

Answer 6

• Triceps (long head)
• Medial Elbow - pronator teres, flexor carpi radialis and ulnaris, palmaris longus
• Lateral Elbow - supinator (Radial head), extensor carpi radialis/aconeus/common extensor tendon

Question 7

Anterior Lumbar/Pelvis/Hips - myofascial location.

Answer 7

Myofascially, the:

• AL1 is the internal oblique
• AL2 is the lower external oblique
• AL3/4 in the iliopsoas
• AL5 in the rectus abdominus and pyramidalis

Question 8

Anterior Lumbar/Pelvis/Hips - what are often related to GI conditions?

Answer 8

External oblique
Lower rectus
Iliacus

Question 9

Anterior Lumbar/Pelvis/Hips - muscles involved in deep pelvis pain

Answer 9

Obturator internus/externus
Adductor magnus
Lower external abdominal oblique

Question 10

Anterior Lumbar/Pelvis/Hips - muscles involved in anterior hip pain

Answer 10

Pectineus, lower external abdominal oblique

Question 11

3 muscles that commonly refer pain to the pelvis

Answer 11

Quadratus lumborum
Longissimus thoracis
Ilicostalis lumborum

Question 12

Two major muscles for anterior knee pain

Two major muscles for lateral knee pain.

Answer 12

Anterior - rectus femoris, vastus medialis

Posterior - vastus lateralis, iliotibial band

Question 13

Muscles involved in pain pattern for posterior knee pain

Answer 13

Gastroc
Biceps femoris (athelets)
Soleus (more post calf pain)
Semimembranosus
Semitendinosus
Popliteus
Plantaris

Question 14

Muscles involved in pain pattern for ankle pain

Answer 14

Fibularis longus and brevis (lateral)
Tibialis anterior (medial)
Soleus/posterior tibialis/gastroc (posterior)

Question 15

Muscles involved in pain pattern for plantar heel pain

Answer 15

quadratus plantae

Question 16

Muscles involved in pain pattern for foot (bunion region)

Answer 16

flexior digitorum brevis, adductor hallicis, flexor hallicis brevis

Question 17

Muscles involved in pain pattern for dorsum of foot

Answer 17

Extensor digitorum brevis

Extensor hallicis brevis

Question 18

CNST tender points are often found where in relation to the patient’s pain?

Answer 18

The opposite side of the patient’s pain