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Pelvic Tenderpoints and counterstrain treatments Flashcards

1
Q

Location and diagnosis of AL1 tenderpoint

A

located on medial ASIS

dx: push medial to lateral

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2
Q

Location and diagnosis of AL5 tenderpoint

A

Anterior to the pubic rami

dx: push anterior to posterior

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3
Q

Location and diagnosis of AL2 tenderpoint

A

AIIS

push medial to lateral

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4
Q

location and diagnosis of AL3 tenderpoint

A

AIIS

push lateral to medial

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5
Q

location and diagnosis of AL4 tenderpoint

A

AIIS

Push inferior to superior

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6
Q

Location and dx of Iliacus tenderpoint

A

push 1/3 between ASIS and midline

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7
Q

Location and dx of ingunal

A

lateral aspect of pubic tubercle

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8
Q

location and dx of psoas tenderpoint

A

2/3 from ASIS to midline

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9
Q

location and dx of low ilium

A

located on superior surface of iliopubic eminence

halfway between AIIS and pubic tubercle

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10
Q

Location of PL1-5 tenderpoints

A

spinous/transverse processes

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11
Q

Lateral PL3 tenderpoint loctaion

A

Halfway between PSIS and posterior TFL (just below iliac crest)

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12
Q

Lateral PL4 tenderpoint location

A

Just below iliac crest and just behind (posterior) TFL

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13
Q

Upper pole L5 tenderpoint

A

Superomedial aspect of PSIS

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14
Q

Lower pole L5 tenderpoint

A

inferior aspect of PSIS

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15
Q

Piriformis tenderpoint

A

halfway between ILA and greater trochanter

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16
Q

High illium SI tenderpoint

A

2-3 cm lateral to PSIS

17
Q

Midpole SI tenderpoint

A

lateral to ILA

push anteromedial

18
Q

High illium flareout tenderpoint

A

lateral to coccyx

push anteromedial

19
Q

Describe the counterstrain treatment of AL1 tenderpoint

A

FStRa

stand on side of dysfunction, cross patients good leg over bad leg, bed patients knees and set them on your leg (on table) rotate torso away by pulling legs AND feet towards you (towards tender point)

20
Q

Counterstrain treatment for AL5 tenderpoint

A

FSaRa

Stand on side of dysfunction, cross patients good leg over bad leg and bend their knees, place on your leg, bring knees TOWARDS and feet AWAY

21
Q

Counterstrain for AL2-4 tenderpoints

A

FSaRt

Stand on OPPOSITE side of dysfunction, cross pt legs good over bad, bend knees and place on your leg, bring knees and legs towards you (away from tenderpoint)

22
Q

Counterstrain for illiacus tenderpoint

A

stand on side of dysfunction, cross pt legs BAD over good, bend pt legs and place on your knee, spread pt legs apart (causes external rotation in the bad leg)

23
Q

Counterstrain for Psoas tenderpoint

A

stand on side of dysfunction, cross pt legs good over bad, bend pt knees and put on your leg and spread pts legs apart

may need to add slight ipsilateral lumbar sidebending

24
Q

Counterstrain for inguinal tenderpoint

A

stand on side of dysfunction, cross pt legs good over bad- HIGH CROSS at the knees) and bend their knees to place them on your leg (further adjust how much their legs are crossed if needed)

25
Q

Counterstrain for low Ilium tenderpoint

A

stand on side of dysfunction

pure hip flexion (~100 degrees)

26
Q

PL1-5 Midline tenderpoint counterstrain

A

stand on opposite side of dysfunction

pt prone, bring their legs onto your leg to create pure extension

27
Q

PL1-5 infrolateral/transverse process counerstrain

A

ESaRt
1.) stand on opposite side. pt prone, lift leg furthest from you and roll them towards you
OR
2.) stand on same side and slid your knee under the dysfunctional side and let their leg roll in

28
Q

Upperpole L5 tenderpoint counterstrain

A

ESaRt
Stand on opposite side of dysfunction . pt prone. Grab dysfunctional side and lift it to create extension and slight adduction

29
Q

Lower pole L5 tenderpoint counterstrain

A

F IR ADD

sit on the same side as the dysfunction. pt prone. scoot pt to side of table. Bring knee off the table and place it on your thigh add flex to 90 degrees. internally rotate and slightly adduct

30
Q

Piriformis tenderpoint counterstrain

A

F ER ABD

sit on same side as dysfunction. pt prone at edge of table. bring knee off table and place on your thigh and flex to 120. Externally rotate and abduct (knee out an ankle towards the table)

31
Q

High Illium Sacroiliac Counterstrain

A

Stand on side of dysfunction, extend and abduct pts leg and place in on your knee on the table

32
Q

Lateral PL3 and PL4 counterstrain

A

E ER ABD

stand on side of dysfunction, extend and abduct dysfunctional leg, let go of leg and let it externally rotate downwards

33
Q

Midpole sacroiliac counterstrain

A

Stand on side of dysfunction

ipsilateral hip abduction with slight flexion (frog leg on the dysfunctional side)

34
Q

High illium tenderpoint counterstrain

A

stand on side of dysfunction

pt prone, cross bad leg over good leg and use your forearm to accentuate the cross

OMM (6 decks)

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