Posterior Cervical, Thoracic & Lumbar Tenderpoints Flashcards

1
Q

What are the posterior cervical tenderpoints?

A

PC1-Inion
PC1 Occiput
PC2 Occiput
PC2-PC8

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2
Q

Where is the PC1 Inion tenderpoint?

A

on the inferior nuchal line

just lateral to the inion

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3
Q

Where is the PC1 occiput tenderpoint?

A

on the inferior nuchal line

midway bw inion and mastoid process

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4
Q

Where is the PC2 occiput tenderpoint?

A

on the inferior nuchal line

within the semispinalis capitis M.

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5
Q

Where is the PC2 tenderpoint?

A

on the superolateral tip of the C2 spinous process

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6
Q

Where is the PC3-PC8 tenderpoints?

A

on the inferolateral tip of the spinous process of the vertebra superior

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7
Q

How do you treat PC1 Inion?

A

F St Ra

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8
Q

How do you treat PC1-PC2 occiput?

A

e-E Sa Ra

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9
Q

How do you treat PC2 and PC4-8?

A

e-E Sa Ra

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10
Q

How do you treat PC3?

A

F Sa Ra

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11
Q

What are the posterior thoracic tenderpoints?

A

PT 1-12 SP

PT 1-12 TP

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12
Q

Where are the PT 1-12 SP tenderpoints?

A

midline

on the inferior tip of the spinous process of the dysfunctional segment

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13
Q

Where are the PT 1-12 TP tenderpoints?

A

on the transverse process of each thoracic vertebra

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14
Q

How do you treat PT 1-3 SP tenderpoints?

A

pt supine

use table lever to extend neck

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15
Q

How do you treat PT 4-6 SP tenderpoints?

A

pt prone

use table lever to extend upper thorax

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16
Q

How do you treat PT 7-12 SP tenderpoints?

A

pt prone

use table lever to extend lower thorax

17
Q

How do you treat PT 1-3 TP tenderpoints?

A

pt supine
use lever to extend neck

E Sa Ra

18
Q

How do you treat PT 4-9 TP tenderpoints?

A

pt prone and doc seated at head
docs ipsi arm wraps under pt’s arm
lift shoulder pull shouler superiorly

E Sa Rt

19
Q

How do you treat PT 10-12 TP tenderpoints?

A
pt. prone and doc stands contra
scoots pt's legs away from tenderpoint
lift ASIS
pull ASIS inferiorly
e-E Sa Rt
20
Q

What are the posterior lumbar tenderpoints?

A
PL 1-5 SP
PL 1-5 TP
UPL5 and LPL5
HISI
PL3 and PL4 gluteus
21
Q

How do you treat PL 1-5 SP tenderpoints?

A
pt prone
doc ipsi with knee bent on table
pt's ipsi thigh on doc's knee
extend, adduct and ER pt leg
e-E Sa Rt
22
Q

How do you treat PL 1-5 TP tenderpoints?

A

pt prone and doc stands contra
lift ASIS
pull ASIS inferiorly
E Sa Rt

23
Q

How do you treat UPL5 tenderpoint?

A

pt prone, doc stands ipsi w/ knee on table
pt thigh on doc’s knee
extend, adduct and IR/ER pt leg depending on feel

24
Q

How do you treat LPL5 tendpoint?

A

pt prone at edge of table
doc seated ipsi
pt leg at 90, resting on doc’s knee
move pt’s leg into flexion, adduction, and IR

25
Q

How do you palpate the LPL5 tenderpoint?

A

pressing superiorly on the inferior part of the PSIS

26
Q

How do you treat the HISI, PL 3 gluteus, and PL 4 gluteus tenderpoints?

A

pt prone w/ doc ipsi
doc’s knee bent on table
pt’s thigh on doc’s knee
extend, abduct, and ER leg

27
Q

How do you palpate the HISI tenderpoint?

A

pressing medially just lateral to the PSIS

28
Q

Where are the PL1-5 SP tenderpoints?

A

on the inferolateral aspects of the spinous process

29
Q

Where are the PL1-5 TP tenderpoints?

A

on the respective transverse processes

30
Q

Where is the UPL5 tenderpoint?

A

on the superior medial portion of the PSIS

31
Q

Where is the LPL5 tenderpoint?

A

on the ilium just inferior to the PSIS

32
Q

Where is the PL3 gluteus tenderpoint?

A

2/3 laterally from PSIS to tensor fascia latae

33
Q

Where is the PL4 gluteus tenderpoint?

A

posterior margin of tensor fascia latae

at the level of the PSIS