Strain/counterstrain points

Question 1

Inguinal Ligament

Answer 1

Superior surface of the pubic tubercle

flex legs, move opposite leg over tender-leg. Adduct and IR femur

Question 2

Iliacus (Psoas)

Answer 2

2in inf and 2 in medial from ASIS
“let your legs fall open”
flex, ER legs, then flex and sidbend toward TP

Question 3

Low ilium

Answer 3

lateral ramus of pubic bone, anterior surface

flex tender leg, abduct as needed

Question 4

Lateral trochanter

Answer 4

later surface of femur , up to 15cm distal from greater trochanter in the IT band

patient supine, flex, adduct and IR

Question 5

Posterior lateral trochanter

Answer 5

lateral/posterior surface of greater trochanter

patient supen, extend, abduct, and ER

Question 6

Posterior medial trochanter

Answer 6

5mm inf to greater trochanter bw the ischial tuberosity and GT

extend leg, ER and adduct across midline

Question 7

Anterior Lateral Trochanter

Answer 7

5-7 cm lateral and inferior to the ASIS but anterior and superior to the greater trochanter

flex hip, abduct, ER

Question 8

High ilium sacroiliac

Answer 8

4-5cm lateral to PSIS

extend leg and abduct

Question 9

Mid pole Sacroilliac (ilium in flare superior) (MPSI)

Answer 9

TP is 3-4 cm inferior to PSIS in the divot in the muscle just lateral to the sacrum. Approach the TP from the lateral side
flex hip, abduct (major) and ER

Question 10

Piriformis

Answer 10

8-9cm medial and superior to GT

pt prone, suspend leg of table, flex hip, abduct, and ER or IR knee

Question 11

High Ilium out flare (HIFO)

Answer 11

seen in coccydynia
TP at sacrococcygeal joint or on coccyx
extend affected side with pt prone, adduct

Question 12

sacral TPs: general

Answer 12

along median crest, along the SPs and TPs
with pt prone apply pressure to opposite side of sacrum from where the TP is located

ex: PS1 TP on R–> push on left ILA