Tender Points

Question 1

inguinal ligamant

Answer 1

superior surface of pubic tubercle

Question 2

inguinal ligament treatment

Answer 2

supine flex both legs 90 degrees placing on docs thighs move leg on tender side under opposite leg internally rotate femur

Question 3

iliacus/psoas

Answer 3

2” inf and 2med from ASIS

Question 4

iliacus/psoas treatment

Answer 4

supine stand on tender side flex patients legs, externally rotate legs and place them on ur thigh flex sidebend toward the TP

Question 5

low ilium/SI

Answer 5

lateral ramus of pubic bone ant surface

Question 6

low ilium/SI treatment

Answer 6

supine flex tender side only 90 degress add abduction if needed

Question 7

lateral trochanter

Answer 7

lateral surface of femur 0-15cm distal from greater trochanter in IT band

Question 8

lateral trochanter treatment

Answer 8

prone doc seated supporting pts leg on his thigh slightly flex the hip add abduction and internal rotation

Question 9

posterior lateral trochanter

Answer 9

superior lateral surface of posterior greater trochanter

Question 10

posterior lateral trochanter treatment

Answer 10

prone doc standing w/knee on table under pts thigh, add in a moderate extension, some abduction and a lot of external rotaiton

Question 11

posterior medial trochanter

Answer 11

3-5mm inf to greater tochanter btwn post and medial surface the shaft of femur and post lateral surface of ischial tuberosity

Question 12

posterior medial trochanter treatment

Answer 12

prone grasp leg on tender side and place knee under the thigh slightly extend the leg moderately externally rotate adduct leg

Question 13

ant lat trochanter

Answer 13

5-7cm lat and inf to ASIS but ant and sup to greater trochanter

Question 14

ant lat trochanter treatment

Answer 14

supine flex hip 70-90 degrees add abduction and external rotate

Question 15

high ilium sacroiliac (HISI)

Answer 15

lat to PSIS

Question 16

HISI treatment

Answer 16

prone or supine doctor standing on affected side extend leg and slight abductioN

Question 17

mid pole sacroiliac (ilium in flare superior/MPSI)

Answer 17

3-4 cm inf to PSIS in divot in the muscle just lateral to the sacrum,

Question 18

MPSI treatment

Answer 18

prone doc standing on affected side slightly flex hip and knee add abduction some external rotation of hip

Question 19

piriformis

Answer 19

in belly of piriformis 8-9cm med and sup to greater trochanter

Question 20

piriformis treatment

Answer 20

prone doc is seated on side of TP suspend pts leg off table and rest the leg on ur thigh flex the hip to 135 abduct slightly and internally or externally rotate the knee

Question 21

high ilium out flare (HIFO)

Answer 21

seen in coccydynia at sacrococcygeal joint or on coccyx

Question 22

HIFO Tx

Answer 22

prone doc is standing on affected side abduct leg

Question 23

sacral tender point treatments

Answer 23

prone apply gentle pressure to opposite part of sacrum of where TP located

Question 24

identify

Answer 24

inguinal ligament

Question 25

identify

Answer 25

iliacus

Question 26

identify

Answer 26

low ilium (SI)

Question 27

identify

Answer 27

LATERAL TROCHANTER

Question 28

identify

Answer 28

posterior lateral trochanter

Question 29

identify

Answer 29

anterior lateral trochanter

Question 30

identify

Answer 30

High Ilium Sacroiliac (HISI)

Question 31

identify

Answer 31

Mid pole sacroiliac (MPSI)

Question 32

identify

Answer 32

piriformis

Question 33

identify

Answer 33

high ilium out flare (HIFO)