tenderpoints

Question 1

iliacus/psoas

Answer 1

patient supine

legs flexed to 90, sidebend, and internally rotate

Question 2

piriformis

Answer 2

patient prone

flex to 135, add abduction, and rotation as needed

Question 3

lateral trochanter

Answer 3

supine or prone
abduction and slight flexion of thigh
involves IT band

Question 4

posterior lateral trochanter

Answer 4

supine or prone
external rotation w/slight extension and abduction
involves piriformis

Question 5

posterior medial trochanter

Answer 5

prone
externally rotate w/extension and adduction
involves inferior and superior gemmelli
quadratus femoris

Question 6

anterior lateral trochanter

Answer 6

supine
flex w/slight abduction and external rotation
involves tensor fascia lata

Question 7

medial meniscus

Answer 7

supine
knee flexed to 40, abduction/adduction and rotation as needed
pes anserinous mm (sartorius, gracillis, semitendenosous

Question 8

lateral menidcus

Answer 8

supine
slight flexion, slight abduction of thigh and external roation of tibia
IT band

Question 9

PCL

Answer 9

supine w/pillow under proximal tibia
posterior pressure on distal femur
bicepts femoris, PCL

Question 10

ACL

Answer 10

supine w/pillow under distal femur
posterior pressure on proximal tibia
biceps femoris, ACL

Question 11

felxed calcaneus

Answer 11

supine or prone
plantar flex
plantar fascia, quadratus plantae

Question 12

medial ankle

Answer 12

supine, prone, or seated
inversion of ankle, slight dorsi flex or plantar flex
adductor hallucis

Question 13

lateral ankle

Answer 13

supine, seated or prone
eversion of ankle, supination of forefoot
fibularis longus and brevis, superior and/or peroneal retinaculum

Question 14

supraspinatus

Answer 14

supine

flex, abduct to 45, external rotate humerus

Question 15

subscapularis

Answer 15

supine

extension, slight abduction, internal rotation of humerus

Question 16

biceps brachii

Answer 16

supine, seated
flex elbow, minor flexion of arm, adduction and internal rotation of arm as needed
brachiallis, biceps

Question 17

radial head

Answer 17

supine or seated
full extension of elbow, supination
supinator

Question 18

medial epicondyle

Answer 18

supine or seated
flex elbow to 90, pronate wrist
forearm flexors and pronator teres

Question 19

dorsal wrist

Answer 19

supine or seated
wrist in extension and fine tune w/radial/ulnar deviation
wrist extensors

Question 20

palmar wrist

Answer 20

supine or seated
wrist in flexion, fine tune w/radial/ulnar deviation
wrist flexors

Question 21

anterior ribs

Answer 21

seated
opposite arm drapped over knee
flex, sidebend, and rotation towards affected rib

Question 22

posterior ribs

Answer 22

seated
same arm draped over knee
slight extension, sidebending and rotation away from affected rib