Tenderpoints Flashcards
Tensor Fascia Latae TP
Inferior to Iliac Crest
f Abd
Lateral Trochanter IT Band
Along IT band, distal to Lateral Trochanter
f Abd
Lateral Hamstring
Distal aspect of Biceps Femoris near attachment to the posterolateral surface of the Fibular Head
F ER Abd Plantar Flexion
Biceps Femoris
F ER Abd
Lateral Meniscus
F Abd IR/ER
LCL
F Abd IR/ER
Medial Hamstring
Distal aspect of medial hamstring near attachment to the posterior medial surface of tibial condyle
F IR Add
Semimembranosus
F IR Add
Semitendinosus
F IR Add
Medial Meniscus
F IR Add
MCL
F IR Add
Popliteus
F IR
Medial Ankle
Anterior and inferior to Medial Malleolus along Deltoid L.
Lateral Recumbent Inversion, IR
Tibialis Anterior
inferior to the medial malleolus along the Deltoid L.
Inversion, IR
Lateral Ankle
Inferior and anterior to the lateral malleolus (talocalcaneal sulcus)
Lateral Recumbent Eversion, ER
Fibularis Longus
Inferior and anterior to the lateral malleolus (talocalcaneal sulcus)
Lateral Recumbent Eversion, ER
Fibularis Brevis
Inferior and anterior to the lateral malleolus (talocalcaneal sulcus)
Lateral Recumbent Eversion, ER
Fibularis Tertius
Inferior and anterior to the lateral malleolus (talocalcaneal sulcus)
Lateral Recumbent Eversion, ER
Quadratus Plantae
Flexion of forefoot
Anterior Cruciate
Superior aspect of Popliteal Fossa adjacent to the hamstring tendons
Move proximal Tibia posteriorly on Femur
Gastrocnemius (Extension Ankle)
Proximal Gastrocnemius muscle belly distal to Popliteal margin
Knee F and Plantarflexion
Navicular
Plantar Flexion of Subtalar Joint, Supination of forefoot
Supraspinatus
Superior to Spine of Scapula
F Abd ER
Upper Infraspinatus
Inferior and Lateral to Spine of Scapula
F Abd ER/IR
Rhomboid Major/Minor
Medial border of Scapula E Add (by pulling arm posteromedial)
Levator Scapulae
Superior angle of scapula
Patient prone with head rotated away
Glide scapula superomedially then add IR and slight Abd with traction
Subscapularis
Anterolateral border of Scapula
Supine E IR
Long Head of Biceps
Bicipital Groove Supine F (elbow and shoulder) Abd IR
Short Head of Biceps/Coracobrachialis
Inferolateral aspect of the Coracoid Process
Supine F Add IR
Pectoralis Minor
Inferior and Medial to Coracoid Process
F-f Add
Radial Head Lateral (Supinator)
Anterolateral aspect of the Radial Head
E Supination, Valgus Force
Medial Epicondle (Pronator Teres)
Supine F Pronation, Add
Dorsal Wrist (Extensor Carpi Radialis)
Dorsal surface of 2nd or 3rd metacarpal
E Abd
Dorsal Wrist (Extensor Carpi Ulnaris)
Dorsal surface of 5th metacarpal
E Add
Palmar Wrist (Flexor Carpi Radialis)
Palmar base of 2nd or 3rd metacarpal
F Abd
Palmar Wrist (Flexor Carpi Ulnaris)
Palmar base of 5th metacarpal
F Add
Palmar Wrist (1st Carpometacarpal)
Palmar base of 1st metacarpal in the APB muscle
Wrist F and Thumb Abd
Lower Infraspinatus
Lower portion of muscle inferior to spine and lateral to medial border
Lateral Recumbent F Abd ER 135-150deg
Upper Pole L5 (UPL5)
Superomedial border of PSIS
E Add IR/ER
Lower Pole L5 (LPL5)
Inferior aspect of PSIS
F Add IR
High Ilium Sacroiliac (HISI)
2-3 cm to lateral aspect of PSIS
E-e Abd ER
Piriformis
Halfway from ILA to Greater Trochanter
F Abd ER
AC1 Mandible
Posterior surface of Ramus of mandible
Push posterior to anterior [SaRa]
AC1 TP
Midway between ramus and mastoid process on the TP of C1
Push lateral to medial
AC 2-6
Anterior surface of TPs
Push anterior to posterior [F Sara]
AC7
2cm lateral to the medial end of the clavicle (clavicular head of SCM)
F StRa
AC8
Medial end of clavicle (sternal head of SCM at sternal notch)
Push superior to inferior [F Sara]
AT1
Suprasternal Notch
AT2
Angle of the Manubrium
Cervical and Thoracic Flexion to TP
AT3-AT6
On sternum at the same numbered costal level
Cervical and Thoracic Flexion to TP
AT7
Inferior tip of Xiphoid and/or 1/4 distance from tip of xiphoid and umbilicus
Seated FStRa
AT8
Halfway between tip of xiphoid and umbilicus
Seated F StRa
AT9
3/4 distance from tip of xiphoid and umbilicus
Seated F StRa
AT10
1/4 distance from the umbilicus to the pubic symphysis
Supine Hip Flexed, Sidebend torso toward, Rotate torso away
AT11
Halfway between the umbilicus and pubic symphysis
Supine Hip Flexed, Sidebend torso toward, Rotate torso away
AT12
Anterior superior surface of the iliac crest at the midaxillary line
Supine Hip Flexed, Sidebend torso toward, Rotate torso away
PT 1-3 TP
ESaRa
PT 4-9 TP
ESaRT
PT 10-12 TP
E-e SaRa(Pelvis) Rt(Torso)
Monitor TP ipsilaterally
AL1
Medial ASIS F StRa (by pulling ankles and knees towards doc) Monitor point ipsilaterally
AL 2,3,4
Lateral (3)/ Inferior (4) AIIS
F SaRt
Monitor point contralaterally
AL5
Lateral to Pubic Symphysis
F Sara
Monitor point ipsilaterally
Iliacus
LQ, medial to ASIS, deep in Iliac Fossa
Flex hips/knees to 90, crossing ankles over doc’s knee
“Frog Leg”
Low Ilium
Superior Pubic Ramus, where Psoas m crosses pelvic rim
Supine, Flex hip and knee to 90 and fine tune
Inguinal Ligament
Lateral Pubic Tubercle
Supine Doc places foot on table
Flex hips/knees to 90 and rest on doc’s knee
Cross c/l ankle over i/l leg, pull ankles towards doc (IR of bad hip)
Psoas Major
2/3 from ASIS to midline
Ipsi Hip F with feet/ankles pulled towards TP side
PL1-5 TP
E-e SaRa