Trigger points of the Shoulder & Arm Flashcards
What is the possible cause for trigger points found in the Deltoid?
Impact trauma During sports or other activities.
Repudiative strain During prolonged lifting.
What are symptoms of having a trigger point in the Deltoid?
Difficulty abducting the shoulder to a horizontal position.
There will also be pain deep in the deltoid area.
What are the Pain patterns of trigger point in the deltoid?
Anterior, lateral and posterior sides of the shoulder.
Around the Deltoid mm in general.
What are the associated Trigger points?
Pec major, Biceps brachii, Other sections of the Deltoid.
What is a Differential Diagnoses for the Deltoid muscle?
Rotator cuff Tear, Bicipital Tendinosis, Subacromial / Subdeltoid Bursitis, Glenohumeral joint Arthritis.
What are possible Causes for Trapezius Trigger points?
Sudden Trauma, Such as falling, Whiplash injury, Walking with a cane, Arm Rest in high position.
What are the Symptoms of having a Trigger point in the Trapezius Muscle?
Severe neck pain, Headache, “Stiff neck”.
What are the Pain patterns for a Trigger point in the Trapezius muscle?
Angle of the mandible, Temporal Region, Lateral and posterior sides of the neck, Upper back, Medial boarder of the Scapula.
What are the Associated Trigger points for the Trapezius?
Temporalis, Occipitalis, Masseter, Pectoralis +-, Levator Scapula.
What Differential Diagnoses could there be for a Trigger point found in the Trapezius?
Temporomandibular Joint Disorder, TP’s of the Masticatory Mm’s, Fibromyalgia.
What are the possible causes for a Trigger point found in the Latissimus Dorsi?
Repudiative Shoulder Extension, Throwing a baseball, Hanging from a swing or pulling weeds.
What are symptoms of having a Trigger Point in the Latissimus Dorsi?
Pain when Stretching upward or far out in front of the body.
What are the Pain Patterns for a Trigger point found in the Latissimus Dorsi?
Region inferior to the scapula, Radiating and skipping down posterior arm to pinkie and ring finger.
What are associated Trigger points for the Latissimus Dorsi?
Pec major, Teres minor and Subscapularis.
What are Differential Diagnoses for Trigger points found in the Latissimus Dorsi?
Entrapment of Subscapular nerve, Bicipital Tendinosis, ulnar Neuropathy.
What are the Possible causes for having a Trigger point in the Teres Major?
Driving without power steering, Reaching overhead and forward to lifting heavy objects.
What are Symptoms for a Trigger Point found in the Teres Major?
Pain upon muscle activation, Slight restriction in overhead range.
What are pain patterns for a Trigger point found in the trees Major?
Posterior shoulder, Radiates down posterior arm and Forearm.
What are pain patterns for a Trigger point found in the trees Major?
Posterior shoulder, Radiates down posterior arm and Forearm.
What are Associated TP’s for the Teres major?
Latissimus Dorsi, Long head of the Triceps Brachii.
What are Associated TP’s for the Teres major?
Latissimus Dorsi, Long head of the Triceps Brachii.
What are Differential Diagnoses for Trigger points found in the Teres major?
Subacromial / Subdeltoid bursitis, Supraspinatus Tendinosis, TOS.
What are Possible causes for Supraspinatus Trigger points?
Carrying heavy objects that pull inferiorly, Walking a big dog that pulls hard on a leash.
Lifting heavy objects above shoulder height.
What are Symptoms for a Supraspinatus Trigger points?
Pain during shoulder abduction, Severe sleep disturbing pain.
Stiffness of the Shoulder Snapping or clicking sounds at the shoulder.
What are the Pain patterns for a Trigger point found in the Supraspinatus?
Top of the Shoulder and lateral arm to Wrist.
Main points of pain found in lateral deltoid and Lateral epicondyle.
What are the Associated TP’s for the Supraspinatus?
Infrapsinatus, Trap and Deltoid.
What are the Differential Diagnoses for Supraspinatus?
Cervical Arthritis, Spurs with nerve root irritation, Brachial plexus injuries, subacromial and sub deltoid bursitis, RC tear.
What are the possible causes for Trigger points found in the infraspinatus?
Acute stress or multiple overload stress, Reaching arm behind and away, twisting arm during a fall.
What Symptoms are associated with trigger Points found in the Infraspinatus?
Pain when brushing teeth or combing hair, inability to medially rotate and adduct shoulder at the same time.
Inability to sleep on painful side.
What are the Pain patterns associated with Trigger points found in the infraspinatus?
Most intense in shoulder, Lateral arm, forearm and hand.
What are associated TP’s for the Infraspinatus?
Teres minor, Anterior Deltoid, Suprasinatus and Bicep Brachii.
What are the Differential Diagnoses for Trigger points found in the Infraspinatus?
Suprascapular nerve entrapment, Bicepital tendiosis, Scapulohumeral Dysfunction, GH joint arthritis.
What are the Possible Causes for trigger points found in the trees minor?
Reaching behind shoulder in extension, Motor vehicle accident.
Reaching overhead, such as when playing volleyball.
What are symptoms of having a Trigger point in the Teres minor?
Posterior Shoulder pain, local to the Posterior deltoid.