UE & LE Counterstrain Flashcards
With CS, it is important to treat most tender point first. If there are more than 1 of similar tenderness, what do you do?
Treat most central and/or proximal
Lateral trochanter (TFL) tender point location
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Lateral trochanter (IT band) tender point location
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Lateral hamstring tender point location
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Medial hamstring tender point location
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Lateral meniscus/Lateral (fibular) collateral ligament tender point location
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Medial meniscus/Medial (tibial) collateral ligament tender point location
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Anterior cruciate ligament tender point location
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Posterior cruciate ligament tender point location
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Popliteus tender point location
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Extension ankle (gastrocnemius) tender point location
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Medial ankle (tibialis anterior) tender point location
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Lateral ankle (fibularis/peroneus) tender point location
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Flexion calcaneus (quadratus plantae) tender point location
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Navicular tender point location
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Supraspinatus tender point location
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Infraspinatus (upper and lower) tender point location
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Levator scapulae tender point location
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Rhomboid minor/major tender point location
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Subscapularis tender point location
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Biceps brachii (long head) tender point location
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Biceps brachii (short head)/coracobrachialis tender point location
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Pectoralis minor tender point location
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Radial head-lateral (supinator) tender point location
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Medial epicondyle (pronator teres) tender point location
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Dorsal wrist (extensor carpi radialis) tender point location
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Dorsal wrist (extensor carpi ulnaris) tender point location
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Palmar wrist (flexor carpi radialis) tender point location
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Palmar wrist (flexor carpi ulnaris) tender point location
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First CMP (abductor pollicis brevis) tender point location
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Treatment for lower extremity tender point: lateral trochanter (TFL)
F ABD
Treatment for lower extremity tender point: lateral trochanter (IT band)
f ABD
Treatment for lower extremity tender point: lateral hamstring
F ER abd
Treatment for lower extremity tender point: medial hamstring
F IR Add
Treatment for lower extremity tender point: Lateral meniscus/Lateral (fibular) collateral ligament
F Abd ir/er
Treatment for lower extremity tender point: Medial meniscus/Medial (tibial) collateral ligament
F Add ir
Treatment for lower extremity tender point: Anterior cruciate ligament
Pt supine Towel roll or pillow under distal femur for fulcrum, apply force to proximal tibia to translate tibia posteriorly on distal femur untili tenderness is 70% reduced
Treatment for lower extremity tender point: posterior cruciate ligament
Pt supine Towel roll or pillow under proximal tibia for fulcrum, apply force to distal femur to translate femur posteriorly on proximal tibia until tenderness is 70% reduced
Treatment for lower extremity tender point: popliteus
F IR
Treatment for lower extremity tender point: extension ankle (gastrocnemius)
Pt prone Pts knee flexed and dorsum of foot on doc’s thigh, add compressive force through calcaneus until tenderness is >70% reduced
Treatment for lower extremity tender point: medial ankle (tibialis anterior)
INV ir
Treatment for lower extremity tender point: lateral ankle (fibularis/peroneus)
EV er
Treatment for lower extremity tender point: flexion calcaneus (quadratus plantae)
Pts knee is flexed, dorsum of foot on doc’s thigh Marked plantarflexion while translating calcaneus toward forefoot until tenderness is 70% reduced
Treatment for lower extremity tender point: navicular
Pts knee is flexed, dorsum of foot on doc’s thigh, plantar flexion of subtalar joint, supination of forefoot until tenderness is 70% reduced
Treatment for upper extremity tender point: supraspinatus
F ABD ER
Treatment for upper extremity tender point: infraspinatus
F IR abd
Treatment for upper extremity tender point: levator scapulae
IR Abd traction
Treatment for upper extremity tender point: rhomboid major/minor
E Add
Treatment for upper extremity tender point: subscapularis
E IR
Treatment for upper extremity tender point: biceps brachii (long head)
F Abd ir
Treatment for upper extremity tender point: biceps brachii short head/coracobrachialis
F Add IR
Treatment for upper extremity tender point: pectoralis minor
f-F ADD
Treatment for upper extremity tender point: radial head-lateral (supinator)
E SUP Val
Treatment for upper extremity tender point: medial epicondyle (pronator teres)
F Pro add
Treatment for upper extremity tender point: dorsal wrist (extensor carpi radialis)
E Abd
Treatment for upper extremity tender point: dorsal wrist (extensor carpi ulnaris)
E ADD
Treatment for upper extremity tender point: palmar wrist (flexor carpi radialis)
F Abd
Treatment for upper extremity tender point: palmar wrist (flexor carpi ulnaris)
E Add
Treatment for upper extremity tender point: first CMP (abductor pollicis brevis)
F (wrist) Abd (thumb)