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1
Q

Parasympathetic Cranial nerves

A

III Oculomotor, VII Facial, IX Glossopharyngeal, X Vagus

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2
Q

DON’T TREAT POINTS THAT DON’T SCAN

A

DON’T DO IT

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3
Q

Cranial Nerve Scan - Primary

A

1/2 finger above supraorbital ridge from notch to middle, L-M
“In Row” is lateral - lateral most is posterior, medial most is anterior
“Out Row” is medial - (Lat) V, VII, X (Med)

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4
Q

Cranial Nerve Scan - Out of Row

A

Lat to Med on zygoma,
V, VII, X (with vagus as largest area and most inf)

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5
Q

Cranial Nerve Scan - Parasymp. Branches

A

Med to OM suture, above superior nuchal line, Lat to Med (III, VII, IX, X)

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6
Q

Cranial Nerve TP Row

A

ABD, OM - (suture) - OLF, OPT, GLO, TRO, VEST, - (space) - HYP, SA

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7
Q

If cranial nerve symtpoms but don’t scan CN

A

look at C1-3, T1-2 causing brain stem edema

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8
Q

ABD-N - Abducens (VI)

A

TP: 2 fingers ant to coronal suture in cranial nerve row, press A-P
RX - sphenoid posterior medial towards nuclei

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9
Q

OM-N - Oculomotor (III)

A

TP: 1 fingers ant to coronal suture in cranial nerve row, press A-P
RX - sphenoid posterior medial towards nuclei

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10
Q

OLF-N - Olfactory (I)

A

TP: 1 fingers post to coronal suture in cranial nerve row, press A-P
RX - rotate and lift lacrimal/ethmoid towards TP side

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11
Q

OPT-N - Optic (II)

A

TP: 2 fingers post to coronal suture in cranial nerve row, press A-P
RX - sphenoid posterior medial towards OPPOSITE nuclei (thalmus)

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12
Q

GLO-N - Glossopharyngeal (IX)

A

TP: 3 fingers post to coronal suture in cranial nerve row, press A-P
RX - upper carotid artery sup/sup/lat towards OM suture

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13
Q

TRO-N - Trochlear (IV)

A

TP: 4 fingers post to coronal suture in cranial nerve row, press A-P
RX - sphenoid post/med while gliding opposite nuclei ant/lat

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14
Q

VEST-N - Vestibulocochlear (VIII)

A

TP: 5 fingers post to coronal suture in cranial nerve row, press A-P
RX - temporal bone ant to ear post/med/sup towards nuclei

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15
Q

HYPO-N - Hypoglossal (XII)

A

TP: 3 fingers ant to lambdoidal suture in cranial nerve row, press A-P
RX: hypoglossal N in depression sup to lateral hyoid -glide post/sup/lat

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16
Q

SA-N - Spinal Accessory (XI)

A

TP: 2 fingers ant to lambdoidal suture in cranial nerve row, press A-P
TP2: lateral upper tapezius post to distal clavicle
RX: Csp SB to, contact anter to upper trap at C3, glide superior to jugular foramen

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17
Q

Trigeminal Nerve Branches

A

TRIG1,2,3, TENS-N tensor tympani, MYLO-N nerve to mylohyoid/ant digastric, DENI/S-N

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18
Q

Facial Nerve Branches

A

FAC1,2,3, STAP-N nerve to Stapedius, SPG-N, SMG-N

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19
Q

TRIG1-N - Trigeminal - Opthalmic Division

A

TP: deep in medial roof of orbit
RX: frontal/ethmoid bone sup and ipislateral ARCING motion

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20
Q

TRIG2-N - Trigeminal - Maxillary Division

A

TP1: Maxilla adjacent to inferior nasal cavity - press sup to inf
TP2: post/sup fibers of masseter 1 cm below mid zygo
RX: glide opp maxilla medial/inf

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21
Q

TRIG3-N - Trigeminal - Mandibular Division

A

TP: 1/3 from angle of mandible to mental protuberance in soft tissue depression
RX: CSp flex (chin tuck), SB to, Rot Away, TMJ depression mild to mod
(can tune to pterygoids - esp if clicky disc)

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22
Q

TENS-N - Tensor Tympani

A

TP: Ant rim of EAM
RX: hold behind ear, roll sup and anterior over top of ear

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23
Q

MYLO-N - Nerve to Mylohyoid/Ant Digrastric

A

TP: Belly of mylohyoid - Medial to mid mandible
RX: contact mylohyoid - under anterior mandible glide post/lat

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24
Q

FAC1-N - Facial - Temporal Branch

A

TP: 2 cm above lateral orbit of eye (in front of STL)
Rx: contact upper eyelid/brow - glide lat/inf

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25
FAC2-N - Facial - Zygomatic Branch
TP: lateral surface of post/sup mandible - 1-2 cm inf to zygoma, press A-P RX: glide Zygo/mandibular brnaches towards FAC2-N TP
26
FAC3-N - Facial - Mandibular Branch
TP: superior aspect of post digastric (btwn angle of mandible and mastroid) press Lat-Med RX: glide Zygo/mandibular brnaches towards FAC2-N TP
27
STAP-N - Nerve to Stapedius
TP: Post/inf aspect of EAM, can press from behind or in ear RX: glide mastroid ant/sup
28
STN C1/2/3-UMN2 - Spinal Trigeminal Nucleus
TP: STNC1,2,3-UMN2 line up with TRIG1,2,3-N RX: Csp Ext, SB to, Glide opposite Thalamus in superior occipital lobe below labdoidal suture in inf direction towards cervical Seg on TP side
29
3 Parasympathetic Scans
Medial to OM suture pressing L-M above SNL (cranial post gang PS), pressing L-M below SNL (scaral post gang PS) pressing M-L below SNL (preganglionic T12/L1
30
3 Vagus Scans
1) orbital ridge 2) lateral zygoma 3) med to OM suture, sup to SNL, L-M press
31
Gray/White Rami Scan
LATERAL to OM suture, pressing M-L (sup bias for white, inf for gray)
32
CIL-N - Ciliary Ganglia (CN III)
TP: posterior zygomatic bone at level of inf orbit (hook onto medial surface) RX: Glide Orbit Post/Inf
33
SPG-N - Sphenopalatine Ganglia (CN VII)
TP: medial aspect of zygomatic arch ant to mandibular condyle (hook finger) RX: Ipsilateral Maxilla post/sup
34
SMG-N - Submandibular Ganglia (CN VII)
TP: medial aspect of zygomatic arch post to sphenotemporal suture (hook finger) RX: Glide mandibular N (medial to mandibular angle) sup/post
35
OTIC-N - Otic Ganglia (CN IX)
TP: Post/inf zygomatic 1/2 way between inferior apex and zygo/temp suture (hook finger) RX: glide parotid gland sup/post
36
PS2-N (R) - Parasympathetic N of S2
TP: anterior/lateral aspect of long sacroiliac ligament at S2, approach L-M RX: glide bladder posterior, inf, right
37
PS2-N (L) - Parasympathetic N of S2
TP: anterior/lateral aspect of long sacroiliac ligament at S2, approach L-M RX: glide uterus post/sup/lat
38
PS3-N (R) - Parasympathetic N of S3
TP: anterior/lateral aspect of long sacroiliac ligament at S3, approach L-M RX: trunk rotation L, glide distal sigmoid colon inf/med to R 3rd sacral foramen
39
PS3-N (L) - Parasympathetic N of S3
TP: anterior/lateral aspect of long sacroiliac ligament at S3, approach L-M RX: first segment of sigmoid colon inf/med
40
PS4-N - Parasympathetic N of S4
TP: anterior/lateral aspect of long sacroiliac ligament at S4, approach L-M RX: rectum post/sup/lat
41
PST12-N, PSTL1-N - Preganglionic Cholinergic Fibers
TP: PST12-N use PS2/3-N TPs PSL1-N use PS3/4-N TPs RX: HL, feet towards (SB to), knees away (rot to) lift ipsilateral pelvic girdle ant/med to inc SB to/Rot to
42
VMEN-N - Vagal Meningeal Braches
TP: hook under front of SCM at C1 RX: lower occiput/SNL - glide sup/lat toward jugular foramen
43
VEAR-N - Vagal Auricular Branch
TP: hook under front of SCM at C2 RX: mostoid glide medial and inf
44
RLAR-N - Recurrent Laryngeal Nerve
TP: posterior clavicle btwn heads of SCM RX: csp flex, SB to, rot away, glide larynx inf and lateral
45
VPHAR-N - Vagus to Pharynx & Larynx
TP: superior medial tip of clavicle press sup/med to inf/lat RX: hyoid sup/lat to ispilateral side
46
VLUN1-N - Vagus to Ant Lung
TP: inf aspect of 1st costosternal jnt, press inf - sup RX: pleural dome under mid clavicle inf/med
47
VLUN2-N - Vagus to Post Lung
TP: inf aspect of 2nd costosternal jnt, press inf - sup RX: posterior thorax at mid-lower scap in a sup/med/ant direction
48
VLUN3-N - Vagus to Ant/Lat Lung
TP: inf aspect of 3rd costosternal jnt, press inf - sup RX: lateral lung at rib 6 medial/sup
49
VHRT-N - Vagal Cardiac Branches
TP: inf aspect of 4th costosternal jnt, press inf - sup RX: glide lower/mid sternum heart sup/lat with rot (CW R, CCW L)
50
VPAN-N (L), VDUOD-N (R) - Vagus to Pancreas, or Duodenum
TP: inf aspect of 5th costosternal jnt, press inf - sup RX: grab organ post at T10/11, glide ant/sup/med
51
VLIV6-N - Vagus to Liver
TP: inf aspect of RIGHT 6th costosternal jnt, press inf - sup RX: hold lateral ribs 7-9 glide med and slightly sup
52
VSTOM-N - Vagus to Stomach
TP: inf aspect of LEFT 6th costosternal jnt, press inf - sup RX: hook under anterior ribs, glide sup med
53
VESO-N - Esophageal Plexus
TP: upper xiphoid, L and R, press A-P TP2: Ant axillary line ribs 8 and 9 - pure lateral RX: under ribs ispilateral, glide up towards lower esophageal sphincter
54
VLPAN-N -Vagus to Lateral Pancreas
TP: L 7th rib at inf/med rib margin press inf - sup RX: glide 8/9 ribs (slightly post contact) on L ant/med/inf
55
VLIV7-N - Vagus to Liver/Gallbladder
TP: R 7th rib at inf/med rib margin press inf - sup RX: lower liver sup/med arc
56
VHF-N - Vagus to Hepatic Flexure
TP: R 8th rib at inf/med rib margin press inf - sup RX: hepatic flexure (inf to 8th rib) glide med/inf
57
VSF-N - Vagus to Splenic Flexure
TP: L 8th rib at inf/med rib margin press inf - sup RX: splenic flexure (inf to 8th rib), glide sup/med
58
VCEC-N - Vagus to Cecum
TP: R 9th rib at inf/med rib margin press inf - sup RX: cecum sup/med
59
VILM-N - Vagus to Ileum
TP: L 9th rib at inf/med rib margin press inf - sup RX: ileum (inf and L to umbilicus) glide sup/med
60
VADR-N - Vagus to Adrenal Glands
TP: Inf aspect of distal end of 11th ribs RX: glide adrenal gland at 11th and 12th tubercles inf/med
61
VKID-N - Vagus to Kidney
TP: Inf aspect of distal end of 12th ribs RX: glide kidney at 12th rib tubercle/L1 segment med
62
Abdominal Collateral Gang Spots
B CEL, R SMES, B AREN, L IMES, - UMBILICUS - B HYPO
63
SSCT1-2N - Preganglionic Ascending Sympathetics of T1-2
TP SSCT1-N:taut band 2 fingers lat to med end of clavicle, press sup to inf TP SSCT2-N:taut band 3 fingers lat to med end of clavicle, press sup to inf RX: csp flex, SB to, rot away
64
SCT1-5N - Lateral Preganglionic branches into thoracic ganglia
TP: all press inf-sup T1 inf aspect of medial clavicle, T2 top of sternum, T3 angle of Louis, T4 xphisternal jxn, T5 tip of xiphoid RX: shoulder horz abd tuning elevation per TP
65
Gray/White Rami pre vs post
White Rami's are pre gang, Gray Rami's are post gang
66
CEL-N - Celiac Ganglia
TP: 1 finger adjacent and 2 fingers below xphiod (B) RX: supine hip and knees flexed, holding patients legs create lumbar flex, knees to
67
SMES-N - Superior Mesenteric Ganglia
TP: 1 finger adjacent 3-4 fingers below xphoid (R ONLY) RX: supine hip and knees flexion, holding pt legs create lumbar flex, knees away, feet towards
68
AREN-N - Aortico-Renal Plexus
TP: 3-4 fingers above lateral umbilicus (B) RX: HL, feet to, knees away, compress pelvis cephalad
69
IMES-N - Inferior Mesenteric Ganglion
TP: 1-2 fingers above lateral umbilicus (L ONLY) RX: supine hip and knees flexed, knees to, feet to
70
HYPO-N - Sup and Inf Hypogastric Plexuses
TP: 1-2 fingers below lateral umbilicus (B) RX: Supine hip and knees flexed, knees to, feet to
71
PELVT12, L1-N - Pelvic Sympathetic Preganglionic Plexus
TP: PELVT12 - sciatic notch at level of S2 (press lat to med) TP: PELVL1 - sciatic notch at level of S3 (press lat to med) RX: pt in HL, lift ipsilateral pelvis ant/sup/med (lower target than AREN-N)
72
WRCT1-T3-N - White Rami Communicantes
TP: superior aspect of corresponding transverse process RX: Pt seated, shoulder horz abd
73
WRCT4-T12-N - White Rami Communicantes
TP: superior aspect of corresponding transverse process RX: Pt SL, drive corresponding rib post/med
74
WRCL1-L2-N - White Rami Communicantes
TP: Anterior lateral tip of L1/L2 transverse process RX: HL, feet to, knees away, pelvis glide sup/med
75
DC2-7 - Cervical Sinuvertebral Nerves
TP: 1-2cm lateral to metopic suture, C2 sup, C7 above frontal notch RX: Cervical Flex, rot away, glide opp lamina of lower segment sup/med to lift disc to symp ganglia
76
DT1-T7 - Thoracic Sinuvertebral Nerves
TP T1: anterior medial clavicle TP T2-7: costosternal jxn pressing A-P RX: seated flex, SB to, rot away - glide involved rib anterior medial via shoulder protraction or arm traction
77
DT8-L5 - Thoracic and Lumbar Sinuvertebral Nerves
TP T8-T10: anterior medial rib at rib margin pressing A-P TP T11-L5: anteriomedial surface of middle 1/2 of femur RX: Pt HL, trunk rot to (can use knees and pull same side arm to opp hip
78
PGC1-N - Postganglionic Sypathetics
TP: Posterior Superior ramus of mandible RX: ipsilateral eye or sphenoid inf/lat
79
PGC2-N - Postganglionic Sypathetics
TP: anterior aspect of cervical transverse process RX: csp SB to, rot away, thyroid sup/lat
80
PGC3-N - Postganglionic Sypathetics (Sup Cerv Gang)
TP: anterior aspect of cervical transverse process RX: csp SB to, rot away, carotid artery superior
81
PGC4-6-N - Postganglionic Sypathetics (Mid, Inf Cerv Gang, Cardiac Plex)
TP: anterior aspect of cervical transverse process RX: csp rot way mild, shoulder elevation, adduction, traction (more SUP/med) Alt RX: contact manibrium/upper sternum, glide sup/lateral
82
PGC7-T1-N - Postganglionic Sypathetics (Stellate Gang)
C7 TP: superolateral aspect of coracoid T1 TP: in aspect of 1st rib tubercle RX: shoulder protraction and elevation, glide brachial artery prox
83
PGCT2-T5-N - Postganglionic Sypathetics (esophageal/cardiac plex)
TP: inferior aspect of rib tubercles RX: shoulder flex/add, traction (more ANT/med)
84
PGCT6-T9-N - Postganglionic Sypathetics (from Celiac Plex)
TP: inferior aspect of rib tubercles RX: HL feet towards, shoulder across front, compress inf/med to T/L jxn (celiac plexsus)
85
PGT10-12-N - Postganglionic Sypathetics
TP: inferior aspect of rib tubercles RX: lower posterior lateral rib cage inf/med
86
PGL1-N - Postganglionic Sypathetics
TP: L inf aspect of the tip of L1 transverse process (press inf-sup) RX: hips and knees flexed, knees and feet to the L (shortening descending colon) can also just contact descending colong and drag it
87
PGL2-N - Postganglionic Sypathetics
TP: R inf aspect of the tip of L2 transverse process (press inf-sup) RX: hips and knees flexed, knees to and feet away (bringing sigmoid to R L2) can also just contact sigmoid and drag it
88
PGLS-N - (R) Postganglionic Sypathetics Bladder
TP: 3cm lateral to R PSIS, press A-P RX: bladder superior and lateral
89
PGLS-N - (L) Postganglionic Sypathetics Reproductive Organs
TP: 3cm lateral to L PSIS, press A-P RX: using towel uterus/prostate sup and lateral
90
IMPAR-N - Impar Ganglion
TP: flattened dorsal surface of sacrum just lateral to midline and superior to sacrococcygeal jxn RX: prone, using towel on dorsal pelvic floor opposite of TP, post lift & glide towards TP
91
GRCC1 - Gray Rami - Greater Occipital N
TP1: posterior aspect of transverse process RX: glide thyroid cartilage sup/lat
92
GRCC2/3 - Gray Rami - Myodural Bridge & Ansa Cervicalis N
TP1: posterior aspect of transverse process TPAlt: C2-T6 anteriolateral humerus RX: arm across chest, glide ansa cervicalis (medial to SCM at C5) sup
93
GRCC4 - Gray Rami - Phrenic N
TP1: posterior aspect of transverse process TPAlt: C2-T6 anteriolateral humerus RX: csp SB to, glide phrenic N up
94
GRCC5 - Gray Rami - Median N
TP1: posterior aspect of transverse process TPAlt: C2-T6 anteriolateral humerus RX: glide Median N sup
95
GRCC6 - Gray Rami - Radial N
TP1: posterior aspect of transverse process TPAlt: C2-T6 anteriolateral humerus RX: glide Radial N prox (ant supracondylar ridge)
96
GRCC7 - Gray Rami - Ulnar N
TP1: posterior aspect of transverse process TPAlt: C2-T6 anteriolateral humerus RX: glide ulnar N prox
97
GRCT1-T11 - Gray Rami - Intercostal Nerves
TP1: PINT-LV TP's TPAlt: T1-T6 anteriolateral humerus, T7-T11 anterior lateral femur RX: glide intercostal N to spine
98
GRCT12 - Gray Rami - Iliohypogastric N
TP1: btwn 12th rib and L1 - taut band TPAlt: Anterior lateral femur RX: Lsp SB to - glide iliohypogastric sup/lat
99
GRCL1 - Gray Rami - Ilioinguinal N
TP1: superiorlateral transverse process, press sup-lat to inf-med TPAlt: lower half ant/lat Femur RX: Lsp SB to - glide ilioinguinal sup/lat (ant groin)
100
GRCL2 - Gray Rami - Femoral N
TP1: superiorlateral transverse process, press sup-lat to inf-med TPAlt: lower half ant/lat Femur RX: Lsp SB to - glide femoral N sup med
101
GRCL3 - Gray Rami - Oburator N
TP1: superiorlateral transverse process, press sup-lat to inf-med TPAlt: lower half ant/lat Femur RX: Lsp SB to - glide obturator N sup
102
GRCL4 - Gray Rami - Tibial N
TP1: superiorlateral transverse process, press sup-lat to inf-med TPAlt: lower half ant/lat Femur RX: Lsp SB to - glide tibial N (medial to medial HS) sup/lat
103
GRCL5 - Gray Rami - Common Fibular N
TP1: inf/med aspect of PSIS - press inf-med to sup-lat TPAlt: lower half ant/lat Femur RX: Slight hip abd, glide common fibular N (medial to lateral HS) sup/med
104
GRCS1 - Gray Rami - Sacral Plexus
TP: inf sacral foramen of S1 RX: common fibular N (medial to lateral HS) sup/med
105
GRCS2 - Gray Rami - Sacral Plexus
TP: inf sacral foramen of S2 RX: tibial N (medial to medial HS) sup/lat
106
GRCS3 - Gray Rami - Pelvic Floor mm branch
TP: inf sacral foramen of S3 RX: towel - S3 nerve root (ant pelvic floor) post/lat/sup
107
GRCS4 - Gray Rami - N to Coccygeus
TP: inf sacral foramen of S4 RX: glide along inf sacrotuberous ligament sup/med towards sacro-coccygeal jxn

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