Pelvic Tenderpoints and counterstrain treatments

Question 1

Location and diagnosis of AL1 tenderpoint

Answer 1

located on medial ASIS

dx: push medial to lateral

Question 2

Location and diagnosis of AL5 tenderpoint

Answer 2

Anterior to the pubic rami

dx: push anterior to posterior

Question 3

Location and diagnosis of AL2 tenderpoint

Answer 3

AIIS

push medial to lateral

Question 4

location and diagnosis of AL3 tenderpoint

Answer 4

AIIS

push lateral to medial

Question 5

location and diagnosis of AL4 tenderpoint

Answer 5

AIIS

Push inferior to superior

Question 6

Location and dx of Iliacus tenderpoint

Answer 6

push 1/3 between ASIS and midline

Question 7

Location and dx of ingunal

Answer 7

lateral aspect of pubic tubercle

Question 8

location and dx of psoas tenderpoint

Answer 8

2/3 from ASIS to midline

Question 9

location and dx of low ilium

Answer 9

located on superior surface of iliopubic eminence

halfway between AIIS and pubic tubercle

Question 10

Location of PL1-5 tenderpoints

Answer 10

spinous/transverse processes

Question 11

Lateral PL3 tenderpoint loctaion

Answer 11

Halfway between PSIS and posterior TFL (just below iliac crest)

Question 12

Lateral PL4 tenderpoint location

Answer 12

Just below iliac crest and just behind (posterior) TFL

Question 13

Upper pole L5 tenderpoint

Answer 13

Superomedial aspect of PSIS

Question 14

Lower pole L5 tenderpoint

Answer 14

inferior aspect of PSIS

Question 15

Piriformis tenderpoint

Answer 15

halfway between ILA and greater trochanter

Question 16

High illium SI tenderpoint

Answer 16

2-3 cm lateral to PSIS

Question 17

Midpole SI tenderpoint

Answer 17

lateral to ILA

push anteromedial

Question 18

High illium flareout tenderpoint

Answer 18

lateral to coccyx

push anteromedial

Question 19

Describe the counterstrain treatment of AL1 tenderpoint

Answer 19

FStRa

stand on side of dysfunction, cross patients good leg over bad leg, bed patients knees and set them on your leg (on table) rotate torso away by pulling legs AND feet towards you (towards tender point)

Question 20

Counterstrain treatment for AL5 tenderpoint

Answer 20

FSaRa

Stand on side of dysfunction, cross patients good leg over bad leg and bend their knees, place on your leg, bring knees TOWARDS and feet AWAY

Question 21

Counterstrain for AL2-4 tenderpoints

Answer 21

FSaRt

Stand on OPPOSITE side of dysfunction, cross pt legs good over bad, bend knees and place on your leg, bring knees and legs towards you (away from tenderpoint)

Question 22

Counterstrain for illiacus tenderpoint

Answer 22

stand on side of dysfunction, cross pt legs BAD over good, bend pt legs and place on your knee, spread pt legs apart (causes external rotation in the bad leg)

Question 23

Counterstrain for Psoas tenderpoint

Answer 23

stand on side of dysfunction, cross pt legs good over bad, bend pt knees and put on your leg and spread pts legs apart

may need to add slight ipsilateral lumbar sidebending

Question 24

Counterstrain for inguinal tenderpoint

Answer 24

stand on side of dysfunction, cross pt legs good over bad- HIGH CROSS at the knees) and bend their knees to place them on your leg (further adjust how much their legs are crossed if needed)

Question 25

Counterstrain for low Ilium tenderpoint

Answer 25

stand on side of dysfunction pure hip flexion (~100 degrees)

Question 26

PL1-5 Midline tenderpoint counterstrain

Answer 26

stand on opposite side of dysfunction | pt prone, bring their legs onto your leg to create pure extension

Question 27

PL1-5 infrolateral/transverse process counerstrain

Answer 27

ESaRt 1.) stand on opposite side. pt prone, lift leg furthest from you and roll them towards you OR 2.) stand on same side and slid your knee under the dysfunctional side and let their leg roll in

Question 28

Upperpole L5 tenderpoint counterstrain

Answer 28

ESaRt Stand on opposite side of dysfunction . pt prone. Grab dysfunctional side and lift it to create extension and slight adduction

Question 29

Lower pole L5 tenderpoint counterstrain

Answer 29

F IR ADD sit on the same side as the dysfunction. pt prone. scoot pt to side of table. Bring knee off the table and place it on your thigh add flex to 90 degrees. internally rotate and slightly adduct

Question 30

Piriformis tenderpoint counterstrain

Answer 30

F ER ABD sit on same side as dysfunction. pt prone at edge of table. bring knee off table and place on your thigh and flex to 120. Externally rotate and abduct (knee out an ankle towards the table)

Question 31

High Illium Sacroiliac Counterstrain

Answer 31

Stand on side of dysfunction, extend and abduct pts leg and place in on your knee on the table

Question 32

Lateral PL3 and PL4 counterstrain

Answer 32

E ER ABD stand on side of dysfunction, extend and abduct dysfunctional leg, let go of leg and let it externally rotate downwards

Question 33

Midpole sacroiliac counterstrain

Answer 33

Stand on side of dysfunction ipsilateral hip abduction with slight flexion (frog leg on the dysfunctional side)

Question 34

High illium tenderpoint counterstrain

Answer 34

stand on side of dysfunction pt prone, cross bad leg over good leg and use your forearm to accentuate the cross