Posterior Cervical, Thoracic & Lumbar Tenderpoints Flashcards
(33 cards)
What are the posterior cervical tenderpoints?
PC1-Inion
PC1 Occiput
PC2 Occiput
PC2-PC8
Where is the PC1 Inion tenderpoint?
on the inferior nuchal line
just lateral to the inion
Where is the PC1 occiput tenderpoint?
on the inferior nuchal line
midway bw inion and mastoid process
Where is the PC2 occiput tenderpoint?
on the inferior nuchal line
within the semispinalis capitis M.
Where is the PC2 tenderpoint?
on the superolateral tip of the C2 spinous process
Where is the PC3-PC8 tenderpoints?
on the inferolateral tip of the spinous process of the vertebra superior
How do you treat PC1 Inion?
F St Ra
How do you treat PC1-PC2 occiput?
e-E Sa Ra
How do you treat PC2 and PC4-8?
e-E Sa Ra
How do you treat PC3?
F Sa Ra
What are the posterior thoracic tenderpoints?
PT 1-12 SP
PT 1-12 TP
Where are the PT 1-12 SP tenderpoints?
midline
on the inferior tip of the spinous process of the dysfunctional segment
Where are the PT 1-12 TP tenderpoints?
on the transverse process of each thoracic vertebra
How do you treat PT 1-3 SP tenderpoints?
pt supine
use table lever to extend neck
How do you treat PT 4-6 SP tenderpoints?
pt prone
use table lever to extend upper thorax
How do you treat PT 7-12 SP tenderpoints?
pt prone
use table lever to extend lower thorax
How do you treat PT 1-3 TP tenderpoints?
pt supine
use lever to extend neck
E Sa Ra
How do you treat PT 4-9 TP tenderpoints?
pt prone and doc seated at head
docs ipsi arm wraps under pt’s arm
lift shoulder pull shouler superiorly
E Sa Rt
How do you treat PT 10-12 TP tenderpoints?
pt. prone and doc stands contra scoots pt's legs away from tenderpoint lift ASIS pull ASIS inferiorly e-E Sa Rt
What are the posterior lumbar tenderpoints?
PL 1-5 SP PL 1-5 TP UPL5 and LPL5 HISI PL3 and PL4 gluteus
How do you treat PL 1-5 SP tenderpoints?
pt prone doc ipsi with knee bent on table pt's ipsi thigh on doc's knee extend, adduct and ER pt leg e-E Sa Rt
How do you treat PL 1-5 TP tenderpoints?
pt prone and doc stands contra
lift ASIS
pull ASIS inferiorly
E Sa Rt
How do you treat UPL5 tenderpoint?
pt prone, doc stands ipsi w/ knee on table
pt thigh on doc’s knee
extend, adduct and IR/ER pt leg depending on feel
How do you treat LPL5 tendpoint?
pt prone at edge of table
doc seated ipsi
pt leg at 90, resting on doc’s knee
move pt’s leg into flexion, adduction, and IR
