Tenderpoints for counter strain Flashcards
Lateral trochanter
Lateral aspect of greater trochanter
Lateral trochanter
Pt. Positioning
Pt – supine/prone
Abduction and slight flexion of the thigh
Lateral trochanter
Involved muscles
IT Band
Medial meniscus
Medial aspect of knee along joint line
Medial Meniscus Pt. Positioning
Pt – supine
Knee flexed to 40 degrees, abd/add and int/ext rot of the thigh as needed
Medial Meniscus Involved Muscles
Pes anserinus muscles, possibly the medial collateral ligament
Lateral meniscus
Lateral aspect of knee along joint line
Lateral meniscus
Pt Positioning
Pt – supine
Slight knee flex, slight abd of the thigh and ext rot of tibia
Lateral meniscus
Involved muscles
Iliotibial band,
possibly the lateral collateral ligament
Anterior cruciate ligament
Distal aspect o the biceps femoris tendons b/
l
Anterior cruciate ligament
Patient Positiong
Pt – supine w/ pillow under
Posterior pressure on proximal tibia
ACL Muscles Involved
Biceps femoris, ACL
PCL
Midline in popliteal
PCL
Pt Positioning
Pt – supine w/ pillow under
Posterior pressure on distal femur
PCL
Muscles Involved
Biceps femoris, PCL
Flexed calcaneus
Attachment of planter fascia to calcaneus, along planter fascia
Flexed calcaneus
Pt Positioning
Pt – supine or prone
Plantar flex, and approximate the medial and lateral portions of foot around TP
Flexed calcaneus
Muscles Involved
Plantar fascia,
quadratus plantae
Medial Ankle
2cm inferior to medial malleolus
Medial Ankle
Pt Positioning
Pt – supine, seated or prone
Inversion of ankle, slight dorsi or plantar flexion as needed
Medial Ankle
Muscle Involved
Adductor Hallucis
Lateral Ankle
2cm anterior and inferior to lateral malleolus
Lateral Ankle
Pt Positioning
Pt – supine, seated, or prone
Eversion of ankle, slight supination of forefoot
Lateral Ankle
Muscles Involved
Fibularis longus and brevis,
superior and/or peroneal retinaculum