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All 3 steps to working a central TrP
- pressure release
- strip it out
Basic description of neurological theory
initial stress or trauma
What pathology are tender points used to diagnose?
Examples of a perpetuating factor
- carrying purse/backpack on one shoulder
Who did the most recent respected on TrP
- Janet G. Travell
- David G. Simons
Examples of activating factors
- car accident
- stubbing toe
- falling down stairs
3 types of palpation in TrP
Of the 3 types of palpation in TrP, which is most effective and why?
Pincer, because you are getting 2 sides
What is the most useful classification of TrP to deactivate - "unlocking the door"
#1 way to injure shoulder
falling on an outstretched arm
Complete PRZ for Scalenes (3 scalenes/3 surfaces)
- 2 tear drops : chest
- between shoulder blades
- entire length of arm & fingers
Perpetuating factors for infraspinatus
- pulling cable
Names of 3 theories that we believe that cause TrP
- chemical theory
- neurological therory
Which of the rotator cuff muscle is injured in a shoulder impingement injury?
Direct pressure following fiber orientation from orgin to insertion, which stroke?
Name 3 muscles that refer between shoulder blades
- levator scapulae
Perpetuating factor for masseter muscle
chewing ice or gum
What is the muscle that can mimic carpal tunnel syndrome
scalenes, pec minor, infraspinatus, subscapularis, teres major
What are the steps in working attachment TrP
- pressure release
- + & -
Which theory has to do with edema
What are the 3 objectives of TrP
- Identify the problem muscles
- Work related muscles & structures
- Eliminate px
3 types of sciatica
- True Sciatica: impingement nerve root
- Pseudo Sciatica: false, TrPs mimics symptoms of sciatica
- Piriformis syndrome: sciatic nerve squished between superior gemellus & piriformis
Which glute muscle refers to malleolus (can be 1 of 3 answers)
- gluteus minimus (one of them)
- "minimal muscle, maximum referral"
Crepitus present in your hip and you get an inside (medial) pop - which muscle?
Adhesive Capulitis is a fancy way to say:
Describe symptoms of a bulging disc
- referral px
- slow onset
- develop TrPs
- true sciatica
grinding of teeth
3 muscles that would give you heart attack symptoms
- pec major
- latissimus dorsi
Name 3 structures injured in a terrible triad injury *common injury
In carpal tunnel syndrome, what is the name of the nerve that is impinged?
median nerve - "drove over median"
A hyperextension or hit on the front of the knee, what ligament would be injured?
Posterior Cruciate Ligament (PCL)
Where are the 3 sites you could impinge the brachial plexus creating thoracic outlet syndrome
- anterior & medial scalene
- 1st rib