unitedlkp.blogg.se - Travell and simons pancreas

For side pain consider: Slipped rib syndrome, Bruised ribs, Separated ribs, Rib fracture, Kidney infection, Possible Gallbladder pancreas hepatic (liver) or spleen involvement.The ossified skeletons provide mechanical support for the body and protection for the viscera within the body cavities, vertebral column, and skull. Trigger Point Activating and Perpetuating Factors: Trauma, throwing a football, swinging a baseball bat, pull-ups, shoveling snow or dirt, constantly lifting heavy objects.ĭifferential Diagnosis: For shoulder blade and arm pain consider: C6 C7 or C8 radiculopathy, Angina pectoris, Myocardial infarction, Thoracic outlet syndrome, Brachial plexus entrapment, Entrapment of suprascapular nerve at the spine of the scapula, Pulmonary carcinoma, Adhesive capsulitis (Frozen shoulder), Ulnar Neuropathy, Bicipital tendinitis, Charcot’s joint, Articular Dysfunction, Eosinophilic fasciitis, Tetanus, Systemic infections or inflammation, Nutritional inadequacy, Metabolic imbalance, Toxicity, Side effects of medication.

Trigger Point Signs and Symptoms: Mid-back and arm pain.

Satellite or associated triggers: Pectoralis major, Teres major, Subscapularis, Triceps brachii, Scalenes, upper Rectus abdominis, Iliocostalis, Serratus anterior, Serratus posterior superior and inferior, and lower Trapezius, Rhomboid.Ĭlick on a small image to view an enlarged image.

Primary: The pain refers to the inferior angle of the Scapula which extends to the posterior shoulder, down the arm, the forearm, the hand and the 4th and 5th digits.

Travell and Simons Trigger Point Pain Referral: Vascular supply: Descending scapular, subscapular arteries. Nerve Supply: Thoracodorsal nerve (C6, C7, C8). Synergist: Pectoralis major and minor, Subclavius, Serratus anterior, Trapezius, Rhomboid major and minor, Levator scapulae.Īntagonist: Deltoid, Supraspinatus, Infraspinatus, Teres major and minor, Subscapularis.

Insertion: Attaches to the floor of the intertubercular groove of the humerus.Īction: Adducts, extends, and medially rotates the arm pulls the shoulder downward and backward.

Origin: Attaches to the thoracolumbar aponeurosis from T6 to the iliac crest and the muscular slips from ribs 9, 10, 11, or 12.

The Latissimus Dorsi is a back muscle which connects the upper extremity to the spinal column. The Pointer Plus is an easy to use trigger point (TP) locator which incorporates a push button stimulation feature to immediately treat Trigger point pain.