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Flexor Hallucis Brevis
Pointer Plus

Pointer Plus

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.

 

The Flexor Hallucis Brevis is a deep intrinsic muscle of the foot.

Anatomical Attachments:

  • Origin: Attaches to the medial part of the plantar surface of the cuboid bone and the lateral cuneiform bone.
  • Insertion: Attaches to the medial and lateral side of the base of the first phalanx of the great toe.

Action: Flexes the MP joint of the great toe.

Synergist: Adductor hallucis.

Nerve Supply: Medial plantar nerves (L4, L5, S1).

Vascular supply: 1st plantar metatarsal artery.

Travell and Simons Trigger Point Pain Referral:  

Click on a small image to view an enlarged image

 

Trigger Point Signs and Symptoms: There is a difficulty in walking, paresthesia or edema of the foot, and deformity of the toes.

Trigger Point Activating and Perpetuating Factors: Wearing shoes that are too small, wearing a cast shoe for a long period of time, and injury to the foot or toes.

Differential Diagnosis: Plantar fasciitis, Plantar wart, Hallux valgus, Hammer toe, Turf Toe, Charcotís arthropathy, Nerve entrapment, (Segmental, Subluxation, Somatic dysfunction) L4 radiculopathy, articular dysfunction, Frostbite, Diabetic neuropathy, Polyneuropathy, Osteoarthritis, Rheumatoid Arthritis, Gout, injured sesamoid bone, Paronychia (Ingrown toenail), Hip or knee discomfort secondary to antalgic gait, Osteoporosis, Bunions, Corns, Complex regional pain syndrome (Reflex sympathetic dystrophy), Systemic infections or inflammation, Nutritional inadequacy, Metabolic imbalance, Toxicity, Side effects of medication, With a positive Babinskiís toe sign suspect a Central nervous system (CNS) lesion.

 

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