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Supinator
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 Supinator is a deep muscle of the posterior forearm.

Anatomical Attachments:

  • Origin: Attaches to the lateral epicondyle of the humerus and the proximal end of the radius.
  • Insertion: Attaches to the anterior and posterior oblique lines of the proximal radius.

Action: Supinates the forearm.

Synergist: Brachioradialis, Extensor Carpi radialis brevis and longus, Abductor pollicis longus, Extensor pollicis brevis and longus, Extensor digitorum, Extensor digiti minimi, Extensor carpi ulnaris, Extensor indicis.

Antagonist: Pronator teres, Flexor carpi radialis, Palmaris longus, Flexor carpi ulnaris, Flexor digitorum superficialis, Flexor digitorum profundus, Flexor pollicis longus, Pronator quadratus.

 

Click for Muscle Test 

 

Nerve Supply: Radial Nerve (C6).

Nerve Entrapment: Entraps the deep radial nerve.

Vascular supply: Radial recurrent and the post interosseus of the ulnar artery.

Travell and Simons Trigger Point Pain Referral:  

Click on a small image to view an enlarged image

 

Trigger Point Signs and Symptoms: Aching pain in the elbow or thumb.

Trigger Point Activating and Perpetuating Factors: Carrying a baby carrier, repetitive curls, using a swing blade or sickle, hoeing a garden.

Differential Diagnosis: Tennis elbow, Lateral Epicondylitis, entrapment of posterior interosseus nerve, (Segmental, Subluxation, Somatic dysfunction) C5 or C6 radiculopathy, DE Quervainís stenosing tenosynovitis, Arthritis, Bone cancer, fracture, Bursitis, Dislocation/Subluxation, osteoarthritis, Rheumatoid Arthritis, Sprain/strain, Tendinitis, Tension Myalgia, Dupuytrenís contracture, Frostbite, Paronychia (Ingrown thumbnail), Systemic infections or inflammation, Nutritional inadequacy, Metabolic imbalance, Toxicity, Side effects of medication.

 

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