American   Academy   f   Manual   Medicine

Home  Search  Pain referral  Trigger points  Cranial nerve  Spinal nerve  Historical  About us  Contact us  Site map 

 

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 Quervain’s stenosing tenosynovitis, Arthritis, Bone cancer, fracture, Bursitis, Dislocation/Subluxation, osteoarthritis, Rheumatoid Arthritis, Sprain/strain, Tendinitis, Tension Myalgia, Dupuytren’s contracture, Frostbite, Paronychia (Ingrown thumbnail), Systemic infections or inflammation, Nutritional inadequacy, Metabolic imbalance, Toxicity, Side effects of medication.

 

Back to Top

 

Return to Search 

 



Home  Search  Pain referral  Trigger points  Cranial nerve  Spinal nerve  Historical  About us  Contact us  Site map 

Continuing Education © Copyright 2001, 2004, 2006. All rights reserved.