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Tensor Fasciae Latae (TFL)
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 Tensor Fasciae Latae is a muscle of the Gluteal Region.

Anatomical Attachments:

  • Origin: Attaches to the anterior surface of the iliac crest and the anterior superior iliac spine.
  • Insertion: Attaches to the medial 1/3 to 1/2 of the thigh along the iliotibial tract.

Action: Flexes, abducts, and medially rotates the thigh.

Synergist:  

Antagonist: Gluteus maximus, Adductor magnus (posterior part).

 

Click for Abduction Muscle Test 

 

Click for Internal Rotation Muscle Test 

 

Nerve Supply: Superior Gluteal Nerve (L4, L5, S1).

Vascular supply: Lateral femoral circumflex and superior gluteal arteries.

Travell and Simons Trigger Point Pain Referral:  

Click on a small image to view an enlarged image

 

Trigger Point Signs and Symptoms: Pain in the hip region around the trochanteric region, extreme pain during hip movement, inability to lie on the side of dysfunction.

Trigger Point Activating and Perpetuating Factors: Prolonged sitting, walking or running on uneven ground, sleeping in a tight fetal position, trauma from jumping e.g. landing with a parachute or jumping off the tailgate of a truck.

Differential Diagnosis: Trochanteric bursitis, Iliotibial tract friction syndrome, Sacroiliitis, (Segmental, Subluxation, Somatic dysfunction) L2, L3, or L4 Radiculopathy or Neuropathy, Peripheral Nerve entrapment (this mimics symptoms of TFL triggers), Meralgia paresthetica (Bernhardt’s Disease), Bone cancer, Bone Fracture, Reflex Sympathetic Dystrophy (Complex Regional Pain Syndrome), Polymyalgia rheumatica, Fibromyalgia, Eosinophilic fasciitis, Pregnancy, Tetanus, Systemic infections or inflammation, Nutritional inadequacy, Metabolic imbalance, Toxicity, Side effects of medication.

 

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