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Gracilis
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 Gracilis is a muscle of the medial thigh.

Anatomical Attachments:

  • Origin: Attaches to the inferior 1/2 of the symphysis pubis and the superior 1/2 of the pubic arch.
  • Insertion: Attaches to the superior part of the medial surface of the tibia distal to the condyle.

Action: Flexes and medially rotates the leg and adducts the thigh.

Synergist:

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

 

Click for Muscle Test 

 

Nerve Supply: Obturator Nerve (L2, L3, L4).

Vascular supply: Profunda femoris, obturator and medial femoral circumflex arteries.

Travell and Simons Trigger Point Pain Referral:  

Click on a small image to view an enlarged image

 

Trigger Point Signs and Symptoms: Stinging or burning pain in the medial thigh, which is constant at rest. Changing positions does not appear to ameliorate the discomfort.

Trigger Point Activating and Perpetuating Factors: Abrupt overload of the muscle, such as a sudden abduction of the thighs when performing a split.

Differential Diagnosis: Hip joint disease, Pubic stress symphysitis, Obturator nerve entrapment, (Segmental, Subluxation, Somatic dysfunction) L2 L3 or L4 radiculopathy, Sprain/Strain of the thigh or knee, Pulled groin, Osteoarthritis, Polymyalgia rheumatica, Fibromyalgia, Systemic infections or inflammation, Nutritional inadequacy, Metabolic imbalance, Toxicity, Side effects of medication.

 

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