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Extensor Hallucis Longus
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 Extensor Hallucis Longus is an anterior muscle of the leg.

Anatomical Attachments:

  • Origin: Attaches to the middle 1/2 of the anterior shaft of the fibula and the interosseous membrane
  • Insertion: Attaches to the base of the distal phalanx of the great toe.

Action: Extends the great toe and aids in the dorsiflexion of the foot.

Synergist: Extensor digitorum longus, Tibialis anterior, Peroneus tertius.

Antagonist: Gastrocnemius, Flexor digitorum longus, Flexor hallucis longus, Peroneus longus and brevis, Tibialis posterior, Soleus, Plantaris.

 

Click for Muscle Test 

 

Nerve Supply: Deep Peroneal Nerve (L4, L5, S1).

Vascular supply: Anterior tibial artery.

Travell and Simons Trigger Point Pain Referral:  

Click on a small image to view an enlarged image

 

Trigger Point Signs and Symptoms: Pain on the top of the foot extending to metatarsophalangeal joints, foot drop or pain during walking, cramps during the night.

Trigger Point Activating and Perpetuating Factors: Direct trauma, persistent dorsiflexion (as in operating vehicles or equipment with their feet), persistent running, or walking on unleveled surfaces.

Differential Diagnosis: (Segmental, Subluxation, Somatic dysfunction) L4 or L5 Radiculopathy or S1 neuropathy, Diabetic neuropathy, Charcotís arthropathy, Muscular Dystrophy, Tendinitis, Rupture of tendon, Hammer toes or claw toes, Bone cancer, Gout, Osteoarthritis, Bursitis, Rheumatoid arthritis, Diffuse cerebral dysfunction, Systemic infections or inflammation, Nutritional inadequacy, Metabolic imbalance, Toxicity, Side effects of medication.

 

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