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Flexor Digitorum Brevis
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 Flexor Digitorum Brevis is a superficial muscle of the foot.

Anatomical Attachments:

  • Origin: Attaches to the medial process of the tuberosity of the calcaneus.
  • Insertion: Attaches to the middle phalanx of all the toes excluding the great toe.

Action: Flexes the PIP joints of all the toes excluding the great toe.

Nerve Supply: Medial plantar nerves (L4, L5).

Vascular supply: Medial plantar artery.

Travell and Simons Trigger Point Pain Referral:  

Click on a small image to view an enlarged image

 

Trigger Point Signs and Symptoms: Sore feet, with a tendency to limp, deep aching pain at rest.

Trigger Point Activating and Perpetuating Factors: Shoes that are too small, wearing a cast shoe for a long period of time, banging or stubbing the toes, falling.

Differential Diagnosis: (Segmental, Subluxation, Somatic dysfunction) L4 or L5 radiculopathy, Diabetic neuropathy, Polyneuropathy, Reflex sympathetic dystrophy (Complex regional pain syndrome), Plantar fasciitis, Plantar wart, Flat feet, Bunions, Congenital hypertrophy, Avulsion fracture, Bone spur, Hip or knee discomfort secondary to antalgic gait, Neurogenic arthropathy (Charcotís joint), Osteoarthritis, Rheumatoid arthritis, Bursitis, Bulla (blister), Systemic infections or inflammation, Nutritional inadequacy, Metabolic imbalance, Toxicity, Side effects of medication.

 

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