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Brachialis
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 Brachialis is a muscle of the arm.

Anatomical Attachments:

  • Origin: Attaches to the distal 2/3 to 1/2 of the anterior surface of the humerus.
  • Insertion: Attaches to the coronoid process and the tuberosity of the ulna.

Action: Flexes the forearm.

Nerve Supply: Musculocutaneous Nerve, Radial Nerve (C5, C6).

Nerve Entrapment: In conjunction with the brachioradialis, the brachialis can entrap the radial nerve resulting in a neuropathy experienced over the dorsum of the thumb.

Vascular supply: Radial Recurrent Artery, Brachial Artery.

Travell and Simons Trigger Point Pain Referral:  

Click on a small image to view an enlarged image

 

Trigger Point Signs and Symptoms: Tenderness, pain and soreness of the thumb, paresthesia of the thumb.

Trigger Point Activating and Perpetuating Factors: Mechanical overload of the forearm, flexion during heavy lifting or engaging in an activity where the forearm is flexed for a prolonged period of time.

Differential Diagnosis: (Segmental, Subluxation, Somatic dysfunction) C5 or C6 radiculopathy, Thoracic outlet syndrome, Bicipital tendinitis, Supraspinatus tendinitis, Subdeltoid bursitis, Diabetic neuropathy, Carpal tunnel syndrome, Bone Fracture, Sprain/Strain injury, Systemic infections or inflammation, Nutritional inadequacy, Metabolic imbalance, Toxicity, Side effects of medication.

 

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