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Jones CS Tender Points
from COMLEX 3 Audio Crash Course - Complete Review for the Comprehensive Osteopathic Medical Licensing Ex
by AudioLearn
level of the point correlating with the sympathetic inflow from the same vertebral segment as the corresponding visceral organ.
The head and neck are high on the thorax and along the lateral posterior spine, the lungs in the upper third of the thorax, the GI tract in the middle to low thorax, and the genitourinary tract on the abdomen. The posterior points tend to be in the paraspinal area near the transverse processes. Anterior points often have corresponding posterior points.
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Lower extremity points are generally located on the anterior iliotibial band from just above the greater trochanter to just above the knee. Genitourinary points are in the pelvic and greater trochanter area, while the gastrointestinal points are along the femur. Again, if an anterior point is noted, there will be a posterior component as well. These can generally help differentiate between a visceral and musculoskeletal pathology.
When used in the treatment of visceral disease, the general purpose is to decrease the sympathetic tone of the affected visceral area. Any point, anterior or posterior, can be accessed and used for diagnosis and treatment in osteopathy. Touch the point with the pad of the finger and apply firm circular pressure for about 15 seconds to two minutes at a time. When release is felt, you will notice a decrease in the tension of the fascia in the affected areas.
Two common points you should used in treatment are those used in appendicitis. The CRP for this is located at the tip of the twelfth rib on the right. The other CRP commonly used is for irritable bowel syndrome, for which the CRP is found along the iliotibial band.
JONES CS TENDER POINTS
These are used for the counterstrain treatment techniques. There are many of these points that are difficult to memorize. For the examination, be mostly aware of the general regions of the body associated with these tenderpoints, knowing that the axial skeleton tenderpoints tend to be more important to remember and more successful in treatment than the extremity points.
