American   Academy   f   Manual   Medicine

Home  Search  Pain referral  Trigger points  Cranial nerve  Spinal nerve  Historical  About us  Contact us  Site map 

 

Adductor 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 Adductor Longus is a muscle of the medial thigh.

Anatomical Attachments:

  • Origin: Attaches to the anterior surface of the pubis near the pubic symphysis.
  • Insertion: Attaches to the medial half of the medial lip of the linea aspera

Action: Adducts and assists in flexing the thigh

Synergist:

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

 

Click for Muscle Test 

 

Nerve Supply: Obturator nerve (L3, L4).

Vascular supply: Femoral Circumflex and Obturator arteries.

Travell and Simons Trigger Point Pain Referral:  

Authors' note: There is a commonality between triggers exhibited in the adductors and the pelvic floor. Therefore, when the adductors are dysfunctional, the practitioner should examine the Obturator externus and should the Obturator externus be dysfunctional, the adductors should be examined. Additionally, the piriformis usually is hypertonic either as a result of a compensatory gait or as a part of a myotatic unit.

Click on a small image to view an enlarged image

 

Trigger Point Signs and Symptoms: Muscle stiffness or restriction of abduction. Pain in the groin and the thigh during activity, pain increases on weight bearing or sudden hip rotation. Usually the individual notices difficulty as it pertains to lateral rotation rather than adduction, however, when the legs are significantly abducted, this may initiate severe groin pain and possible hip locking. This additionally serves to demonstrate the relationship between the adductors and the pelvic floor.

Trigger Point Activating and Perpetuating Factors: Trauma, persistent emotional stress, sudden overload of the muscle (improper stretching), running on unleveled ground, sitting for long periods of time with hips flexed and legs crossed.

Differential Diagnosis: Neuralgia, inguinal hernia, Prostate cancer, Prostatitis, Testicular cancer, (Segmental, Subluxation, Somatic dysfunction) L2 L3 or L4 radiculopathy, Floating Patella, Knee effusion, Patella fracture, Charcot’s arthropathy, Obturator or Genitofemoral nerve entrapment, Pubic stress fracture, Pubic stress symphysitis, Muscle strain (groin pull), Osteoarthritis, Lymphedema, Lymphogranuloma venereum, Lymphatic cancer, Coxa Plana, Polymyalgia rheumatica, Eosinophilic fasciitis, Tetanus, Systemic infections or inflammation, Nutritional inadequacy, Metabolic imbalance, Toxicity, Side effects of medication.

 

Back to Top

 

Return to Search 

 



Home  Search  Pain referral  Trigger points  Cranial nerve  Spinal nerve  Historical  About us  Contact us  Site map 

Continuing Education © Copyright 2001, 2004, 2006. All rights reserved.