Ready to Learn?
Posterior Upper Extremity Counterstrain
Posterior Upper Extremity Tender Points
Utilize our Interactive Counterstrain Study Tool here
Counterstrain Review
Before proceeding to learning about the different counterstrain treatment techniques for each of the Posterior Upper Extremity Tender Points, you may wish to review our Overview to Counterstrain here.
Supraspinatus
Treatment: Flexion, ABduction, and External Rotation (of the Arm) — (F ABD ER)
| Tender Point | Location |
|---|---|
| Supraspinatus | Within Supraspinatus Muscle, Superior to Spine of the Scapula |
Upper Infraspinatus
Treatment: Flexion,
ABduction, and External or Internal Rotation (of the Arm) — (F ABD ER/IR)
| Tender Point | Location |
|---|---|
| Upper Infraspinatous | Within Upper Aspect of Infraspinatus Muscle, Inferior & Lateral to Spine of Scapula, Posterior Medial Aspect of Glenohumeral Joint |
Lower Infraspinatus
Treatment: Flexion,
ABduction, and External Rotation
(of the Arm) — (F ABD ER)
| Tender Point | Location |
|---|---|
| Lower Infraspinatous | Within Lower Aspect of Infraspinatus Muscle, Inferior to Spine of Scapula & Lateral to Medial Border |
Levator Scapulae
Treatment: Internal Rotation,
ABduction, and Traction (of the Arm)
| Tender Point | Location |
|---|---|
| Levator Scapulae | Attachment of Levator Scapula Muscle at Superior Medial Border of Scapula |
Rhomboid Major/Minor
Treatment: Extension and
ADduction (of the Shoulder) – (E ADD)
| Tender Point | Location |
|---|---|
| Rhomboid | Attachment of Rhomboid Muscles at Medial Border of Scapula |
Dorsal Wrist (Extensor Carpi Radialis)
Treatment: Extension
ABduction/Radial Deviation
(Wrist) — (E ABD/RD)
| Tender Point | Location |
|---|---|
| Extensor Carpi Radialis | Dorsal Surface of 2nd Metacarpal, associated with Extensor Carpi Radialis Muscle |
Dorsal Wrist (Extensor Carpi Ulnaris)
Treatment: Extension
ADduction/Ulnar Deviation
(Wrist) — (E ADD/UD)
| Tender Point | Location |
|---|---|
| Extensor Carpi Ulnaris | Dorsal Surface of 5th Metacarpal, associated with Extensor Carpi Ulnaris Muscle |
