Leg, Ankle & Foot

Abductor & Flexor Digiti Minimi

LA AN Abductor Digiti MinimiLA AN Flexor Digiti Minimi

Adductor Hallucis

LA AN Leg_Adductor Hallucis

Dorsal & Plantar Interossei

LA AN Dorsal Interossei

Extensor Digitorum Brevis & Extensor Hallucis Brevis

LA AN Extensor Hallucis Brevis

Extensor Digitorum Longus

LA AN Extensor Digitorum Longus

Extensor Hallucis Longus

LA AN Extensor Hallucis Longus

Fibularis Brevis

LA AN Peroneus Longus

Fibularis Longus

LA AN Peroneus Longus

Fibularis Tertius

LA AN Peroneus Tertius

Flexor Digitorum Longus

LA AN Flexor Digitorum Longus

Flexor Hallucis Brevis & Abductor Hallucis

LA AN Flexor Hallucis Brevis

Flexor Hallucis Longus

LA AN Extensor Hallucis Longus

Gastrocnemius

LA AN Gastrocnmius 001

Plantaris

LA AN Plantaris 002

Popliteus

LA AN Popliteus 002

Quadratus Plantae

LA AN Quadratus Plantae

Soleus

LA AN Soleus 001

Tibialis Anterior

LA AN Tibialis Anterior 001

Tibialis Posterior

LA AN Tibialis Posterior

Follow HIP MNRS with every patient encounter – History, Inspection, Palpation – Motion, Neurovascular, Referred, Special Tests

Make sure you have a detailed anatomy understanding and can create a list of potential pain generators (muscle, bone, joint, ligament, cartilage, blood vessels, nerves, viscera & lymphatics) – any competent practitioner should be able to give a detailed list of the anatomy below their hand and the tissues they are stretching, compressing or activating

Clinicians performing regional exams must realize that no one sign is of absolute significance in isolation, each individual finding should be evaluated only in the context of other findings & the patient as a whole; this is particularly important with diagnostic procedures that may result in “soft” signs, which are difficult to reproduce & may have a large subjective bias in their interpretation.

When recording test results it is not enough to write “test-X positive.” Record any findings associated with the test (reproduction of symptoms, pain, muscle guarding, numbness & tingling, decreased flexibility, clicking, etc) – more information results in a more accurate assessment & better treatment. Remember assessment is therapeutic!

To learn more see our text books or take our hands on training seminars