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Therapy Notes – Neck

Therapist Notes – Sternocleidomastoid

The sternocleidomastoid muscle is complex in its structure, function, and impact on regulation. In earlier editions of her manual, Travell refers to it as “Amazingly Complex.” Treatment, with lasting results, can be complex and require self-care follow-up. This muscle muscle crosses a number of joints and has complex nerve relationships. Learn more in this post …

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Therapist Notes – Semispinalis Capitis

The semispinalis capitis, originates from the vertebrae of the upper back and lower neck and attaches to the back of the head, trapping the upper cervical vertebrae in between. This trigger point creates a headache above the temple. Even though the sensation is in the head, this trigger point is located between the nuchal lines. …

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Therapist Notes – Splenius Capitis

Neuromusuclar massage and integrative treatment notes with links to anatomy and protocols. Splenius capitis originates from the lower cervicals and upper thoracics. It straps around the neck musculature and inserts on the occipital and temporal bones. That puts it in a perfect position to assist the contralateral sternocleidomastoid in rotating the head. The splenii muscles also …

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Therapist Notes – Semispinalis cervicis

This headache at the base of the head is almost always relieved by mobilizing the atlas. Several techniques, including cranial, intra-oral, and anterior cervical NMT mobilize the atlas. The common mistake is to spend too much time behind the atlas. After loosening the posterior musculature, the atlas needs to move back into a mobile positon. …

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Therapy Notes – Levator Scapula

Successful neuromuscular therapy for the levator scapula is largely based on, first, resolving upper cervical problems. In most cases, it is a process of gently working the underlying joints loose from top to bottom. Afterward, the gentle release of the muscle with heat, ice, massage, and stretching requires patience and sensitivity to the client’s condition. …

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Therapist Notes – Stiffness at the Base of the Neck When Turning

Neuromuscular therapy for releasing splenius has the classic “corkscrew” maneuver. Preparation for that technique is critical for comfort, ease of release and lasting results. The trigger point is actually near C7 at the base of the neck but does not release easily or completely when the costovertebral joint of T3 is displaced. Shearing in the …

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Therapist Notes – Anterior Suboccipital Muscles

Need to review some anatomy? This post has the basics of suboccipital muscles and a link to the Wikipedia entry if you need more info. The actual treatment of the rectus capitis anterior can be done more easily by mobilizing the atlas from the transverse process and following up with ice and stretch. If the …

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Therapy Notes – Suboccipital Muscles

Treatment of the suboccipital region is probably the single most important area to treat. Upper cervical treatment is the focus of many bodywork practices. It has been a strong focus of practice for chiropractors for more than 70 years. In the early 40s, John Grostic pioneered atlas analysis and treatment. Since then, a multitude of …

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Therapy Notes – Scalenes

Neuromuscular massage can be an effective approach to treating scalene muscles. Additional work and self-care retrains posture and corrects Forward-Head Posture is often needed. Palpation Structural anomalies are common in the scalenes. Developed palpation skills are needed to reach the proper belly for assessment and treatment. Be aware that the cervical transverse process’s lateral tip …

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