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Therapy Notes – Torso

Massage Therapy Notes – Iliocostalis

Massage and bodywork for iliocostalis thoracis may involve more than local joint work and trigger point release. Overstretching of the iliocostalis is often due to chronic flexion of the trunk. In that case, pelvic balancing focus on the anterior thorax for lasting relief. In those cases, use these suggestions for palliative relief. Pelvic balancing and …

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Therapy Notes – Middle trapezius

The middle trapezius is often part of a larger problem with high-tight shoulders. Integrative Neuromuscular Massage involves addressing the other elevators of the shoulder girdle, especially the serratus anterior. Many therapists don’t treat these areas because it is inconvenient, awkward, and difficult on the hands. The middle trapezius is often part of a larger problem …

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Therapist Notes – Rectus Abdominus and Pyramidalis

Sagittal suture restrictions are classically known from Applied Kinesiology as a governing the rectus abdominus. Test to localize the sutural restriction before and after treatment. Frontomax and Frontonasal techniques govern the pubic symphysis. Test to the pubic symphysis before and after the technique to verify proper release. From the Structural Overview in Neuromuscular Assessment Guides: …

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Therapist Notes – Iliopsoas Complex (Deep Abdominals)

Therapist are usually very opinionated about their approach to the iliopsoas complex. Its impact on posture, digestion, emotions, and much more is fodder for lengthy bodywork discussions. Even after 30 years, I’ve learned more by putting together these illustrations and posts. I find that craniostructural work is always the first step for lasting relief, followed …

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Therapist Notes – Pain Along One Side of the Sacrum

Release of the lumbosacral joint relieves this trigger point. Specifically, the sacrum is posterior on the side of pain. Gentle sustained anterior pressure with slight inferior traction will cause the sacrum to shift and the swelling and tenderness to release immediately. I’ve demonstrated this many times in classes to the surprise of students who struggle …

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Therapist Notes – Subclavius

Anatomy Review? Paget-Schroetter syndrome is a specific form of thoracic outlet syndrome where the subclavian artery moves medially until it is restricted with pressure from the subclavius muscle. The arm becomes chronically swollen and bluish. It is more common among athletes that weight lift or play tennis. In one case, I noticed that a woman’s …

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Therapy Notes – Pectoralis Minor

A chronically shortened pectoralis minor produces the distinctive protracted shoulder that does not lay down like the other shoulder when the client is on their back. It is easy to release with a little posterior static pressure on the greater tubercle while lifting displaced ribs off the upper thoracic vertebrae. Even in chronic cases, this …

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Therapy Notes – Pectoralis Major

The pectoralis major is a broad, fan-shaped muscle made of flat overlapping strips that covers the anterior ribs. Pecs are often the victim of cervical problems. They are innervated by the brachial plexus and are intertwined with THORACIC OUTLET SYNDROME. They also perpetuate THORACIC OUTLET SYNDROME by holding pectoralis minor short, which entraps the brachial …

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