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Therapy Notes – Torso

liocostalis – Massage Therapy Notes

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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Middle trapezius – Massage Therapy Notes

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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Rectus Abdominus and Pyramidalis – Massage Therapy Notes

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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Iliopsoas Complex (Deep Abdominals) – Massage Therapy Notes

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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Pain Along One Side of the Sacrum – Massage Therapy Notes

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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Subclavius – Massage Therapy Notes

The left sternoclavicular joint, (and subclavius muscle) are governed by restrictions in the right maxilla. Structural release of the palate toward the center of the eye is a reliable craniostructural solution. If you’re a craniostructural therapist, this is the place to start. Subclavius seldom presents as the primary problem but generates intense sensation under static …

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Pectoralis Minor – Massage Therapy Notes

These notes on massage and bodywork are focused on the pectoralis minor. They offer the classical neuromuscular massage protocol in the latter part of the sequence. Also, there is a link to a self-care post that is helpful follow-up for patients. Assess for Targeted Treatment Pectoralis minor can be confusing during an assessment. Its pain …

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Pectoralis Major – Massage Therapy Notes

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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