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Therapy Notes – Extrinsic Back Muscles

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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Therapy Notes – Upper Trapezius

The upper trapezius acts more like an extra head of sternocleidomastoid than other extrinsic back muscles. It 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 …

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Therapy Notes – Lower Trapezius – Massage and Bodywork

This post focuses on the therapeutic release of trigger points in the lower trapezius through massage and bodywork. It includes soft joint mobilizations, treatment sequencing, and classical neuromuscular protocols. It is separated from the other sections of the trapezius as it has a very different function. Also, because of its location and the difficulty of …

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Massage Therapy Notes – Rhomboid Major and Minor

Pain between the shoulder blades is seldom rhomboids. At times, the client has trapped and arrgraveted the rhomboid muscles against a hard surface and they need direct calming. More often, they have extreme imbalances between the extrinsic back and extrinsic chest muscles. When the problem is postural, Imbalances are usually easy to see. The shoulders …

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