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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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Therapist Notes – Pain inside shoulder blade when slouching while seated

Pain between the shoulder blades is seldom rhomboids unless the client has trapped the rhomboid muscle against a hard surface or they have extremely imbalanced extrinsic back and extrinsic chest muscle. When the problem is postural, the shoulders and upper back are notably rounded or the upper back is very straight and shoulder blades are …

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