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Therapy Notes – Intrinsic Back Muscles

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 – Pain at the Base of the Head and Under Shoulder Blade

Treatment of trigger points that create starts with atlas mobilizations. Once the upper cervical area is mobilized, trigger points in the suboccipital region release more easily and comfortably. Then, follow up with direct treatment along the lamina groove. It is worth noting that this complaint is usually two other patterns. Displacements in the upper cervical …

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Therapist Notes – Serratus Posterior Superior

Serratus posterior superior produces an ache under the shoulder blade that is easily confused with the referral patterns of other muscles. It is involved in shoulder pain more than 90% of the time. It is distinctive when it produces the associated elbow and lateral wrist pain. Serratus posterior superior acts as a 5th scalene muscle. …

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