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Cervical Lamina Supine – Neuromuscular Massage Protocol

This classical neuromuscular protocol treats the posterior neck, which has a complex muscular structure. Treatment of the cervical lamina is more effective when it follows the treatment of sub-occipital muscles. It can be amazing for loosening restricted vertebrae and preparing for work in the upper extremities or resolving cervicogenic headaches.

If you’d like to review the specific anatomy for the muscle that you’re addressing, refer back to the trigger point post that linked you to this post. There are links to neck muscles in the grid following the protocol.

NOTE: This protocol is for mindful review by an experienced therapist. It is intended for learning with the hands-on training of a professional instructor. One should only do this with the necessary expertise to understand contraindications. Proper techniques are essential for safe and effective treatment.


This routine is from The WorkBook of Classical Neuromuscular Therapy. Created at the ASHA School of Massage, it has trained thousands of therapists for more than 15 years.

These routines are intended for mindful review by bodywork professionals and are not appropriate as self-care for non-professionals. Self-injury could occur.

Click here for the growing list of protocols that are available online.

Here is a list of neck muscles that you may want to review. Other muscles, such as intrinsic back muscles and extrinsic back muscles are also treated in this protocol.

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Tony Preston has a practice in Atlanta, Georgia, where he sees clients. He has written and taught about anatomy, trigger points, and cranial therapies since the mid-90s.

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*This site is undergoing major changes. We are reformatting and expanding the posts to make them easier to read. The result will also be more accessible and will include more patterns with better self-care. In the meanwhile, there may be inconsistencies in formatting, content presentation, and readability. Until we get older posts updated, please excuse our mess.