Home » NMT Protocols – Rhomboid and Serratus Posterior Superior

NMT Protocols – Rhomboid and Serratus Posterior Superior

This routine works as a part of a global approach to Forward-Head Posture. It works well when it follows the treatment of the posterior upper cervical region, scalenes, and the local lamina groove. Postural corrections in the pelvis, upper cervical vertebrae are often needed to create lasting changes in this problem.

Start by Understanding the Anatomy.
About the coloring of the illustrations…

This muscle is made of thin, flat strips that help to lift our ribs as we breather. Learn more in this post about serratus posterior superior.

Start by Understanding the Anatomy.
About the coloring of the illustrations…

These muscles are flat strips that strap the inside of the shoulder blade to the spine. You can read more about the anatomy in this post about rhomboid muscles.

NOTE: This protocol is for mindful review by an experienced therapist. It is not intended to be used for learning without the hands-on training of a professional instructor. One should not attempt this without the necessary expertise to understand contraindications. It is important to use proper technique so that the treatment is safe and effective.


This routine is from The WorkBook of Classical Neuromuscular Therapy. Created at the ASHA School of Massage, it has been used to train 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.

This site is undergoing changes. Starting in early 2020, we began changing the format of the posts to include more extensive self-care, illustrations, therapist notes, anatomy, and protocols. We appreciate your input and feedback. You will see us adding posts and updating older posts as time permits.

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Is the pain from
degenerative discs or
trigger points in the muscle?

This post discusses the differences in pain from disc problems and pain from trigger points. Who should you see to help with your pain?

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 it easier to read, more accessible, and
to include more patterns with better self-care. In the meanwhile, there will be inconsistency in formatting, content, and readability until we get the old posts updated. Please excuse our mess.