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Neuromuscular Massage Protocol – Trapezius

This neuromuscular massage protocol treats the trapezius while prone. In this position, the lower trapezius is more accessible than in the supine position. This position also leaves the hood of the upper trapezius accessible for rolling between the fingers and thumb. Neither technique is as easily applied in the more common supine treatment of upper and middle trapezius.

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

The trapezius is complex. It is sometimes called the “coat hanger” of the pectoral girdle. You can read more about it in this post on anatomy of the trapezius muscle.

The therapy notes offer so much more about associated protocols, treatment sequencing, etc. Check out these notes that are specific to each.


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.

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This site is undergoing changes. Starting in early 2020, we began improving the format. We are also adding 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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This post is about the watershed moment that changed the direction of my bodywork. People would say that it is about treating at the source. I’d say that it is about understanding the governors and accessories in a pattern. This gives the therapist and client choices on how to plan on treating for relief or treating to create a body that is self-correcting.

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. The result will also be more accessible and will include more patterns with better self-care. In the meanwhile, there may be inconsistency in formatting, content presentation, and readability. Until we get older posts updated, please excuse our mess.

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