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Massage Therapy Notes – Iliocostalis

Massage and bodywork for iliocostalis thoracis may involve more than local joint work and trigger point release. Overstretching of the iliocostalis is often due to chronic flexion of the trunk. In that case, pelvic balancing focus on the anterior thorax for lasting relief. In those cases, use these suggestions for palliative relief. Pelvic balancing and …

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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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Therapist Notes – Rectus Abdominus and Pyramidalis

Sagittal suture restrictions are classically known from Applied Kinesiology as a governing the rectus abdominus. Test to localize the sutural restriction before and after treatment. Frontomax and Frontonasal techniques govern the pubic symphysis. Test to the pubic symphysis before and after the technique to verify proper release. From the Structural Overview in Neuromuscular Assessment Guides: …

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Therapist Notes – Iliopsoas Complex (Deep Abdominals)

Therapist are usually very opinionated about their approach to the iliopsoas complex. Its impact on posture, digestion, emotions, and much more is fodder for lengthy bodywork discussions. Even after 30 years, I’ve learned more by putting together these illustrations and posts. I find that craniostructural work is always the first step for lasting relief, followed …

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Therapy Notes – Masseter

Atlas mobilizations change the balance of the TMJ mechanism. Evaluate and balance the atlantooccipital region before continuing on to direct TMJ treatment. Treatment of the Masseter External masseter work is often enough to release the pain patterns and provide lasting relief, especially after it follows Functional Integration through craniostructural work. Even without craniostrucural work, this …

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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 – Headache Beside Crown with Eye pain

The occiptalis portion of the epicranius is most directly governed by the sutures around asterion. It has significant variances in surface area and thickness. This can be tricky to pinpoint if you’re not experienced at trigger point assessment. When this headache is a satellite off of the neck muscle, semispinalis, it looks a lot like the headache …

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Massage Notes – Sharp Pain Between the Shoulder Blades

The active trigger points in the small, deep interspinal muscles tend to produce sharp pain between the shoulder blades. This grabbing upper back pain is usually caused by binding in spinal joints. There are interspinous muscles, that connect a vertebra to other vertebrae. In this area, they are in several layers: Rotatores lie deepest in the …

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Therapy Notes – Gluteus Medius

Anatomy Review? A displaced sacroiliac often perpetuates the gluteus medius trigger points. Pelvic balance is the key to lasting results. Each therapist has their own method of pelvic balancing. I prefer craniostructural work with SOT blocking but also use METs, strain-counterstrain, and some NMT techniques. The anterior section is difficult to release without balancing the …

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