therapy-notes

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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Therapist Notes – Subclavius

Anatomy Review? Paget-Schroetter syndrome is a specific form of thoracic outlet syndrome where the subclavian artery moves medially until it is restricted with pressure from the subclavius muscle. The arm becomes chronically swollen and bluish. It is more common among athletes that weight lift or play tennis. In one case, I noticed that a woman’s …

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Therapy Notes – Gluteus Minimus

The gluteus minimus is a fan-shaped muscle deep in the lateral hip. The trigger points in this muscle are often perpetuated by sacroiliac joint dysfunction. Anatomy Review? A displaced sacroiliac often perpetuates the gluteus minimus trigger points. Pelvic balance can be key to lasting results. Each therapist has their own method of pelvic balancing. I …

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Therapy Notes – Pectoralis Minor

A chronically shortened pectoralis minor produces the distinctive protracted shoulder that does not lay down like the other shoulder when the client is on their back. It is easy to release with a little posterior static pressure on the greater tubercle while lifting displaced ribs off the upper thoracic vertebrae. Even in chronic cases, this …

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Therapy Notes – Pectoralis Major

The pectoralis major is a broad, fan-shaped muscle made of flat overlapping strips that covers the anterior ribs. Pecs are often the victim of cervical problems. They are innervated by the brachial plexus and are intertwined with THORACIC OUTLET SYNDROME. They also perpetuate THORACIC OUTLET SYNDROME by holding pectoralis minor short, which entraps the brachial …

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Therapist Notes – Neck-ache, headache, eye-ache

This trigger point comes from the splenius cervicis muscle. The trigger point is actually near the attachment at C3. The lower cervicals should be mobilized before attempting to release the tendons in the pocket between the upper trapezius and the upper ribs. This can be done with nmt anterior cervical work or stretches #6, #7 …

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

Review the anatomy. Multifidi vary greatly in their pain patterns. Multifidi of the upper spine and lower spine produce patterns above and below the trigger points where patterns through the middle of the spine create sharp patterns around the vertebrae. Mobilize the upper cervical vertebrae. Multifidi trigger points are strongly governed by vertebral mobility. Even …

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