therapy-notes

Therapist Notes – Sternocleidomastoid

The sternocleidomastoid muscle is complex in its structure, function, and impact on regulation. In earlier editions of her manual, Travell refers to it as “Amazingly Complex.” Treatment starts with an understanding of the anatomy. Review the Anatomy. Forward-Head Posture. Habitual craning of the neck without exercise to counter the activity can lead to shortening of …

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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. Mobilize lower cervicals before attempting to release the tendons in the pocket between the upper trapezius and the upper ribs. They can also be released with NMT protocol for anterior cervical work or stretches #6, #7 …

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

Mobilize the upper cervical vertebrae. Multifidi trigger points are strongly governed by vertebral mobility. Even though this trigger point is in the multifidi near C3, it is difficult to get a more complete release and lasting relief without first mobilizing the atlas and axis. This post has few different techniques for mobilizing the atlas. This …

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