Neuromuscular therapy for releasing splenius has the classic “corkscrew” maneuver. Preparation for that technique is critical for comfort, ease of release and lasting results. The trigger point is actually near C7 at the base of the neck but does not release easily or completely when the costovertebral joint of T3 is displaced. Shearing in the lower cervical vertebrae is also important to assess and address. This post reviews sequencing for the treatment of that muscle.
This trigger point is governed by proprioceptive input from the third costovertebral joint. Specifically, the rib head at T3 has moved posterior and, usually, superior. So, it needs to be freed from its displaced position. Start by, reaching up under the supine client to find the third costovertebral joint. It is usually obvious. It is the harder, more protruding rib head. Then, lift the rib head until it softens. This often takes 90 seconds or so.
Now, when you use the classic “corkscrew” technique in the neuromuscular protocol, the trigger point releases more easily and with longer-lasting results.
Follow up with smoothing and stretching.
The inferior glides of the cervical lamina routine can be extended into the upper thoracics to help release this muscle.
Gently assess and stretch the splenii by rotating the head in both directions. Then rotate the head toward the side with tension and gently tilt the head away from the shoulder.
The active participation of the client makes the stretch more comfortable and with a greater range of motion. Focus on guiding the head passively while minimizing assistance.
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’d love your feedback. We are adding posts and converting the old posts as quickly as time permits.
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This post covers the basics of Ice-and-Stretch, a tool that is used extensively in these posts combined with Active Isolated Stretching and Yoga poses.
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.
*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.