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Therapist Notes – Tensor Fascia Lata

This is a great test for the TFL.

Have the client sit on the edge of the table and pull the knee to the chest before laying back.

When tensor fascia lata is tight, the foot on the unteathered leg will deviate laterally.

Pelvic balancing is the forst step. TFL is very active in walking and standing and will not release easily or have lasting results without pelvic balancing.

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.

I don’t often talk about craniostructural work in the therapist notes but I have to mention that the FM45 technique is an amazingly simple and quick way to release the TFL.

Here’s a small section from Neuromuscular Assessment Guides:


This post has the is the TFL routine from The Workbook of Classical Neuromuscular Therapy.

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 shows you how to press out the trigger points and stretch the infraspinatus muscle. It’s a small muscle on the back of the shoulder but creates a number of problems, including:

  • shoulder pain when sleeping
  • loss of grip strength
  • upper neck pain
  • pain along the inside edge of the shoulder blade

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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