Deep Tissue Massage
Manual Written by Ted Nissen
May 1994 and represents an interpretation of Val Stemler-Guins Deep Tissue
Class and is not an official IPSB Document
Table
of Contents
1 . PRINCIPALS & GENERAL TOOLS
1.2 Applied anatomy and body
psychology
2.1.4 MERIDIANS AND POINTS ALONG
SPINE & SHOULDER
3.1.7 CLEAN ILEAC CREST WITH ELBOW
3.1.8 CLEAN ILEAC CREST WITH OTHER
TOOLS
3.1.13 SHOULDER JOINT MOBILIZATION-FOR
FIXED SCAPULA
3.4 FEET AND POSTERIOR LOWER LEGS-
PRONE
3.6.1 ALIGN ANKLE, KNEE, & HIP
3.6.13 ILIOTIBIAL TRACT (I.T.T.)
3.7.1 ALIGN ANKLE, KNEE, & HIP
3.7.2 SEPARATE RECTUS FEMORIS(ON
ISIS)-MUSCLE ROLLING
3.7.5 SARTORIUS/GRACILlS (ON ASIS)
3.10 THIGH AND PELVIS-SIDE LINE
3.11.3 MODIFIED SUN-MOON (DUTES MOVER
STROKE)
3.16.3 TRANSVERSE .PROCESS ROCK
1 . PRINCIPALS & GENERAL TOOLS BEGIN
1.1 DEFINITION OF TERMS
1.1.1 Quato Ja Je Points
1.1.1.1 Developed by dr. Ouato
1.1.1.2 Located next to spine-near spinalis along entire length of spine
1.1.2 Bladder Meridians
1.1.2.1 1st Bladder
1.1.2.1.1 On rope like longismus muscle. Reflexes organs e.g. spleen liver pancreas. Called bo points. May hear gurgling of organs
1.1.2.2 2nd Bladder
1.1.2.2.1 Located on outside edge of longismus. Contains spiritual points calms client down.
1.1.3 Stomach Channel
1.1.3.1 Runs along tibilas anterior
1.1.3.2 Lower faci points
1.1.3.3 These points drain the viscera or organ energy including negative emotions trapped in the organs. The principal of effectively treating the problem that is manifested above by working below applies here.
1.2 Applied anatomy and body psychology
1.2.1 Body Psychology
1.2.1.1 Right Side
1.2.1.1.1 May represent masculine and left side feminine. Tightness or blockage on either side may indicate imbalance. Ask the client about their experiences before you assume this paradigm.
1.2.1.2 Feet
1.2.1.2.1 Represent the sense of grounding. Connection with the material world and sense of self worth,
1.2.1.3 Neck
1.2.1.3.1 The neck is the gate way to emotions which are stored in the visceral cavities.neck problems may represent a denial of feelings.
1.2.1.4 Pelvis
1.2.1.4.1 The pelvis is related to creativity. Sexual expression and allowing the spontaneous play of the child within. Blocks in this area may have been implanted at an early age including culture taboos regarding touching around the genitals. Inappropriate adult behavior or outright sexual abuse is quite common in our sexually repressed culture. The pelvis can be a storehouse for the bodies secretes and shame. The practitioner must be sensitive and respectful to guarding in this area. The pelvis generates the energy of essential being and give one the courage (heart) to be different from the group. Create boundaries that you don't cross while working on the pelvis. This will allow your client to relax. Childrens creativity and iimpulses towards creative play are often thwarted by parents who wish the child to conform to their expectation of childrens behavior. Eg children should be seen and not heard. Inadvertaontly parents ask the child to reject their own impluses to actr and react to the world around them. Creative boundaries are denied in the pelvis. The rules cause the pelvis to contract. The childs ability to act and react within their own boundaries is limited. Many of the parents actions are inadvertant and unintentional. The effect of not alowing the child to explore the world and discover themselves thru creative play is that the child does not have a sence of self empowerment. They internalize the voice of the inner parent which contains the oughts and shoulds.
1.2.1.5 Abdomen
1.2.1.5.1 We can store other peoples bad energy especially when we do body wori<.
1.2.2 Anatomy
1.2.2.1 Abdomen
1.2.2.1.1 Pain in the abdomen may relate to lower lumbar disc or nerve problems and likewise lower back problems may relate to abdominal dysfunction. If you work on abdomen also wori< on low back. The area under the xipoid process contains both the liver and cysterni chyli both may feel hard both need work.
1.2.2.2 Illlocecal Valve
1.2.2.2.1 When the valve is chronically open you have diarrhea. When chronically closed you have constipation. This valve can be irritated because of the psoas. Or for women because of the ovaries.
1.2.2.3 Peristalsis
1.2.2.3.1 Squeezes fecal material through colon. There are three peristaltic actions during the day.1/2 hour after a meal.
1.2.3 Principals
1.2.3.1 Become Empty
1.2.3.1.1 Means going into the session without a preset notion of what you will 00 with the client. This is necessary to entrain clients body and honor their needs. The emphasis is on intuitive intelligence vs rational intelligence.
1.2.3.2 Patience
1.2.3.2.1 Be aware of any personal tendency if any to push the body to change. This attitude will increase muscle tension in you and your client. Do not demand that the body change. Just increase your awareness of how the body is. Bring to the bodies awareness its own internal state of tension and it will naturally correct. Let the persons body 00 the work.
1.2.3.3 Flow
1.2.3.3.1 Push against area of tension or painitightens gently and then pull out. This will further increase clients body awareness.
1.2.3.4 Openness
1.2.3.4.1 Open your body to open theirs.
1.2.3.5 Body Use
1.2.3.5.1 Tal chi stance, hips open to table, use table as lever with groin against table, tan tien pointed to work, spine and neck straight.
1.2.4 Tools And Techniques
1.2.4.1 Joined Thumbs
1.2.4.1.1 Deep stripping- deep stripping of muscle to
release tension. Join thumbs and sink into muscle sometimes using mp joint to
stabilize depth and movement.
1.2.4.2 Pin & Stretch
1.2.4.2.1 Used near or around joints a t the tendon a
ttachments. Of muscle tha t moves joint.
1.2.4.2.1.1 The tendon is pinned by the thumb chisel ect
while the practitioner moves the limb which stretches the muscle and tendon. As
the tendon stretches the practitioners tool slides along the tendon promoting
further stretching. It is not necessary to move your tool. May also trepidate
while you pin & stretch, pumping while p & s involves flexing joint
while p & s catching different angles of tendon.
1.2.4.2.2 Example Knee
1.2.4.2.2.1 Practitioner
1.2.4.2.2.1.1 Bow stance facing down table
1.2.4.2.2.2 Patient
1.2.4.2.2.2.1 Prone
1.2.4.2.2.3 Tools
1.2.4.2.2.3.1 Use thumb or chisel. Move lower leg while you
pin and stretch hamstring tendons
1.2.4.2.2.4 Area
1.2.4.2.2.4.1 Tendons of hamstring near popliteal fosa
1.2.4.2.2.5 Indications,
1.2.4.2.3 Example Shoulder
1.2.4.2.3.1 Practitioner
1.2.4.2.3.1.1 Bow stance facing up table
1.2.4.2.3.2 Patient
1.2.4.2.3.2.1 Side posture
1.2.4.2.3.3 Tools
1.2.4.2.3.3.1 Use thumb or chisel. Move upper arm while you pin
and stretch teres minor and infra spinatus tendons
1.2.4.2.3.4 Area
1.2.4.2.3.4.1 Tendons of teres minor and infra spinatus
tendons near axila.
1.2.4.2.3.5 Indications
1.2.4.2.3.5.1 If humerus won't to into position the client
may have shortened pecs. P & t pecs.
1.2.4.3 Pin & Roll
1.2.4.3.1 Example Lower Arm
1.2.4.3.1.1 Roll forearm while p & s at interosseous
membrane.
1.2.4.4 Muscle Rolling
1.2.4.5 Rom Techniques
1.2.4.6 Passive Joint Manipulation
1.2.4.7 Compress & Trepidate
1.2.4.8 Compress, Stretch,
& Trepidate.
1.2.4.9 Lift & Create Space
1.2.4.9.1 Reach over client who is prone and lift up sides while compressing back.
1.2.4.10 Oppositional Movements
1.2.4.10.1 Elbows or hands in opposite directions. Along spine
1.2.4.11 Stretch, Extend, Elongate
1.2.4.11.1 Follow tension lines and patterns
1.2.4.12 Cross Fiber
1.2.4.12.1 Two fingers together softly to and fro along wrist joint.
1.2.4.13 Small Circles
1.2.4.13.1 With balls of fingers on face or scar tissue.
1.2.4.14 Lever
1.2.4.14.1 Use elbow(arm pushes up) or knuckles(fingers push up) as fulcrum (15) facial unwinding- small circles, full hands/fist, palm, elbow, hook twist.
1.2.4.15 Muscle Rolllng
1.2.5 Exercises
1.2.5.1 Cross Arms Scooping Over Midline
1.2.5.1.1 Stand in bow stance with one leg forward while doing the exercise. After several crossings switch legs forward.
1.2.5.1.2 This exercise [s done with whole body moving with arms as one hand scoops with palm upward across midline scooping air and turning palm down as arm moves baci<: other hand moves in same fashion.
1.2.5.2 Open Shoulder Elbow Circles
1.2.5.2.1 Practicioner Position
1.2.5.2.1.1 Feet parrellel & shoulder width apart. Hold arms at elbows. Let head hang. .
1.2.5.2.2 Exercise
1.2.5.2.2.1 Circle with arms held at elbows. Reverse circles outward extending back. Then move circles downward to stretch hamstrings and low back. Let your body hang down & let arms hang to touch toes. Come out very slowly one vertebrae at a time.
1.2.5.2.3 Note
1.2.5.2.3.1 Good for low back, shoulder. And hamstring tension.
1.2.5.3 Rhomboid Exercise 1
1.2.5.3.1 Practicioner Position
1.2.5.3.1.1 Stand with feet shoulder width apart. Hands clasped behind baci< at waist line.
1.2.5.3.2 Exercise
1.2.5.3.2.1 Retract scapulawith head down for rhomboids major and extend neck while soueez[ng(retracting scapula) for rhomboid minor. Elongate neck before extending. Take a breath before extension.
1.2.5.3.3 Note
1.2.5.3.3.1 Rhomboids which are weak increase llklyhood of rotator cuff injuries.stab[llty of humorous deepends less on ligaments and more on muscle than femur.
1.2.5.4 Rhomboid Exercise 2
1.2.5.4.1 Practicioner position-
1.2.5.4.1.1 Same as above except interlace fingers behind neck while retracting scapula with head down for rhomboid major and head up for rhomboid minor.
1.2.5.5 Door Way Stretch-Push Up
1.2.5.5.1 Practicioner position
1.2.5.5.1.1 Feet together knees slightly bent. Feet placed back.hands flat in push up style against both sides of door frame. Let head hang.
1.2.5.5.2 Exercise
1.2.5.5.2.1 Push ups against door frame feeling pull in pecs and scapular retraction.
1.2.5.6 Door Way Stretch-Pull
1.2.5.6.1 Practicioner position
1.2.5.6.1.1 Feet together knees slightly bent. Feet placed forward under door frame.. Hands pulling on both sides of door frame. Let head hang
1.2.5.6.2 Exercise
1.2.5.6.2.1 Alow yourself to fall back. Wiggle butt.
1.2.5.6.3 Notes
1.2.5.6.3.1 Pulls back muscles
1.2.5.7 Entrainment
1.2.5.7.1 Walk behind your clients as part of the posturals to begin the intulitive connection. Share your perceptions and check with the client for accuracy.
1.2.5.8 Self Massage
1.2.5.8.1 Have your clients do self massage for their problem areas.
1.2.5.9 Pelvic Tilt
1.2.5.9.1 Practicioner
1.2.5.9.1.1 Assume a position on hands and knees. Get padding for knees if necessary.
1.2.5.9.2 Exercise
1.2.5.9.2.1 As you breathe in deeply tilt your pelvis toward floor and as you exhale return your pelvis to original position.
1.2.5.9.3 Note
1.2.5.9.3.1 This will help ;open up diapramatic breathing and open abdominal area.
1.2.5.9.4 Indications
1.2.5.9.4.1 Constipation.
1.2.5.10 Belly Rub
1.2.5.10.1 Practicioner
1.2.5.10.1.1 Lay on your back
1.2.5.10.2 Exercise
1.2.5.10.2.1 Rub your abdomin including small and large intestine. Use soft circles which gradually break down impactions. Use a gentle intention to penitrate deeply. Downt use force. Mcuh can be accoplished with a gentle approach.find 1/2 way point between asis and belly button. This is your illiocecal valve. Do soft circles.
1.2.5.10.3 Note
1.2.5.10.3.1 Illiocecal valve can also be irritated by tight psoas. So release psoas also. Also feel for large intestine flexures. Eg large intestine flexures
1.2.5.10.3.1.1 Sigmoid colon
1.2.5.10.3.1.2 Left colic (splenic) flexure
1.2.5.10.3.1.3 Right colic (hepa tic) flexure
1.2.5.10.3.1.4 These flexures can bend to much because of trapped fecal matter.- dosoft circles to unblock abdominal flexures.
1.2.5.10.4 Indications
1.2.5.10.4.1 Constipation.
1.2.5.11 Cluster Writing (Power Writing)
1.2.5.11.1 Practitioner
1.2.5.11.2 Exercise
1.2.5.11.2.1 Start with a core word and make a circle around it. Crea te uninhibited associatlons and tie to the center core circle word with spokes. Use your right hand first. And when out of associa tlons(stuck) use your (child's) left hand. You can scribble with colored cra yons if you can't write anything. You can cluster any of the ideas on the spokes by making tha t word the center of the circle and spokes.
1.2.5.11.2.2 ask a question writing with the right hand. And answer with the left.
1.2.5.11.3 Clean Affirmations
1.2.5.11.3.1 Write a positive affirma tlon using the present tense.(e.g. use ly and ing words) after your positive affirmation write down any negative self talk which may interfer with the manifestation of your affirmatlon. Your affirmatlon can be considered clean if no more negative self talk exists.
1.2.5.11.3.2
write letters to your self or others
like parents rela tlves.
1.2.5.11.4 Notes:
1.2.5.11.5 14i1ndications
1.2.5.12 Fist Punch With Angry Eyes
1.2.5.12.1 Practitioner
1.2.5.12.1.1 Horse stance
1.2.5.12.2 Exercise
1.2.5.12.2.1 Take several deep breathes thru the nose begin with both hands in a fist position pronated and side facing wall elbows whould be at 90 degree angle.
1.2.5.12.2.2 As you breathe out punch your fist towards wall while twisting your arm so that your fist is now pronated.
1.2.5.12.2.3 While you are punching draw up negative liver energy (eg anger-frustration) into the eyes and project out eyes as you punch. Breathe out as you punch and in as you draw your arm back. Alternate fists as you punch one after antoher.
1.2.5.12.2.4 When you are finsihed spread your fingers open and realxed and face palms to floor bringing the energy to the earth let the energy flow into the earth.
1.2.5.13 Wrist Stretch Against Wall
1.2.5.13.1
Practitioner
1.2.5.13.1.1 Place your hand flat against wall with arm outstretched but not hyperextended and facing your body in oppsite direction at a 45 degree angle. And then look away. Feel the stretch in braichial plexus.
1.2.5.13.2 Exercise
1.2.5.13.2.1 Pronate and supinate arm without moving hand.
1.2.5.13.3 Note:
1.2.5.13.4 Indications
1.2.5.13.4.1 Improves wrist flexability.
2 WARM UP ROUTINE
2.1
QUICK WARM UP ROUTINE
2.1.1 CLIENTS REQUEST
2.1.1.1 If client wants specific area worked but the problem area is separate, honor the clients request with techniques like skin rolling, facial unwinding etcetera
2.1.2 PURPOSE OF WARM UP
2.1.2.1 Covering the whole aspect of the body opens the bodies energies so that as you release tension, negative energy it can release from the body.
2.1.2.2 Entraining body to discover areas of tightness etcetera
2.1.3 GENERAL
2.1.3.1 Have your tan tien face towards work in bow stance
2.1.3.2 Have your body open up the area you are working on.
2.1.3.3
Teacher doesn't prefer lotion but
likes a small amount of oil for use in deep tissue work.
2.1.3.4 When a client is prone, teacher uses face cradle gives client a belly pillow and foot cushion.
2.1.4 MERIDIANS AND POINTS ALONG SPINE & SHOULDER
2.1.4.1 Practitioner
2.1.4.1.1 Bow stance facing down table. May leave draping on client during routine
2.1.4.2 Tools
2.1.4.2.1 Use
thumbs pointed towards spine with light touch, circular trepidation quickly.
May also use Pisiform or palms instead or in combination, with thumbs
2.1.4.3 Area
2.1.4.3.1 Quato
ja je line, 1st and 2nd bladder meridian, along shoulder including GB 21 and
neck into occipital area. Scapular muscles
2.1.4.4 Indications
2.1.4.4.1 Quato ja je positively affects vertebral rotation, Subluxation, 1st bladder affects organs and 2nd bladder affects nervous system.
2.1.5
BACK
OF LEGS
2.1.5.1 Practitioner
2.1.5.1.1
2.1.5.2 Patient
2.1.5.2.1 Prone
2.1.5.3 Tools
2.1.5.3.1 Stretch
at Trochanter/ sacrum and above knee. Pressure down legs with mp and palm. Use
muscle rolling. Trepidation ect
2.1.5.4 Area
2.1.5.4.1 Back
of legs both sides
2.1.5.5 Indications
2.1.5.5.1
3
DEEP
TISSUE ROUTINE
3.1
BACK
-PRONE
3.1.1
VERTEBRAL
ROTATORS
3.1.1.1 Practitioner
3.1.1.1.1 Facing
down table in bow stance. Wiggle whole body from feet & BUTT TO MP JOINT AT HAND. '
3.1.1.2 Patient
3.1.1.2.1.1 Prone
3.1.1.3 Tools
3.1.1.3.1 Thumbs on either side of spinous process using mp joint for leverage & to add gentle rocking motion as you strip from c-7 to sacrum. Add 1/2 moons. Hands angle outward. In same direction of wrists & thumbs.
3.1.1.4 Area
3.1.1.4.1 Along spine focusing on rotators & muscles which attach to vertebrae
3.1.1.5 Indications
3.1.1.5.1 Helps loose attachments of erector spinae
3.1.2
ERECTOR SPINAE MEDIAL
3.1.2.1
Practitioner
3.1.2.1.1 Bow
stance on opposite side of body reaching over body to push against medial border of erector
spinae.
3.1.2.2 Patient
3.1.2.2.1 PRONE
3.1.2.3 Tools
3.1.2.3.1 Sink
into the gully between vertebrae and erector spinae, using joined thumbs to
stretch out laterally, work across body or use a finger hook when' working from
the same side. Wiggle whole body from feet &
butt to mp joint at hand. Push into medial portion of erector spinae. Do
both sides.
3.1.2.4
Area
3.1.2.4.1
3.1.2.5 Indications
3.1.2.5.1 To further loosen and stretch muscle attachments of vertebrae.
3.1.3 ERECTOR SPINAE LATERAL
3.1.3.1 Practitioner
3.1.3.1.1 Same as above except on same side from T7
3.1.3.2 Patient
3.1.3.2.1 Prone
3.1.3.3 Tools
3.1.3.3.1 Same as above except do lateral border from t7. Not a deep stroke use joined thumbs to compress against lateral edge of erector spinae & stretch towards spine.
3.1.3.4 Area
3.1.3.4.1 Indications
3.1.3.4.1.1 To release ribs
3.1.4 LATISSIMUS DORSI LIFT
3.1.4.1 Practitioner
3.1.4.1.1 On
opposite side of table with lateral foot up on table
3.1.4.2 Patient
3.1.4.2.1 Prone
3.1.4.3 Tools
3.1.4.3.1 Use finger/thumbs to gently lift, stretch Latissimus. Lift up and rock. Grab Latissimus when you lift. Use whole body to lift use a soft lift. Looks almost like petrasage. Be sure to cover Axilla, Subscapularis or any areas of holding along Latissimus.
3.1.4.4 Area
3.1.4.4.1 Latissimus
3.1.4.5
Indications
3.1.4.5.1
3.1.5 LATISSIMUS DORSI-FIST
3.1.5.1 Practitioner
3.1.5.1.1 On clients same side using bow stance
facing your work.
3.1.5.2 Patient
3.1.5.2.1 Position clients arm so it hangs down
side of table. Iron down side of Latissimus & at end of stroke open hand
and use palm across floating ribs, end with a light rock/stretch.
3.1.5.3 Tools
3.1.5.3.1 Inferior soft fist sinking softly into Axilla while facing up body to release lat attachments at humorous in Axilla. You know your hooking attachments on humerus because you'll see a slight elevation of scapula. Use superior hand or arm placed on scapula. Turn body to face downward, use superior hand to stretch tissues as inferior fist pins Latissimus moving down side of body. Go under Latissimus to get a good stretch. May hold upper arm to stretch. Hook lat attachments by turning body downward. Use bow stance.
3.1.5.3.2 Area
3.1.5.3.2.1
3.1.5.3.3 Indications
3.1.5.3.3.1
3.1.6 CLEAN SACRUM
3.1.6.1 Practitioner
3.1.6.1.1 Bow stance facing down table.
3.1.6.2 Patient
3.1.6.2.1 Prone
3.1.6.3 Tools
3.1.6.3.1 Using lower forearm begin at edge of sacrum where muscles attach to the sacrum from the buttocks. Forearm pointing downward should be at the same angle as the sacrum with the palm facing upward. The other hand can stretch the lower lumber muscles using the Pisiform or palm. Begin by placing your tools with sensitive compression. Then hook the inferior sacral attachments by turning the palm downward with the inferior hands forearm facing downward. This is a short stroke where the movement occurs only as the forearm pronates. You can do several of these strokes to begin loosing sacral attachments. Your superior hand can create further stretchy of the lumbar spine.
3.1.6.4 Area
3.1.6.4.1 Follow
the sacral angle where the muscles attach.
3.1.6.5 Indications
3.1.6.5.1 Tight ass, rotators, gluts, ect
3.1.7
CLEAN
ILEAC CREST WITH ELBOW
3.1.7.1 Practitioner
3.1.7.1.1 First Position
3.1.7.1.1.1 Low squatting bow stance facing up
3.1.7.1.2 Second Position
3.1.7.1.2.1 Raise yourself up to hook tissue with Olecranon while facing up in bow stance
3.1.7.1.3 Third Position
3.1.7.1.3.1 Bow stance facing toward client
3.1.7.2 Patient
3.1.7.2.1 Prone
3.1.7.3 Tools
3.1.7.3.1 First Position
3.1.7.3.1.1 Start below floating ribs. Use upper inside arm above elbow (triceps) with arm pointing at ceiling and towards clients head to compress area just above iliac crest next to spine. Use outside hand placed on scapula for stretch.
3.1.7.3.2 Second Position
3.1.7.3.2.1 Raise your body up & as you do you will feel your upper arm roll the clients tissue onto your Olecranon process as your hand points up the body with palm supine. As you reach your full height your Olecranon process should rub up against the iliac crest
3.1.7.3.3 Third Position
3.1.7.3.3.1 Turn toward clients body while pronating arm to further hook tissue. Raise your scapula over your humerus and allow the weight of your body to follow iliac crest downward to table.
3.1.7.4 Area
3.1.7.4.1 Quadratus lumborum just above ileac crest on longissimus
3.1.7.5 Indications
3.1.7.5.1
3.1.8 CLEAN ILEAC CREST WITH OTHER TOOLS
3.1.8.1 Practitioner
3.1.8.1.1 Bow stance facing down table
3.1.8.2 Patient
3.1.8.3 Tools
3.1.8.3.1 Using joined thumbs. Pisiform. Chisel soft fist ect. Come up against iliac crest with tools facing down table and begin to clean area on the bone of the superior iliac crest. Move along entire ileac crest.
3.1.8.4 Area
3.1.8.4.1 Top of ileac crest at a superficial level to clean muscle attachments
3.1.8.5 Indications
3.1.8.5.1 Tight lower back at muscle attachments.
3.1.9 OPPOSITIONAL ROCK
3.1.9.1 Practitioner
3.1.9.1.1 Bow stance facing toward the body & reaching across the body with both hands.
3.1.9.2 Patient
3.1.9.2.1 Prone
3.1.9.3 Tools
3.1.9.3.1 Using soft inferior hand reach across body to clients anterior chest. With superior hand place heal of hand on erector spinae area. The rocking motion is created by the superior hand as the inferior hand compresses in the opposite direction. Small movements are sufficient. This is a kneading slide like action. Each hand is moving in opposition to the other to affect mobility with a rocking/stretch to the low. Mid back & rib cage. You can create an oppositional stretch with superior hand moving up on the anterior surface while the inferior hand moves down on the posterior surface along the erector spinae.
3.1.9.4 Area
3.1.9.4.1
3.1.9.5 Indications
3.1.9.5.1
3.1.10
OPPOSITIONAL STRETCH
3.1.10.1 Practitioner
3.1.10.1.1 Bow stance facing toward the body & reaching across the body with both hands.
3.1.10.2 Patient
3.1.10.2.1 Prone
3.1.10.3 Tools
3.1.10.3.1 Inferior hand holds ASIS while superior hand at Pisiform stretches up erector spinae.
3.1.10.4 Area
3.1.10.4.1
3.1.10.5 Indications
3.1.10.5.1
3.1.11
SCAPULA RELEASE 1
3.1.11.1 Practitioner
3.1.11.1.1 Come to side of body of body facing down table in bow stance. May open up your shoulder to open up theirs.
Patient
3.1.11.1.2 Forearms should hang over side of table.
3.1.11.2 Tools
3.1.11.2.1 With heel of hand at medial superior border of scapula and the fingers softly hooked at the lateral border. Create a circular motion increasing scapular mobility.
3.1.11.3 Area
3.1.11.3.1
3.1.11.4 Indications
3.1.11.4.1 Shoulder Release
3.1.12
SCAPULA
RELEASE 2
3.1.12.1 Practitioner
3.1.12.1.1 Come to side of body of body facing up in bow stance. May use lateral knee on table for greater stability. Open up your shoulder to open up theirs.
3.1.12.2 Patient
3.1.12.2.1 Forearms should hang over side of table.
3.1.12.3 Tools
3.1.12.3.1 Place your outside hand under the anterior portion of the shoulder so your finger rest on the corticoid process and the head of the humerus lays in your palm. Your inside hand lays over the scapula hooking where possible to create a circular motion increasing scapular mobility. Alternate explanation. Place medial hand flat over scapula. Lift at corticoid process and press & rotate scapula with medial hand. Roll or use wave like action. For small arms may hold top of shoulder with lateral hand. For large shoulders use lateral hand to hold at corticoid process and medial hand to rotate scapula. This should feel like moving an abalone shell.
3.1.12.4 Area
3.1.12.4.1
3.1.12.5 Indications
3.1.12.5.1 Shoulder release
3.1.13 SHOULDER JOINT MOBILIZATION-FOR FIXED SCAPULA
3.1.13.1 Practitioner
3.1.13.1.1 Come to side of body of body facing shoulder in bow stance. May use lateral knee on table for greater stability. Open up your shoulder to open up theirs
3.1.13.2 Patient
3.1.13.2.1 Prone. Forearms should hang over side of table
3.1.13.3 Tools
3.1.13.3.1 Lift shoulder put lateral hand at corticoid process & medial hand to hold shoulder through Axilla. Make shoulder go into shoulder joint by pushing forward. Pull shoulder out & then rotate shoulder several times. Shake shoulder. Push shoulder in & out in wave like fashion.. Use both thumbs to reverse strip Teres & infra to humerus insertion. That is pull with joined thumbs from medial to lateral while holding shoulder. Repeat scapular release a to assess difference
3.1.13.4 Area
3.1.13.4.1 Shoulder
3.1.13.5 Indications
3.1.13.5.1 Shoulder release
3.1.14
IRON
TRAPEZFUS
3.1.14.1 Practitioner
3.1.14.1.1
Bow stance facing down table with feet facing to side..
3.1.14.2 Patient
3.1.14.2.1 Prone
3.1.14.3 Tools
3.1.14.3.1 Soft medial fist. Using soft fist, first palm up angle in towards the neck under superior traps. Then slowly shift your stance and twist palm & fingers facing Acromion to stretch Trapezius out laterally. Use lateral hand
3.1.14.4 Area
3.1.14.4.1
3.1.14.5 Indications
3.1.14.5.1 Shoulder release
3.1.15 TRAPEZIUS/LEVATOR
3.1.15.1 Practitioner
3.1.15.1.1 Bow stance facing down table.
3.1.15.2 Patient
3.1.15.2.1 Prone
3.1.15.3 Tools
3.1.15.3.1 Joined thumbs stripping. Use mp joints to compress areas. Using joined thumbs and or chisel, compress and stretch. Focus on release at the vertebrae then work out laterally. Joined thumbs stripping. Use mp joints to compress areas. If you encounter a knot push against and retract until it moves you. May have to sit to get Levator at nape of neck at anterior portion of upper traps.
3.1.15.4 Area
3.1.15.4.1
3.1.15.5 Indications
3.1.15.5.1 Shoulder release
3.1.16 RHOMBOIDS
3.1.16.1 Practitioner
3.1.16.1.1 Bow stance facing down table.
3.1.16.2 Patient
3.1.16.2.1 Prone
3.1.16.3 Tools
3.1.16.3.1 Joined thumbs stripping. Use mp joints to compress areas using joined thumbs and or chisel, compress and stretch attachments at vertebrae. With the same tools compress and stretch from spine to medial border of scapula with a gentle rock. Joined thumbs stripping. Use mp joints to compress areas. If you encounter a knot push against and retract until it moves.
3.1.16.4 Area
3.1.16.4.1
3.1.16.5 Indications
3.1.16.5.1 Shoulder release
3.1.17 ROTATOR CUFF
3.1.17.1 Practitioner
3.1.17.1.1 Bow stance facing down table
3.1.17.2 Patient
3.1.17.2.1 Prone
3.1.17.3 Tools
3.1.17.3.1 Joined thumbs stripping. Use mp joints to compress areas using thumb fanning and or joined thumbs to compress and stretch cleaning the spine of the scapula for release of Infraspinatus, Supraspinatus, Teres minor and major.. You can in a seated position clean scalene with joined thumbs from medial to lateral beginning anterior to Trapezius at nape of neck. Joined thumbs stripping. Use mp joints to compress areas. If you encounter a knot push against and retract until it moves
3.1.17.4 Area
3.1.17.4.1 Rotator cuff muscles.
3.1.17.5 Indications
3.1.17.5.1
3.1.18 1/2 MOONS
3.1.18.1 Practitioner
3.1.18.1.1 Bow stance facing down table.
3.1.18.2 Patient
3.1.18.2.1 Prone
3.1.18.3 Tools
3.1.18.3.1 Use your Pisiform in a half moon stretching motion from medial to lateral you can alternate the motion or do them simultaneously, to stretch out the whole upper body. (be sure to keep your elbows open.
3.1.18.4 Area
3.1.18.4.1
3.1.18.5 Indications
3.1.18.5.1
3.2 NECK PRONE
3.2.1
FINGER
KNEAD
3.2.1.1 Practitioner
3.2.1.2 Patient
3.2.1.2.1 SUPINE
3.2.1.2.2 Tools
3.2.1.2.2.1 Hold both side of neck, with fingers and thumbs do an alternating kneading/lift eg muscle rolling.
3.2.1.3 Area
3.2.1.4 Indications
3.2.2 OCCIPUT LIFT
3.2.2.1 Practitioner
3.2.2.1.1 Patient
3.2.2.2 Supine
3.2.2.3 Tools
3.2.2.3.1 With the e.o.p. (bump on the back of your head), in the palm of your hands, your hands one on each side of the spine. Create circles with a lift to give space to the cervical region. This circle stretch can be used over entire neck and shoulder area.
3.2.2.4 Area
3.2.2.5 Indications
3.2.2.5.1 Whiplash
3.3 THIGH AND PELVIS-PRONE
3.3.1 ROLL HAMSTRINGS
3.3.1.1 Practitioner
3.3.1.1.1 Bow stance facing up.
3.3.1.2 Patient
3.3.1.2.1 Prone
3.3.1.3 Tools
3.3.1.3.1 Muscle roll hamstrings, from knee attachments, up to pelvis at the ishial tuberosity. (soft circles at the ishial tuberosity).
3.3.1.4 Area
3.3.1.4.1 Indications
3.3.2 HAMSTRINGS
3.3.2.1 Practitioner
3.3.2.1.1 Bow stance facing up table hold one hand at the ankle and flex the clients knee with your lateral hand putiing their leg thru your medial elbow angle while your joined hands complete the strokes.
3.3.2.2
Patient
3.3.2.2.1 Prone
3.3.2.3 Tools
3.3.2.3.1 Use joined hands thumbs knuckles and fingers to compress, tre pi date, and rotate as your body moves the clients leg to stretches the atiachments and the belly of hamstrings.
3.3.2.4 Area
3.3.2.4.1 Indications
3.3.3 ELBOW HAMSTRINGS
3.3.3.1 Practitioner
3.3.3.1.1 BOW STANCE FACING DOWN TABLE
3.3.3.2 Patient
3.3.3.3 Tools
3.3.3.3.1 Use superior hand on sacrum and inferior elbow beginning at ishial tuberosity to first compression the tissue and then slide, separating hamstrings, may begin with your fingers pointing to ceiling and then slowly bring your supinated hand down then pronate to begin sliding down hamstrings. If you encounter resistance stop and supinate hand and begin using supination/pronation to hook tissue in a subtle but effective way. From ishial tuberosity to knee insertions
3.3.3.4 Area
3.3.3.5 Indications
3.3.4
GLUTEAL REGION
3.3.4.1 Practitioner
3.3.4.1.1 Bow stance facing down table using inferior hand to hold flexed leg at ankle may put your superior leg on table while you use soft fist to complete strokes.
3.3.4.2 Patient
3.3.4.2.1 Prone
3.3.4.3 Tools
3.3.4.3.1 Notice that when you flex the knee lordosis in the low back increases. Notice also that when you move the flexed knee medial to lateral gluteus minimus and medius are activated. When you move the leg up and down gluteus maximus is activated. Use this lower leg motion to assist you in working with the butt muscles. May bring the gluteal muscles to softness by trepidating the lower leg or swinging it back and forth up and down as your' superior hands fist sinks into muscle attachments on sacrum. Allow the body to tell you when or whether to move further into the tissue move your fist a short distance medial to lateral along entire sacrum. May also compress entire gluteal area with appropriate tools. .
3.3.4.4 Area
3.3.4.4.1 Gluteal
attachments along the sacrum
3.3.4.5 Indications
3.3.5
GLUTEUS MAXIMUS
3.3.5.1 Practitioner
3.3.5.1.1 Bow stance facing work.
3.3.5.1.2 Inferior leg on table reaching to opposite gluteal area
3.3.5.1.3 Bow stance facing down table.
3.3.5.2 Patient
3.3.5.2.1 Prone
3.3.5.3 Tools
3.3.5.3.1
Fist Trailing Hands
3.3.5.3.1.1 Use hands to feel the broad area of the gluteals find any tight spots and combine compression with the palms and allow the trailing fist to release the knots with pressure and movement. Can also use these tools in combina tlon palm moving around buttocks to compress and assess tension areas while fist releases deeply held tension areas
3.3.5.3.2 Joined Thumbs
3.3.5.3.2.1 Use joined thumbs and fingers to compress and stretch off sacrum.. Include trepida tlon. By holding asis with superior hand while inferior hand pushes on sacrum. Use an oppositional rock to effect a wa ve like trepidatlon..
3.3.5.3.3 Elbow Hook
3.3.5.3.3.1 Use elbow hook to stretch off sacrum, using other hand to give an oppositional stretch to the low back.
3.3.5.3.4 Lower Forearm
3.3.5.3.4.1 Using lower forearm begin at edge of sacrum where muscles attach to the sacrum from the buttocks. Forearm pointing downward should be at the same angle as the sacrum with the palm facing upward. The other hand can stretch the lower lumber muscles using the pisiform or palm. Begin by placing your tools with sensitive compression. Then hook the inferior sacral attachments by turning the palm downward with the inferior hands forearm facing downward. This is a short stroke where the movement occurs only as the forearm pronate. You can do several of these strokes to begin loosing sacral attachments. Your superior hand can create further stretchy of the lumbar spin after elbow hook has softened attachments, continue into muscle bell y following tension lines.
3.3.6 ROTATORS
3.3.6.1 Practitioner
3.3.6.1.1 Facing down the table.
3.3.6.2 Patient
3.3.6.2.1 Prone
3.3.6.3 Tools
3.3.6.3.1 Use superior hand holding at the sacrum. Use inferior elbow atolecranon process to sensitively soften area of piriformis. Your hand should be facing the ceiling. You can move your wrist in different ways to hook the tissue to deeply compress and stretch rotators. You can also use the pisiform
3.3.6.4 Area
3.3.6.5 Indications
3.4 FEET AND POSTERIOR LOWER LEGS- PRONE
3.4.1 FOOT COMPRESSION'S
3.4.1.1 Practitioner
3.4.1.1.1 Don't need to use oil. Seated on stool with feet planted so that a tripod exists with feet grounded on floor and sit bones are on stool (horsy posture in chair. Joined thumbs on bottom of foot joined fingers on top of foot.
3.4.1.2 (patient
3.4.1.2.1 Prone
3.4.1.3 Tools
3.4.1.3.1 Bring foot into dorsal flexion by compressing with joined thumbs over entire plantar surface of tool (metatarsals. Tarsals and all 3 arches) while using fingers on dorsal surface using counter pressure against thumb action while pulling fingers laterally across foots dorsal surface. Must be sensitive to end feel of compression's so when you compress you should not feel the foot push back at you. You want to create a soft movement of the ankle.
3.4.1.4 Area
3.4.1.5 Indications
3.4.1.5.1 Ankle. Knee and hip alignment by using thumb compression's to help stretch and open joints. Note for correction of hammer toes may use thumbs on bottom and fingers on top to slowly stretch tendon one toe at a time.
3.4.2 CALCANEAL STRETCH
3.4.2.1 Practitioner
3.4.2.2 Patient
3.4.2.2.1 Prone
3.4.2.3 Tools
3.4.2.3.1 Cup your top hand gently on the calcaneous. Place your other hand under the ankle. Gently stretch. You can also use a passive joint manipulation.
3.4.2.4 Area
3.4.2.5 Indications
3.4.3 MUSCLE ROLL
3.4.3.1 Practitioner
3.4.3.1.1 Bow stance facing down table with inferior legs foot on table superior leg grounded on floor
3.4.3.2 Patient
3.4.3.2.1 Prone
3.4.3.3 Tools
3.4.3.3.1 Using fingers palms grab muscle tissue not skin and mobilize superficial muscle tissue and move or roll this tissue over underlying muscle tissue. Use palm and fingers in coordination pushing with palms while grabbing and stabilizing muscle tissue with fingers. A wave like undulating motion which is rhymic and covers the entire area of the lower and upper leg including the gastroc and hamstrings. Motion with focus on loosening of lower leg and knee.
3.4.3.4 Area
3.4.3.4.1 Lower leg & knee
3.4.3.5 Indications
3.4.4 GASTROCNEMIUS
3.4.4.1 Practitioner
3.4.4.1.1 On opposite side of table bow stance with superior leg on table or may do on same side.
3.4.4.2 Patient
3.4.4.2.1 Prone
3.4.4.3 Tools
3.4.4.3.1 I. Use muscle rolling and focused joined finger thumb to separa te, lift and roll gastroc. Ma y also tripida te gastroc ii. Use elbovv, sink in just below the knee. Separate belly of gastroc.use elbow hook to separa te side of gastroc.
3.4.4.4 Area
3.4.4.5 Indications
3.5 POSTERIOR KNEE-PRONE
3.5.1
KNEE ATTACHMENTS
3.5.1.1 Practitioner
3.5.1.1.1 Bow stance facing up table with superior leg on floor & inferior leg on table supporting patients bent leg
3.5.1.2 Patient
3.5.1.2.1 Prone
3.5.1.3 Tools
3.5.1.3.1 Flex the i(nee by resting against your inferior knee which moves in coordination with a pin and stretch maneuver brining the muscle attachments to softness. Use your superior hand with your fingers in a c shape grabbing knee attachments & moving c shape fingers back and forth to mobilize i(nee attachments.(wo po da- wa po da). Use your superior hand to pin knee attachments beginning above knee crease near head of gastroc while you flex i(nee to soften tissues. Then extend the knee with your inferior knee supporting the patients lower leg thus pinning & stretching clients knee attachments with your superior hand. Or supported on pillows. This will help soften the i(nee. While compressed. Use a slow. Mild rotation to help stretch' tissue.
3.5.1.4 Area
3.5.1.5 Indications
3.5.2 HAMSTRINGS
3.5.2.1 Practitioner
3.5.2.2 Patient
3.5.2.2.1 Prone
3.5.2.3 Tools
3.5.2.3.1 Pin and stretch attachments. Use full hand and then a sharper tool may be more appropriate. Flex the knee. Pin the muscle. Stretch as the knee is extended.
3.5.2.4 Area
3.5.2.5 Indications
3.5.3 POPLITEUS
3.5.3.1 Practitioner
3.5.3.1.1 Bow stance facing up table with superior leg on floor & inferior leg on table supporting patients bent leg
3.5.3.2 Patient
3.5.3.3 Prone
3.5.3.4 Tools
3.5.3.4.1 Use the same moves as in the knee attachments. Use the superior fingers to pull from below tibial epicondyle just inferior to patella) from inferior to superior over upper medial edge of gastro. Follow the indentation formed in the area of the medial knee. The medial
3.5.3.5 Area
3.5.3.5.1 Popliteus is the indentation found around the medial upper edge of the gastro just below the medial bone of the knee (epicondyle of tibia)(sp9) . Popliteus is the antagonist to the cruciate ligaments. When the popliteus is to tight it causes you to lock your knees.
3.5.3.6 Indications
3.5.3.6.1 Relaxes hyper extended knees.
3.6 FEET S LOWER LEGS-SUPINE
3.6.1 ALIGN ANKLE, KNEE, & HIP
3.6.1.1 Practitioner
3.6.1.1.1 Don't need to use oil. Seated on stool with feet planted so that a tripod exists with feet grounded on floor and sit bones are on stool (horsy posture in chair.
3.6.1.1.2 Use both hands, fingers on dorsal surface of foot, you may also do bow stance while seated one leg forward one leg back. Thumbs on plantar surface of foot in a squeezing fashion.
3.6.1.1.3 Use both hands with medial hand on top of foot and lateral hand gently holding calcaneous where posterior calcaneal tendon attaches. Remember to move your body with the trepidations and rotations.
3.6.1.2 Patient
3.6.1.2.1 Supine
3.6.1.3 Tools
3.6.1.3.1 Dorsaflex & evert the foot in a soft circular rotation. Notice that as you dorsaflex the foot your superior fingers can also stretch the anterior retinaculum. Look for movement in the hip.
3.6.1.3.2 Medial
rotate foot with # 2 hand positions. You may use your lateral hand to reach up
under popliteal fossa and with lever like action loosen attachments gently. You
may also add trepidations to any of these movements.
3.6.1.4 Area
3.6.1.4.1 Plantar
& dorsal surface of foot ankle & calcaneal tendon.
3.6.1.5 Indications
3.6.1.5.1 Flexibility
and movement of ankle assessment of hip mobility. Ankle, knee and hip
alignment.
3.6.2
REFLEXOLOGY
3.6.2.1 Practitioner
3.6.2.1.1 Seated
at clients feet
3.6.2.2 Patient
3.6.2.2.1 Supine
3.6.2.3 Tools
3.6.2.3.1 The thumb is the major tool in reflexology. It is used in an inch worm fashion reflexing the points as the tip of the thumb rocks to and fro inching forward slowly to the next area you will find crunchy areas(crystals) just soften the tissue sensitivl y. Begin with your thumb in an area of the foot at a 90 degree angle and begin rocking your thumb forward and back inching along to the next
3.6.2.3.1.1 Area tool use
3.6.2.3.1.1.1
Neck
area
3.6.2.3.1.1.1.1 Hold clients foot with toes pulled back with la teral hand & reflex area with medial hand..
3.6.2.3.1.1.2 Sinuses
3.6.2.3.1.1.2.1 Hold clients foot stable with medial hand pulling toes back and, reflex area with la teral hand.
3.6.2.3.1.1.3
Spine
reflex area
3.6.2.3.1.1.3.1 Hold with la teral hand and use medial hand to work spinal reflex points. Use the inching thumb technique cross fiber along the spinal reflex area. .
3.6.2.3.1.1.4
Visceral
Organs
3.6.2.3.1.1.4.1 Hold with lateral hand and reflex middle of foot for large intestine etc. Go across and up abdominal area.