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. 3
1.1 DEFINITION OF TERMS. 3
1.1.1 Quato Ja Je Points. 3
1.1.2 Bladder Meridians. 3
1.1.3 Stomach Channel 3
1.2 Applied anatomy and body
psychology. 3
1.2.1 Body Psychology. 3
1.2.2 Anatomy. 4
1.2.3 Principals. 4
1.2.4 Tools And Techniques. 5
1.2.5 Exercises. 7
2 WARM UP ROUTINE. 11
2.1 QUICK WARM UP ROUTINE. 11
2.1.1 CLIENTS REQUEST. 11
2.1.2 PURPOSE OF WARM UP. 11
2.1.3 GENERAL. 11
2.1.4 MERIDIANS AND POINTS ALONG
SPINE & SHOULDER. 11
2.1.5 BACK OF LEGS. 11
3 DEEP TISSUE ROUTINE. 12
3.1 BACK -PRONE. 12
3.1.1 VERTEBRAL ROTATORS. 12
3.1.2 ERECTOR SPINAE MEDIAL. 12
3.1.3 ERECTOR SPINAE LATERAL. 13
3.1.4 LATISSIMUS DORSI LIFT. 13
3.1.5 LATISSIMUS DORSI-FIST. 13
3.1.6 CLEAN SACRUM. 14
3.1.7 CLEAN ILEAC CREST WITH ELBOW.. 14
3.1.8 CLEAN ILEAC CREST WITH OTHER
TOOLS. 15
3.1.9 OPPOSITIONAL ROCK. 16
3.1.10 OPPOSITIONAL STRETCH. 16
3.1.11 SCAPULA RELEASE 1. 17
3.1.12 SCAPULA RELEASE 2. 17
3.1.13 SHOULDER JOINT MOBILIZATION-FOR
FIXED SCAPULA. 18
3.1.14 IRON TRAPEZFUS. 18
3.1.15 TRAPEZIUS/LEVATOR. 18
3.1.16 RHOMBOIDS. 19
3.1.17 ROTATOR CUFF. 19
3.1.18 1/2 MOONS. 20
3.2 NECK PRONE. 20
3.2.1 FINGER KNEAD. 20
3.2.2 OCCIPUT LIFT. 20
3.3 THIGH AND PELVIS-PRONE. 21
3.3.1 ROLL HAMSTRINGS. 21
3.3.2 HAMSTRINGS. 21
3.3.3 ELBOW HAMSTRINGS. 22
3.3.4 GLUTEAL REGION. 22
3.3.5 GLUTEUS MAXIMUS. 22
3.3.6 ROTATORS. 23
3.4 FEET AND POSTERIOR LOWER LEGS-
PRONE. 24
3.4.1 FOOT COMPRESSION'S. 24
3.4.2 CALCANEAL STRETCH. 24
3.4.3 MUSCLE ROLL. 24
3.4.4 GASTROCNEMIUS. 25
3.5 POSTERIOR KNEE-PRONE. 25
3.5.1 KNEE ATTACHMENTS. 25
3.5.2 HAMSTRINGS. 26
3.5.3 POPLITEUS. 26
3.6 FEET S LOWER LEGS-SUPINE. 26
3.6.1 ALIGN ANKLE, KNEE, & HIP. 26
3.6.2 REFLEXOLOGY. 27
3.6.3 FOOT COMPRESSION'S. 28
3.6.4 METATARSAL ROCK. 29
3.6.5 METATARSAL ROCK & ROLL. 29
3.6.6 FOOT ROLLING. 29
3.6.7 RETINACULUM. 30
3.6.8 SMALL CIRCLES. 30
3.6.9 STRIP DORSAL SURFACE. 31
3.6.10 FOOT SQUEEZE. 31
3.6.11 CALCANEAL STRETCH. 32
3.6.12 TIBIALIS ANTERIOR. 32
3.6.13 ILIOTIBIAL TRACT (I.T.T.) 33
3.6.14 LATERAL LEG SEPARATION. 33
3.6.15 ANTERIOR KNEE. 33
3.6.16 POSTERIOR KNEE. 34
3.7 THIGH AND PELVlS-SUP/NE. 34
3.7.1 ALIGN ANKLE, KNEE, & HIP. 34
3.7.2 SEPARATE RECTUS FEMORIS(ON
ISIS)-MUSCLE ROLLING. 35
3.7.3 ASIS. 35
3.7.4 QUADRICEPS. 36
3.7.5 SARTORIUS/GRACILlS (ON ASIS) 36
3.7.6 HAMSTRING ROTATIONS. 37
3.7.7 HAMSTRING STRETCH. 37
3.7.8 ISHIAL TUBEROSITY. 38
3.8 PELVIS-SUPINE-OPTlONAL. 38
3.8.1 PELVIC ATTACHMENTS. 38
3.8.2 FLOOR OF PELVIS. 39
3.9 THIGH AND PELVIS-SUPINE. 40
3.9.1 ADDUCTORS. 40
3.9.2 PSOAS. 41
3.10 THIGH AND PELVIS-SIDE LINE. 41
3.10.1 Note. 41
3.10.2 ADDUCTORS. 41
3.10.3 GREATER TROCHANTER. 42
3.10.4 ITT. 42
3.10.5 SACROILIAC JOINT. 43
3.10.6 ILEUM AND ILEAC CREST. 43
3.10.7 ILIACUS AND PSOAS. 44
3.11 ABDOMEN-SUPINE. 44
3.11.1 DRAIN ABDOMEN. 44
3.11.2 BELLY ROCK-STRETCH. 45
3.11.3 MODIFIED SUN-MOON (DUTES MOVER
STROKE) 45
3.11.4 FLEXURE RELEASE. 45
3.11.5 ILEO-SECAL VALVE. 46
3.11.6 SMALL INTESTINES. 46
3.11.7 FOUR DIRECTIONS. 47
3.11.8 STOKE THE FIRE. 47
3.11.9 STOMACH-SPLEEN. 47
3.11.10 LIVER-GALL BLADDER. 48
3.11.11 MOVE FECAL MATERIAL. 48
3.11.12 RECTUS ABDOMINIS. 48
3.11.13 PULLING SIDES. 49
3.11.14 PERINEUM. 49
3.12 CHEST-SUPINE. 50
3.12.1 MUSCLE ROLL SEPARATION. 50
3.12.2 CLEAN CLAVICLE. 50
3.12.3 PECTORALIS MINOR. 51
3.12.4 ROTATOR CUFF. 51
3.12.5 RIB CAGE RELEASE. 51
3.12.6 STERNUM. 52
3.12.7 COSTAL CARTILAGES. 52
3.12.8 INTERCOST ALS. 53
3.12.9 DIAPHRAGM. 53
3.12.10 PECTORALIS MAJOR. 54
3.12.11 CLEAN CLAVICLE. 54
3.12.12 SCM. 55
3.12.13 CLEANING ARMPIT. 55
3.13 ARMS SUPINE. 56
3.13.1 Note Position; 56
3.13.2 DELTOID. 56
3.13.3 BICEPS TRICEPS. 56
3.13.4 ELBOW ATTACHMENTS. 57
3.13.5 FOREARM. 57
3.13.6 INTEROSSEOUS LIGAMENT. 57
3.13.7 WRIST STRETCH. 58
3.13.8 INDIAN BURN. 58
3.14 ARMS-SIDLINE. 58
3.14.1 ROTATOR CUFF/PECS. 58
3.14.2 SUBSCAPULARUS. 59
3.14.3 HUMERUS RELEASE. 59
3.14.4 QUADRATUS LUMBORUM. 60
3.15 HANDS-SUPINE. 60
3.15.1 Note. 60
3.15.2 HANDS. 60
3.15.3 P & S THUMB. 60
3.15.4 METACARPALS. 61
3.15.5 METACARPAL LIFT. 61
3.15.6 TENDON STRETCH. 61
3.15.7 RETINACULUM. 62
3.15.8 PALM COMPRESSION'S. 62
3.16 NECK-SUPINE. 62
3.16.1 NECK EV ALUA TION. 62
3.16.2 VERTEBRAE WAVE. 63
3.16.3 TRANSVERSE .PROCESS ROCK. 63
3.16.4 TRANSVERSE PROCESS. 63
3.16.5 OCCIPUT. 64
3.16.6 S.C.M. 64
3.16.7 CROSS HOOKING. 64
3.16.8 SOFT TRACTION. 65
3.16.9 OCCIPITAL. 65
3.16.10 CREATE CURVE. 66
1.1.1.1
Developed by dr. Ouato
1.1.1.2
Located next to spine-near spinalis
along entire length of spine
1.1.2.1
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.
1.1.3.1
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
1.2.1.1
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<.
1.2.2.1
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.
1.2.3.1
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.
1.2.4.1 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
1.2.5.1
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.
2.1.1.1
If
client wants specific area worked but the problem area is separate, honor
the clients request with techniques like skin rolling, facial unwinding
etcetera
2.1.2.1
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
2.1.3.1
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.
2.1.4.1 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.
2.1.5.1 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
3.1.1.1 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
3.1.2.1
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.
3.1.3.1
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
3.1.4.1
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
3.1.5.1 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
3.1.6.1
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
3.1.7.1 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
3.1.8.1
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.
3.1.9.1
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
3.1.10.1
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
3.1.11.1
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
3.1.12.1
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
3.1.13.1
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
3.1.14.1
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
3.1.15.1
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
3.1.16.1
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
3.1.17.1
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
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
3.2.1.1 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
3.2.2.1
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
3.3.1.1 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
3.3.2.1 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
3.3.3.1
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
3.3.4.1
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
3.3.5.1 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.
3.3.6.1
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
3.4.1.1
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.
3.4.2.1
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
3.4.3.1
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
3.4.4.1
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
3.5.1.1
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
3.5.2.1
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
3.5.3.1
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.
3.6.1.1
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.
3.6.2.1
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.
3.6.2.4
Area
3.6.2.4.1
Neck Reflex Area
3.6.2.4.1.1 Under big toe between creases. Always watch
the clients face to insure you don't go to deep. If they wince its too deep.
3.6.2.4.2
Sinuses
3.6.2.4.2.1
Underneath toes beginning at little toes.
3.6.2.4.3
Spine Reflex Area
3.6.2.4.3.1
On medial arch from lower which represents low back to neck
medial aspect under big toe. .area- visceral organs= in middle area of foot.
3.6.2.5 Indications
3.6.3.1
Practitioner
3.6.3.1.1
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.
3.6.3.2
Patient
3.6.3.2.1
Supine
3.6.3.3
Tools
3.6.3.3.1
Bring foot into dorsal flexion by compressing with joined
thumbs over entire plantar surface of foot (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 an
kle.
3.6.3.4
Area
3.6.3.5
Indications
3.6.3.5.1
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 & pull sensitively feeling
and correcting restrictions tendon one toe at a time.
3.6.4.1
Practitioner
3.6.4.1.1
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. Medial or lateral hand holding depending on
practitioner comfort. Usual for outer tarsals hold foot with medial hand and do
metatarsal movements with lateral hand fingers on top countering movement of
thumb on bottom(this may be reversed if standing with thumbs on top &
fingers on bottom. For medial metatarsals reverse this.
3.6.4.2
Patient
3.6.4.2.1
Supine
3.6.4.3
Tools
3.6.4.3.1
Focus on one metatarsal at a time, hold the others stable,
focus on movement and release at the tarsal metatarsal joint. Move metatarsals
with hand up and down and sideways.
3.6.4.4
Area
3.6.4.5
Indications
3.6.4.5.1
To create space & improve movement between the metatarsals
& tarsal.
3.6.5.1
Practitioner
3.6.5.1.1
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. Fingers on top & thumbs on bottom of metatarsals using both hands alternating in a
sizzer like fashion strain & counter strain
3.6.5.2
Patient
3.6.5.2.1
Supine
3.6.5.3
Tools
3.6.5.3.1
Grip dorsal and plantar surfaces of foot gently rock and roll
metatarsals in a wave like motion. Use rolling like action. Get your movements
to move up clients leg.
3.6.5.4
Area
3.6.5.5
Indications
3.6.5.5.1
To create space & improve movement between the metatarsals
& tarsal.
3.6.6.1
Practitioner
3.6.6.1.1
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.
3.6.6.2
Patient
3.6.6.2.1
Supine
3.6.6.3
Tools
3.6.6.3.1
Place one hand on the medial arch and the other on the lateral
arch, alternating motion, roll foot between hands. Notice release at ankle.
3.6.6.4
Area
3.6.6.5
Indications
3.6.7.1
Practitioner
3.6.7.1.1
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. Fingers
on top thumbs on bottom
3.6.7.2
Patient
3.6.7.2.1
Supine
3.6.7.3
Tools
3.6.7.3.1
Hook fingers into retinaculum, use thumbs on plantar surface
to dorsal flex foot as you compress and stretch retinaculum moving fingers from ankle to toes. (a dense band of
connective tissue at ankle and wrist).
3.6.7.4
Area
3.6.7.5
Indications
3.6.8.1
Practitioner
3.6.8.1.1
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. Thumbs on bottom fingers on top.
3.6.8.2
Patient
3.6.8.2.1
Supine
3.6.8.3
Tools
3.6.8.3.1
With soft fingers
gently and slowly, follow tension lines and edges of retinaculum
and calcaneal tendon make small circles with fingers on entire dorsal
surface of foot from ankle to toes.
3.6.8.4
Area
3.6.8.4.1
Indications- reduces swelling and scar tissue including bursa.
E.g. sprained ankle.
3.6.9.1
Practitioner
3.6.9.1.1
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.
3.6.9.1.1.1 Fingers Of Both Hands On Top With Thumbs
Holding On Bottom.
3.6.9.1.1.2 2. Use Thumbs On Top (If Standing)
3.6.9.2
Patient
3.6.9.2.1
Supine
3.6.9.3
Tools
3.6.9.3.1
Use Index And Or Middle Fingers (If Sitting), Push Towards
Medial Metatarsal With Lateral Hand And Lateral Metatarsal With Medial Fingers.
Both Hands Fingers Cross Each Other In The Groove Between The Metatarsals With
Movement From Toes To Ankle. Observe To See That You Are Spreading The
Metatarsals Apart With Sensitive Pressure
3.6.9.3.2
Use Lateral Edge Of Both Thumbs On Top In Crossing Fashion As In
# 1.
3.6.9.4
Area
3.6.9.4.1
On Dorsal Surface Of Foot Between Metatarsals. Pressure
Outward And Upward To Clean The Bones. Tightness Between The Metatarsals May
Correspond To The Meridian That Enos On The Toes. Liver Meridian Enos On Medial
Aspect Of Big Toe.
3.6.9.5
Indications
3.6.9.5.1
To Separate Metatarsals And Stretch Extensors. Works
Interosseous Muscle That Keeps Bones To Tight.
3.6.10.1
Practitioner
3.6.10.1.1
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. Fingers on top thumbs on bottom.
3.6.10.2
Patient
3.6.10.2.1
Supine
3.6.10.3
Tools
3.6.10.3.1
Soueeze up and down foot adding dorsal flexion and
occasionalstripping on both dorsal and plantar surfaces. Occasionally circle
malleoli for completeness. Soueeze foot while from ankle to toes puling edges
of foot up and down.
3.6.10.4
Area
3.6.10.5
(indications
3.6.10.5.1
To drain the foot out.
3.6.11.1
Practitioner
3.6.11.1.1
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.
3.6.11.2
Patient
3.6.11.2.1
Supine
3.6.11.3
Tools
3.6.11.3.1
Pull down from superior calcaneal tendon to calcaneous with
lateral hands thumb on lateral calcaneal tendon with finger of same hand on
medial aspect of same tendon soft pinching and pulling action. Begin just below
gastroc insertion. Simultaneous with calcaneal stretch dorsaflex the foot being
aware to maintain the ankle, knee, hip alignment.
3.6.11.4
Area
3.6.11.5
Indications
3.6.11.5.1
Reflexes to colon. Good for constipation (reflexology).
3.6.12.1
Practitioner
3.6.12.1.1
Don't need to use oil.
3.6.12.1.1.1
Bow stance
facing down table using joined thumbs.
3.6.12.1.1.2
Inferior soft fist locked into your body for leverage while
superior hand holds leg just above knee.
3.6.12.2
Patient
3.6.12.2.1
Supine
3.6.12.3
Tools
3.6.12.3.1
Stretch tibialis anterior away from tibia. Create space. Sink
into the gully and strip away with a gentle rock using joined thumbs facing
down table the pressure is down and out. Use joined thumbs on muscle and
fingers hooi<ing in firmly on medial edge of tibia. Finger hook (if
sitting).
3.6.12.3.2
Strip the belly of tibialis anterior with your inferior fist
locked into your body for leverage. While superior hand holds leg just above
knee. May also twist the fist downward.
3.6.12.4
Area
3.6.12.5
Indications
3.6.12.5.1
Shin splints. Tibialis sticks to the periosteum so that every
time the muscle moves it pulls on the periosteum causing inflammation. The
tibialis if too tight can crack the bone.
3.6.13.1 Practitioner
3.6.13.1.1
Use fingers up lateral knee. With inferior hand holding below
3.6.13.1.2
Knee on medial side of tibia.
Superior fist against body for leverage.
3.6.13.2
Patient
3.6.13.2.1
Supine
3.6.13.3
Tools
3.6.13.3.1
Cross fiber itt.
3.6.13.3.2
Fist up 2 inches of itt.
3.6.13.4 Area
3.6.13.5 Indications
3.6.14
LATERAL LEG SEPARATION
3.6.14.1
Practitioner
3.6.14.1.1
Joined thumbs with fingers hooking firmly into medial tibia. Bow
stance facing down table.
3.6.14.2
Patient
3.6.14.2.1
Supine
3.6.14.3
Tools
3.6.14.3.1
Use stripping and trepidation. Separate between each muscle;
tibialisanterior, peroneals, extensor digitorum, soleus, gastrocnemious. Use
compression's, compress, lift and stretch. Use thumbs from same side of body
and fingers if working from opposite side of body. You can also focus on itt.
Use joined thumbs to thumbs to push down and out onto belly of tibilas as well
as peronials use trepidation and may use cutting stroke pulling up when you
reach peroneals
3.6.14.4
Area
3.6.14.5
Indications
3.6.15.1
Practitioner
3.6.15.1.1
Bow stance facing up using joined thumbs.
3.6.15.1.2
With clients leg off table
3.6.15.2
Patient
3.6.15.2.1
Supine
3.6.15.2.2
May put patients leg off table
3.6.15.3
Tools
3.6.15.3.1
Using joined thumbs, compress and stretch at all muscle
attachments around knee above patella pushing upward under attachments. '
3.6.15.3.2
For added stretch let the lower leg lay off the table in a
flexed position. Using inferior hand to lower and raise clients lower leg while
your fingers and or thumbs pin and stretch superior knee attachments.
3.6.15.3.3
Area
3.6.15.3.3.1
Quads
3.6.15.3.4
Indications
3.6.16.1
Practitioner
3.6.16.2
Bow stance facing up table using cupped hands
3.6.16.3 Patient
3.6.16.4 Supine
3.6.16.5 Tools
3.6.16.6
hook fingers
under knee, compress, stretch and rock. Use trepidationsto encourage knee opening.
For added stretch let the lower leg lay off the table. Shake leg by using hands
cupped under leg at knee and go up and down leg in trepidation shaking maneuver.
3.6.16.7
Area
3.6.16.8 Indications
3.7.1.1
Practitioner
3.7.1.1.1
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.
3.7.1.1.2
Use both hands, fingers on dorsal surface of foot, thumbs on
plantar surface of foot in a squeezing fashion.
3.7.1.1.3
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.
3.7.1.2
Patient
3.7.1.2.1
Supine
3.7.1.3
Tools
3.7.1.3.1
Dorsaflex & evert
the foot in a soft circular rotation. Notice thatas you dorsaflex the
foot your superior fingers can also stretch the anterior retinaculum. Look for
movement in the hip.
3.7.1.3.2
Medialy 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.
3.7.1.4
Area
3.7.1.4.1
Plantar & dorsal surface of foot ankle & calcaneal
tendon.
3.7.1.5
Indications
3.7.1.5.1
Flexibility and movement of ankle assessment of hip mobility.
Ankle, knee and hip alignment.
3.7.2.1
Practitioner
3.7.2.1.1
Bow stance with tan tien facing work you can work on this
muscle from either side of table.
3.7.2.2
Patient
3.7.2.2.1
Supine
3.7.2.3
Tools
3.7.2.3.1
Use muscle rolling lifting muscle with pincer fingers. May use
joined fingers and thumbs. Roll inward with palm feeling muscle tissues roll
over one another. This is a wave like action. You can also add trepidation to
this stroke.
3.7.2.4
Area
3.7.2.4.1
Indications.this stroke is used to separate rectus femoris
from vastus lateralis and vastus medialls
3.7.3.1
Practitioner-
3.7.3.1.1
Bow stance same side of table
3.7.3.2 Patient
3.7.3.3
Tools
3.7.3.3.1 Asis
with rock-sink heel of hand just below attachments, other hand on the thigh
just above knee adding a medial rotation with a rocking motion as fist slides
from superior to inferior loosening asis muscle attachments.
3.7.3.3.2
Lumbar stretch- for variety move superior hand under lumbar
area and use hook to stretch lumbar facia from edge of spine over iliac crest
and' around buttocks and using palmar surface of hand come down tensor facia la
ta to knee. Keep inferior hand in same position above knee gently rocking as
maneuver is complete.
3.7.3.3.3
asis cross fiber-cross
fiber attachments with fist as other hand rota tes and rocks.
3.7.3.4 Area
3.7.3.5 Indications
3.7.4.1 Practitioner
3.7.4.1.1
Bow stance facing down table. Hold patients lower leg below
knee with inferior hand while superior hands fist completes stroke..
3.7.4.1.2
Bow stance facing down table.
3.7.4.2
Patient
3.7.4.2.1
Supine
3.7.4.3 Tools
3.7.4.3.1
Fisting asis-start with fist at asis, as the muscle a
ttachments release you will feel
like moving down along the muscle bell y and between the muscles to separa te.
3.7.4.3.2
Elbow asis quadriceps- use inferior elbow at olecranon or flat
of lower arm pointed up at 45 degree angle moving down table from asis.
3.7.4.4 Area
3.7.4.5
Indications
3.7.5.1
Practitioner
3.7.5.1.1
Bow stance facing down. Superior hand begins at medial knee
attachments of sartorius and gracilis while inferior hand pulls down from asis
and isis attachments.
3.7.5.1.2
Facing up table and outward with medial knee in flexion on
table and la teral knee on floor muscle rolling ma y be done with joined thumbs
on bottom and fingers on top.
3.7.5.2
Patient
3.7.5.3
Supine
3.7.5.4
Tools
3.7.5.4.1
Use an oppositional stretch. Soft hook fingers a t medial
knee, stretch up towards hip as other hand stretches down gently along itt.
Focus on gracilis and then sartorius.
3.7.5.4.2
Pull clients leg into flexion laterall y outward and support
clients leg on your leg between your knee and hip. Use muscle rolllng(e.g. Use
muscle rolling lifting muscle with pincer fingers. Ma y use joined fingers and
thumbs. Roll inward with palm feeling muscle tissues roll over one another.
This is a wave like action. You can also add trepidation to this stroke, )and
hooked fingers to compress, lift and stretch a t the medial knee. Continue
separa tion up to the pel vis. As you muscle roll and the tissue begins to
soften you can push leg further up table to increase clients flexibility.
3.7.5.5
Area
3.7.5.6
Indications
3.7.6.1
Practitioner
3.7.6.1.1
Facing up table using medial
hand at medial knee hamstring attachments and lateral hand at lateral hamstring
attachments.
3.7.6.2
Patient
3.7.6.2.1
Supine
3.7.6.3
Tools
3.7.6.3.1
Put hands under leg to soft hook hamstring attachments and then
entire muscle. Use hook with lever like action combined with trepidation. May
also use one hand hooking hamstrings while other hand is placed on top, to
rotate and gently rock muscle fibbers. You may choose to alternate these
strokes. Clean and soften tissue. May work entire leg this way
3.7.6.4
Area
3.7.6.5
Indications
3.7.6.5.1
Separate hamstrings. Will not be appropriate for a very
muscular or tight set of hamstrings.
3.7.7.1
Practitioner
3.7.7.1.1
Bow stance facing up the table. Bring clients leg into flexion
by lifting their knee with your lateral hand. Now push their knee with your
lateral hand just below their knee. Towards their chest. Flex the clients leg
sufficiently so that you can begin fisting their chest. If more room is needed
to work the hamstring area you may get the clients leg into the aforementioned
position, sit on the table facing up with your medial knee flexed on table
place clients calf on your lateral shoulder and begin work with your medial
fisting strokes. All of the strokes
3.7.7.2
Patient
3.7.7.2.1
Supine
3.7.7.3
Tools
3.7.7.3.1
As each of these strokes softens and lengthens the hamstrings
use your lateral hand just below the clients knee pushing the clients flexed
knee towards their chest. The purpose is to stretch the hamstrings,
3.7.7.3.1.1
Fist press- take your medial fist and press hamstrings from
knee to ishial tuberosity to begin softening tissues. I you ma y also trepida
te with your fist while you are pressing.
3.7.7.3.1.2
Pressing with all tools- use your joined thumbs ,fingers
knuckles in pressing hamstrings to ishial tuberosity to further soften.
3.7.7.3.1.3
Ron with fist-facing down a t an angle use your soft fist knuckles pointed down to fist
hamstrings.
3.7.7.4
Area
3.7.7.5
Indications
3.7.8.1
Practitioner
3.7.8.1.1
Facing down the
table with your inferior leg
with your foot on table hold the
clients leg with your superior hand at clients ankle you may put clients flat
foot on your shoulder. Pushing their knee towards their chest put your elbow
against your raised inferior leg for leverage.
3.7.8.2
Patient
3.7.8.2.1
Supine
3.7.8.3
Tools
3.7.8.3.1
Loosen a ttachments- use hooked fingers or fist 0 make small
circles around ishial tuberosity to stretch and release hamstring attachments.
To prepare tissues for the pin and stretch.
3.7.8.3.2
Pin & stretch- bring muscles to softness by using your
whole body to pull the clients leg toward foot of table. Take your fingers or
fist to pin hamstrings a ttachments above ishial tuberosity, then push the clients leg up thus pining and
stretching the hamstrings.
3.7.8.4
Area
3.7.8.5
Indications
3.8.1.1
Practitioner
3.8.1.1.1
Bow stance facing up
the table use inferior hand thru the kne to palpate ishium and superior hand to
hold pa tlents knee above pa tella.
3.8.1.1.2
Sitting on table facing down with medial knee on table and la
teral leg on floor with pa tients leg on practioners medial knee. Using joined
fingers and other tools depending on what is comfortable. May reach thru
clients legs to acess ishium.
3.8.1.2
Patient
3.8.1.2.1
Supine
3.8.1.2.1.1
With knees up and drapped.
3.8.1.2.1.2
With leg laterally rotated. This position may seem invasive to
the pa tient.
3.8.1.3 Tools
3.8.1.3.1
Stay present and grounded. Don't move with uncertaindy. Help
the patient practice saying stop. When you touch them. Pull your hands away.
Ask them to let you know when its ok to touch them. When the patient alows you
begin the work. Put the flat of your inferior hand on the hamstrings and hold
until the patient seems to relax. With a finger soft hook. Using a half moon
stretch. To release attachments at pelvis. Release at the inferior ramus of
pubis.ishial tuberosity to ischium to release the adductors. Pectineus and
gracillis. (you will follow the lateral edge of the pelvis).use fingers in soft
half moons over bone over lateral surface towards midline. As you go over bone
at midline you will be working perinium muscle attachments. Stay on bone or
this will feel invasive to the client. Begin at ishial tuberosity toward pubic
bone. Go slowly if area is tight. May work aymphasis pubis from the top. Have
men wear underwear or hold their genitals. Otherwise take sheet and pull and
tuck.
3.8.1.4
Area
3.8.1.4.1
Begining at ischial tuberosity move along the lateral surface
of the ramus of ischium. Past the inferior ramus of pubis. And to the pubic
tubercle (pointed edge of pubic bone) can move past the pubic tubercle to
loosen pectinus attachments. Can move medially over edge of ischium toward
midline to work the medial aspect of the ishium. Muscle attachments include
begining near ishial tuberosity. Adductor magnus. Gracilis. Adductor brevis.
Adductor longus(the large papable muscle on the inner thigh. And pectinus is
along the superior ramus of the pubic bone.
3.8.1.5
Indications
3.8.2.1
Practitioner
3.8.2.1.1
Bow stance facing up the table use inferior hand thru the kne
to palpate ishium and superior hand to hold patients knee above patella.
3.8.2.1.2
Sitting on table facing down with medial knee on table and la teral
leg on floor with pa tients leg on practioners medial knee. Using joined
fingers and other tools depending on wha t is comfortable. May reach thru
clients legs to acess ishium.
3.8.2.2
Patient
3.8.2.2.1
Supine
3.8.2.2.1.1
With knees up and drapped.
3.8.2.2.1.2
With leg laterally rotated. This position may seem invasive to
the pa tlent.
3.8.2.3
Tools
3.8.2.3.1
Stay present and
grounded. Don't move with
uncertaindy. Help the patient practice saying stop. When you touch them. Pull
your hands away. Ask them to let you know when its ok to touch them. When the
patient alows you begin the work. Put the flat of your inferior hand on the
hamstrings and hold until the patient seems to relax. With a finger soft hook,
stretch gently along medial border of ishial tuberosity and ishial ramus.
Following the edge of bone move from ishial tuberosity towards coccyx and from
ishial tuberosity towards pubis. You will follow the medial edge of the pelvis.
Stay on the bone so you will not be invasive. Main muscle affectied is the
levator ani. As you go over bone at midline you will be working perinium muscle
attachments. Stay on bone or this will feel invasive to the client. Begin at
ishial tuberosity toward pubic bone. Go slowly if area is tight. May work aymphasis pubis from the top. Have
men wear underwear or hold their genitals. Otherwise take sheet and pull and
tuck.
3.8.2.4
Area
3.8.2.4.1
Begining at ischial tuberosity move posterior surface of
tuberosity towards the coxyix . Along the lateral surface of the ramus of
ischium, past the inferior ramus of pubis, and to the pubic tubercle
(pointed edge of pubic bone) the emphasis in contrast to pelvic attachment
stroke is on the medial attachments of the levator ani. To clean these muscle
attachments move over edge of ischium toward midline to work the medial aspect
of the ishium. Muscle attachments include begining near ishial tuberosityyou
will find the deep transverse perineal and levator ani.
3.8.2.5
Indications
3.9.1.1 Practitioner
3.9.1.1.1
Lateral leg on floor medial leg on table. Superior palm placed
just above patients medial knee. Patients leg is placed over practitioners
medial knee
3.9.1.1.2
La teral leg on floor medial leg flexed so tha t practitioner
is sitting on table facing upward. Practitioner uses their leg to provide
support for the patients la terall y flexed leg. Practitioners inferior hand
can support clients leg a t ankle. Or use both hands for strokes.
3.9.1.1.3
Same as 2 above.
3.9.1.1.4
Same as 2 above
3.9.1.2
Patient
3.9.1.3
Supine
3.9.1.4
Tools
3.9.1.4.1
Medial thigh. Let your leg support their leg, or a pillow can
be used.
3.9.1.4.1.1
Adductor stretch. The practitioner uses their whole body to
pull down & outward which will bring pa tlents leg up and outward thus
effec ti vel y stretching the pa tlents abductors using body weight alone.
3.9.1.4.1.2
Muscle roll. Lifting muscle with pincer fingers. May use
joined fingers and thumbs. Roll inward with palm feeling muscle tissues roll
over one another. This is a wave like action. You can also add trepidation to
this stroke, )and hooked fingers to compress, lift and stretch at the medial
knee. Continue separa tion up to the pel vis. As you muscle roll and the tissue
begins to soften you can push leg further up table to increase clients flexibility.
3.9.1.4.1.3
Pin, stretch, rotate.
3.9.1.4.1.4
Elbow hook. Use elbow down medial thigh from knee to pelvis.
May use olecranon or fla t of forearm. Olecranon can assist the practitioner in
hooking tissues.
3.9.1.5
Area
3.9.1.6
Indications
3.9.2.1
Practitioner
3.9.2.1.1
Bow stance facing
up table use superior hand to compress psoas and inferior hand to bring
patients leg down table. You also may hold the clients leg in your elbow to provided
leg traction while pulling leg down table.
3.9.2.2
Patient
3.9.2.2.1
Supine
3.9.2.3
Tools
3.9.2.3.1
With client on back, flex leg with foot flat on table, use a
finger compression just medial through the asis, have client flex hip, you will
feel the psoas contract. As you compress, flex and extend the hip to stretch
the psoas. The psoas should feel stringy. Stay on the muscle with your fingers.
Watch the clients expression to make sure you don't cause pain.(client is
passive once the psoas has been located.
3.9.2.4
Area
3.9.2.5
Indications
3.9.2.5.1
Illiocecal valve
3.10.1.1
Leg being worked on is on the bottom,
medial side up. Try connie alred colonics
(alred technique)
3.10.2.1
Practitioner
3.10.2.1.1
Facing down or up table in bow stance.
3.10.2.2
Patient
3.10.2.2.1
Side line -patients superior leg up and inferior leg down. You
may switch these leg position's if the patient is more comfortable. Prop the
patients superior leg whether down or up with a pillow. Bend the leg that is up
so that the body is stable and does not move to much while you work. When the superior
leg is up the client may feel invaded from behind. So make sure the client
trusts you before attempting this maneuver.
3.10.2.3
Tools
3.10.2.3.1
Medial thigh. After complete turn client over, leg being
worked on is now on top lateral side up.
3.10.2.3.1.1
Muscle rolusepara te. Use pincer fingers to lift tendon
attachments. Shake muscle wapada wapada also add trepidatlon to loosen
attachments at pelvis
3.10.2.3.1.2
Elbow compression's. Use upper medial arm facing up the table
or face to opposite side of table with hand pointed to ceiling and compress
from ischial tuberosity to above medial knee.
3.10.2.3.1.3
Elbow hook. Hook hamstrings with olecranon process in a
scissor like fashion. Can face down or up or to side of table wag your hand
back and forth to hook the tissues.
3.10.2.4
Area
3.10.2.5
Indications
3.10.3.1
Practitioner
3.10.3.1.1
Facing down or up table in bow stance. Working a t clients
back
3.10.3.1.2
facing up table in bow
stance. Lateral hand holding clients leg up at knee. Medial hand stabilizing
leg at clients hip.
3.10.3.1.3
Patient-side line. May want to turn the person over so that
you are working the same leg. Same as adductors
3.10.3.2
Tools
3.10.3.2.1
Release muscle a ttachments at grea ter trochanter. Combine
use of all tools, use small circles and rolling motions. Ma y use diaper style
draping technique to insure client privacy in clients groin area. At inferior
portion of trochanter ma y use soft fist. Joined with thumb.
3.10.3.2.2
Rotate clients leg upward to further loosen button. Muscle
attachments.
3.10.3.3
Area
3.10.3.3.1
Glute attachments and rotators.
3.10.3.4
Indications
3.10.4.1
Practitioner
3.10.4.1.1
Facing down or up
table in bow stance. Working a t clients back
3.10.4.1.2
facing up table a t
clients back to get posterior aspect of ITT band.
3.10.4.2
Patient
3.10.4.2.1
Side line. Same as adductors
3.10.4.3
Tools
3.10.4.3.1
Soften ITT- with a finger/thumb compress, lift stretch, and/or
joined thumbs, strip and separate each side of itt. Rock with palms. Can do
muscle rolling.
3.10.4.3.2
Forearm hook ITT- begin with elbow arm facing to opposite side
of table at posterior superior edge of itt at tensor facia lata attachments at
Trochanter. Hook tissue by rotatlng your arm towards top of table. And pull
elbow down hooking the posterior edge of itt band. Do the same with the
anterior portion of itt band. Then pull down fla t of lower arm down your arm
at 45 degree angle upward right on itt band. Then move arm use a forearm hook to first hook and then iron down
itt from hip to knee. Lighten pressure near the knee.
3.10.4.4
Area
3.10.4.5
Indications
3.10.5.1
Practitioner
3.10.5.1.1
Bow stance on clients
back side
3.10.5.1.2
Bow stance on clients front side may bring superior leg on
table with inferior leg down on floor.
3.10.5.1.3
Patient-side line. Same
as adductors
3.10.5.2
Tools
3.10.5.2.1
Use joined thumbs from
same side of table or
3.10.5.2.2
Finger hook from opposite side of table. Compress under the
psis and gently rock to release the sacroiliac joint. Do rocking motion and
compressing and pulling.
3.10.5.2.3
May also hold clients leg and push leg into joint if
sacroiliac is tight. Can also pull out. Can also do rocking while holding the
leg up. Can also do rotation and rocking.
3.10.5.2.4
Can also do hook rocking move with fingers of both hands on
lower lumbar vertebrae.
3.10.5.3
Area
3.10.5.3.1
Start at posterior superior ileac spine (psis)
3.10.5.4
Indications
3.10.6.1
Practitioner
3.10.6.1.1
Bow stance facing down the table.
3.10.6.2
Patient
3.10.6.2.1
Side line. Same as adductors or inferior leg up and superior
leg down.
3.10.6.3
Tools
3.10.6.3.1
Used tools may start with joined thumbs together with
trepidation release muscles attaching at the ilium and iliac crest with hooked
fingers pulling, joined thumbs. Elbow compression's and forearm hook. (itt,
tensor fasciae late, gluteals). With inferior elbow face down table in bow
stance. Point fingers beginning down body and then hook tissue by bringing
elbow so that fingers point to opposite side of table and hook tissue by
pointing fingers. Hold upper body with superior elbow to stabilize position.
For a very loose person you can lift leg up and down in concert with elbow in
gluteal area as leg is brought down.
3.10.6.4
Area
3.10.6.5
Indications
3.10.7.1
Practitioner
3.10.7.1.1
Bow stance facing downward at clients back. (2) patient- side
line. Same as adductors.
3.10.7.2
Tools
3.10.7.2.1
Ileum- with medial hands hooked fingers pull upward along
fossa of ileum, stretching Iliacus. Use lateral hand to push down sacrum as
medial hand pulls up on fossa of ileum. A t the same time have client push
pelvis forward thus allowing tools to move tissue.
3.10.7.2.2
Psoas- instruct a passive pelvic tilt as you compress into the
psoas and stretch.
3.10.7.3
Area
3.10.7.4 Indications
3.11.1.1 Practitioner
3.11.1.1.1
Sitting on chair. Superior hand flat on table under clients
lumbar area use lever action of fingers and not wrist. Inferior hand on
abdomen. If arms feel strained adjust table height.
3.11.1.2
Patient
3.11.1.2.1
Supine
3.11.1.3
Tools
3.11.1.3.1
Use gentle rocking with all of these maneuvers.
3.11.1.3.1.1
Begin holding to get
energy moving.
3.11.1.3.1.2
Put soft hooked fingers on opposite spinal gully in lever action
and squeeze with thenar eminence near spinal gull y on the same side.
3.11.1.3.1.3
Ma y also work same
side organs and rib cage with fingers on same side spinal gully squeezing with
soft hooked fingers in lever action and squeeze with thenar eminence.
3.11.1.3.1.4
Take inferior hand and drain
abdominal energies by moving along meridians of medial and la teral thigh. You
ma y also touch upon lower faci points on anterior tibialis. Ma y keep lever
squeezing action with superior
hand on table under low back.
3.11.1.4
Area
3.11.1.5
Indications
3.11.2.1
Practitioner
3.11.2.1.1
Sitting on chair. Superior hand flat on table under clients
lumbar area use lever action of fingers and not wrist. Inferior hand on
abdomen. If arms feel strained adjust table height.
3.11.2.2
Patient
3.11.2.2.1
Supine
3.11.2.3
Tools
3.11.2.3.1
Inferior hand begins palpating around abdomen to assess
abdominal area for tightness using pincer like action between thumb hypothenar
eminence and joined fingers. A healthy abdomen should feel strong yet supple.
Gently rock abdomen. Pushing with heel of hands and bringing abdomen back with soft fingers. Create
stretch oppositions.
3.11.2.4
Area
3.11.2.5
Indications
3.11.3.1
Practitioner
3.11.3.1.1
Bow stance. On clletns right side. Must use oil on abdomin.
3.11.3.2
Patient
3.11.3.2.1
Supine
3.11.3.3
Tools
3.11.3.3.1
Using heel ofsuperior hand, trace the ascending colon, while
thumb of inferior hand traces the transverse colon, then the fingers of the
inferior hand trace the sigmoid colon. The idea is to both lift the colon and
encourage peristalsis. May also use oppositional move with superior hand
pushing up while inferior hand pulls down. Go up against edges of colon to
increase colon lift. Find areas of impaction and use soft fingers to move it
out.
3.11.3.4
Area
3.11.3.5
Indications
3.11.3.5.1
Constipation. Don't use if someone is sensitive in belly
region. Do flexure release.
3.11.4.1
Practitioner
3.11.4.1.1
Bow stance.
3.11.4.2
Patient
3.11.4.2.1
Supine
3.11.4.3
Tools
3.11.4.3.1
Open sigmoid first and the others in order otherwise they will
dam up on eachother. Use a cupping motion with fingers or thumbs. Create a lift,
stretch. Wave like motion. Use trepidation. If areas are really tender go in a
circle. Encourage flatulation (farting.)
3.11.4.3.1.1
Sigmoid colon- use joined fingers pushing in to compress at
top of sigmoid colon. Then draw and stretch sigmoid colon downward.
3.11.4.3.1.2
left colic (splenic) flexure - use joined fingers pushing in to
slide underneith colon and upward to lift at corner of colic flexure. Move fingers together to provide colon
mobility.
3.11.4.3.1.3
right colic (hepa tic)
flexure -same as others.
3.11.4.4
Area
3.11.4.5
Indications
3.11.5.1
Practitioner
3.11.5.1.1
Bow stance
3.11.5.2
Patient
3.11.5.2.1
Supine
3.11.5.3
Tools
3.11.5.3.1
Palpate area midway between the a.s.i.s. and the umbilicus.
Use soft circles and cupping motions. Be aware that you are in the area of the
ovary and the psoas which may be tender.
3.11.5.4
Area
3.11.5.5
Indications
3.11.5.5.1
Wood and earth imbalance on the controling cycle create
alternation between constipation and diarrhea. Don't try to open illiocecal
valve unless underlying imbalance is addressed. Very few people have an open
illleocecal valve.
3.11.6.1
Practitioner
3.11.6.1.1
Bow stance (2) patient- supine
3.11.6.2
Tools
3.11.6.2.1
Fingers together or fingers and thumbs together. Doing soft
circles on small intestine. Use your sensitivity to gently push against hard
fecal material. Combine aforementioned strokes with full hand half moons to
sooth. You are not working with perastalsis but rather an energetic interaction
of points. Finger roll the small intestine, cupping, lifting and stretching. Go
up against hard areas gently and move back and repeat until stuck fecal material releases.
3.11.6.3
Area
3.11.6.4
Indications
3.11.6.4.1
Constipation. Knowing whats good and whats not. A constipated
style holds on to much information.
3.11.7.1
Practitioner
3.11.7.2
Patient
3.11.7.2.1
Supine
3.11.7.3
Tools
3.11.7.3.1
Compress with finger tips or use soft circles. One inch latreral
to umbilicus in four places. N,s,e,w. Using small circles when desired. May
also slow tap (gives energy) and fast taping (disperses energy.)
3.11.7.4
Area
3.11.7.5
Indications
3.11.7.5.1
Opens up abdomin. Li point, st25, ren 10(edema) ren 12.
Problems in the belly may show up in the legs.
3.11.8.1
Practitioner
3.11.8.1.1
Superior hand flat on table under cleints lumbar area use
lever action of fingers and not wrist. Inferior hand on abdomin.
3.11.8.2
Patient
3.11.8.2.1
Supine
3.11.8.3
Tools
3.11.8.3.1
The empahsis is on a deeply felt sensation of the clients
energy. This can be a highly meditative stroke. The softer you go the deeper
you go. You can use wil or corn starch baby posder. Use soft fingers. Start at
the umbilicus, create a spiral outward in the direction of peristalsis. The
spiral back in towards the
umbilicus. End by spiraling in the direction of peristalsis.
3.11.8.4
Area
3.11.8.5
Indications
3.11.9.1
Practitioner
3.11.9.1.1
On clients right side. Reach over on opposite side of body
under left rib with inferior hand while superior hand is on top of left rib
cage.
3.11.9.2
Patient
3.11.9.2.1
Supine
3.11.9.3
Tools
3.11.9.3.1
Use a feathering motion under the left ribs to soften. Then
coor4dinate with clients breathe and use gentle compressions with a soft thuimb
or fingers. Client inhales pressing our abdomen, hold slight pressure then
folloow in deeper with exhale. .
3.11.9.4
Area
3.11.9.5
Indications
3.11.9.5.1
Colon and diaphram.
3.11.10.1
Practitioner
3.11.10.2
Patient
3.11.10.2.1
Supine
3.11.10.3
Tools
3.11.10.3.1
Use a feathering motion under the right ribs to soften. Then
coordinate with clients breath and use gentle compression with a soft thumb or fingers.
Client inhales pressing out abdomen, hold slight pressure then follow in deeper
with exhale.
3.11.10.4
Area
3.11.10.5
Indications
3.11.11.1
Practitioner
3.11.11.2
Patient
3.11.11.2.1
Supine
3.11.11.3
Tools
3.11.11.3.1
Using joined thumbs or soft llft- hook. Create a half moon
wave like motion to stimulate peristalsis and move fecal material around past
sigmoid colon.
3.11.11.4
Area
3.11.11.5
Indications
3.11.12.1
Practitioner
3.11.12.1.1
Bow stance facing up table.
3.11.12.2
Patient
3.11.12.2.1
Supine
3.11.12.3
Tools
3.11.12.3.1
Use pincer lli<e action with both hands pulling up on both
sides and up and down rectus in a reocking like motion. The action is to pinch
rectus between your joined fingers and thumb opposing eachother(fingers
opposing thumbs) puling up on and rocking rectus. Use a finger/thumb rocking
motion at the lateral borders of
rectus abdominis.
3.11.12.4
Area
3.11.12.5
Indications
3.11.12.5.1
Also work transverse abdominis.
3.11.13.1
Practitioner
3.11.13.2
Patient
3.11.13.2.1
Supine
3.11.13.3
Tools
3.11.13.3.1
With hooked fingers and a gentle rock and/or opposition, pull
along crest of ilium to relaease internal and external abliques.
3.11.13.4
Area
3.11.13.5
Indications
3.11.14.1
Practitioner
3.11.14.1.1
Bow stance facing down table
3.11.14.2
Patient
3.11.14.2.1
Supine
3.11.14.3
Tools
3.11.14.3.1
Have client breathe in as the client breathes out sink joined
hands fingers to compress on top of pubic bone. Then gently compress and lift
the urinary bladder towards the umbilicus. Don't slide your fingers across the skin. You will feel a release at the
perineum. Because the organs are lifted up.
3.11.14.4
Area
3.11.14.5
Indications
3.12.1.1
Practitioner
3.12.1.1.1
Bow stance facing down table or seated
3.12.1.2
Patient
3.12.1.2.1
Supine
3.12.1.3
Tools
3.12.1.3.1
With finger/thumb muscle rolling, separate deltoid from
pectoralis major and release at the deltoid tuberosity. Can use pincer like
movement to grasp and roll muscles. Over underlying surfaces.
3.12.1.4
Area
3.12.1.4.1
All areas of deltoid including pect minor and delt separation.
Indications
3.12.2.1
Practitioner
3.12.2.1.1
Facing down table in bow stance pulling inferior clavicle from
medial to lateral.
3.12.2.1.2
Facing up table in bow stance pulling superior clavicle from
medial to lateral 3rd= seated at clients head holding head with medial hand
while lateral hand does work.
3.12.2.2
Patient
3.12.2.2.1
Supine .
3.12.2.3
Tools
3.12.2.3.1
Use a soft finger hook with thumb if needed to stabilize
movement to release deltoid and pectoralis major off of clavicle and clean
sternum and ribs. You can also release scalenus muscles and platysma in this position.
As you pull on clavicle you may want to have client turn head.
3.12.2.3.2
Use lateral thumb and finger to pull top and bottom of
clavicle while your medial hand turns head.
3.12.2.4
Area
3.12.2.4.1
Work inferior and superior portions of clavicle.
3.12.2.5
Indications
3.12.3.1
Practitioner
3.12.3.1.1
Seated facing towards clients side slightly downward
3.12.3.2
Patient
3.12.3.2.1
Supine
3.12.3.3
Tools
3.12.3.3.1
Use thumbs to slide under pectoralis major to reach pectoralis
minor. Slide under slowly using half moons and wave like motions. After some
release has occurred you can sink thumbs in slowly and then separate to
stretch.
3.12.3.4
Area
3.12.3.5
Indications
3.12.4.1
Practitioner
3.12.4.1.1
Seated facing toward client facing slightly upward.
3.12.4.2
Patient
3.12.4.3
Tools
3.12.4.3.1
Compress extended fingers or thumbs into axila. Ikeeping your
tools up against the muscle, do not sink directly into axilai. Locate and
stretch tension patterns with a slight hook/stretch. Gently secure top,of
shoulder with your other hand or fingers if you are using thumbs as your tool.
Bring shoulder down as space is created.
3.12.4.4
Area
3.12.4.5
Indications
3.12.5.1
Practitioner
3.12.5.1.1
Bow stance standing.
Inferior hand reaches to opposite side in gully on back to hold articula tlons
at the spine. Isuperior hand holds costal cartilages a t sternum. This position
3.12.5.1.2
Sea ted. Inferior hand on spinal rib attachments superior hand
on costal cartilages a t sternum.
3.12.5.2
Patient
3.12.5.3
Supine
3.12.5.4
Tools
3.12.5.4.1
The purpose of this manuver is to lift and draw out laterally,
creating a circular motion.
3.12.5.4.1.1
Rock rib cage with both
hands positioned per above. With one hand on costal cartilages, the other a t
rib articula tions at the spine, by crossing body you will be able to get more
lift and motion.
3.12.5.4.1.2
From same side of body and in a sitting position rock rib
cage. You will be draw91ng out la terall y with onl y a mild lift.
3.12.5.5
Area
3.12.5.6
Indications
3.12.5.6.1
Helps lossen thoracic rigdty and improve breathing.
3.12.6.1
Practitioner
3.12.6.1.1
Bow stance facing up table.
3.12.6.2
Patient
3.12.6.2.1
Supine
3.12.6.3
Tools
3.12.6.3.1
Use inferior hand as chisel with superor hand on top of
inferior handfor support if needed. Go slowly feeling underlying tissues and as
you encounter resistance slow down until cleared. Don't let tissue slip out
under your fingers push up against resistance until it clears. Back up if
necessary and go up against areas of resistance. Chisel to clean surface of
sternum. Begin just above ziphoid process and continue entire length of sternu
m.
3.12.6.4
Area
3.12.6.5
Indications
3.12.7.1
Practitioner
3.12.7.1.1
Bow stance facing up table. Work is done on opposite side. (2) patient- supine
3.12.7.2
Tools
3.12.7.2.1
May use chisel
or thumbs moveing from medial to
lateral on top of costal cartilages ,stop when you reach rib. (about 1
112 inches out from sternum. The stroke is done in a srtripping fashion per 13
b. You can use inferior hand as chisel with superor hand on top of inferior
hand for support if needed. May also use all combinations of joined fingers
joined fingers and thumbs ect. Go slowly feeling underlying tissues and as you
encounter resistance slow down until cleared. Don't let tissue slip out under
your fingers push up against resistance until it clears. With joined thumbs, release costal cartilages off stermum
with a compress, stretch and rock.
3.12.7.3
Area
3.12.7.4
Indications
3.12.8.1
Practitioner
3.12.8.1.1
Bow stance facing work.
3.12.8.2
Patient
3.12.8.2.1
Supine
3.12.8.3
Tools
3.12.8.3.1
Don't touch breast tissue.
3.12.8.3.1.1
You may reach over to opposite side and use a racking motion
to pull between ribs from la teral to medialcan use serveral fingers or just
one.
3.12.8.3.1.2
Go from medial to lateral pushing outward. Have client breathe
in and as they brea th out you can us ie a chisel, to sink into intercostals
space. Use the client's breath to create most of the movement. Be careful of
the mommary tissue and the floa ting ribs.
3.12.8.3.1.3
May also get inercostal spaces when you work pectoralis minor.
3.12.8.4
Area
3.12.8.5
Indications
3.12.9.1
Practitioner
3.12.9.2
Patient
3.12.9.2.1
Supine
3.12.9.3
Tools
3.12.9.3.1
Hook onto the tissue that attaches to the ribs and stretch it.
3.12.9.3.1.1
Compress softly, just la teral to xiphoid process along the
rib border about four inches. Use joined thumbs lor fingers reaching on
opposite side. Go down angle of ribs. Sink under fibs, compressing and
stretching as you sink with your client's brea
the.
3.12.9.4 Area
3.12.9.5
Indications
3.12.10.1
Practitioner
3.12.10.1.1
Bow stance facing up table working on opposite side
3.12.10.2
Patient
3.12.10.2.1
Supine
3.12.10.3
Tools
3.12.10.3.1
Can use all tools from medial to lateral chisel palm joined
fingers thumbs etc stretching medial to lateral from sternum to humerus. From
across the body use thumbs, fingers, forearm. From same side of body use fist
or forearm.
3.12.10.3.1.1
If you want to use fist better to use on same side with one
leg up if you need leverage from medial to la teral. Use soft fist. Can also
use elbow under cla vicle along
with lower forearm.
3.12.10.4
Area
3.12.10.5
Indications
3.12.11.1
Practitioner
3.12.11.1.1
Sitting at head of table pulling up with joined fingers and thumbs
from medial to la teral focuing on inferior border of cla vicle.
3.12.11.1.2
Sitting at same side of table pulling down with joined fingers
and thumbs from medial to la teral focuing on superior border of cla vicle.
3.12.11.1.3
Either of the above two
positions.
3.12.11.2
Patient
3.12.11.2.1
Supine
3.12.11.3
Tools
3.12.11.3.1
Hook in pull back and slide along being sensitive to
resistance.
3.12.11.3.1.1
Inferior border of cla vicle stretch attachments off of
clavicle. (pecmajor,platysma,deltoid).
3.12.11.3.1.2
Superior border of cla vicle while sitting a t a slight angle
towards the body. Hook fingers back towards you on the superior border.
3.12.11.3.1.3
Superior border of cla vicle while sitting, hold your clients
hyead with la teral hand so you can rota te their head. Use fingers or thenar
eminence of the other hand to stretch at clavicle. (s.c.m., scalenus,
trapezius, pla tysma, deltold).
3.12.11.4
Area
3.12.11.5
Indications
3.12.12.1
Practitioner
3.12.12.1.1
Seated at top of table
3.12.12.2
Patient
3.12.12.2.1
Supine
3.12.12.3
Tools
3.12.12.3.1
Use a finer thumb rolling to create free movement of s.c.m.
you may add head rotation to create a pin and stretch and opposition as you
work with s.c.m.
3.12.12.4
Area
3.12.12.5
Indications
3.12.13.1
Practitioner
3.12.13.1.1
Seated below arm pit with cleints arm positioned so that work
can be done.
3.12.13.2
Patient
3.12.13.2.1
Supine
3.12.13.3
Tools
3.12.13.3.1
Use pincer fingers puling from cordacoid outward cleaning top
of axila work. To open axila until you can reach cordaoid process. May also use
joined thumbs and fingers on deltoid attachments. Then work subscapularis put
clients arm up. Can use inferior fingers on subscapularis while superior hand
holdes at elbow or moves elbow up table as inferior hand pins and stretches
subscapularis. Can alsouse palms and or other tools to soften subscapularis.
Ahve the client hold her breasts while working subscapularis can also do teres
minor/major and infraspinatus attachments at upper arm
3.12.13.4
Area
3.12.13.5
Indications
3.13.1.1
Most of this work can also 8e done
with client in a prone position
and sideline. You may also roll up towel to use under neck. The advantage is
that you can unroll to suit clients neck.
3.13.2.1
Practitioner
3.13.2.1.1
Seated at clients side.
3.13.2.2
Patient
3.13.2.2.1
Supine
3.13.2.2.2
Tools- work all aspects of deltoid anterior, medial, and
posterior. Use a finger/thumb together, muscle rolling and a soft hook/lift to
release deltoid. Go over entire deltoid. May use stretches with your inferior
hand tractioning at clients wrist. As you unravel muscles other underlying
areas will manifest.
3.13.2.3
Area
3.13.2.4
Indications
3.13.2.4.1
Unwind biceps to loosen up biceps which are underneath.
3.13.3.1
Practitioner
3.13.3.1.1
Seated at clients side.
3.13.3.2
Patient
3.13.3.2.1
Supine
3.13.3.3
Tools
3.13.3.3.1
Use a finger/thumb muscle rolling and a soft hook/lift to
release both biceps and triceps.
3.13.3.3.2
Use also opposition and pin stretch and rota te. With inferior
hand hold clients wrist and bring to softness and use superior hand to pin and
stretch biceps attachments
3.13.3.4
Area
3.13.3.5
Indications
3.13.4.1
Practitioner
3.13.4.1.1
Seated at clients side
3.13.4.2
Patient
3.13.4.2.1
Supine
3.13.4.3
Tools
3.13.4.3.1
Raise the clients arm above their head with your superior
hand. Hold the clients arm below elbow with inferior arm's fingers. Bring triceps
muscle to softness and compressing and stretching the atiachments as you bring
the clients arm down.
3.13.4.4
Area
3.13.4.5
Indications
3.13.5.1
Practitioner
3.13.5.1.1
Seated at clients side. Use inferior hand to hold at clients
wrist and rotate clients arm. Use superior hand to p & s muscles of
forearm.
3.13.5.2
Patient
3.13.5.2.1
Supine
3.13.5.3
Tools
3.13.5.3.1
Use thumb of superior hand on lateral and fingers on
medial aspect of clients arm in a pincer like fashion while pronating and
supinating clients arm with inferior hand. May use thumb compression and hooked
fingers. Go over entire arm from elbow to wrist. Using opposition as you
supinate and pronate the forearm. You can do both pinning and stretching and
stripping and separating.
3.13.5.4
Area
3.13.5.5
Indications
3.13.6.1
Practitioner
3.13.6.1.1
Seated at clients side. Use inferior hand to hold at clients
wrist and rotate clients arm. Use superior hand to p & s interosseous
ligament.
3.13.6.2
Patient
3.13.6.2.1
Supine
3.13.6.3
Tools
3.13.6.3.1
May use pin and stretch or sink in with joined thumbs,
stretch and soften. If sitiing use fingertips.
May use jolned thumbs on lateral forearm and fingers on medial forearm push
with joined thumbs while pulling with joined fingers.
3.13.6.4
Area
3.13.6.5
Indications
3.13.7.1
Practitioner
3.13.7.1.1
Seated at clients side.
3.13.7.2
Patient
3.13.7.3
Supine
3.13.7.4
Tools
3.13.7.4.1
With thumbs on posterior surface and fingers on anterior
surface, use thumbs to create space and stretch as fingers draw back stretching
the wrist. Can also p & s at wrist. May also traction at wrist.
3.13.7.5 Area
3.13.7.6
Indications
3.13.8.1
Practitioner
3.13.8.1.1
Seated at clients side.
3.13.8.2
Patient
3.13.8.2.1
Supine
3.13.8.3
Tools
3.13.8.3.1
Use a gentle opposition of fascia. Your opposition can be
small andfocused or cover a large area. This can be done all over the body.
3.13.8.4
Area
3.13.8.5
Indications
3.13.8.5.1
Superficial fascia.
3.14.1.1
Practitioner
3.14.1.1.1
Bow stance facing up table with superior foot on table for
support. Use superior arm to hold clients arm at elbow you may hold with your
hand or hold with your elbow thru their elbow. Open your elbow so their arm
doesn't go into their face. While inferior arm pins muscle atiachments. You may
want to rest clients arm on your leg. Make sure you use a towel if your wearing
shorts..
3.14.1.2
Patient
3.14.1.2.1
Side posture
3.14.1.3
Tools
3.14.1.3.1
Pull clients arm towards ceiling to effect a gentle stretch.
Use the thumb of your lower arm to pin and stretch beginning on humorus and
going down arm into area of pecs. May continue pin and stretch by using pincer
action of thumb and forefinger along pec major. This will loosen pecs so that
you can pin & stretch atiachments on humerus. Raise their arm out
laterally, hold their elbow on your hand, (or knee if arm is very heavy), so
you may control shoulder movement. Use a soft hook of fingers, thumbs and
forearm to compress and stretch. You will first bring muscles to softness by
bringing them into a position which reduces their length, then compress and stretch
by extending the muscle. Use range of motion and passive joint manipulation.
3.14.1.4
Area
3.14.1.4.1
Muscle atiachments for arm movers and sits muscles
3.14.1.4.1.1
Anterior portion pectoralis major and minor, biceps, del told.
3.14.1.4.1.2
Posterior portion subscapularis, teres major and minor, infraspinatus,
latissimus dorsi, triceps and deltold.
3.14.1.5
Indications
3.14.1.5.1
Tight pecs may make this maneuver difficult. May have to
release pecs first.
3.14.2.1
Practitioner
3.14.2.1.1
Seated with medial side on table with inferior foot on floor for
support. Use superior arm to hold clients arm at elbow while inferior dorsal
surface of hand rests on your knee using fingers as a lever to move into
subscapularus area....
3.14.2.2
Patient
3.14.2.2.1
Side posture
3.14.2.3 Tools
3.14.2.4
Area
3.14.2.5
Indications
3.14.3.1
Practitioner
3.14.3.1.1
Bow stance facing down
table.
3.14.3.2
Patient
3.14.3.2.1
Side line
3.14.3.3 Tools
3.14.3.3.1
Use joined thumbs over
top of shoulder to hook into cuff atiachments on the humerus. Compress, stretch
and rock. Use fingers to help lengthen as cuff releases.
3.14.3.4
Area
3.14.3.5
Indications
3.14.4.1
Practitioner
3.14.4.1.1
Patient
3.14.4.2
Tools
3.14.4.2.1
Use finger/thumb compression
and rolling..
3.14.4.3
Area
3.14.4.4
Indications
3.15.1.1
Position
3.15.1.1.1
Most of this work can also 8e done with client in a prone
position and sideline.
3.15.2.1 Practitioner
3.15.2.1.1
Seated at clients side.
3.15.2.2
Patient
3.15.2.2.1
Supine
3.15.2.3 Tools
3.15.2.3.1
Fingers on top and thumbs on palm to stretch out hand may
interlace fingers with clients to further stretch hand. Use finger/thumbs in an
alternating g wave like motion. Work all arches of the hand.
3.15.2.4
Area
3.15.2.5
Indications
3.15.3.1
Practitioner
3.15.3.1.1
Seated at clients side.
3.15.3.2
Patient
3.15.3.3 Supine
3.15.3.4
Tools
3.15.3.4.1
Use one hand to hold clients thumb and the other to p & s
thumb attachments.
3.15.3.5
Area
3.15.3.6
Indications
3.15.4.1
Practitioner
3.15.4.2
Patient
3.15.4.2.1
Supine
3.15.4.3
Tools
3.15.4.3.1
Use joined thumbs if standing and fingers if sitting to strip
between metacarpal. Alternate movement rock each metacarpals.
3.15.4.4
Area
3.15.4.5
Indications
3.15.5.1
Practitioner
3.15.5.2
Patient
3.15.5.2.1
Supine
3.15.5.3
Tools
3.15.5.3.1
Spread palm between pinkie and ring fingers, thumbs on palmar
surface. Fingers on posterior surface. Alternate lifting of metacarpal in a
rock and roll fashion as on feet.
3.15.5.4
Area
3.15.5.5
Indications
3.15.6.1
Practitioner
3.15.6.2
Patient
3.15.6.3
Supine
3.15.6.4
Tools
3.15.6.4.1
Can p & s wrist. Use opposition to stretch muscle and
tendons on the anterior and posterior aspects of both the hand and the wrist.
3.15.6.5
Area
3.15.6.6
Indications
3.15.7.1
Practitioner
3.15.7.2
Patient
3.15.7.3
Supine
3.15.7.4
Tools
3.15.7.4.1
Use fascial release and opposition to stretch and open the
relationship between the retinaculum and the tendons.
3.15.7.5
Area
3.15.7.6
Indications
3.15.8.1
Practitioner
3.15.8.2
Patient
3.15.8.3 Supine
3.15.8.4
Tools
3.15.8.4.1
Use gentle compression's with a soft lift to work entire palm.
3.15.8.5
(4)area
3.15.8.6
(5) indications
3.16.1.1 Practitioner
3.16.1.1.1
At top of table seated
3.16.1.2 Patient
3.16.1.2.1
Supine
3.16.1.3
Tools
3.16.1.3.1
Use polarity hold with hands folded. That is place right
hand on base of occipit and left hand over right hand in soft and gentle cradle. Feel the clients energy /holding
patterns. Always begin neck work with a simple hold to evaluate the energy, musculature and spine.
3.16.1.4
Area
3.16.1.5
Indications
3.16.2.1
Practitioner
3.16.2.2
Patient
3.16.2.2.1
Supine
3.16.2.3
Tools
3.16.2.3.1
Place fingers at 45 degree angle on either side af the spinous
process beginning at about 13. Use a wave like finger lift to compress and
stretch neck. This wave like motion should undulate all the way up cervical
vertebrae to occipit. Use lever like action to compress and lift cervical
vertebrae. End with circles or stretch at the occiput.
3.16.2.4
Area
3.16.2.5
Indications
3.16.3.1
Practitioner
3.16.3.2
Patient
3.16.3.2.1
Supine
3.16.3.3
Tools
3.16.3.3.1
Don't need to use lever action with hands. Place hands at the
lateral side of the neck. Use your finger tips to create a n alternating motion
while the thenar eminence secures the head gently at the mastoid process.
3.16.3.4
Area
3.16.3.5
Indications
3.16.4.1
Practitioner
3.16.4.2
Patient
3.16.4.2.1
Supine
3.16.4.3
Tools
3.16.4.3.1
Use fingertips, sink through the superficial muscle tissue.
Use small half moons and hook and stretch to release muscle attachments and
adhesions.
3.16.4.4
Area
3.16.4.5
Indications
3.16.5.1
Practitioner
3.16.5.2
Patient
3.16.5.2.1
Supine
3.16.5.3
Tools
3.16.5.3.1
With hooked fingers, finger chisels sink in and stretch over
entire surface, concentrating on occipital's and splenis captidis.
3.16.5.4
Area
3.16.5.5
Indications
3.16.6.1
Practitioner
3.16.6.1.1
Seated at top of table
3.16.6.2
Patient
3.16.6.2.1
Supine
3.16.6.3
Tools
3.16.6.3.1
Start with soft circles to loosen tight s.c.m. use a finer
thumb rolling to create free movement of s.c.m. you may add head rotation to
create a pin and stretch and opposition as you work with s.c.m. use thumb or
chisel, separate the muscle fibers as you turn your clients head in the
opposite direction. Be sure to
release at mastoid process.
3.16.6.4
Area
3.16.6.5
Indications
3.16.7.1
Practitioner
3.16.7.1.1
Seat_d at head of table.
3.16.7.2
Patient
3.16.7.2.1
Supine
3.16.7.3
Tools
3.16.7.3.1
Use opposite sided hand to soft hook fingers a t muscle a
ttachments on mastoid process. Once you ha ve hooked muscle tissue take same
sided hand and place on clients temple. Turn pa tients head to one side and use
opposite hooked fingers to work opposite side of vertebrae, stretch muscle
fiber up towards occiput and medial. Stretch lateral to medial and inferior to
superior in short hook and stretch.
3.16.7.3.2
Continue with hooked fingers and with a gentle rock compress
between muscles and stretch and slide, lengthening the muscle fibers. As the
tissue loosens you can roll the head further towards the side. Be careful not to
overstretch. Use the rocking motion to further extend neck stretch. Clean
entire base of occiput.
3.16.7.3.3
Continue to hold with opposite hand and use same sided hand to
pin and stretch muscles of neck. Bring muscles to looseness with opposite sided
hand. And pin and stretch traps, levator scapula, and generall y loosen muscles
of neck.
3.16.7.4
Area
3.16.7.5
Indications
3.16.8.1
Practitioner
3.16.8.1.1
Seated at head of table.
3.16.8.2
Patient
3.16.8.2.1
Supine
3.16.8.3
Tools
3.16.8.3.1
Place right hand on base of occipll with fingers and
hypothenar emanance softly gripping occipit. Place left hand over right hand
place both hands firmly but gently on the neck. Create a stretch. Stretch
should be slow just like an elongation. (knees bent. Feet flat on table will
naturally tilt the pelvis making this movement easier. You can teach your
client the pelvic tilt and jbreathing with will enhance this whole process).
Use intention and visualization to create space between vertebrae from sacrum
to cervical's (process is very slow!) May do this with other body areas.
3.16.8.4
Area
3.16.8.5
Indications
3.16.9.1
Practitioner
3.16.9.2
Patient
3.16.9.2.1
Supine
3.16.9.3
Tools
3.16.9.3.1
Occipital hold for atlas axis adjustment. With head resting in
the hands, sink into occipit and allow the muscles to stretch. The head will
continue to lay more and more into the palm to your hands.
3.16.9.4
Area
3.16.9.5
Indications
3.16.10.1
Practitioner
3.16.10.2
Patient
3.16.10.2.1
Supine
3.16.10.3
Tools
3.16.10.3.1
Use the table as a lever, compress with edge of fingers into
posterior aspect of the neci(, creating space and a curve.
3.16.10.4
Area
3.16.10.5
Indications
