Workshop Review by Carlos Kaiser

Page1 | Page 2 | Page 3 | Page 4

An Anatomical Overview of the Spine and Treatment Techniques
  • Flicking the facial anchor at the superior spine of the scapulae of Trapezius, supersprinatus and levator scapulae.

  • Cross frictioning the joint capsular ligaments near the acromio-clavicular joints.

  • Cross frictioning the tendinous fibres and apply pressure to the superior cervical musculature at the insertions into the Occipital bone. A special note is to be given to any inflammation that may suggest Cervical Lymphatic congestion.

  • Applying deep pressure techniques to the supraspinatus and levator scapulae.

  • Kneading the trapzii and supraspinatus muscles.

  • Applying the "Stair-Stepping" manoeuvre on the cervical spine. This involved moving forward and backward over the segments with care while feel for restrictions or "jerkiness".

  • Placing a wedge/towel under the thigh of the leg with external rotation.

  • Placing a wedge/towel under the ASIS of the other leg.

General massage continued focusing on work around the lumbar sacral area.

During a Periformis release the blocks must be removed. To perform Periformis release first make a visual analysis. The foot will be turned out on the side of the periformis spasm. Check the leg length at the medial maliolus. To treat:

  • Bring the bent leg and thigh up and a notice a divot appear at the periformis. To treat:

  • Bring the bent leg in medially then apply pressure to the periformis while rotating laterally.

 

A Psoas test is performed when the client goes into prayer position and their bent arms are pulled above their head while rotating then brought back to prayer position. Psoas is usually contracting on the shortened side (the fingers of one hand slip downward). To treat:

  • With their leg bent apply pressure off ASIS into the belly of iliacus and slowly let the leg straight and down.

  • Perform a "Hip Lift".

  • Pull the illium into posterior rotation while holding the pares process down.

The workshop completed with a general Q&A session, highlights include:

  • L5S1is involved in true sciatica and involves pain going down the back of the leg.

  • L4 is the femoral nerve and involves pain going down the front of the leg.

  • L4/L5 is the femoral cutaneous nerve and involves pain going down the side of the leg.

  • A pop is a combination of oxygen and nitrogen causing a bubble to "pop" within the synovial fluid. This will not occur for about 20min after there has been a reabsorbtion of gases into the tissues. This is a release or separation. Doing this does not cause arthritis "Its OK as long as it doesn't hurt" overdoing this may cause loosening of the ligaments.

 

Deep in the moment.....
Past President Ray Louden working with a
very relaxed Ian Hannam.

General massage continued with the application of passive movement through the mid-range. Particular attention was given to:

  • Taking the weight of the client's head in both hands and gently moving the cervical spine through flexion, extension, lateral flexion and rotation.

Lumbar Procedures and Sacro-iliac Techniques consisted of the application of some general massage to the lumbar spine area and the employment of Block Techniques involving the use of a foam wedge or a rolled up towel. Particular attention was given to:

Top of page

© 2008 Association of Remedial Masseurs Inc.