How to treat frozen shoulder: Massage video

https://www.youtube.com/watch?
v=v8cNDrHmZ8A&list=PL6R2zWRZawkAH710iA81s5IsB6t0cmzTm&index=19

(piano music)
0:05
- Hi my name is Maria Natera and today
0:08
I'm going to be showing you some techniques
0:09
for the rotator cuff and a little bit
0:11
of anatomy and physiology.
0:13
I like to start off right away,
0:15
I've used some oil, my own special blend of essential oils
0:20
and I am going to do a little bit
0:22
of effleurage and petrissage to warm up
0:25
her muscles and I like to go to the supraspinatus
0:29
right here on the posterior part.
0:32
The infraspinatus and the teres minor.
0:35
So from this position you can access
0:37
all the posterior muscles and also
0:40
some of the anterior muscles.
0:42
Now the four rotator cuff muscles
0:44
are the supraspinatus, infraspinatus,
0:46
teres minor, and subscapularis.
0:50
Out of all of the four muscles
0:51
three of them are in the scapular fossa
0:54
except for the teres minor.
0:56
You also have your coracoid process right here,
0:59
that's part of the scapula, her acromion process
1:02
which really shows nice on her and her clavicle.
1:05
Right here on the coracoid process
1:07
you have three attachments.
1:09
You have the origin of the pec minor
1:12
on ribs three, four, and five, and it
1:14
inserts at the coracoid process.
1:17
And the origin of the biceps the short head
1:20
of the biceps starts at the coracoid process
1:24
and inserts at the radius and the coracobrachialis
1:27
origin right here, and it inserts
1:29
at the medial shaft of the humorous.
1:33
So while you're here you can go ahead and massage
1:36
this too because a lot of people
1:37
have you know a lot of pain right here.
1:40
Especially if they have been playing tennis
1:43
or baseball players, or reaching even
1:46
to the back seat of their car.
1:48
When they hyper-extend their arm.
1:50
This area here may get injured and strained
1:54
and what I want you guys to understand
1:56
is that the rotator cuff muscles
1:58
sandwich the scapula in between,
2:01
so you have three in the back and one
2:03
in the front on the anterior part of the scapula.
2:05
The other three on the posterior part of the scapula.
2:08
Out of the four rotator cuff muscles
2:11
three of them are on a scapular fossa
2:14
and one of them is not which is the teres minor,
2:16
is the only one that's not in the scapular fossa.
2:20
So while you are here, you can go ahead
2:22
and do a little friction and petrissage and effleurage.
2:27
This also has the largest tendon attachment
2:30
of the subscapularis which is right here.
2:32
So I'm gonna put her arm in a high position
2:35
to show you how you can access
2:36
the subscapularis, so I'm gonna reach
2:39
on the back part of her arm and reach
2:41
to the medial border of her scapula,
2:44
pull it out laterally, and I'm gonna palpate
2:46
her subscapularis and we drew it for you
2:50
so you guys can really get a better view
2:53
'cause most people it's hard for us
2:54
to picture, you see pictures of muscles
2:57
and you can't figure out how they, which one it is.
2:59
So right here is the subscapularis
3:01
and I can feel her scapula right underneath my hand.
3:05
So you can go ahead and palpate very gently.
3:09
You have your axillary artery right here
3:11
so you wanna make sure that you don't feel a pulse
3:14
and if you feel a pulse you stay off of it.
3:17
So you can do some pressure, a little bit
3:21
one inch strips, you can apply pressure
3:24
with the palm of your hand and just massage it
3:28
and be very gentle 'cause this is really tender
3:30
on people that are injured.
3:32
And so you can see the muscle fibers
3:34
going up and then it inserts right here
3:36
at the lesser tubercle of the humorous
3:40
and you can work this one inch strips,
3:43
your hands, you can do a little bit of friction.
3:46
You can do some effleurage and petrissage right
3:50
there to really make sure you get this.
3:52
People with adhesive capsulitis,
3:54
which means frozen shoulder, you can also
3:57
help them because these muscles here
4:00
are really tight and if you loosen them up
4:02
you'll be able to get more mobility in their rotator cuff.
4:08
Remember that this is a ball in socket joint,
4:11
so it's got the greatest range of motion,
4:14
however, it's also the easiest to dislocate.
4:16
So you wanna be careful and gentle
4:19
and here the clavicle is the easiest bone to break.
4:23
Now I'm gonna show you another way
4:26
that you can access the subscapularis.
4:27
You put her, the clients arm on your shoulder
4:31
and you reach underneath to grab the medial
4:34
part of the scapula and you pull out laterally.
4:37
You ask your client to move this arm
4:39
to the opposite shoulder, so it brings
4:42
out the scapula and I'm really in there.
4:45
I am going in about three or four inches now.
4:50
It's loosened up a little bit,
4:52
so I can really go in there and massage
4:54
medially, laterally, you know just gently though.
5:00
However much pain tolerance your client can handle.
5:04
You don't wanna go above a five or a six
5:07
on a scale from one to 10 because then
5:10
you engage the nervous system and it starts
5:13
releasing endorphins and you don't wanna do that.
5:15
You wanna create healthy patterns not more pain patterns
5:19
where the nervous system gets involved.
5:22
So you can still see the subscapularis
5:24
here that we drew underneath.
5:27
I am getting the lateral border
5:30
and I am trying to reach in as far as I can,
5:32
as far as she'll let me, by the time
5:34
you've worked this for a couple
5:35
of minutes, it's loosened up so I can really get in there.
5:38
So this is another angle that you can
5:40
get to the subscapularis and the posterior supraspinatus
5:45
and teres minor are on the posterior part.
5:49
(jazz music)
6:02
Okay, so now we've turned your client
6:03
on a side lying position.
6:05
You wanna make sure that you're supporting
6:06
the cervical, that her back is nice and straight
6:09
from C1 to C7, from T1 to T12 and the lumbar area.
6:14
And you wanna have the top leg supported
6:17
and the bottom leg straight, so that she
6:19
doesn't put pressure on her hip.
6:21
From here you can really access
6:24
all the three posterior rotator cuff muscles.
6:28
From here you can really see the scapula
6:31
and you can see the supraspinatus,
6:34
the infraspinatus, and the teres minor.
6:37
We have the spine of the scapula right here
6:41
and the supraspinatus is on this fossa.
6:44
The infraspinatus is in this fossa.
6:46
And the only one that's not in a fossa is the teres minor.
6:50
You can really warm these muscles up,
6:52
you even have access here to the levator scapula.
6:56
You can do one inch strips, you can massage
6:59
the upper trapezius right here,
7:02
and you can really get to the supraspinatus
7:05
right here on top.
7:07
And as you can see it goes from
7:09
the medial part and underneath acromion process,
7:13
that's why it's not drawn all the way,
7:15
'cause it goes underneath acromion process
7:17
and it inserts at the greater tubercle of the humorous.
7:21
So it goes from here, it goes underneath
7:24
and it inserts right there.
7:25
This originates here and it goes also
7:29
to the greater tubercle of the humorous
7:31
and the teres minor is from here,
7:33
is the pink one all the way to the greater tubercle.
7:36
So this is the attachment, so when they tear
7:38
the attachment it will be right here in insertion.
7:42
So you can access all three muscles from this
7:45
angle and you can massage them.
7:47
You can do with your knuckles.
7:52
You can do some figure eights.
7:53
You can do some skin rolling from this angle.
7:56
You can also access the serratus posterior superior,
8:00
the rhomboids minor, rhomboids major,
8:03
the erector spinaes and all I'm doing
8:06
is just pushing a little bit right here
8:08
so her scapula can really come out.
8:11
And you can get to the, all the rotator cuff
8:13
muscles, the three posterior ones.
8:15
To access the subscapularis you put her arm,
8:18
she can hold it by the elbow, make sure it's
8:20
in a straight line, that it's not way over here
8:23
or way over here, that it's also in nice angle
8:26
so you're not hyper-extending her arm.
8:29
And you're gonna reach, you're gonna put,
8:31
you don't wanna do 90 degree angles
8:33
you just wanna push lightly and
8:35
go on the anterior part of the scapula
8:37
and that's another way that you can access
8:40
the subscapularis which is right here.
8:42
And like I said you can do one inch strips,
8:44
palpating gently, you can do the money,
8:47
like a money sign right here with your thumb
8:51
and your fingers to really access even
8:54
the teres minor and major right here and the subscapularis.
8:58
So this is another angle that you can really get
9:01
in there to palpate the subscapularis.
9:05
So this is from the side lying position.
9:08
So I am just working right here
9:10
all along the scapula and accessing
9:14
the three major muscles of the rotator cuff
9:18
and then you can access the anterior one,
9:21
the subscapularis right here.
9:24
(jazz music)
9:36
Okay, so now we've turned her into a prone position.
9:38
And I've got again some of my special blend
9:41
of oils with essential oils and you can really
9:45
see her scapula here, you can see the supraspinatus,
9:48
the infraspinatus, and the teres minor,
9:50
which are the three posterior rotator cuff muslces
9:54
and right here you can also access the upper trapezius
9:58
and the levator scapula, if you just push up lightly
10:02
you can get to the origin of the levator scapula
10:05
underneath 'cause this muscle,
10:08
a lot of times when they have pain
10:10
up on top of the shoulder it's either
10:12
the supraspinatus or the levator scapula.
10:14
So you can access that right here,
10:16
you can do one inch strips all the
10:18
way up to the occipital ridge,
10:21
and that really relieves a lot of pain.
10:23
You can get to the rhomboids right here
10:25
and the erector spinaes.
10:27
The most superior muscle is the trapezius,
10:30
which starts from T12 to here to here.
10:33
So you're covering like three or four
10:36
layers of muscles, remember muscles are in layers.
10:39
So right here you're accessing again,
10:41
the rotator cuff muscles and they originate
10:45
right here on the medial part of the scapula
10:47
and they all insert at the greater tubercle of the humorous.
10:52
So you wanna make sure and get the tendon
10:54
attachments right here because that's
10:57
one of the places where it really hurts
10:59
when people have problems with their shoulder.
11:02
You also wanna move their arm forward
11:04
to reach, I'm gonna show you another way to reach
11:06
the subscapularis so the arm is just hanging lightly
11:09
off the table, you're gonna pull on the medial
11:13
part of the scapula, just a little bit out.
11:15
And you're gonna curve your fingers very gently
11:17
so where you can palpate real gentle
11:20
on the anterior part of the scapula.
11:22
You can really see, now that her
11:24
muscles are warmed up I can really get in there.
11:28
I'm going in like three or four inches.
11:30
If you can see my fingers are really in there
11:33
and I can really go back and fourth,
11:36
medial, laterally, horizontally,
11:38
I can also do the money sign right here.
11:40
Money, money, money, to be able to get the
11:44
teres minor, the teres major.
11:47
Now but just remember that the four
11:50
rotator cuff muscles are the supraspinatus,
11:53
the infraspinatus, teres minor, subscapularis,
11:56
and the scapula is sandwiched in between
11:58
the three posterior and one anterior of the scapula.
12:03
You always wanna assist your clients
12:06
arm when you bring it back and if you are gonna
12:09
continue doing a little bit of effleurage
12:12
and petrissage on their arm remember
12:13
that we always go centripetal towards the heart
12:16
on all of the appendages on all of the arms and legs.
12:21
We go towards the heart, pressure must be towards the heart
12:24
because we have little valves that close
12:27
to prevent back flow from going back,
12:29
so you don't wanna do damage and go against
12:31
those valves, you wanna be able
12:33
to go forward and towards the heart
12:35
which is called centripetal and when you are done
12:39
make sure that you, you know, reach closure
12:42
with your client, that you do your nerve ending strokes
12:46
and we've really accessed the scapula right here.
12:49
And I wanted to thank Angel our beautiful model today.
12:55
(jazz music)
13:01
I hope you learned some new techniques
13:02
to help you become the best therapist
13:04
that you're meant to be, look out for my next video
13:07
and please subscribe to my YouTube channel
13:09
so you can keep updated.
13:11
Thank you for hanging out with me today
13:12
and see you next time.
13:14
(jazz music)

How to Properly Massage Pec and Neck Muscles

https://www.youtube.com/watch?v=5EUYQmpeQoA

0:04
- Welcome back everybody.
0:05
Today we're gonna be talking about the pec major,
0:08
pec minor, and some of the neck muscles.
0:11
So let's get started and jump right on in.
0:15
The pec major is remember originates in the medial third
0:19
of the clavicle, the sternal, and some of the costal,
0:23
some of the ribs.
0:24
So it originates remember always in the medial part
0:27
and then it goes to the humerus.
0:29
Here's the attachment.
0:30
And I've already done some skin rolling
0:33
ya know before I started.
0:35
So this muscle sometimes gets injured
0:39
like with a bench press.
0:41
This is more like athletes get injured,
0:43
so you wanna make sure and address it,
0:45
remember address the origins
0:48
and this is nice that ya know I have a male client.
0:51
If you have a female client you would roll up the sheet,
0:56
let me go ahead and show you guys that.
0:58
You would really roll up the sheet and cover them
1:01
and go in between the ribcage right here,
1:07
right down the sternum and you would obviously ask,
1:10
ya know let 'em know and ask permission
1:12
that you can go on the sternal side
1:15
and try to get as much as you can
1:17
of the attachment of the origin
1:19
and you would go right here under the clavicle.
1:22
You also get the subclavius muscle while you're here.
1:26
So you wanna go and do with one-inch strips
1:30
and just with your fingertips.
1:33
And for the purpose of having a male here I wanna show you,
1:37
remember that the pec major
1:39
makes the fold of the axilla right here.
1:43
So you want, you can go ahead and just grasp it
1:46
and really work it out all the way through.
1:49
You can go with the fibers, you can go cross fiber,
2:00
you can get down 'cause it's all the way down here
2:02
where it originates.
2:04
So make sure that you're getting every part of the pec.
2:08
And it forms the axilla.
2:11
Just like the lat forms the posterior axilla,
2:15
the pec major forms the anterior axilla.
2:19
And I can really feel the end of his pec here
2:21
and I can go underneath.
2:23
I can also go underneath just with my fingertips,
2:27
go underneath the pec major
2:33
and make sure you work the insertion.
2:36
A lot of times this is really tight and tender
2:40
so you wanna make sure and work all of the insertion here
2:44
on this part of the humerus, okay?
2:47
You can do some from the bottom to the top, some effleurage,
2:54
some petrissage, and some very detailed work.
3:00
A lot of times clients have complained
3:02
that they think they're having angina,
3:04
which is a pain in the chest,
3:06
and a lot of times it's not the heart,
3:08
especially if it's on the right side.
3:11
It is just really a trigger point in the pec.
3:14
So you wanna make sure and address that trigger point.
3:16
You can put a little bit of pressure.
3:19
Remember you can hold it up to about 20 seconds
3:21
but no more than 20 and just work out that pressure point
3:26
or trigger point if they have one.
3:30
This is also very good to work on women
3:33
that have had mastectomies.
3:34
The whole breast is removed and then the pec is left
3:37
and it's so damaged, it's so sensitive too.
3:41
So it's very good to work on women
3:43
after they've had a mastectomy to really work the pec major
3:47
and be very gentle and easy
3:48
because it is really sunken in
3:51
and the muscle is just really been traumatized
3:55
and it's very traumatic.
3:57
So you wanna make sure and work this muscle really good
4:00
from origin, belly, to insertion.
4:05
Now I'm gonna go to that side.
4:08
Okay so now we are on the pec minor
4:11
and the pec minor is also known as the nerve entrapper
4:14
because it entraps some of the nerves
4:17
that come from the plexus on the neck
4:20
and it presses on them.
4:22
So this originates from the third, fourth, and fifth rib.
4:26
You can see it's got three origins right here
4:28
and it inserts on the coracoid process of the scapula.
4:32
I can feel the little bony part right here.
4:35
This is the scapula.
4:37
So these are the origins and the insertion.
4:39
So you wanna make sure and go, work, like I said,
4:42
one-inch strips all the way up on the pec minor
4:48
which is also known as the nerve entrapper.
4:54
So a lot of times you need to go underneath the pec major
4:59
to get to the origins.
5:04
You can try to lift it up
5:10
and for sure you wanna get the insertion right here.
5:18
You can get on this side too and do one-inch strips
5:24
with your thumbs.
5:25
(mellow jazzy music)
5:30
You can use your whole flat part of your knuckles.
5:35
You can also use your flat part of your palms
5:40
and here you can also pinch, grab, grasp the pec major.
5:46
(mellow jazzy music)
5:53
And now for the neck guys.
5:55
This is like the most important.
5:57
I know that some of you have requested
5:59
to do work on the neck
6:00
so I'm gonna show you some techniques for the neck
6:03
and so this one's for you Alexandra.
6:07
Thank you for requesting that 'cause I love neck work.
6:11
So I'm gonna start on the sternocleidomastoid muscle.
6:15
The sternocleidomastoid, it is the longest spelling muscle,
6:19
so it originates
6:20
at the sternum right here and the clavicle.
6:24
It's got two origins, the sternal attachment,
6:28
the clavicular,
6:30
and then it inserts right at the mastoid process
6:34
of the temporal bone.
6:36
And this is actually a very wide, strong muscle.
6:39
It is one of the neck muscles,
6:41
or the only neck muscle that does not originate or attach
6:45
to any of the cervicals, only the sternoclavicular
6:49
and mastoid process.
6:51
So you wanna turn the head ipsilateral,
6:55
which means to one side, in order to treat it, okay?
6:58
This is a very delicate area obviously
7:01
because we have the nerves that go through here.
7:05
This is the little triangle that is formed between the SCM 胸锁乳突肌
7:10
and the trapezius.
7:12
Here's where the trapezius ends
7:14
and where the sternocleidomastoid ends.
7:17
So this little triangle is filled with nerves.
7:21
There's five nerves, it's a nerve plexus
7:24
that goes through here
7:25
and this is where a lot of contributes
7:28
to thoracic outlet syndrome.
7:30
I'll talk more about that when we get to the scalenes.
7:34
So let me see, Leo can you kind of flex your neck
7:37
and lift it up a little bit.
7:38
If you can see right here, this is, it really shows.
7:41
You can ask your client, if you're not sure where it's at,
7:44
ask your client to flex their head, okay relax.
7:47
Flex their head so that it can really show.
7:50
You wanna turn the head ipsilateral,
7:52
that means to the side,
7:54
that way you hide the carotid artery,
7:57
the jugular vein, and all the nerves that are right there.
8:02
You wanna hide that part.
8:03
So what you're gonna do
8:05
is you're gonna start at the attachment,
8:07
okay the origin right here on the sternum, the sternal notch
8:11
and the clavicular, the medial third of the clavicle.
8:16
So you wanna make sure and work the origins.
8:20
(mellow jazzy music)
8:24
So the origin, the belly, and then the insertion right here
8:29
on the mastoid process of the temporal bone.
8:33
You can really feel the bone there.
8:35
So you can do circular motion
8:42
and if you are gonna work on the belly of the muscle
8:44
you can turn the head ipsilateral
8:46
and just you're right on that muscle.
8:52
Turing the head ipsilateral
8:54
towards the side that you're working on
8:56
hides the carotid artery, the jugular vein,
8:59
and the plexus of nerves
9:00
that is right there in that triangle.
9:07
This muscle gets real damaged
9:09
when people get in a car accident like whiplash.
9:12
This is one of the main ones that gets injured
9:14
so you wanna make sure and work the origin, insertion,
9:17
and the belly
9:18
and to do the belly you do the money sign very carefully.
9:21
Make sure you're on the muscle.
9:23
If you feel a pulse, you stay off of it.
9:28
Torticollis is also another injury that happens
9:32
when you sleep wrong on your bed
9:33
and you wake up with your neck all hurting.
9:36
This is a very important muscle to work out.
9:39
But make sure that the head is turned ipsilateral
9:42
to the side to hide all the major artery and vein
9:48
and nerves that go right through there.
9:52
So this is the way that you can treat the SCM
9:55
from origin to insertion
9:58
and make sure that you're only grasping the SCM.
10:03
I'm on the belly, and you can usually find trigger points
10:06
right here on the middle of the belly,
10:07
especially if they've been in a car accident.
10:11
So now we're gonna talk about the scalenes.
10:13
These are very important muscles.
10:15
It's a group of three.
10:17
So you've got the anterior scalenes/c345-1, the middle scalenes/c23456-1,
10:21
and the posterior scalenes/c67-2 and as you can see they come out,
10:25
well the anterior is from the cervical three, four, and five
10:29
and it inserts on the first rib.
10:33
So the reason we didn't draw it through here
10:35
'cause the clavicle is right here.
10:37
So it goes underneath the clavicle
10:39
and inserts on the first rib.
10:41
The middle scalene starts from C2, C3, four, five, six,
10:48
and all the way down under the clavicle
10:52
and also inserts on the first rib.
10:55
Now the posterior is only from C6, C7,
11:00
and it inserts underneath on the second rib.
11:04
So it's on the second rib, and these muscles
11:07
are the ones that help when you're breathing
11:10
'cause they raise, they raise up the thorax
11:13
when you're breathing.
11:14
So they assist in breathing but as you can see
11:16
they're right in that triangle where you have the nerves.
11:20
We have five nerves that come through here,
11:23
the brachial plexus, and it's a musculocutaneous nerve.
11:27
The radial nerve, the ulnar nerve, the uh what am I missing?
11:32
Median nerve and the axillary nerve.
11:34
So all of these can get pinched here.
11:36
These muscles are tight.
11:38
So however we've been told never to massage here.
11:41
So what I do is I go to the origins
11:44
and in order to get to the origins.
11:46
Now you can go lightly on 'em.
11:49
The trapezius ends right here.
11:50
I can see and feel his trapezius.
11:53
So remember that the scalenes
11:55
are between the border of the trapezius
12:00
and the border of the sternocleidomastoid.
12:04
So it's in this little triangle.
12:06
A way that you can work on these is you,
12:09
again you turn the head ipsilateral
12:11
to hide all the major artery and veins and the nerves.
12:15
So the head is ipsilateral and I'm going underneath.
12:19
As you can see I am going to these origins
12:22
underneath the SCM.
12:23
I'm pushing the SCM out of the way
12:26
and very gently with pressure of one or two fingers,
12:30
maybe the pressure of having a nickel on your neck,
12:34
not more than that, you don't wanna do damage.
12:37
So you go underneath the SCM
12:40
and get to the origin on C3, four, and five.
12:50
And on this side I'm bracing the other side of the neck
12:53
so it doesn't move.
12:58
So I'm going underneath the SCM.
13:00
Now I'm going to the medial one underneath,
13:02
and this one's a little, originates a little higher on C2.
13:06
So it's a little higher and remember if you feel a pulse
13:10
what do ya do?
13:11
Stay off of it.
13:12
If you feel a pulse you get off of it
13:15
'cause that means you're on a vein or I mean on an artery.
13:21
Very gentle work.
13:25
C3, four, five.
13:35
Ya know what, I'm not able to get too much to C6 and C7
13:39
but you get the idea here
13:41
that you kinda go underneath the SCM.
13:45
Now for the posterior.
13:46
This is actually,
13:47
I get this better when you're on the side-lying position.
13:50
So I'll show you guys right now.
13:52
You don't wanna do too much work here.
13:54
However, you might wanna do some work right here
13:57
along the clavicle where it starts going in underneath,
14:01
and this is all I'm doing with my thumb,
14:03
just going underneath.
14:05
'Cause a lot of times these muscles are just really tight
14:08
from the origin to insertion and you just need
14:11
a little bit of back-and-forth motion here, cross friction.
14:16
I can feel his posterior SCM right there.
14:24
You can use fingers, just not too much pressure
14:27
just to kinda start relaxing him
14:28
before we turn him side-lying.
14:30
'Cause when you get to the side-lying position it is,
14:34
ya know a little bit easier to access these muscles.
14:39
So I'm gonna mention to you the 26 muscles
14:43
of the anterior neck,
14:45
there's 13 on one side and 13 on this side.
14:48
Three of 'em are the scalenes.
14:50
One of 'em is the sternocleidomastoid.
14:53
The platysma is also considered
14:55
because it pulls down your neck.
14:58
So every time you go like this it pulls down on your neck.
15:01
This is the platysma all right here.
15:03
The digastric, the omohyoid, sternohyoid, sternothyroid,
15:10
mylohyoid, stylohyoid, geniohyoid, and thyrohyoid.
15:15
So there's 13 on each side.
15:18
So I'm addressing the major ones that could entrap.
15:22
Remember the pec minor
15:23
and is also known as the nerve entrapper
15:27
and so are the scalenes.
15:29
These are the major ones that trap the brachial plexus.
15:33
(mellow jazzy music)
15:39
And as you well remember from theo there videos
15:41
that you gotta make sure that his spine is straight
15:44
from ya know C1 to C7 and T1 to T12
15:48
and from the lumbar area down.
15:50
I have a pillow between his knees
15:52
and the bolster supporting his neck.
15:56
I wanna show you some work here on the scalenes
15:59
which is like one of the most important muscles right here,
16:02
you have three and the side-lying position
16:06
you can really get to these muscles.
16:08
Remember you're working underneath the SCM
16:12
and you can really get to the mastoid attachment here.
16:17
The splenius capitus/c7-t4 also attaches right here
16:22
on the mastoid process.
16:23
So you can start here.
16:25
You can see the origins really well.
16:28
You can do one-inch strips here.
16:29
You can feel the trap.
16:31
You can use the flat part of your hand
16:34
and to get to the scalenes, again go underneath the SCM
16:41
and all the muscles fall down towards the table,
16:44
gravity kinda pulls it a little bit,
16:47
and you can get underneath and get to these origins here.
16:51
And like I said, I'm only really actually using these two,
16:54
mainly this index finger to go underneath
16:59
and feel the transverse processes.
17:08
You don't wanna use too much pressure
17:10
and you can really get to the posterior one here
17:17
through this side-lying position.
17:20
You wanna get all the insertions underneath the clavicle
17:25
on the first rib right here
17:27
and this will be on the second rib.
17:40
The one that's the trickiest to get to
17:42
is really the posterior.
17:43
You can actually feel the anterior.
17:46
Like, take a deep breath Leo.
17:49
You should be able to feel.
17:50
Okay, exhale.
17:52
You can feel the anterior one how it raises up a little bit.
17:58
The posterior one is a little trickier to feel to palpate;
18:03
however, ya know, you can just work right here
18:06
where the trapezius ends.
18:07
This is where the trapezius ends.
18:09
So it's right next to it, it's deep to that.
18:12
So you can use your fingers or you can use your knuckles
18:17
and avoiding putting pressure in this little triangle
18:20
as you can see the triangle right here.
18:22
You don't put too much pressure there.
18:26
Another thing that you can do
18:27
is you can ask your client to bring out the other arm
18:31
and hold this arm just like that
18:34
and you can really get underneath here.
18:38
It kinda brings the arm out a little bit.
18:40
Let's see, and you can come from the back.
18:47
Just really get to these insertions underneath the clavicle
18:52
and sometimes I use my knuckle and just push forward.
18:57
And remember your shoulders need to be down.
18:59
You don't wanna do this 'cause that really hurts you,
19:01
so you gotta watch you body mechanics again.
19:07
And from this angle you can also go up to the mastoid
19:12
right here where you have all these insertions.
19:19
So you can go from this side or from this side,
19:21
depending which side you are on and what you're trying to do
19:24
but this is another way to really get to the scalenes,
19:27
very gentle, very little pressure
19:30
right here on the scalenes.
19:32
Anterior, medial, and posterior
19:34
which is the most difficult one to get to.
19:36
(mellow jazzy music)
19:46
So now we've turned our client prone
19:48
and I've already done a little bit of skin rolling
19:52
and warmed up his muscles
19:53
but I wanna talk about two of the major neck extensors
19:57
in the back of the neck
19:59
like the sternocleidomastoid is a flexor and rotates,
20:04
helps with rotation and with lateral flexion.
20:06
Well, the splenius capitis,
20:08
which kinda faded here a little bit,
20:11
but the splenius capitis originates from C7 to T4
20:16
and it inserts also at the mastoid process right?
20:19
The same as the SCM and it mirrors the SCM.
20:24
So we have the SCM right here
20:26
and then the splenius capitis in the back that helps us,
20:30
neck extension.
20:32
So you wanna make sure and get the origins right here.
20:34
Remember the C7 is the more prominent.
20:37
So you get the origins right here
20:40
and it's a little bit wider actually.
20:43
You have it on both sides, we just drew it on one side.
20:46
You can use your knuckles here.
20:48
And remember you also have the levator scapula
20:51
on the anterior part of the scapula.
20:54
If you go underneath,
20:55
all I'm doing is just palpating underneath
20:58
and maybe even pinching.
20:59
Maybe even doing the money sign underneath
21:02
so you can really get the posterior neck muscle
21:06
and you can go one-inch strips
21:08
all the way across the occiput.
21:11
You have the suboccipitals
21:16
and the splenius capitis helps bend your head back.
21:27
You can do your one-inch strips right here.
21:30
You're getting the erectors.
21:32
You also have the spinalis, the longissimus,
21:39
all of these muscles are right here on the posterior neck
21:41
so in order to do some specific work
21:45
you can even do some from this side.
21:48
This is all I'm doing is just stepping back
21:51
and with this part, the thenar part of my hand,
21:54
I'm just going up all the way up to the occiput.
21:57
So you can do stuff even from the opposite side,
22:00
you can do some of these moves.
22:03
So you can get to all these origins here.
22:06
You can use your knuckles, you can get the upper trap
22:11
and the splenius capitis for sure.
22:14
To do more specific work
22:16
you can really just get in there with your fingers.
22:19
I'm just using the tips of two of my fingers here.
22:22
(mellow jazzy music)
22:33
My elbow is getting very close to the transverse processes
22:38
but I am not on the spinous processes.
22:45
Okay, so now we're on the splenius surfaces
22:47
and where the capitis ends right at T4,
22:51
this one starts at T3, four, five, and six
22:54
and it inserts on the cervical one, two, and three.
22:59
So this one doesn't go to the mastoid process
23:01
like the capitis does.
23:02
This goes to the cervical one, two, and three
23:05
and it originates.
23:06
It's a little thinner but it's also very, very important
23:10
for neck extension.
23:13
So the splenius capitis and the splenius cervicis are,
23:17
ya know extremely important for neck extension.
23:20
So imagine people that are always on a computer
23:22
or always reading.
23:24
Their SCM and all the anterior muscles are so contracted
23:28
and then the two back ones are,
23:30
or the back ones, the posterior ones are hyperextending.
23:34
So a lot of times they have neck issues ya know,
23:37
starting from this area here.
23:39
So you really wanna make sure
23:40
and get the splenius capitis and cervicis right here.
23:45
Go one-inch strips at the insertions
23:49
and if you wanna get to the C1 just use one little,
23:53
to the transverse processes, just with one or two fingers,
23:58
one finger or two fingers
24:00
to really feel for those insertions.
24:05
And you've got that levator that elevates your scapula.
24:08
So you wanna go ahead
24:10
and just go on the anterior part of the scapula,
24:14
the medial part and you can find the levator right there
24:18
in the upper trap.
24:20
So while you're here you wanna work all these muscles
24:22
while you're here.
24:23
You don't wanna just, we just showed you these two muscles
24:27
and we drew them but on the type that no matter,
24:30
like I tell my students, fake it till you make it.
24:32
You just go ahead and work everything out.
24:35
Don't just single one muscle out ya know,
24:37
just work on all of 'em while you're here.
24:39
Ya know you have access to the whole neck
24:41
so you can work on everything, origins like I said.
24:44
With this one I'm working the spinalis too.
24:48
Really close to the spine.
24:50
(mellow jazzy music)
24:58
And I'm working right here on the mastoid process
25:00
so I'm getting the insertion of the SCM
25:04
and also of the splenius capitis.
25:07
Remember the splenius capitis inserts on the same,
25:10
in the same place as the SCM?
25:12
And it's a mirror image of the SCM.
25:15
They're both the same.
25:16
So what you have here on the front you have on the back.
25:22
And I recommend
25:23
that you guys take some medical massage classes
25:26
or some neuromuscular classes to really help you understand
25:31
and how to work the neck.
25:35
So there you have it, neck muscles,
25:39
most of the neck muscles anyway.
25:40
There's, like I said, there's so many of 'em
25:42
that it's impossible to get 'em all in.
25:45
I think the thing that I would wanna remember from this
25:48
is that anterior neck work is very delicate
25:52
and you don't wanna go deep.
25:54
Okay guys,
25:55
well I hope that this gives you some new techniques
25:57
to work on the neck to go try out and the pecs.
26:01
So stay tuned for our next video, subscribe,
26:04
and give us a like.
26:05
Follow me on Instagram for A and P reviews
26:09
and check out my website for any products or classes
26:13
that you might want to check out.
26:16
Till the next time, create a good day.
26:19
What I do is I like to use 'em on the back
26:22
and I pump it three times
26:25
and I don't even have to take it off, unplug it.
26:28
I can just move it around
26:30
and it really works on the superficial fascia.
26:34
It warms it up.
26:37
It creates vasodilation and see I can incorporate this
26:41
into my massage and just make it like a few minutes routine.
26:44
How to Massage the Triceps
https://www.youtube.com/watch?v=O8TNsSSGP_A

- Hello massage nerds.

0:07
Today we're going to be doing the triceps.
0:09
We're going to be doing a little bit of anatomy,
0:12
some technique, and a few pathologies.
0:17
I'm so grateful.
0:18
This is Leo our model.
0:19
Thank you very much Leo for volunteering, and I want
0:22
to tell you about the triceps.
0:24
Look at the beautiful painting; it's really
0:26
looking good today!
0:27
So triceps means ...
0:29
tri means three heads.
0:31
It's got three origins.
0:33
The longest origin is at the infraglenoid tubercle of the scapula.
0:39
So this is the longest part of the muscle.
0:42
It originates right here.
0:45
The lateral head is a little bit more ...
0:49
It's on the humerus.
0:50
It's a little bit lower, and the medial head is more like
0:53
around here, originates around here, and this is part of it.
0:57
It goes up but it originates here in the medial part
1:00
and all three heads insert at the olecranon process
1:03
of the ulna.
1:05
So this is the largest tendon right here and this causes
1:09
a lot of times the tennis elbow.
1:11
So let me go ahead and start with some technique.
1:15
Remember that you always start by warming up
1:17
the muscle first.
1:18
You want to go ahead and do a little bit of traction.
1:22
You know just doing some stimulation, some elongating
1:26
the muscle, some stretching it out, some myofascial.
1:31
You can kind of hold it here and with the palm of your hand
1:36
move up, just kinda giving it a little bit of a stretch.
1:42
Oh, remember that the ulnar nerve goes through the medial
1:45
part right here so you wanna stay away from the ulnar nerve.
1:49
If you've ever hit your funny bone on the medial part,
1:52
then you know it really hurts and also goes to your pinky
1:56
and your second finger so you wanna stay away from the ulnar nerve.
2:00
The triceps is the radial nerve.
2:03
This is the radial nerve, goes through the triceps.
2:07
Musculocutaneous is the anterior part.
2:10
Posterior part is the radial nerve.
2:14
Medial nerve goes to the palm.
2:16
Radial nerve goes to the top of your hand and the axillary
2:20
nerve also to the axilla.
2:22
So the five nerves that come through your neck right here,
2:28
it feeds the arm.
2:29
HUMAN ANATOMY（人体解剖第七版）381
So it's the musculocutaneous, radial, ulnar,
2:32
median, and axillary.
2:35
So make sure you stay away from the nerves.
2:37
If they feel any numbnes s or tingling, stay away from it,
2:41
just kinda like the arteries.
2:42
If you feel a pulse, you stay off of it.
2:46
So once you've done some warming up kinda stretching,
2:50
you can also do some skin rolling, you know, do a little bit
2:55
of cross fiber skin rolling.
3:00
You go from the lateral side all the way to the, you know,
3:07
to the medial, but stay away right from the ulnar nerve.
3:11
So once you've done that and you've warmed up the tissue,
3:14
you can even do a little bit of friction here and you see
3:17
the muscle start getting a little bit of red,
3:20
creating vessel dilation.
3:25
Remember also that dry work goes first when you're
3:30
doing the warmups.
3:31
You don't apply any oil or anything when you're doing
3:34
the skin rolling or the myofascial, you know, where you just
3:37
kinda stretch a little bit.
3:39
You don't want to apply any oil yet.
3:41
Then you can apply a little bit of oil or if they have
3:43
specific trigger points then you can go ahead and use,
3:47
you know, I use the Lacuna Botanicals, I've told you guys
3:51
about this, with the CBD oil, like to get
3:53
certain trigger points.
3:55
So now you can go ahead and do
3:57
some effleurage, your petrissage.
4:04
You want to get to the origin all the way up here.
4:08
So once you've done a few effleurages and petrissages,
4:12
you can also extend the arm laterally and remember that
4:17
the triceps extend.
4:20
The biceps flex and the opposite will be extension.
4:26
So when you're doing flexion, the triceps are long, but when
4:30
you're extending, the triceps tighten and the biceps relax.
4:35
So if you want to make sure that you can see the outline
4:38
of the triceps, you ask your client to extend against you,
4:42
hold it with your hand and to extend.
4:44
Once he pushes against my arm extending, I can really see
4:48
his triceps pop up right here.
4:50
You can really see the lateral head.
4:53
The medial head is right here and then this
4:56
is the long head.
4:57
So it's crossing this joint right here, okay?
5:00
Like the other two heads, the lateral and medial head,
5:04
they don't cross, you know, to the shoulder.
5:06
It's just all to the humerus onto the olecranon process
5:11
of the ulna.
5:12
So the long head does cross the joint here.
5:15
So you wanna make sure you address all of it.
5:19
You can do your stripping.
5:21
Remember when you're gonna use your thumbs, you can push
5:23
your thumbs together up.
5:25
Don't go like this with your thumbs 'cause then you're going
5:27
against the joint pushing.
5:29
So you wanna make sure, if you're gonna do some stripping
5:31
with your thumbs, go all the way up one inch at a time.
5:35
I always teach that: go one inch at a time.
5:39
You can also use your flat fist, really get everything
5:45
up here, you know, with a flat fist.
5:49
Get the origin.
5:51
Remember origins are more medial to the body.
5:55
The insertions are distal to the body.
5:57
Origins are always closer to the medial part of the body.
6:02
So you can use your knuckles.
6:04
You can also use form and take it easy on the client.
6:07
You know, like, if you have a big bulky person that might
6:10
need a little bit more pressure, you could use
6:13
your forearm, you know.
6:15
I'm pushing with my legs, okay?
6:18
You might be able to do this and really get, if they have
6:20
a trigger point right here, a lot of times you have
6:23
trigger points right here between the infraspinatus,
6:26
teres major, teres minor, there are trigger points here.
6:30
So this is what I like to do to get more specific.
6:35
So right here at the tendon attachment, there's usually
6:40
trigger points here.
6:41
So you wanna make sure to get this trigger point.
6:44
You hold it ...
6:45
Like, I find one right here.
6:46
I felt it.
6:47
So I can ...
6:48
Remember you can hold it from anywhere, from eight
6:50
to 20 seconds, and see if it lets up.
6:54
If your client says that it feels better, then you can
6:57
let it go and if it doesn't, you can come back to it,
6:59
you know, later, but this also has to do with tennis elbow.
7:03
Tennis elbow is on the lateral side.
7:07
Golfer's elbow is on the medial side.
7:11
So right here, sometimes the tricep really is tight
7:16
and affects the lateral part of the ulna right there where
7:23
you get tennis elbow.
7:24
So you wanna make sure and get each little part
7:28
of the muscle.
7:29
Here's the medial head.
7:32
It shows right here.
7:33
It's underneath the bigger part of the triceps and here's
7:37
the lateral head.
7:38
Originates like on the part of the shaft
7:42
of the humerus here.
7:44
So you wanna get it ...
7:45
You can use your fingers.
7:47
I use my fingers now a lot more than I do my thumbs.
7:50
So you wanna make sure and work one inch strips just doing
7:55
circular motions all the way down.
7:59
You can also do the praying hands where you squeeze
8:02
the triceps all the way up.
8:13
Again you can do your effleurage, your petrissage,
8:21
and another thing that I like to do is extend their arm
8:24
all the way to the front 'cause it really opens up
8:27
right here, especially where the nerves come through
8:29
and these are tight.
8:31
There's a lot of trigger points sometimes right around here,
8:34
right at the origin.
8:36
You also have your deltoid right here on top so you want
8:39
to make sure that you work through the deltoid, you know.
8:42
The deltoid, part of the origin of the deltoid
8:44
is right here.
8:45
So you wanna make sure to get to the spine of the scapula,
8:48
the lateral side a little bit, all the way down.
8:52
Feel, feel where the scapula is at.
8:54
So you wanna make sure and work all of these muscle
8:59
attachments here, all these insertions of the supraspinatus,
9:04
infraspinatus, teres major, teres minor.
9:06
A lot of times they have trigger points that go
9:09
into the triceps.
9:12
Some of the pathologies from the triceps are very common.
9:15
You know, they get really really tight.
9:17
People that do pushups, bikers, you know, 10-speed, they put
9:22
a lot of pressure, you know, on their triceps, people that
9:25
are using canes, so all of these can have a lot
9:29
of trigger points.
9:29
So once you're done, you always assist the arm
9:31
to come back, okay?
9:33
And remember that in order to find out where the origins
9:37
of the triceps are, you ask your client to extend.
9:40
So even from this position, you can ask them to try
9:43
to extend the arm and it really ...
9:45
See?
9:46
He's pushing against my arm and you can really see
9:49
the different heads here, how nice they look,
9:52
how they pop up.
9:53
This medial part right here really pops up really nice.
9:57
So you can really tell.
9:58
When you're working you wanna get the tennis elbow.
10:01
Might as well get the golfer's elbow on the medial side.
10:04
Get the tendon.
10:05
There's always trigger points right along
10:07
this long tendon here.
10:09
All the way up, try to separate it also.
10:12
I like to do a little bit of separation here of the fibers.
10:15
Do a little bit of friction between the palms of my hands,
10:21
kinda just really trying to release this.
10:28
I like to do the koi fish.
10:29
This is the koi fish.
10:31
It's just your wrist moving.
10:48
Now if they have some specific pain, specific trigger
10:52
points, then you can go ahead and, you know,
10:54
put a little bit more lotion and address them
10:56
more specifically, but usually right around here, there's
11:01
a lot of trigger points here that you can find
11:05
and just hold them.
11:06
You know, one inch strips, you can do your stripping,
11:09
one inch stripping, all the way up as far as you can.
11:12
You can do it with the palm of your hand.
11:15
Sometimes people that have big triceps, I'd rather use
11:18
the whole palm of my hand and I can feel for the trigger
11:21
points and I kinda hold the triceps right here.
11:27
Remember anytime that there's, you know, arthritis or any
11:30
type of an -itis means inflammation, so there's swelling.
11:34
You can also use ice.
11:36
You can get your styrofoam cup with ice and just ice it down
11:40
before you work on it so it'll numb it.
11:43
You know, if you have the ice you can put it directly,
11:46
have a towel underneath so it doesn't drip all over
11:48
the table, but you can use the ice and numb it, especially
11:52
over the tendon 'cause it'll bring down the swelling
11:55
of the tendonitis.
11:56
You know, the lateral tendonitis right here is very common.
12:05
So again you wanna go back to your petrissage,
12:08
get the tendon origin again and the lateral origin
12:13
on the humerus, the medial origin.
12:20
Now if they feel tingling or a shock, you might be
12:23
on the radial nerve so you stay off of it, okay?
12:26
And then you can just do some with your fingers pushing
12:29
towards each other, you can just manipulate
12:32
the fibers really.
12:34
Cross fiber is really good.
12:36
You know, you can do the Indian burn too.
12:39
I don't know if you guys remember that, but this is another
12:41
really good way to stimulate the muscle and of course
12:51
at the end, don't forget to do your nerve ending strokes
12:54
or your feather strokes just to kinda let the muscle know
12:56
that it can relax again, but remember that we have
13:00
three origins: the long head, the lateral head,
13:04
and the medial head.
13:05
The lateral and medial head are on the humerus and they all
13:10
insert at the olecranon process.
13:13
(upbeat music)
13:22
So when they're in the supine position, you know, you can
13:24
still work on the triceps.
13:26
You know, you can lift it up.
13:27
Always assist the arm, you know, from the wrist and bring it
13:30
across to the other shoulder so it's bent a little bit.
13:34
When somebody has torn their tendon completely, they won't
13:38
be able to extend at all.
13:40
They'll be in a lot of pain so you know,
13:42
be careful about that.
13:43
That's one of the ways that you can tell.
13:45
So from this side, you can really expose the whole triceps
13:50
here and again, you can do your petrissage, your effleurage.
13:56
You can use your flat palm to do some effleurage.
14:02
You can do some cross fiber.
14:07
So you're getting the arm from a different angle right here,
14:09
but you are still working the triceps.
14:12
You can really work the tendon attachment right here
14:14
at the olecranon process.
14:16
You can do cross fiber and I'm not using a lot of pressure
14:24
with this one because I know I told you guys not to put
14:26
your thumbs like this, but for cross fiber, you don't use
14:29
a lot of pressure.
14:30
You're just moving back and forth a little bit here.
14:34
You know, you can also use your forearm and this kinda
14:44
gives it a nice stretch too.
14:45
So I'm trying to stretch the muscle at the same time.
14:53
So you can address the muscle from prone and supine position.
14:57
You can also do it, you know, side lying, but this
15:00
is a good way too to get to the origin right here using
15:03
their own body weight.
15:05
It hyper-extends it a little bit.
15:08
It extends it a little bit more and you can really
15:11
feel the fibers.
15:17
You remember that right here you're working over the deltoid
15:27
and hypertonic triceps usually happens with people that do
15:31
repetitive motions, you know, people that use drills,
15:35
people that, I think I mentioned earlier, you know, people
15:38
that walk on crutches, people that are on 10-speeds,
15:42
you know, putting a lot of pressure, you know,
15:43
on the tricep, people that do pushups.
15:46
Sometimes power-lifting can tear the tendon.
15:49
That's usually in sports, you know, that tears that tendon,
15:53
the major tendon right there.
15:55
So there's different ways that you can figure out if there's
15:58
swelling, if it's purple, if it's just a strain.
16:03
So you just make sure that you check for everything.
16:06
Stay away from the nerves.
16:08
You treat it by doing some effleurage.
16:12
You can even do the Indian burn from here, just cross fiber,
16:16
just really helping the muscles to relax.
16:19
You can't do as many trigger points from this angle.
16:23
It's better to do them when they're prone.
16:25
You can do the trigger points.
16:26
From this, you just kinda do some stretching,
16:30
some effleurage and petrissage, but doing the trigger points
16:33
is better when they are prone.
16:35
So you always assist the arm and bring it back when you're
16:38
done and another way to do it too is to let the weight
16:42
of their arm, you put your hands, you cup your hands
16:45
and put it underneath and work the triceps with your fingers
16:49
because the weight of his arm is helping me.
16:51
What I'm doing is I'm pushing up on the triceps, and as you
17:00
can see, when he was flexing and extending earlier,
17:04
his triceps go all the way to here.
17:06
You know, you can see them still so you can even do some
17:11
manipulating with the palm of your hand massaging it
17:15
all the way up from the distal end to the proximal end.
17:24
Remember we use proximal and distal only on the appendages.
17:31
So there's three different ways to get to the triceps:
17:33
prone, supine, and using the weight of their own arm.
17:40
(upbeat music)
17:46
So remember guys that on the posterior part of the arm,
17:48
you only have your triceps and
in the anterior part you have your biceps, your coracobrachialis,
and your brachialis, but in the back is only triceps.
17:58
So I hope this really helps you, gives you some more
18:01
information and tips on how to treat the arm and please
18:05
share the videos if you like them.
18:07
Let's try to grow some more with my channel.
18:10
Subscribe, follow me on Instagram, and look
18:14
at the descriptions below.

How to Massage Upper Arm Muscles including the Biceps Brachii

0:02
I'm so excited that today
0:03
we are gonna be doing the biceps on Leo,
0:07
and I'm gonna teach you a little bit of anatomy,
0:10
technique, and physiology, and some pathologies.
0:14
So to start off with, I wanna remind you guys,
0:17
in the anterior there's only three muscles in the front,
Biceps
0:20
which would be the biceps, the coracobrachialis,
0:23
and the brachialis.
0:25
So biceps, remember, means two heads.
0:29
So we have two origins.
0:31
The long head originates at the supraglenoid fossa
0:34
of the scapula,
0:37
and the short head of the bicep originates on the coracoid process of the scapula.
0:42
So you can feel for the boney protuberance right here,
0:45
you can feel it on people.
0:47
Be gentle because it really does hurt,
0:50
or it can be very sensitive.
0:52
So feel for the coracoid process,
0:55
and this coracoid process has three insertions.
0:58
Two of 'em are the origins of the short head of the biceps
1:02
and the coracobrachialis.
1:04
That's the name, coracoid, you know coracobrachialis.
1:08
And the insertion from the pec minor.
1:11
There's other attachments here, okay?
1:13
So you wanna make sure that you check.
1:15
We also have the pec major attaching like right here,
1:18
and you might think it's the short head of the bicep,
1:21
but it could really be the pec major.
1:23
So make sure you do some palpating
1:25
to make sure that you're on the right muscle.
1:29
And the subscapularis also inserts on the humerus.
1:34
So you wanna be real careful
1:37
that you pinpoint which muscle it is, which origin it is.
1:40
Is it an insertion or an origin?
1:43
'Cause this would be an insertion, this is an origin.
1:47
Remember, origins are more medial
1:51
and insertions are more distal from the body.
1:55
So make sure you check that out.
1:58
If it hurts around here,
2:00
it could be the insertion of the pec major
2:03
or the subscapularis,
2:05
which, the subscapularis is the largest tendon
2:09
of the rotator cuff muscles.
2:10
Oh, and check out that video.
2:12
I have a video out on the rotator cuff
2:14
and also on the pecs.
2:15
So you can see how I describe that there.
2:20
So there's three muscles here only in the front,
2:23
triceps only in the back.
2:25
And the muscular cutaneous nerve
2:29
is the one that serves the anterior part of the arm,
2:32
and everything in the back is the radial nerve.
2:35
The biceps originates right here
2:38
and then it inserts on the radial side, okay?
2:42
The biceps is a flexor and a supinator.
2:47
If you are flexing, then you can really see the biceps,
2:51
but if you turn to pronate, your biceps disappears.
2:55
So you can really only use it
2:57
because it crosses the two joints.
3:01
It crosses the shoulder and the humerus.
3:04
It attaches nowhere on the humerus, okay?
3:07
Where does the biceps originate and insert?
Long head originates from the supraglenoid tubercle of the scapula, and the short head
originates from the coracoid process of the scapula. Both heads insert distally into the
radial tuberosity and the fascia of the forearm via the bicipital aponeurosis.
长头起源于肩胛骨的锁骨上结节，短头起源于肩胛骨的喙突。两个头通过肱二
头肌腱膜向远端插入桡骨粗隆和前臂筋膜。
3:08
And the brachialis attaches on the ulnar side, okay?
3:12
From the humerus to the ulnar side.
3:15
And the coracobrachialis attaches from the coracoid process
3:20
down here into the medial shaft of the humerus.
3:23
So the bicep's nowhere on the humerus,
3:26
thus, it's a very good flexor.
3:29
So I'm gonna show you some techniques.
3:30
You wanna do some your obvious effleurage.
3:34
Take it easy, start slow.
3:36
You can also do some petrissage,
3:39
and you can do some skin rolling,
3:41
especially around the belly of the muscle.
3:46
You wanna go ahead and do some grasping here,
3:49
in case they have some tenderness.
3:51
Usually, the trigger points are right on the belly,
3:55
and if I can have you flex for me for a little,
3:58
you can really see his bicep pop up.
4:00
What makes the bicep look even bigger,
4:02
is that the brachialis is underneath.
4:05
So the brachialis makes the biceps pop up
4:08
even no when they flex.
4:09
So if you can see that right there,
4:11
it really pops up the bicep brachii.
4:15
So you can do your effleurage, your petrissage.
4:20
You can also do another one here
4:21
where you can tuck it in at your waist level, okay?
4:24
You don't wanna have anything closer to your breast area.
4:27
So you can hold it with your waist
4:28
and you're gonna use your thumbs or your fingers
4:33
to get to the brachialis.
4:34
If you can see the brachialis right here on this side.
4:37
We just showed you a little bit of it
4:39
on both sides 'cause it is beneath.
4:43
So one of the techniques that you can do
4:45
is you can push your thumbs together towards each other
4:48
to really get to the brachialis.
4:55
Or you can use your fingers
4:58
just to grasp it there and to really feel
5:01
where there's some trigger points and some knots.
5:06
And you also need to palpate the tendon attachments
5:11
right here at the origins.
5:13
And then there's also called the Free Test.
So that you can have them flex their arm
5:20
and then press on the long head of the bicep,
5:23
and if it hurts and it's tender,
5:24
they probably have something going on there,
5:27
maybe some arthritis or something.
5:29
And there's another one here, the Hook Test, where they flex
5:33
and you can really feel the tendon right there.
5:35
You can feel the tendon of the brachialis on the ulnar side
5:40
and the tendon on the radial side.
5:43
And a lot of times when you have a type one
5:46
or a type two strain,
5:48
that means that the tendons really are damaged,
5:52
either from overuse or from an injury.
5:56
Especially weight lifters.
5:57
You know you can damage the tendons,
5:59
and there's a type one, type two, and type three strain.
6:04
Remember strain with a T is for the tendon,
6:07
that has to do with the tendon.
6:09
Sprain has to do with the ligaments.
So if there's a type one strain, you can still work it.
6:14
If there's a type three strain,
Treatment
6:17
you do not want to stretch it or work it
6:19
'cause that's when the muscle completely tore off
6:22
from the origin or the insertion.
6:24
So you need to be real careful with that,
6:26
especially if they're a little bit bruised.
6:29
You don't wanna overwork it.
6:30
It's better if they go to a doctor first
6:32
and find out what's going on, and then if everything's okay
6:36
and it's just something you can work on,
6:38
then you can go ahead and work it.
6:41
But you wanna make sure and do your petrissage again.
6:46
Your effleurage.
6:47
You can do your trigger points are mainly
6:50
in the middle of the belly of the muscle.
6:54
You can hold it, remember, up to 10 to 15 seconds.
6:58
If you find a trigger point,
6:59
I'm actually finding a trigger point right there.
7:01
Does that hurt, Leo, right there or?
7:03
No, no?
7:04
Feels a little tense right there,
7:06
right on the belly of the muscle.
7:09
And with him I can really feel
7:11
all the difference in the fibers,
7:13
and I can also get the brachialis right here.
7:16
Another one that I like to do
7:18
is I support the arm with my arm
7:21
and to kind of move it around.
7:25
Like, really try to manipulate it at the joint.
7:29
At the glenohumeral joint this is a really good movement.
7:33
Especially for people that are having frozen shoulder,
7:36
and it affects the long head of the bicep.
7:39
You know you can really just try to manipulate
7:42
the glenohumeral joint,
7:46
and also get at the same time while you're there,
7:49
get the brachialis underneath right here.
7:55
And some of the things that the pathologies are
7:58
tendonitis and anything that has "itis"
8:01
means that it's swollen.
8:03
So that usually happens at the attachments.
8:06
So it's swollen and the way you really treat that,
8:10
actually even a type one or a type two strain,
8:14
you treat it almost the same.
]You use the RICE, you know, the rest, the ice,
8:20
the elevation, and another thing that you can incorporate
8:23
is PT, you know the physical therapy.
8:25
That's the best way, you know.
8:26
After they've healed they can start.
8:28
Of course the doctor would have to prescribe the PT,
8:31
but you can also try to
8:34
do some stretches,
8:38
you know, stretching the muscle a little bit
8:40
and having them flex gently.
8:42
If they can flex and you can apply
8:45
a little bit of resistance, you know holding the muscle,
8:50
and moving up one inch at a time.
8:53
Having them flex so that you're kind of stretching
8:57
that muscle out a little bit.
9:00
They offer a little bit of resistance,
9:02
active resistance from the client.
9:07
And then passive,
9:08
you know, you can do it yourself by grasping.
9:11
You know, you can do it with one hand,
9:13
or you can do it with two hands.
9:17
(upbeat music)
9:19
Well thank you guys for tuning in again and following me.
9:21
I appreciate that.
9:23
Make sure that you're follow me on Instagram,
9:25
and I've got a new Facebook account,
9:28
so if you wanna follow me there too.
9:29
I'm gonna try to make it a little bit different,
9:32
not to post the same thing.
9:33
Maybe have some live videos.
9:35
And the next video will be on the triceps,
9:38
and I'll be showing you again origins, and insertions,
9:41
and a little bit of pathology.
9:42
So stay tuned.
9:44
'Til the next time, create a good day.

The 3 Deep Back Muscle Layers

- Welcome back everybody. Today we're gonna be talking about the back and doing some back
work. I'll be showing you some new techniques
0:10
on releasing the quadratus lumborum, and we'll go into each muscle a little bit more.
0:16
And I want to tell you that I like to start with a little bit of Myofascial Release,
0:21
and what that does is just starts warming up the muscles. So let's just jump right on in,
0:26
and remember that before you start your work in adding lotions and potions,
0:32
you do Myofascial Release dry, with dry, no oil or ointments yet.
0:38
So one of the things that I like to do is cross my arms, and I'm pushing away, I'm not pushing
towards the table,
0:44
but just kinda stretching the tissue right here.
0:50
You may hold it for a few seconds, and what this does is it really starts warming up the tissue so
it can
0:56
start relaxing the muscles. We have superficial fascia and deep fascia,
1:04
and right now we're just addressing the superficial fascia. And the fascia, remember, what it
does,
1:10
is it encases each and every muscle in our bodies, what holds it together. It's like a sock over
your foot
1:16
or the pillowcase over your pillow. So it holds it together, and it also conforms
1:22
to the shape of the muscle. And remember, if you pull apart chicken,
1:30
a raw piece of chicken, you'll be able to see that it's the raw, egg-white looking film over the
muscle.
1:42
What I'm doing here is separating. I'm going, pushing away from me and towards me.
1:49
Right close to the spine, kinda trying to get the erector spinaes, you know, to spread out a little
bit.
So you can do this just walking in one inch strips all the way up, and not this fast because it
really
2:04
needs to be a little bit slower, but just for the sake of showing you, that's what I'm gonna do here.
2:09
I also like to do some skin rolling, which is really effective. And remember, it's done dry.
2:15
No oils and potions yet. Just kinda rolling down my thumbs down her back.
2:20
You can take this at one inch strips. You can just use your thumbs to guide you,
2:26
but I'm really doing the rolling with my fingers. So this is what I'm doing. I'm walking up her
back with my fingers.
2:32
My thumbs are still in place. You can also do the C.
2:38
Do a C form with your thumbs.
2:45
Just going in between. And that really loosens up the fascia, so you start warming up the muscles
all the way down.
2:59
So these are just some techniques that I like to start off with before I get into a little bit more
detail.
3:05
If we didn't draw these muscles on here you could see that her skin is really red now, so we've
created vasodilation,
3:12
and what that means is that we've opened up the blood flow to maybe some of the areas here
3:17
in the muscle that was lacking in blood flow. And the fascia constricts the muscle because it is
like a casing,
3:24
so it constricts the muscle and it prevents the blood from flowing freely through the muscle. And
remember, the muscle needs blood flow,
3:33
because that's what brings the nutrients to feed and nourish the muscles. So if the fascia is tight,
you know,
3:39
and it's encasing the muscle really tight, it's not letting the blood flow, and that's what ischemia
is.
3:45
Ischemia is the lack of blood flow to a muscle. So after you've done all the dry work,
3:52
then you can start using your lotion. I like the Lacuna Botanicals deep tissue massage
3:57
with CBD oil, and it goes on really good. It glides perfect.
4:04
I wanna start today with the latissimus dorsi, and the trapezius, which you can see right here,
4:11
the trapezius. The origins, remember, are usually down the midline, and the thoracolumbar
aponeurosis right here
4:19
is what attaches to the lat. This is what this is right here. And remember, aponeurosis means flat
sheet tendon.
4:28
So it's a broad sheet tendon and it attaches to the lat. The lat is also known as the swimmer's
muscle.
4:36
You know, you can see the swimmers, they have very developed lats.
4:41
It also makes the posterior part of the axilla. So this little part right here
4:46
and this little part right here, the axilla, this is the lat. So when somebody swims a lot or they tell
you
4:53
it hurts right around here, it could be their lat. So you wanna make sure and address the origins
4:59
and the insertions on the humerus. And you can see how far it covers, kinda like the lower part of
the scapula right here.
5:07
So you wanna do some broad strokes, just to kinda warm it up. And I always tell you guys, tell
my students,
5:14
to make sure you get the origin, belly, and insertion of the muscle,
5:19
that's very important for you to be able to release, you know, everything that's going on with the
lat.
5:25
And another posture that you can do is also maybe even bring down their arm a little bit, either to
the sides or all the way down.
5:33
And always assist your client's arm when you're doing that. But I want it right here on the table
right now
5:39
so I can really address the lat. Like I mentioned, it's that posterior part of the axilla
5:46
and you can really do one inch strips and just really work the lat and the insertion right here.
5:52
We painted it for you so you can get an idea, 'cause it's kinda difficult sometimes to see it in a
book
5:57
or even if you color it, it's difficult to see. But from here you can do some figure eights.
6:04
You can also do some, with your knuckles, with the flat part of your muscles,
6:09
kinda separating here, going cross fiber on the lat.
6:15
So then you can go back to your effleurage. You can go to your petrissage.
6:22
And remember that the type of work that I do and that maybe you wanna learn how to do too
6:29
is very specific. It's not about how deep you go. I don't like that deep tissue word,
6:35
because it's really about how specific you are. If you find the correct trigger point or if you work
the whole muscle,
6:42
you don't even have to go that deep, because you know that when you're hurting, if you find that
right spot you don't need a lot of pressure,
6:48
and you don't wanna engage the nervous system, because then that's even gonna make it harder
to relax,
6:54
because pain is a normal, natural, protective mechanism from the body.
6:59
So if you're inflicting... The more pain that the client needs, then that, they automatically start
tensing up.
7:06
So you don't wanna engage the nervous system, you don't wanna take the pain level to more than
what's comfortable for your client,
7:13
which is usually between four/five. And I know you're gonna get the clients to say oh no pain is
no gain and they're gonna
7:20
go ahead and want you to go deeper, but there's no need for that really. I like to do some cross,
across the low back,
7:29
'cause this really gets the origins right here. You can go all the way across and it feels really
good.
7:36
You can up the spine here to the origins of the trapezius and the iliolumbar.
7:45
You can go with your fingers. And also right here you can really get the upper trap.
7:53
If you guys can see, you can really just do the money sign,
7:59
and you can also do the C, where you kinda put your thumb on top, and then with this, these
fingers,
8:06
you're crawling under, unrolling. You're really unrolling, unruffling the upper trapezius.
8:12
If you can see that movement, this is all I'm doing. And this is a really good movement to get
underneath the trapezius.
8:21
The levator scapulae, close here to the medial part of the scapulae. You can get it while you're
there already.
8:27
Remember the origins are on the cervicals, the origin of the levator is on the
8:32
transverse processes of the cervicals, and you can get it right here just by,
8:38
all I'm doing is pushing the scapulae up just a little bit, not too much.
8:46
And the origin of the trapezius is right here at the occipital, and then it goes,
8:51
even inserts onto the clavicle, the third, the lateral third of the clavicle,
8:57
and all the way up to T12. So we drew it only on one side, but it really should be on both sides.
9:03
And this is called the coat hangers muscle because it looks like when you hang up a shirt,
9:12
like if you hang up a shirt and it looks like that. So that's why it's called the coat hangers muscle.
9:17
And it goes from T12 all the way to the occipital ridge. But the origin is right here at the top.
9:24
Remember origins are closer to the midline, closest to the heart.
9:31
And you can feel the fibers. If you need to ask your client...
9:37
(laughing) Sorry, is that too deep? - [Client] No, I'm ticklish.
9:43
- Oh you're ticklish, okay. So the trapezius muscle right here
9:48
is where most people feel pain. When people feel their shoulders are hiking up
9:53
'cause it does elevate. Of course the levator also is the main elevator of the scapulae.
10:01
So most people feel the tension in their shoulders. So you really need to really get up here on the
upper trap
10:07
and you can also do one inch strips right up to the occipital ridge, and go medial and lateral one
inch strips.
10:15
Go up and then go medial and lateral and just really try to get all the way across right here.
10:21
So if people are carrying the world on their shoulders, most people you've got to really address
10:27
these muscles right here, the upper trapezius, the rhomboids, the levator. You can also use your
knuckles.
10:33
I use my knuckles a lot, since my fingers, after so many years of using them, they've...
10:39
And you don't wanna abuse your thumbs. So you can use your knuckles, you can go over,
10:45
around the medial part of the scapulae.
10:50
And you can even go all the way down with your knuckles.
10:59
Or all the way up. Just stay off the spinous processes.
11:08
This is what we call the iron, I'm ironing her back. And you can go back to your effleurage
11:16
and your petrissage, just to let your client know that they can relax a little bit. You know, these
are strokes that,
11:22
even though they're not specific, they're the basics, and you can't forget about the basics.
11:27
I can also do some, with my forearms, just a little bit of stretching, separating.
11:45
And this is really good, like a myofascial technique that you can release some of the muscles
here on the back.
11:53
So for the latissimus dorsi and the upper trapezius you can do some very specific work,
11:59
and they'll really help your clients if they have problems with their shoulders, tension in their
shoulders,
12:05
or even in the side of the thorax right here. So this technique should really help you
12:11
to help relieve some of that pain. And also we didn't draw the rotator cuff muscles for you
because we did a video previously on that,
12:19
where you have the supraspinatus, infraspinatus, teres minor, and then the subscapularis
12:24
on the anterior part of the scapulae. So if you wanna find out more about the rotator cuff muscles
check out that video.
12:32
So now on this side we're gonna be talking about the quadratus lumborum, the erector spinae,
and the rhomboids.
12:39
We drew these three on this side and the two on this side. Remember that muscles come in
layers,
12:44
so there's like six layers and we can't draw them all in at once because it would
12:50
just be too big of a mess. So I just wanna address these specific muscles today. And I might
mention the other ones,
12:57
but I won't be able to show you some specific work. So we start with the origin of the quadratus
lumborum,
13:03
here at the ileum. And then you find the floating rib, the last floating rib,
13:09
which is about right there, and that's the insertion, and then on the transverse processes
13:15
of the lumbar vertebrae. And the reason it's called quadratus is 'cause it looks like a quad, it's
attached at four sides,
13:23
and it's at the lumbar area. So one of the things that you can do to address it,
13:28
obviously you warm it up. And I've already done the skin rolling on this side,
13:33
so I'm gonna go ahead and just do a little bit of effleurage.
13:39
And the quadratus lumborum is known as the hip hiker, 'cause it kinda hikes your hip.
13:45
So this one, you wanna find the soft part of the muscle, you gotta be careful not to go in to the
ribs.
13:54
Do not press hard on the ribs, especially the floating ribs on people that are elderly.
13:59
They might have osteoporosis and they can break easily. So you wanna find this little dip,
14:06
because she's a small person it's about an inch, and you gotta find, you go to the medial part,
14:11
right by the spine, and you deep down. Where you feel it dipping down, that's where the muscle
is.
14:17
I don't feel bone underneath my fingers. Here's the ileum, the origin, and here's the floating rib.
14:24
So you wanna go to like right here, to the belly of the muscle, to really get to that.
14:29
If you wanna work the insertions, you wanna make sure and use your fingers, because you have
more control and you're not going as deep.
14:37
And you don't wanna break any of the bones right here, any of the floating ribs.
14:43
And if you wanna get to the transverse processes, where it inserts, on the lumbars one,
14:49
two, three, and four, right here, you just kinda go with your fingers. And you can do like circles
too.
14:54
I use this one a lot of the erectors. I'm going right along side the spine
15:00
and just doing little circles, clockwise circles, really getting the multifidi underneath
15:07
and the rotators and the iliocostalis and the longissimus.
15:15
All the way up. I also have tools that I work for people
15:20
that are bigger and it's harder to get into. So I don't start pressing until I feel it dip down
15:28
and then I just push in there a little bit with my tool.
15:35
And you can address the origin also with a tool. Most people have pain right here.
15:41
If they sit down a lot, this is also used when you bend over or when you're sitting down,
15:47
it gets tight, and a lot of people have pain here and they might think it's the psoas.
15:53
Well the clients don't think it's the psoas, they don't come in and tell you oh my psoas hurts, or
my upper trapezius hurts.
15:59
That's where you investigate and that's where you have to figure out what muscle is it and where
the trigger points are and where they're hurting,
16:06
'cause a lot of times they may think it's the trapezius, because they have pain between their
shoulder blades.
16:12
And it might really be the rhomboids. The rhomboids are really tight. The trapezius is more
superficial to the rhomboids,
16:20
and the erectors is deeper to the rhomboids.
16:25
So they're in layers. So it would be the erectors, the rhomboids, and then the trapezius on top.

And now I'm gonna use the beveled bar/T bar to go in between the vertebrae and go down,
16:39
and it goes in between the lamina groove. What I'm doing is I'm doing a swooping motion.
16:46
I'm swooping out, trying to get a little bit
16:51
of separation there of the spinalis and they're trying to get to their rotators
16:56
and the multifidi muscles that are underneath.
17:03
And you don't wanna go above C7. Just up to about C7, right there. You don't wanna go any
higher than that.
17:15
So the spinalis, the longissimus, and the iliocostalis, on the costalis, they insert on the ribs,
17:22
and that's what these little things right here, that's the insertions, it goes all the way up.
17:27
And we drew it underneath, we skipped it here. It does go all the way up, up here.
17:33
However, we drew the rhomboid on top, so we kinda didn't draw it here but it is underneath,
beneath,
17:40
it's the deeper layer underneath the rhomboids. So you can do, for this one, you really wanna
17:46
be able to do some nice, deep effleurage,
17:51
some petrissage. You can even do some cross fiber, with skin rolling.
17:57
I already have oil on her, and lotion on her, I'm sorry. You can do with your fingers,
18:03
getting real close to the spinous processes, but not on top of the spinous processes.
18:11
You can do effleurage with your fingertips all the way up.
18:21
Move out an inch and go again all the way up so you can get the longissimus,
18:28
and the iliocostalis, another inch out. I'm also getting the rhomboids even right here.
18:38
So a lot of times you have clients that come in and they have pain the back and it starts here and
then it goes all the way up,
18:44
and now you can understand why, it follows the route of the muscle. So you wanna be able to
address from origin to insertion.
18:53
Origin, belly to insertion on almost all the muscles when you're trying to treat trigger points
18:59
or anything that's affecting them. A lot of times trigger points are somewhere else that are a little
bit more distal.
19:04
So you wanna make sure and get everything from origin to insertion.
19:09
And you can also go cross fiber, I like to use my forearm a lot, and I can do down.
19:18
And make sure that you're watching your body mechanics. I'm really using my legs, you know.
19:24
I try not to just use my forearm 'cause eventually this is gonna hurt my shoulder. So I try to just
hold on on this side
19:31
and just push with my legs as far as I can. I'm actually quite short, I'm only 4'11".
19:37
So I might have to do this on longer people or taller people in two strides. I might do the upper
part first,
19:43
and then I might step down, you know, lower, and then go down here.
19:50
But you wanna make sure that you get all the muscles here of the back. And you're going
through all the layers.

And now let's talk about the rhomboids. The rhomboids are two muscles,
20:04
you can see the rhomboids minor, it's right here from C7 to T1.
20:10
And then from T2 to T5 is the rhomboids major. And it kinda faded and I do apologize for that,
20:16
it kinda faded. We're still playing with the paints and they don't always come out. So most of us
know that client that comes in
20:24
that they have shoulder plain. Shoulder pain. Shoulder plain? Most of us have that client that
comes in
20:31
with pain between their shoulders. Most of 'em are people that sit in front of a desk all day
20:37
and don't get up and stretch, you know, their shoulders are hunched forward. So the rhomboids
are being hyper extended.
20:44
So you really wanna address from the rhomboid minor to the rhomboid major, and get right here
on the medial part of the scapula,
20:52
'cause they insert right underneath and that's where you put the bolster, and really get underneath
here to get
20:58
the origins and the insertions, and work those rhomboids out, 'cause most of 'em have a trigger
point like right around there,
21:05
in the middle of the rhomboid major. That's where most people have a trigger point, and this is
from sitting down too long
21:11
and having their shoulders forward. So I recommend for my clients to get up and stretch at least
once an hour.
21:17
Or even get up to a door frame and put their arm out, and just turn their torso,
21:24
leaving their arm straight against the doorway. That's a really good stretch for this area,
21:31
and it helps relieve some of that tension from the rhomboids. This another good one, I think all
of us know this one too,
21:38
where they can stretch. So teach them some stretches. It's just as important what they do
21:44
when they're not coming to see you as what you do when they are on your table.
21:49
They have to continue, they have to take care of their body and they have to be proactive
21:55
in taking care of themselves and stretching. I have a little pillow here that I can
22:01
put underneath her shoulder blade. There's a lot of clients that cannot put their arm on the back,
22:07
and that's really not a good idea. I prefer not to do that. I prefer to just bend it here, their arm a
little bit,
22:15
and put a little pillow or a rolled up towel, put it underneath their shoulder, and this really opens
up the shoulder blade right here,
22:22
the scapula. What I do is I lift up here at the elbow, put my hand underneath, right around like
22:29
where the coracoid process is, and I can pull the scapula out. She's got nice and loose scapula,
22:36
and if I've already warmed it up I can really get underneath here, where the rhomboids insert
right here on the medial part, 也就是下方，菱形肌止于肩胛骨内侧缘的位置
22:44
underneath the scapula. And I can really get underneath.
22:49
And even once it's nice and loose, I can retract it a little bit.
22:56
And I'm not just getting the rhomboids, but I'm also getting part of the trapezius right there,
23:03
and just really work this trapezius, 'cause a lot of people have trigger points right here.
I've got my tool. This is one of the major trigger points right here on people.
23:15
You can use your tool to go back and forth, or stay on it and do a little bit of pressure.
23:23
On trigger points you can count up to 20 but no more than 20. You might wanna come back
another time,
23:29
go somewhere else and come back. You don't wanna overload and stimulate the nervous system
for too long.
23:35
And remember, just stay within five or six. Don't go too deep.
23:40
It's not about how much pain they can take, it's about how specific you are. If you can get it and
be very specific
23:47
and work it up to 20 seconds and then come back to it later if it hasn't released. (melodic music)
24:00
So once you've turned your client on the side lying position, make sure their upper leg is
supported with a pillow and a bolster
24:06
underneath their head. Make sure that their cervicals are straight from C1 to C7, from T1 to T12,
and then from L1 to L5.
24:18
So make sure that it's a straight line. The side lying position is really a good way
24:24
to get to the QL, the quadratus lumborum, 'cause if you can see like, make sure you feel
24:29
where the ileum is, right there. And then her floating rib is where it inserts, so you wanna go like
down, pushing towards the table
24:37
with your thumb or with a tool. But make sure that you're in the soft part, right here,
24:44
and really try to get that belly of that muscle, and I can feel where I'm rolling over it.
24:50
Don't push too too hard, and make sure that you're not on that floating rib.
24:55
You're in the middle of the QL, right there, getting to the belly of it.
25:01
And you could even squeeze it with both your thumbs, or your fingers if you can't use your
thumbs.
25:09
Almost like you're squeezing a pimple. Right there. So this is a good way to get to the hip hiker.
25:17
And you can also get the iliac crest really good right here from the side lying position.
25:22
You can really go down the iliac crest and get all those origins that feel tight.
25:27
A lot of people have pain right here at the origin of the QL and the latissimus also.
25:37
And for another video on the deep hip rotators, there's another video that we made to show you
25:42
the deep hip rotators and the glutes, which also have insertions along here.
25:48
So you wanna make sure and tune in for that video. You can apply your lotion to go up the
erector spinae.
25:57
You can really get the erector spinaes from here, and the latissimus also. I know it's not drawn on
this side, it's on this side drawn.
26:05
But from here you can really get the latissimus dorsi. Remember that it's the back posterior
axilla,
26:15
and you can lift it if people have problems with their latissimus, and you can also ask her
26:23
to hold her arm up right here, and you've got the sheet covering her.
26:31
And you can really lift up the lat right here.
26:38
And you can get to the, even the serratus anterior.
26:45
The serratus anterior is the boxer's muscle that helps you deliver a punch, and it's right along
here.
26:52
So it originates on ribs one through eight, so you wanna make sure.
26:58
And from the side lying position you can really access the serratus anterior muscle.
27:06
And the lat right here. You can massage it, going down one inch strips.
27:14
All the way down. And when she puts her arm down. You can... Make sure her arm holds the
sheet.
27:21
You can go back to doing effleurage, you can use your knuckles, you can do figure eights.
27:31
And now we can get to the rhomboids. For the rhomboids you just kinda push back
27:38
a little bit here and have her scapula pop out, and with your fingers, or even with your knuckles,
27:46
you can go right around the medial part of the scapula to really get, like if you find a trigger
point
27:53
then you can hold it there for a minute. And all I'm doing is just harnessing her shoulder
27:58
just a little bit to give me some support and to stabilize. Remember you always wanna stabilize
the shoulder joint,
28:07
which is what the S.I.T.S tendons do. That's what the rotator cuff muscles do.
28:12
They stabilize the shoulder girdle.
28:20
You can go one inch strips again and get the occipital ridge, right where the upper trapezius
originates.
28:32
And the levator scapula. You can get close to the spinous processes.
28:39
You can do a little bit of kneading right here, the upper trap.
28:46
And also, while you're here, you might as well get the supraspinatus. You know, we've got the
supraspinatus here,
28:53
and you've got the rhomboids right here, you can get 'em on both sides, but I like to turn 'em both
ways.
28:59
So I do one side first, and then the other side. And then you can really get right here
29:05
to the spinalis again. The longissimus, an inch out,
29:10
and about two inches out you'll see the iliocostalis. And you can get to the insertions of the
iliocostalis
29:19
right on each rib. You can go up and get right in between the ribs to get to the iliocostalis
insertions.
29:30
So this work is very, very important in really targeting very specific
29:37
the quadratus lumborum, the erector spinaes, going up the lamina groove, and the rhomboids
right here
29:45
and the upper trapezius. And the lat. All of this is just a perfect way to really expose them
29:52
and go a little bit more detail, which is what I like to do. I like to call it detail work and specific
work.
30:00
It's not about how deep you go, it's not about how much pain, it's just about being specific with
your client.
30:07
Make sure that you do your nerve ending strokes at the end, help your client relax.
30:12
So make sure that you reach closure with your client.
30:17
Stay tuned for our next video, subscribe to my channel, and give us a like. Follow me on
Instagram for AMP reviews,
30:24
and check out my website for any classes or products that you might want. All the links are
below.
30:30
Til the next time, create a good day. (melodic music)

Deep Hip Rotators & Glutes

(soft jazz music)

0:05
- Hi, Maria here, today I'm gonna be showing you
0:07
some anatomy and physiology and techniques
0:10
to release the deep hip rotators and the three glutes.
0:13
And I would like to start with my client supine
0:17
and show you a couple of test, actually three,
0:21
to show you if it is sciatica, 'cause I know,
0:23
all my clients that have low back pain,
0:25
right away they say it's sciatica and they self-diagnose,
0:29
so what I would like to make sure
0:30
that you stay within your scope of practice
0:32
and remember that this is not for diagnosis.
0:35
We do not diagnose, but it is very helpful for us
0:39
to know the difference, whether we can help
0:41
our clients or we need to refer out.
0:43
So while she's in the supine position,
0:46
the first thing we wanna do is do the tests.
0:51
I have the client holding the sheet right here
0:53
and don't feel bad if you ask your client
0:55
to hold the sheet so that she can keep control
0:59
of the tightness so nothing is exposed.
1:02
When we're working the deep hip rotators
1:04
and the glutes, it's very important
1:06
to ask your client to disrobe completely
1:08
'cause then you can really get in very specific work.
1:12
So this is why she keeps control, the sheet,
1:15
so nothing is exposed at any time.
1:18
This is the straight leg test.
1:21
You lift the leg about 30 degrees
1:23
and make sure you ask your client,
1:25
look at their eyes, have eye contact with them
1:28
because their facial expressions can tell you
1:31
if they're feeling any pain, they might not
1:33
tell you right away, but you'll see 'em flinch.
1:36
If I go higher and she flinches,
1:38
then she'll tell me yes, she has pain.
1:40
So you can go up 30 degrees all the way
1:43
up to 90 degrees, and if she does have pain,
1:46
the sciatic nerve is being stretched
1:48
at this position, so if it is sciatica,
1:51
she would feel pain.
1:53
At this point, it's a positive test,
1:55
so then you would wanna do the Braggards test,
1:57
which you would dorsiflex the foot several times.
2:01
Two or three times, not several times,
2:03
two or three times to see if that also causes pain.
2:07
So then at that point, if it's a yes,
2:08
then you bring down the leg, you always assist,
2:11
and that would tell you that that is
2:14
more than likely coming from the lumbar area.
2:17
There might be something going on there.
2:20
The third test is for the piriformis syndrome.
2:24
You bend the knee, and you bring the leg
2:26
over to the height of the opposite knee,
2:29
bring it over this way, and push her over,
2:33
her leg over, stretching the piriformis muscle.
2:38
And this will let you know if it's
2:40
the piriformis muscle or the lumbar area
2:43
that's causing sciatic nerve pain, or other.
2:45
I'll show you all, so when she's prone,
2:47
I'll show you other things that it could be.
2:50
So at this point, if it's hurting here and pulling here,
2:53
more than likely then it's the piriformis.
2:55
If it's the Braggards test, the straight leg test,
2:58
then it's probably the lumbar area.
3:00
You assist the leg always, you don't let it flop,
3:03
and at this point you would have her let the sheet go.
3:08
Also, another thing, if your client does
3:10
have low back pain, when they are in the supine position,
3:14
you always wanna put a bolster, 'cause that takes
3:16
the pressure off the low back.
Deep Tissue Massage
3:22
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3:26
It has 200 milligrams of CBD oil.
3:29
It is topical, not edible, and I use it specifically
3:32
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3:36
It's got very good natural ingredients.
3:38
If you're interested in this product,
3:40
I sell it on my website, and you can look at the link below,
3:43
and you use a dime size, it comes already pre-measured.
3:48
It's very good, it glides very good.
3:52
I wanna show you some techniques
3:53
from this position while she is supine.
3:56
I am warming up a little bit the TFL
3:58
and the IT band, and from here,
4:01
you can actually get the glutes,
4:03
and what I'm doing is I'm cupping my fingers
4:05
a little bit and going medially
4:06
right on the lateral border of the sacrum
4:09
and pulling out, 'cause this way
4:11
I am also massaging the piriformis,
4:13
the gemellus, the obturators, all the way down.
4:18
And this is her gluteus maximus
4:20
that we drew yesterday on there.
4:23
And what I'm gonna do is go with eight
4:27
figure eights right here, along
4:30
the trochanter here,
4:33
and show you real slowly because
4:35
all of the deep hip rotators insert right here
4:38
on the trochanter, like a hubcap, like that.
4:41
There's six of 'em, so they're all right here
4:44
and insert right here, so you wanna make sure
4:47
and get all of the insertions in the IT band
4:50
'cause the IT band is really tight on a lotta people.
4:54
So from this angle, this is all you would wanna do,
4:57
just some effleurage, petrissage, this is petrissage here,
5:01
some figure eights with the knuckles.
5:04
Get in there really close, you can feel
5:07
her trochanter right there, and you can
5:10
get the muscles from this angle.
Sideline Massage
5:21
Now we're on the side-lying position,
5:22
and you always wanna make sure
5:24
that you're supporting the cervicals,
5:26
that they're straight from C1 to C7,and from T1 to T12,
and from L1 to L5,
that that's a straight line.
5:35
You put pillow between their knees, the bottom leg
5:38
is straight, and the top leg goes over, bent.
5:42
In this side view right here, you can see,

it really shows the glutes and we drew 'em for you.

5:47
We cut out part of the gluteus maximus,
5:51
'cause the gluteus maximus is still covering right here,
5:55
but we cut it out a little bit
5:57
so that you could see the gluteus medius.
5:59
This is where you get a shot, when you go
6:01
to the doctor and you get a shot, it's always
6:02
in the gluteus medius, and the gluteus minimus,
6:06
it's right here, underneath also the gluteus medius.
6:10
So you can kinda see the gluteus maximus,
6:14
the origin at the sacrum, at the ilium,
6:18
insertions at the greater trochanter,
6:21
and also the gluteus medius at the iliac, the origin,
6:25
insertion at the greater trochanter,
6:29
and the gluteus minimus.
6:31
You have nine muscles on each side,
6:33
you have your three glutes,
6:35
and underneath the three glutes are the six deep rotators.
You have your gluteus maximus, medius, minimus,
6:44
you have, underneath that, you have the piriformis,
6:47
gemellus superior, gemellus inferior, obturator externus,
6:52
obturator internus, and the quadratus femoris.
6:56
All of those are underneath here,
6:58
and they're drawn on the other side.
6:59
You will get to see those, too.
7:01
From the side-lying position, you can do figure eights,
7:05
you can do skin rolling to warm up the muscle.
7:10
You always wanna make sure and tuck in right here
7:12
at the hip, at the waist, so that nothing's exposed,
7:16
and she holds the sheet with her arm.
7:19
You can make sure that just expose this area.
7:22
You can turn 'em on either side
7:23
that's hurting, and you can do some petrissage,
7:28
some effleurage,
7:31
and this really exposes
7:33
the muscles really, really good for you to be able
7:36
to reach the insertions, like right here, at the trochanter,
7:40
remember the trochanter, where the femur,
7:43
the acetabulum goes into the hip joint,
7:46
it's all right here and you can really get the trochanter,
7:50
all the insertions of the muscles and the trochanter.
7:53
Remember
7:55
the six muscles of the deep hip rotators
7:59
are right here like a hubcap, so they all come
8:02
from the glute, underneath the glutes,
8:04
and insert right there around the trochanter,
8:06
so you wanna make sure and go underneath,
8:10
feel the bone, and get all those insertions.
8:14
This really relieves a lot of tension and a lot pressure.
8:19
This is a really good position for you to get each muscle
8:24
underneath the superior
8:27
and the inferior muscles, and also
8:29
the superficial and the deep muscles.
8:33
Remember that muscles come in layers,
8:35
so the glutes are more superficial to the deep hip rotators.
8:40
Right here, you have your sacrum is a triangular-shaped bone.
8:48
All the muscles attach, originate right here.
8:51
Remember their origins are usually medial to the body,
8:55
and the insertions are more distal.
8:58
From this place right here, you can really get
9:01
all the origin of the gluteus medius,
9:05
maximus.
9:08
Right here, you can do one-inch strips,
9:13
you can do figure eights, you really wanna
9:16
be able to address all the muscles right in this area,
9:20
right here, and this is a little bit deeper,
9:22
and you address muscles that maybe you wouldn't be able to,
9:27
that we weren't able to get from the supine position.
9:32
And you can also, from this side,
9:33
you can also work the IT band.
9:36
You go to the opposite side and work the IT band,
9:39
and just work all of this area right here
9:41
where all of the muscles insert.
9:45
I sometimes use over the sheet, and that's fine.
9:50
I can massage over the sheet, and that's fine, too.
Compression vs Entrapment
10:03
I wanna talk a little bit about the difference
10:05
between entrapment and compression.
10:08
Entrapment is when it's muscular,
10:11
compression is when it's osseus,
10:13
meaning coming from the bone.
10:15
We can help our clients when it's entrapment.
10:17
That means that the muscles are tightening
10:20
on the nerve, and when it's compression,
10:23
it has to do from the lumbosacral.
10:26
The sciatic nerve
10:27
has
10:28
five
10:30
roots.
10:30
They come from
10:32
L4,L5,s1,s2,s3
10:33
They join and make up the sciatic nerve,
10:39
which is as thick as your thumb,
10:40
and it goes underneath the piriformis, down the leg,
10:43
and all the way down to the heel and to the foot.
10:47
When your client comes in with pain, you know it's severe
10:50
if it's already traveling down the thigh and the calf.
10:55
If it's just right here, you need to do some investigating
10:57
because a lotta times it's not the sciatic nerve.
11:00
A lotta times it could be the gluteus minimus,
11:03
which mimics sciatic nerve pain.
11:06
It could be the biceps femoris.
11:08
When the hamstrings are tight and the biceps femoris
11:11
is pulling, it can cause low back pain.
11:15
It could come from the tuberis ligament,
11:17
the sacroiliac ligament,
11:20
it could be from the minimus or the piriformis.
11:25
We can help a client if it is
11:27
the soft tissue, meaning entrapment.
11:30
If it's osseus tissue, that's where the doctor
11:33
comes in, and they diagnose that, usually with an MRI.
11:38
It can be from a slipped disc, from a herniated disc,
11:42
from stenosis, that's the narrowing
11:48
of the foramen in the bone, and
11:51
for us, we're gonna stick with the soft tissue.
11:54
So what you can do is work the piriformis,
11:58
which is shown right here, and you can only have
12:00
this side exposed, you tuck in at both sides.
12:03
You don't wanna tuck in at this level.
12:06
You wanna tuck in at the leg and around the waist here.
12:11
Tuck in the sheet really good.
12:16
All six muscles insert right here.
12:20
You can start superiorly and work yourself
12:23
inferiorly, right around the trochanter.
12:34
And the gluteus maximus inserts
12:36
right here at the gluteal tuberosity
12:38
of the femur, and also the iliotibial band,
12:44
so you wanna do figure eights.
12:54
You wanna start at the origins right here,
12:57
at the sacrum, remember the sacrum
12:59
is like a triangular-shaped bone right here,
13:03
so you wanna feel the edge of the sacrum.
13:05
You feel the bone and then it dips down a little bit.
13:08
That's where almost all the origins,
13:10
the origin of the piriformis is on the interior part of the sacrum,
13:15
and it inserts at the greater trochanter.
13:17
This is obturator internus, the obturator externus
13:21
originates at the pubis, this is the quadratus femoris,

the gemellus superior, gemellus inferior,

13:29
which are really faded, I'm sorry.
13:32
And then we took away the glutes,
13:34
remember the glutes were on the other side,
13:36
but you wanna make sure and start at the origins.
13:42
You have all the origins of the gluteus maximus,
13:45
the piriformis, the obturator is at the ischium,
13:48
the ischium.
13:50
The ischium bone is the one that you sit on.
13:53
The gluteus maximus moves out of the way
13:55
so that you sit on the ischium bone.
14:00
The pelvic girdle is made up of the three bones:
the ilium, the ischium, and the pubis.
14:06
These are very tender 'cause most people
14:08
don't get these muscles worked on,
14:10
so don't apply too much pressure.
14:12
Remember, it's more about being specific and staying
14:14
within the pain tolerance of your client.
14:17
I usually use the scale of one to ten,
14:20
ten being the most pain they can tolerate,
14:22
zero being no pain, and I ask 'em,
14:24
"What feels comfortable?" and I try
14:26
to keep it between a five and a six.
14:29
You can tuck the sheet in right here with your knuckles,
14:32
and I just do, with my knuckles,
14:34
I go over the trochanter again.
14:39
For bulkier people, you can use your forearm.
14:42
You always wanna push in, if you're gonna use
14:45
your forearm, you always wanna push in.
14:48
You never wanna pull out, you never wanna
14:50
separate the cheeks, you always wanna push in.
14:53
And hold the sheet on this side, too,
14:56
if they've disrobed, or you can also work over the sheet.
15:00
The origin of the biceps femoris
15:02
is right at the gluteal fold, a lot of times,
15:06
that is tight and it pulls, and it may cause
15:10
low back pain, when in reality,
15:12
is the biceps femoris that is tight.
15:14
So you can massage over the sheet,
15:17
you can make sure and go to the gluteal fold,
15:20
to the origin of the biceps femoris
15:24
and check that out and make sure that
15:26
that's not what's causing the low back pain.
15:28
So you have several things that you need
15:31
to investigate to make sure that you know
15:33
what is causing the low back pain.
15:36
It could be the tuberous ligament,结节韧带
15:38
it could be the SI joint 骶髂关节, it could be the piriformis,
15:42
it could be the gluteus minimus.
15:44
Gluteus minimus also mimics sciatic nerve pain.
15:48
You have a lotta clients that,
15:50
right here at the insertion, it's a little bit
15:54
above the trochanter right here, where it inserts,
15:58
right there, and a lotta people feel pain,
16:01
and that mimics sciatic nerve pain,
16:03
and it's not sciatica, it is the gluteus minimus.
16:07
So you wanna make sure and do some investigation
16:10
before you tell your client, "Oh, you have sciatica."
16:14
Sciatica is a symptom, it's not what causes it.
16:17
Sciatica is a symptom, just like your headaches
16:20
are a symptom of something more,
16:22
like if you have high blood pressure,
16:24
then you get a headache, sciatica is the symptom.
16:27
It's not the cause, sciatica is a symptom
16:29
of the sciatic nerve being inflamed
16:31
when the sciatic nerve is being pinched,
16:35
pressed by the piriformis.
16:41
So you wanna make sure and address
16:42
all the muscles here to figure out, and to help
16:46
the client to figure out, what brings relief.
16:54
Another way to get to
Stretching
16:57
stretching this, you bend the knee,
17:01
the leg at at 90 degree angle,
17:02
and make sure that the leg is not way out here
17:04
because you could dislocate something here.
17:06
You wanna make sure that the leg is tucked in.
17:09
I've seen this done before where the leg
17:11
is really out, and no, the leg has to be in.
17:14
You can place your hand right here,
17:16
and you can feel the muscles move,
17:19
like if you wanna go right on the piriformis, you can,
17:22
and all you're doing is you're putting pressure,
17:24
and you're rotating the leg in and out.
17:27
And you can feel the muscle moving, and you can start
17:31
superiorly,
17:33
one-inch strips,
17:36
do it a couple times and move down.
17:42
You can really feel where the muscles move,
17:43
and you can feel the tension in the muscles
17:47
below your fingers, and for somebody that's a little larger,
17:51
I would use, probably, my knuckles
17:53
to try to make sure that I keep the hip stable.
18:02
Yeah, this is a little bit easier for me
18:04
to use my knuckles than my fingers.
18:07
After 30 years of practice,
18:09
I can't use my fingers too much anymore.
18:14
But this is really to go around the trochanter
18:16
and put a little bit of extra pressure,
18:18
and remember, you've gotta stay within the pressure
18:20
of the tolerance of the client.
18:23
I use the scale from one to ten,
18:26
ten be the most pain they can tolerate,
18:29
zero being no pain, and I usually ask 'em
18:31
to stay within a five or a six, that's more comfortable.
18:35
This type of work is not about how much pain
18:37
they can tolerate, this type of work
18:40
is about being very specific, that's what this
18:43
type of massage does, is very specific,
18:46
targeting each muscle individually.
18:49
And that way, you can really get to what the problem is.
Frog Style
18:59
This is another position that you can
19:01
really get to the trochanter, right here.
19:04
I've put her knee up,
19:07
and I call this the frog style because it really opens up
19:11
the hip right here, all of these insertions
19:14
right here, again, that you can get to,
19:19
and massage right here.
19:27
You can also work the TFL, the insertion of the gluteus maximus.
19:40
You can use your forearm for bulkier and bigger people,
19:44
and just don't put too, too much pressure
19:47
where it's hurting the client,
19:49
but you can gauge and keep on eye on 'em
19:51
or asking them if it's okay to do this.
19:54
You can go a little deeper here.
19:56
It kinda relaxes the muscles here a little bit.
19:58
It kinda flex the muscles here so they're not pulled tight.
20:02
That's why I like this position right here.
20:04
You can also cover the glute completely
20:07
if that feels the client more comfortable.
20:10
I'm just showing you so that you could see,
20:12
since we drew the muscle, so you could see
20:14
what it looks like, but you can cover the client.
20:18
You can do circles here, you can really feel
20:21
the sacrum, the edge of the sacrum here,
20:24
and the ischium, so this position is really good
20:26
to really get a little more detail
20:28
and a little deeper and more specific.
20:33
She doesn't have low back pain,
20:37
and people that have low back pain,
20:39
they really appreciate you doing this work.
20:42
You always wanna assist your client when you put
20:44
the leg back, support the leg, and remember
20:47
that if your client has low back pain, you wanna have
20:50
a bolster underneath their legs, and when they're
20:54
in the supine position, underneath the knees.
20:57
In conclusion, what I really want you guys to understand,
20:59
the difference between entrapment and compression.
21:02
Remember, entrapment, we can help our clients
21:05
because that has to do with the soft tissues,
21:07
the piriformis and all the glutes and deep hip rotators.
21:10
Compression comes from osseus tissue,
21:12
and that's a diagnosis from a medical doctor.
21:15
That's beyond our scope of practice.
21:19
We are investigating, when we work on somebody,
21:21
we wanna make sure that we figure out
21:24
whether it's the biceps femoris
21:26
or the gluteus minimus or the piriformis,
21:30
or it could be even the QL, so make sure
21:33
that you do your investigation
21:35
and that you really treat the whole area.
21:37
When in doubt, treat the whole area,
21:39
and you'll be able to help your client.
21:41
And if you like our video, please give us a like.
21:44
Subscribe to my channel, and stay tuned for our next video.
21:48
Follow me on Instagram, and check on my website,
21:51
especially if you wanna check out
21:52
the deep tissue massage cream with 200 mg of CBD oil.

Forearm Anatomy: Help Relieve Carpal Tunnel Syndrome

0:01
Today we're gonna be working on Angel, our model.
0:05
And I'm gonna be talking about the forearm muscles,
0:07
flexors and extensors, give you a little bit of anatomy,
0:10
physiology, some pathologies, a couple of pathologies.
0:14
And also some techniques.
0:16
And also, for my Latin American countries.
0:20
(speaking foreign language)
0:30
So, here we are with, I'm gonna start actually
0:33
with a little bit of technique here
0:35
and show you some of the muscles that we've got,
0:39
that we drew for you.

This is the brachioradialis right here.

0:44
So this is a very tight muscle on most people
0:49
and here's the pronator teres.
0:52
The pronator teres actually presses
0:55
the median nerve sometimes.
0:56
So a lot a times when people have pain,
0:58
especially massage therapists
1:00
or people that are on the computers all the time,
1:02
it really does start to hurt.
1:04
Remember that the median nerve goes into the palmer side
1:07
of the hand and the radial nerve feeds the top of the hand.
1:11
And the ulnar nerve is these one and a half fingers,
1:14
right here, the pinkie and the one next to it.
1:17
Radial nerve, radial nerve, and then here it splits,
1:20
median and ulnar nerve.
1:22
And right here, this muscle right here,
1:24
would be the flexor carpi radialis,
1:28
the palmaris longus is the tall skinny one,
1:30
looks like a palm tree.
1:32
It's the only one out of the nine tendons
1:35
that does not go through the carpal tunnel.
1:42
If you fold your wrist,
1:43
you can really see that tendon pop up.
1:45
The one that pops up when you flex your wrist,
1:48
that's the one, that's the palmaris longus,
1:52
it does not go through the carpal tunnel.
1:54
Right here we have the flexor digitorum superficialis 浅屈肌
1:59
and if there's a superficialis,
2:01
there's one that's deeper.
2:03
We didn't draw all of 'em because it would just
2:04
make it look real messy.
2:05
So we drew most of 'em.
2:07
And then right here on the ulnar side,
2:09
you've got the flexor carpi ulnaris.
2:12
So the ulnaris is on the ulnar side,
2:13
radialis is on the radial side.
2:16
And here, the tendons, go right through the carpal tunnel
2:19
except for the palmaris longus, okay?
2:22
So here you can make sure you massage
2:25
all the tendons that go through here.
2:27
If you can see, her hand even starts moving.
2:31
I like to do a little bit of warming up
2:33
of the muscles first.
2:35
And the way I start is I do some skin rolling.
2:39
Just doing some skin rolling over all the muscles
2:41
to warm 'em up.
2:44
And I'm really getting to the fascia.
2:46
Remember the fascia is that white, slimy looking film
2:51
over each and every muscle, it encases every muscle.
2:54
I can do some petrissage.
2:57
I can do some effleurage.
2:59
And I know all of us have seen that,
3:01
you know the effleurage and the petrissage.
3:04
And of course, when I'm working on a client,
3:07
I extend it all the way up to their shoulder.
3:10
I don't just focus on this area,
3:12
but for the sake of the video,
3:13
we're just gonna go ahead and show you some
3:15
of the techniques here.
3:18
So, when after I do some of the skin rolling
3:20
to warm up the fascia,
3:22
then I can go into a little bit more detail.
3:25
And one of the techniques that I really like to work on
3:29
for people with carpal tunnel syndrome
3:31
is when they flex and extend,
3:33
'cause you're engaging both,
3:34
the flexors and the extensors
3:36
and I'm gonna ask Angel to flex and extend slowly,
3:40
back and forth and I'm putting pressure
3:43
and I'm moving down really slowly,
3:46
about one inch at a time.
3:48
People that have carpal tunnel syndrome,
3:50
you wanna do this technique about two or three times
3:53
and this really helps them to engage the muscles
3:57
and go back a little bit further.
3:59
The more pressure you put,
4:01
the more that they engage those muscles
4:03
and it releases them.
4:04
Especially because the radial and median nerve
4:07
go through these muscles and you wanna go ahead
4:10
and start releasing them 'cause that what causes the pain
4:14
when they're being pinched too by the muscles,
4:16
if there's not enough blood flow.
4:18
If they have ischemia anywhere,
4:21
you wanna make sure and get to every muscle here.
4:26
So she extends all the way and then she flexes.
4:30
Flexing, remember is the closing of an angle.
4:32
Extension is the opening of an angle.
4:35
So you wanna do this two or three times
4:37
for someone that has carpal tunnel.
4:39
If you wanna go a little faster the second time,
4:42
but I really go very slowly and one inch strips.
4:46
Now another one that is part of this one
4:50
is I'm gonna have her do adduction and abduction.
4:53
And she's gonna tuck in her thumb,
4:55
she's gonna go back and forth.
4:57
This is also very good.
4:58
This is actually part of the test
5:00
for carpal tunnel syndrome.
5:01
'Cause if it hurts when she goes adduction,
5:05
that's really pulling on the tendons that go through there.
5:10
So this is very good to really get all the muscles engaged.
5:19
And if your thumbs get sore,
5:22
you know, you don't need to put that much pressure.
5:25
But you wanna do this like I said,
5:27
two or three times for each side.
5:38
Okay and then you can do one at a time.
5:39
You can get one muscle at a time.
5:43
Remember that you work 'em origin to insertion.
5:47
The origin's on the medial epicondyle of the humerus
5:50
and the lateral epicondyle of the humerus.
5:53
This is where they originate and then they go into
5:57
the ulnar side or the radial side
6:00
and you work the origin, belly, insertion.
6:05
Origin, belly, insertion.
6:15
Remember you also always wanna push towards the heart,
6:18
the blood towards the heart.
6:20
We have veins and they have little valves
6:23
that close after the blood passes,
6:25
so you don't wanna apply pressure towards the hand,
6:28
you always wanna apply away, towards the heart.
6:33
That way you don't damage the valves.
6:38
Right here, is the pronator teres
6:40
and right here at the pronator teres,
6:43
the median nerve goes through here.
6:45
A lot a times they have a big trigger point right here.
6:48
So you wanna release this muscle right here
6:51
so that it doesn't cause too much pain into the palm.
6:54
The palmaris longus,
6:56
it goes all the way into the aponeurosis
6:58
of the palm of the hand.
7:00
So this, we just drew it up to here,
7:03
but remember the tendons are long and thin
7:06
and they go through the carpal tunnel
7:08
and they extend into the palm.
7:10
And they're the ones that move the fingers,
7:12
all these muscles.
7:13
And you're like, I can move her fingers just by going down.
7:17
See how her hand is moving?
7:19
'Cause this is what controls your digits.
7:23
Your muscles here, flexors and extensors,
7:25
is what controls all your fingers.
7:28
So for people that are on the computer all the time,
7:31
you wanna make sure and work around the wrist
7:35
and each and every one of these muscles right here,
7:38
from origin, to insertion, the belly, one at a time.
7:42
(light music)
7:44
These are the extensors.
7:45
The extensors are on the hairy part side.
7:48
The flexors are on the side that have no hair.
7:51
So right here, the extensor carpi radialis longus.

And if you have a longus,

7:57
then you have a carpus radialis brevis.
Right next to that would be the extensor digitorum
8:03
and then the extensor carpi ulnaris.
8:07
Ulnaris go on the ulnar side.
8:09
Radialis go on the radial side.
8:13
And if they have trigger points like here's
8:15
a really good trigger point right there
8:17
and I just hold it from 10 to 15 seconds.
8:23
I can move up, like half inch at a time to the (laughs)
8:28
you feel that? - I feel that one (laughing).
8:30
- [Maria] Okay, on a scale from one to 10,
8:32
what pressure would you say that is?
8:33
- [Angel] It's not the pre, the pressure's good,
8:35
it's about a six. - A six, okay,
8:37
remember to, - but the feel is intense.
8:39
- yeah. - I can feel it
8:39
in my middle finger. - Oh yeah, there you go.
8:43
So this would be the radial nerve right there.
8:46
So you wanna make sure,
8:47
and you could even grasp it right here.
8:51
- [Angel] It feels so good.
8:56
- It's a good hurt, huh? - Yeah.
9:02
- [Maria] See and that's what I mean
9:03
about for a massage therapist
9:05
that this one's really something you wanna work out.
9:18
(skin rubbing)
9:48
This is actually from the Chinese massage.
9:51
- [Angel] I really like this.
9:55
- Yeah, and I can put more pressure.
9:57
You can go to the origins,
9:59
make sure you get all the origins.
10:01
So to work on somebody that has tennis elbow,
10:05
you wanna go here.
10:06
If they have golfer's elbow, it's on the inside
10:10
on the median side of the epicondyle.
10:12
And tennis elbow is on the lateral side.
10:19
You can do trigger points you know by holding
10:22
from eight to 15 seconds on each.
10:25
I have most of my clients have
10:29
trigger points in the pronator teres
10:31
and the brachial radialis.
10:35
So you wanna make sure and even target one muscle
10:38
at a time, or one trigger point at a time.
10:45
Especially people that are on the computers
10:48
or they play tennis or even baseball players.
10:52
These techniques that I just show you,
10:53
the stripping, you know down,
10:55
that's really, really good for people that are
10:58
on the computer all the time, that use their thumb.
11:00
And when you do this, when they tuck their thumb in,
11:02
tuck your thumb in,
11:03
and they flex it, like adduction and abduction,
11:07
if that hurts, more than likely they're already starting
11:10
to have carpal tunnel syndrome.
11:12
Another technique that you can ask them
11:14
is if they grasp and they drop things,
11:16
that already, you know, they're having problems
11:19
with their flexors and extensors.
11:22
And one of the things that I can tell you
11:24
that I've really been able to help a lot a people
11:27
that have even had surgery already
11:30
and then they come in and I work on 'em
11:31
and they find so much more relief
11:33
because the muscles are so tight,
11:36
they're so ischemic that they really cause so much pain
11:39
and people are just, they just wanna find relief
11:41
and the massage really helps them relieve
11:44
all that pressure.
11:45
And it starts letting up, letting the blood flow.
11:48
Remember, blood flow is what brings nutrients
11:52
to the muscles.
11:53
We're not miracle workers.
11:56
The body's the one that's the miracle worker
11:57
because it brings in the blood flow
12:00
and blood brings in oxygen, nutrients,
12:03
to the muscles and then they start healing themselves.
12:08
So this is the stripping.
12:12
This is the petrissage.
12:15
This is the skin rolling.
12:20
And then you can do some effleurage.
12:31
(skin rubbing)
12:52
You really wanna get to the pollicis muscle
12:56
which is right here.
12:57
Also in traditional Chinese medicine,
13:00
this is called the Hegu point.
13:08
You wanna get in between all the metacarpals.
13:15
(skin rubbing)
14:13
Okay massageners, don't forget that these techniques
14:16
are very good for carpal tunnel syndrome
14:18
and also for musicians, for gamers,
14:23
I've found one of my clients is a gamer
14:26
and she really hurt her thumb and couldn't work
14:28
and I really had to work the brachial radialis.
14:31
Also for people that are on the computer a lot
14:35
and massage therapists, let's don't forget our arms.
14:38
You know if you're a trading massagist,
14:39
make sure you trade massages and work all this area
14:42
for massage therapists too.
14:44
And I wanna say a special thank you to Angel, our model,
14:47
who is now moving to Fort Bragg
14:50
and you can follow her on Instagram @brbmassage
14:53
and she's been just so wonderful
14:56
and I want you to follow here, okay?
14:57
And we're gonna keep tabs on you.
14:59
Thank you Angel for being so beautiful and perfect
15:02
and being here. - I love you.
15:03
- I love you too (laughs).
15:05
We're gonna miss you, our whole crew's gonna miss you.
15:07
So, thank you Angel.
15:09
And so guys don't forget to follow me on Instagram.
15:12
Don't forget to subscribe, hit that notifications button
15:15
and all the links are below.
15:16
Till the next time, create a good day.
15:19
- Hey, as you guys know, I'm also a massage therapist.
15:21
I learned everything I know from Maria
15:23
and I'm starting my own business
15:25
in Fort Bragg, North Carolina called Battle Ready Bodywork.
15:28
This wonderful, talented artist, Michael,
15:31
he's the one that does the muscles.
15:34
He made this for me, so I wanted to give him a shout out.

Massage the Quadriceps

0:02
welcome back massage nurse I am here
0:04
with our new beautiful model Laura and
0:07
today we're going to be doing the quads
0:09
which is the counterpart to the
0:11
hamstrings so if you haven't checked out
0:13
that video make sure you check it out
0:15
okay I'm gonna be doing a little bit of
0:18
an animal physiology and some technique
0:21
and then some pathologies are a couple
0:24
of pathologies so let's get right on in
0:26
and this other quads quads means four
0:29
it's got four muscles the vastus lateralis
the vastus medialis and the
vastus intermedius and
the rectus femoris
the origin of the rectus femoris
0:42
is a real sensitive area so you want to
0:44
make sure that when you tuck in the
0:46
sheet you tuck in at the waist and at
0:48
the thigh on the inner part and then you
0:51
roll it up you know
0:52
so to palpate for her AI is which is the
0:57
origin of the rectus femoris remember
1:00
the highest part is the anterior superior iliac spine
and that's where
1:06
the Sartorius originates okay so the
1:08
Sartorius originates like right up here
1:10
and you go down about two inches at this
1:14
bony landmark and that's the AI is the
1:18
anterior inferior iliac spine and that's
1:22
where the rectus femoris originates so
1:25
you can palpate that you know and then
1:27
here it comes down and it's actually not
1:30
as big as people think it's a little bit
1:32
thinner the one that's the biggest one
1:35
of the four is actually the vastus
1:37
lateralis you know if she flexes you can
1:40
really see look at look at how beautiful
1:42
or muscle shows up here so this is the
1:44
vastus lateralis because it's on the
1:46
lateral side and the tibial band that IT
1:49
band is over it and on the medial side
1:53
you've got the one that looks like a
1:54
teardrop so this is the vastus medialis
1:58
and obviously that intermedius meaning
2:02
in between is underneath the rectus
2:04
femoris okay so all four of them insert
2:08
right here at the tibial tuberosity
2:11
through the
2:12
or ligament so the quads on tendon ends
2:16
right here and then you've got your
2:18
patellar you know tendon right here and
2:20
it is right here at the tuberosity of
2:23
the tibia so you want to go ahead and
2:26
work on this area out and the origin of
2:29
the vastus lateralis is at the gluteal
2:32
tuberosity of the trochanter - and Linea
2:37
aspera of the femur the medial
2:40
originates in the Linea aspera of the
2:42
medial side and then the vastus
2:47
intermedius is right here underneath
2:50
also on the femur so as you can see
2:53
right here is where it's at so you want
2:56
to go ahead and start remember all your
2:58
dry work first so you want to do a
3:00
little bit of skin rolling you can do
3:04
some skin rolling before you start
3:07
applying lotions potions and oils just
3:11
to kind of get the fibers a little bit
3:13
warmed up and stretched I like to do a
3:16
little bit of stretching by holding down
3:18
with my right hand I hold on to the top
3:21
of the patella which is the knee I kind
3:24
of brace it here and kind of stretch it
3:25
out a little bit you know you can start
3:27
at the top and start coming down and
3:29
pull what I'm doing is pulling away from
3:32
mice from each both of my hands you know
3:37
this will really kind of give you a
3:39
little bit of a stretch you always want
3:42
to brace the knee just kind of give it
3:46
like a little little stretch you know
3:49
both sides you can see the fibers
3:51
stretching out and after you've done you
3:55
cross fiber skin rolling and you strike
3:58
just now you're ready to use lotions and
3:59
potions or whatever it is you like to
4:01
use I'd like to use a little bit of oil
4:03
and unless I'm doing very specific work
4:07
then I use the lacunae botanicals like
4:08
for trigger points if they have a point
4:10
if they have pain anywhere so you want
4:12
to go ahead and there's nothing wrong
4:14
with doing just some good old-fashioned
4:16
effleurage you know you do about three
4:19
to four strokes of ever watch get that
4:21
blood flowing the vasodilation and
4:25
you can do some with your flat fist
4:29
right here you know just kind of do
4:32
inside you know over the rectus femoris
4:38
on the sides to get the size of the
4:41
vastus and medius another technique that
4:44
you want to do to break up the fibers is
4:46
I like to lift I like to lifted muscle
4:51
tissues because remember they're kind of
4:54
in layers so you want to go ahead and
4:57
lift them up all the way to the origin
5:01
and just come down and lift up lift up
5:05
to separate the muscle fibers okay
5:09
another one will be cross section with a
5:11
little bit of oil you want to do the
5:13
cross section because that really
5:15
separates the fibers so you want to go
5:18
ahead
5:19
I remember you using your legs for
5:22
strength you don't want to do too much
5:24
with your upper arms because then you
5:26
start hurting your shoulders so you
5:28
don't want to want to stay in one place
5:29
you want to be you know interact you
5:31
want to use your legs to move you don't
5:33
want to do just this you know so you can
5:36
do as a rule of thumb I like to do three
5:40
to four fo Rajas you know three to four
5:44
times to do some good old-fashioned
5:46
petrissage get in here and then if you
5:55
want to start now doing after it's
5:56
warmed up you start doing some specific
5:58
work one of the things that I like to do
6:00
is really get the ligament right here
6:03
and the tendon of the quadriceps is I
6:07
like to use the bottom part of mine my
6:10
hand and just go across right here you
6:18
can do this for about one or two minutes
6:20
it really gets that tendon here and
6:22
that's you know I don't want to use my
6:24
thumbs too much so that's why I use this
6:26
part of my hand but you could also do
6:28
some stripping and this is one way to do
6:30
stripping guys like if you don't want to
6:32
overuse your thumbs you put one hand
6:34
over the other and just go up and with
6:36
this hand support it so if you're going
6:38
up
6:39
with your right hand then you support
6:41
with your left hand and just go up all
6:43
the way to the insertion and this
6:45
one-inch stripping I always feel that
6:47
the ones when inch stripping really
6:49
works because they lets me feel the
6:52
tissue underneath my fingers and I can
6:55
feel whether it's a little tension and
6:58
when there's a little tension that means
7:00
that it's ischemic and ischemia means
7:02
that there's not enough blood flow and
7:04
when there's not enough blood flow the
7:06
muscles are like starving
7:08
because there's no oxygen no nutrients
7:11
coming to them so it means like it's
7:13
really tight and you can really feel it
7:15
when you're doing your one-inch
7:16
stripping you can do it all the way up
7:20
and each little muscle fiber here so
7:26
it's important to do right here
7:28
especially along the IT band and I also
7:31
like to do with my fist like really go
7:36
up all the way like hold on here by the
7:38
knee and go all the way up and I'm what
7:41
I'm doing is I'm pressing my elbow
7:43
against my body so I'm used pushing with
7:46
my whole body so I have it here and then
7:49
I just go all the way up to the origin
7:53
so I'm going from insertion to origin
7:58
and so this is another stripping but
8:02
you're doing it one inch at a time until
8:04
you get through the whole quad and I'm
8:07
pushing with my legs you can also do
8:11
your forearm you know you can do forearm
8:15
and these are all you're going against I
8:19
mean you're going along the muscle
8:21
fibers here
8:29
and then after let's see I've done
8:31
already several going up along the
8:34
muscle fiber so now I want to do again
8:35
some cross-section here this is like I
8:39
said this is really important to kind of
8:41
break up the muscle tissues and then
8:43
again maybe some lifting the muscles are
8:46
really warmed up now and I can do some
8:48
lifting and I want to make sure and do
8:53
the patella around the patella remember
8:55
this tendons here are really you know
8:58
sometimes what causes the knee so now
9:01
I'll talk a little bit about the
9:02
pathologies tendinitis usually happens
9:06
right here where the tendons are people
9:08
have knee pain sometimes when the vastus
9:11
lateralis is so big because it is more
9:14
powerful than the other three it pulls
9:16
your your kneecap laterally so this one
9:20
is hypertonic and so it's pulling this
9:23
way and people start having knee pain
9:26
and a lot of times it's just attentive
9:27
attachment so you want to make sure and
9:29
hold support the patella here and then
9:33
go with your fingers you can do it one
9:36
finger over the other I just used three
9:39
of my fingers going around the patella
9:41
right here really getting to this tendon
9:43
attachments and don't forget you have
9:45
your pass and serenus of s and Serena's
9:48
depending who you're talking to which is
9:50
an insertion right here below that by
9:53
the tibia here on the left on the medial
9:55
side where you have your Sartorius,Gracilis, semitendinosus they all insert
10:02
right here so you want to make sure
10:04
while you're here you might as well
10:05
those are not part of the quads don't
10:07
refuse guys but you do want to work it
10:09
while you're here and that's what I tell
10:11
my students when I'm down just work
10:12
everything you don't even need to know
10:14
the names of them just work everything
10:16
so make sure you work the patella you
10:19
know and that you get all the tendons
10:21
right here along the knee down here at
10:25
the tibia
10:26
you know you can do some cross friction
10:29
here and if you have somebody coming in
10:33
with a strain remember there's three
10:35
types of strains and strain with a t
10:38
means that has to do with a tendon
10:40
Spring has to do with a ligament so
10:43
somebody comes through with it with a
10:45
you know with a strain they you know it
10:47
could be a type 1 type 2 type 3 type 1
10:52
is usually when they're just like really
10:53
Bruce and you know type 1 they pull the tendon
10:56
a little bit
type 2 is worse some of the fibers are tore like let's say that
11:01
three of these little fibers you know
11:03
torn off from the bone a
type 3 is the tendon tore off completely you
11:08
definitely do not want to do any
11:10
stretches when they have a type 3 strain
11:13
okay so if they're bruised usually type
11:16
3 strength they have bruises so make
11:18
sure that you you know you don't do any
11:20
stretches if they have a type 3 strain
11:24
but you can do it with a type 1 or type
11:27
2 you can work it
11:33
well if he's that you wanna address to
11:36
is a tendinitis you have a lot of
11:38
clients that come in you know with
11:40
tendinitis Peschel II like runners it's
11:41
common it's very common with people that
11:44
obviously overuse it would you be
11:46
lifting weights runners so tendonitis
11:48
has to do with a tendon you can ice it
11:50
and you can also make sure and work you
11:53
know the tendons all around here and
11:55
we're there in certain tendons remember
11:58
are at the insertions the origins and
12:00
insertions so you want to make sure it
12:03
worked a tendon like I said you can do
12:05
that fingers over each other or cross
12:09
fiber like this or with the palms of
12:13
your hands right here you know I like to
12:18
do both of the palms of my hands here
12:23
okay and I am going to show you now
12:25
another stretch you start with your
12:28
client with her legs straight and then
12:30
you ask her to flex slowly likes for me
12:35
and just go up slowly and this really
12:40
stretches the rectus femoris that's the
12:44
one I'm working on so she starts with
12:46
her leg straight and then again bend
12:50
your knee slowly you can do this up to
12:59
three to four times on each muscle so
13:02
again bend your knees and it's really
13:09
engaging she's doing the engaging the
13:14
muscles they work a bit and really the
13:18
hardest one to stretch is the vastus lateralis
13:21
because the IT band is over it 髂胫束
13:26
so this is underneath the IT band as you
13:28
all know the IT band is like really
13:30
difficult to stretch out and to work on
13:33
so it's there you know I like to do this
13:36
one to like make sure they're nice
13:39
straight i brace again the elbow against
13:42
my hip and then start bending and slowly
13:47
this one also gets in there to the IT
13:51
been really really good ok so then she
13:57
can relax another one that I like to do
13:59
is cross fiber right here for the IT
14:00
band
14:01
it's just with knuckles going down I
14:04
start like right above the vastus lateralis
14:09
and I'm also separating the
14:11
vastus intermedius and the vastus lateralis
14:15
and the IT band so you start
14:21
here and then you go down and all I'm
14:25
doing is bending my knees that's gonna
14:31
be another another video guys where I
14:33
show you Tai Chi how I use the Tai Chi I
14:36
use my horse stance and my Archer stance
14:39
you know where I use my legs so that you
14:42
guys don't hurt your body but as you can
14:44
see it's really separating the rectus femoris
the vastus intermedius and the vastus lateralis
you know and if you can
14:54
do that on this I - it separates the
15:00
muscle fibers and then you go back like
15:06
and if she had some specific pain then I
15:08
would use the La Quinta botanicals with
15:10
CBD oil especially like right around
15:13
where she would have like if she had
15:15
tendinitis or a trigger point then I
15:17
would use the CBD cream and just really
15:20
you know hold the trigger point there
15:22
like this this is a very common one
15:24
right here number eight right here is a
15:28
common one so I would hold that you know
15:30
anywhere from 10 to 20 seconds get her
15:34
to breathe and so that's when you get to
15:36
the specific work but don't forget at
15:40
the end you always want to take the
15:43
muscles back to relaxation let them know
15:46
that you're done and be nice you want to
15:48
set up the nervous system to relax again
15:53
so after you've kind of like went really
15:56
specific and I don't mean beat them up
15:58
and
15:59
made them cry but you always want to
16:02
make sure and get the muscles to relax
16:04
again so you want to do some effleurage
16:07
some long strokes some petrissage again
16:11
some cross fiber and then at the end you
16:16
want to make sure to do your nerve
16:17
ending strokes just to let the nervous
16:19
system relax again and that is that for
16:28
the quads for any of the massage nerds
16:32
merchandise make sure that you click on
16:35
the videos right underneath the videos
16:37
through T Springs they're supplying
16:39
all the t-shirts and the posters so
16:42
anything with the massage Turner's or
16:43
with a logo check it out on youtube make
16:46
sure you check out the hamstrings video
16:48
too and don't forget to subscribe and
16:51
hit the notifications button check me
16:53
out on instagram under massage
16:55
therapeutics 905 and also check out my
16:58
store where I have the lacunae
17:00
botanicals products and tools and that
17:03
would be massage therapeutics calm till
17:06
the next time create a great day

Hamstring Injuries
0:01

I wanna show you some anatomy today

0:04
of the hamstrings and the calf muscles,

0:08

so we drew 'em on for you,

0:09

which, Mike did an excellent job.

0:12

We're gonna start with the biceps femoris

0:14

or biceps femoris.

0:15

It originates right here at the ischium,

0:17

which is your sitz bone.

0:19

So you can really feel it right here on your clients,

0:22

and a lot of times, this causes back pain.

0:25

When the biceps femoris is tight,

0:27

it pulls down on the back.

0:29

So you wanna find the origin right here at the ischium.

0:33

It comes down, and the short head of the bicep

0:37

originates in the linea aspera of the femur,

0:41

and it inserts on the tibial side.

0:43

And remember, the tibial bone does not bear any weight.

0:48

The second muscle of the hamstrings

0:50

is the semitendinosus will be the pink one,

0:53

and this one inserts at the pes anserinus,

0:57

which is means pes anserinus

0:59

is three muscles attach right there

1:03

is the gracilis, sartorius,

1:05

and the semitendinosus with a t.

1:08

The next one is the semimembranosus.

1:11

It originates also at the ischium

1:14

and it goes down,

1:16

inserts again into the tibia.

1:19

Now for the gastrocnemius,

1:21

the gastrocnemius originates right here

1:24
at the femur and it goes down,

1:26

it kind of splits right here,

1:28

it goes down to the Achilles tendon,

1:30

all the way to the calcaneal tendon.

1:32

And the soleus originates right here also,

1:36

and it goes down the sides.

1:37

It's underneath the gastrocnemius.

1:40

Soleus means flat fish.

1:42

So it looks like a flat fish underneath the gastrocnemius,

1:45

and this is the pink one.

1:47

We drew just the edges and it also

1:50

inserts at the calcaneal tendon

1:52

(jazzy music)

1:56

Okay so now I'm gonna show you some techniques right here.

2:00

You usually start with your effleurage

2:02

to warm up the muscles.

2:04

You do a few, I like to do three,

2:06

three sets of each.

2:07

Three sets of effleurage and a couple of petrissage,

2:11

warm up the muscles really good.

2:14

And then you can start with some figure eights.

2:16

This really gets the biceps femoris here.

2:19

You can even do one at a time with your knuckles.

2:23

You can scrape down.

2:25

This is a really good one to get cross fiber.

2:28

You can come across also the adductors

2:33

and the edge of the semimembranosus

2:35

and the semitendinosus.

2:39

And for the gastrocnemius I like to separate it, too.

2:43
Go up, skip the popliteal, and continue on.

2:47

(jazzy music)

2:51

To get to the soleus,

2:53

you put your thumbs on both sides

2:56

of the gastrocnemius and just go all the way up.

3:00

So you're kind of like squeezing,

3:02

like if you're squeezing a pimple,

3:03

your thumbs are pushing towards each other,

3:05

and this really gets the soleus.

3:08

(jazzy music)

3:15

And to get the circulation towards the heart,

3:17

I like this one, too.

3:18

Really you get the blood back towards the heart.

3:23

If you're working with somebody that has diabetes,

3:25

you wanna do it a little bit slower

3:26

because their veins don't fill up as fast.

3:30

(jazzy music)

3:33

Somebody with back pain, you wanna make sure

3:36

and get the origin of the biceps femoris

3:39

and semitendinosus and semimembranosus,

3:41

'cause when the hamstrings get really tight

3:43

they start pulling down,

3:44

and they can put pressure on the low back.

3:47

So this is really important for people

3:49

with low back pain that you also check

3:50

the biceps femoris and and all the hamstrings.

3:54

While you're here just go around the trochanter.

3:57

you know, go cross-fiber.

3:59

Get the hamstrings and the adductors here.

4:04
The adductors are all inside.

4:06

Remember one thing guys, what I like to teach

4:08

is muscles in groups,

4:09

and so I'm gonna give you a tip

4:10

of how I teach my students,

4:12

that to me instead of reading 20 muscles all at once

4:16

and get confused of where they are

4:17

and what they do and how they function

4:19

put 'em in groups.

4:21

I always say, there's six deep hip rotators.

4:24

five adductors, four quads, three hamstrings,

4:29

two lower leg muscles, and one major hip flexor,

4:32

which is the iliopsoas, which is really two in one,

4:34

but I like to call it one.

4:36

Or you can go one, two, three, four, five, six,

4:39

or six, five, four, three, two, one,

4:41

whichever one you like better,

4:42

but remember six deep hip rotators, five adductors,

4:46

four quads, three hamstrings, two lower leg muscles,

4:50

and then one major hip flexors.

4:53

So let me explain to you a little bit

4:55

the difference between a strain and a sprain.

4:58

The strain with a t, the t has to do with a tendon.

5:03

So strain, tendon; sprain, ligament.

5:07

Ligaments attach bone to bone,

5:09

strains attach the muscle to the bone.

5:13

So if you have a type one strain

5:16

that means that it's not too bad.

5:18

You can do some work on,

5:20
use your rice acronym,

5:22

you know rest, ice, compress, and elevate.

5:27

If it's a type three that means that the muscle

5:30

tore completely off the bone

5:32

and you don't wanna do too much work on that.

5:36

You might wanna wait 72 hours,

5:39

especially if it turned purple.

5:40

That means that there was a really bad tear.

5:43

So you wanna make sure that they've

5:44

gone to the doctor and that you've

5:46

waited long enough for it to to start,

5:49

that you're not gonna do any more damage.

5:51

When they have a type three strain

5:52

you definitely do not wanna do any stretching,

5:55

because if the muscles already torn off

5:57

from the insertions and you go and do stretches,

6:00

then that's not good.

6:02

So make sure you know the difference

6:04

and that you're being careful.

6:06

And also you can do this techniques on somebody

6:10

that has restless leg syndrome.

6:13

So people with restless leg syndrome,

6:15

it really helps their muscles relax.

6:18

People, they get charley horses.

6:19

They get a really bad cramps usually

6:21

right here in the gastrocnemius.

6:23

So you wanna take it one inch strips

6:25

and really treat the gastrocnemius real gently.

6:29

You know, find the trigger point and work it out.

6:31
See how it splits right here naturally,

6:34

and then you go back because right here

6:36

there's nerves and veins and arteries

6:40

that go through here and you don't wanna do any damage.

6:42

You never wanna put any pressure here

6:44

on the popliteal.

6:45

So you can skip that,

6:47

go up the gastrocnemius and then just keep going.

6:51

For bigger people you can use a forearm.

6:54

You know, use pressure with your forearm.

6:56

Watch your body mechanics, too.

6:57

I'm pushing with my legs,

6:59

so I'm not doing this with my arm.

7:01

I'm pushing with my legs.

7:04

Another thing that you can do is raise their leg,

7:08

pin and stretch.

7:11

And if you want them to offer a little bit of resistance,

7:14

you can do that, too.

7:16

Like push against,

7:18

and then stretch it out.

7:21

Push again.

7:23

So this is some of the techniques that you can use,

7:25

and you can be really specific,

7:27

and I like to work it all.

7:29

Muscles work in groups.

7:31

So you wanna make sure that you work the biceps femoris,

7:35

semitendinosus, semimembranosus,

7:37

gastrocnemius, and the soleus.

7:40

And you usually start, treat the origin,

7:43
the belly, the insertion,

7:45

origin, belly, and insertion.

7:49

You can do many strokes here,

7:52

and I like doing this one,

7:53

'cause this really gets the blood flow back up

7:57

towards the heart.

7:58

When you're using pressure you always

8:01

wanna go towards the heart.

8:03

You can come down a little bit

8:04

if you're not using pressure,

8:05

but when you're applying pressure,

8:06

remember in the limbs it's always towards the heart.

8:10

You can do cross fiber, you can do knuckles.

8:13

(jazzy music)

8:17

Remember the pes anserinus right here

8:19

where the semitendinosus inserts,

8:21

you also have the attachment of the gracilis

8:24

and the sartorius.

8:26

so you wanna make sure and address around the knee.

8:30

Give them some circular motion

8:32

and just work all these tendon attachments.

8:37

I do a lot of cross fiber,

8:38

and I think that works for me

8:39

to really get the muscle to relax,

8:43

and keep the pain tolerance level

8:45

to what the client can tolerate.

8:47

Don't go too deep.

8:48

(jazzy music)

9:01

And don't forget to learn your muscles in groups.

9:03
Remember the one, two, three, four, five, six.

9:06

One hip flexor, the iliopsoas;

9:09

two lower leg; three hamstrings;

9:12

four quads; five adductors; and six deep hip rotators.

9:17

Okay guys, don't forget to subscribe

9:19

and hit the notifications button.

9:21

Check me out on Instagram for AMP reviews

9:23

and go to my store of you want any tools

9:26

or lotions and potions.

9:27

Until the next time, create a good day.

9:31

So this is one of the reasons why as massage therapists

9:34

what we do is so important.

9:37

The sensory organ of touch,

9:39

which is our largest organ actually,

9:42

the skin triggers so many sensations,

9:46

and it's so important and it's making sense now

9:48

with this ASMR.

9:50

So as massage therapist we're already doing

9:52

some of this ASMR techniques,

9:54

and if you've given up and do not include

9:57

nerve ending strokes,

9:58

then maybe it's time to bring 'em back and incorporate 'em.