What is Deep Tissue Massage? (04:25)
Sean Rio teaches massage techniques, he recommends performing deep massage slowly. The pressure of deep tissue massage should not be painful. Assessment techniques will reveal areas of inflammation.
The Shoulder (03:25)
There are four muscles of the rotator cuff. In order to assess the subscapularis, position the client's arm in external rotation and have the client push their wrist toward the ceiling.
External Rotators (02:06)
The infraspinatus muscle lies on the back side of the scapula. To assess the infraspinatus, bring the client's arm off the table and have them forcefully rotate their arm against resistance.
In order to assess the supraspinatus, the client abducts their arm against resistance. If there is any pain, work on the area with your thumbs.
Biceps Tendon (00:38)
To find the biceps tendon, push through the fibrous deltoid muscle. Position the arm in a neutral position and rotate the arm back and forth.
Pectoralis Minor (02:19)
The pectoralis minor can impinge on the axillary artery causing numbness and tingling down the forearm. A tight pectoralis minor will pull the shoulder forward.
The Elbow (06:04)
The two major motions of the elbow are flexion and extension. There are three flexors on the anterior side and two extensors on the posterior side.
Wrist, Fingers, and Thumb (04:00)
The carpal tunnel is the space between the carpal bones and the transverse carpal ligaments. Nine tendons and the median nerve go through this space. The body is designed for repetitive motion.
Wrist Flexors and Finger Flexors (04:13)
There are three muscles of wrist flexion from the common flexor tendon. The flexor carpi radialis refers pain into the center of the wrist and over the carpal tunnel.
Wrist Extensors and Finger Extensors (03:55)
There are three muscles of wrist extension. To test the wrist extensors, the client will extend the wrist toward their elbow. Apply slow, deep thumb strokes on top of the muscles.
Thumb Extensors and Flexors (03:07)
There are two muscles of thumb extension. To test the thumb extensors, have the client extend their thumb against resistance.
Pronator, Review and Self Massage (03:13)
There are two muscles of pronation. The pronator teres focuses pain down the forearm and deep into the radial side of the wrist.
The Ankle (03:54)
The muscles involved in ankle sprains are the peroneus brevis and the peroneus longus. There are two ligaments involved in ankle injuries.
The Knee (04:24)
Ligaments run diagonal inside the knee and stop the tibia from shifting forward or back. Rio demonstrates how to assess the cruciate ligament by bending the knee.
Medial & Lateral Knee (04:46)
For medial knee pain, assess the medial collateral ligament by stabilizing the lower leg and pushing on the outside of the knee. Pain indicates ligament inflammation.
Credit: The Extremities: Deep tissue and Neuromuscular Therapy (00:02)
Credit: The Extremities: Deep tissue and Neuromuscular Therapy
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