Freeing the medial epicondyle Figure 12: Knuckle Scooping Inferiorly
Use the distal interphalangeal (DIP) joints of index and middle digits to create a scooping motion away from the medial epicondyle landmark (see Figure 12). Each scooping motion may be 1 to 2 inches. Moving in a proximal direction from this landmark addresses the triceps brachii muscle. Moving in a distal direction from this landmark addresses the common “flexors tendon” at which many anterior antebrachial muscles converge. Repeat the scooping motion several times, creating space around this key landmark.
Figure 13: Thumb Friction
Use the radial side of the thumb to accomplish the same goal of creating space as in the prior technique, knuckle scooping (see Figure 13). Each scooping motion may be 1 to 2 inches.
Figure 14: Elbow Scooping Inferiorly
First, guide the olecranon process at the distal end of client’s medial epicondyle with the client’s arm upon the table with your palm forward and your hand near client’s head (see Figure 14). A small towel bolster may help the client achieve this position if there is any discomfort. Second, begin this sequence of movement: Glide the elbow approximately 0.5 inch distally upon forearm as you elevate your hand, then press deeply with pressure when lowering your hand toward the client’s forearm. Repeat this motion several times until you have glided distally enough to contact the flexor tendons (thereby being off muscle belly).
Freeing the flexors Figures 15
Figure 16
Compressions Grasp the client’s forearm to have their palm facing you, with your hand near the client’s head. Have your thumbs parallel upon the flexor (anterior) side, fingers grasping firmly on the extensor (posterior) side. Create an alternating pressure movement—first on the radial side of forearm, then on the ulnar side. Repeat alternating motion several times to create space in the interosseous membrane (see Figure 15). This technique can also be accomplished in a comparable manner with the client’s arm resting palm down on the table. Create alternating pressure movement, first on the radial side of forearm, then on the ulnar side. Repeat this alternating motion several times to create space in the interosseous membrane (see Figure 16).
Figure 17: Forearm Distally
Begin with the client’s arm palm down on table, while placing the proximal portion of your forearm tool at the inferior end of the lateral epicondyle landmark (see Figure 17). Slowly glide the forearm distally until muscle bellies end (where tendons begin to be felt). Repeat two to three times.
Page 57
Book Code: MIL1226
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