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Treating Connective Tissue Conditions with Muscle Release Techniques, 2nd Edition: Summary
| HEALTHCARE CONSIDERATION Empathy and communication are important in fostering a sense of safety and making therapy more effective. When we apply pressure to sensitive areas, such as trigger points, the patient’s nervous system goes through a process to decide whether the sensation it is experiencing is perceived as a threat or not. If the person feels safe and understands that what the therapist is doing is beneficial, the nervous system is more likely to categorize the sensation as nonthreatening. Our role as therapists is not just to address physical issues but also to be empathetic and informative, working within each patient’s unique nervous system and tolerance level.
CASE STUDY: PUTTING IT ALL TOGETHER: MARY'S CASE STUDY
Mary is a 38-year-old purchasing manager who spends most of her day at her desk. She's been battling frequent headaches, neck and back stiffness, and discomfort in her shoulders. Visual examination reveals raised shoulder blades and internal rota- tion in her shoulders, along with a forward neck posture. On palpation, we find tense muscles like the upper trapezius, levator scapulae, sternocleidomastoid (SCM), sub- occipitals, subscapularis, and pectoralis major.
Here's how we can help Mary: • Identify the overactive muscles contributing to her alignment issues : Including the upper trapezius, levator scapulae, SCM, suboccipitals, subscapularis, and pectoralis major • Corrective protocol : Activate antagonist muscles such as neck flexors, lower trapezius, rhomboids, teres minor, and infraspinatus • Active muscle release : Address trigger points in the upper trapezius, levators, SCM, and suboccipitals • Home exercise program : Encourage a static stretching routine and self-myofascial release exercises to be done twice a week • Workplace improvements : Ensure an ergonomic setup, including lowering the computer screen to eye level, maintaining a neutral neck position, removing armrests, and providing a separate mouse slide for side placement By addressing these issues and incorporating these solutions, Mary can find relief from her discomfort and improve her overall well-being.
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