What is THAT???

Have you ever gone to get a massage and the therapist rattled off a bunch of different things that they do and you thought….”Well, I don’t know what that is…I just want you to get rid of my pain!!” Yeah, me too. Now that I have learned about some of it, I thought I’d give you quick definitions of things and what they are used for so that when you hear them, you have some idea of what they are.

Myofascial Release is today’s modality. I could give you a big long definition with a lot of technical terms, but I like to keep things simple. There’s a layer of tissue in our bodies that surrounds and is part of every structure in our body and when it is tight….we hurt. It doesn’t act like muscle so to release it we have to treat it a little differently.

So what would that look like in a massage room? Well, there would be a lot of stretching that lasted anywhere from 2-5 minutes per stretch. There would be slow, still work that doesn’t feel like much at first….but can provide tremendous relief and it’s done with fairly light pressure.

Why would you want this? Well, it can help break down scar tissue, soften tissue, increase range of motion, help to balance your posture and just help you move more fluidly.
Simple. Direct and to the point. Myofascial Release is a valuable treatment that when done correctly can really help a person struggling with things like a tight shoulder, scarring, poor posture and/or poor flexibility just to name a few.

If that sounds like you, ask your therapist about it next time you go for a massage. They might just be able to do a LOT more than just relax you.

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Adductors and Hamstrings

Here are some of the notes Robin gave us:

Adductors

Pectineus (Also flexes the hip) 

  • Origin – Superior pubic ramus and Pectineal line on pubis
  • Insertions – Posterior proximal femoral shaft (inferior to lesser trochanter

Adductor Brevis

  • Origin – Inferior pubic ramus
  • Insertion – Proximal third of linea aspera (medial lip)

Adductor Longus 

  • Origin – Anterior pubic body
  • Insertion – Middle third of the linea aspera (medial lip)

Adductor Magnus (Also flexes and extends  the hip)

  • Origins – Ischial tuberosity, Inferior pubic ramus and Ischial ramus
  • Insertions – Linea aspera and Adductor tubercle of the femur

Gracilis  (Longest muscle in the body) (Also Flexes the hip, flexes the knee and medially rotates leg when knee is flexed.)

  • Origin – Inferior pubic ramus
  • Insertion – Medial proximal tibial shaft (at the pes anserinus)

These muscles all adduct and are all innervated by the Obturator nerve….except the Pectineus which is innervated by the Femoral nerve. The Adductor Magnus is also innervated by the sciatic nerve.

Hamstrings: 

Semimembranosus

  • Origins – Ischial tuberosity
  • Insertion – Medial condyle of the tibia (posterior surface)
  • Actions – Flexes knee, medially rotates leg (when knee is flexed), extends hip, medially rotates hip and posteriorly tilts pelvis

Semitendinosus

  • Origin – Ischial tuberosity
  • Insertion – Medial proximal tibial shaft (at pes anserinus)
  • Actions – Flexes knee, medially rotates leg (when knee is flexed), extends hip, medially rotates hip and posteriorly tilts pelvis

Biceps Femoris –

  • Origins – Ischial tuberosity (long head) and Linea Aspera; lower lateral lip (short head)
  • Insertion – Fibular head
  • Actions – Flexes knee, laterally rotates the leg when knee is flexed, extends hip, laterally rotates hip, posteriorly tilts pelvis

All three of the hamstrings are innervated by the tibial nerve. The Biceps Femoris is also innervated by the common fibular/ peroneal nerve (short head). (They make up the sciatic nerve.)

 

Stone Massage Notes

1. The physiological process that draws blood to the surface or periphery of the body by means of heat is known as Retrostasis.

2.  Heat causes the viscosity of synovial fluids in the joints to thin.

3. Cold’s analgesic effect is caused by reduced nerve conduction.

4. Heat and cold should be alternated for clients with arthritis.

5. The stone table is ideally placed at the center side of the table, 3 feet away.

6. A therapy room used for hot stone massage must have access to electricity.

7. Essential oils are particularly useful not only for creating a pleasing aroma, but also for disinfecting the stones AND increasing the therapeutic effect of the massage.

8. Stones that form deep within the earth are cooled slowly, have sharp edges AND are roughly textured with large grain.

9. Common metamorphic rocks are jadestone, marble and quartzite.

10. Marble is formed by uplift of limestone bearing mountains.

11. When collecting your own set of stones, look in past volcanic activity and old, wide, calm rivers.

12. White marble holds cold the longest.

13. In general, large, thick stones hold heat the longest.

14. A static placement stone that is covered can hold its heat up to 30 minutes.

15. Cold stones can be stored in a freezer or a bowl of ice water.

16. Placement of stones on the face should be comprised of warm or cold stones or both at the same time.

17. Static placement of stones are best used in addition to massaging with stones.

18. Devices that are used to help hold stones in place are oven pockets, a sand bags or stone wrappers.

19. The first stone that is introduced to the client’s skin should be tepid.

20. If the client is feeling lightheaded during or after the massage, the therapist should stop the massage, check in with the client AND be sure the client is safe to drive before leaving.

Please check to see if my answers match yours. If you find a mistake, PLEASE let me know. I want to correct it as soon as I can!

Lesson Ten – Hip & Knee Joint (Updated)

Good Morning Classmates! Here are the tips Robin gave us to help us study:

1.  The two hip flexors are the Psoas Major and the Iliacus.

2.  The Deep six Rotators are:

  • Piriformis
  • Gemellus Superior
  • Gemellus Inferior
  • Obturator Internus
  • Obturator Externus
  • Quadratus Femoris

These muscles all laterally rotate, have attachments at the Greater Trochanter and are innervated by the sciatic nerve.

3.  The Gluteal Group is:

  • Gluteus Maximus
  • Gluteus Medius
  • Gluteus Minimus

Remember in this group that the Inferior gluteal nerve is in the Gluteus Maximus while the Superior gluteal nerve is in the medius and minimus. Think of the body compass and how the inferior nerve would be BELOW and the superior nerve would be above. The Gluteus Maximus originates below the others.

4. Tensor Fasciae Latae

  • Originates on the Anterior iliac crest and the ASIS.
  • Inserts on the IT band
  • Abducts, flexes and medially rotates the hip
  • Is innervated by the Superior gluteal nerve

5.  Next are the Quadriceps, the strongest muscles in the body. They are:

  • Rectus Femoris
  • Vastus Intermedius
  • Vastus Medialis
  • Vastus Lateralis

The quads all extend the knee, but the Rectus Femoris also flexes the hip and anteriorly tilts the pelvis. They are innervated by the femoral nerve and found on the anterior side of the body. The Sartorius shares the nerve and the location, but it does not extend the knee. The Sartorius flexes the hip, laterally rotates the hip, abducts the hip and medially rotates the knee when the knee is flexed.

If you want to add to what I have here, please feel free to leave it in the comments! Happy studying!

Med Terms 4

These are easy guys!!! Your mind is a perfect computer!

1. Many – Poly-
2. backward, behind -retro-
3. common, same – hom
4. single, one – uni-
5. three – tri
6. many – multi-
7. four – quad-
8. middle, midline – medi-
9. together, along with – syn-
10. next to, beside – para-
11. the other – hetero-
12. half – hemi-