If you feel a leathery end feel on the hip extension test, then your client may benefit from releasing the hip flexors.
With your clients hip flexed, hook your fingers around the ASIS so that you have your fingertips on the iliacus. You can test to see if you are on the iliacus by having your client flex their hip against resistance. If you are on the muscle you will feel it tense when the client tries to flex their hip. Maintain pressure on the iliacus as your client moves their foot down the table, stretching the iliacus.
With your clients hip flexed, find the psoas by pressing in with your fingertips midway between the iliac crest and the midline, pressing in at about a 45 degree angle toward the midline. Back off if you feel a pulse. You can check to see if you are on the psoas by having your client try to flex their hip against resistance. Maintain pressure on the psoas as your client moves their foot down the table.
All work should be pain free. Please go gently with this and stay within your clients comfort range.
This work is adapted from the Orthopedic Massage work of James Waslaski. More information may be found at www.orthomassage.net
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