January 24, 2019

Soft Tissue Release

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Variations on Soft Tissue Release

Types of Strokes

Pin and Stretch is the most basic form of treatment with movement. It has an advantage that it can be done through clothing or a drape. The tissues being stretched are in between the tissue being pinned and the muscle attachment being moved.

Glide and Stretch works along the length of the muscle, loosening adhesions between muscle fibers and between groups of fibers as the muscle is being stretched.

Lifting a muscle while stretching can loosen adhesions between layers of muscles. This can be done with the hands or with massage cups. Lifting can also be used to relieve pressure on nerves. An example is lifting the rectus femoris off of the other quadriceps muscles to take pressure off the femoral nerve.

Broadening strokes can be performed while stretching or contracting a muscle to loosen adhesions that may prevent the normal broadening of a muscle during muscle contraction.

Client Movement

Passive movement works for clients who are tired or who don’t wish to actively engage in their treatment. This is also good for therapists who are codependent and want to help their clients.

Active movement is often more effective than passive movement as it incorporates contraction of the antagonist muscle, which causes inhibition of the muscle being stretched.

Lengthening the muscle while pressure is applied can help separate adhesions between adjacent muscle fibers or bundles of fibers.

Concentric Contraction of the muscle while pressure is applied can have a broadening effect on the muscle fibers, enhancing the natural broadening effect that happens when a muscle contracts. This is often more intense for the client.

Eccentric Contraction of the muscle being worked on may be used to help lengthen a muscle.

Direction of Strokes

Proximal strokes are preferred in muscles with overlying superficial veins, such as the hamstrings and gastrocnemius. Deep pressure should not be used working against the valves of the veins. Proximal strokes are preferred on the plantar fascia if there is pain near the anterior aspect of the calcaneus. The plantar fascia has a narrow attachment there, and distal strokes can pull on that attachment.

Distal strokes can have a lengthening effect on the muscle, and can help to traction joints with impingement problems. Distal strokes may be preferred on the quadriceps for clients with knee pain, as it will reduce stress on the knee and also traction the hip.

Tissue being Worked

Muscle is is the tissue most often worked with Soft Tissue Release techniques.

Ligaments and Retinacula may be worked while they are being stretched or shortened.

Fascia in between muscles may be worked to help unbind adjacent muscle groups. An example is working in between Tibialis Anterior and Peroneus muscles while your client dorsiflexes and plantarflexes their ankle.

Techniques

Many Soft Tissue Release techinques are in the Sports Massage DVD at
https://massagelibrary.com/category/sports-massage-dvd/soft-tissue-release/

Newer techniques are under New Techniques at
https://massagelibrary.com/category/new-techniques/sports-massage/soft-tissue-release-sports-massage/


Quadriceps – Origin to Insertion

https://massagelibrary.com/video/quadriceps-6/

Sternnocleidomastoid

https://massagelibrary.com/video/sternocleidomastoid/

Dowager’s Hump Technique

https://massagelibrary.com/video/dowagers-hump/

Rhomboserratus Rock

https://massagelibrary.com/video/rhomboids-serratus/

Scalenes – Side Lying

https://massagelibrary.com/video/scalenes-pec-major-pec-minor-subscapularis/

Pectoralis Major – Side Lying

https://massagelibrary.com/video/scalenes-pec-major-pec-minor-subscapularis/

Pectoralis Minor – Side Lying

https://massagelibrary.com/video/scalenes-pec-major-pec-minor-subscapularis/

Subscapularis – Side Lying

https://massagelibrary.com/video/scalenes-pec-major-pec-minor-subscapularis/

Triceps

https://massagelibrary.com/video/triceps-str/

Pronators and Supinators

https://massagelibrary.com/video/pronators-and-supinators/

Flexor Retinaculum

https://massagelibrary.com/video/flexor-retinaculum/

Rectus Femoris – lifting technique

https://massagelibrary.com/video/knee-flexion-answer/

Sartorius, Tensor Fascia Lata

https://massagelibrary.com/video/sartorius-tfl/

TFL, Gluteus Maximus

https://massagelibrary.com/video/tfl-and-gluteus-maximus/

IT Band – Cupping

https://massagelibrary.com/video/iliotibial-band-side-lying/

Iliacus Release – Supine

https://massagelibrary.com/video/iliacus-release/

Plantar Fascia

https://massagelibrary.com/video/plantar-fascia/

Talus Reset

https://massagelibrary.com/video/talus-reset/