Palpating the slippery subscap
Subscap can be a tricky muscle to palpate and is an essential skill to have in treating shoulders. Watch the video and learn a fool-proof way of finding it!
Lions And Tigers And Super-Glued Scapulae, Oh My!
Judy is a warm and generous 69 year old quilter who is coming to me for neck and shoulder issues. During the intake she told me she works with a personal trainer once a week. “That’s terrific!” I said. I’m always happy when people are committed to their self-care. I ASSUMED that her trainer had her doing scapulae stabilization exercises.
During our first session I discovered while trying to work with her subscap and serratus anterior that her scapula was so protracted and anteriorly tilted that I could barely palpate either muscle.
After our session I asked her some detailed questions about what exercises she was doing with her personal trainer. I showed her about five examples of scapulae stabilization exercises. “No, she doesn’t have me doing anything like that.” Judy said. “Ah, never assume!,” I thought to myself.
Below are some issues that arise when the scapulae are glued to the thorax:
- The scapulae are not able to glide on...
Quadratus Lumborum And Latissimus Dorsi – An Intricate Relationship
Ellen, an experienced and skilled bodyworker for over 10 years sent me an email recently: “What’s the connection I feel between my hip and shoulder?”
I love that question and the answer is both for your clients and you! I’ll begin with a case history from a recent client:
Janet came to see me for painful flexion and external rotation in her right shoulder. She could flex to 180 degrees but it was painful.
One of the tests I did was for a high iliac crest. Her right hip was higher in both standing and seated. Before I did any work on her shoulder muscles, I corrected that misalignment with an MET technique. I retested her flexion and her pain decreased by 50%.
Let’s dig a wee bit deeper….
QL attaches to the anterior layer of the thoracolumbar fascia (TLF). The diaphragm, and psoas major exhibit fascial connects to this layer also. The giant latissimus dorsi connects to the thoracolumbar fascia and the iliac crest. The thoracolumbar...
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Author
Peggy Lamb
Author
Peggy Lamb, LMT, BCTMB, MA is the founder of Massage Publications/The Abundant Bodyworker providing resources for massage therapists with continuing education courses, books, videos and business coaching. Her coaching and course work empower LMT’s so abundance and prosperity flows into their lives. Although a bit of a "reluctant businesswoman" she nevertheless has built multiple streams of income through her various projects. Peggy brings her eclectic and extensive background into her teaching for an interesting, enjoyable and enlightening learning experience. In addition to her extensive training in massage therapy, Peggy holds a master’s degree in Dance from American University in Washington, D.C. She has volunteered for over 10 years with “Truth be Told”, teaching creative movement and writing to incarcerated women. When she’s not working, Peggy can be found dancing, swimming in Austin’s Barton Springs, hiking or even dog sledding.