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Terra Rosa eMagazine Issue 3

Terra Rosa eMagazine Issue 3

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Published by Terra Rosa
eMagazine for Massage and Bodywork Therapies
eMagazine for Massage and Bodywork Therapies

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Published by: Terra Rosa on Apr 03, 2011
Copyright:Attribution Non-commercial


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Bodywork e-News 
02Myofascial Techniques for the SuperficialNeck Fascia —Til Luchau07Imagery to lengthen the neck08The Relationship Between Stress andNeck & Shoulder Pain —Anita Boser11An Integrated Approach to Rehabilitationof Leg Injuries. Part II —Art Riggs19Deadbeat Diagnosis —Erik Dalton24Thai Massage —Richard Gold28Peripersonal Space & Bodywork32A New Theory on Reflexology34De Quervain’s Syndrome36A New Contraindication of Massage —Kristin Osborn37Complex Regional Pain Syndrome —Whitney Lowe39Research Highlights41Six Questions to Til Luchau42Six Questions to Anita Boser
Terra Rosa Bodywork e-News 
Issue 3, June 2009 www.terrarosa.com.au
to our third issue of Terra Rosa Bodywork e-magazine, our free e-zine dedicated to bodyworkers. It isan exciting full-on 40 pages of information.Economic crisis is looming and has influenced our indus-try as well. News from an association in Australia indicatethe decrease in membership renewal. This crisis will pre-sent great challenges, however this is a time to renew andshape our work. Massage has survived many crises, andwill continue to be in demand. So be positive.We got a range of great articles from respected authors. TilLuchau on the myofascial techniques for the neck, AnitaBoser on neck & shoulder pain. Art Riggs continues hisarticle on the leg. Erik Dalton discusses the latest researchand treatment on iliotibial friction syndrome. RichardGold gives an intro to Thai Massage. We turn to the area of peripersonal space and the latest theory on foot reflexology.A new contraindication of massage by Kristin Osborn andComplex Regional Pain Syndrome by Whitney Lowe. Don’tforget to read Six Questions to Til and Anita.We hope to keep you informed and entertained. If youhave something you wish to contribute, drop us an email:terrarosa@ gmail.com. We believe that therapists like youhave lots of experiences to share. Thanks for all of yoursupport and enjoy reading.
The publisher of this e-News disclaim any responsibility and liability for loss or damage that may result fromarticles in this publication.
Terra Rosa 
The Source for Massage Information
Bodywork e-News 
Myofascial Techniques for the Superficial Neck Fascia 
by Til Luchau
In this and subsequent articles,I’ll describe specific techniquesthat work with some of the mostcommon client issues. I’ll draw on the work taught in Advanced-Trainings.com’s popular“Advanced Myofascial Tech-niques” workshop series, whichfor the last 25 years, has beenattended by over 2000 practitio-ners in over a dozen countries.Although I’m at the Advanced-Trainings.com faculty are Certi-fied Advanced Rolfers, and Iteach at the Rolf Institute®,rather than writing about struc-tural integration per se, my em-phasis in these articles will be onspecific and practical techniquesthat would be useful to any hands-on practitioner. We’llstart by looking at the superfi-cial layers of the neck and pre-paring the neck and shouldersfor deep work.This article is originally pub-lished in the Massage andBodywork magazine, USA.Visit http://www.youtube.com/user/AdvancedTrainingsfor avideo clip from the 2009 DVD“Advanced Myofascial Tech-niques for the Neck, Jaw, andHead” from Advanced-Trainings.com.
The Importance of the Su-perficial Layers
What are the most commoncomplaints you see in your prac-tice? Chances are, neck pain anddiscomfort are high on the list.Although cervical issues canhave many causes, you’ll oftensee better results if you begin by addressing restrictions in thesuperficial layers of the neck andshoulders. Whether caused by deep articular fixations, postureand misalignment, habits, stress,injury, or other reasons, neck issues respond quicker and stay away longer when the outerwrappings are released first. Aswith other parts of the body,many seemingly deeper neck is-sues resolve when the externallayers have been freed. In thisarticle, I’ll describe how to work with these superficial but impor-tant layers in order to preparethe neck for working with itsdeeper structures.The neck’s superficial tissue lay-ers have a great deal of influenceon its alignment, mobility andhealth. These “outer wrappings”encircle the neck and shoulderslike an over-large turtleneck sweater, or a surgical collar(Figure 1)Anatomically, these layers in-clude the superficial and deepcervical fascias, as well as themuscles within those fascial lay-ers, such as the Trapezius, Ster-nocleidomastoid, and the
Figure 1: The superficial fascia of the neck, in green, surrounds the deeper structures likea sleeve or cowl . (Illustration courtesy and copyright Primal Pictures Ltd.)
Bodywork e-News 
Platysma (Figure 2). Together,these cowl-like outer layers ex-tend from their upper attach-ments on the occipital ridge andlower face, to their lower connec-tions with the outer layers of theshoulders, chest, and upper back.Like a sleeve, they encircle thedeeper musculoskeletal and vis-ceral structures of the neck’score.The superficial layers of the neck have a surprising thickness andresilience. When, because of in-jury, postural strain, or otherreasons, they have lost pliability or are adhered to other layersand structures, the outside layershave the ability to restrict move-ment range, disrupt alignment,and bind the structures they sur-round. Imagine trying to move ina wetsuit that is a size toosmall—the outer layers of theneck can bind, distort, and con-strain movement in the sameway.
Seeing Superficial Restric-tions
Try this: watch afriend turn his orher head from sideto side. Watchwhat happens withthe superficial lay-ers of the neck,shoulders, chest,and back. Arethere areas of thetorso’s fascia thatmove along withthe head andneck? Or, do yousee lines of tensionand pull appearingin the skin andouter layers? Of-ten, these signs of fascial restric-tion will be most visible at theextremes or end-range of themovement. Look from both thefront and the back; compare leftand right sides for any differ-ences. Then, look again as he orshe gently looks up and down(being careful, of course, to avoidany posterior cervical compres-sion when looking up). Yourfriend might feel different kindsof restrictions when moving, in-cluding pulls in the deeper mus-culature, or catches involvingneck articulations or the upperribs. For now, we’re goingto leave these aside and fo-cus on the outer layers first.Sometimes superficial fas-cial tension will be visible aslinear patterns “tug” in theskin (Figure 3). In othercases, a whole sheet of fas-cia will move or creep alongwith the rotating or nod-ding head. Linear “tug” pat-terns are more commonly seen in the thinner layers of the anterior neck and chest,while the “creep” of wholefascial sheets is seen moreoften when looking at thethicker posterior layers of the back. If it is difficult tosee restrictions in the su-perficial layers, you can use yourhands to feel for tugs and pullsin the outer layers while yourclient rotates his or her head.Whether watching or feeling,note any areas that don’t havesmooth, even lengthening of thedermis and superficial fasciaswhen the head moves.We are constructed like onions:layered, from superficial to deep.When testing for fascial tensionwith movement, don’t confusemovements of deeper structuresfor movement in the superficialfascia. For example, you’ll some-times see the ribcage turningalong with the head, or a shoul-der roll forward, etc. Some of this movement is normal; if yousee exaggerated or asymmetricalmovement of the ribcage orshoulder, this might be becauseof deeper restrictions. Make anote to check for and addressthese patterns later, but remem-ber that since these deepermovements might be caused by restrictions in the outer layers,releasing the superficial layers isthe logical first step. Unlessyou’re working with a scalpeland are cutting right through,you need to gently peel away theouter layers to get to the core.
Myofascial techniques for the neckMyofascial techniques for the neckMyofascial techniques for the neck 
Figure 2: The superficial layers of the neck, incross section. (Illustration courtesy estate of John Lodge.)Figure 3 Fascial strain visible as "tugging" of the outerlayers with movement.

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