Text Neck Posture. Permission Joseph E. Muscolino. www.learnmuscles.com.

Text Neck and Neck Pain… and Neck Dysfunction

With any imbalanced posture (postural distortion pattern), including text neck posture, asymmetrical pathomechanical forces are placed into the tissues of the body. These forces have to have an effect. I believe it is impossible to argue that pathomechanics do not lead to dysfunction.

Permission Joseph E. Muscolino. www.learnmuscles.com

Deep Pressure Massage to the Low Back – Choosing the Right Table

Even more important than table width is table height. As a rule, when generating deep pressure, you want the table to be as low as possible so that you can more easily position your body above the client to take advantage of gravity and body weight.

Permission Joseph E. Muscolino. Manual Therapy for the Low Back and Pelvis - A Clinical Orthopedic Approach (2013).

Deep Pressure Massage to the Low Back – Client and Therapist Positioning

A common body mechanics error is for the therapist to stand above the face cradle at the head end of the table. Standing here only distances you from the client, causing you to lean over the client to reach the low back; this compromises body mechanics and does not allow for the efficient use of body weight.

Permission Joseph E. Muscolino. Manual Therapy for the Low Back and Pelvis - A Clinical Orthopedic Approach (2013).

Deep Pressure Massage to the Low Back – Positioning the Feet

Make sure that the feet are not too far apart. A wide stance may feel more stable but creates a static position that makes it difficult to transfer weight from one foot to the other. With a narrower stance, it is easier to shift the center of weight of the body from one foot to the other as a stroke is done.

Forward Head Posture. Permission Joseph E. Muscolino. Manual Therapy for the Low Back and Pelvis - A Clinical Orthopedic Approach (2013).

Deep Pressure Massage to the Low Back – Forward Head Posture

The neck and head do not contribute to the generation of pressure, so head and neck posture should be whatever is most comfortable and least stressful. Forward head posture, a common postural distortion imbalance pattern that occurs is caused by a flexion of the head and neck.

Hamstring Group. Permission Joseph E. Muscolino. Manual Therapy for the Low Back and Pelvis - A Clinical Orthopedic Approach (2015)

Five Muscles of Sacroiliac Stabilization – Part 3 – Hamstrings

The connection between the hamstrings and the sacroiliac joint is through what is known as the superficial back line myofascial meridian/anatomy train. If the hamstrings are tight, their tension pulling force will be exerted through the sacrotuberous ligament and onto the sacrum.

Musculature of the Pelvis and Hip Joint. Permission Joseph E. Muscolino. The Muscular System Manual - The Skeletal Muscles of the Human Body, 4th ed. (Elsevier, 2017).

Five Muscles of Sacroiliac Stabilization – Part 2 – Coccygeus and Others

The coccygeus and levator ani are technically muscles of the pelvic floor, however, they are also muscles whose contraction forces cross the sacroiliac joint and therefore often tighten when a sacroiliac joint condition exists. The coccygeus attaches from the sacrum and coccyx to the ischial spine of the pelvic bone.

Musculature around the Sacroiliac Joint. Permission Joseph E. Muscolino. Manual Therapy for the Low Back and Pelvis - A Clinical Orthopedic Approach (2013).

Five Muscles of Sacroiliac Stabilization – Part 1 – Piriformis

Even when the original reason for the sacroiliac stabilization is valid, often the human body overdoes it and tightens the musculature excessively and/or keeps it tight long after it needs to be, so the musculature becomes stuck in a chronic pattern of hypertonicity.

Permission Joseph E. Muscolino. Manual Therapy for the Low Back and Pelvis - A Clinical Orthopedic Approach (2013).

Deep Pressure Massage to the Low Back – Choosing the Treatment Contact

When working the low back, a good strategy is to begin with a smaller treatment contact such as thumb or finger pads to assess and begin treatment of the lumbar region, and then switch to a larger contact such as the palm or elbow to deliver deeper pressure.