Issue link: https://www.massageandbodyworkdigital.com/i/149404
@work ligament, which greatest potential spans from the ischial to perpetuate the tuberosity to the lateral pelvic tilt. sacrum (Image 5). Deep, specific In the lowerstripping, static crossed syndrome, compression, and the anterior tilt of the active engagement pelvis increases the methods are resting length of the particularly effective hamstring muscles for addressing because their proximal tightness that occurs attachment at the in this muscle. After ischial tuberosity is soft-tissue treatment, Numerous fascial connections exist that cross the pulled in a superior thorough stretching, sacroiliac joint. Image courtesy 3D4Medical's Essential direction. The performed in Anatomy application, available in the iTunes App Store. increased tensile a side-lying load on the hamstrings can cause them to play a position, will be of great benefit to further prominent role in lower-extremity discomfort that encourage effective tissue lengthening. is felt from standing on the job for long periods. Another muscle that should be examined and treated is the piriformis, because it attaches to the anterior sacrum. Tightness in the piriformis will Ongoing Strategies not exaggerate the anterior or lateral pelvic tilt, Biomechanically, humans were designed to be but movement of the sacrum could produce an moving—not stationary for hours at a time. Because increased tensile load on the piriformis and lead individuals with standing occupations may have to other biomechanical challenges in this region. few options for changing how much they stand, Helping to reduce tightness in the piriformis they are frequently in need of strategies to help muscle can then also remove restrictions to the them address the cumulative soft-tissue trauma sacrum and help it resume its correct position. they experience from work. Once you understand Sacroiliac mechanics can be adversely affected the key biomechanical stressors of the client's by excessive tightness in the gluteus maximus and workstation (see Orthopedic Assessment in Massage other lumbar muscles. There is a fascial connection Therapy [Daviau Scott, 2006] for assessment between the gluteus maximus and the opposite-side protocols for these problems), you can craft the thoracolumbar fascia. Tightness and constriction most effective strategy to address his or her generated through these tissues can limit proper complaint. Massage therapy, combined with homemobility at the sacroiliac joint and exacerbate chronic care practices such as stretching and conditioning, back or pelvic and lower-extremity pain. Myofascial still remains one of the most beneficial methods approaches that address the thoracolumbar to address this cumulative work trauma. fascia are particularly helpful in this region. The piriformis is deep to the gluteus maximus, Whitney Lowe is the author of Orthopedic Assessment so it will be most effective if the gluteus maximus is in Massage Therapy (Daviau-Scott, 2006) and Orthopedic worked thoroughly prior to working the piriformis. Massage: Theory and Technique (Mosby, 2009). He teaches Because of its depth, methods that increase advanced clinical massage in seminars, online courses, density in the muscle while it is being worked, books, and DVDs. You can find more ideas in Lowe's next free such as pin and stretch or active engagement enewsletter—and his books, course offerings, and DVDs— stripping techniques, will be much more effective at www.omeri.com. in addressing tightness in the piriformis. Also crucial are the fascial connections between the hamstring muscles and sacrotuberous ligament. The hamstrings attach to the ischial tuberosity, but also have fascial continuity with the sacrotuberous 5 www.abmp.com. See what benefits await you. 107