This article is at a level that requires some knowledge of anatomical systems, ie: origins and insertions of muscles, and the name of muscles.
Should you want to know more I invite you to apply online for an anatomical atlas or dictionary to support the With muscles and definitions, you do not understand.
find one of the search for "Anatomy atlas.org" in any search engine.
I the development of my diagnosis and treatment massage skills in a fitness setting for two years and as a massage therapist in a private clinic for housing environment years.
Many five of the customer, come to me because of the injury therapy complain of back and gluteal pain.
The gluteals put at the top of the hip and are responsible, especially for the lifting of the thigh or upper thigh and externally, what we call kidnapping. These muscles are also used in conjunction with the hamstrings flex the leg to the back of the knees and extending the leg backwards into the hip.
For those of you reading this article with no or little background anatomy, I will detail the facilities of the Ilio -- Psoas.
Firstly the Ilio-psoas is a combination of two muscles, the iliacus, and the psoas major.
The iliacus originating in the inside or medial side of the ilium or hipbone. It proceeds caudally down the bones of the pelvis on the inside of the thigh, where he was the thigh. If the iliacus treaties, the bone-tanks or ilium by the hamstrings, which leads to an increasing pressure on the leg and causes to flex the hip and thigh and knee top to move. This is one of the most important muscles in assessing the course dysfunctions.
The Psoas originating in the pages of the five lumbar vertebrae and also on the transverse processes of the vertebrae, and contributes to a certain rotation of the lumbar spine, if narrow, what is observed when the hands are not symmetrically aligned on the sides of the basin, as a client is in constant pose.
There are psoas muscles on both sides of the spine, one for each leg. An imbalance in one can cause the rotation of the spine and cause muscle and other security dysfunction.
The joins the psoas muscle iliacus midway down the ilium (hipbone) and attaches to the inclusion in the same inner thigh or thigh. The psoas supports the iliacus in hip flexion and also the advantage of the fuselage when the action is reversed.
Visual Review:
Upon investigation of the basin in front visual orientation, I usually an indication of two characters first by either the hands are on the front office * Frontal plane, or second, the position of the hands is asymmetrical, which means they are not gleichmaig on both sides of the basin. With a tight Ilio-psoas on the left would notice the right hand on the side, and the left hand is positioned more anteriorly in the front lot and adducting plane in the direction of center line. The left hand may also have moved to the rear, left gluteal. With a tight iliopsoas on the right side of the positioning of hands would reversed.
*: frontal attack plane: the plane when it from the front, perpendicular to the viewer, a line is drawn through the body from head to toe separate front back.
Physical Review: With the client in a position tend to focus their backs, I Rima a route by using the knee to the chest. This tells me whether the contractually agreed gluteals and add resistance to the mobility of the basin. Secondly, I take the knee in the chest on the other side to assess and piriformis OBTURATOR for lateral resistance. Thirdly, I left leg in a figure four position of the plantar surface of the left foot against the medial edge or on the inside of the right knee of the opposing leg.
This allows me to assess Adductor tension, which also contributes to the pelvis resistance and Mobility. My experience has me to the conclusion that in almost every instance of Ilio-psoas dysfunction was hypertensive (eng) adductors on the same page (ipsolaterally) as tense or dysfunctional Ilio-psoas. It is not always a related hypertonicity the gluteals.
My findings are often that, in Rima and Adductor contractedness of muscles, including Adductor magnus the participation of the Hamstring also.
Treatment: I
Firstly warming of the abdominal obliques and Six-Pack to allow deeper treatment of iliacus and psoas.
Secondly I iliacus treated by adduction in the leg in a winkenden movement with the knee.
Thirdly I work my way up to the iliacus psoas-junction and let any tension there, I think the acupressure.
Next psoas abdomen with the customer implementation of a knee to chest contraction and then I release psoas with ratcheting leg on the table and rotating thigh outwards to extend psoas further.
Findings:
The interesting finding is that it sometimes also a contra-lateral relations with the contractedness of iliacus and psoas. Do I have a tight low back on the right side, with quadratus lumborum is hypertensive (eng), I also see a short leg on the right side, fragile or supine position, I will also show a tight psoas on the right Often side with a tight iliacus on the left side (the compensation mode) and a slight to moderately tight psoas on the left. The iliacus on the affected side can be easily contracted or not at all implicated. There are also some cases in which only the tension in muscles iliacus bilaterally and not as prevalent in the psoas. But the reverse is never true; where tensions in the psoas there will always be tensions in the iliacus.
Conlcusion:
The release of the Ilio-psoas results in a release of tension in the lumbar spine, surrounding tissue, including but not limited to the abdominal region obliques and quadratus lumborum whicfh are flexion brakes accession to the ribcage in the basin. It is usually to a significant relaxation of the whole spine to the nexk and occiput.
There is often a return to a balanced pool after treatment Ilio-psoas, before treatment if there was a shot anteriorly basin on one leg and an obvious short-leg on the side with the tight-Ilio psoas.
The appearance of the short left leg is usually for the treatment of Ilio-psoas (if the absence of tight quadriceps or knee tendon). The treatment of Ilio-psoas first, when confronted with a client presents with low back pain often resolves the issue of pelvic rotation without treatment hamstrings or quadriceps. Although there is often a tight quadriceps with conflicting ham-string tensions in connection with a tight-psoas complex.
Follow Ilio-up: Since this writing, I observed a client, had psoas tension and torsion of the lumbar spine was the result of reconstruction Knee .
What had happened since its reconstruction was that the non-leg had to be reconstructed weaker in the quad and knee tendon, and Ilio /psoas muscle complex than the reconstructed leg. The result was a tightening of the Ilio-psoas on the leg of reconstruction and was also a perversion of the lumbar spine the opposite direction side.
By Roger Fontaine, r.m.t.
http://www.healingmassage.ca/
204-799-3663
October2006-10-18
Roger Fontaine is a registered massage therapist operating a massage clinic in a fitness centre setting in Winnipeg. Trained at Wellington College of Remedial Massage Therapies graduating in 2001 from the advanced therapy classes. Member of Association of Massage Therapists and Wholistic Practitioners, A.M.T.P. Specializing in sports injuries and joint replacements, principally knee and hip joints. I also offer comprehensive exercise rehabilitation in strenghtening and stretching for clients.
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1 comments:
Thanks for sharing such a informative post about the back pain. The most common muscle pain treatment is Rest, Ice, Compression and Elevation, or RICE. Most sports/fitness/ballet buffs know this, and have ice packs handy at home, and maybe an elastic bandage in their gym bag or dance bag, to use in an emergency.
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