This session was undertaken in the Marjon Sports Therapy Clinic for 1 hour. The client was complaining of upper back pain.
Reflective Summary
After washing my hands, putting down coach roll and making the work place look generally professional, I sat the client down and went through the contraindications and checked for any allergies. I palpated around the trapezius, rhomboids, lattisimus dorsi and deltoids, looking for tightness and tenderness. Their trapezius and rhomboids felt tight and tender and there was some pain during palpation. To begin, I did 5 minutes of efflurage, to warm the muscles up. Then, I did 30 minutes of petrissage, mixed with occasional breaks of efflurage. In order to get deeper, I used a boulster under the clients shoulder, to allow the scapula to become more superficial. It was apparent when doing petrissage around this area that there were many myofacial points, in which I applied neuromuscular techniques,in a sequence form with other petrissage techniques (mainly kneading). To finish of, I did 5 minutes of efflurage.
Areas for Improvement
Within this session, I was sometimes unsure if the point I was performing the neuromuscular technique on was actually a myofacial point.
What can I do next?
- Communicate with the client more to ensure I am on the myofacial point, through using the VAS score.