The client that came to the session complained of tightness in their hamstrings. When I palpated this area there were many areas of hypersensitivity. Before beginning any treatment, I ensured that my self-presentation was good by correcting the plinth height, wearing the appropriate uniform, while considering both health and safety and hygiene. I also did a thorough assessment of the patient by observing their posture and comparing both the left and right sides of the body. Once I had done this I decided on a treatment plan and explained this to the client. In this particular incidence I used soft tissue massage to try and release tension and Muscular Energy Techniques (METs) to increase flexibility of the hamstrings. I started off with effleurage that creates heat and then I used petrissage (mainly kneading) to get deeper into the muscle belly of the hamstrings (semimembranosus, semitendinosus, bicep femoris). When using petrissage, to reduce the amount of time using my fingers, I also used my thumbs, knuckles and forearm which allowed me to get even deeper. As an alternative to massage, I used METs to improve range of movement (ROM) by increasing flexibility, therefore reducing the tightness. Once the treatment was finished I provided after care advice which included ensuring they drink plenty of fluid and not participating in physical activity for at least 24 hours. I also remembered to lower the bed to allow them to get off it safely.

Areas for further improvement