Massage 4

1
Massage 4

• Massage and Palpation of the Lower Back region.
  Gluteal Massage

2
Bony Landmarks

• Lumbar Spine
• PSIS
• Ischial tuberosities
• Iliac crests

3
Soft Tissue Landmarks

• Gluteal muscles
• Lat dorsi
• Erector spinae
• Sciatic Nerve

4
Low back massage

• Position in supine, very hard to do in sitting
• Indications sprain, strain, spasm, HNP
• Time 15 minutes

5
Low Back Massage

• Description feel for tightness.
• Start with effleurage.
• Bil tree
• Kneading
• Effleurage shingling, or layering
• Circular friction
• Deep transverse with thumbs
• Horizontal kneading
• Digital kneading
• Effleurage

6
Gluteal Massage

• Indications hip pathology, sciatica, sprain,
  strain,sidelying during pregnancy