Body Part - Hips/Pelvis/Glutes - Techniques

molloyboy3

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Hi.

I envision a sticky for this thread in the future (and the other body part threads I'll start!), if this goes well.

We could utilize this sort of like the "Massage Pearls" thread. Anything you find interesting within the MassagePlanetL forums regarding a specific part body and the work surrounding it, could be parked in this thread. Obviously we may end up with some thoughts duplicated from the Massage Pearls, but who cares!!!! The more, the merrier!

In addition, if you'd just be interested in posting some neat techniques you do for this particular body part, that would be wonderful too!

Consider items like:
  • Amount of time you generally spend on this body part.
  • Amount of time you can spend on this body part.
  • Techniques you may use to stretch out a massage while working this body part (example: you need to pass a few minutes to get back on track -- swedish therapists may really appreciate this info).
  • How you incorporate other bodyparts at the same time when you are working this area (example: long strokes in working the hip with one hand and the posterior calf with the other -- in unison).
  • Techniques for specific problems or patterns.
  • Draping/loose draping/non-draping information - the why & why-nots associated with this area.
  • Tell us something that just feels good!
  • Types of lotions/oils you would use for the technique and why.
  • How to perform deeper work or lighter work in the region.
  • Case Study Examples from your practice.
  • Bonus thoughts that you may have that would be helpful to new and old therapists alike!

Without further ado .... it's all about the hips/pelvis/glutes!!!!
 


Regarding work with hot stones around into the glutes:

melb said:
The advaneforum.xxxe to bigger stones is they stay warmer longer so you can do more work before you have to change them, and they do have the extra weight. (by big I mean about 3-4inches across, not 6inches across, THOSE big stones are more for placement) I do use the edge of a BIG 6" one getting into the glutes around the greater trochanter, and I will use it on the back of the thighs going up into the glutes.
 


akb said:
Client lying supine...pick up leg flex knee and hip then stretch by rotating at the hip. Support leg by holding the heel and on the thigh just above the knee.

chavutti1.jpg


So the picture on the right is how to hold it then circle that sucker and stretch those rotators!
 


Intuitouch said:
So I have this new client who is suffering from sciatic pain and has lumbar compression.

Of course in the beginning of the session as I'm familiarizing myself with his muscles, the tightness, the soreness...yada...yada...yada...and I'm asking him about pressure and depth he says certain areas around his SI joint are incredibly tender.

So...I'm working along on the surrounding tissue for release and going back periodically to work around the SI joint...asking about intensity to see if he notices any changes. As I'm working through the quadratus lumborum and into the erectors he, of course, is surprised at how sore these areas are throughout his body.

Being the diligent practitioner I keep working...and working into an ever widening circle around the SI joint, as well as, mixing in work that addresses his back and legs in general.

Zoom to the end of the session -- as I revisit the SI joint and the specifically sore areas he became aware of at the beginning of the massage...asking him about intensity -- lo and behold it's not sore anymore.

LOL The surprise in his voice is considerable!! LOL

I laughed and said, "Ahh, you sound so surprised!" at which point he laughed and acknowledged that indeed he was surprised and grateful that he's not sore anymore!
 


For akb:
Nice photos showing the work you're doing -

but one caution:
With the client in the supine position:
If you're working with someone who has knee issues it is better to hold behind the knee (just above the joint) rather than closing up the joint as shown. We learned in the AIS classes, with Aaron Mattes, to stand to the side of the table & allow about a 45 degree angle bend in the knee while doing the rotations, then do the stretch slightly to the side & up toward the armpit - holding the stretch there for approx. 2 seconds. The other way to do this if your client is experiencing a knee problem is to allow them keep the leg straighter while you stretch the entire leg up toward the shoulder.

The other way in which I address the hip/glute area is this:
For the left hip - stand on that side - with the client laying prone - bring the leg up to a 45 degree angle (and again watching out for problem knees may require other adjustments) I will place my left hand along the outer hip/glute region feeling for tension in the attachment points then proceed to compress & release - rocking the entire hip as I use my right hand to hold just above the ankle - then gently but firmly stretch & rock the lower leg medially than laterally - back & forth a few times as I work the hip. Then I frog the leg out to the side & continue compressing & releasing the entire joint - finishing the side by doing acupressure compressions down the entire leg. Once I straighten the leg & recheck the hip and points north up into the waistline I generally find that the whole lower back has opened up.

After completing both sides, I will then proceed to do a few full strokes of light into deeper pressure over the entire back before working the shoulders/scapula area, upper & mid back, then pulling it all together as I do the remainder of the whole back of the body sequence from the head to the feet.
 


I love working this area! Don't know exactly how it happened, but I went from feeling kinda ignorant about it to feeling it's now one of my strongest areas to work. The hip flexors especially are rewarding, as I often see dramatic changes in just one or two sessions.

Lately I've taught a few classes (CE provider approval pending) for MTs that focus solely upon the hip flexors. The course was originally intended to be just 3 hours... but I have a good 8-10 hours of material! :lol: So we covered just the most critical pieces (assessment, anatomy, and palpatory skills) and surveyed a few basic treatment skills.

For simplicity, I roughly divide treatment skills into two broad categories that each have two broad subcategories:

A. Passive Techniques - basically anything you do where the client passively allows you to manipulate their tissues. These I divide into two categories: Indirect and Direct.

1. Indirect Techniques - basically techniques that don't require putting force directly into the tissue. These include fascia work, positional release, some forms of stretching, and so forth.

2. Direct Techniques - basically techniques that apply direct pressure to the tissues. These include trigger point, cross fiber friction, etc.

B. Active Techniques - basically anything you do in which the client actively participates in moving or manipulating their body. These I divide into two categories: Stretching and Exercising.

1. Stretching - Here I teach active stretching methods like Active Isolated Stretching and PNF stretching. There are others, but I prefer these for ease of use, effectiveness, and because clients learn them fairly easily.

2. Exercising - This could run the gamut of somatic education, personal training, etc... and it's far outside the scope of practice of most MTs. I limit my course material to emphasizing the importance of knowing practice limits and referring clients to the appropriate experts. MTs should not mess around with exercising clients or making recommendations regarding a client's exercise program unless they have real credentials and some actual training experience.

I believe MTs should have a good grasp of how to assess for hip flexor issues. This includes observation of posture and movement in addition to the verbal intake. It's also critical that the MT establish good solid boundaries and a connection of trust before working the area. Communication, in short, is key.

An MT should also really know what they are looking for, how to find it, and what to beware of. There's a lot of important stuff around the inguinal ligament, so you don't want to be aimlessly poking about. Even on very large clients, it's easy to figure out where you are once you find the ASIS and use it as a landmark.

I prefer to start with indirect techniques, especially if the client's anterior hip fascia is thick and doesn't move easily. Also, indirect techniques tend to be more easily tolerated if those areas are very tender and/or ticklish.

Direct techniques usually follow indirect ones, at which point the tissues should be well prepared. I teach a gentle approach to applying direct pressure, to make it easy on both client and MT. No sense in either one feeling real pain during or after the work!

Active stretching is something I would normally do last, to get the body to use the tissues we just released. This is critical for motor education, and clients can learn and practice these skills for faster progress between sessions.

Though the hip flexor course I've put together focuses on the psoas, iliacus, and pectineus, it's important to also look at them in relation to the glutes, TFL, quads, adductors, etc. The whole pelvic area is fascinating, and I hope to see more MTs take an active interest in working it!
 


dodab said:
Have you tried to make an enegetic connection between the pelvis and the sacrum? No pressure is needed, just a gentle hold of both of them for a minute or two may help to move them back in unison. Just a thought.
 
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  35. Lulu1980:
    Phoenix Blossom Spa ๐ŸŒน๐ŸŒน๐ŸŒน Table shower .body scrub ๐Ÿ˜˜Three girls every day ๐Ÿ”ฅ๐Ÿ”ฅ๐Ÿ”ฅ 5124 Dundas West Street, Etobicoke โ˜Ž๏ธ 416-817-3366 ๐Ÿ‘ Newโ—๏ธNew girl Angela ,so young Petite and pretty๐Ÿ˜‹ open service ๐Ÿ˜œ๐Ÿ˜œ Sweet girl Luna deep massage ๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜ Hot and sexy body very provocative service ๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜โค๏ธ You are welcome to make an appointment at any time or walk in directly through the back door. We have ample parking spaces available
  36. Sabrina Fox:
    I'M HOT BUSTY AFRICAN GIRL AVAILABLE AT WESTON & ST. CLAIR. LETS HOOK UP! ๐Ÿ“ž 647-271-9648
  37. ใ™ใฟใพใ›ใ‚“:
    Gabby , sunny , larissa , lora, michelle , christine on duty at top notch.
  38. Nu spring spa888:
    โค๏ธโค๏ธโค๏ธsexy hot Germany๐ŸŒธKorean ๐ŸŒธViennese girl working at๐Ÿ’“๐Ÿ’“ Nu spring spa โ˜Ž๏ธ416-669-8508โค๏ธโค๏ธโค๏ธ
  39. Golden Sunshine Spa:
    โœจClick on our Username and FOLLOW US for updates and special services ! โœ… Click Here Today๐ŸŒธSusan๐ŸŒธLuna๐ŸŒธXuka๐ŸŒธLynda๐ŸŒธBrandy Call us โ˜Ž 905 - 265 - 2158โ˜Ž๏ธ Your ultimate service awaits! โœจ
  40. SL East Spa:
    ๐Ÿ’†โ€โ™€๐Ÿ’–Tuesday ๐Ÿ’œ Ultimate destination for Asian massages๐ŸŽ‰ Two fab spots: SL Richmond Hill & SL West Oakvilleโœจ Your passport to paradise with 10 enchanting girls fr China, HK, Japan & Korea โ€” ๐Ÿ†• Aliyah, Lucy, Cindy, Yui, new Jojo, Coco, Cici, busty Amber, Kelly & Jasmine โ€” ready to pamper you๐ŸŽ๐Ÿ Ring us ๐Ÿ“ž647-695-6354 or text us ๐Ÿ“ฑ647-578-8169โœจ 160 East Beaver Cr., Unit 12, RichmondHill ๐Ÿ’ฐWhere Eastern charm meets Western comfort - your bliss awai
  41. SpringGreen.:
    Apple off your weeked with a bang๏ผ Judy is at spring green in downtown toronto Tuesday from 9am-9pm with apple and coco. apple is a very beautiful andcaring young lady๏ผkitty is super hot.๐Ÿ’‹๐Ÿ’‹647-891-0699 ask and text questions thanks๐Ÿ’‹๐Ÿ’‹
  42. wilson holistic centre:
    new girl works at ๐Ÿ’‹535 Evans Ave today ๐Ÿ’•๐Ÿ’•๐Ÿ’•โ˜Ž๏ธโ˜Ž๏ธ416-531-6969โ˜Ž๏ธโ˜Ž๏ธ
  43. Spa in Markham:
    GOLDEN FS โ€“ 8380 Kennedy Rd ๐Ÿ“ž 905-258-0777 / 416-688-6886 ๐Ÿ‡ธ๐Ÿ‡ฌ CANDY, ๐Ÿ‡ญ๐Ÿ‡บ VANESSA, ๐Ÿ‡จ๐Ÿ‡ด MEGAN (2AM), ๐Ÿ‡ป๐Ÿ‡ณ JULIE (8PM) ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookinggoldenlove
  44. FLOWER Spa - BLUEXADO | Thornhill | VAUGHAN:
    BLUEXADO FS โ€“ #06-1102 Centre St ๐Ÿ“ž 416-357-9797 / 416-678-8668 ๐Ÿ‡ป๐Ÿ‡ณ CICI, ๐Ÿ‡ป๐Ÿ‡ณ MY LINH, ๐Ÿ‡ป๐Ÿ‡ณ AMY, ๐Ÿ‡ป๐Ÿ‡ณ SHERRY ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingbluexadolove
  45. Red Rose Spa:
    ๐ŸŒธ We have 13 hot brown girls today ๐ŸŒธ MONICA, ASHA, MALIYA, MONIKA, ANGEL, MIMI, PREETI, ANGELINA, DIYA, PAYAL PEARL, KIRAN ๐ŸŒธ 2588 Birchmount ๐ŸŒธ 2 Invergordon ๐ŸŒธ 647-702-8800 ๐ŸŒธ Please visit for a great erotic massage
  46. FLOWER Spa โ€“ PINK | Scarborough | TORONTO:
    PINK FS โ€“ 3300 McNicoll Ave ๐Ÿ“ž 416-299-5515 / 416-817-3839 ๐Ÿ‡ฎ๐Ÿ‡ท ELINA, ๐Ÿ‡ป๐Ÿ‡ณ KELLY, ๐Ÿ‡ต๐Ÿ‡ญ MADY (1PM) ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingpinklove
  47. Jennyโ€™s Spa:
    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ( 647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ( 437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅTWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅ ๐Ÿ’ฏREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ ๐Ÿ”ฅ๐Ÿ’‹Limited Time Special Promotion๐Ÿ”ฅ๐Ÿ’‹ โœ…๐Ÿ’ฆ30 Minutes Nude Mass
  48. DareDevil:
    ARIA WELLNESS ๐Ÿฌ๐ŸญADDRESS: 360 HWY 7, UNIT #6, โ™ฅ๏ธRICHMOND HILL,647-222-5683 (PHONES CALL ONLY, NO TEXT'N AVAILABLE) โ™ฅ๏ธTODAY'S Schedule!โ™ฅ๏ธ Loaded lineup with Beautiful Girls : Yoga Lucy, Killer Kelly, Adorable Eva, Magical Mia and Work out๐Ÿ‹๐Ÿšด๐Ÿ’ช Babe Amy! BUY 10 HOURS (GET 11 HOURS) **TODAY'S PICK OF THE DAY ARE ๐Ÿฌ๐ŸญLUCY AND KELLY๐Ÿฌ๐Ÿญ**
  49. Soul Relax Spa:
    โœจ Looking for a relaxing escape? โœ… Click Here Meet๐ŸŒธNina๐ŸŒธAnna๐ŸŒธAmberCall us today for the best treatment and service experience. Click on our Username and FOLLOW US for updates ! Call now โ˜Ž 289 - 298 - 5662โ˜Ž๏ธ Your ultimate relaxation awaits! โœจ
  50. AliceSpa:
    TUESDAY at ๐—”๐—Ÿ๐—œ๐—–๐—˜ ๐—ฆ๐—ฃ๐—”, 4915 Steeles Ave. E, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿฎ๐Ÿต๐Ÿด-๐Ÿฌ๐Ÿด๐Ÿต๐Ÿด. 3 Young Beauties Today at Alice Spa. Open 10am to 9pm: CLOUDIA (10am-9pm): is Vietnamese, young, petite 5'2" & 96 Lbs, B Cup, best rim deep bbbj cim. $40 Room Fee + $80 (incl bbbj & fs). +$20 for rim/cim. Excellent open minded services. KITTY (1pm-9pm) is a new Korean girl, super busty, small body, new
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