Dylan Crake RMT & R.KIN

Draping

• Stable, neutral position
• Slightly elevated wrist
• Be sure there is no pressure on Median Nerve
• Pillow under the legs

Hydrotherapy

• Cold press if swelling
• Heat if performing fascial work
• Check in, visual, vocal and tactile

Treatment

• High tone in wrist flexors:
  • Perform 2 neuromuscular techniques
  • Negotiate trigger points
  • Stretch, but be aware of the Median Nerve
• Perform fluid techniques if swollen – start with pumping at clavicle first
• Fascial techniques at Flexor Retinaculum
  • Negotiate fascial work and let them know it may burn or feel a dragging sensation
• Joint mobilization at carpals
  • Grade 1 or Grade 2 oscillations

Communication

• Check in with client throughout
• Ask if client is experiencing any tinging, where is it and how long does it last?
• If the client lets you know it’s getting worse, move distally and do gentle fluid techniques
• Tell client to show you and tell you where the pain is and if it goes away