Dylan Crake RMT & R.KIN

Draping

• Pillow under abdomen (if it is not a disk issue) and feet
• Block pelvis and check for stability and comfort ( Ex. If R pelvis anteriorly rotated, block under R ASIS and L Greater Trochanter )

Hydrotherapy

• Heat to low back and glutes
• State it will be on for 5 – 10 minutes
• Make sure heat pack is stable
• Check in with heat visually, tactile and vocally

Specific Areas

Erectors:

• Perform 2 neuromuscular techniques
• Detect trigger points and state referral pattern
• Negotiate trigger point work
• Heat and stretch area

Multifidi:

• Perform 2 neuromuscular techniques
• Detect trigger points and state referral pattern
• Negotiate trigger point work
• Heat and stretch area

Quadratus Lumborum:

• Perform 2 neuromuscular techniques
• Detect trigger points and state referral pattern
• Negotiate trigger point work
• Heat and stretch area

Glute Max:

• Perform 2 neuromuscular techniques
• Detect trigger points and state referral pattern
• Negotiate trigger point work
• Heat and stretch area

Piriformis:

• Perform 2 neuromuscular techniques
• Detect trigger points and state referral pattern
• Negotiate trigger point work
• Heat and stretch area

Joint Mobilizations

• Glide in correct direction
• Oscillation of Grade 1 or Grade 2

Communication

• Ask if client feels secure, physically check
• Check on comfort of back and glute draping
• Double check on comfort of glute draping
• Check in with trigger points
• Check in with joint mobilizations
• Ask where pain is travelling