Dylan Crake RMT & R.KIN

Draping and Positioning

• Maxillary or Ethmoid sinus block – side lying
• Frontal sinus block – supine with a pillow
• Sphenoid sinus block – prone

Treatment

• Double check it is the correct sinus
• Palpate:
  • Maxillary – Anterior, inferior orbital
  • Frontal – Upward, superior orbital
  • Ethmoid – Medial, Medial orbital
  • Sphenoid – Lateral orbital
  • Apply pressure here for 10 seconds, ask about pain, pressure or tenderness
• Relaxation of neck and shoulders to begin treatment

Lymph Drainage

• Open up cervical termini. State you’ll do this for 3-5 minutes and ask for relaxed breathes
  • Work at clavicle, sternum and between SCM and Scalenes
• J- Strokes from clavicle up and down neck
• J-Strokes up towards affected sinus
  • Fine vibrations at sinus
  • Compress and recoil at sinus
• Drain infraorbital nerve and supraorbital nerve

Fascial Techniques

• Myofascial, direct fascial, pin and stretch along sinus
  • Ask client if there’s any discomfort, negotiate pain scale
  • Let client know they may feel a burning sensation

Percussive

• Tapotement at sinuses – be aware of pressure

Neuromuscular Techniques

• Look for trigger points in SCM, Suboccipitals, Trapezius, Masseter and Temporalis
  • State where they would feel the referral pain
  • State your moving cross fibre, and you’re looking for a nodule within a taught band and negotiate pain scale