Dylan Crake RMT & R.KIN

Draping and Pillowing

• Regular
• pillow under legs
• Check in on comfort

Hydrotherapy

• Heat to scalenes, pectoralis minor and posterior shoulder

Specific Treatment

• Decrease tone in scalenes
  • Work on trigger points, negotiate trigger point work
• Decrease tone in pec minor
  • Trigger point work. Negotiate
• If edema present, elevate
• Focus on neck and chest

Joint Mobilization

• Shoulder
• Clavicle
• Sternum
• State grade 1 or 2 and oscillation

Communication

• Check in throughout with client about comfort
• Ask if symptoms are getting worse
• Negotiate trigger point work
• Negotiate connective tissue work