A D V A N C E D M Y O F A S C I A L T E C H N I Q U E S $15 HEADACHES ADVANCED-TRAININGS.COM 3514 Nyland Way Lafayette CO 80026 USA tel. 303/499-8811 NAME: 6/12
CONTENTS HEADACHES Acknowledgments and Disclaimers... iii The Advanced Myofascial Techniques Series...iv Certification Information...v Other Learning Options... vi CRANIAL SLEEVE SEQUENCE...C-01 Transversospinalis...C-02 Suboccipital Triangle... C-03 Frontalis, Occipitalis... C-04 Galea Aponeurotica...C-05 Temporalis II...C-06 Ear: Superior Crura... C-07 Ear: External Acoustic Meatus... C-08 Sacrum: Pelvic Lift...C-09 CRANIAL CORE SEQUENCE...D-01 Parietal Lift...D-02 Orbit / Zygoma Release...D-03 Orbit Points...D-04 Maxillary & Zygomatic Fascia...D-05 Maxilla Rocking... D-06 Cranial Vectors II... D-07 Mastoid Process Cradle... D-08 Bilateral Talar/Tibial Release...D-09 Sitting Neck Work... D-10 SUPPLEMENTAL TECHNIQUES (on DVD)... X-01 Maxilla: Shear... XD-11 Palate II... XD-12 Standing Masseter Release...XD-13 Headache Classifications... X-14 Table: Headaches Compared...X-15 Migraine Remedies...X-16 Migraine Triggers...X-17 References & Resources...X-18 Answer Keys...X-20 Adv. Myo. Techs: p. ii
About this Notebook This notebook can help you organize your notes, and serve to remind you of the key points for each technique you learn in your workshop or DVD study. Please note that it is NOT intended to serve as a complete course manual or comprehensive instruction book -- key instruction for the techniques we cover happens only in class, and the photos and brief notes in this book, even when used with our DVDs, cannot substitute for this important personal instruction. Acknowledgments and Disclaimers Many thanks to past participants, assistants, colleagues, teachers, and collaborators for their assistance in the development of this work and manual. Teachers whose influence can be seen here include Jan Sultan, Dub Leigh, Ed Maupin, Emmett Hutchins, Jeff Maitland, Michael Salveson, Jim Asher, and many others. Special acknowledgment goes to the inspiration provided by Dr. Ida Rolf, founder of Rolfing, Philip Greenman, DO, and many other manual therapy pioneers and innovators. Photography credits for the manual go to Loretta Carridan Luchau CMT, John Gillies CMT, Dameron Midgette CAR, and Larry Koliha CR CAMT. Special thanks goes to Larry Koliha CR CAMT, Jeremy Sutton CR CAMT, and to Gary Burns CR CAMT for their many contributions.. DISCLAIMERS: This course teaches soft-tissue myofascial techniques for practitioners and advanced students of hands-on body therapies, and is not a course in Rolfing structural integration or Rolfing technique. Rolfing is a service mark of the Rolf Institute of Structural Integration, which is the sole trainer and certifying body for Certified Rolfers. Please note that not every scheduled course is associated with the Rolf Institute. The Advanced Myofascial Certification Program is administered by and is not associated with the Rolf Institute. This course does not teach osseous adjustments or chiropractic techniques. The methods taught do not constitute medical treatment and a physician should be consulted in advance about any conditions which might contraindicate this work. While every attempt is made to insure the safety of the techniques taught, participants assume all risk for participation and subsequent application of methods learned., the Rolf Institute, and most other sponsors are approved by the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) as Continuing Ed. Providers under Category A. Rolf Institute and other types of CE credit are also available: please inquire. All reproduced photo and diagram copyrights are retained by original sources. Special thanks to Primal Pictures Ltd., Jeff Linn, Tom Myers, and others for permission to use their graphics. Manual and material copyright 2005 Adv. Myo. Techs p. iii
The Advanced Myofascial Techniques Series Since 1989, this popular series of seminars presents practicing somatic therapists and qualified students with advanced and little-known myofascial techniques which can be easily incorporated into existing personal styles. Drawing on a wide range of disciplines, the focus is on unusual, interesting, and fresh approaches that will both expand technique repertoire and inspire creativity and innovation. Potential topics include: Specific techniques for common structural and functional complaints Relieving pain, restoring lost function, and getting lasting results Utilizing both active and passive movement to enhance effectiveness Precision in working with specific tissue types and body layers Combining indirect or subtle work with deep or direct work Tracking subtle psychophysiological and nervous system responses Ways to work sensitively, safely, and comfortably at very deep levels. The Advanced Myofascial Techniques workshop series presents a comprehensive system for working with the body in its entirety, encompassing over 20 session sequences and more than 200 techniques, tests, and procedures. Workshops in the series may be taken individually, or combined in any order. The five principle courses include: Arm, Wrist, & Shoulder Legs, Knees, & Feet Pelvis, Hip, & Sacrum Neck, Jaw, & Head Spine, Ribs, & Low Back Specialty courses include: Whiplash (2 days) Scoliosis (2 days) Sciatica & Disc Issues Advanced Knee Issues TMJ Headaches Myofascial Essentials Myofascial Mastery Adv Ilia & Sacrum (2 days)...and others. These courses are intended for trained practitioners and students of hands-on body therapies (for example, Bodyworkers, Physical Therapists, Rolfers, Chiropractors, Structural Integration Practitioners, Massage Therapists, Neuro-Muscular Therapists, and other somatic practitioners, etc.) Completion of the 5 principle courses plus electives leads to optional Certification in Advanced Myofascial Techniques (CAMT). Organizer and In-service inquiries invited Adv. Myo. Techs p. iv
Get CERTIFIED in Advanced Myofascial Techniques Top-Quality Training, Simple and Flexible Program Designed for practicing manual therapy professionals and advanced students, the Advanced Myofascial Techniques Certification Program allows you to earn a credential that will set you apart from other practitioners in the eyes of clients, referral sources, clinics, and schools. Simply complete the 5 weekend seminars in the Advanced Myofascial Techniques series, complete at least 4 days of specialty workshops, and earn additional Elective CEU's through a variety of local or at-a-distance methods. Go as quickly or as slowly as you wish: there is no deadline for completion. Credit for past trainings and work is available, and enrollment in the Certification Program makes you eligible for discounted tuition on many of our trainings. Your savings and increased earning power will pay for your investment many times over. Advantages and Benefits * Flexible program: individually tailor your learning * Self-paced: go in any order; no deadline for completion * Full credit available for past Myofascial courses * At-a-Distance elective CEU options * No renewal fees or membership dues * Four-year term with easy, automatic renewal * Special discounts on select courses and telecourses * Individualized advising and program design assistance * Get trained and accredited by, a leader in the manual therapy field since 1985 * Earn CEU's: NCBTMB Category A Credit (up to 98 units). Rolf Institute and other types of CE Credit are available. Sign up now to start getting your discounts and earning credits! For more information and complete details, go to: /certification.html Adv. Myo. Techs p. v
LEARN MORE Earn Additional CE Credit A variety of distance learning options are available. Many online options are free, or charge only if a Certificate of Completion or CE is desired. Advanced Myofascial DVDs 1-Hr Study Guides and Certificate Courses Ethics for the Real World series Live and recorded webinars Articles & Books YouTube Technique Library...and more. Visit our site or your course s sales table for more info. Adv. Myo. Techs p. vi
C-01 CRANIAL SLEEVE SEQUENCE Intentions / Goals: Release myofascial restrictions in neck, 1. layers of cranium, and face; Prepare for deeper 2. myofascial work. Indications: Headaches, especially 3. ; Eye, neck, or face 4. ; Tinnitus, vertigo, TMJ, insomnia.
Transversospinalis Transversospinalis C-02 P,D Works with Multifides, Semispinalis Cervicis, -Capitis 04/07
Suboccipital Triangle Suboccipitales Dreieck C-03 D Obliquus Capitis Inferior, Superior; Rectus Capitis Posterior Major, Minor. 04/07
Frontalis, Occipitalis Frontalis, Occipitalis C-04 D Use firm pressure with fingertips to free the fascial layers of the forehead and scalp. Raise and lower eyebrows, etc. Not pictured: occipitalis on posterior cranium in the same way. 04/07
Galea Aponeurotica Galea aponeurotica C-05 D Use firm pressure with fingertips to free epicranial aponeurosis on entire cranium: melon peeling. Avoid direct pressure on lateral wings of sphenoid (temples). 09/06
Temporalis II Temporalis II C-06 D Side-lying, or supine with head rotated. Use fingers or knuckles to release Temporalis restrictions with movement. Jaw movements: depression/elevation; protrusion/retraction; lateral movements. 04/07
Ear: Superior Crura Ohr: superiore Crura C-07 D The upper parts of the external ear can provide effective handles for releasing restrictions and pain in cranial and temporal fascias. Apply gentle traction; feel for release; repeat in various directions. 09/06
Ear: Concha Traction Ohr: Zug an der Ohrmuschel C-08 D Grasping concha, apply gentle traction, ask for movement, and wait for release. Repeat in each direction: inferiorly, posteriorly, superiorly, anteriorly (grasping tragus). Use lateral traction on external acoustic meatus to feel deep into cranium via tentorium. Jaw depression/elevation; protrusion/retraction; lateral movements. Use eye movements coupled with jaw movements; feel for restrictions. Alternatively, use jaw movements to feel into TMJ. 09/06
Sacrum: Pelvic Lift Sacrum: Becken anheben C-09 I 04/07
D-01 CRANIAL CORE SEQUENCE Intentions / Goals: Release deep intra-cranial myofascial and articular 1. ; 2.. Indications: Headaches, especially 3. or sinus; 4., speech or airway pathology; Facial or 5. trauma / strains.
Parietal Lift Anheben der Parietalknochen D-02 P,D "Take lid off" with gentle superior traction. 04/07
Orbit / Zygoma Release Lösen von Orbita / Zygomatica D-03 D Feel for release between zygoma and upper orbit. 04/07
Orbit Points Punkte an der Orbita D-04 D Pressure along upper and lower rim of orbit. Indicated for sinus headaches. 04/07
Maxillary & Zygomatic Fascia Faszien von Maxilla und Zygomatica D-05 D Work attachments of facial tissues between inner and outer hands. Variation: work attachments on roots of both upper and lower gums. 09/06
Maxilla Rocking Maxilla: schaukeln D-06 D By alternating pressure on left and right side upper molars, gently rock mandible in frontal plane (clockwise and counterclockwise as seen from the front). Feel for and release any movement restrictions, encouraging ease and balance. Variations: check for mobility/motility in saggital plane (front/back movement) and horizontal plane (side/side and swiveling movements) as well. 04/07
Cranial Vectors II (Indirect) Craniale Vektoren II (indirket) D-07 I Look at cranial symmetry and cranial compression. Subtle approach: gently feel for connection. motility, and release across each vector (rather than using pressure to compress vector). Take your time. Begin with each same-side vector, then each diagonal, and end with occipital vector. Thanks to Jeff Maitland for this lighter-touch version, and to Robert Schrei for the original firm-pressure osteopathic technique. 06.03
Mastoid Process Cradle Wiege für die Processi mastoidei D-08 I Thumb pads on mastoid processes. Use very gentle compression to release cranial bones around occiput. Feel for release, symmetry of movement. Frees posterior cranial and occipital movement. 09/06
Sitting Neck Work Arbeit mit dem Hals im Sitzen D-09 I Client turns head first towards practitioner, then slowly away. Keep neck and spine in vertical alignment. Don't let client collapse or "muscle through" the movement. 09/06
X-01 SUPPLEMENTAL TECHS (on DVD)
Maxilla: Shear Maxilla: Scherung XD-11 D With gentle grip, feel for subtle lateral motility ( shear ) of Maxilla in relation to skull. Adapted from Bill Smythe. 06.03
Palate II Gaumen II XD-12 D With headaches, feel for trigger points which refer to headache pain, or places where pressure relieves headache pain. Hold, wait. Indicated for migraines and vascular headaches, especially when accompanied by visual disturbances. The intention of the palate work in the Neck, Jaw, and Head Part II workshop is width in order to relieve any narrowness or cranial compression. In this variation, intention is headache relief through both trigger point work and opening of cranial vault s base. 09/06
Standing Masseter Release Lösen der Masseter im Stehen XD-13 D,I Client bends and straightens knees, while releasing jaw. As the top of your head moves upwards, leave your jaw behind. 09/06
X-14 Headache Classifications I. Primary ( not caused by another condition ): 1. 2. 3. or Co-mingled. II. Secondary ( caused by another condition ): 1., Trauma, Concussions 2. and Medical Conditions.
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ANSWER KEY, HEADACHES C. CRANIAL SLEEVE SEQUENCE Intentions: Release myofascial restrictions in neck, 1. outer layers of cranium, and face; Prepare for deeper 2. intra-cranial myofascial work. Indications: Headaches, especially 3. myo-structural; Eye, neck, or face 4. strain or tension ; Tinnitus, Vertigo, TMJ, Insomnia. D. CRANIAL CORE SEQUENCE Intentions: Release deep intra-cranial myofascial and articular 1. restrictions ; 2. Integration. Indications: Headaches, especially 3. vascular or sinus; 4. Apnea, speech or airway pathology; Facial or 5. dental trauma / strains. XE-17 HEADACHE CLASSIFICATIONS I. Primary 1. Musculoskeletal 2. Vascular 3. Mixed or Co-mingled II. Secondary 1. Injuries, Trauma, Concussions 2. Metabolic and Medical Conditions Adv. Myo. Techs p. X-21