Subscapularis Manual Release

FEATURED COURSE: Static Manual Release: Infraspinatus, Teres Minor, Subscapularis, Pectoralis Major and Posterior Deltoid (for Upper-Body Dysfunction)
Course counts for 2 credits towards the BI IMT or CECs
brookbushinstitute.com/course...
Trigger Points
- The most common subscapularis trigger points are in the middle of the length of the muscle, and additional trigger points may be located closer to the glenoid fossa.
Release Technique
- This technique is most comfortable with the patient lying in supine and the practitioner standing on the affected side.
- To access the subscapularis, protract and upwardly rotate the scapula. This can be achieved by having the patient actively reach for the ceiling and then place their hand behind their head. However, the more common method is the practitioner using their off-hand to control the arm; gently pulling the arm toward the ceiling and flexing the shoulder.
- The practitioner can then use the other thumb to palpate down to the anterior surface of the scapula.
- Attempt to locate dense regions or taut bands using short vertical strokes. Pick up the finger after each short stroke to reduce the risk of painfully dragging and stretching soft tissues with your fingers along the length of the scapula.
- Once a taut band is located, some exploring from medial to lateral may aid in locating dense nodules. Note it may not be possible to "reach" the medial portion of the subscapularis from the axilla.
- The direction of force and the amount of protraction/upward rotation may be adjusted to aid in pinning and compressing dense/sensitive tissue. Generally, pressing down toward the table is sufficient, but cranial force may aid in pinning tissue.
- Consistent pressure is held until the nodule softens under the practitioner's fingers, or tissue density/sensitivity is significantly reduced (generally 30 - 120 seconds).
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[@cerealsgames3118]

This is a fantastic explanation!

[@BrookbushInstitute]

Glad it was helpful!

[@905KAS]

Great videos! Serratus anterior next?

[@BrookbushInstitute]

It's coming up!

[@HeyIntegrity]

so the whole lateral border that you touch is the lat at 3:02 and 9:34 and very visible from the front.. I can kind of understand how the lat ends up at the front of the bicipital groove. But how does the teres muscle get from the posterior axillary fold to the bicipital groove always confuses me. Can you ever do a video showing its course?

[@BrookbushInstitute]

If it helps, think about the top of the Lats and Teres Major running basically the same course. It's more complicated than that, but it usually helps people understand. It is hard for a lot of people to visualize in 2-D. Does that help?