Common Injuries to the Shoulder include Rotator Cuff Syndrome (generally a collection of symptoms)
If you have been diagnosed with a sport related shoulder injury, seek early advice from an certified Osteopathic Practitioner.
Identify the tender/trigger point you wish to work on
Place the host muscle in a comfortable position, where it is relaxed and can undergo full stretch;
Apply gentle, gradually increasing pressure to the tender point until you feel resistance;
This should be experienced as discomfort and NOT pain;
Apply sustained pressure until you feel the tender point yield and soften. This can take from seconds to several minutes;
This can be repeated, gradually increasing the pressure on the tender/trigger point until it has fully yielded.
To achieve a better result, you can try to change the direction of pressure during these repetitions.
Deep Stroking Massage Technique
This approach follows a technique advocated by Travell and Simons involves a deep slow stroking technique over a tender/trigger point rather than a compression as described above. (Travell & Simons 1993 & 1999). As well as de-activating the trigger point this technique can have a stimulating or tonic effect on the host muscle.
Identify the trigger point and note muscle fibre direction;
Place the patient in a comfortable position, where the affected/host muscle can undergo full excursion;
Lubricate the skin if required
Identify and locate the tender/trigger point or taut band;
Working from insertion of the muscle towards the muscle origin;
Perform slow stroking massage using your thumb/applicator just beneath the taut band, and reinforce with your other hand (this should feel a bit like squeezing toothpaste from a tube) Note: This should be experienced as discomfort and NOT pain;
Hold for a 10-15 seconds and then complete the rest of the massage stroke towards the end of the muscle.