Endangerment Sites
ES 2
ES 3
Description
Uses & Variations
100

Lumbar Region & Gluteal Region:



What are the:

Kidneys, Lumbar Plexus, Sacrum, Sciatic Nerve, Coccyx

100

Occipital Region:

What are the:

Vertebral Artery (when head is extended)

Greater Occipital Nerve

100

Lateral Brachium (anterior to deltoid tuberosity)

What is the:

Cephalic Vein

100

Effleurage

Smooth stroking or gliding movement following body contours. Applied with any part of one or both hands, or the forearm. Continuous contact is maintained with the client's body. Pressure is constant and evenly distributed across contact area.

100

Effleurage

Apply lubrication. Introduce the client to touch. Soothe the client. Assess superficial tissues. Begin and end a massage sequence. Transition from one stroke or body segment to another

Sweeps, Fanning, Pulling, V-Draining, Nerve Stroke

200

Structures missing from this list of endangerment sites in the abdominal structure:

Liver, Gallbladder, Ovaries,...

What are the:

 Xiphoid Process, Abdominal Aorta, Spermatic Cords, Inferior Vena Cava, Spleen

200

Posterior Fibular Head & Ovarian Reflex Zone: 

What are the: 

Peroneal/Common Fibular Nerve, Ovarian points (posterior to lat. malleolus)

200

Anterior Wrist & Hoku:

What are the: 

Radial Artery, Median Nerve, Ulnar Artery, Ulnar Nerve, Hoku [L14] (base of index finger)

200

Pertrissage

A lifting, stretching or squeezing movement. Soft tissues are drawn away from underlying structures. Applied with any part of one or both hands, or the forearm. Pressure is applied and released smoothly.

200

Petrissage

Assess superficial muscle & connective tissue layers. Increase circulatory movement in tissue spaces. Stretch muscle and connective tissue. Reduce muscle contraction or spams. Loosen subcutaneous adhesions. Increase movement in the stomach and intestines. Minimize atrophy (with normal nerve and circulatory function)

Kneading, Wringing, Fulling, Muscle squeezing, Skin rolling

300

Anterior Triangle of Neck (trachea, SCM, mandible):

What are the: 

Carotid Artery, Thyroid Gland, Vagus Nerve, Internal Jugular Vein, Hyoid Bone, Trachea, Lymph Nodes

300

Axilla (lats & teres major, pecs major & minor):

What are the: 

Brachial Plexus, Axillary Nerve, Axillary Artery, Axillary Vein, Lymph Nodes

300

Structures missing from this list of endangerment sites in the Posterior Triangle of Neck (clavicle, SCM, TVPs):

Brachial Plexus, Subclavian Artery,...

What are the:

External Jugular Vein, Vertebral Artery, Subclavian Vein, Lymph Nodes

300

Friction

A compressed stroke. Superficial tissues are moved over and against deeper tissues. Client's skin moves with the practitioner's hand. Oil is used minimally. Applied with any part of the hand, forearm, or elbow. Depth & pressure are relative to intent & tissue yield.

300

Friction

Increase local circulation. Reduce pain. Reduce spasm and hypertonicity. Releases ischemic and fibrous adhesions. Organize/reorganize scar tissue formation. Increase tissue mobility and joint range of motion.

Circular, Static, Transverse, Linear

400

Antecubital Area (anterior elbow):

What are the:

Median Nerve, Radial Nerve, Brachial Artery and branches: Radial Artery, Ulnar Artery, Median (Cubital, Cephalic, Basilic) Vein

400

Notch Posterior to Ramus of the Mandible:


What are the: 

Styloid Process, Facial Nerve, Trigeminal Nerve Branches: Maxillary Nerve, Mandibular Nerve, Opthalmic Nerve

400

Medial Brachium & Ulnar Notch (brachialis & triceps)(olecranon & medial epicondyle):

What are the:

Ulnar Nerve, Median Nerve, Musculocutaneous Nerve, Brachial Artery, Basilic Vein

400

Vibration

A rhythmic oscillating movement of a tissue or body part. 

  -Imparts a penetrating tremor into the body.

  -Movement at a joint.

  -Rotation about the longitudinal axis of the body part.

Applied with palm or fingertips held flat against the body.

400

Vibration

Penetrate to deeper, less accessible structures. Increase local circulatory potential. Decrease pain. Increase visceral organ function. Increase joint function.

Shaking, Trembling, Jostling, Rocking, Liver Pump

500

Femoral Triangle (sartorius, adductor longus, inguinal ligament):

What are the:

Femoral Artery, Femoral Vein, Femoral Nerve, Greater Saphenous Vein, Lymph Nodes

500

Popliteal Fossa (hamstrings & gastrocnemius):

What are the: 

Popliteal Artery, Popliteal Vein, Tibial Nerve, Peroneal/Common Fibular Nerve

500

Medial Tibia & Uterine Reflex Zone:

What are the:

Tibial Nerve, Greater Saphenous Vein, Uterine points (posterior to med. malleolus)

500

Tapotement

A rhythmic striking or percussion of tissues. Delivers a penetrating impact. Applied with fingertips, ulnar border of the hand, open or cupped hand, or soft wrist. Performed with loose wrists and hands.

500

Tapotement

Stimulate. Sedate the longer you use. Reduce Hypertonicity. Reduce respiratory congestion. Increase local circulation

Drumming, Hacking, Pincement, Tapping, Cupping, Beating, Pounding, Slapping

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