By Stephen Typaldos
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Additional resources for Clinical And Theoretical Application Of The Fascial Distortion Model Within The Practice Of Medicine And Surgery
Note that the thumb rotates either medially or laterally during the process and it is helped superiorly by the pull of the rotating hand which is anchored by the fingers around the elbow. Once the thumb reaches the antecubital fossa the hand creeps superiorly so that the fingers grasp the distal humerus and are pointing upward. The thumb is again dragged superiorly until the hand creeps up yet again. In this manner the thumb advances up the arm much like a car is hoisted with a jack. The treatment of the anterior shoulder pathway continues up the arm and through the bicipital groove, over the clavicle, up the lateral neck, and finally to the mastoid on the same side where the fibers terminate.
Forcing the fixated capsule to slide 2.
Figure 7-5. Double Thumb Cylinder Technique for Deep (left) and Superficial (right) Layers of Wrist Flexor Retinaculum After the deep layer has been corrected, treat the superficial layer. This is done in the same manner, only the direction is changed. To untangle these fibers that encircle the extremity in a perpendicular fashion, traction is applied to the tight tissue so that the force is parallel to the axis of the long bones. And just as with the deep layer, force is maintained until the tissue tautness diminishes.