hello massage nerds today i'm going to bring you some triceps brachii amp some pathologies
and some techniques so let's talk about some of the pathologies the triceps tendonitis can you
know cause a lot of pain although anywhere really i'll show you how to release some trigger points
it's usually caused by repetitive motion you know like carpenters or boxers you know the
triceps is the one that delivers a punch along with a serratus anterior and dips doing dips so
make sure that you find out and investigate what could be causing this it could also be coming
from the cervicals so there's also the spurling test that you can do to rule out anything going
on in the cervicals usually between c four five or six or seven and that's the spurlings test
i'm gonna include a link so you can look it up and learn how to do it it's it's real easy
uh so let's talk about the origin and insertion so the origin of the long head it is on the scapula
it is on the infra-glenoid tubercle of the scapula so this is the long head obviously
because it's the longest head and and all three of them insert at the olecranon process of the ulna
the lateral head is on the lateral side but it only crosses the elbow only crosses one joint
it's on the lateral origin on the lateral side of the humerus and the medial head is
about half halfway distally from the humerus it originates the medial head lays underneath both
the long head and the lateral head so this is underneath and all three of them cross the elbow
so that's one of the reasons why it could cause you know some tennis elbow
and some golfer's elbow so we're gonna take a look at all of it now the long head crosses two joints
so all three of them extend the the elbow extend the arm okay however the long head also extends
the shoulder joint and adducts the shoulder joint too at the glenohumeral joint
it is innervated by the radial nerve so let's start i'm going to show you some techniques you
know obviously i always tell you guys to start you know with the skin rolling you can go along
with the fibers or you can do some cross some cross skin rolling just to warm it up you know
just do some introduce some touch start loosening up the muscle do some
myofascial techniques you know just by stretching all i'm doing is pressing lightly right here at
the elbow bracing it here and then stretching it out you can walk up with your palm just
one inch at a time all the way up to the origin of the long head so you can do it uh and not for the
sake of the video i'm not gonna you know you can do all three three uh heads of the triceps okay
after you've warmed it up you know you can introduce your oil or your lotion but one of
the things that you it's important for you to do is to lift the muscle and in order to see where
the muscle you know where it is is you're gonna ask your client to extend their elbow
so once they extend their elbow the muscle pops up and you can feel it okay i can feel it here's the
end of it so you can ask them to relax and then you're just gonna pince it up like lift it up
that way you stay away from the ulnar nerve and all the vessels that are deep to the triceps so
you don't want to go you know too medial on here because the ulnar nerve goes through
here you know like when you hit your funny elbow right here and it hurts like heck and
it's there's nothing funny about it so you want to avoid deep to the triceps on the medial side
so one of the ways that you can start working on is grasping and lifting it up or have both fingers
on both sides and just work it real gentle gentle here you know by lifting it up another one that's
very important you're going to do some cross fiber right along the tendon where it's going to insert
this really separates the fibers and brings a lot of relief to the to the muscle here
now i want to talk about the long head of the triceps it is nestled or in between the uh teres
major it goes over the teres major and under under the teres minor so it's right in between both of
those this sometimes is really really sore so one of the things that you can do is you know
re you know to relax and move the arm forward and just make sure that you can do some cross
fiber friction right here and once you've warmed it up you can even do some trigger point either
with a finger over finger the piggy back finger really work this out a lot of times this is really
sore and you want to stay remember on any time you uh do a trigger point you want to stay between a
five six or seven on a scale from one to ten and anywhere from you know 8 to 20 seconds this is
usually really tender on most people you can do some cross fiber here following all the way down
all the way down and until you get to you know to the elbow here
and holding some of the trigger points and also well i'm going to ask her to extend
i'm going to ask her to extend her elbow and then just try to do some effleurage here
you want to engage the muscle and then relax the muscle as much as possible
okay relax and of course you can do your petrissage and i'm going to go to the opposite
side of the table to show you another move what i'm going to do is you're going to stand
on the opposite side of the table and you're going to ask your client to hug the table so
while she's hugging the table i'm going up towards the origin of the long head of the triceps
and this is i'm going opposite of what i was doing you know you can go you know stretch it out or you
can come up too so i'm doing both remember that also this is the opposite of the biceps
so it's the antagonist to the biceps so you want to do as many movements as you can along
with the fibers and against the fibers to try to relax it so you're coming from across the table
and you can also do some stretching
some traction this really feels good and if if it's coming from the cervicals you know you
will know that with a spurning test so you can of course you're going to work all the muscles
related here you know you're not just going to work the triceps but for the sake of the video
we're showing you the triceps today and let me see once you come back you can
like i said let the arm hang loose and work this area here and also grasp just like pincers
use the pincers all the way down the you know down all the way to the elbow from the origin
to the elbow you do have trigger points on the origins and insertions also along the the belly
of the muscle so it's it's important for you to make sure that you find the trigger points and
remember trigger points are different than just a hot point you know or an active point it if it's
triggering somewhere else then it is a trigger point and remember just to keep it on a scale
from one to ten between a six seven and then uh up to 20 seconds and i think that's about
it just wanted to show you some techniques oh also i'm going to turn her supine so that you can see
just another way that you can get get it because i like to get it from different angles it's it's
a little bit better and more reliable so now that she's on the supine position you cross
her arm over you know just to relax and you can hold it here at the elbow and this is a perfect
angle for you to do some you know some myofascial release all i'm doing is stretching out the fibers
away from each other and you can do all the same techniques you can get here and go the cross fiber
against the tendon and you can even get it from that side of the table you know right here and
you can also work the elbow the tennis elbow and the golfer's elbow at the same time because if the
triceps are tight it's going to start pulling a lot of times when the muscles are off balance like
if your biceps are really big and i know i've seen this with guys where they work out their
triceps and they're really big and they're but i'm sorry their biceps are really big and their
triceps are not as big it causes an imbalance because they're antagonistic to each other
so it's important that you know you show your clients and you talk to your clients about that so
if they're putting too much pressure on the elbow and this is having to overwork then the triceps
is gonna hurt them so this is another one here all i'm doing is pushing my fingers against each other
right where the triceps are at the edge just to kind of lift and separate the muscle fibers
you can also do the pincer from here from this angle lift and separate you can also
do with a soft fist you know hand over hand or some of the stretching so it's the same thing
more or less as when you were prone but now you're addressing it from a different side so
this is the triceps brachii i maybe i'll do the biceps next remember the nerve you know you want
to stay away from the ulnar nerve now the triceps is innervated by the radial nerve so this is the
radial nerve muscular cutaneous nerve ulnar nerve um medial nerve and the axillary nerve
the five nerves come out you know from the cervical so make sure that if they're feeling
numbness or tingling that you stay away from that okay until the next time create a great day
you