welcome back massage nerds i will be doing the biceps video again by request so i'm going to be
talking about some anatomy pathologies and techniques so let's start with the anatomy
so you've got the short head and the long head that's the name biceps that means it's got two
origins so the long head originates at the super supe sorry supraglenoid tubercle of the scapula
and the short head originates at the coracoid process and you can palpate very gently remember
that the coracoid process is that hook from the scapula so it comes all the way up here
and be very gentle when you palpate because it is you know you don't want to cut the tendon
attachments right here so this is the i can feel it right there this is the coracoid process
and remember that the coracoid process has also two other insertions the pec minor inserts there
and it's also the origin of the short head of the bicep and the corrective brachialis so there's
three muscles right there so be careful and gentle and both both heads of the bicep you know insert
at the um i'm sorry i at the radial tuberosity i lost my train of thought my my mind goes too
fast sometimes so at the radial tuberosity on the radial side right this is the radial side this
muscle has three actions it flexes the elbow it flexes the shoulder and it assists with supinating
the forearm so it supinates the forearm here and i want to show you some let me talk a little bit
about the pathologies so you might want to do the speed test to make sure if it's tendonitis
if they've torn attendant tendonitis bursitis uh impingement sometimes it pinches against a
chromium you know chromium process up here so there's several things that can go wrong
you might want to do the speed test and the hook test the hook test will test the tendon attachment
at the distal and the speed test will test the proximal attachment of the biceps and that's to
test if it's torn or you know if it's got a strain so make i'll i'll include the links below i don't
want to get too too much into that some of the pathologies like i said are bursitis impingement
at the ac joint tendonitis these are common for repetitive use people that you know lift weights
even people that do dips you're hyper extending those origins so when you do dips you know
that also can cause some tendonitis there people that you know throw a ball baseball anything
overhead basketball tennis players swimmers people that sleep with their arm up like this
can also you know have pain right here and truck drivers you know that have their arms up like this
so you might want to adjust if your arms hurt too much when you're driving up here hold it down you
know in a supinated position at the bottom of the steering wheel that'll take some of that
pressure off so anyway let's get to the techniques because i know that's what you guys want to see
so i always tell you guys make sure you warm up the muscle first before you put lotions potions
on the skin make sure you warm up the muscle you can do some skin rolling you know skin rolling
you can do a little bit of traction pulling apart you know pulling the muscles apart at
both the origin and the insertion this will be some nice myofascial release
you could also do some cross fiber friction right at the tendon attachments at the coracoid process
and right here the long head it goes through the bicipital groove so you want to do
some cross fiber friction you can also do it with your thumbs bring it down
and don't forget the distal the the distal insertion right here
cross fiber friction and you can also do the piggyback here
another one that uh you want to do once you you start you've already warmed up
the muscle is you want to do the pincer grip you want to do the pin you want to put the arm
also in flexion this shortens the muscle i'm going to show you a technique of pnf
you know where you pin but let me get to that in a in a minute but you want to go ahead
and shorten the muscle a little bit and just grasp the muscle you can even do it like this
just grasp the muscle you're separating the fibers you can ask the person actively this is will be
you know an act of like to flex the arm flex your arm for me and it really really pops up his
um biceps okay relax and that way you can feel the edges of it and pincer it up another one that you
can do is you can hold right here and then you do passive flexing and extension of the elbow
especially if they have a trigger point and that's the point of pnf the pnf is you take the muscle
through you know shortening the muscle pinning the muscle isolating the muscle and pinning it
and then stretching it or taking it through its range of motion actually that's what you do with
every muscle that's the goal of neuromuscular and pnf is that you isolate the muscle you're very
specific and then you pin it you pin it like let's say i found tightness right here so i pin it right
above where the tightness is and then i take it through its range of motion of the flexing
and extension that's one of the techniques that you can do
okay let's do another one let's do stripping you want to do stripping with a palm up so you go
approximately and this with a palm up is for the short head so you can do stripping all the way up
to the coracoid process one inch stripping all the way up this is really separating the fibers
and getting the fibers to kind of stretch out a little bit now you put it in the arm facing down
the arm facing down for the long head it brings out the long head
here so with the arm the hand facing down you strip one inch strips all the way up
you really separating the fibers you can also treat the actually the brachialis is the workhorse
of flexion that's it's underneath the biceps so it's underneath here and you might wanna put
your fingers together like this or your thumbs i try to save my thumb so you can just pinch it up
you know i'm pushing my fingers towards each other and i'm so that way i'm working the brachialis
or you can do both hands just pinch her up you're grasping the biceps from distal to proximal
now there are other two insertions right here that you need to be aware of a lot
of people think that it could be the biceps and it could also be the insertion of the pec major
and the subscapularis because the subscapularis is the largest tendon of the rotator cuff muscles
that also inserts along here so make sure that you work all this area and that you're careful
when you work this area so another one that you can do is to find out if you know if the peg is
involved is you're going to hold their wrist at your waist level you don't want it near any breast
tissue so you want to hold their arm at you know at your waist and then you're going to grab with
this hand and grab the pack and pull back so i am grasping and pulling back sitting back slightly
this really lets me move that pack and get underneath that pec minor
which the pec minor remember in inserts here originates on ribs three four five uh and it
inserts at the correct coracoid process so all i'm doing is sitting back and pulling
pulling at the wrist pulling his arm back
that's one of them that you can do another one that you can do oh i want to show you this one
so you with your right hand you hold the arm and with this one you support you support the back of
the arm at the triceps and you're going to move the humerus in there that glenohumeral uh joint
really you loosen up all that tissue especially for people that might have frozen shoulder
so you're really going in there and just using the humerus itself to go around to go around
that glenohumeral joint so you can go you know laterally and medially both ways you again you
tuck it in at your waist you support with the right hand and you go immediately and laterally
the last but not least are the trigger points remember that if you have trigger points
you hold them for eight to 20 seconds and ask the person obviously to breathe through
it and you hold it and you can also do passive and active range of motion
while you're doing a trigger point it's it's the same thing as pnf so don't forget to treat the
origins the insertion let me see am i forgetting anything i know i'm forgetting one technique but
i can't remember right now so just to give you some ideas how you can treat remember
the point of pnf or any of the techniques that i show you is that you isolate the muscle that's
why it's such specific work you isolate the muscle and you take it through its range of motion
the range of motion of that muscle that's the reason why it's so important for you to
know the actions of the muscles so you can take them through the range of move you shorten it
you pin it and then you stretch it so i hope this helps you until the next time create a great day
you