The arrows are not 100% always treat in this direction, but more of directional patterns.
The patterns are
- around the bony contours of the spine of the scapula
- mid scapula medial to lateral
- lateral border of the scapula both proximal to distal and distal to proximal
- all patterns intersect and then move along to the lateral and mid belly of the triceps and anconeus
I position the patient in an abducted position sitting next to a table to elongate these structures after prepping with general IASTM or STM. You can progress to reaching and rolling over a ball or towel slide to place the tissues on more tension while performing STM on them.
Treating these patterns will help improve
- GH elevation
- scapulohumeral rhythm
- radial neurodynamics
I have found these to be useful for frozen shoulders and impingements with posterior capsule restrictions especially combined with thoracic mobilization/thrust.