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Contraindications and Endangerment sites
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| Nerves | location | Notes |
| Occipital Foramen Magnum | Base of skull superior to 1st cervical
vertebra
greater occipital nerve, suboccipital nerve, cranial nerves II (optic) III (oculomotor) IV trochlear |
Do not work the occipital area during
passive extension.
Static pressure ok in lengthened position |
| Trigeminal Nerve (V Cranial) | TMJ | pressure on nerve may cause Trigeminal
neuralgia or tic de la ru with nerve inflammation.
Caution when working with jaw open. |
| Brachial Plexus | -above lateral clavicle
-posterior triangle of neck -insertion of deltoid, pec Major and biceps -medial upper arm between the biceps and triceps |
Impingement can cause pain/tingling down arm/hand |
| Axillary Nerve | -deep inside arm on the humerus | |
| Musculotaneous Nerve
Median Nerve |
-lateral to biceps and triceps at the elbow | -accessed when elbow is bent. Work with the arm straight |
| Lumbar Plexus | -between the 12th rib and T12 along top
edge of quadratus lumborum
-along the transverse processes of T12 and lumbars |
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| Vagus Nerve | -deep in abdomen | -deep psoas work is risky with people with high blood pressure as it may over stimulate the vagus nerve and cause sweating, nausea |
| Femoral Nerve | -anterior pelvis lateral to psoas
-femoral triangle |
-caution when doing iliacus work
follow the contour of the pelvis |
| Common peroneal Nerve
Common popliteal Nerve |
-back of knee
-tendon flattens when knee is straight |
-hamstring work done with knee bent |
| Veins and Arteries | ||
| Common Carotid
External Jugular Vein |
medial to SCM in anterior triangle | pressure may cause dizziness or blackouts |
| Subclavian Artery/Vein | behind clavicle in the hollow under the clavicle between the Pec Major and deltoid | |
| Aorta | lateral to navel | -move off if you feel pulse
- may cause blackouts |
| Cephalic Vein | anterior to deltoid, medial to triceps, lateral to pectoralis | can be impinged to the humerus |
| Basilic Vein | upper arm | can be trapped between the biceps and triceps |
| Organs | ||
| Heart | heavy compression on sternum is contraindicated | |
| Liver | below rib cage extending from the right side to the left of center | press liver down as you press under ribcage to work diaphragm |
| Spleen | left abdominal region behind stomach | feels mushy |
| Kidneys | protected by lower rib cage between T10 and T12 on both sides | No compression or vibration over kidneys
on back.
No high psoas work through abdomen |
| Lymphatic Structures | many locations: cervical area, axillary, abdomen, femoral triangle, popliteal area | avoid |
| Eyes | do not apply pressure on eyeballs:
retinal detachment indicated by flashes of light or color |