Tip You may need to practice repositioning your client to ensure flexion at the shoulder. If the client is not correctly positioned, this technique may cause pressure on the brachial plexus in the armpit, which could be uncomfortable.
Advantage You have considerable leverage and will be able to fix the muscles well.
Disadvantages If the client is not correctly positioned, this technique may cause uncomfortable pressure on the brachial plexus in the armpit. • Be careful to use appropriate posture when lifting and lowering the client’s arm. • This technique cannot easily be incorporated into an oil massage because it requires the client to be positioned diagonally on the treatment couch, which would mean moving the client several times during treatment. • With good leverage, some therapists accidentally press too hard; this is especially uncomfortable when working over ribs. • Unless your client is engaged in regular physical activity, it may be unlikely he or she needs the rhomboids stretched. Many clients have kyphotic postures, with protracted shoulders. When the shoulders are protracted, the rhomboids are lengthened. Do you need to stretch them further?
This is an excerpt from Soft Tissue Release.