A NEW Approach to Massage for Your Obturator Internus | Pelvic Pain Treatment
Channel: Engaging Muscles Massage
Date: 2021-02-01

The obturator internus muscle is deep in the lower pelvis and challenging to reach. | Related article: https://bit.ly/piriformispain In this video, Rick Merriam shows how massage therapists can address this deep-seated hip rotator in ways that allow the muscle to neurologically function to the best of its ability.  Instead of releasing the obturator internus muscle, Merriam applies a transverse friction massage technique to the tendinous attachments. When both ends of the muscle are addressed with precision, the obturator internus will be fully capable of engaging at a moment's notice. As a result, pelvic floor stability increases. I demonstrate how to massage your obturator internus with a transverse friction massage technique. Although it often goes unnoticed by practitioners, more often than not, the obturator internus is underperforming. To improve this deep hip rotator's ability to pull its weight, I show how I palpate both ends of the obturator internus. 

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// What You'll Learn

- how to best palpate the origin and insertion of the obturator internus muscle
- how to position the thigh in a way that allows for better access to the pelvic attachments of the obturator internus 

// Chapters

00:00 Intro  
00:26 Where your massage therapist needs to be for palpation of the pelvic attachments of obturator internus muscle. (Shown on lifesize skeleton.)  
03:41 Rick Merriam emphasizes the importance of addressing the pelvic attachments of the obturator internus from a seated position first. 
04:17 The pelvic attachments of the obturator internus can be difficult to reach. So Merriam shows the finger that allows for the most specificity.
05:11 How to press the tendinous attachments of the obturator internus into the ramus of the ischium. From there, Merriam shows how he applies a transverse friction massage stroke to the tendon. 
06:07 Rotating the pelvis back for more specificity.
08:40 When massage therapists address the femoral (distal) attachment of the obturator internus, the position of the femur makes a difference. 
11:57 How to locate the obturator internus and apply transverse friction to the femoral attachment.
13:33 Merriam talks about the value of choosing a finger over a thumb when you're massaging the femoral attachment of the obturator internus.

// About Engaging Muscles

Hey! My name is Rick Merriam. I have held a license to practice massage therapy for 29 years. I'm also the owner of Engaging Muscles Massage. 

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(This video is a massage therapist's guide to massage for the obturator internus muscle. It also covers deep tissue massage for the obturator internus, how to engage the obturator internus, how to massage the obturator internus, how to palpate the obturator internus, how to activate the obturator internus, obturator inernus syndrome, how to reach the obturator internus, and how to strengthen the obturator internus.)

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