In our sports massage we work deep but not in the way you might imagine or experience. We do not go in with the force characteristic of many “deep tissue” massages, but rather use gentle, very effective techniques such as Muscle Energy Techniques (METs), Neuro-Muscular Technique (NMT) and Myofascial Release (MFR) to cause deep change but without the pain often associated with sticking elbows into soft tissue (for example!).
Often we work with mobilization techniques (not manipulation). We ask the client to meet our force and use their own muscles to provide leverage to help correct pelvic alignment, release contracted tissue. We work in a holistic manner where cause and effect are often interchangeable so for example we might see pelvic alignment issue that, due to the body’s desire for homeostasis, causes an imbalance across the shoulders. We do not diagnose but we treat both ends of the connected chain. We go into a high level of assessment both general looking at the body as a whole and specific to the problem area and usually the areas connected to it. For example we may see a pelvic issue and need to mobilize hamstrings, QL’s and psoas/illacus. Additionally we work directly on spinal restrictions causing motion segment issues that cause vertebrae, and in the case of the thoracic spine, the ribs to be out of their correct alignment.
Specific to pelvic floor issues – we treat sacrial-illiac dysfunction using mobilization techniques. One technique provides “gapping” on the SI joint using the piriformis as a lever. We treat lower back dysfunction (in fact we treat the whole spine). Additionally abdominal massage can help with IBS, chronic constipation.
From personal experience, we would agree with the importance of the focus on the pelvic area. For us the pelvis is the keystone, and the many connections of both muscle and ligament mean it is key for posture and general health. We have dealt with conditions such as MS, and both injuries and trauma (one client could not sit after a motorbike accident but by bringing the pelvis and in particular the pubic symphysis into correct position, this was resolved).