Table 1.

General Treatment Plan Outline

Area	Technique	Muscles	Other
Warm-up 1 minute	Small finger circles and gentle muscle stripping	Masseter
Intra-oral 10 minutes	Compress/release (8:2 seconds) ~5X per muscle, light muscle stripping	Masseter, medial and lateral pterygoids	Client can communicate via holding therapist’s arm Non-latex gloves used
Myofascial 20 minutes	Extra muscular technique to neck (4 locations – lateral [over upper traps], anterior [over scalenes], anterior [over SCM] & posterior [over erector spinae] 3-5X each. ~15 sec each. Pec release, hyoid release, and intramuscular technique to SCM	Fascial work surrounding scalenes, SCM, cervical erector spinae, splenius capitus, platysma, pec major, hyoids, upper traps	No lotion used
Neck 10 minutes	Kneading, stripping, finger circles, trigger point release, and occipital traction	Upper traps, scalenes, pec major, platysma, cervical erectors, splenius capitus, suboccipitals, and levator scapulae
Face/Head 3 minutes	Scalp shiatsu, light stripping frontalis, trace eyebrows, eyebrow pressure pts, trace under zygomatic arch & mandible, finger circles temporalis & masseter	Frontalis, temporalis, hyoids, masseter, all facial muscles & galea aponeurotica	Diaphragmatic breathing coached, 1 drop lavender essential oil with massage lotion
Strip/Stretch 2 minutes	5X each masseter and temporalis, compress/stretch 5X masseter	Masseter and temporalis	Client passively opens mouth while therapist strips superiorly Small amount lotion