working glutes (and more) supine

[Mount Analogue]

HI,

I have a 35yo client whose severe low back pain prevents prolonged stay on her stomach, and she is extremely uncomfortable in the side-lying position (the Sims position with full head, arm and leg support. She said she's not sure what's uncomfortable for her in that position, just that she never lies that way and it's verry uncomfortable; modifications don't seem to help though I'm interested to hear suggestions.) Lying supine is where she's comfortable.

This has made me realize that I don't know how to work the glutes supine, and that I may run into others who would like to be worked supine only. Though I can work a lot of the back supine on her, I've never tried this on the glutes and wondered if anyone has any suggestions or resources...

and, in general, I'd be really interested in techniques that would show me how to work as much of the body as possible supine.

One move I do know for working glutes supine is to pull one knee up and cross it over the body, revealing the glutes....a position some clients can comfortably take, and requiring a fabulous dexterity...

Thank you!!!!!!

 

[Wai]

In school, we were taught side lying with the clients bottom shoulder and hip directly under them. I find this very uncomfortable to keep this position for very long. I have modified how I have my clients laying on their side.

Here is how I lay my clients for side lying. I use a body pillow and a small travel sized pillow for their head. I have the client put the arm under their body to the back, their top leg over the body pillow, and the under leg is not directly under them, it is positioned so that their bottom hip is not right under them. This positioning angles the client on the table better for my body mechanics as well.

Most of my side lying clients are pregnant, but I do have one woman who has trouble laying both face up or face down, so we switched a couple months ago to side lying and she is very comfortable this way.

 

[autobot032]

If you use a bare table and oil your arms, you can reach anywhere under the body. This is commonly used in temple style Lomi lomi.
Even in regular sessions, I will often use this for upper back work.

 

[Little Lyn]

Have you tried a pillow or towel under the pelvis while face down, or better yet the bodyCushion system. That may give you a little more time to keep her face down.

 

[Ziona]

Oh, these are all great suggestions, thank you! I will try every one.
Am wondering if the bare table gets sticky? I should get Lomi Lomi and find out. Grate Lakes, I can't quite picture where the bottom hip is in your position; is the bottom leg straight? When I try it I find the lower hip splays in one direction or the other. I am very interested in how it's helped your body mechanics.

 

[christina62310]

With Just enough oil the table is not sticky.
I dont use as much as some