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Introduction To Palpation

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Palpation

To examine or explore by touching

-locating and being attentive to the body’s structures


-requires a thorough knowledge of functional anatomy
Palpation Hints
Making Contact
• Locating a structure
• Becoming aware of its
characteristics
• Assessing it’s quality or condition
(so you can determine how to treat it)
**Requires:
- Receptive hands and fingers
- Open eyes (and open mind)
- Listening ears
- Calm breath and quiet/focused mind
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Making Contact

• Let your hands and fingers be responsive and sensitive


• Try laying one hand upon the other
• Smaller Structures:
-located by using one or two fingertips
• Larger Structures:
-best palpated with your whole hand

*You may want to close your eyes periodically to enhance your awareness

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Working Hard vs. Working Smart

Often in the excitement of trying to locate something, you search so


earnestly that your mental and physical awareness begins to diminish.
• Visualize what you are trying to palpate, and verbalize what you are
feeling
• Locate the structure on your own body before palpating it on your
partner

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Less is More

-As you begin exploring the body, you might not be able to access things as
readily as you wish. A common reaction is to press harder and deeper.
• Instead of pushing into the muscles and other tissues, try to invite the
tissues into your hands.
• The deeper you move into the body, the slower and softer your touch
needs to be.
• Palpation at different levels of the body is not a question of pressure, but
of intention.

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Working Hard vs. Working Smart
Less Is More
Rolling and Strumming
Movement and Stillness
Rolling and Strumming
• When outlining the shape or edge of a bone, try rolling your fingers or
thumb across, rather then along, it’s surface.

Movement and Stillness


• If the structure you are palpating is stationary, move your hands across
it; if it is moving stay still.
Movement as a Palpation Tool
Movement as a Palpation Tool
• Active, Passive, and Resisted movements (pg. 7 Trail Guide)
(These movements will help to verify the location of structures as well as
any changes occurring in the tissue as a result)

*When in doubt, ask the body what you are palpating


(see pg. 8 Trail Guide)
**You are never alone; the body is waiting to help you!
Three Principals of Palpation

1) Move slowly. Haste only interferes with sensation.

2) Avoid using excess pressure. Less is truly more.

3) Focus your awareness on what it is you are feeling.


When in Doubt, Three Principles
Ask the Body of Palpation

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