As a therapist new to Myofascial Release, one of the greatest physical challenges I recall was my lacking the ability to hold the necessary finger position for a sub-occipital release. At first, I could hold the extended finger position for about a minute at best. Over time, my fingers strengthened and I had less difficulty. But I still encountered those clients who had an upper neck like leather. Using the occipital pivot helped greatly and is an invaluable asset to treatment and home treatment.

Over the years I envisioned some sort of a support for my fingers, molded to my hand as I perform the sub-occipital release (the mind wanders a bit during treatment!). One day, I needed to perform this technique, but I felt my fingernails were a bit long for my client's comfort. I placed a pillowcase over my fingers, in an attempt to pad my nails and I noticed an interesting result. I had slid my hands under their head and the pillowcase was pulled taut along the back of my hands. The tightness gave my fingers support! If the case was too slack, it did nothing. But, if I purposefully allowed the case to be pulled and trapped by my wrists, the tightness of the fabric gave additional support to my fingers.

As most of you probably have noted, it seems that just around the time that the sub-occipital area begins to give way is right about the time your fingers are starting to scream. Using the pillowcase gives me extra minutes in comfort, with better results.  

I've shown the basics below; excuse the poor quality photos (and only one hand involvement - I had to hold the camera!). Let me know what you think.

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