07/30/2026
Why Thai Medical Massage??
One of the most important parts of the assessment is identifying which muscles are preventing the deep core from firing. If these restrictions are not addressed first, the nervous system will continue using compensatory muscles for stability, and the deep core will not activate efficiently.
For example:
* Delilah’s case: After releasing the multifidus and longissimus, the deep core immediately tested strong.
* Luis’s case: After releasing the diaphragm, the deep core became strong.
* Sarah’s case: Bilateral re**us femoris tightness was preventing the deep core from activating. After releasing both re**us femoris muscles, the deep core fired normally.
These cases demonstrate that the deep core is not always weak because it lacks strength. Often, it is inhibited by overactive muscles that have developed through long-term compensation. If those restrictions are not released first, core activation exercises alone are unlikely to produce lasting results.
After the restrictions are released, clients must activate the deep core, then strengthen the weak muscles according to the movement pattern identified during the assessment.
For clients with an anterior pelvic tilt, posterior pelvic tilt, hip drop, or hip high pattern, the strengthening program must be specific to that dysfunction. These movement patterns have often been present for years, so a few minutes of reconnecting the deep core during treatment is not enough to change them. Without consistent home exercises, the nervous system will return to the old compensatory pattern, the deep core will stop firing efficiently again, and the dysfunction is likely to return.
The goal of the home program is to follow the correct sequence:
1. Release the muscles restricting deep core activation.
2. Activate the deep core.
3. Strengthen the weak muscles based on the movement pattern identified during the assessment.