Burning in elbow

[questionable]

I have a client that I see twice a week for Carpel Tunnel work.  I work her back, arms and neck.  I do deep stripping on forearm flexors and also work scalenes, upper lats, infraspinatus and subscap.  She always complains of "burning with her left elbow" but has not had any since her massage on Tuesday (3 days ago) so something must be working.  We start only once a week starting next week.  My question is what is the "burning" she has experienced?  I also notice today that her tendons on the lateral epicondyle are really "boingy", tight today but is on the other elbow (the right).  She also has a shoulder roll forward on both shoulderswith the right side being the worse.  I realize now I need to work pecs.  anyother things I  could be doing?  ThanksDiane

 

[C G]

maybe her body is compensating for the arm with carpel tunnel...when the arm she is compensating with is sore she switches arms...does she have a baby or carry a breifcase or a heavy pocketbook...I have had a few with CT...since I can't see your client I will tell you what I have done...I would do some streatching on her through the shoulder girdle before the massage...I would start this supine...trying to think how to describe...start working the shoulders...roll them in your hand...at this point you should be half seated beside the client as most of these moves are done in unison...switch to thumb rolls along the clavicle to the sternum and back to the shoulder...work swedish strokes down both arms...all the way to the fingertips and back to the shoulder...I would use some stripping over the carpel tunnel...do not foget to take time with the hands...make sure to get the the crotch of the fingers..at this point roll both shoulders in different directions...you will be back to the almost sitting position...circular thumb stroke along the top of the scapula to the occiput...switch to finger tips...using a pulling motion from the center of the cervical vertebra along the monks hood of the trap....I would now move to the clients head...again I would do the pulling stroke from the cervical vertebra to the lateral neck...some fluffy strokes in the occiput out to the ball of the shoulder...once there...push, roll and do some fluffy strokes...do some ROM streatching for the shoulders...some people would end here...I, now put my client prone...I then work throughout the scapula to the occiput with swedish...and I do one last set of ROM streatching...My clients review feeling 'brand new'  ;D...