Clients presenting with internally rotated shoulders, sunken chest, and head forward posture usually have an armored shallow breathing pattern. Most describe it as being restricted or stuck physically and emotionally, not being able to open up and breathe deeply. Restrictions in the rib cage expansion or contraction is also observed in body evaluation prior to bodywork. Treatment consists of opening up the diaphragmatic arch by releasing restrictions in the abdominal musculature and along the diaphragmatic arch. In addition to releasing the fascia and musculature that keep the shoulders in internal rotation, the superficial fascia over the rib heads and sternum is also released. Most clients report a positive and in some cases extraordinary physical and emotional change.