Have you tried giving a massage using silk instead of oil?

We massage therapists love our helpers, be they oils, warm stones or essential oils. Lately I’ve come to totally enjoy something I at first thought would be a bust.

Massage on silk is a method of gliding the hands across skin or clothes without the use of oil. Silks provide glide, like oil, but without the drag or irritation.

My first acquaintance was with an educational video on chair massage by Boris Prilutsky a Massage Hall of Fame member and long-time instructor and therapist.

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Prilutsky notes that silks have been used in ancient Chinese massage not only for glide but also for positive energetic properties. Interested now?

My own experience was highlighted when I began looking at how to make workplace chair massage easier on the therapist and recipient. A silk square tossed over the back gave me not only additional leverage but also the ability to effluerage as if using oil.

Since then I have introduced a few therapists to silks as a means of chair massage, much to their delight. Instead of using only rolling compressions or static pressure, the silks provide the glide that clients crave and that we love to provide.

Here’s a quick primer on using silk: Buy a yard at the fabric store. It can be cut and hemmed into at least two back-sized squares. I went to the alterations shop to have my silks done.

There is also a commercial product on several of the massage supply websites that is already for use.

But I like finding my own nice massage color: healing green, warm blue, healthy pink, patterns, whatever strikes my energy and disposition. If you have a favorite silk shirt that has snagged or is somehow on its way out, you can cut out the back and use it as a massage silk.

Silks don’t have to be washed much especially when used over clothes. Cleanse in warm, not hot, water and hang dry. I like to keep a couple of silks handy, especially when I know I may be faced with an area that needs its facile touch. Enjoy!

Field Trips, Diaries and Memoirs

The day after the Fourth of July I took time off from massage to see the Museum of Tolerance in Los Angeles. The museum is a living testimony – every day a survivor of a death camp speaks to visitors. Pictures, old films and recordings bring those times alive.

I was not thinking about massage, really, as we made our way through an exhibit on the life and death of Anne Frank. Our tour guide pointed out that Jews were one percent of the European population at the time, but were made scapegoats for many problems that occurred after World War I.

As the noose of fascism closed around their necks, no country would take annefrankthem. No religious or political leaders spoke up for them. They were isolated and stripped of their humanity. What started as simple bullying transformed into organized genocide.

So what did it have to do with massage?

Pardon me while I answer my own question. I often see a substantial number of clients who have been bullied – something about them or their appearance or heritage – something brings out predatory behavior in some people. Often the bullying is public, and most people just stand by and observe.

It’s an unhappy facet of human nature and one that we all know and see at some point during our lives. And what of the ones who are bullied?

They often have chronic pain and stiffness leading them to the massage table. Sure it is not everyone who has ever been bullied, but a substantial number. I suppose some people who are made targets punch back and defeat their bullies.

Some thoughts to think about: Can people suffer the effects of aggression for many years after it occurs? Can we do something about it?

As a massage therapist, I think I already have those answers. Would it require changing the world? No, just letting people know when picking on others is not acceptable. I’d like to see fewer people for chronic tightness and pain caused by bullying and fear….

 

 

 

 

 

A Massage Therapist’s Top Ten

Debates roar among massage therapists about which are the best oils, the best draping, and the most effective techniques. Yet never have so many argued so passionately about this question: whether to start clients in the supine or prone position. O the polarity!

So many have crusaded with passionate arguments about breath patterns, face-cradle wrinkles, sinuses, etc. But we all know the real reasons to start up or down is exigency.

Let’s hope the clients never find out.

Sue’s Top Ten Reasons to Start Massage Clients Facedown:

(Guaranteed to be from actual experiences in the Wild Wacky World of Hurry Up and Relax!)

10. My neighbor upstairs likes to stomp on the way to and from her cradlesnatcherhourly cigarette break.

9. Whatever you had for lunch, I’m investing in a dab of peppermint under the face cradle.

8. Your assistant called ahead and asked me to put you in a coma.

7. I am hoping you won’t notice the sudden appearance of wet stains on the ceiling.

6. Your spouse made this appointment and asked me to keep you here for at least two hours so she can get in a nap.

5. We can’t get the flashing-light fire alarm to stay off. Perhaps it has to do with someone’s bright idea to dry body brushes in the microwave.

4. The rips in the sheets might not be as noticeable.

3. I don’t want to listen to the rest of your multi-level-marketing pitch.

2. I went to lunch at the taco joint – beans!

1. Is that a hernia?

Of course, there is always the competing Number One Reason to Start Massaging Clients Face-Up: I can’t find the face cradle.

Massage with Attention and Distraction

Massage therapists know that many clients need to be listened to – really listened to – when they come in for therapy. But during the session there is something else that clients crave – the ability to be distracted away from their focus and relax.

I often use distraction in massage sessions, oddly enough in an attempt to help the client create mindfulness. A paradox? Yes, but it works.

In the anatomical sense, distraction means pulling one bone away from another to reduce contact – without injury to the joint.

In the massage practice sense, sometimes people are getting a massage to stop running ideas through their minds – to stop ruminating on a distractionproblem, pain or injury.

This is where as therapists, we can help clients by allowing them some time to put aside their problem or problems. It gives clients some time to divert attention, for example, by focusing on diaphragm breath, or feeling their shoulder as part of their bodies instead of a source of pain.

Surely the switch between sympathetic and parasympathetic nervous systems is in the driver’s seat during this process, but the touch of hands consoles and fosters the release of vigilance.

Giving the brain up to its basic self – respiration, registering the feel of nerves, bones and muscles, these are gifts for clients who have much stress. My biggest compliment can be a sleeping client at the end of a session.

A wise massage therapist can say: Sometimes the act of forgetting can be just as important as remembering.

 

Finding Your Best Massage Venue

A massage therapist starting to practice has quite a few challenges, not the least of which is finding the right place to practice.

Options are multiple: gyms, tennis clubs, spas, medical offices, chiropractic, acupuncture or p.t. clinics, clients’ homes, business conference rooms, hotels, chains, etc. Each has its advantages and drawbacks.

Sometimes the best option for newbie massage persons is to try as many locations as possible to determine where they would like to practice.Choices 1

The important factor in these experiences is to truly work in each venue – give it your all to see if the dynamics of a happy practice are there.

When I speak with others about their sense of success or commitment to massage as a career, opinions often track back to their personal investment in making a venue work.

The conflicts often come in when the venue requires a therapist to work out of their personal comfort zone. When I hear statements like “I didn’t get into massage to become a salesperson.” Or “I don’t think telling someone to come in once a week is ethical.”

These statements are comforting to some because they allow therapists reasons to not expand their skills. Choices like this should point therapists to seek a different venue.

I encourage therapists to put their objections aside just in case they are missing an opportunity – maybe the venue would work for them if they were more adaptable or had other skills in the mix.

Ultimately the choices we make, much in life and in work, are based on what we are willing to try and how hard we are willing to work.

 

 

Providing Post-Surgery massage to clients

Clients seek massage therapy for many reasons, and one of the most challenging for a therapist is chronic pain following surgery.

It’s a tough spot – here we are dealing with tissues that have had a direct surgical intervention – moved, touched, cut or compressed. We also are dealing with structures altered when the body’s healing response forms scar tissue and adhesions.

Massage therapy, thankfully, is low-tech when it comes to post-surgery pain. When I first began treating clients for this type of problem, I referred to muscular patterns of pain and overlapped them with “dermatome” patterns – meaning areas where disturbed nerves can cause pain.

Often stabbing or sharp pains can come from nerves that have developed adhesions or stress patterns from scar tissue pulling on them. These changes may occur far above the area where pain is felt. The massage is always gentle and soothing, following the course of nerves through plexuses and their redundant branches.

Another technique is pain mapping – each time the client returns we again map the pain areas to see if they have changed. If has altered or lessened the pain then the areas treated may be part of the disturbance.

Abdominal breathing is also an important part of these recovery massages. The diaphragm is inhibited by pain and restoring its function – awakening the “bellows” of the body allows for gentle stretching of muscles, organs and nerves. Ultimately diaphragm breathing is the gentlest massage of all.

Helping your clients set goals for their massage sessions

I always like to check in with new clients on their goals for massage. Do they want to improve sleep, performance, reduce aches, release stress, etc.

I like to give people a few choices on my intake, plus the opportunity to mark “all of the above.”  Lots of “aota’s” later, I have come to see what it truly means to some clients. One such new client put it so well:

“I would like to do what I want to do, when I want to do it.”

His statement made us both laugh, because it often sums up what we all want in life: freedom. We want freedom to enjoy activities without thinking about consequences.choice

I have to admit that massage cannot deliver that goal.

“When I get to that place myself, I’ll let you know,” I said.

Meanwhile, it made me think about what am I really selling as a massage therapist. When I find, treat and track dysfunction I am perhaps vending exactly the opposite: Allowing people the opportunity to choose after careful consideration of their abilities and consequences.

We all have choices, and we make them sometimes a bit too quickly. Choosing to stay at a job that is no longer fair or fun is a choice: people make those decisions for other kinds of rewards. When they come in for massages, I try to help them survive and feel better about that choice.

Massage can’t fix a lot but it can set the mood for people to adapt and make better choices when it comes to stretching, exercise, foods or sleep.

If I think back to my sandbox days, it was all about trying to have things my way – and I was guided to make a better choice for myself and for the future. Human nature, in deed.

Perhaps I would suggest this goal instead:

I would like to be able to do what is good for me, I would like to enjoy doing good for me, and I would like to do it when it is best for me to do it.

Starting Choices, Massage Therapists

As they graduate from education programs, massage therapists have many choices for employment. Yet finding that perfect job can be elusive.

The venues have expanded in the past few years but the economics remain the same: work a lot for less pay, work a lot less for more pay.

For recent graduates looking to pay their bills – and their student loans – the pressure is quite high. How do newbies balance reliable income with recognition of their skills? start

As an experienced massage therapist, I don’t have all the answers. But let me suggest some strategies that can help graduates maneuver through the first years of their massage careers.

Use your Advantages – Most massage therapists are women, and often female therapists who are attractive can build a book of clients more quickly. So put that picture on your resume, business card, website, whatever, and prepare to get busy.

Better yet, Use Your Disadvantages – Male, muscular and big? Men who do massage face discrimination from clients both male and female. The reasons, trust me, are very unfair. But why not make it an advantage? A male can be a strong, resilient chair massage therapist. Chair massages are done fully dressed, often in public places such as conventions. That eliminates a lot of objections clients have to male therapists. Those practices bloom.

Gender politics can be an advantage in other situations. I also know a female therapist who looks and acts non-feminine. Is that a problem? Heck, no, she told me. “No trophy wife ever has to worry about me making a play for her husband.”

Have more than one source of income – My friend’s career strategy was simple – her income was secondary to the family breadwinner. Her husband handled the bills and worked the long hours of a tax accountant. That left her time to groom and select her clientele without a lot of money pressure. She also had time to volunteer and market herself. She worked at high-end spas and targeted her favored client type – professional athletes. It took years to build a clientele, but she got there. She has a great elevator speech, and the more she practiced it, the more it became her practice.

Do more than massage alone – Another of my friends runs her own day spa and has a cosmetology license. along with a massage license. She can wax; do facials and other cosmetic treatments to fill her book. A slow massage day can be a busy wax day, etc. She didn’t like cutting and coloring hair, but she loves doing facials, massage and waxing.

Some therapists can increase incomes by doing administrative and billing work at their chiropractor’s offices. Another friend also works as a personal assistant, running errands for people who are too busy or too old to do errands.

Work in Multiple Massage Venues – A doctor, a chiropractor, a spa, a chain, a physical therapy clinic, a hotel, a mall chair-massage store. You may surprise yourself to discover your best fit. And if one venue becomes slow, another may be busy.

Be Productive No Matter Where You Work – I call this the “Joseph” strategy. Like Joseph in the Bible, maybe your brothers don’t like you and you get sold into slavery but you work hard and do so well you end up running your master’s house and businesses.

Where you start does not have to be where you end up. Use your venue as a learning laboratory. Does your chain want you to sign up members? Practice so you can figure out how to do that. Sell products? You can learn how to do that, too. What about upgrades? Some of the more corporate places have quotas for therapists. Instead of stressing about meeting those quotas, can you figure out how to fill them? boybaseball

I met sales quotas at a spa by asking someone who could sell how to do it. I sucked at it, but kept practicing and asking questions until I go it. You can also read up on sales techniques, and you can observe those who are successful at it. The key is practice. Being a productive massage employee is all about trying multiple times. Kind of like baseball, hitting three out of 10 times makes you a superstar.

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Massage for Shingles ‘Ghost’

A new massage client had a request: eight months after an outbreak of shingles, she still had a strip of weird-feeling and painful skin.

“I call it my shingles ghost,” she said. “It’s haunting me still.”noghosts

What she described sounded like post-herpetic neuralgia, a sensation that an area afflicted by herpes “chickenpox” virus is still active.

And no, she didn’t need an exorcist. Just a good massage.

As a massage therapist I have seen shingles outbreaks in many clients, and for the most part the clients are older than 50. Occasionally I have seen it in young people, usually after a period of high stress at school or in their family life.

Massage therapists steer clear of active shingles, asking clients to get a doctor’s clearance before having a massage. The reason is not for self-protection. Shingles is not catchy. But massage of an active outbreak area can worsen the attack and slow recovery.

That said I have never had someone with active shingles ask for a massage. They have generally been embarrassed by the outbreak and have called to cancel or beg off massages for a while.

Opportunity knocks, however, after the outbreak has ceased. The outbreaks are painful, screwing up sleep patterns and requiring odd sleeping positions to avoid a painful side or back area. When the client is cleared to come on for a massage, he/she is more than ready.

As was this client, who had suffered through an outbreak that crawled along a spinal nerve from T-5 or t-6, circling the left side from spine to sternum, roughly even with her lower bra-line.shingles

This presentation is classic in shingles, and very painful. Somehow this client had mustered on through a huge deadline at work. When she told me about this determination I had my first clue about how to massage her.

With the client prone, I checked the area of the outbreak for any reddish, hive-looking sores. None. The left side looked same as the right side. I palpated along the spine and asked her to let me know when I was on the spot. I began at T-2, and she pinpointed the spot roughly over T-6. Sometimes the lightest technique can be the most freeing. I tried to skin-roll the section, listening for a pop or some other sign of release.

Lucky for us all it seemed to release the sensation. I suspect the feelings were the result of an adhesion over the area, probably aggravated by the bra. I massaged the length of the T-6 dermatome, under the bra line and to the sternum.

All the area really needed was some TLC. Massage after a shingles outbreak is good indeed. She told me next time she came in that the “shingles ghost” was gone for good.

 

 

Tips for Bringing Muscles Back to Life

As mysterious as the workings of the human body is, we massage therapists have learned a few tricks to bring errant, dysfunctional muscles back to working order.

I continue to be impressed by the methods of active release, also known as myofascial release, in reviving elements of structure and function to certain muscles.

I recently had the fun of trying to extricate a “burning” sensation in the left lumbar area over the area we associate with discs L-5 and S-1. This is a frequent complaint of people coming in for massage, and sometimes restoring circulation and tone don’t quite fix this problem.

Active release involves allowing the therapist to palpate the errant muscle and drawing it wobblethrough a complete range of motion. What people sometimes forget in this venue is that complete range of motion must be done by the client, not the therapist, to truly meet the definition of active release.

This took a good trusting relationship between me, the therapist, and my client. It helped that it was not the first time I have seen this client. It also helped that the client was suffering enough to be gung-ho about trying the step.

First, I demonstrated the full motion range to the client, then I asked the client to go through the motion with my verbal prompts. The actions of the suspected muscle, the multifidus, are varied between spinal stabilization in standing and bending, especially while holding a weight in front of the spine. I usually re-discover the aaaargh-factor of the multifidus muscle when I am trying to lift boxes onto a shelf in the garage. Or take them out.

Clients will come in and report such activity as garage-cleaning, house-cleaning, tub-cleaning, etc., followed by pain in the area later in the evening. If it has been a bad lift, the pain is immediate.

Once in a while a client will report trauma, such as falling off a ladder, or a fall during gymnastics, that will make me believe the mutlifidus is now stabilizing a spinous process or transverse process fracture. Off to the doctor they go. I can do active release for the multifidus after the fracture has healed.

This client was sitting on the massage table, back to me, while I palpated the area of the multifidus, just lateral to the spine and about a half-inch into the myofascial bundle. I kept constant pressure on the multifidus as the client bent forward, bent back and then rotated to the opposite side and bent forward. When the multifidus is particularly out of sync, I may do this with the client on their side and asking them to arch the back in this wobble-toy motion.

Give this technique a try with your massage-trading partner to see how it works for you. It’s another trick to hang onto when the clients present with a big pain in a very small area. Do you have your own version of this technique? I would love to hear some more….