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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!

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.

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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Predictions on Massage Therapy

I love the rag-mags when they have a page of psychic predictions, from the end of the world to when some celebrity will be married. But do we in massage therapy really need psychics to make spot-on predictions?

I’ve been working up my own list of the future of massage therapy – wink, wink. Here’s my  crystal ball:

10. Studies will continue to show that massage is good for people’s health and wellness.crystal-ball

9. Massage is just as good whether done on a table, chair or porch swing.

8. No matter how sophisticated a machine is, it will not replace hands-on massage.

7. The more people use computers, the more work for massage therapists.

6.  People will continue to train as massage therapists even though they don’t like people. It’s a learning experience.

5. The Industry will continue to lobby for short vocational training and minimal certification to keep labor costs down for storefront franchises.

4. Professional organizations will continue to press for making massage therapy a college degree, even though most therapists don’t want that.

3.  Medical organizations will incorporate massage therapy as soon as they can bill insurance for it without hiring trained staff.

2. Someday we will use massage sheet s that are completely organic and will not stain.

And the Number ONE prediction:

Massage therapists who listen and care will always have work, joy and satisfaction, no matter where or how they practice.

Negative Pressure Massage

 

Massage therapists learn many ways to push on trigger points and stuck areas. I’ve often wanted to see if pulling on these spots would help open them up.

Yet, of course, we are taught that pulling is bad body mechanics. Massage therapists who pull rather than push don’t last long on the job. They develop carpal-like syndromes and spinal issues very quickly. Pulling also draws energy from the client toward the therapist, a big no-no.massagecups

In thinking about these issues, I have been looking at two techniques that allow a massage therapist to “pull” without fear of injury. One method is quite old. It is called “furling,” and allows gathering skin, often with adipose and fascia, between the fingers to release adhesions and increase blood flow.

Ida Rolf added some lift to furling, calling the technique skin rolling and introducing a way to loosen sections of abnormal tightness, adhesions and scarring.

The way I have seen these techniques used is to furl or roll away from the therapist, often over a large area of muscular dysfunction such as the lats, or over the shoulder or hip rotators.

But the true act of pull has eluded us therapists, until the introduction of massage cupping. Once sort of exotic, cupping classes have brought the method to more therapists. In this technique, the therapist uses soft silicone cups and massage oil. The cups are compressed slightly to create a light vacuum along lubricated skin.

The vacuum area moves with the therapist’s hands, following muscle, fascia or lymphatic pathways. I have found the cups to be intensely relieving to a large number of conditions such as sluggish lymph, scarring, scarring with adhesions, etc. The simple act of gently lifting the skin activates lymph movement.

Lots of “stuck” tissues found in fibromyalgia, repetitive over-use and traumatic injury seem to respond well.

As my long-distance-runner client said: “Boy, this treatment really sucks.”

Best Intentions? Massage and Permission

Is it OK to stretch a client’s adductors? What if the client is female, the therapist male, and the wind is whistling through openings in the drape?

Oh my, the topics that come up for question in a massage clinic. One of my friends had a complaint from the husband of a couple whom had simultaneous massages. The female client had a massage from a male therapist, and during the massage he stretched her adductors.images

The client complained to her husband that there was something wrong about it. The therapist stretched her, said nothing before, during and after the stretch. She could feel an air gap between her draping and her crotch. First, it is unusual for people to complain about such tactics in a massage. Often the response is simply to never use that clinic or spa again.

My friend noted that she received the complaint because the husband was a long-time client and they had a good professional relationship. When my therapist friend talked to the male therapist about the massage, he just said that he felt her adductors needed stretching and did not consider it a big deal. The client said nothing, and the massage continued as usual. It can happen that we may have the best of intentions in a massage, but our efforts are interpreted differently. It is also quite possible that someone doing a massage is not being honest about intentions.

The therapist may be using the massage as an opportunity to play games, such as intimidation games, sexual games, etc. Those games – and the appearance of games – have no place on a massage table under any circumstances. A good way to make sure your intentions are clear is to ask permission of the client first. Explain what you want to do, why, and emphasize the person’s draping will not be revealing. Then wait for an audible answer and accept the answer. No means no.

My friend decided not to call in the male therapist, a contractor, again to her clinic. His answers about the massage were not satisfying, and she told him that. Hopefully he was not playing games and learned something from the experience. It cost him an opportunity to work.

Massage Therapists Do the Math

Perhaps you have seen the ads in the massage therapist trade publications: What would happen if you could see four clients in an hour?

Folks in the massage biz are not often associated with great math skills. Four clients in a single hour? As a private practice therapist, heck, I figure could make a lot more money. The bottom line is a tough talk for most massage therapists. We work hard, yet few of us make the mythical “six figures.” It’s the same elusive goal of others in hard-working, hands-on, self-businesses such as hair stylists, estheticians and realtors.

Most of us make our bills OK, but few achieve the income that we feel we deserve based fist_full_of_money_clip_arton our combination of effort, hours worked, and costs of training and licensing. The three times the money carrot sure made me look further into the pitch. Aha, this ad is for acupuncture school.

That’s enticing. Learn a very similar technique that requires a lot less sweat. More clients, more income, and yes, in most states you get to call yourself a doctor. Hmmmm. Then there is the tuition, the time spent and the apprentice time and licensing tests and costs. Could it work? How many acupuncturists have to take three months off for carpal?

That’s way too much math for me. I cut to the chase. I asked the acupuncturist I share space with. He has been in practice for more than 30 years.

My officemate looked at me in horror. After graduation, he had no idea how to book a client, let alone manage a practice. For years he worked as a contractor for other acupuncturists – at about half of the $50 session fee. It didn’t seem very fair then, of course now that he knows about office rent, insurance, ads, etc. he has a different perspective.

So he saw about 30 patients a week for others, and tried to see at least 20 people a week in his own practice. That’s 50 plus treatments a week, about double what I can do. “I hit the wall,” he said. “I burned myself out. It took a long time to be able to come back and feel good about doing treatments again.”

Well, fudgesticks.

We talked a bit about burnout and why. I have to admit I really didn’t see it at first. He explained that it takes a lot out of an acupuncturist to perform treatments that address specific complaints. “It’s the energy,” he said. “It’s all about the energy.”

You know, I totally get that math.

Therapist Notes from a Low-Slung Sports Car

Sometimes when I am square in between someone’s shoulder blades, I find myself thinking about how some of these knots got there.

Most are whiplashes and hard work – a traffic encounter followed by running a lathe at the machine shop, or writing some intensely detailed thesis. No fun involved.

Once in a while somebody has a different combination.

This gentleman had back pain. He told me he had a brand new promotion and lots of extra stress with it. As I worked on massaging his muscles, he told me the one fun thing about the promotion. He celebrated by getting the dream car. Not that I know that much about cars, he was clearly having a ball driving his super-charged, T-topped Corvette.

“Have any trouble getting in and out of the car?“ I asked.

There followed a long pause. His back stiffened. “Some.”

sportycar

Never mess with a dream.

“Tell you what, I bet you will love that car even more when I show you a couple of tricks on getting in and out that will help your back.”

“Um. OK.” He started to relax. After his massage, we went out to the car and I demonstrated how to sit first and then swing both legs in at the same time, eliminating the sciatic effects of one-legged entry. Once in, I showed how to get the car seat to drop back and up before exiting. The slinky bucket seats? Umm. “Sometimes it helps to adjust the seat up a little,” I said, trying to be tactful.

Should this client be driving a roller skate with jet packs? Heck no.

But oh heck, when I stood looking at the Cherry-red (never maroon) super-finish of this slinky corvette I had to say: “Some people have all the toys!”

“Want a ride?” he asked.

“You bet!”

Hair flying in the wind, I had to wonder: How am I going to get out of this car?