Category Archives: Therapies

Who is on Your Team?

05 Thursday Nov 2015

Posted by in Holistic Living, Pain Management, Therapies, Treatment Modalilties, Uncategorized

≈ Leave a comment

Tags

, , ,

teamTo accomplish anything in life, we must have support. Nothing really happens in a vacuum; we need people who are willing to “pour into us.” In other words, people who are on our team. Whether we are raising children, advancing in a career, learning a new skill, or (more likely) a combination of these and other things, we need to know someone has our back. We, no only, need people cheerleading from the sidelines, but also on the field with us. And let’s be honest, not everyone in your life is on your team. How can we tell teammates from opponents or those merely watching from the sidelines? To start they are encouragers, they tell the truth with compassion, they help in any way they can, and mostly they believe in YOU!

I think most of us have a good sense of the “team” among our friends, family, and even work; however, one often overlooked area is healthcare. When it comes to our health, we frequently find demanding coaches or even (dare I say) dictators, directing choices without much consent from the patient. It seems there is a lot of, “I am the expert and you are not, so do what I say and stop asking questions.” mentality going around in all fields of medicine and healing arts. In fact, a 2009 article in The Atlantic called “Power to the Patient” complains of the age-old-mantra: doctor knows best. But if a healthcare practitioner or doctor doesn’t treat you like a team member, a stake-holder and important to the shaping of your own care, then they may not be on your team. The thing you must understand is that they work for you. You are the boss, and you can fire them.

So, who is on your team, and how many people do you need? That question needs to be answered individually, but I’d like to give some personal guidelines. First, healthcare team members should be willing to answer questions and help you thoroughly understand what is happening. Second, team members will not make you feel stupid for asking questions. Third, team members should also be cheerleaders, encouraging their patients to take hold of their own health. And finally, they should provide whatever tools they have to equip their patients for self-care.

As to how many people or professionals should be on your team: that is personal. I would encourage searching out professionals from various backgrounds, which will give a wider view of health. I would also encourage surrounding yourself with as many people as you can who will support your desire for a healthy lifestyle.
In summary, it is very important for all of us to find and surround ourselves with a great “team.” And remember, we are each others’ teammates too!

To Your Health

[1] Clayton M. Christensen and Jason Hwang. “Power to the Patients” The Atlantic 2009

What the heck is a Rotator Cuff?

24 Thursday Sep 2015

Posted by in Holistic Living, Pain Management, Therapies, Treatment Modalilties, Uncategorized

≈ Leave a comment

Tags

, , , ,

Today I’ll take a detour from the series of posts about types of massage to talk about something I think many people wonder about: that foggy mystery of the rotator cuff! Often mispronounced as “rotor cup” or “rotary cup,” the rotator cuff remains a vague image in the minds of many. So, let us take a few minutes to demystify this! You will find that the more you understand this vital area of your upper body, the more power you will have to recover from injury or, more importantly, to prevent injury in the first place.

In my experience with clients, I find most people think the rotator cuff is a covering of some sort for the shoulder. While this is true in a way, it’s not usually as they imagine. The rotator cuff is actually a group of four muscles that are involved in (wait for it) rotating the shoulder… and it has an elevating part to it as well. These four muscles are as follows: the Supraspinatus, the Infraspinatus, the Teres minor, and Subscapularis. These relatively small muscles attach at the head of the humorous (top of the arm at the shoulder) creating, if you will, a “cuff.” The muscle bodies themselves attach wholly onto the scapula (shoulder blade). Take a look at the picture below.

rotator cuff

 

 

Let’s quickly look into the movements in which these individual muscles assist. The Supraspinatus assists with abduction of the arm at the shoulder; in other words, it helps raise the arm out to the side of the body. This is generally the most injured muscle because it passes under the arch formed by the scapula shoulder blade) and the clavicle (collar bone). When it does this, it can rub and create irritation or tears. Next we will look at the infraspinatus and the Teres minor. These two muscles help in lateral rotation(rolling the arm out) of the arm at the shoulder. Finally, we have the Subscapularis. It is a broad flat muscle that is a powerful internal rotator. On many people, this muscle becomes shortened, limiting the ability of full lateral rotation and eventually causing injury.

Now that you know a little more about the rotator cuff you might wonder why this is so important. Well, I believe that knowledge is power! Moreover, depending on which actual muscle you may have injured, it will change what should be done for rehabilitation. Knowing this information could be beneficial for those who work at a job with repetitive shoulder movements. You can start to understand which rotator cuff muscles are being over-used and get some exercises to re-balance these muscles and prevent a possibly debilitating injury.

I hope this helps clear some of the fog away from the rotator cuff!

To Your Health

Deep Tissue Massage: a quick guide

11 Friday Sep 2015

Posted by in Holistic Living, Pain Management, Therapies, Treatment Modalilties

≈ Leave a comment

Tags

, ,

The practice of true Deep Tissue Massage requires great skill, which, according to Tom Myers, is “…elusive and not-easily grasped.” I can attest to that. Many practitioners I have come across advertising deep tissue work are simply not skilled in this particular art. There are many reasons for this, (none of which will be addressed in this post—sorry!). What I will focus on today, however, is what deep tissue massage really means, how it should feel, and what the desired results should be.

What is Deep Tissue Massage? I am going to rely heavily on the seminal book by Art Riggs called “Deep Tissue Massage.” Seems appropriate, doesn’t it? This book remains foundational in my growth as a manual therapist. According to Riggs,Deep Tissue Massage is not a “hard” massage. That is, it doesn’t take a great amount of strength and should never involve “digging” into the tissues. To be blunt, that is abuse not massage. I cannot express this enough, IT SHOULD NOT BE PAINFUL. If you feel you need to tap out, then it may be time to end the massage. If a person tells me that they do not like deep tissue work, I assume it is because they were “beat up” by a massage therapist who meant well, but didn’t understand the practice. And here is another surprise: Deep Tissue Massage should not involve work solely on the deep tissues. That would be overwhelming to the client and to their system.

Now, let us sink into the reality of Deep Tissue Massage. Simply put, Deep Tissue Massage is exactly that: Accessing and affecting the deep tissues of the body. This is done very slowly working WITH the body to “sink” as deeply as the clients body will allow us. It is also achieved by using the bones to access the deep tissues. The practitioner may also stretch the fascia to change the deep structures. This should cause not strain on the recipient or the therapist. The goal of this is to alter the structure of the body and release muscle restrictions.

Deep Tissue Massage should be designed to achieve certain and specific therapeutic goals. These could include pain relief, improving posture, increasing flexibility, and creating more freedom of movement. Deep Tissue Massage is not a “relaxation massage,” meaning that relaxation is not its primary goal. However, in the hands of a skilled practitioner, it can be very relaxing and nurturing indeed.

Always remember, when you are going to receive a massage, no matter the type, interview the therapist. This is your body they are working with. Like all professions, some therapists need a bit more training. If you care about your health, find a good therapist (or several with differing expertise) and hang on to them!

To Your Health.

Swedish Massage: what is it good for?

30 Sunday Aug 2015

Posted by in Holistic Living, Therapies, Treatment Modalilties

≈ 2 Comments

Tags

, ,

Joseph H Watts, LMT

A lot of misinformation gets passed around when it comes to massage. Let’s embark on a journey of discovery and clarification. In the coming weeks, I will explain the benefits and uses of the different types of massage. Massage modalities are seemingly infinite, so in these next handful of posts I will stick with the most common forms we typically see in our culture. Today, I’ll focus on Swedish massage: what it is, what it’s great for, what it’s “ok” for, and what it isn’t meant to do (or when it isn’t the best choice). Let’s dive in!

What we know today as Swedish Massage was developed by a Swedish(duh!) man named Per Henrik Ling. Ling, a physiologist and fencing master developed what he termed Medical Gymnastics. These were a series of movements and tapping that he claimed healed his own injured elbows. Later, the movements performed by a therapist were termed Swedish Movements and then further Swedish Healing Movements when they were brought to the United States. This was a good move, because (let’s be honest) Medical Gymnastics is a horrible name!

Now that we have had that (extremely) brief history, we can get to the nuts and bolts. What is Swedish Massage and do I really want that? To start, modern Swedish Massage is also often called Spa Massage or more derogatively “fluff and buff.” I despise that latter term, although, earlier in my tenure I was myself ignorant about this very appropriate and wonderful form of manual healing. Most massage therapy offices or spa’s offer Swedish Massage, as it is the most commonly used form of massage in the United States. Swedish Massage is often performed with the recipient nude or mostly so, and draped with a sheet or towel. It uses a combination of long gliding strokes, compressive strokes, tapping or chopping, friction, and kneading. Usually, these are applied with oil or lotion. The strokes tend toward the heart. The pressure should be light to medium and should never cause pain.

What are the benefits of Swedish Massage? This is where the rubber meets the road. In my opinion the main reason to get a Swedish Massage is for its benefit to overall health. This modality is wonderful for engaging the parasympathetic nervous system. Let me take a moment to explain. Our sympathetic nervous system is our “fight or flight” mechanism. It is great for stressful times and survival. Unfortunately, cultural, societal, and economic expectations in developed countries like the US tend to keep our fight-or-flight activated almost permanently. It is only supposed to be activated in short periods. When we are in this sympathetic nervous system we produce cortisol. Too much cortisol (in short) causes stress to the heart and could lead to heart failure. Also, in sympathetic mode, our adrenal glands work overtime. This stressful mode of operation will eventually lead to adrenal failure, which is awful. There are many other side effects, such as poor digestion and weight gain. Swedish Massage helps activate parasympathetic nervous system, which is the opposite of “fight or flight.” It flushes cortisol out of our systems, shuts off adrenal overload, helps digest food, etc, etc. In my opinion this is the greatest reason to receive regular Swedish Massage.

However, there are other beneficial effects. These include general muscle relaxation, better body awareness, increased blood and lymph flow, and better muscle tone. There are also benefits in which Swedish Massage is “ok” at achieving—results it can accomplish, however, maybe not as well as other types of body work. These are general pain reduction, some increased range of motion and increased muscle tone. With all of these benefits, it is a great modality.

Of course, I would be remiss if I didn’t tell you what Swedish Massage is not good at achieving. If you experience extreme limits of range of motion, chronic pain(caused by alignment problems), many specific structural function issues, complicated soft tissue pain, energy blockages, and/or a host of specific ailments, there are better treatments. I have heard of many people getting a Swedish Massage and complaining that their pain issue was not treated or it didn’t help. That is not the fault of Swedish Massage; it was just the wrong modality for the outcome they wanted.

Subsequent articles we will discuss Deep Tissues, a myriad of Medical Massage modalities, general energy work, Thai massage, and a few others you may not have heard of. Join me as we continue this journey into massage modalities!

logo