Self-care for massage therapists, part 1

I’ve been doing 16-20 hours of massage per week lately, mostly Swedish but also a little deep tissue work. (I’m still getting up to speed on ashiatsu.)

The up side? I burn a lot of calories so I can really dig in at the table (one of life’s sweet pleasures), and I sleep well, being physically fatigued, another sweet by-product. And of course I’m the richer for it, in money, skill, connections, and making a difference.

The down side is that such physical work can take a toll on my body. I understand why a lot of massage therapists get burned out and leave the profession. From my fingers to my spine, I have felt achiness, inflammation, swelling, tenderness, stiffness.

Luckily, I belong to a group on LinkedIn, the Associated Bodywork & Massage Professionals (ABMP). I joined to keep up with discussions about the profession. One person not long ago asked the following question:

What do you do for your hands when they ache after giving a series of massages? I am using proper body mechanics. My hands ache. I appreciate your feedback.

There were 55 responses that I’m going to summarize, because I feel so grateful to have this resource. Thanks to all the MTs who responded.

Please note that many of these are new to me; I am just summarizing what people posted. Later I will post what’s worked for me (that I’ve tried so far) along with a few of my own discoveries.

Recovery time

  • scheduling days off to recover
  • taking a 30 minute break after 3 hours (or however long works for you)
  • taking adequate time between clients to recover
  • not scheduling deep tissue sessions back to back

Body mechanics, stretching, strengthening, and recovery

  • paying attention to how you use your hands on your days off
  • doing hand stretching and strengthening exercises
  • resting in semi-supine position to open the brachial plexus (on your back, knees up, feet flat, book under head for 15-20 minutes)
  • paying even more attention to body mechanics as you work
  • getting a colleague to observe you work and give feedback
  • stretching after each client
  • lifting weights to strengthen arms and hands
  • punching a punching bag (with training)

Therapeutic devices

Heat and cold

  • dipping hands into hot wax/paraffin bath
  • applying hot and cold hydrotherapy
  • dipping hands into ice water

Self-massage

  • getting regular massage yourself
  • stripping your own forearm muscles
  • getting Reflexology on your hands or doing it yourself
  • learning Trager self-care movements for the hands
  • getting myofascial release work done on your arms
  • this page describes how to release wrist trigger points
  • this page describes how to release tennis elbow
  • cupping with suction cups

Delivering massage

  • working within your limitations (i.e., telling clients you don’t do full body deep tissue work)
  • reading the book Save Your Hands!
  • switching to Trager
  • learning Reiki so the energy goes only one way
  • learning Bamboossage, Ashiatsu Oriental bar therapy, or floor Ashiatsu to deliver deep tissue work
  • use alternating areas of the hand/forearm/elbow in moderation
  • having a box of tools available (balls, bamboo sticks, knobbers) to use on clients’  tough spots
  • using Art Riggs’ techniques for deep tissue work
  • using your forearms instead of hands whenever possible
  • using cupping
  • applying hot towels to client
  • holding thumbs tight against hand and using body to push for static pressure point work
  • using the edge of your hand or base of palm area instead of thumbs for sweeping or kneading motions

Oils, herbs, creams, gels, minerals

  • applying essential oil of rosemary for warming or peppermint for cooling (add to jojoba oil)
  • applying oils that are anti-inflammatory: helichrysum, frankincense, German chamomile, Cape chamomile, katrafay, and ginger
  • applying oils that are analgesic: lemongrass, clove, litsea cubeba, peppermint, wintergreen, and eucalyptus citriodora
  • combining anti-inflammatory and analgesic oils; applying them to neck, shoulders, forearms, hands, and feet to relieve hands
  • applying St. John’s wort oil, white willow tincture, fresh turmeric tincture, comfrey fomentation, raw apple cider vinegar fomentation
  • using arnica cream
  • applying Biofreeze
  • applying magnesium oil or gel
  • soaking in an Epsom salt bath
  • soaking your hand in lukewarm or cold water with a minimum amount of salt

Diet, teas, supplements

  • staying hydrated
  • changing your diet to lower inflammation (no details given)
  • drinking coconut water
  • drinking a blueberry smoothie
  • eating cucumbers with sea salt
  • avoiding eating sugars, nightshades, baked products with flour and corn
  • avoiding caffeine
  • taking turmeric internally
  • drinking comfrey tea
  • taking supplements for joint health (no details provided)
  • taking MSM with glucosamine

A video that could help you sleep

Insomnia is a malady I have rarely had over the last few years. Only when I drink caffeine late in the day (I usually know better), and even more rarely, when I feel so disturbed about some issue in my life that my mind can’t let go of it do I lie awake at night unable to sleep and feel like a zombie the next day.

I have experienced months of insomnia every night in the past, however, and that experience has given me great compassion for those who suffer from it. A good night’s sleep is just essential for well-being.

I’ve posted about various remedies for insomnia occasionally. You can search my blog on “insomnia” to find those posts if you wish.

Cures or relief from insomnia is a topic of great interest. New information emerges. I’m interested in what works. Could it be that there is not a “one size fits all” cure for insomnia?

Today I stumbled across a video purportedly created by scientists to help you sleep. I listened to it (and did not fall asleep, but it’s morning and I am well rested already). I found it very peaceful. I can imagine that it would help me fall asleep.

Here’s the link if you want to give it a try:

http://www.wimp.com/scientistscreated/

The only other information I could find is that the video and music are by a band called Marconi Union. I don’t know if this is a band of scientists or what!

The best help I know of for insomnia (and the most expensive) is brainwave optimization.   I wasn’t experiencing any insomnia when I did the five days of brain training in June 2011. But it has been known to help with insomnia, and a study is underway to learn more about its effects on insomnia.

Even more awesome, Wake Forest Baptist Medical Center is undertaking this study of insomnia, and other studies are planned for migraines, mild cognitive impairment, and traumatic brain injury/concussion later this year!