Post-concussion self-care

I’m getting referrals for craniosacral therapy for people who have had concussions, and I want to help these folks heal. Not knowing what a doctor may have told them, and knowing how busy most doctors are, I’m providing information here that may help those with injured brains recover more quickly. If your doctor tells you something different, listen.

People who’ve had concussions report these symptoms: pain, dizziness or vertigo, balance issues, gait disturbance, vision changes, sensitivity to light and sound, language problems, confusion, lack of focus, forgetfulness, nausea, sleepiness, and/or emotional problems.

To clarify the language, concussions may also be called mild TBIs (traumatic brain injuries). People can get concussions from an impact, from being shaken (like shaken baby syndrome), or from being near an explosion (IEDs in war zones make this a tragic problem for many veterans).

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Hydration: the first step to building health

The first step to preventing dementia is to stay hydrated. The brain is more sensitive to dehydration than any other tissue in your body. This issue is on my mind due to numerous friends’ parents having tragically developed Alzheimer’s and also learning of contemporaries with early-stage dementia. Craniosacral therapy can help, and I’ll write about that in the future. Today: hydration.

This is a topic that your doctor will probably never mention unless you have a severe issue like kidney disease, but your massage therapist certainly will!

You are at your most dehydrated when you wake up in the morning. Therefore, drink water soon after you wake! It’ll help get your brain and your whole system going.  Continue reading

Stay hydrated all the time, not just after a massage

I’ve written about this before. I tell my clients to stay hydrated, rather than asking them to drink “extra water” after a massage to “flush the toxins out.”

Water makes physiological processes, especially the brain, work better, so getting enough is important. Whatever measure you use – a gallon a day, half your body weight in ounces, until your pee is clear – most of us don’t drink enough, and we need extra to make up for sweating, diarrhea, etc.

Now New York Times health writer Gretchen Reynolds addresses the issue, interviewing an expertContinue reading

Massage and toxins: Laura Allen busts that myth

Aside from being hilarious, Laura Allen makes complete sense. This is why I like to tell recipients after a massage to stay hydrated, instead of telling them to drink extra water to flush out the toxins (that were supposedly loosened up by the massage and are floating around in your body just needing to be peed out by that extra water).

The body doesn’t work like that, as Laura points out.

However, your body thrives on getting enough water! Everything works better, including sweating, peeing, and pooping, which remove metabolic waste.

How much water? Divide your body weight in half and drink that many ounces. Weigh 150? Drink ~75 ounces per day. Add more on days when you sweat a lot.

Self-care for massage therapists, part 2 (what works for me)

In part 1, I listed various self-care methods that massage therapists use for their own aches and pains from giving massage. In part 2, I want to share what I’ve tried (so far) that works.

First, I want to say that my strength and endurance have increased with practice. I used to be in pain after giving 3 hour-long massages in a row several days in a row. Now I can do 4 hours 5 days a week with just a few twinges and aches afterwards. For several weeks, though, I was hurting and feeling some despair about having upended my life to get trained and start working in this new profession and the possibility of not being physically able to do it.

Key learnings from a newbie:

  • I no longer attempt deep tissue work, sticking to Swedish and reflexology. My Swedish massages are good and getting better. I incorporate some of David Lauterstein’s deep massage strokes into every Swedish massage, and I use pressure points, stretching, techniques from sports massage, body mobilization techniques, and reflexology, depending on the client’s issues and the amount of time I have. I cannot deliver the pressure that some clients (well-informed or not about what “deep tissue” means) seem to want. If I work within my limitations, it’s win-win for everyone.
  • I trained in Ashiatsu Oriental Bar Therapy so that I can deliver deeper pressure using my feet and body weight, controlled by holding onto overhead bars. It’s so much easier on my body and a lot of fun, too.
  • I rock with my feet and leverage my body weight strategically as I deliver Swedish massage so my arms and shoulders do less work.
  • Hydrotherapy totally rocks after a long shift. I fill my double kitchen sinks with hot water (my water heater is set to 130 degrees F. for sanitizing laundry) and cold water that I dump a quart or two of ice into. I immerse my aching forearms and hands in the water, alternating cold-hot-cold-hot-cold, for one minute each. I can barely stand it, and yet it makes a huge difference in just 5 minutes. Seems to flush toxins and swelling and pain right out.
  • I stretch my fingers and wrists, holding each stretch for 15 seconds. Good to do when driving, at red lights.
  • I press into the trigger points for the elbow and wrist (see part 1 for links).
  • I apply magnesium gel with seaweed extract topically. According to Wikipedia, symptoms of magnesium deficiency include muscle cramps, weakness, and fatigue, and fifty-seven percent of the US population does not get enough magnesium from food.
  • I love epsom salts in a bath. (Guess what? They contain magnesium!) When I was feeling a lot of pain all over, I would dump a cup or two of epsom salts into a fairly hot bath and add a few drops of lavender oil, then soak for 15-20 minutes. I felt like a new woman when I came out! I learned this years ago from dancers.
  • I use Young Living’s OrthoEase oil on clients’ painful muscles, and I use it on mine as well. Contains wintergreen, peppermint, eucalyptus, lemongrass, and more that are analgesic and anti-inflammatory.
  • I keep hydrated and have been avoiding nightshades lately. I’m already gluten-free and eat fairly healthily. I’m interested in following an anti-inflammatory diet but haven’t done the research yet.
  • I take at least a couple of days off per week, not always together, though. I’m still finding my ideal schedule.
  • I do 10-15 minutes of yoga every morning. Sun salutations stretch and strengthen my body. Plus, it’s a great check-in to do something that starts the same every day. I start slowly and really let my hamstrings lengthen in forward bend before I move on to the next pose. I add standing poses, balance poses, and pigeon as I feel the need and to keep it interesting.
  • I get at least a chair massage every week. I’m interested in setting up a weekly trade for a full-body massage with someone, too.
  • I use a foam roller on back when needed, and a tennis ball to my gluteus.
  • I have two tennis balls tied into a sock that I use when driving to massage my back. I’ve also learned to “pop” my own back while giving massage!

Here’s something that just doesn’t fit into any of the categories I’ve seen so far about self-care for MTs. It’s about how you use your attention. I’ve learned to keep some of my attention on my body most of the time.

When I focused exclusively on the client’s body, delivering what I thought they wanted, I hurt and fatigued myself. I listen more to my body now and check in verbally with the client if I am not noticing nonverbal feedback.

If I notice that I feel rigid anywhere in my body, I say to myself, “Soften,” and my body softens.

Sometimes I put my attention on the soles of my feet and their connection to the floor/earth (I massage with bare feet always for Ashiatsu and as much as possible for Swedish), making the movements of giving massage into a soft, fluid dance.

Sometimes I attend to my breath, letting it become easy and relaxing (and audible to the client, as a nonverbal suggestion that they relax too).

All of these techniques activate the inner body, subtle body, energy body, whatever you want to call it. It feels better to give massage with this “soft present alive expanded body” than not. There is definitely an aspect of being “in the flow” that seems somehow related to doing Reiki, but I don’t know how to put it into words (yet).

Another bonus: the sensations of pain and fatigue become distant as peace and love fill my awareness.

I don’t know if clients perceive the difference, but I don’t think it could hurt. I do it for me because I “in-joy” it!

It’s been four months since I got licensed and began working. I look forward to learning even more new things about self-care and sharing them here.