Integrating massage, thoughts on pay-what-you-wish payment policy

This afternoon at massage school, we got to integrate all the styles and special techniques we’ve learned so far — Swedish massage, range-of-motion and stretching, body mobilization techniques, sports massage, and deep massage. (Later we’ll add some Shiatsu to that, and I plan to add a little cranio-sacral work as well.)

We asked our partners (fellow students) where their bodies were needing special attention. My partner had some tightness in his upper back (a 1 on a 1-10 scale), between his shoulder blades. I did the techniques that came to mind (raking the rhomboids, circular effleurage around the scapulae) and even made up some strokes.

Afterward, he said it felt good. That’s what counts.

I loved it. I am not a by-the-book person. This is where it gets really interesting to me. This is where we get to improvise, being in the moment and deciding how to proceed.

The basic skills are building blocks. There’s nothing wrong with pure Swedish. It’s pretty awesome — relaxing and therapeutic. It’s just that when someone has an issue, it’s great to have several resources to use to learn what works best on this person.

I want to learn a routine consisting solely of body mobilization techniques (BMTs), which are ways to jostle, swing, shake, rock, roll, and generally loosen up the body in a pleasant, rhythmic manner while the client is passively experiencing their body differently. BMTs can be done in 15, 20, or 30 minutes with the client fully clothed, so it can substitute for a chair massage. (It’s also great to integrate into longer massages.)

It will be nice to have something short and sweet to offer clients who don’t have the time for a full massage or who have never had a massage and would enjoy a fun little introduction.

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Today I heard about a massage therapist who operates on a donate-what-you-wish basis. It’s wonderful to hear about someone making a “good enough” living doing that. So many people have irregular incomes (artists and musicians, for example), and paying less when broke/more when flush works for them, and they really appreciate people who can work with the rhythm of their income.

Yoga studios have been successful operating this way (though usually with a $10 minimum). I know an acupuncturist who works successfully on that basis, and she is the free-est, happiest person I know and very good at what she does. She handpicks her clients.

I like that the massage therapist doesn’t have to think about how much to charge and wonder if the client can afford it. It removes some potential awkwardness and allows the focus to be on the bodywork and the relationship.

Wouldn’t it be awesome if all health care was like that? I imagine that in times past, when someone was a healer for their village or tribe, they never turned anyone away because they were poor. They took food, crafts, chickens, pay-it-forward, or whatever in barter. Healing was just what they did, in good times and bad. They rolled with their village.

What’s also attractive about pay-what-you-wish is that the massage therapists can hand-pick who they want to work with, and their clients become regular, long-term clients they can know well.

That sounds more fulfilling to me than “body in, body out” work with a lot of turnover in clients.

Healing bruised, sprained toes

A friend called me last night, said she had injured her toes, wondered if I could help.

Of course, I said yes, come on over. While she was driving to my place, I got the massage table ready, with a round bolster for her knees and half bolster for her heels or ankles to rest on, to keep her toes elevated.

Got an ice pack out of the freezer and wrapped it in a kitchen towel.

Screen Shot 2016-03-15 at 10.25.32 PMI checked my collection of Young Living essential oils and immediately pulled out the PanAway. I looked in the Essential Oils Desk Reference to see what else might be helpful. My friend had said she thought her toes were bruised and sprained but not broken. I didn’t have geranium, helichrysum, or German chamomile on hand, any of which would have helped, but I did have lavender, peppermint, and wintergreen.

I decided to stick with the big gun, PanAway, a blend that includes helichrysum, wintergreen, clove, and peppermint. Continue reading

Blindfolded massage, looking at and seeing

Yesterday my class at Lauterstein-Conway Massage School did blindfolded massage.

We’re in the 11th week of our studies (going 3 full days a week) and have learned Swedish massage, range-of-motion and stretching, body mobilization techniques, friction and melting, and pressure points.

At this point, we have the Swedish techniques down pretty well. I am still remembering when to integrate the other techniques. To do it all would take a couple of hours. Also important is learning to do the extra work just where the client most needs it.

I’ve decided that I do not like to give massages that are less than 90 minutes. This is from someone who got 60-minute massages for years. Now that I know what massage therapists have to omit to give a 60-minute massage, I see that I’ve missed out on some real juiciness! No more!

I will have my third Swedish practical exam tomorrow. I’m practicing today on a couple of friends.

Back to blindfolded massage. We students paired off and practiced on each other. The connection was so different.

With no visual distractions, the world takes on a different shape. Massaging the back becomes a journey through a landscape, with plains, valleys, mesas, hills, loamy ground, rocky areas, escarpments (and forests on some). Without seeing, the palm and fingers gain insight.

What if at the end of each finger, on the very tip, there is an invisible light shining out, showing the way? What if the entire hand is a light?

A very interesting thing occurred. It’s been difficult to give a massage in 60 minutes since learning the bells and whistles. Our instructor told us several times during the blindfolded massage how much time we had left. Both my partner, Robin, and I finished on time (albeit omitting the abdomen and face), and it looked like most everyone else did too.

I’ve written before about focused and peripheral vision. Foveal (focused) vision is narrow. (I remember this from the book The Open-Focus Brain, and I’ve written about the 12 states of attention as well.)

Looking at (focused) and seeing (peripheral) are different states. One is more stressful, tied to the sympathetic, fight-or-flight nervous system, and the other is more relaxed, tied to the parasympathetic, rest-or-digest nervous system.

Without using vision at all, functioning mainly through touch, time condenses to the present moment.

Robin noticed that I stopped several times, once on each limb, she said. I remember needing to really feel into it. Apparently some others did too.

I also learned not to do anything where feedback from seeing the person’s face is valuable, such as during stretches and when working on the neck. Fortunately, Robin saved herself from me!

Also, draping (sheet placement) was more difficult blindfolded. Robin did well draping me, so I know it can be done.

Wish me luck on my practical exam Thursday and second written exam next Thursday! Then I’ll have a week off.

A doctor who uses yoga in his practice

Saw this article in today’s New York Times and thought I’d share.

When patients with rotator cuff injuries do a pose derived from yoga, the results were as good or better than surgery or physical therapy. The yoga pose is headstand with the forearms making a triangle with the head, but you can do it against a wall — inversion is not required. It works by letting a new muscle do the work of the injured muscle.

Another study found that for patients with osteoporosis or its precursor osteopenia, ten minutes of yoga every day for two years built bone density in the hip and spine, while the controls lost bone density.

Yoga is weight-bearing exercise using the body’s own weight, especially in partial and full inversions. In addition, stretching pulls on the bone where muscles attach, and this can build bone density.

Another article is about piriformis syndrome, when the sciatic nerve is pinched by tight butt muscles. It can be caused by prolonged sitting.

Pressure-point massage can help. Some home exercises can provide relief in the majority of sufferers.

Body presence and awareness

This morning I was standing in line at the post office, and I could not stop making small movements as I stood. Shifting my weight from one foot to the other, letting my spine ripple up from the sacrum up, I became deeply aware of my muscular body, how muscles and connective tissue wrap around the bones and each other, and my body’s relationship with gravity and movement.

Today I have a sense that I have moved into my body more fully and become more physically present, more alive with more awareness. 

I like it.

I’m guessing this is a benefit of going to massage school and receiving/giving several massages a week as well as the last few years of working on my physical body with multiple healing modalities including yoga and shaking medicine.

The brain training I did in June could also be a factor, since changes continue for several months afterwards.

I’ve been lucky enough a couple of periods in my life to be able to afford a monthly full-body massage, and for several years to receive 15- to 30-minute massages at work once or twice a week. Massage is a great antidote for tension and stress, and it’s so beneficial if you can receive it regularly. 

We were told early on at massage school that we will receive 70 or so massages during the six months of training, and that that will change us.

I believe it. I feel more connected and present in my body already.

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Today another HVAC expert looked at my Spartan trailer. I think I’ve found someone who can fix me up with a central heat and air unit using the existing closet and ductwork. He’s emailing me a bid, and once I crunch the numbers, I can make a decision and move forward.

It’s been so hot, it’s hard to work more than a few hours early in the day before needing some relief.

I’m making decisions today about the bathroom — tub surround, wall covering, vanity, sink, faucets, and more.

Progress is slower than I thought, and the decisions are worth getting right.

Why massage, yoga, shaking medicine, and movement make you feel so good

One of the coolest things I’ve learned in my first two weeks of massage school, besides that I actually know something from my years of experiencing bodywork and that my hands love connecting with people, is about fascia.

If you don’t know, fascia is the name for a type of connective tissue, a thin membrane. It is labeled superficial when it is right under the skin and deep when it surrounds, binds, and separates muscle. It’s really all the same — these terms just differentiate the location.

The semi-transparent membrane on an uncooked chicken breast is fascia.

Here’s a new word: thixotropism, from the Greek for touch and turning. It refers to the fascia’s ability to change from one state to another. Fascia has two states: a thin fluid (sol) and a thicker gel. In its thin state, it is fluid, pliant, and elastic, offering a wider range of movement. In its gel state, it is tougher, more inflexible, and restricts movement.

When the body is out of alignment, such as when the head is jutting forward, the fascia supporting those straining neck muscles become more gel-like, stiffer, and supportive.

When you feel stiff, it’s because the fascia is in its gel state.

Through touch, exercise, and/or stretching, fascia “melts” from gel to sol and becomes looser, more flexible, and elastic. This allows the muscles to be manipulated in massage, increases joint range of motion, and frees the body from restrictions in movement.

When you move fluidly and freely in your body, your fascia are in the sol state. And of course, that feels fantastic.

This is at least one piece of the physiology of why it feels so good to get a massage, do yoga, warm up your muscles through work or exercise, and do the movements of TRE and shaking medicine.

They literally transform stiffness into fluidity.

Conversely, this is why it feels bad to sit for prolonged periods, and why we need to stretch after the stillness of sleeping.

If you want to feel free in your body, move, shake — and get massages.

I’m going to massage school at Lauterstein-Conway!

I was taken with this quote in a book I’m reading.

The leading contemporary philosopher of the body, Don Hanlon Johnson, also underscores how the invention of different body therapies arises from the originator’s own spontaneous movements, which too easily become rigidified when they become formalized and taught to others in an authoritative manner. The most promising future for body therapy will be in the direction of returning us to an experience of basic, natural movements that take place effortlessly and spontaneously.

This quote is taken from the book Shaking Medicine: The Healing Power of Ecstatic Movement, by Bradford Keeney. I’m nearing the end of reading it. (Okay, I’m slow sometimes and usually have four or five books going at once.)

Keeney reports on his first-hand experience with Kalahari Bushman ecstatic shaking practices, shaking medicine on the Caribbean island of St. Vincent, the ecstatic “holy rolling” of the African-American church, the Japanese shaking medicine called seiki (not to be confused with reiki), kundalini, and his own Life Force Theater.

More to come on that…

The quote above fits with the practices of some of the bodyworkers I’m working with, who, although they trained in a rigidified method, have evolved their work in the direction of moving and healing naturally, using their intuition, familiarity with the body, and healing skill to facilitate rapid change and healing.

I’m feeling more solid, aligned, and at ease than ever — and that’s something for someone who’s had nerve damage, PTSD, scoliosis, and serious injuries. (Some of this great feeling of health and wellness may be due to the brainwave optimization process I undertook last week as well. There’s no separation between mind and body.)

Bodywork is a very inspiring area of learning and practice that I want to pursue. I’ll be starting my training later this month in The Lauterstein-Conway School of Massage in Austin, Texas.

There are three more spots to be filled in this class — click the link to learn more.

Recovering from a virus, recovering from adrenal exhaustion

I awoke sick Saturday morning with a sore throat. I thought maybe it was strep throat. Drank lemon echinacea Throat Coat tea, sprayed a throat numbing liquid, and took two Alleves. Ate breakfast.

As the day progressed, I began to feel achy and chilled. Not much nasal congestion, and my throat became less sore, so it was probably not a cold. Pretty sure this was some type of influenza. The first battle of an invader with the immune system takes place in the tonsils, right? They fought hard, thank you very much, but were overpowered by a virus.

Sigh. Who knows how long this will last?

I did whatever I could think of to boost my immune system. I drank Tulsi tea, then made tea from fresh ginger steeped in hot filtered water and drank that. I ate a clove of garlic. (Slice thinly and swallow quickly, don’t chew.)

I did EFT three times. I did the thymus thump several times. I took three long naps. I had no appetite at all but stayed hydrated with the teas and water.

I finally remembered I owned a thermometer and took my temperature Saturday night. It was 102.2 degrees F.

That evening was the worst of it. I couldn’t lie still. Kept needing to flex and point my feet and circle my ankles, changing position often. Weird, huh? All I can figure out is that these movements were activating meridians (several of which begin or end at the feet) and moving lymph.

(Lymph is a fluid that contains infection-fighting white blood cells. The lymphatic system clears the toxins, waste, and other stuff  your body no longer needs. It’s a key part of the body’s immune system. Since the lymphatic system doesn’t have a pump, it works better when you take measures to help it circulate: by moving the body, dry-brushing, and lymphatic drainage, a type of light massage.)

I’ve learned in my studies of trauma recovery to allow the body to move as it needs to, unless it’s dangerous. So on with the foot movements.

Sunday morning I felt a bit better. Took my temperature twice that day, 99 in a.m., 100 in p.m. Aches and chills were gone, and my appetite came back somewhat later in the day, but my energy was low. I decided to stay home yesterday (Monday), believing that resting would speed my full recovery.

It seems I had a mini-virus, a two-day bout of illness. I have no idea if what I did shortened the duration of it, or if it would have been a 48-hour bug no matter what. You’d need a scientific experiment with a control group to determine that, and there could still be variables unaccounted for.

Still, it just feels better to know that I did what I could to strengthen my immune system.

Today (Tuesday) my temperature was normal. I went out and did a few things that couldn’t be postponed (I’m moving on Friday, after all), but I still feel weak and not quite back to myself.  I’m accustomed to feeling well and having a nice level of energy.

I have so much to do this week, it’s imperative that I recover quickly. I need to clean out my shed, get boxes, pack, and work three days this week. I need to get well. I made an acupuncture appointment because it helps.

~~~

Postscript, July 9, 2012. Hindsight is such a great teacher, bringing the gifts of perspective and insight.

When I look back on the time when I originally wrote this post a year and a half ago, I can see that I was stressed. I was selling my house, moving, and starting a new contract job. That’s when I got sick.

Stress weakens the immune system. If it goes on too long, you can suffer from adrenal depletion or exhaustion.

That happened to me this spring. I had just just studied for and passed the national certification exam for massage and bodywork, not exercising or resting enough, and I was stressing about money and work. A friend suddenly showed distinct signs of mental illness, which freaked me out. I experienced a fight-or-flight reaction, which means the adrenals are producing copious amounts of stress hormones that keep the sympathetic nervous system dominant.

I took different contract job at a technology company, working in a group that was experiencing a lot of chaos, with an hour-long commute. Much more stress and misery.

No wonder, when I saw my acupuncturist after the job ended, she told me I was suffering from adrenal exhaustion.

She advised me to take over-the-counter high quality rhodiola and eleuthero as directed on the bottles to recover from the adrenal exhaustion. I’ve been doing that for about a month now, and I feel much better. (These are also listed on my Products I Recommend page.)

As a massage therapist, I recommend frequent massage to help the body release stress and tension. A relaxing massage helps the nervous system begin to regulate itself again instead of being stuck in sympathetic mode, which helps you recover from stress more quickly and experience the deep relaxation (and strong immune system, better digestion, better sleep, stronger sex drive, more playful attitude) that occur when the parasympathetic nervous system comes back online. I also recommend Epsom salt baths for stress relief.

Related: See my post about preventing illness and recovering quickly.