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.

Suggestions to relieve insomnia and get to sleep

A couple of months ago, I blogged about some exciting new research about insomnia. It seems that when we lie awake at night, unable to fall asleep, it’s because our brains are overheating. They tend to generate more warmth during the day and cool down at night.

So something happens that moves us out of this biorhythm and into the minor hell of insomnia (or major, if it goes on long enough). When you would like to be sleeping, the monkey mind grabs onto thoughts and won’t let go — generating heat in the brain and preventing sleep.

The researcher experimented with a cooling cap. It seemed to me that there were alternatives that were much simpler and more accessible.

Disidentify with your thoughts

First of all, disidentifying with your thoughts is a useful skill anyone can learn with a little practice. Thinking is what the mind does. It serves a purpose. It is not inherently bad.

The question is whether thinking is appropriate when you want to be sleeping. There’s thinking, and then there’s mind-running-amok.

To disidentify with those thoughts, you simply choose to focus your attention on your breath, or on sounds, sensations, rhythms, your weight against the sheets and pillow, a chakra, your whole body, a state of wonder, an image — find something that works for you. (All this stuff is happening all the time. “Life is what happens to you when you’re busy making other plans,” right?)

Notice that your thoughts are often about something that’s neither here nor now — they’re in the past or future. Bring your attention into the present moment. What are you actually experiencing?

Your mind may interrupt, but as you continue to focus on your present experience, it will interrupt less and less often, and you will fall asleep.

Also, notice whether that thing your monkey mind won’t let go of is something you have any control over. If you can’t influence it, give it up. Trickster is having fun with you. Just plain let go and hand it over to God, the Universe, Spirit (GUS will take care of it). Now go to sleep.

If you can influence it, unless it’s truly life-or-death, sleep on it and see what option comes to mind when you wake in the morning. In other words, pose the question “How can I influence this for the good of all involved?” Let your unconscious mind work and play with the situation while your conscious mind takes the restful break of sleep. When you wake, notice what comes to mind.

You may want to do some journaling.

Drink some cool, clear water

Drink a glass, or half a glass if your bladder wakes you up early, of water that is between room temperature and cool. Ice isn’t necessary — some people believe that ice is too cooling and not good for the human digestive system’s operations. After all, the human race has done pretty well without iced drinks for millenia upon millenia.

Take a mouthful of cool water, close your mouth, hold it for a bit, and then swallow.

You can also put a cool compress of a wrung-out washcloth on your forehead. Do both!

And, while you’re doing these things, think about the cowboy song Cool, Clear Water while you do this! Let water represent the sleep you want to experience.

Here’s a video of the original by the Sons of the Pioneers. Maybe you have a favorite version.

Yawn and open your mouth when you lie down to sleep

Since it’s currently believed that the purpose of yawning is to cool the overheated brain, yawn several times when you are ready to go to sleep.

Also, you can open your mouth just wide enough to let air (cooler than your body, of course) circulate in your oral cavity and cool the adjacent brain. Try parting your teeth half a finger-width.

Continue to breathe through your nose, not your mouth, unless you have nasal congestion.

Use acupressure to reduce heat

I shared this with my bodyworker/acupuncturist Patrice Sullivan, who got excited and shared with me some of the pressure points that reduce heat, because in Chinese medicine’s understanding of health, the body can get out of balance and have too much heat — and of course this can affect the brain.

Press into pressure points with a fingertip or pencil eraser to stimulate them, unblock meridians, and release heat. Press briefly and see what happens. Then try pressing steadily for 30 second to 2 minutes.

The list below includes the poetic names of the points for fun. You may want to google each point to view a graphic with more precision about the location.

  • Gallbladder 42 and 43, Earth Fivefold Convergence and Clamped Stream, are on the foot between the fourth and fifth metatarsals.
  • Liver 2, Moving Between, is on the top of the foot between the first and second toes before the webbing starts.
  • Gallbladder 34, Yang Hill Spring, is outside the knee, in a depression just below the head of the fibula (smaller lower leg bone) toward the front.
  • Heart 7, Spirit Gate, is on the hand on the crease of the wrist closest to the hand, in line with the ring finger.
  • Large Intestine 11, Crooked Pond, is located at the end of the outer elbow crease.
  • Governing Vessel 20, Hundred Convergences, is at the crown of the head.

Report back so others may benefit

I’d love to be wrong about this, but in my opinion, Big Science is probably not going to fund research on simple, effective ways to relieve insomnia unless they can make money off it by selling you something they’ve patented. So it’s up to us to figure out what works and let others know.

Please feel free to try any or all of these methods to relieve insomnia and please report back on what worked and didn’t work for you in the comments for this post.

Thank you.