What clients say about integrative massage

One recipient of an integrative massage (which combines Swedish massage, Lauterstein deep massage, acupressure points, foot reflexology, body mobilization techniques, muscle testing, stretching, trigger point therapy, and craniosacral work, as needed and desired) wrote afterwards:

Just a note to say I really enjoyed our conversation and my massage. The massage you gave me has allowed me to sleep soundly two nights in a row. My stress level also feels much lower than usual. Thank you for enhancing my life with your friendship and magical/healing massages! Sending happiness & blessings & love your way.

Here’s a testimonial for an integrative massage I gave to a dear friend suffering from insomnia.

I sit here at my computer after the best night’s sleep I’ve had in weeks. I am so deeply grateful for your loving energy yesterday. Your integrity, touch, and presence were exactly what I needed to break open the clogged dam of emotions that’s been keeping me from sleep.

All throughout the massage, I could feel and take in your love and healing energy which is abundantly transferred through your hands. When you said ‘How you feel matters,’ my soul got the message that you cared enough to hear, see, and touch me.

When you did the cranial-sacral hold, I felt like I was being cradled by my mother.

You had asked the question, “What happened three weeks ago?” … My insomnia has been “waking me up” to the fact of unfinished business….

Your work allowed me to dive through the opening and swim the turbulent waters on top of a still well. I’m not quite at the still well yet, but I have faith that I’ll get there.

Another client wrote to say:

MaryAnn has a special gift to connect with you and gently nurture your entire being. She is unique in that she offers unconditional love so freely. I highly recommend her massage therapy. ❤

For more about The Well Ashiatsu Barefoot Massage Austin, see my home page.

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A day in the life of a massage therapist

I’ve been doing massage since June, but I haven’t posted very much about it on this blog. I’ve been getting my bearings, gaining hands-on experience. I also maintain the confidentiality of my clients.

I’d like to write about my work, as long as my clients remain anonymous. I would have liked to read about what it’s like to work as a massage therapist, so maybe me posting about it will serve that need for someone else.

I massaged a woman who had recently had jaw surgery. She was going to physical therapy, and the PT said her neck muscles were so tight, a massage was in order.

At her request, I just worked on her back, shoulders, and neck, and I persuaded her to let me spend some time working on her feet.

It is incredibly relaxing to have foot reflexology and/or foot massage. I gave her both. There are zones on the feet that correspond to the rest of the body, so working the feet softens tense areas before I even get to them.

If you ever just want to relax and don’t have time for a full body massage, foot massage and reflexology are wonderful.

I allowed plenty of time in our session to work on her neck both when she was face down and after she turned over. I did a combination of Swedish massage and deep massage (Lauterstein method) to work on her circulatory and lymphatic systems and her structure and energy.

She told me she was having difficulty sleeping. She said she had always slept on her stomach with no pillow. Post-surgery, she was having to sleep on her back, propped up on pillows. She found it awkward and uncomfortable.

I shared with her what had helped me after I had had some major chiropractic work on my neck and was told to sleep on my back: hugging a pillow against my body. The weight of it feels comforting to a stomach sleeper.

Afterwards, she said she felt much better.

That’s one of the things I love most about being a massage therapist. What I do makes a tangible difference in people’s quality of life.

I worked on another woman who had been on her feet all weekend at an outdoor music festival. She wanted a lot of attention to her feet and legs as part of her full body massage. She booked a 90 minute massage, which is twice as relaxing as a 60 minute massage!

Truthfully, I don’t know how to quantify how relaxing a massage is. That’s a subjective measure. I just know that when I give a 60 minute massage, if the person is larger than average or has an area that needs extra attention and still wants a full body Swedish massage, the massage feels rushed, to me.

I don’t know if it feels rushed to them. Maybe that’s all they’ve ever known, and they have no idea how much more relaxed they could feel if they had a longer session. It’s their choice — and I’m not beyond suggesting that a client book a longer session next time!

I did Swedish/deep massage and reflexology/foot massage on her and was able to work at a more relaxed and relaxing pace. IMO, she did herself a huge favor by booking 90 minutes. She relaxed very deeply and looked happy when I met with her after the session.

I like using aromatherapy. It adds a nice dimension to a massage both to the client and to me.

I often put the essential oil blend Valor (from Young Living) on the client’s feet before massaging them. The way I see it, everyone needs more valor to face life, and here’s a way to get some!

When clients turn over from being face down, their breathing is often congested. When that’s the case, I like to take a drop of Eucalyptus radiata oil, rub it between my hands, and then place my hands near the client’s nose. Their eyes are covered, so they don’t see it coming. They simply smell the eucalyptus, a pleasant surprise, and it clears their breathing passages.

At the end of a massage, especially when the client has gone into a deep trance or fallen asleep, I like to rub a drop of peppermint or rosemary oil between my palms and allow the scent to help wake the client up in a refreshing way.

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.

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