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

Renewing my sitting practice, massage self care, oil pulling, and a 21-day challenge: Byron Katie’s The Work

I got away from my meditation practice. For many months.

It always seemed like a good idea when I thought about it, and I still didn’t actually do it more than occasionally. Committing to 20-30 minutes of doing nothing — well, it seemed like I didn’t have time. I had other things to do.

This is after years of meditating and a full year of daily sitting.

Hmmm. The mind plays tricks, takes itself way too seriously, makes excuses, avoids.

I missed it, and when a friend told me she gets out of bed and sits first thing every day, it inspired me to start again.

I was also inspired by the film The Dhamma Brothers, about a program in an Alabama prison where inmates did vipassana meditation, 10 days of silent sitting. It was profound to see peace on the faces of men who had committed terrible crimes.

One inmate said:

I thought my biggest fear was growing old and dying in prison. In truth, my biggest fear was growing old and not knowing myself.

Meditation has always been about facing my self, from the day I started, so tentatively, having realized that nothing else I had tried was taking my suffering away, so I might at least fully face it.

It didn’t take it away, but I quickly understood that my experience was larger than my suffering.

Aren’t we all in prisons of some kind? Fears, mindless behaviors, disconnections, denial, insane beliefs…

I want to know myself. And that in itself is such a koan, I felt inspired to sit with it.

Getting on the computer first thing in the morning is my worst distraction. I seem to have developed an affinity for my laptop, for Facebook, email, checking my blog stats, reading what interests me. Time can get away from me. It’s like an addiction.

So I realized that I need to sit first thing. Actually, I do a couple of sun salutations first. Otherwise, more of my attention goes to my aches and pains when I sit.

Yoga frees my mind to pay more attention to noticing my thoughts and sensing the subtle energies.

Today I experienced this:

Indeed, the ineffability of the air seems akin to the ineffability of awareness itself, and we should not be surprised that many indigenous peoples construe awareness, or ‘mind,’ not as a power that resides inside their heads, but rather as a quality that they themselves are inside of, along with the other animals and the plants, the mountains and the clouds. ~ David Abram

Tom Best would love that quote. Living inside of awareness. Sweet. I miss him.

~~~

I’ve been giving 15-20 massages a week, and my body is feeling it. I like the honesty of physical work, and I’m learning about remedies like rosemary oil for achy thumbs, trigger points on the forearm, wrist stretches.

Immersing myself in the cold waters of Barton Springs and snorkeling a lap is very, very good for aches and pains. I sleep well.

I’ve also changed up my mouth care routine. I’m brushing with turmeric (if you try it, be careful because it stains towels and possibly porcelain, but it whitens teeth and reduces inflammation in gum pockets), tongue scraping, flossing, oil pulling with organic coconut oil (sometimes adding a drop of peppermint or clove oil).

I do the oil pulling for 20 minutes most days.

So far, my teeth are whiter, my mouth feels cleaner, and my breath smells good throughout the day.

I’ve done this about a week now. I want to do it for a couple of months and see if it makes a big difference. Some folks claim that oil pulling has huge unexpected health benefits; some say that’s because it reduces inflammation in the mouth and body.

I’ll let you know.

~~~

Finally, I am planning to start a new 21-day challenge on Sept. 1, ending on the fall equinox. I will be doing The Work of Byron Katie, starting with her Judge Your Neighbor worksheet.

I will do at least one worksheet online so people can see how The Work actually works.

I’m also re-reading her book, Loving What Is (which she autographed for me last time I saw her!), and will add insights from that and the workshops I’ve attended.

If you’d like to do it along with me, here’s a link to the worksheet online.