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Why are some clients sore after a Deep Tissue Massage and others are not?

I've been practicing Massage for about a year now. During the Massage Program I completed, we learned Deep Tissue and even practiced it on each other. I always tried to work with one person in particular because she was so strong and did amazing DT work. There were times when I felt as though the pressure was too much, but I never told her to let up and I never developed any soreness - of course, at this point, we were practicing on each other 3-4 times a week, meaning I was getting several Massages each week for several months.

 

In the past year, since finishing the program and working on my own, I've come across a lot of different levels of soreness after DT work. I have some clients who come in, haven't had a Massage in a couple of years, receive a DT Massage (and I know I'm strong based on client feedback) and have NO soreness. I have other clients who come in and are extremely sore after their first DT Massage, and then I have OTHER clients who are not sore after their first couple of DT Massages, but become sore after their third, fourth or fifth DT Massage.  I've even put together a spreadsheet looking for any sort of consistency in what causes the soreness, but I have yet to come across any patterns.

 

Two other factors - I ALWAYS do Trigger Point work when I do DT, and I try to ensure that I work slowly - starting superficially and working deeper.

 

Does anyone know or have a theory on why some clients develop soreness, why some never do, and why some develop it later after several treatments? 

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Thank you all for the discussion I am going to leave this thread as I am having a hard time keeping up with it and my work.  If anyone wishes for a discussion later feel free to email me in my profile.  Cheers.

MG

If it works, I'm all for learning more about it someday, when I have the money.  I don't see why MTs can't learn to do the procedure.

Massage Gnome said:

I have never visited any sites or done any research on it but am familiar with it only because I have received it 4 or 5 times in the last few years because I don't stick to the limitations of 5 hours of massage a day.  I tend to average more like 10.  It has given me back my arms on all occasions and I have not yet met a MT who could affect my issue effectively.  But if it is something you would like to learn more about I would recommend finding someone who practices the technique.  I am at the limit on this technique.


MG


Gary W Addis said:

Unless I'm mistaken, whiich is likely, the website said that it is done slowly.  If the sweeping with the stainless bar is done wuickly, seems that the chiro might not snag and stretch everything.  And, yeah, digging in with a steel bar does seem painful.

 

A couple of local chiros use a kind of airgun that gives a wee punch of compressed air that supposedly snaps everything into alignment.  Useless, the way the doctor I saw used it.


Massage Gnome said:

Gary, The technique is not done slowly tho it is fast and vigorous and very deep.  Very painful as I have had 2 kids without any pain killers and I about passed out.  Then it bruises and heals back up and the tissue is renewed. Check your phone book under chiropractors and you may find a practitioner who offers it that can meet with you and go over details.


MG

 

Gary W Addis said:

MG, I checked out the Graston technique.  They don't have a demo video onsite, so I have to guess.  Appears to me to be MFR with a variety of probably expensive stainless steel tools rather than forearm.  Going deep to the point of light tenderness, then slowly stripping the muscle lengthwise at that level.  Not saying Graston ain't affective; today we learned to sweep along lamina groove, down from occipital and across, stripping a big area of TPs and adhesions.   But maybe my guess is wrong.

 

From the Graston website:

Why is scar tissue a problem?

A.    Scar tissue limits range of motion, and in many instances causes pain, which prevents the patient from functioning as he or she did before the injury.




How is scar tissue different from other tissue?

A. When viewed under a microscope, normal tissue can take a couple of different fashions: dense, regular elongated fibers running in the same direction, such as tendons and ligaments; or dense, irregular and loose with fibers running in multiple directions. In either instance, when tissue is damaged it will heal in a haphazard pattern--or scarring--that results in a restricted range of motion and, very often, pain.



How are the instruments used?

A. The Graston Technique® instruments are used to enhance the clinician's ability to detect adhesions, scar tissue or restrictions in the affected areas. Skilled clinicians use the stainless steel instruments to comb over and "catch" on fibrotic tissue, which immediately identifies the areas of restriction. Once the tissue has been identified, the instruments are used to break up the scar tissue so it can be absorbed by the body.



Is the treatment painful?

A.

It is common to experience minor discomfort during the procedure and some bruising afterwards. This is a normal response and part of the healing process.  

 

Sounds like NMT/MFR to me.

In my experience, I try not to spend a lot of time in that original area and work in the areas of reference. With low back pain I will most the time start out with the back of the legs, concentrating on hitting the hamstrings and lower glutes. Then moving to para spinals to low back and upper glutes hitting TP's of the piriformis , then up into the QL's with TP's in that area.

So not working one area too long and working also surrounding areas that refers too that particular area is helpful.

Hope that makes sense.

Sounds simple and doable.. Common sense... But you talk to some people around here....And massage is a dangerous journey...False information...Danger.  Dont say this, only say that...lol     Robert, I think I need a massage from you.  .. Well I know I do.

So Gordon, what makes it a dangerous journey? I'm kind of new on this site, I hope not to run into no it all's.Thks.

 

 

Gary, google Guasha it is the TCM method Graston seems to be developed from. It is practiced in many countries as home remedy. The tools are inexpensive ranging from a coin in your pocket (The Vietnamese call it coining), a spoon or carved horn or jade implements. They are under $30.00 and from everything I have read and been told on Graston, it is very similar. Guasha is done by most acupuncturists as part of TCM. And by Massage Therapists.

You can read more on my website.
http://www.urban4est.net/storJade.htm

It is rather common in health care to make the simple complex so it is unique enough to register as a patent, copyright or trademark. In my opinion that is similar to GMOs and charging farmers for growing crops carrying Monsanto's engineered and patented genes.

Gary W Addis said:

If it works, I'm all for learning more about it someday, when I have the money.  I don't see why MTs can't learn to do the procedure.

Massage Gnome said:

I have never visited any sites or done any research on it but am familiar with it only because I have received it 4 or 5 times in the last few years because I don't stick to the limitations of 5 hours of massage a day.  I tend to average more like 10.  It has given me back my arms on all occasions and I have not yet met a MT who could affect my issue effectively.  But if it is something you would like to learn more about I would recommend finding someone who practices the technique.  I am at the limit on this technique.


MG


Gary W Addis said:

Unless I'm mistaken, whiich is likely, the website said that it is done slowly.  If the sweeping with the stainless bar is done wuickly, seems that the chiro might not snag and stretch everything.  And, yeah, digging in with a steel bar does seem painful.

 

A couple of local chiros use a kind of airgun that gives a wee punch of compressed air that supposedly snaps everything into alignment.  Useless, the way the doctor I saw used it.


Massage Gnome said:

Gary, The technique is not done slowly tho it is fast and vigorous and very deep.  Very painful as I have had 2 kids without any pain killers and I about passed out.  Then it bruises and heals back up and the tissue is renewed. Check your phone book under chiropractors and you may find a practitioner who offers it that can meet with you and go over details.


MG

 

Gary W Addis said:

MG, I checked out the Graston technique.  They don't have a demo video onsite, so I have to guess.  Appears to me to be MFR with a variety of probably expensive stainless steel tools rather than forearm.  Going deep to the point of light tenderness, then slowly stripping the muscle lengthwise at that level.  Not saying Graston ain't affective; today we learned to sweep along lamina groove, down from occipital and across, stripping a big area of TPs and adhesions.   But maybe my guess is wrong.

 

From the Graston website:

Why is scar tissue a problem?

A.    Scar tissue limits range of motion, and in many instances causes pain, which prevents the patient from functioning as he or she did before the injury.




How is scar tissue different from other tissue?

A. When viewed under a microscope, normal tissue can take a couple of different fashions: dense, regular elongated fibers running in the same direction, such as tendons and ligaments; or dense, irregular and loose with fibers running in multiple directions. In either instance, when tissue is damaged it will heal in a haphazard pattern--or scarring--that results in a restricted range of motion and, very often, pain.



How are the instruments used?

A. The Graston Technique® instruments are used to enhance the clinician's ability to detect adhesions, scar tissue or restrictions in the affected areas. Skilled clinicians use the stainless steel instruments to comb over and "catch" on fibrotic tissue, which immediately identifies the areas of restriction. Once the tissue has been identified, the instruments are used to break up the scar tissue so it can be absorbed by the body.



Is the treatment painful?

A.

It is common to experience minor discomfort during the procedure and some bruising afterwards. This is a normal response and part of the healing process.  

 

Sounds like NMT/MFR to me.

Thanks, Daniel. The treatment using the stainless seems very much like a MFR technique I'm studying this qtr.  This is how we're being taught to use it on the neck, upper back: sink into lamina groove till client reports tenderness, stay at that depth and slowly, very slowly, sweep down and across upper traps, releasing adhesions and TPS as we go.  Mind you, I am not very good at that yet--my trade off partner in that class wouldn't allow anything deeper than a breath anywhere near her neck--she claims that she is pain insensitive due to a course of high dosage drugs for pain management, and she tends to lock up for days if pressure is deeper than a shave.

I've just stumbled across a specialty treatment a chiropractor is charging big bucks for.  All I've found for it online are testimonials.  He calls it pain neutralization technique.  Somehow he overloads a muscle to failure then touches a trigger point as it shuts down and collapses.  Now, I don't know about the rest of society, but I am pretty strong, it takes a heap of resistance to make my weakest muscle fail.  Actually, I'm a former competitive bodybuilder/powerlifter, now training seriously again.  So I can testify to the fact that the protective golgi tendon reflex doesn't "collapse", it merely stops the muscle from putting out so much power that the muscle is injured.  The dr didn't provide much info on his site (nothing but brag), so he may have some special way of achieving total muscle failure--collapse-- that he didn't reveal.  If it's the application of touch while the muscle is in active stretch, isn't it a massage modality called AIS?  I'm confused (but it's a natural state for me these days).   :)

 

As we speak I am googling guasha.

 

Just watched a youtuve video of guasha.  I don't think that is a treatment I'd want to subject anyone to.  I wasn't aware that blood normally stagnates in the dermis.  When it does, don't they call that dermatitis?  Do you use the technique?


Daniel Cohen said:

Gary, google Guasha it is the TCM method Graston seems to be developed from. It is practiced in many countries as home remedy. The tools are inexpensive ranging from a coin in your pocket (The Vietnamese call it coining), a spoon or carved horn or jade implements. They are under $30.00 and from everything I have read and been told on Graston, it is very similar. Guasha is done by most acupuncturists as part of TCM. And by Massage Therapists.

You can read more on my website.
http://www.urban4est.net/storJade.htm

It is rather common in health care to make the simple complex so it is unique enough to register as a patent, copyright or trademark. In my opinion that is similar to GMOs and charging farmers for growing crops carrying Monsanto's engineered and patented genes.

Gary W Addis said:

If it works, I'm all for learning more about it someday, when I have the money.  I don't see why MTs can't learn to do the procedure.

Massage Gnome said:

I have never visited any sites or done any research on it but am familiar with it only because I have received it 4 or 5 times in the last few years because I don't stick to the limitations of 5 hours of massage a day.  I tend to average more like 10.  It has given me back my arms on all occasions and I have not yet met a MT who could affect my issue effectively.  But if it is something you would like to learn more about I would recommend finding someone who practices the technique.  I am at the limit on this technique.


MG


Gary W Addis said:

Unless I'm mistaken, whiich is likely, the website said that it is done slowly.  If the sweeping with the stainless bar is done wuickly, seems that the chiro might not snag and stretch everything.  And, yeah, digging in with a steel bar does seem painful.

 

A couple of local chiros use a kind of airgun that gives a wee punch of compressed air that supposedly snaps everything into alignment.  Useless, the way the doctor I saw used it.


Massage Gnome said:

Gary, The technique is not done slowly tho it is fast and vigorous and very deep.  Very painful as I have had 2 kids without any pain killers and I about passed out.  Then it bruises and heals back up and the tissue is renewed. Check your phone book under chiropractors and you may find a practitioner who offers it that can meet with you and go over details.


MG

 

Gary W Addis said:

MG, I checked out the Graston technique.  They don't have a demo video onsite, so I have to guess.  Appears to me to be MFR with a variety of probably expensive stainless steel tools rather than forearm.  Going deep to the point of light tenderness, then slowly stripping the muscle lengthwise at that level.  Not saying Graston ain't affective; today we learned to sweep along lamina groove, down from occipital and across, stripping a big area of TPs and adhesions.   But maybe my guess is wrong.

 

From the Graston website:

Why is scar tissue a problem?

A.    Scar tissue limits range of motion, and in many instances causes pain, which prevents the patient from functioning as he or she did before the injury.




How is scar tissue different from other tissue?

A. When viewed under a microscope, normal tissue can take a couple of different fashions: dense, regular elongated fibers running in the same direction, such as tendons and ligaments; or dense, irregular and loose with fibers running in multiple directions. In either instance, when tissue is damaged it will heal in a haphazard pattern--or scarring--that results in a restricted range of motion and, very often, pain.



How are the instruments used?

A. The Graston Technique® instruments are used to enhance the clinician's ability to detect adhesions, scar tissue or restrictions in the affected areas. Skilled clinicians use the stainless steel instruments to comb over and "catch" on fibrotic tissue, which immediately identifies the areas of restriction. Once the tissue has been identified, the instruments are used to break up the scar tissue so it can be absorbed by the body.



Is the treatment painful?

A.

It is common to experience minor discomfort during the procedure and some bruising afterwards. This is a normal response and part of the healing process.  

 

Sounds like NMT/MFR to me.

The technique is used for breaking fever, releasing muscle pain, and detoxification in TCM. I have used it sometimes but use it's related TCM technique Cupping much more. Both leave the reddish brown marks that in TCM is the indicator of toxin release. Neither is very painful and if no toxin release then it is bright red and fades quickly. Think of toxin release as stagnated energy being pulled loose and allowed to escape or a block to circulation being removed. Both Guasha and Cupping are home remedies in Asia, but practiced on a more specific level by Acupuncturists.

Gary W Addis said:

Thanks, Daniel. The treatment using the stainless seems very much like a MFR technique I'm studying this qtr.  This is how we're being taught to use it on the neck, upper back: sink into lamina groove till client reports tenderness, stay at that depth and slowly, very slowly, sweep down and across upper traps, releasing adhesions and TPS as we go.  Mind you, I am not very good at that yet--my trade off partner in that class wouldn't allow anything deeper than a breath anywhere near her neck--she claims that she is pain insensitive due to a course of high dosage drugs for pain management, and she tends to lock up for days if pressure is deeper than a shave.

I've just stumbled across a specialty treatment a chiropractor is charging big bucks for.  All I've found for it online are testimonials.  He calls it pain neutralization technique.  Somehow he overloads a muscle to failure then touches a trigger point as it shuts down and collapses.  Now, I don't know about the rest of society, but I am pretty strong, it takes a heap of resistance to make my weakest muscle fail.  Actually, I'm a former competitive bodybuilder/powerlifter, now training seriously again.  So I can testify to the fact that the protective golgi tendon reflex doesn't "collapse", it merely stops the muscle from putting out so much power that the muscle is injured.  The dr didn't provide much info on his site (nothing but brag), so he may have some special way of achieving total muscle failure--collapse-- that he didn't reveal.  If it's the application of touch while the muscle is in active stretch, isn't it a massage modality called AIS?  I'm confused (but it's a natural state for me these days).   :)

 

As we speak I am googling guasha.

 

Just watched a youtuve video of guasha.  I don't think that is a treatment I'd want to subject anyone to.  I wasn't aware that blood normally stagnates in the dermis.  When it does, don't they call that dermatitis?  Do you use the technique?


Daniel Cohen said:

Gary, google Guasha it is the TCM method Graston seems to be developed from. It is practiced in many countries as home remedy. The tools are inexpensive ranging from a coin in your pocket (The Vietnamese call it coining), a spoon or carved horn or jade implements. They are under $30.00 and from everything I have read and been told on Graston, it is very similar. Guasha is done by most acupuncturists as part of TCM. And by Massage Therapists.

You can read more on my website.
http://www.urban4est.net/storJade.htm

It is rather common in health care to make the simple complex so it is unique enough to register as a patent, copyright or trademark. In my opinion that is similar to GMOs and charging farmers for growing crops carrying Monsanto's engineered and patented genes.

Gary W Addis said:

If it works, I'm all for learning more about it someday, when I have the money.  I don't see why MTs can't learn to do the procedure.

Massage Gnome said:

I have never visited any sites or done any research on it but am familiar with it only because I have received it 4 or 5 times in the last few years because I don't stick to the limitations of 5 hours of massage a day.  I tend to average more like 10.  It has given me back my arms on all occasions and I have not yet met a MT who could affect my issue effectively.  But if it is something you would like to learn more about I would recommend finding someone who practices the technique.  I am at the limit on this technique.


MG


Gary W Addis said:

Unless I'm mistaken, whiich is likely, the website said that it is done slowly.  If the sweeping with the stainless bar is done wuickly, seems that the chiro might not snag and stretch everything.  And, yeah, digging in with a steel bar does seem painful.

 

A couple of local chiros use a kind of airgun that gives a wee punch of compressed air that supposedly snaps everything into alignment.  Useless, the way the doctor I saw used it.


Massage Gnome said:

Gary, The technique is not done slowly tho it is fast and vigorous and very deep.  Very painful as I have had 2 kids without any pain killers and I about passed out.  Then it bruises and heals back up and the tissue is renewed. Check your phone book under chiropractors and you may find a practitioner who offers it that can meet with you and go over details.


MG

 

Gary W Addis said:

MG, I checked out the Graston technique.  They don't have a demo video onsite, so I have to guess.  Appears to me to be MFR with a variety of probably expensive stainless steel tools rather than forearm.  Going deep to the point of light tenderness, then slowly stripping the muscle lengthwise at that level.  Not saying Graston ain't affective; today we learned to sweep along lamina groove, down from occipital and across, stripping a big area of TPs and adhesions.   But maybe my guess is wrong.

 

From the Graston website:

Why is scar tissue a problem?

A.    Scar tissue limits range of motion, and in many instances causes pain, which prevents the patient from functioning as he or she did before the injury.




How is scar tissue different from other tissue?

A. When viewed under a microscope, normal tissue can take a couple of different fashions: dense, regular elongated fibers running in the same direction, such as tendons and ligaments; or dense, irregular and loose with fibers running in multiple directions. In either instance, when tissue is damaged it will heal in a haphazard pattern--or scarring--that results in a restricted range of motion and, very often, pain.



How are the instruments used?

A. The Graston Technique® instruments are used to enhance the clinician's ability to detect adhesions, scar tissue or restrictions in the affected areas. Skilled clinicians use the stainless steel instruments to comb over and "catch" on fibrotic tissue, which immediately identifies the areas of restriction. Once the tissue has been identified, the instruments are used to break up the scar tissue so it can be absorbed by the body.



Is the treatment painful?

A.

It is common to experience minor discomfort during the procedure and some bruising afterwards. This is a normal response and part of the healing process.  

 

Sounds like NMT/MFR to me.

I have no business passing judgment based on youtube video, so I apologize to all who believe in it.  It looks brutal, but it would certainly release fascia, wouldn't it.

Daniel Cohen said:
The technique is used for breaking fever, releasing muscle pain, and detoxification in TCM. I have used it sometimes but use it's related TCM technique Cupping much more. Both leave the reddish brown marks that in TCM is the indicator of toxin release. Neither is very painful and if no toxin release then it is bright red and fades quickly. Think of toxin release as stagnated energy being pulled loose and allowed to escape or a block to circulation being removed. Both Guasha and Cupping are home remedies in Asia, but practiced on a more specific level by Acupuncturists.

Gary W Addis said:

Thanks, Daniel. The treatment using the stainless seems very much like a MFR technique I'm studying this qtr.  This is how we're being taught to use it on the neck, upper back: sink into lamina groove till client reports tenderness, stay at that depth and slowly, very slowly, sweep down and across upper traps, releasing adhesions and TPS as we go.  Mind you, I am not very good at that yet--my trade off partner in that class wouldn't allow anything deeper than a breath anywhere near her neck--she claims that she is pain insensitive due to a course of high dosage drugs for pain management, and she tends to lock up for days if pressure is deeper than a shave.

I've just stumbled across a specialty treatment a chiropractor is charging big bucks for.  All I've found for it online are testimonials.  He calls it pain neutralization technique.  Somehow he overloads a muscle to failure then touches a trigger point as it shuts down and collapses.  Now, I don't know about the rest of society, but I am pretty strong, it takes a heap of resistance to make my weakest muscle fail.  Actually, I'm a former competitive bodybuilder/powerlifter, now training seriously again.  So I can testify to the fact that the protective golgi tendon reflex doesn't "collapse", it merely stops the muscle from putting out so much power that the muscle is injured.  The dr didn't provide much info on his site (nothing but brag), so he may have some special way of achieving total muscle failure--collapse-- that he didn't reveal.  If it's the application of touch while the muscle is in active stretch, isn't it a massage modality called AIS?  I'm confused (but it's a natural state for me these days).   :)

 

As we speak I am googling guasha.

 

Just watched a youtuve video of guasha.  I don't think that is a treatment I'd want to subject anyone to.  I wasn't aware that blood normally stagnates in the dermis.  When it does, don't they call that dermatitis?  Do you use the technique?


Daniel Cohen said:

Gary, google Guasha it is the TCM method Graston seems to be developed from. It is practiced in many countries as home remedy. The tools are inexpensive ranging from a coin in your pocket (The Vietnamese call it coining), a spoon or carved horn or jade implements. They are under $30.00 and from everything I have read and been told on Graston, it is very similar. Guasha is done by most acupuncturists as part of TCM. And by Massage Therapists.

You can read more on my website.
http://www.urban4est.net/storJade.htm

It is rather common in health care to make the simple complex so it is unique enough to register as a patent, copyright or trademark. In my opinion that is similar to GMOs and charging farmers for growing crops carrying Monsanto's engineered and patented genes.

Gary W Addis said:

If it works, I'm all for learning more about it someday, when I have the money.  I don't see why MTs can't learn to do the procedure.

Massage Gnome said:

I have never visited any sites or done any research on it but am familiar with it only because I have received it 4 or 5 times in the last few years because I don't stick to the limitations of 5 hours of massage a day.  I tend to average more like 10.  It has given me back my arms on all occasions and I have not yet met a MT who could affect my issue effectively.  But if it is something you would like to learn more about I would recommend finding someone who practices the technique.  I am at the limit on this technique.


MG


Gary W Addis said:

Unless I'm mistaken, whiich is likely, the website said that it is done slowly.  If the sweeping with the stainless bar is done wuickly, seems that the chiro might not snag and stretch everything.  And, yeah, digging in with a steel bar does seem painful.

 

A couple of local chiros use a kind of airgun that gives a wee punch of compressed air that supposedly snaps everything into alignment.  Useless, the way the doctor I saw used it.


Massage Gnome said:

Gary, The technique is not done slowly tho it is fast and vigorous and very deep.  Very painful as I have had 2 kids without any pain killers and I about passed out.  Then it bruises and heals back up and the tissue is renewed. Check your phone book under chiropractors and you may find a practitioner who offers it that can meet with you and go over details.


MG

 

Gary W Addis said:

MG, I checked out the Graston technique.  They don't have a demo video onsite, so I have to guess.  Appears to me to be MFR with a variety of probably expensive stainless steel tools rather than forearm.  Going deep to the point of light tenderness, then slowly stripping the muscle lengthwise at that level.  Not saying Graston ain't affective; today we learned to sweep along lamina groove, down from occipital and across, stripping a big area of TPs and adhesions.   But maybe my guess is wrong.

 

From the Graston website:

Why is scar tissue a problem?

A.    Scar tissue limits range of motion, and in many instances causes pain, which prevents the patient from functioning as he or she did before the injury.




How is scar tissue different from other tissue?

A. When viewed under a microscope, normal tissue can take a couple of different fashions: dense, regular elongated fibers running in the same direction, such as tendons and ligaments; or dense, irregular and loose with fibers running in multiple directions. In either instance, when tissue is damaged it will heal in a haphazard pattern--or scarring--that results in a restricted range of motion and, very often, pain.



How are the instruments used?

A. The Graston Technique® instruments are used to enhance the clinician's ability to detect adhesions, scar tissue or restrictions in the affected areas. Skilled clinicians use the stainless steel instruments to comb over and "catch" on fibrotic tissue, which immediately identifies the areas of restriction. Once the tissue has been identified, the instruments are used to break up the scar tissue so it can be absorbed by the body.



Is the treatment painful?

A.

It is common to experience minor discomfort during the procedure and some bruising afterwards. This is a normal response and part of the healing process.  

 

Sounds like NMT/MFR to me.

Initial evaluation is a “must do “ step for successful treatment outcomes.

                                             By Boris Prilutsky.

 

Some of us believe that ”techniques“ are the more important component for successful outcome of treatment. Some of us also believe that vigorous pressure is the way to achieve results.  There are many other opinions on what is the most important component for successful treatment.  Certainly, I have my opinion as well.

  • Yes, techniques play important role for successful outcome
  • NO vigorous pressure, shouldn't be applied, and can result in injury,
  • A sense of touch, including incorporation of energy work, would contribute to successful results
  • An understanding of what we are doing with our hands is important contributor for successful treatment.

 

In order to put the success ”puzzle” together, first of all, a therapist has to conduct an initial evaluation. An initial evaluation allows us to create a correct strategy and treatment plan. Always, before starting initial evaluation, as a part of this process, we have to request our clients to fill out questionnaire. If you will have interest to view questionnaire that I offer to my clients, please visit www.medicalmassage-edu.com  and then click on “free video clips.”

 

At the top of the page you would find a link to questionnaire, which you welcome to download for personal use.

 

The link below is to the video, where I am extending on initial evaluation procedure. I hope it will be helpful .

http://www.youtube.com/watch?v=DWi841wtOgE

 

If you would have any questions please feel free to post it as a YouTube comment. I will try to answer it in the front of a camera, in such a case it will be much more effective.

 

Best wishes.

Boris

Hello Alyson, good question, I also do DT and Trigger point work. I try to let every client know that there may be a little soreness the following couple days after a massage with me. Most the time its with clients I've worked on upper traps using slow cross fiber moves with slow deep TP work with palpation. I think it may have something to do with the client not drinking enough water through out their day, being dehydrated. I also find that spending too much time in an area will cause pain irratation during the massage and the following day. I have received massages where the therapist would find a knot, I would say that's the spot and they would literally spend 15 mins. digging to where I need to say "Enough, move on" thats when I know I will be sore the next couple days, especially when its in the rhomboid TP''s. Thanks for the good question.

If you rule out the pressure being too much and there not being tissue damage from DT, then your question is still out on the table isn't it. Soreness that is experienced afterwards that is not because of tissue damage I've seen occurs for one of two very common reasons that most are fairly oblivious about. The time it takes the Lymph to move the toxins out of the body is slow, which mean much stuff is still in the system not being carried away. Barring the Lymph, then the Kidneys are backed up. The Kidneys are the filters for all stress in the body. When they have not been adequately drained, then a rebounding occurs within the body. This means instead of tissue being released it is throwing off the practitioners work.

 

This throw off looks like just having released something and then turn around and see the problem reappear during the same session; or the body becomes resistance. Keeping the Kidneys drained allows the practitioner to work on the client as long as needed. Draining the Kidneys looks like the following. The right Kidney exhaust at the medial side of the left knee and the left Kidney exhaust at the medial side of the right knee. Client is supine, begin on the left side with the left Kidney; center of right hand is directly under the L Kidney and the left hand straddles the medial side of the Knee joint; with heel of hand on distal end of femur and finger tips place gently on the insertion for gracilis and satorious. 

 

Hold until a bilateral pulse is felt on both locations. There is not pressure on the hold; practitioner is just waiting for pulses to show up. If you still have pain after doing a Kidney balance then jump start the lymphatic system.

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