a community of practitioners
I had a new client the other day for an 80 minute massage. I asked him if there is anything that he wanted me to know. He told me that he suffers from a herniated disc that he has had for a few years. He has constant low back and right hip pain that at times radiates down the back of his leg to his knee. He told me that he has had two injections in his low back and has to stay on anit- inflamtory medication. Anything to avoid surgery. The pain is always there. I asked him if he ever saw a chiropractor for his pain. He said yes. But the adjustments hurt his hip so bad that he could not continiue. So here is a guy that thinks he is on the verge of surgery. I knew that there was a very strong probubllity that was not the case. The vast majority of pain people experience is nocioceptive pain( soft tissue- muscle, tendon, ligament, facia). MDs and Chiropractors see pain as neuropathic pain( nerve pain). With that asumption they give the wrong treatments and therapies. Now there is no denying that at times injections and surgery is needed. Not denying that. But most of the time - NOT. 70% to 85% of all pain comes directly from trigger points. Anyway I showed my client a testimonial from a client that I was able to help out of a very painful condition that she had delt with for a couple of years. I showed him that testimonial because all pain has a psychological eliment too it. I wanted him to start thinking maybe he is not on the edge of surgery. I palpated his entire back upper torso, both hips, and right leg. I found a very painful spot on his right L5 erectors. Another very painful spot on his right greater trochantor. A painful spot in the middle part of his lower right hamstrings. And also a tender spot on the right spinous of L3. I knew that if Iwas able to eliminate all those painful palaptory spots that I would most likely eliminate his pain problem. Because a healthy body had no painful spots even with deep massage. Ive been hunting and eliminateing trigger points for thirty years now. He walked out of the massage room pain free. He was pain free for the first time in years. All those other professional people misdiagnosed him because they assume neuropathic pain over nocioceptive pain. I assume the other way around. I'm a Massage Therapist.
Excellent deep pressure technique with enough releasing strokes leading into trigger point work so it was not so intense. Zeroed in on problem areas as requested. Thanks to DFW Massage Doctor Dallas.
Good luck with the new job, Gordon!! I'm excited for your new chapter (adventure? :-) ).
Great looking room, Gordon! I like that you have an electric lift table. I'm sure that you will learn a lot as you go, and be able to do even more to help these clients.
That's a terrific testimonial, Gordon!!
Gordon J. Wallis said:
The people that make up the patients in this clinic are not the typical cross cection of the community. These patients are the hurt of the hurt. That being said, I think I'm going to be able to help more people then I first thought?
Like I said, there are a lot patients with horrible pain issues that are not musculoskeletal. However, like I've said throughout this entire thread, trigger points are responsible for 85% of all pain on the planet, and involved in almost everyl pain syndromes. So I'm finding that there are patients here that have nerve pain along with a fair amount of musculoskeletal ( trigger points ) pain. So for those people, I will be able to work on the more superficial musculoskeletal side of things while the the doc (anesthesiologist ) will be able to work on the deeper level nerve pain side of things. I can also , to a limited degree, offer some pain relief to those suffering primarily from nerve pain by taking advantage of the Gate Theory of Pain. Light tactile touch stimulating the various skin mechanoreceptors will modulate ( dissipate/downgrade ) the intense pain signals reaching the brain. You can google the Gate Theory of Pain and read up on it. It's interesting. I learned a type of bodywork ( Associative Awaeness Technique) that is totally based on the Gate Theory of Pain. In the spa, I never really had a need to use those procedures, but I do now.
But the real good thing is , there are patients in that clinic suffering solely from trigger points. And they were getting trigger point injections, until now. Most of those patients I will be able to help( dramatically). Because as you know, I'm the trigger point guy. In the attachments below there is a diagram explaining the Gate Theory of Pain, the fluoroscopy room( where the anesthesiologist does his thing) , and a testimonial from one of the patients that I saw the other day.
This is an intense cool job.