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If you take a course or study Orthopedic massage, Medical massage, Rolfing, and others. There is a great deal of emphasis on proper assessment. Even if you work in a spa, and have only one minute, you are still making some sort of assessment. The assessment helps you help your client/patient more effectively.
A new patient came in the other day with neck pain, low back pain, hip pain, and knee pain. There was a long medical history involved, with diagnosis and explanations for his pain. And I’m sure it was all correct, or mostly correct.
But he made a comment. “I wonder if all my pain is connected?” I told him, “To me it was.”
He hurt the most in his low back, around the L3 level. His hip pain was mostly in the Piriformis and Greater trochanter area. In addition, like I said, he had knee and neck pain.
Im going to attach some charts that will help explain the connections to those seemingly unrelated body areas and his pain. Now is this evidence based analysis? No, it is not. Is it worth knowing or thinking about? You decide.
If you notice, L3 inervates a portion of the hip that covers the Greater Trochanter and Piriformis. L3 also inervates the knee. You will also notice that the neck is inervated by C3. And C3 has a special relationship to L3. Ok cool. What’s the big deal? MAYBE nothing.
You guys probably don’t care. But I’m stoked. When I first started working in this medical clinic and saw Complex Regional Pain Syndrome for the first time. I thought wow. I don’t know how I could possibly help those people. It’s a really nasty Pain Syndrome. In all my years as a massage therapist. I don’t ever remember seeing it until I started working in this clinic.
Here is a link if you want to read about it.
A new patient today. She has been in occupational therapy for a while. I don’t know how long. The Syndrome was in her right hand. She couldn’t make a fist. The medical assistant measured her grip strength at 5lbs. After I worked with her for 15 minutes. She could make a fist. The patient was shocked and surprised.
I came out of the room, told the doc that I was able to help her dramatically. That she could make a fist. He said get the Dynamometer and have someone check her grip strength. The assistant came in the room. She squeezed it again. It registered 20lbs! She repeated it twice. That’s phenomenal. 5lbs to 20lbs in 15 minutes! And the thing is .... I NEVER TOUCHED HER AFFECTED HAND OR ARM AT ALL !
Theses procedures are revolutionary. Fast. Cool stuff.
These procedures I’ve discovered are so freakin cool. And the job I have is so freakin cool too. I loved working in the spa environment. But I did it for over 21 years. Near the end, I started getting complaints from clients because they were coming into the spa , to relax and unwind( of course). And here I am some weird guy trying to do all this crazy trigger point Acupressure stuff. Not very relaxing on that level. Didn’t go over too well for some. So I knew I needed to be in another environment.
Im in a cool one now. Every patient in this clinic wants out of pain. Their minds are open for anything or anyone that can get them out of pain. Pain is horrible thing. These procedures I’ve discovered eliminate myofascial pain fast. Like nothing else.
Here is an example. An example of the job, and an example of these procedures. One of the PAs came into my room and said. Gordon, I got a patient for you. I said you think so? He said yes. You never really know. Because these procedures work only on muscle pain.
I walked into the patient’s room. There was a healthy looking thirty/forty year old guy. Obviously hurting. He has been like that for a year or more. I forgot the reason why? The PA told me, but I forgot. Because it really doesn’t matter too me. It just depends if it’s muscle pain or not. These procedures are that good.
He had a band of lower lumbar pain from the spine out to the lateral portions of the lower back. He was very stiff, and could hardly rotate, flex, or move his torso in any direction. He has been in Physical therapy for a long time(They are trying to get him strong enough to go back to work again). Knowing that, gave me a positive boost of confidence. Cause they always have people exercising like crazy. And they rarely consider trigger points(damaged muscle cells). So there is a very strong possibility that this guy is in this pain clinic because of trigger points. Which means, myofascial pain.
Anyway, I told the patient that if his pain is myofascial. It’s going to be gone in a heartbeat. By the way , he was in more pain then ever because he had just gotten out of physical therapy. When I told him that the pain would be gone instantly. He looked at me like I’m a nut case. I’ve seen that look before. I told him look. You are in an advanced level pain clinic run by really smart medical doctors. These guys hired me for a reason. Besides, the worst thing that will happen is nothing. He seemed to look at me more normal after thinking a moment. Then I had him watch one of my YouTube videos. I could see the surprise on his face as he watched the video.
I said ok, let’s see if I can help you? As he was standing, I had him move his back around so he could feel his pain. Then I held special reflex points on each hand, and asked him to move around. He had a stunned look on his face. He said the left side is completely pain free but the right side still hurts. Then I shifted to his left shoulder and pressed two special reflex areas for the right side of his back. Again he had a stunned look on his face. He said now the right side is pain free and the left side hurts. I said ok. Then I sat on the floor and touched two reflex areas on his feet. Now he really had a stunned look on his face. It didn’t hurt anywhere as he moved and twisted his back. I stood up, and asked how does it feel now. He looked at me and said, I’m stunned. It barely hurts. I can’t believe it?
At that point the scribe(the person that takes notes) came in and overheard the patient’s words of bewilderment. The scribe slightly chucked and smiled. He has heard that before.
Anyway. I don’t know if ultimately I’m going to be able to help this guy. If there is some deep underlying pathology his pain will come back. It was freakin mind blowing though. For sure these techniques are gonna help at some level.
Only problem now. Is getting him out of physical therapy.
I recently emailed this famous skeptic doctor one of my videos. She basically says I’m a con artist. And at best what I’m doing is just placebo effect.
I tried posting her comments to me on this thread. But for whatever reasons it doesn’t seem to work. I think I can post it in three separate posts.
Here is the video I sent her. If you followed my posts, you have seen it before. https://youtu.be/329k5PbgnXw
Her comments are interesting. What do you guys think?
Hmm intriguing, would love to learn more!
At a glance, it looks similar to Jin Shin Jyutsu, where you constantly hold 2/26 energy locks at a time and may often treat the mirrored site of injury/pain. But I don't know if you've ever heard of it, or if it is actually functionally similar to what you're doing?
Is your method based on acupressure, trigger points, & hand reflexology...or what?
It’s based on initiating and utilizing these neurological reflexes and constructs.
1. Inverse myotatic Reflex
2. The brain homunculus
3. Pflugers Law of symmetry
4. Reciprocal inhibition reflex
5. The Righting reflexes