massage and bodywork professionals2024-03-29T01:47:03ZGordon J. Wallishttps://massageprofessionals.com/profile/GordonJWallishttps://storage.ning.com/topology/rest/1.0/file/get/1966395772?profile=RESIZE_48X48&width=48&height=48&crop=1%3A1https://massageprofessionals.com/group/orthopedicmassage/forum/topic/listForContributor?user=2x7h1wr8j1ui6&feed=yes&xn_auth=noOnline Orthopaedic Massage Coursestag:massageprofessionals.com,2011-07-21:2887274:Topic:1919082011-07-21T11:29:10.074ZGordon J. Wallishttps://massageprofessionals.com/profile/GordonJWallis
<p>Hi. I'm new to this site and excited to find it. I am starting a new practice within an orthopedic surgery in New Zealand. I will be concentrating on working with clients to manage their pain and doing pre-op massage. I would like to increase my knowledge to be able to perform safe and effective post operative massage as well (maybe even resolve complaints without the need for surgery).</p>
<p>Is anyone able to steer me in the right direction re online courses and resources to help me…</p>
<p>Hi. I'm new to this site and excited to find it. I am starting a new practice within an orthopedic surgery in New Zealand. I will be concentrating on working with clients to manage their pain and doing pre-op massage. I would like to increase my knowledge to be able to perform safe and effective post operative massage as well (maybe even resolve complaints without the need for surgery).</p>
<p>Is anyone able to steer me in the right direction re online courses and resources to help me head in this direction?</p>
<p> </p> ankle paintag:massageprofessionals.com,2011-01-27:2887274:Topic:1316622011-01-27T20:50:41.637ZGordon J. Wallishttps://massageprofessionals.com/profile/GordonJWallis
I have someone (not a client) but a person who workouts at the gym where i am and she is having ankle pain when she runs.<br />
<div>NO PAIN- AROM, PROM MRT walking, standing, dorsi-plantar flexion, eversion, inversion</div>
<div>PAIN- running and during palpation. only on very specific areas of the ankle. one spot is on the just on the posterior side of the distal tibia just above the malleolus. and the other is on the anterior side of the ankle on the lateral side of the tibia; kind where the…</div>
I have someone (not a client) but a person who workouts at the gym where i am and she is having ankle pain when she runs.<br />
<div>NO PAIN- AROM, PROM MRT walking, standing, dorsi-plantar flexion, eversion, inversion</div>
<div>PAIN- running and during palpation. only on very specific areas of the ankle. one spot is on the just on the posterior side of the distal tibia just above the malleolus. and the other is on the anterior side of the ankle on the lateral side of the tibia; kind where the retinaculum incases the tendons. I told her to go see a podiatrist or an othopedist cause that was an odd situation.</div>
<div>She said it started when she started about 2 weeks after she started exercising. I asked her about her shoes. she said she wears heels to work and since she has had the pain it is getting worse. she says she only has been when wearing flats since.</div> Laminectomy Clienttag:massageprofessionals.com,2010-12-11:2887274:Topic:1188572010-12-11T17:02:25.426ZGordon J. Wallishttps://massageprofessionals.com/profile/GordonJWallis
<p>I have a new client who had a <strong>Laminectomy in the lumbar L4, L5</strong> 9 years ago. The client is active and gets massage regularly, he prefers the deep tissue work. </p>
<p> </p>
<p>What are some tips on working with such a client? Special stretches I can include in the massage maybe? He gets 90 minute sessions each time he sees me.</p>
<p> </p>
<p>Thanks for you help!</p>
<p>I have a new client who had a <strong>Laminectomy in the lumbar L4, L5</strong> 9 years ago. The client is active and gets massage regularly, he prefers the deep tissue work. </p>
<p> </p>
<p>What are some tips on working with such a client? Special stretches I can include in the massage maybe? He gets 90 minute sessions each time he sees me.</p>
<p> </p>
<p>Thanks for you help!</p> Chest Paintag:massageprofessionals.com,2010-10-23:2887274:Topic:1113432010-10-23T18:09:51.143ZGordon J. Wallishttps://massageprofessionals.com/profile/GordonJWallis
I have a client who says she has been having chest pains. She says that there is nothing that causes the pain but it just hits her from time to time. There is no pain when palpating. But she does suffer from HA. There was some tightness which felt like fascial tightness in her upper traps. I thought they some of the pain may be due to some neuromuscular dysfunction along with the tightness. Her dr. says that it was muscularskeletal though
I have a client who says she has been having chest pains. She says that there is nothing that causes the pain but it just hits her from time to time. There is no pain when palpating. But she does suffer from HA. There was some tightness which felt like fascial tightness in her upper traps. I thought they some of the pain may be due to some neuromuscular dysfunction along with the tightness. Her dr. says that it was muscularskeletal though Don't bang your nose on the walltag:massageprofessionals.com,2010-04-23:2887274:Topic:784442010-04-23T07:33:04.259ZGordon J. Wallishttps://massageprofessionals.com/profile/GordonJWallis
After watching Eric Dalton's presentation on the 42 pound head, I had a series of forward head clients the next day. I needed a self-care instruction to help them maintain the improvements gained. This is what I came up with. [tested it on another therapist at the end of the day and she was delighted with the effect.]<div><br></br></div>
<div style="text-align: center;">DON'T BANG YOUR NOSE ON THE WALL…</div>
<div style="text-align: center;"><br></br></div>
After watching Eric Dalton's presentation on the 42 pound head, I had a series of forward head clients the next day. I needed a self-care instruction to help them maintain the improvements gained. This is what I came up with. [tested it on another therapist at the end of the day and she was delighted with the effect.]<div><br/></div>
<div style="text-align: center;">DON'T BANG YOUR NOSE ON THE WALL</div>
<div style="text-align: center;"><br/></div>
<div style="text-align: left;"><ol>
<li>Stand in front of a wall the distance of the length of your fore arms. </li>
<li>Abduct shoulder 30 t0 45 degrees and flex elbows 90 degrees and place palms or fist against wall.</li>
<li>keeping body strait lean into the wall keeping the nose from hitting the wall with your arms.</li>
<li>Try to pull your head back away from the wall and lean in farther. </li>
<li>Push yourself up straight keeping head in new position.</li>
<li>Repeat the above fallowing the functional exercise rule. Did you see FUN on the front of functional? If it stops being fun stop doing it.]</li>
<li>Have client practice after bodywork session and observe changes in lordosis/kyphosis and where stretch is felt.</li>
</ol>
Explain the benefits these changes will have for the client as incentive for the client to put the self-care into their daily routine.</div>
<div style="text-align: left;"><br/></div>
<div style="text-align: left;"><div style="text-align: left;">Hans Albert Quistorff, LMP</div>
<div style="text-align: left;">Antalgic Posture Pain Specialist</div>
<div style="text-align: left;"><a href="http://reflexposturology.weebly.com/">http://reflexposturology.weebly.com/</a></div>
</div> Serious pelvic scar tissue and adhesionstag:massageprofessionals.com,2010-04-21:2887274:Topic:782672010-04-21T23:01:08.047ZGordon J. Wallishttps://massageprofessionals.com/profile/GordonJWallis
This is both an orthopedic massage AND a myofascial release question. But first some background...<br></br><br></br>I've got an Orthopedic Massage client who is dealing with pelvic stabilization/alignment issues that may also be impacting "frozen shoulder"-like symptoms (both shoulders). The client is in her mid-50s.<br></br><br></br>The client has had numerous surgeries in the pelvic bowl (primarily reproductive) going back 25 years and continuing forward to recent years. One of the surgeries alone left a…
This is both an orthopedic massage AND a myofascial release question. But first some background...<br/><br/>I've got an Orthopedic Massage client who is dealing with pelvic stabilization/alignment issues that may also be impacting "frozen shoulder"-like symptoms (both shoulders). The client is in her mid-50s.<br/><br/>The client has had numerous surgeries in the pelvic bowl (primarily reproductive) going back 25 years and continuing forward to recent years. One of the surgeries alone left a long lateral scar across her lower abdomen (NOT a c-section). The client first started experiencing hip pain immediately after the first surgery, but "lived with it" for several years before deciding to seek a remedy. She also has had soft tissue issues resulting from endometriosis. <br/><br/>To date she has tried all kinds of things, including (presently) lengthy physical therapy, and in the past she's even had "internal work" done by a doctor to attempt to reduce her pain and discomfort. She already disciplines herself to do 45 minutes of exercises a day (including core strength) as prescribed by her PT. They have made slow progress towards realigning her pelvis. She's started to come see me to see if I can help speed the realignment ... and hopefully later move onto her shoulder issues. <br/><br/>She hurts more when she is still (standing or sitting) than when she is moving. She sleeps on her side, wakes during the night, rotates and falls back to sleep ... only to repeat the cycle.<br/><br/>I've done Ortho assessment on her and most notable is her inability to extend her legs (prone, knee bent 90˚, lifting towards ceiling) more than about 5˚ off the table. Normal ROM is 30-45˚. (She also has poor adduction and lateral/external rotation of the hips.) The difficult hip ROM tests seemed to cause a "great pull" (her words) on scar tissue and adhesions in the abdomen and pelvic bowl, or on the outer hips and glutes.<br/><br/>I attempted to pursue Waslaski's hip protocol with her (as I have done with numerous clients), but even after focusing on the hip capsule and surrounding structures, I couldn't seem to make any headway on improving her hip extensions. I suspect the scar tissue and other fascial restrictions/adhesions are hindering my work as well as the physical therapists. I did give the client some stretches for the hip flexors and QL (left side), and a strengthening exercise for the lateral hip rotators.<br/><br/>I'm considering having the client come in just to do some MFR work on her lower abdomen, maybe just 30 minute sessions of focused work over a few closely-spaced sessions, before moving back into the orthopedic massage work.( I was trained in MFR in massage school, though it wasn't specifically Barnes or Dalton's methods.)<br/><br/>Has anyone else dealt with a client who has had many reproductive surgeries? How have you addressed the scar tissue/fascial adhesions issue? I'm eager for stories, suggestions and feedback! Thanks in advance to anyone who can comment.<br/><br/>Best,<br/>Marlene Hit a Wall with Shoulder Capsule Orthopedic Massagetag:massageprofessionals.com,2010-04-21:2887274:Topic:782662010-04-21T22:59:36.131ZGordon J. Wallishttps://massageprofessionals.com/profile/GordonJWallis
I'm new to this forum ... I'm glad to have found it!<br></br><br></br>I have been working with a female client (61 yrs old). She suffers from pain all over. May have fibromyalgia (though she's skeptical about that), may have Lymes disease (repeatedly tested negative, but just last week started antibiotics from her doctor anyway ... seems awfully late to be starting on that, but whatever). <br></br><br></br>She was in great physical shape and very active until two years ago and is still slim today. While on…
I'm new to this forum ... I'm glad to have found it!<br/><br/>I have been working with a female client (61 yrs old). She suffers from pain all over. May have fibromyalgia (though she's skeptical about that), may have Lymes disease (repeatedly tested negative, but just last week started antibiotics from her doctor anyway ... seems awfully late to be starting on that, but whatever). <br/><br/>She was in great physical shape and very active until two years ago and is still slim today. While on vacation (in Greece?) she suddenly started having strange symptoms, intense pain that inexplicably traveled back and forth between her arms, shoulders and wrists. It seemed the pain moved every few days or couple of weeks back and forth from point to point. At one point it occurred to her to stop taking the cranberry supplements she was on and the pain dissipated. Physical therapy also helped, but she still suffers from "frozen shoulder" type symptoms, noticeably restricted ROM.<br/><br/>1.5 years ago she took a misstep and twisted her knees. An MRI showed osteoarthritis in her right knee and right shoulder. The left knee is similarly achy and stiff. She has had physical therapy on her knees but still suffers some.<br/><br/>Her sternum aches, as does the front of her neck and the back of her legs. She believes she suffers from hypothyroidism (is just starting to see an endocrinologist). She feels like when she is moving she is "ripping" muscle fibers. She's also started suffering from a sleep disorder where she wakes up after two hours and can't go back to sleep.<br/><br/>Naturally, I decided to start tackling her structural issues with pelvic stabilization. We did the battery of hip, ankle/knee, shoulder and cervical spine assessments. She made a lot of progress with the pelvic stabilization over two sessions, so last time she came in we started on the shoulder protocol. That's where I got stuck.<br/><br/>When I did the assessment, the discomfort she described with either pain at the deltoids or deep within the shoulder capsule. She complained of no other discomfort as we assessed. Her abnormal shoulder numbers were:<br/><br/>Flexion (ideally 180˚)<br/>R- 150˚<br/>L- 155˚<br/><br/>Abduction (ideally 180˚)<br/>R- 140˚<br/>L- 45˚<br/><br/>Lateral/External Rotation<br/>R- 70˚<br/>L- 70˚<br/>(close to 80˚ normal)<br/><br/>Horizontal Adduction<br/>R- 130˚<br/>L- 130˚<br/>(close to 140˚ normal)<br/><br/>The following were normal:<br/>Extension<br/>Adduction<br/>Medial/Internal Rotation<br/>Horzontal Abduction<br/><br/>There was bone-on-bone like end feel to her shoulders (as much as I could tell at the low ROM; it was definitely not a normal end-feel).<br/><br/>So anyway, I proceeded to the shoulder protocol, but as soon as I got into the joint capsule work I couldn't abduct her arms beyond about 140˚ without her having pain deep in the shoulder capsule. I did the lateral and medial plunge-rotate-decompress (lateral at the maximum abduction caused a "pinching" sensation, so I would back off), but I could never get past the less-than-ideal abduction.<br/><br/>We did try moving forward to the next step, but that was only painful for her so I abandoned that idea right away.<br/><br/>In frustration I finally told her I couldn't proceed and was sending her home. She knows I am still studying this work and is a really nice woman, willing to work with me. I've done this exact same work on several other clients with good results, so I suspect something else is going on (perhaps the osteoarthritis? Lyme disease?). I told the client I was going to do some more research and see if could determine a way to proceed with the shoulders.<br/><br/>So at this point I'm stymied and am seeking feedback or suggestions. Your thoughts would be appreciated! Pars Defect ( Spondylosis)tag:massageprofessionals.com,2010-03-03:2887274:Topic:695822010-03-03T06:27:01.953ZGordon J. Wallishttps://massageprofessionals.com/profile/GordonJWallis
<p>I have a client who says he has Pars defect. This is the first I have heard of this particular condition. I looked it then found that it was spondylosis which I have heard of. I have done some research on the net about this condition to see what or if massage can do to help this situation. From what I see about it this is something that has to be treated in the long term. I let a friend of mine borrow my some of texts that has information like that in it, now i want to kick myself in the…</p>
<p>I have a client who says he has Pars defect. This is the first I have heard of this particular condition. I looked it then found that it was spondylosis which I have heard of. I have done some research on the net about this condition to see what or if massage can do to help this situation. From what I see about it this is something that has to be treated in the long term. I let a friend of mine borrow my some of texts that has information like that in it, now i want to kick myself in the butt. But anyway, I just want to know if any of you have come across this particular condition, did you treat it. If you did, how did you treat and if not, why not?</p>
<p> </p>
<p>Thanks </p> Blood flow in muscletag:massageprofessionals.com,2010-01-21:2887274:Topic:601582010-01-21T15:56:23.222ZGordon J. Wallishttps://massageprofessionals.com/profile/GordonJWallis
This is a subject that I have been pondering for a while. I was just re reading T.Hendrickson's OM book and he states that the rotator cuff muscles-esp. supraspinatus-have poor blood supply. His reference is "Management of Common Musculoskeletal Disorders." I haven't seen this book or researched this but I'm going to start.<div>I have many clients who complain about tension and cramps in their legs as well as several post-surgery shoulder pain. </div>
<div>Does anyone have any info on blood…</div>
This is a subject that I have been pondering for a while. I was just re reading T.Hendrickson's OM book and he states that the rotator cuff muscles-esp. supraspinatus-have poor blood supply. His reference is "Management of Common Musculoskeletal Disorders." I haven't seen this book or researched this but I'm going to start.<div>I have many clients who complain about tension and cramps in their legs as well as several post-surgery shoulder pain. </div>
<div>Does anyone have any info on blood flow to muscles?</div>
<div>Cheers,</div>
<div>jh</div> Joint replacementstag:massageprofessionals.com,2009-09-05:2887274:Topic:195992009-09-05T15:20:42.730ZGordon J. Wallishttps://massageprofessionals.com/profile/GordonJWallis
I have been working with several clients who have had joint replacements. I've seen hip, knee, ankle, and shoulder ones. I have a client who has had his Right hip and Left knee replaced and has many problems with a tight ITB and lateral thigh, especially after sitting for a few minutes. He is very active; golf, hikes, etc . He has excess motion with his Left tibia that whips his leg and I'm wondering if this has affected his Right hip.<br />
Any thoughts?<br />
Jody
I have been working with several clients who have had joint replacements. I've seen hip, knee, ankle, and shoulder ones. I have a client who has had his Right hip and Left knee replaced and has many problems with a tight ITB and lateral thigh, especially after sitting for a few minutes. He is very active; golf, hikes, etc . He has excess motion with his Left tibia that whips his leg and I'm wondering if this has affected his Right hip.<br />
Any thoughts?<br />
Jody