Archive for Massage Theory

The depth in deep tissue massage

Learning deep tissue massage is one of the many things you can do to set yourself apart from all of the other massage therapists out there.  Having a good deep tissue instructor in massage school can help.  How will you know if they are good?  They will teach that it isn’t about applying more or deeper pressure using physical strength.  Good deep tissue won’t leave you bruised or feeling hurt the next day.  The other part of this is how people feel or what they are able to feel and what they want to feel in their massage.  I for one have really ropey back muscles from arthritis and scoliosis and find that I can’t feel it when most people say they are doing deep tissue.  I also have had years of structural integration (Zentherapy) where the goal was to create pain in some ways (more on that later).   I personally get better results when I can feel the pressure being applied.  The pressure doesn’t feel painful to me.  It feels good!  It helps be to feel better and feel more!  To me that is what all massage is really doing – helping people to feel more.

So in learning deep tissue in basic massage school, you will most likely be learning about connective tissue and the deeper muscles of the body like the psoas, piriformis and other muscles.  A good deep tissue massage therapist will learn to palpate the various structures and be able to feel the tightness in different layers of the muscles.  Just taking a weekend workshop or two in deep tissue is only just the beginning.  It really takes practice and developing your skills to go deep.   As I said, I also took Zentherapy training in the 1990′s with it’s founder William “Dub” Leigh.  He combined his training with Ida Rolf and a Zen Master from HI and tried to teach that using “Ki” or “Chi” was a much more effective way of doing deep tissue.  The only problem is that most people were still having deep tissue forced on them instead of “using the force” and people were often screaming on the massage table.  When force is used it creates more resistance and tension usually.  People will tense up more rather than relax more.  It is also a matter of learning to work with clients using deep tissue and keeping in contact with them and keeping them in their bodies while you are doing deep tissue.  It is about engaging them in the process and teaching them about their bodies showing them how their bodies work and how they can learn to relax tight muscles with things like breathing and awareness.  Getting them to notice the change that occurs in their body when you are working on them can help to show them the value of massage and what it can do which will hopefully help you in getting regular weekly clients.

While the Zentherapy deep tissue is now too extreme for me now, I did learn some key things to doing deep tissue through their trainings.  One of them is to use your body and your breathing to apply deep tissue pressure instead of trying to use strength or force.   I first let my elbow or knuckle or fingertips touch the surface and then take a deep breath myself and allow my body to relax and ‘sink into’ the clients body gently yet firmly.

Most spas and massage franchises say that they are doing deep tissue massage but I have found to be the work and skills very inconsistent.  It also seems like many spas define deep tissue as just applying more pressure and don’t really know the difference.   So learning ‘real’ deep tissue can help you to make a difference in your job performance and help to set you aside from the other massage therapists at places like these.  There isn’t a clear definition of deep tissue massage that is understood even among massage therapists.  So when clients are getting deep tissue at one place and it is just deeper pressure, they don’t really get the full understanding of what deep tissue could really be like.  Things like this make it challenging for massage therapists to be in and stay in business and find jobs.  How a clear definition can be created and put into the hands of every massage therapist is the issue.

To explain further with an example:  I do deep tissue massage and triggerpoint therapy work.  I had a client come in a few weeks ago saying he had been seeing a MT at a local franchise weekly for over a year but he was in a significant amount of pain.  He had been getting deep tissue massage.  When I worked on him one time he said he had never gotten a massage like that and most of his pain was gone.

I used to even give clients a handout on getting deep tissue massage but now I just verbally talk to people about deep tissue work.

It is important if you are learning deep tissue to be worked on  people who are doing good deep tissue.  It is also recommended that you practice and learn. It takes a few years or more to be really good and proficient in deep tissue massage. I have outlined some of the things about deep tissue massage on the main website and am also creating a section on deep tissue massage on my other website -www.massage-career-guides.com to help teach massage students about the concepts of deep tissue massage to help them decide on a course of study.  Share your stories there about how learning deep tissue or getting deep tissue massage has helped you.

Myofascial Release and Fascia

What do you know about myofascial release and fascia?  Well I didn’t know much before this weekend.

Today I am starting a new thing which is posting blogs posts here to share my latest pages that I am creating on my websites.  This weekend was spent researching myofascial release and a new page in the types of massage section at www.massage-career-guides.com .  I have been reading about myofascial release for the last two days perusing books I have and looking online and I have to say it is one of the most confusing things and yes I was even trained in an offshoot of structural integration which can be considered a type of myofascial release.  The problem is that there are so many different types of massage that can really be called myofascial release.  In fact I would gather that any time you touch someone doing massage you are doing myofascial release because the fascia is an integrated part of the muscle.  You can’t separate the two.  So Rolfing, Structural Integration, cranial sacral therapy, effleurage , connective tissue massage are all forms of myofascial release.   More confusing yet is the fact that while John Barnes is the person who is making this type of work so popular and he has called his work specifically “Myofascial Release (MFR)” when in fact there are many type of hands on therapist that can release the myofascial structures.

As I read and learned I decided my background in fascia has long been forgotten or I am not even sure if they taught that in massage school so I followed up with a few pages on connective tissue and fascia. (Like how I use the keywords in the links?  That is one of the steps of good search engine optimization!)

Therapeutic Swedish Massage

There seems to be some controversy over what exactly is therapeutic Swedish Massage.  Swedish massage is the basic method of massage that is taught in massage school to beginning massage therapists.

Some people get it confused with just being relaxation massage.  While it is probably the main method used for relaxation it is not the only one and it is also used for therapeutic reasons.  Many massage therapists who go on to take training in other methods seem to get confused and think that Swedish Massage is only for relaxation.  It was created for the purpose of being therapeutic – to work with pain, injuries and various conditions that are related to health issues and are causing health issues.

Robert Calvert, historian and founder of Massage Magazine talks about the history of Swedish Massage.  It is not the work of Per Ling as many massage therapists are incorrectly taught in massage school.  Per Ling developed Swedish Gymnastic Movement but did not have any of the things that are now considered to be basic massage strokes in his work.

Basic Swedish massage is defined like this from Robert Calverts pages in history section on Massage Magazine:

Swedish massage is defined in large part by the original strokes that compose its method: effleurage (stroking), petrissage (kneading), tapotement (striking), and frictions (rubbing), with vibration added later. The French terms – effleurage, petrissage, frictions (massage a’ frictions) and tapotement – were never used by Peter Ling, by any of his successors nor by the Central Gymnastic Institute.

Dutch practitioner Johan Georg Mezger (1838-1909) is generally credited (by physicians such as Emil Kleen and Richard Hael, who researched the origins of massage and gymnastics) as the man who adopted the French names to denote the basic strokes under which he systemized massage as we know it today, as Swedish or classic massage.

There is also some confusion when massage therapists start billing insurance companies and are required to choose a code for the procedure being done.  97124 is supposed to be for therapeutic massage and it is further defined as effleurage, pettrisage and the other so called Swedish Massage Strokes.   It is therapeutic in nature so it can be used to bill insurance companies.   It usually doesn’t pay as much as another code that is sometimes used -97140 and that may be part of the problem.

Swedish massage is also very therapeutic in relaxation mode.  Since most diseases and disease processes are now being linked to stress, it is necessary to have many skilled in relaxation massage.  I personally have never in my 20 years of being in practice had someone who just wanted a relaxation massage that didn’t have some pain, tightness or tenderness in their muscles that needed to be worked out.

Also most of the research that is being done in the massage profession employs using Swedish Massage!  So there again Swedish massage is really therapeutic Swedish Massage.

I created this basic chart on my website a long time ago with the basic strokes and summary of what they do.

See Therapeutic Swedish Massage Section at www.thebodyworker.com


Pregnancy Massage

Pregnancy massage is a great way to ease the discomfort and help ease the body through the changes of pregnancy.  More research and information is now available on pregnancy massage and the various stages of pregnancy and the needs of a pregnant woman.

Massage has been used throughout history to ease the pains of pregnancy and labor.  Robert Calvert in his book ‘The History of Massage’ outlines some significant points in the history of midwifery which included massage.  I also remember taking a class with Robert and he mentioned that there was some culture that used to train their sons how to do massage so they could be prepared to guide their wives through labor! (Whatever happened to that!  Are we actually going backwards by incorporating pregnancy massage into a massage business?)

The Touch Research Institute finds that:

Massage for Labor Pain
Massage therapy during the first 15 minutes of every hour of labor decreased anxiety and pain and the need for pain medication. In addition, the massaged mothers had shorter labor, shorter hospital stay and less depressed mood.
Field, T., Hernandez-Reif, M., Taylor, S., & Quintino, 0., & Burman, I. (1997). Labor pain is reduced by massage therapy. Journal of Psychosomatic Obstetrics and Gynecology, 18, 286-291.

Massage during pregnancy can help alleviate back pain associated with the postural changes due to the exess weight gain.  It can help alleviate symptoms of nausea.   It can help reduce the amount of stress and anxiety that a mother often experiences.  Sciatica is often a part of pregnancy because of the increased weight and the changes in the hips that occur to make room for the baby and the birth process.

Massage during labor can help with easing back labor pains as well as just making the mother as comfortable as possible.

I just updated the pregnancy massage section on www.thebodyworker.com:

Pregnancy Massage Articles : Links to many online articles on Pregnancy Massage

You can read the many articles and research pregnancy massage and create an informative section on your website to promote your pregnancy massage practice.

TMJ and Massage

One of the projects I am working on is creating pages on www.thebodyworker.com for various conditions that massage can be helpful in treating. I already am on page three of of google for thoracic outlet syndrome which I think is pretty darn good but could be better as I get pages for some of the other conditions. What I want it to be is a place to educate people as to how massage can really help with these things.

I am also creating some new pages for my clinic site and when doing my keyword research using my Site Build it! Brainstormit! software, I discovered quite a few good keywords for tmj and related keywords. Literally every major city there were many searches for ‘the city, tmj’ or ‘the city, tmj treatment’. If you know how to work on tmj problems and have a website, this could be a great informational tool for getting clients.

I created this page on www.thebodyworker.com with reference to many online articles on tmj and massage which are quite informative and could be used as reference for clients.

My goal in doing all of this is to educate the public and also physicians as to what massage can really do.

So if you have any other resources on TMJ or have a good page on your site about TMJ consider sharing it here (which also gets you a link on the blog which makes you look good to search engines.)