Evidence Based Massage

Pushing Into Muscle: Are We Really Doing What We Think We Are Doing?

We massage therapists are taught a lot about muscles. We also study bones, joints, ligaments, tendons, fascia. We learn a little about physiology, about other systems of the body, and some lip service is paid to the role of the nervous system in the relaxation response and to how the brain mediates the changes brought about by massage. But mostly we pay attention to muscles. We talk about which muscles are tight, find “knots” in them, and “release” them by pushing into them and/or stretching them with our hands, fingers, forearms, and elbows.

A Gentle Approach to Alleviating Neck Pain

Recently an older, somewhat frail woman came into my office. She has a serious condition that requires ongoing treatment and the primary condition creates numerous other serious health problems. In spite of this, she maintains a cheerful disposition and endures it all with acceptance.

A dear friend of hers thought that she might like a soothing massage and sent her to me, trusting that my experience and training would allow for both a pleasant and safe experience. The client consulted with her doctor about what would be permissible and what should be avoided and had his consent to have gentle massage.

Besides her complicated and generally frail condition, the client had osteoporosis and had suffered several broken bones as a result. Clearly, this was someone who needed to be handled very gently.

And she had neck pain.

Introduction to the Principles of Russian Massage

I'm excited to announce the first of a series of brief videos that will introduce the principles and practice of Russian massage.

Russian Massage is a medical and sports massage developed in the former Soviet Union and used in hospitals and clinics there. Based on research, Russian Massage works with the physiological processes of the body to promote desired change and recognizes the role of the central nervous system in bringing about that change.

This first video gives a brief introduction to the history and principles of Russian Massage and discusses how the practice of Russian Massage agrees with current understanding of neuroscience.

Special thanks to Will Stewart of 3-D Optimal Performance for making these videos possible.

I hope you like it. Let me know what you think!

 

Magical Thinking, Deepities, and Massage Therapists

About a month ago, I shared some of my thoughts about energy work from the point of view of an evidence-based massage therapist. To my surprise, that blog article got quite a bit of attention and sparked some fascinating conversations. The issue of energy work is one of the most divisive and yet, in my opinion, one of the most important issues in the field of massage therapy today. Unfortunately, when the subject comes up, the conversation usually gets pretty contentious quickly. I was pleased to see some discussion that was thoughtful and respectful.

Neuroscience, Russian Massage, and Remembering Zhenya Kurashova Wine: An Interview With Will Stewart

When Will Stewart, owner of 3-D Optimal Performance, asked to interview me, I was surprised and honored. Will recently began a series of webradio interviews with many of the "heavy hitters" in the field of manual and movement therapies and neuroscience. These are individuals who are bringing an understanding of what neuroscience knows about the brain and applying it to manual and movement therapies. Will has conducted some fascinating interviews with physical therapists, manual therapists, massage therapists, athletic trainers, occupational therapists, and even his piano instructor, all with an interest in understanding how the role of the brain and the central nervous systerm plays a part in their approach to their work.

Response to a Question Regarding What Do We Know For Sure (For therapists)

A colleague on a private forum asked the following questions in response to some thoughts I posted yesterday. In particular, he wondered about the description of an experience I had with a client. His question:
 

Having effect on the nervous system by stretching skin will relieve pain?  . . . [Is] Dianna [sic] relieving trigger points in this fashion? Seriously? Sixteen years ago, I never knew what was causing my pain. Doctors didn't know either. And then I ran into a PT who did know and mentored me. Trigger Point work, as I have benefitted, is painful. Paul Ingraham and Amber Davies agree, they hurt like hell when compressed. That "painful work" is the only thing that has ever given me tempory relief. I'm just not seeing where skin work is going to effect a mechanical release of myofascial contraction knots.....