Treatment Guidelines for Massage Therapists #2: Work the Attachments

I’ve told you about my “Consultation & Tryout” sessions. The tryout part is a very short treatment, about 20 minutes, to address a local problem.

20 minutes give me plenty of time to work out the attachments around the affected area. Often nothing else is needed in a session.

Case example:

(of course name and job is changed)

Steven came to me because he couldn’t sit down for a year. In his job as a sales representative for a technology company he had to work on the computer, the phone, and visit prospective clients, so he was driving a lot.

In his office, he had managed to work while standing up, but in meetings standing was awkward, so he sat down a little sideways, with sharp pain around the left sitz bone (ischial tuberosity).

Of course driving was extremely difficult, and since this had been going on for a year, other problems were showing up: low back pain because of the sideways sitting and pain under the heels because he was standing for long hours in the office.

He said that seeing a couple of doctors had been inconclusive, and nobody really knew what to do with him. Ischial bursitis came up as a possible diagnosis.

Because an acquaintance had told him about me, he was interested in my inexpensive “tryout” option. At this point he was willing to try anything, but he surely didn’t want to waste any more money.

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Scheduling Sessions With Me

For 2012, I’ve reduced the hours when I’m available for appointments at Balance. We also have a new (and better) scheduling system.

Maybe you’re a little miffed–two years ago you were able to just send me a text or call my cellphone, and I’d see you the same day to fix the crick in your neck, the painful shoulder or your sciatic pain.

Now I’m telling you to call our office at 407 704 8867 (we have remote operators, you can call 24/7) or to use the online scheduling system www.balanceorlandoschedule.info which you can also access from any page on our website.

Probably I recommend one of our therapists who can help you sooner than I.

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Treatment Guidelines for Massage Therapists #1: Trial and Error

from triggerpoints.net — good guide to trigger points

(this is part one of a series… please also check out part two)

If we look at medicine honestly, we see it’s based on trial and error. Even when the board-certified specialist prescribes a drug that’s been studied for decades, she won’t know how it affects one particular patient.

We often don’t know why a treatment works, we just hope that it will.

As therapists, we should be well aware of how hard it is to really determine cause and effect, and how much our own brains trick us into seeing causality where there is none. Continue reading

Just shut it!

Silence is golden for the introvert, while extroverts like to chat.  What does this mean for the therapist? Should you try to find out whether you’re dealing with an introvert?

I say no. With every client, it’s the therapist’s responsibility to respond to what they bring to the table that day. And it’s not even true that introverts want it quiet all the time–they just don’t like smalltalk. My online buddy Trina posted a wonderful list of myths about introverts.

In any business relationship, you have to follow your client’s lead on how to engage. It’s your responsibility to create an atmosphere of safety. Chatting away pointlessly never gets you there.

A massage therapist who talks all the time is the number one reason for clients not to come back.

To the extroverts, a talkative therapist is just a bad listener–and the extrovert wants to be heard. Just ask questions, don’t tell stories! An extroverted client will be happy to get into a conversation about pretty much anything.

The introvert, on the other hand, will answer your question with as few words as possible. Monosyllables from ANY client are your sign to just shut it. Play some music to ease your discomfort with silence. Something very boring. Like the Pandora station I made specifically for relaxation.

In regards to introverts, it’s really important not to engage in smalltalk. It feels stressful, to some individuals even painful, and a stressed client won’t benefit from your treatment.

So what about extroverts? Won’t they get antsy when you give them the silent treatment?

Some will, some won’t. Some deliberately come to you because they know they have to get more self-awareness.

So the groundrule I go by is simple: Don’t tell stories. Just respond to what the client is willing to share, don’t make your client your audience.

What do you think? As a therapist, what is your experience with clients who just won’t shut up? And as a client–have you ever had a therapist who annoyed you because they didn’t talk much?

Would you agree that when in doubt, it’s better to be quiet?

What is Rolfing® anyway?

Rolfing Structural Integration is in an identity crisis: We don’t know what the term means. Even Rolfers argue about the correct definition.

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In Unit I of my Rolfing training we went over anatomy, physiology and kinesiology, and we learned the typical myofascial mobilization technique used in Rolfing treatments. Unit II is all about the famous Ten Series, the classic application of Rolfing.

In the fall of 2006, on the first day of my Unit II, we were asked what we hoped to accomplish during the 8-week course.

The sensible answers regarded the expected curriculum, treatments of specific cases, and the desire to break out of the spa industry.

Since I was at the end of the circle, everything I could think of was already said. So my answer was “I hope that two months from now I’ll be able to say what Rolfing is.”

Now, after Unit I, II, III, the Rolf Movement certification, loads of continuing education classes and multiple discussions with colleagues,  and with five years of practicing, I still can’t fully explain what it means.

Usually my attempts go like this: Continue reading

How to Get Found Online (SEO for complete beginners, dummies, blogging newbies…yes, that’s me)

Other therapists often say: “In my area people don’t know much about alternative medicine, so it’s been slow to build a business.”

Their ads talk about the style of work they specialize in. So do their websites. And their profiles on Social Media. And yes, they do their best to educate people–about that specific system they are certified in. By giving talks at libraries, community centers, maybe even networking groups. Let’s say those are well-prepared, entertaining presentations that get people out of their chairs to experience their bodies like they never have before. Kudos! It’s important to get the word out. It’s just a frustratingly slow way to build a clientele.

SEO gets you booked much faster.
That’s what you get countless spam emails about: “After a thorough analysis of your company’s website,….” and then they tell you they will get you on page one on Google. Don’t hire the one who spams you!
The process to improve your ranking on Google is called Search Engine Optimization, SEO. It’s a big market, and can get expensive… but here’s how you get started for absolutely free. 

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Easy Yoga Flow

Take a break from blogging and administrative work and do some yoga!
I’m demonstrating an easy flow through basic yoga poses under Candice’s instruction.
We’ve deliberately kept anything fancy out of this, so anybody who is able to get onto the floor and up without help can try it.
If you’ve never done yoga, better start with this video to learn a basic Sun Salutation.

take it from the Dalai Lama

I’ve read that the Dalai Lama is very mindful of the importance of keeping a sensible pace so he can live in the spirit of love every day. One time a reporter asked him how he remains so calm, so grounded, and so loving when his life can be so stressful and demanding.

He paused, gave the question some serious thought, and then answered, “I leave early for appointments.” 

I saw it in a random post a while ago. Unfortunately I could not find the original article, so I’m not sure whether it’s even a real quote.

The idea is true, though. The benefits of leaving early, showing up with time to spare, always planning on those extra ten minutes are huge.

In regards to being calm, relaxed and focused it’s a lot better than getting massages, acupuncture, taking supplements, and going on vacations. Additionally, if you show up early for appointments, you can get a lot more out of the appointment itself. In my case, my clients get a better and often longer session if they’re early.

I could go on here–I have a lot of examples where being early gave me an unexpected benefit. But I’d rather read your examples, your stories. How do you get “more” just by leaving early for appointments?

Short notice


Most massage therapists start their career sitting around, waiting for walk-ins. Is that you?

A lot of places don’t pay for the long hours you spend there.
It’s illegal to require your presence without paying for it, but some business owners don’t even know that; or they don’t care.

As soon as you’re out of that day spa, you’re likely to go to the other extreme and you don’t take appointments on short notice.

It’s understandable–you want to plan your day and do other things than just sit around and wait for the phone to ring. After all… isn’t having your own business all about making your own schedule?        Continue reading

Tools for Massage Therapists

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Mechanic and electronic gadgets are getting more popular among massage therapists.
Some show great results, others are only used to give the therapist’s hands a break.
I’ve seen many cases where clients didn’t get any benefit from the treatment, but the therapists insisted on its necessity.
(Read this if you’re in that situation)

Consider the amazing tools massage therapists come with.
They can exert a precise amount of pressure, vibration, friction; so precise that you could measure it by the gram. Recalibration and assessment happen instantly, all the time.

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