Tag Archives: for massage therapists

Video: Myofascial Release for “That Damn Spot”

My goal with this session is for the client to stand up from the table feeling ease and freedom in their posture. If they say something like “I feel an inch taller,” I know I did it right.

Why not just “dig out the knot”? Because I don’t think that spot is to blame. This seems to be an area that becomes sensitized when the upper back muscles are in an untenable position: Being required to stay long and strong for hours a day, and generally being overpowered by the pecs. If we can get all the nearby muscles to give up some of their baseline tone (which I think myofascial release is a great choice for), then that gives the client’s nervous system a chance to reevaluate that tug-of-war.

And that brings me to something I’d like to address: Client buy-in. Are you giving the client an idea of your clinical reasoning before you proceed? Are the two of you determining the best course of action together? This has implications for a lot of things that we value as massage therapists: Pain outcomes, rapport building, informed consent, and client return rate. ... continue reading.

I Wrote a Book about Massage!

Massage Business Stuff, Massage Communication, Massage Tips and Tricks, ,

It’s called “Massage Is Weird,” and it’s about massage, communication, treating pain (and dealing with it yourself), and beating burnout. If that seems kind of broad… it is! This book is everything I know about being a massage therapist, with a special focus on living a life of quiet satisfaction. Click here to order (eBook and softcover versions available), or continue below to read some samples.

Text: "Beat burnout. Communicate effectively. Prevent pain and make more money."

Who is this book for? It’s for new massage therapists who are still trying to find their place in the massage world. Do you need to work for someone and give up 75% of your income for the first 5 years, or can you skip to the part where you’re paid what you’re worth? Is wrist pain and thumb pain a necessary part of the process, or can you skip that too? Why is pain so mysterious, and why aren’t you producing all those massage miracles that you see the gurus talk about? ... continue reading.

How to (safely!) use your thumbs for massage

I know there’s been a movement to reduce thumb use in the massage world, but I think that there are a lot of effective ways to use them without risking injury.
The secret? Follow your natural ergonomics rather than trying to force your thumbs to do movements they don’t want to do:

Find positions of power and stability and let those guide your tool use and body mechanics. In the video, I demonstrate ways to strip, compress, and petrissage that should feel fairly easy and intuitive. Reduce or eliminate the effortful circular movements that seem to find their way into a lot of Swedish routines, and instead rely on stacked joints and body weight.

Something that I neglected to say in the video: Switch tools early and often. Don’t wait until you’re feeling fatigue in your thumbs or wrists before you switch. Instead, anticipate your limits and change things up frequently enough that your muscles never tire. By doing this, the only part of your body that should be tired at the end of the day are your feet 🙂 And that reminds me, I need to make a video on how to sit more during a session… ... continue reading.

Dealing with Self-Doubt as a Massage Therapist

Do you deal with self-doubt as a massage therapist? When you work with a new client, do you spend the whole time convinced that it’s the worst massage ever? Then this video is for you:

This is an edited version of a previous livestream, now with 75% fewer tangents and pauses. There’s also a nice guided meditation at the end, now with soothing music 🙂

I give tips on getting out of negative head loops in this video, but there’s something that I don’t really address: “What if my massage actually sucks? Like, what if I’m a legitimately bad massage therapist?” You know why I don’t address that? Because it’s not true. In fact, it’s damn near impossible.

Massage can be exceptional for a lot of reasons, many of them having to do with experience and intuition. But for a massage to just be “really good,” all you need are a few simple ingredients: ... continue reading.

Massage Video: Working with Shoulder Pain After Surgery

Here’s a new video about how I work with postsurgical shoulder pain. I talk about my strategy, and I demonstrate specific techniques for working gently from a myofascial perspective:

I’d like to highlight something that’s changed for me in my practice: While I do explore the client’s range of motion, I do my best to avoid those painful end-points. Over the course of my career, I’ve found that mobilization can work just as well (or better!) when it’s done painlessly. If done patiently and with good communication, it can be a way of demonstrating to the client that safe movement is possible. I’ve frequently had clients stand up with a greater comfortable range of motion despite the fact that I didn’t try to increase that ROM on the table!

I’ve also started erring on the side of less specific work during that first session, especially in areas that are prone to guarding or spasm. That specific stripping and trigger point work can still be incorporated in future sessions, but by working broadly at first, I can help the client gradually get used to movement and contact without provoking spasm or next-day tightness.

Let me know what you think! Is there anything that you’d add or do differently? Did I finally drone on for too long during a video? 🙂

Thanks to my 124 Patreon supporters! You may have noticed that I’ve been posting videos more frequently, and your monthly support makes that possible. My goal is 500 patrons by the end of the year—if you’d like to join in, check out https://www.patreon.com/MassageSloth.