Archive for the 'medical massage' Category

Massage Therapist: Just One Day (Part 2)

medical-massageIn our last post, we talked about a typical day for a massage business owner.  Today, we’ll look at a massage therapist who gives massages in a hospital.  Ms. Shirley Vanderbilt wrote an insightful article in the June-July 2000 issue of Massage and Body Work Magazine where she featured two massage therapists – Lynn Daniels and Cynthia Swan.

Ms. Daniels starts her day at 7 in the morning and offers her services in Longmont United Hospital in Colorado.  Longmont is a hospital that has adopted the Planetree model that includes alternative healing options for patients.  “Beginning simply with massage therapy and t’ai chi, the center gradually added services and grew steadily with the support of the hospital and its clients to become one of the largest hospital-based alternative therapy programs in the country”, Ms. Vanderbilt said.

It’s not always smooth sailing for hospital-based massage therapists.  Ms. Vanderbilt wrote that therapists work long hours.  Add to that the challenges that come up unexpectedly.  But when Ms Daniels does her rounds, she is rewarded a hundred times over says Ms. Vanderbilt.  Getting a smile from a cancer patient, a “you made me feel so relaxed” comment from a new mother and a doctor’s nod of approval are strong incentives for her to continue what she loves doing.

Pre-surgical patients who undergo invasive surgery are offered massages to help them relax.  As a massage therapist, Ms. Daniels feels that she has a dual task:  to ease the patient’s anxiety and to help her cope mentally with the impending surgery.  It is the combination of gentle and compassionate conversation, light caressing movements and a mildly scented lotion that helps patients breathe more deeply, their surgery fears gradually diminishing.

Then there are the new mothers. Ms Daniels is either received with a “yes, please” or a “not now, maybe later” reply.  She makes sure that they know she’ll be back the next day or can resume the massage when breastfeeding time is over.  With new mothers, Ms. Daniels’ priority is relaxation.  Many brand new mothers feel lower back pain and that’s one area that Daniels pays special attention to.  She asks the mother how the area feels and then she proceeds to massage the back and shoulders alternately.  She knows the massage is working because the mother has stopped talking and has drifted off to sleep.

Cynthia Swan has her share of heartbreaking encounters – women who have lost their babies or mothers whose babies are born with a health disorder.  Cancer patients who are in the hospital for radiation/chemotherapy sessions are another special group; a massage therapist is expected to be tactful, diplomatic and armed with a strong sense of empathy. As one administrator explained, “bodywork is essential to this population while their bodies are being bombarded with radiation. We want to help them be back into their body before treatment…when you see these cancer patients, there’s a blank, empty look. We try to help them reconnect by giving them the space and atmosphere to bring their body and spirit back together.”

Massage Therapists: Know Your Limits

Everyone agrees:  massage promotes rest and relaxation, and wellness.  Speak to anyone who has had a massage and you’ll hear only positive comments about their massage experience.  It is clearly the “go-to” method for de-stressing because it allows you to close your eyes and be oblivious to the troubles of the outside world – even for just an hour.

As you complete your courses in massage school and prepare for your license, some of your instructors who will no doubt discuss the safety factor in massage therapy.  This is important because when we spread wellness, some of us tend to think that we have all the answers to health problems.  Some successful massage therapists begin to believe that they have the knowledge and power to cure.

They don’t.

When you start to practice, you may receive numerous compliments from clients praising you for your massage skills and how much you made them feel better.  Your sacred duty as a massage therapist – even if you possess all the proper credentials – is to always remember that you are not a doctor of medicine.

Given that some clients forget about accidents or illnesses they had, you may want to ask them questions about the medications they’re taking, accidents they’ve had, if they are prone to asthma or are pregnant – just to be on the safe side.  It is natural to want to take in as many clients, but there are certain clients you may have to turn away, encouraging them instead to see a doctor.

What kinds of clients should you NOT massage?

Pregnant women in their first three months of pregnancy are one example. If you’re planning the use of aromatherapy substances, you cannot massage women who are breastfeeding.

Clients who are alcohol or drug dependent should not be massaged, and patients who have been diagnosed with thrombosis or certain types of cancer should also be on your NO list until their conditions return to normal.  A massage applied to patients with thrombosis could dislodge a blood clot; as for cancer patients, they must have their doctor’s written authorization for a massage.  Better to be safe than sorry!

Massage therapists would also avoid massaging certain areas in the body such as:

-  swollen areas provoked by arthritic attacks, gout, bursitis and other similar conditions
-  open wounds and bruises
-  herpes, warts, bacterial/fungal infections
-  broken bones or ligaments
-  breakage in soft tissues
-  undiagnosed lumps
-  varicose veins (the general rule of thumb is that when varicose veins are serious, no massage is allowed; in moderate cases, very light pressure can be applied)

The best advice for massage therapy students:  always ask your instructors about the safety factor in massage therapy.  Also, update your knowledge and skills.  If you are considering branching out to medical massage or orthopedic massage, find a good school that offers training, licensing and certification in these specializations.  Be wary of courses or schools that state you will be certified as a medical massage specialist with just a few hours of training or after attending a three-hour workshop.

Massage School in California Expands Dramatically

If there is one massage school in California from which massage schools around the country should take lessons about PR it is the National Holistic Institute in Emeryville, CA. Once again, the school has garnered some pretty good press lately with a lengthy article in the Oakland Tribune. The piece discusses the increased demand for massage therapists, even in a down economy, and the impressive expansion project currently underway at NHI to accommodate the surge in enrollment.

The article contained encouraging news for all massage schools and aspiring massage therapists. Even as unemployment rates move higher, employment of massage therapists is on a healthy upward trend making a massage career an attractive career option. National Holistic Institute announced that its 2008 placement rate was 87% and expects similar strong results this year. Apparently, more and more people are becoming converts to massage therapy as the benefits become more well known and appreciated. These are stressful times and a professional massage offers relief from the physical and mental strains of daily living. In addition, there is a growing acceptance of massage by the mainstream medical community and medical massage is a growing sector among the various massage disciplines.

This is the second blog post about NHI that we’ve presented. The first was about the free massages offered by the school to police officers and firefighters after the murder of four police officers in Oakland earlier this year. National Holistic Institute does a lot of things right and the growth the massage school is experiencing is one of the rewards.

Medical Massage On The Upswing

By Gary Eaton, LMT

Most people think of massage as a way for people to relieve stress and relax.  Although that is true, the benefits of massage go far beyond just relaxation.  As a result of this outdated belief, the medical community has been slow to recognize massage as a legitimate form of treatment for patients with injuries and disease.

Lately, however, massage and its many benefits have caught the attention of the medical field.  Thanks to research studies performed over the last decade, massage is starting to be accepted by doctors as a legitimate and effective option for their patients.

As a result, massage schools are starting to respond by offering medical massage curriculum, and there are more continuing education classes available that train massage therapists in medical massage.  But the big question most people have is, “what is medical massage?”

I personally would classify myself as a medical massage practitioner.  But what people need to understand is that medical massage is not a massage technique.  Medical massage is really a unique approach to massage.

Medical massage combines advanced soft-tissue techniques with patient-specific treatment plans.  It isn’t relaxation massage, it isn’t about reducing stress, and it rarely includes a full-body treatments.  Medical massage is region-specific in that we focus on patient complaint areas that are specific to injury or disease.  Sessions are rarely more than one hour, and many ar as short as 15 or 30 minutes.

The goal of medical massage is to treat specific injuries, such as whiplash, or specific regions, such as the lumbar-pelvic region.  In short, medical massage is really just a term to distinguish advanced, condition or injury specific massage from general relaxation massage.

Medical massage can be performed anywhere.  It isn’t exclusive to a hospital or doctors office.  What separates medical massage from relaxation massage is that it isn’t just a one-size-fits-all body treatment that is choreographed.  Rather, it is a treatment massage that is specifically created for each individual patient based on their injury, pain or condition.

As such, medical massage requires more preparation.  The massage therapist must have a complete case history of the patient.  It also requires the therapist to perform postural and movement assessments in addition to soft tissue assessment.  After this initial assessment, a treatment plan is designed and implemented, and there are regular reevaluations and adjustment to the treatment plan.

What makes medical massage different from other forms of massage is the uniqueness of each patient.  Unlike general relaxation massage that may be the same procedure day after day, medical massage is different with every patient.  This requires a better knowledge of the body, but provides much more diversity and variety.  There is no chance of getting bored performing medical massage.

If you are looking to become a massage therapist and are interested in medical massage, be sure to check with your prospective massage schools to find out if they offer medical massage in their curriculum.  More and more massage schools are adding this as an additional option for massage students and as demand grows it is a great career option for new massage therapists.

Gary Eaton is a licensed massage therapist and writer living and working in Portland, Oregon. He manages a thriving therapeutic massage practice and is a featured writer for Massage Schools Guide.