TMJ or Temporomandibular joint is bilaterally located on the side of the human head. TMJ and Movement Upper Compartment Protrusion Retrusion Lower Compartment Lower the Jaw Raise the Jaw Lateral Deviation Said so: the opening is the combination of Protrusion plus Lowering the Jaw closing the mouth is Retrusion plus Raising the Jaw. TMJ and Pain When TMJ is in pain, we can find it hard to talk, eat and sometimes even rest, as the pain can be pretty strong. Moving forward, not everyone knows that deep under TMJ we have what we call Parotid Gland. The Parotid Gland is a salivary gland, and if gets infected, it can swallow up and be quite painful. What can happen at the Parotid Gland is an accumulation of calcium in its duct, and saliva can’t be expelled. Even though viruses or bacteria can also be responsible for TMJ infection. What also most people are not aware of is that in the Parotid Gland, there are lymph nodes. TMJ and MLD. The fact that the gland can be swollen is an indication that fluid is stuck in it. MLD, thanks to the boosting of the lymphatic system, which is responsible for reducing swelling in the body, can be the perfect technique to reduce the swelling and so restore the functionality of TMJ. If this post talks to you, book your next massage session by clicking here. The Parotid Gland lymph nodes unload their Lymph Obligatory Load into the cervical nodes. So as per usual, at the start of the MLD treatment, we will work along the upper neck, medial neck and then the terminal (just between the clavicle and the upper trap). In addition, what makes a difference with MLD is that is a pain-free technique. That would allow the client suffering from TMJ pain to receive a treatment that would not aggravate the pain feeling and would end up giving a deep relaxation too. Other work techniques can be used, such as Myotherapy and Remedial Massage trigger point, or dry needling for Myotherapy treatment. The Remedial Massage TMJ treatment is a valuable technique but would not resolve the problem at the root cause. In conclusion, MLD is probably the best manual, not invasive treatment that can be done for TMJ. Talk to your dentist about this option, and if they are not aware of what MLD is, don’t be surprised, it is, yes an excellent technique, but it is still not well known by many practitioners, dentist included.
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Mar
Range of Motion is the movement of a joint within a 3-dimensional space. For each joint, we expect a minimum and a maximum degree of movement. When to use a range of motion evaluation. Before performing a Myotherapy, Remedial Massage, or a Thai massage session, we check for a Range of Motion, also know as ROM. Checking for ROM is to establish the functionality of the joint and the muscles that surround it. For example, when a client walks in complaining of cervical pain, the first thing we look in too after the postural assessment is the ROM. A postural assessment is an evaluation of the skeletal structure. After that, we ask the client to do specific movements with their head. Like, Rotation side to side, flexion, extension, and lateral flexion. Indeed, these are the basic range of motion for the cervical area. What this range of motion can tell us? Well, depending on the essential mobility of the person, we expect a minimum and maximum range. Let’s say that the client has average mobility; we expect the range of motion of their cervical to be: Flexion (able to flex the head forward and leave a gap of 3cm between the chin and the sternum) Extension, we look in too 70° of movement Lateral Rotation we look in too 80° of rotation (the chin is nearly in line with the shoulder) Lateral Flexion we look in too 45°. If this post talks to you, book your next massage session by clicking here. Are the range of motion movements the same for everyone? A person with a hypermobile joint range may have a 10° about less ROM than this. Indeed, a person that has a hypermobile joint range can reach 10° furthermore. That’s why every person needs his evaluation. Moving forward, if the range of motion is limited, it could be a muscle tightness or a joint mobilization issue. The best approach for improving joint mobilisation is the Myotherapy treatment or Thai Massage. Both techniques relieve muscle tension and improve muscle tone and joint mobility. The release of tension from the muscle would improve the ROM. On the other hand, when we ask a client to do a ROM, we don’t look only for the length of movement. Quality of movement. For the quality of movement, we refer to how smooth the movement is. Is the client trying to compensate for the cervical rotation by flexing the head? Is the client compensating for the flexion by shrugging the shoulder? Indeed, the movement of a joint is the key to understanding what muscle is responsible for the pain, discomfort or limited ROM. Once we individualise the key muscle/s, we can address the issue. Different types of ROM. In conclusion, the ROM can be active, passive and resisted. The client itself does active ROM. Passive are ROM done by the therapist with no assistance in controlling the movement by the client. Reisted is ROM active done by the client, with a resistance force applied by the therapist again the client’s movement. Each of this ROM can tell us something different about the joint. Active is about muscle lengthening. Passive is about joint mobility (ligament and tendon) Resisted is about the strength of the muscle. We can’t use the Resisted if Active or Passive reproduces pain. That would not be safe. Regarding the Resisted ROM, the resistance is applied in 3 different levels. When the pain gets reproduced, we stop the test. Occasionally, an orthopaedic test can be performed too. Orthopaedic tests are specific tests to evaluate in specific the muscle involved in the limited ROM.
Mar
As Massage Therapist, I often see people who come in for treatment due to pain and discomfort. Indeed, I am more than happy to be that person who, by manual therapy, can alleviate others’ agony. Exercises post-treatment. At the end of the treatment, I tend to show the client a series of corrective exercises and, most of the time, a straightforward one. Those corrective exercises must be done to help maintain the change we created in the body along the massage session. Massage treatments like Myotherapy, Remedial Massage, Thai Massage or MLD can be a good starting point to change the musculoskeletal unbalance of the body. Even though the changes we created will not last long unless there is constant work done on it. So, when the client returns to routine life, those change tends to disappear quickly. That’s why we give clients exercises. How can exercises help? Exercise can help address everyday muscle weakness, joint stiffness and or painful presentation on your own time. And yes, I understand it’s hard to find the time to do exercises, but would you rather live a life in pain or find a way to feel better about yourself? It’s part of our behaviour to want the fast, quick and immediate change we want. Isn’t it?! But nothing comes easy in life. We must learn that changes take time, and along this time, we must work hard for it. Said so, I am more than happy, and I feel honoured to treat people. I feel like Massage skill is one of the skills that can change people’s life. And when I do run a Thai Yoga class and teach people the exercises, I feel even more accomplished as a massage therapist. Book your next massage session by clicking here if this post talks to you. In conclusion, postural exercises are the key if you are willing to get rid of the body ache and pain. Then, working at the gym or doing sports activities is still as important. But those activities, if not monitored by a coach or done professionally and with full awareness, can lead to injury and pain. Indeed, when doing strengthening exercises, you want to ensure you correctly use the body biomechanics. But not only that. Indeed, you want to make sure that your joint has enough range of motion to deliver that action correctly. Following this link will give you access to the Thai Yoga Class videos.
Feb
Neck Pain. Neck pain is something that we all did experience at some point in life and is not fun. Neck pain can manifest for very different reasons, it can be chronic, it can come and go and can debilitate our day. How we can prevent neck pain to happen? And, if I am in pain, what I can do? Firstly we should have an understanding of the neck anatomy. The neck is made from the cervical vertebrae that run from C0 to C7. The first 3, so C0, C1, C2 are a bit unique. Due to their position and to the muscle that they connect, they can be considered the upper portion of the neck. Along those 3 vertebrae, we find the Occipital Muscle Group, which we did talk about in this blog post. From C3 to C7, indeed we have the lower portion of the neck. Along those vertebrae, we find different muscle groups. Some of those connect cervical vertebrae to the thoracic one, like Splenius Cervicis. Others connect the vertebrae to the scapula or to the skull, like Levator Scapulae, and Splenius Capitis. As of last we then have the upper portion of the Erector Spinae group, which connects the rib cage to the Cervical and Skull area. Like, Longissimus Capitis, Longissimus Cervis, Illiocostalis Cervis and Semispinalis Capitis. Now that we are a bit more aware of what is where, we can start to understand that neck pain can be for many, many, and many reasons. So, what to do then? Well, a massage therapist can be the one that thanks to orthopaedic tests and Range of Motion analysis can tell you what’s going on and where. For booking now your next appointment with Melbourne Massage and Treatment click here. Indeed, neck pain can be present because of the rounding of the shoulders. Or even because of a flat foot instead. “And what about the wrong pillow?!” Yes, the pillow can influence the neck life, that’s for sure. But maybe is the way that you sleep, and not the pillow only. Said so, with either a Remedial massage or a Thai Massage neck pain can be healed and cured. Both those techniques can address the issue and help in preventing the flare-up of the pain. In regards to the Remedial Massage, it can be applied in a prone, supine or seated position, using hands and elbow mainly. When it comes to Thai Massage then, there is more fun. Well, at least for the therapist. In the Thai Massage that I offer here at Melbourne Thai Treatment, I can use my hands, elbow, or even my feet to work on the neck. Obviously, I did train for it. And let me tell you, not because I use my foot it means is a stronger work. Actually, it is a more delicate and accurate touch than what you may expect. If then the person presents with a bulging disk in the cervical area, then things get a bit more complicated. To receive a massage there, I would request the clearance of the GP, and I may proceed by using MLD only. MLD can be a fabulous technique to work on to the neck. It can help in reducing swelling and speed up the recovery of the building disk too. In conclusion, to avoid neck pain is good to take some precautions. Like, spending less time on the phone, moving the neck with gentle movement and stretching, taking regular breaks from the computer if working too many hours at the PC, make your deep flexor stronger (see the blog post about the Front Head Carriage).
Feb
Massage appointments, how often? How often should I come for a massage appointment? Often I got asked this question, and the answer is not as simple as. A massage, that is Remedial Massage, Thai Massage or MLD treatment, has the aim to heal a condition or alleviate the pain. Well, at least that’s the main aim of those techniques. Said so, the second, but not less important task for a massage is to induce relaxation. Therefore, if you are aiming to get some relaxation, I would suggest considering getting a massage appointment regularly. Like, every 2 weeks, every month or every 2 months. Of course, depends mostly on finance. So, a regular massage appointment, allows the body and mind to aim for something positive. It is like a reward. On the other hand, if the message is not limited to relaxation time, then, you may need it more often. That’s the case when the client comes to the appointment that is in pain (99% of the time). If this post is talking to you, book your next massage session by clicking here. The fact that you are in pain can be a sign that the body issue has been there for a while. Indeed with a massage, we can alleviate the pain, but to actually fix the issue (if it’s fixable by the way) or to make the best out of what the condition is, we need to do more than one session. In fact, one session may release the pain for a couple of days, but then, as you go back to your daily routine, the pain would come back. Therefore, a series of close massage appointments, in a short time can actually help for the best. Another important aspect of pain management is exercise. Corrective exercises are a key role in expanding the time between one session and the next one. If you actually do the exercises, you can by yourself improve your body conditions, reducing the risk of injury and pain. In conclusion, the frequency for which you should attend a massage appointment is based on your needing. For a Remedial massage or a Thai Massage, you may wanna initially see the therapist once a week for the first 3 to 4 weeks. With MLD is different. With MLD the need for seeing a therapist can be more frequent. Obviously depending on the condition that has to be treated.
Feb
Altar within a Massage Clinic. As you may already know, part of my training was done in Thailand at Pichest Boonthumme Thai Massage School. That’s where I learn about Altar within a Massage Clinic Pichest, as already mentioned in a previous blog post, is a unique way of teaching. In fact, he doesn’t only share the massage knowledge. He included in his teaching a methodology of life. Included in this methodology there is the dedication to prayer and meditation. Even though I haven’t included the prayer yet in my experience, I did include the meditation. In order to do so, in order to build a stronger attitude toward those practices, at Melbourne massage and Treatment clinic there is a little altar the clinic. On the altar, based on the teaching of Pichest, I do expose my offer and memory to the Buddha, to Mamma and Papa’, and to the Teacher. In addition, I did decide to place objects or pictures that recall for me a special time, a memory o a person that someone, shared with me some teaching. Furthermore, just below the altar, there are the products that I sell as the Incenses. But you know what’s the funny thing about the altar present at the Home Clinic here in Blair St? Well, it was already there. I didn’t have to install it. If this post is talking to you, book your next massage session by clicking here. True fact is that, when we came for the house inspection, we right away address that room as the clinic, due to the presence of the wooden altar. A few days after we did move in, I did find out the truth about our neighbour that someone else, before us, already was running a massage studio in the same room. What a coincidence, right?! In conclusion, I am working on my way to improving my practice, and not as a massage therapist only, by taking the Myotherapy course, but also by improving my meditation practice and my prayer practice. I can’t define myself as a religious person, but even though I believe in trust and faith. Thanks again for reading my blog, Giovanni
Jan
Water after a massage. Have you ever noticed that after a massage you feel thirsty and depending on the treatment you may have an urgency to go to the toilet? Well, massages are diuretics, that’s why. Indeed, independently of the type of treatment that you receive, whether is MLD, Remedial Massage, or Thai Massage, the body fluid gets pushed and pumped around the all body. As per consequence, all these substances moved around need to find their way out. So, after any session, you wanna make sure to rehydrate your body. Drink water after a massage. Why water and not orange juice? Or an energy drink? Or coffee? Water is what is recommended after a massage because it’s what can at the best re-oxygenate the muscle and re-hydrate the body. Drinking a sugary drink, or a really acid beverage as it can be coffee will just dry off the body even more. Furthermore, water is quicker to be absorbed and can help the stomach to keep its natural PH balance. If this post is talking to you, book your next massage session by clicking here. Another effect of the massage can be the deep relaxation of the body, which can affect the stomach and abdominal feeling. Indeed, adding sugar or other substances to the PH of a stomach that feels so relaxed, may not work at the best. What about the water temperature then? Cold or warm? Well, let’s take down the myth that cold water makes you feel fresher. Sorry, it doesn’t. Drinking cold water brings the body temperature down, increasing then the difference in temperature between within the body and outside the body. That will make you feel even hotter. But I do understand that hot water unless is herbal tea, doesn’t feel so nice. Even though, warm water would be ideal, as its temperature would be the same as one of our inner organs. So, temperature-wise just drinks water at room temperature if you can’t stand hot water.
Jan
MLD and Pain. As previously mentioned, MLD is a massage technique pain-free. This is one of the reasons that makes it so special. It doesn’t matter where the technique is applied, the touch has to be so light, that the patient doesn’t have to feel any pain. And believe it or not, MLD can be applied right after surgery, when you get sunburn or right after physical trauma. Indeed, what MLD does is prevent the body to feel the pain. So, in order to explain this, I may use the mosquito bite example. When a mosquito bites us, after several minutes we start to feel itchy. In fact, the first auto-reaction is to start stretching the body. What does the scratching do? Firstly, by scratching, we stimulate the mechanoreceptors of the skin. The mechanoreceptors, send a signal to the spine (to CNS) that inhibit the pain receptors, which are constantly stimulated from the mosquito bite. Indeed, the pain receptor can be stimulated once and keep reacting, whereas the touch receptors, in order to be activated need constant stimulation. Now, in MLD that’s what we do, we constantly and gently stimulate the mechanoreceptors. If this post is talking to you, and you are in need of a massage, book your next session by clicking here. In fact, we keep inhibiting the pain receptors, reducing the pain signal frequency. Secondly, and no less important, by stimulating the lymphatic system activity, we reduce the amount of nociceptors. Per nociceptor, we refer to the actual sensory neuron that transports the pain signal to the spine and brain. Furthermore, by reducing the pain, the client can start experiencing a high state of relaxation. Indeed a high state of relaxation is another efficient way to deal with pain and eventually pour mobility, due to the injury the client is dealing with. In conclusion, this is how MLD can reduce the pain in an injured area.
Dec
Different ways of using a Cup. The cup usage is a gentle way to dissolve body tensions, and as already mentioned in the previous post cupping is a fabulous way of working on the body. Indeed, let’s not forget, that when I talk about cupping on this blog, I don’t refer to any practice that involves blood extraction or skin cuts. The usage of cupping for me, starts and stop to do work on the skin and fascia. Cups can be made of plastic, glass or bamboo. Depending on the type of cup in use differents are the methodology used to create the suctions. When glass cups are in use, in order to create a vacuum, heat is applied to the cup. In fact, the heat will burn out the oxygen in the cup, creating the vacuum effect. On the other hand, when the cup is made of plastic, fire is not in use. To create the vacuum with the plastic one is used a pump. So, when plastic ones are in use, the cup gets placed on the body of the receiver and with the pump, the air is pulled out. As per result, the therapist is to be aware of the type of skin she/he is dealing with. Paler skin is keener to bruise. Furthermore, the skin of an older client may be keener to break. So again, when a manual massage is given, not all the clients can receive the same type of treatment. If this post is talking to you, and you are in need of a massage, book your next session by clicking here. Moving forward, once the cup is applied to the skin, and the vacuum is created, the cup can be moved. This type of cupping is called dynamic cupping. Moving the cups around allows the skin to be pulled, and can create a change in a full fascia area. Furthermore, is by observing the client’s skin elasticity that the therapist can decide in which direction to apply the cupping. In fact, the aim would be to drug the cup in a direction in which the skin doesn’t move so easily. Said so, not let’s forget that, before applying the cup, on the client’s body will be applied cream or oil. This will allow reducing the frictions between the cups and the skin. In conclusion, to make the cupping even more effective, when the cup gets drugged around, the client can also move the joints which are in control of that skin section. For example, if we are doing cupping on the quods, we can ask the client to flex the knee. That would create extra skin pulling.
Dec
Manual Lymphatic Drainage if used along the correct type of condition, is a safe and well utile manual therapy. In the previous two blogs (Link 1, Link 2) I described how the Lymphatic System works and its relation to MLD. What body find benefit from Manual Lymphatic Drainage? As previously mentioned, the lymphatic system is so important to keep the homoeostasis of the body. Indeed, along with the following conditions, homoeostasis is compromised: Skin Burn Chronic Inflammation (plantar fascitis, tendinitis…) Lymphodema Oedema Scar reduction and prevention Pre and post-operation body rehabilitation Improving the bell function Head-each Skin puffiness and or Acne and more… How can Manual Lymphatic Drainage help with these conditions? Firstly, what all those conditions have in common, is that they are related to how the Lymphatic System deal with them. So again, the healthier and more vital is the lymphatic system, the better the body’s homoeostasis. If we look into oedema due to a hammered hand, we need a responsive and well-functioning lymphatic system to absorb that swelling. The stronger the lymphatic system, the quicker the healing process will be. Even a scar from a post-operation could heal faster if the lymphatic system gets adequately stimulated. More nutrients and less dangerous components will float around the wound if the lymphatic system works stronger. Secondly, some of these conditions are so painful that a massage is not applicable. As we applied MLD, we would not increase the pain, thanks to the light touch. If this post is talking to you, and you need a massage, book your next session by clicking here. Why should MLD not be painful? When we apply the different strokes by dragging the skin gently around, we will stimulate the lymph vessels to collect the obligatory lymph load. Still, we will not generate pain by stimulating pain receptors. Furthermore, the repetitive mechanical stimulation would activate what in science is called the gate theory. The gate theory looks into the interneurons’ inhibitory response, which reduces the pain signal reaching the brain, consequently decreasing the pain response. MLD and coontroindications. MLD can’t be applied to Acute infection, Untreated Cancers, Untreated Thrombus, Congestive heart failure, or intoxicated persons. Minor contraindications include Hypertension/Diabetes n1, Autoimmune disease, Asthma, Hypo/Hyperthyroidism, pregnancy, and a history of tuberculosis. In conclusion, I am honoured to have the knowledge and the skill to use and apply such a technique. Even though, for now, I can’t yet treat people with Lymphodema and or clients who had lymph nodes removed or are looking for a post-cancer treatment. What I got to offer to this patient, anyway, is a reference for other practitioners. So if this is you, please get in touch with me, and I can refer you to your nearest practitioner.