Quietly often I still get asked what is cupping and how does cupping work? Firstly, Cupping is a type of alternative therapy based on placing cups on the skin to create suction. Indeed, the suction would pull the skin up from the muscle layer, drugging back the fascia layer seating below it. Cupping is gentle work on the body, not invasive and at the same time is an amazing technique to stimulate and facilitate the fascia. We did look into the fascia in a previous blog post. If you have missed it, you may wanna click here. On the other hand, there are different types of beliefs and methodologies about cupping’s functionality. Some of those can be a bit more invasive, and dangerous too. Said so, I guarantee my clients that these are not practices that are available at Melbourne Massage and Treatment. For how I got trained in giving cupping, my aiming as giving cupping is: – Leave no marks – No cutting the skin – Painfree – No blood stagnation Now, by following the order of the action listed here above: Marks are a sign of blood stagnation. Accidentally can happen to leave a mark on someone’s skin, and many are factors involved in it: Skin type is one and another one is if the area that received cup was already massaged or not. As Remedial Massage therapists or Thai Massage Therapists, we are NOT trained to cut anyone’s skin. Furthermore, you have to think that when this practice is involved there is a great risk of skin infection. Why do some practitioners do so?! None of my business. I just don’t believe it is necessary, and I don’t believe it has any benefit. As per many detox diets and detox programs, the body is your best allay and best detoxer of itself. If this post is talking to you, and you are in need of a massage, book your next session by clicking here. In regards to pain, Cupping must be pain-free. Along a cupping session, you may feel a strong pull along the skin, but no sharp, ache or pinch sensation should be present at any moment. Indeed, to help the cup slide easily oil or cream oil-based get used. When happens that a mark gets left behind, doesn’t necessarily create pain or discomfort. Another cupping precaution is to avoid over-pass a cup on joints and or tendons. The cupping force could rip or damage those areas, resulting in permanent damage and pain. Lastly, no blood stagnation. Cupping’s desired result as per many massage modalities is to generate a physiological response that would reduce tissue stress. Through the gentle tissue stress, muscles relaxed and the chain of manual therapy benefits starts.
Tag Archives: cupping
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Nov
Strokes that we use as Remedial Massage therapists. As previously mentioned, a remedial massage is different from a relaxation massage. Indeed, a remedial massage aims to speed up the recovery process from an injury or musculoskeletal dysfunction. Therefore, in a remedial massage, we use a bigger variety of strokes, and we can dive them into static, and dynamic. As per result, static strokes, don’t involve the client’s movement, like DIP. On the other hand, dynamic strokes require a resistance or a movement of the client’s body, like MET for example. Indeed, in the table below, we can find a list of strokes that remedial massage therapists use. MFTT – Myofascial Tension Technique Applied skin on skin with oil-based cream. The same principle is used in dynamic cuppings. It aims to break the fascia connecting the skin to the muscles, reducing cutaneous tensions and improving muscle and joint mobility. DIP – Digital Ischemic Pressure DIP is a stroke that consists in applying pressure on a Trigger Point. So, by applying this pressure, as therapists, we aim to reproduce pain within a comfortable zone (7 out of 10 at worst). As the pressure is applied the pain will decrease and the muscle will increase its mobility and length. MET – Muscular Energy Technique MET is a manual therapy that uses the gentle muscle contractions of the patient to relax and lengthen muscles and normalize joint motion. So, as therapists, we passively stretch the joint of the client to a safe level, and then we ask the client to meet our resistance to the movement. As per result, the muscle will increase their lengthening. PNF – Proprioceptive Neuromuscular Facilitation PNF techniques include passive stretching and isometric muscle contractions. Therefore, the PNF protocol involves a specific pattern of contracting, stretching, and relaxing. Cross Fiber Friction Cross fibre friction is a firm pressure applied perpendicular to the fibre direction. In conclusion, not all of these techniques can be used during one treatment. In fact, before applying a technique as therapists we have to evaluate the body tensions and the needing of the clients. If this post is talking to you, and you are in need of a massage, book your next session by clicking here.
Nov
In this post, I talk about Remedial Massage and how this technique is applied in my services. What is a Remedial Massage? How does it work? Where did I train for this type of massage? As per the name, remedial massage aims to improve the quality of life of the clients, by giving a remedy to her/his physical disconfort/s. So, to start with we describe the difference between a remedial massage and a general relaxation massage. Indeed, a relaxation massage is a combination of soft and deep strokes. Therefore, those strokes are applied using oils. A relaxation massage aims to stimulate physical and mental relaxation by pushing the blood and body fluids around the body. In regards to the remedial massage, the therapist, before the massage will go through a complete assessment of injuries and or musculoskeletal conditions. As per result, the therapist creates a comprehensive treatment plan to manage or rehabilitate the injuries or pain. Indeed, a remedial massage would speed up the process of healing and recovery. In conclusion, at the end of each session, the therapist would demonstrate and provide the client with corrective exercises that can support the client’s wellbeing and recovery. About my training for remedial massage, I did study at the RMIT University, here in Melbourne. In 2020, the world stopped because of Covid-19 I took the occasion to quit my previous job and get back to studying massage. I don’t regret my choice. Indeed I will keep studying in 2022, for the advanced diploma in Myotherapy. I want to keep learning and improving my massage skills and knowledge, to offer always a better service. Said so, I will keep offering Thai Massage as a massage service too. In fact, as I already mentioned in another blog post, the technique that I work with is not so demanding on my body. In fact, it allows me to enjoy more what I do and allows the client to receive a better level of healing. True fact is that the client after a Thai Massage session, here at Melbourne Thai Treatment, told me always how they feel lighter, better, less stressed and more aware of their body feels. In the next blog post, I am going to talk about the strokes that we use in Remedial Massage and how I implement those strokes in Thai Massage.
Oct
Fascia. What is Fascia? Why is it so important? How does it work?How can Thai Massage help improve fascia mobility? Fascia (from Latin: “band”) is a band or sheet of connective tissue, mainly made of collagen, that seats below the skin and attaches to, stabilizes, encloses, and separates muscles and other internal organs. Firstly, fascia can be classified by layers: Superficial; Deep; Visceral or parietal or by its function and anatomical location. Like as per other body parts, such as ligaments, aponeurosis, and tendons fascia is made from fibrous connective tissues. In addition, these connective tissues contain bundles of collagen fibres oriented in webby patterns, parallel to the direction of pull. About collagen fibres, they are produced from fibroblast, contained within the fascia. In conclusion, fascia differs from other body components such as ligaments and tendons. This is because ligaments hold bonds together and the tendon attaches the muscle to the bonds. Going ahead we can define F. based on its location and Superficial F. This is found just below the last skin layer, subcutis, in most regions of the body, blending with the reticular layer of the dermis. Muscular F. Defined as the fibrous layer seating around the muscle, or other body parts such as nerves, bonds. Visceral or parietal F. This type of structure suspends the organs with their cavities and wraps them in layers of connective tissue membranes. In regards to the functionality of the F., we look in too the ability of this tissue to allow the muscle to move freely. If this post is talking to you, and you are in need of a massage, book your next session by clicking here. So let’s imagine this really thick web, seating between the skin and the muscle and around the muscle too. If the web is overconnected, that means is tight, the muscle would find difficulties in moving and sliding. The same would happen for tendons and organs that need to function by being able to move freely. For example, it does often happen to see customers that when asked to flex the shoulder, as they bring the arm over the head, past the 90° point, it is noticeable a dragging in the fascia along the anterior and or posterior and or lateral thoracic area. The person itself, unless get told to feel what happens in the thoracic area, would hardly be aware of any restrictions along the thoracic area. Said so, we can now open a pandora Jar and talk about the fascia lines. Fascia lines connect the body side to side in the long, for the horizontal and diagonal directions. As per the example, we have an F line that travels from the foot to the head. Indeed this F line starts from the Fibularis M, going up for the IT Band, in too the TFL, Obliquos Abdominal muscles, opposite Serratus Anterior, Rhomboids, and Finally to Splenius Capitis. As per result, someone that suffers from flat feet, and so has Fibularis M, under constant pulling force, may experience shoulder pain on the same side of the body because of Fascia restrictions. But the are more F. lines than the diagonal ones. In fact, we got a Superficial F. line, Functional F. line and Lateral Lines. So, lastly, how Thai Massage can help? Thai Massage can help with stretching the fascia by applying a force on the skin in the direction where the restriction is. Is enough to check in which direction the skin feels tight, and that’s the direction in too we want to apply a stroke with a pulling force, strong enough that the client does actually feel a stretch. At Melbourne Thai Treatment I use techniques of work like MFTT and or Cupping and static/dynamic stretching. In regards to cupping add MFTT are a technique of work that I did learn at RMIT along with my study for the Diploma in Remedial Massage. The static/dynamic stretch, indeed, is part of the techniques used along with the Thai Massage. In conclusion to this blog post, I then would like to invite you to see this video from Dr Gil Hedley, that dives in too the magnificence of Fascia.
Aug
Lower Back Pain Lower back pain is a condition which can deliver lots of stress and can affect our daily habits. It can be a terrible experience to live, as it can make many tasks difficult or impossible to take. Here below you will find a series of questions and answers in regard to my experience with lower back pain, as a person and as a practitioner. Q: Did/do you ever experience lower back pain? A: Yes, I did suffer from lower back pain when I was a teenager and that was a trigger for my massage career.Said so, at the age of 16, I was not thinking yet to become a massage therapist.More experience was needed before I did decide to step into the massage career. Q: How common is lower back pain within the Australian population? A: It is estimated that in Australia between 2017 and 2018 4.0 million people did suffer from back pain, whereas 70-90% out of those 4 million did suffer from the lower back itself. Q: What are the causes of Lower back pain? A: Lower back pain can come from different causes. Here below are the most common: bulge disk muscle strain fascia tightness trigger points muscular-skeletal unbalance physical trauma stress Q: I feel pain on my Rx or Lx side on a horizontal line. What can be? A: That’s what we call a red flag. A pain that spread on a horizontal line can be given by a bulging disk. More tests must be put in place to confirm a diagnosis. As a massage therapist is not in our scope of practice to diagnose a bulging disk. Our next step would be to refer you to a GP for further investigations. Q: So, what is a bulging disk? A: A bulging disk is a condition (hernia) where the disk that seat between the vertebrae, gets a tear in it. As a consequence, the disk touches the nerve running along the spine and creates a pain sensation. There are 4 different stages of herniation of the disk. Disc protrusion Prolapsed disc Disc extrusion Sequestered disc. Q: What are other symptoms related to a bulging disk (for the lower back)? A: Other symptoms of a bulging disk (for the lower back) can be: Numbness in the glutes, legs, feet. Weakness in the leg/feet movement Pain increases when seating, like the disk, gets compressed and decreases if standing, like the disk, gets decompressed and less pressure is applied to the nerve root. Difficulties in going to urinate, it is a strong sign that there could be a bulging disk in the lower side of the lumbar area. Medical attention is urgently recommended. Q: Why a bulging disk can occur urine blockage? A: The nerve that controls the spasm of the bladder is rooted between L1 and L2. Indeed, Pressure on the main root, between these 2 vertebrae, would then transform into nerve dysfunction. This condition is called Cauda Equina Syndrome. Q: My lower back pain moves vertically. Why is that? A: A sign of lower back pain that moves vertically is more luckily related to muscular inflammation. In fact, there is a group of back muscle called Erectus Spinae, (Spinalis, Longissimus, Illiocostalis) that originates in the lower side of the lumbar area and extend vertically along the cervical area. Q: What triggers muscle inflammation? A: Many are the reason why muscles can get inflamed.Repetitive movements pour posture, the incorrect firing pattern of a muscle group, in specific the leg extension firing pattern. Q: How massage can help? A: Massage can be an effective approach to release tension along the lower back. Given the training that I did go for, I would ensure to use the knowledge learned along the Remedial Massage and Myotherapy course to identify what back pain is related to. Based on the finding and on the willingness of the clients, we can then disgust with the client what technique of massage they may prefer, Remedial Massage, Dry Needling (if applicable), Mobilisation (if applicable) or Thai Massage. Even MLD can be an effective technique, as it can be used to reduce inflammation, swelling, tension and stress. As previously mentioned, if I got suspicious of a bulging disk, I would not hesitate to refer the client to a GP for further investigation. In regards to the Thai massage technique, I will ensure to warm up the area first with some simple passives stretch and or cupping and then work on the muscle that needs some tension released if it is safe to do so, or on the muscle surrounding the area, like gluteus, hamstrings and or shoulder muscles. Q: Would you use your knee to massage my back? A: The use of the knee is not compulsory. If it is safe to do so, yes, I may use my knee to massage the back. A correct and proper evaluation of the injury must be applied before doing so. If you are in pain or even just feel tight along your lower back, don’t hesitate to book a massage appointment. Any of the techniques offered at Melbourne Thai Treatment can be really effective in reducing pain and ache and giving you back the mobility lost. Said so, for chronic conditions their massage can help till a certain point. Exercises and other treatment options have to be evaluated.
Jul
What is, Upper Cross Syndrome? Upper cross syndrome (UCS) is a common posture imbalance that affects many people nowadays and it is caused by repetitive poor posture habits. The body‘s muscles work in coordination with another one to keep our posture erected along the Plumb Line. The Plumb line is an imaginary line that runs from the top of the body down to the foot, passing by the: Mastoid process of the skull Middle Acromion (shoulder joint) Centre of gravity of the body (pelvis) Greater Trochanter (GT or Head of the Femur) Side of the Knee Down to the Malleolus. The head and shoulders are protracted compared to the plumb line, for someone that suffers from UCS. This happens when there is an unbalance between the anterior and posterior portions of the cervical area. So, to better understand what UCS is, let’s go through which muscles are involved in this condition, and the muscle’s role. Let’s start by drawing a diagonal line from the shoulders down to the upper chest area of the pectoralis (). The diagonal line would cross first the Upper Trap (UT) and Levator Scapulae (LS) for then cross the Pectoralis Major (PM). What do these muscles have in common? Tightness. The tight pectoralis would protract the shoulders. On the other hand, UT and LS would elevate the shoulders and scapula and accentuate the shoulder protraction. Indeed, this force applied bilaterally would place the muscle that is attached from the spine into the Scapula (or Shoulder Blade) under constant stretch, as for the muscle that keeps the neck erect, like the Deep Flexor Muscles (Longus Colli, Longus Capitus, Rectus Capitus and Longus Cervicus). Do you feel like you need help with your neck pain? Book now your next appointment, at Fitzroy North clinic. Now let’s draw a second diagonal line, in the opposite direction of the first one . This line would start from the anterior side of the body. From the neck area and go towards the posterior inferior side of the body. Therefore, would cross first the Deeper Flexor Muscles of the neck and then the Rhomboids (RH) and Middle Trap (MT). What this muscle got in common? As mentioned before because those muscles are placed under constant stress, they get weak, and can’t hold the neck and the scapula in place. How massage therapy can help? Massage therapy is a great way to create balance in the body structure. So, along with a massage session, either Thai Massage, Remedial Massage and or Myotherapy, we would start by doing a series of postural assessments and Range of Motion (ROM). This would allow me, the therapist, to pint point out what muscle needs more attention, and if there is more presentation to add to the UCS. From there then, we may start working on releasing tension from the Pec area and the UT, using gentle strokes that involve stimulating blood flow and heat in the area. Where per areas like rhomboids we would use techniques that may recreate some pain, so to stimulate the muscle to be activated. Said so, depending on the massage therapy I am offering, the approach can be slightly different. In conclusion, there is to say, that massage therapy by itself, would not be enough, if the person, at the end of the treatment, would go back to their routine life. It would be important that the patient follows the exercises that they would give at the end of the massage session. Exercises for UCS
Jul
In this post we are going to talk about “Dive in, let it go” Often we get told that we should ” let it go “. How easy it is to say such a thing, but how hard it is to do so. When I was studying in Thailand to be a Thai Massage therapist, our teacher, Pichest, was making so much fun of us students when we were trying to approach his massage technique. And he was right to laugh. What students there are trying to do, is copy his movement without having his fluidity in approaching the Thai Massage technique itself. So, how does he teach others to let it go? This is how I did find a way to interpret Pichest teachings. Let’s start exploring the meaning of “let it go”. Let it go stands for no holding back on something/someone. No holding on to a loved one, an object, a situation or a feeling. So how we can recognise the fact that we are holding on to something then? This, I think, is the starting point. Recognize where and when we do hold on to something. From here, we can understand how to let it go. We tend to hold on to situations and feelings that make us feel safe, happy or protected. As these situations get exposed/under threat, we tend to tense up with our bodies. The first step, in order to recognise those tensions, we have to live in a clear state of mind, by reducing the body/mind intoxication to a safe/personal level. As the connection with the body gets clearer and deeper, we can start facing how that attachment affects our being. As you feel the body’s sensation arises, you should learn how to breathe through it. Let your breath be. Often when I do give Thai Massage or teach a Self Thai Massage class I have to recall the client of the importance of the breath. Breathe in and out from the nose and focus on the body area that is requiring your attention. Don’t feed the hunger or the fears that would arise, but do not either feed the excitement and joy of understanding the tensions, just feed your breath. As this cycle of understanding of the body takes place, we will automatically learn how to release the emotional tension/s related to the body’s sensation. Furthermore working from outside, just on the body level such as exercises and work-out is just a shallow approach to the let-go action. The strong work on the body will actually disconnect the body/mind connection. This is because hormones produced during physical exercise will fake up the body’s feelings. In conclusion, that’s how we can dive in to let it go, by slowing down the intake of sensorial input and by focusing on the body sensation that arises from discomfort situations.
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