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Tag Archives: MLD

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Tmj and MLD

Posted on by Giovanni La Rocca
15
Mar

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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Corrective Exercises VS Massage

Posted on by Giovanni La Rocca
corrective exercises fore arm
05
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.    

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Blog

Sunburn and MLD

Posted on by Giovanni La Rocca
Sunburn on back
12
Feb

MLD and Sunburn. As already mentioned earlier, MLD stands for Manual Lymphatic Drainage and is a great technique to treat sunburn. Indeed MLD is a technique that works with a gentle touch and has a multitude of benefits, including the healing from sunburn. Firstly, we analyse what sunburn is about. So, a sunburn is the skin’s reaction to too much exposure to ultraviolet (UV) radiation from the sun. Here in Australia, the amount of UV radiation is higher than elsewhere in the world. As per result, in Australia, we have to be extra careful. If the sunburn reaches the 3rd degree of burn, medical attention is required immediately. During summer or even winter when we expose our skin to the sun. You can have a sign of sunburn within minutes from overexposure. The first symptoms are skin redness, burning sensation and pain to the touch. Long-term sunburn can lead to bad scar or even to skin cancer. If this post is talking to you, book your next massage session by clicking here. So, How MLD can help if I get sunburned? MLD thanks to the light touch, firstly, will avoid the patients being in pain during the touch. Furthermore, by activating the suction effect of the Lymphatic System, MLD boosts the healing process. This is possible by removing the liquid from under the sunburned skin area. The lymphatic system would then, clear up the excess liquid and would allow the skin to get oxygenated once again. Said so, when treating someone with sunburn, as therapists we always have to look for possible skin infections and other absolute contraindications. If the skin over the sunburn area is craked and infected, then we will have to wait for the infection to heal. In addition to this, if the sunburn is as bad as 3rd-degree burn, we may don’t wanna touch the sunburn directly, but applying MLD in a close area can still help the lymphatic system to be activated remotely or on the area affected. In conclusion, remember always to put sun cream before exposing yourself to sunlight. Put the cream 30 mins before having a bath. Either in the sea or swimming pool, in order for the cream not to be absorbed and not be washed away. Avoid the hottest hours. Check the UV exposure on the Victoria Government weather website (https://www.bom.gov.au/vic/forecasts/melbourne.shtml). Stay in the shade and drink plenty of water.

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Water after a massage

Posted on by Giovanni La Rocca
27
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.  

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Music and Massage

Posted on by Giovanni La Rocca
Fip logo music for massage
22
Jan

Massage and music at Melbourne Massage and Treatment Studio. Music is such an important part of receiving and giving a massage. As our body gets stimulated from the touch of the practitioner, music can tune in with the healing touch and create a different atmosphere. Said so, I never found it too hard to choose what music to play. Lately, I did decide to step away from platforms such as Spotify or Youtube. Why? Well, starting with YouTube, there is way too much publicity, and I don’t really use it as much that I would need an account for it. In regards to Spotify, I just can’t stand their politics. The artists get paid nothing for each time we listen to their music, and I found it really unfair. So, more recently, I discover a really nice French Radio called FIP. FIP stands for France Inter Paris. The concept behind FIP has scarcely changed since its founding: commercial-free music interrupted only by occasional announcements about forthcoming cultural events. Why did I choose FIP? If this post is talking to you, book your next massage session by clicking here. I choose Fip as it has a broad range of music styles and is commercial-free The last thing you want to hear during a massage is publicity, isn’t it? Furthermore, I use it all day long in the house, it has a really massive range of music choices. During the treatments, I mostly play Jazz music as is the one that best suits the environment. In regards to MLD, though, I don’t play music during those sessions. Why? Well, MLD is a light touch treatment that doesn’t have to follow a bit. In fact, having music, for us MLD therapists can be distractive. Along with the MLD treatment, I have to be so focused that I can’t get distracted by the music’s rhythm. That would change the rhythmic of my touch and massage speed, interrupting the healing purpose of MLD. In conclusion, I never received a complaint about the Music choice, so I guess your customers appreciate the choice and respect the idea that under pay an artist, is just not fair.    

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Blog

Pain and MLD

Posted on by Giovanni La Rocca
MLD on Lower Leg
08
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.

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The importance of Manual Lymphatic Drainage

Posted on by Giovanni La Rocca
Giovanni giving MLD on patient's calf
19
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.      

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Watersheds and Body Quadrant in MLD

Posted on by Giovanni La Rocca
watersheds quadrant
04
Dec

A Watershed is an imaginary line that divides the body and the Lymphatic System into quadrants. Each quadrant has its lymphatic liquid collection canal, and the lower quadrants, as per the two legs, sends the liquid to the cisterna kili, a gland that sits deep behind the belly button that is connected to the upper left duct within the upper left quadrant. Some genetic variation, seeing the thoracic duct connecting to the right lymphatic duct. What does the watershed division look like? The main watersheds are four. A vertical one divides the body into two equal vertical halves. A horizontal one divides the body into the upper and lower body at the inguinal level. Other horizontal watersheds are parallel to each other and are located at: The clavicle line runs through the belly button on top of the iliac crest. In doing so, we have six quadrants: upper, medial, and lower. Other watersheds run vertically within the body. Those are located on the arms and on the upper leg. The importance of watersheds. As we dig more and more within the functionality of the Lymphatic System and MLD as a Lymphatic Drainage technique, we can see that in these specific quadrants, there are bundles of Lymph nodes that get loaded from the lymph vessels connected to them. The watershed division allows the liquid to be directed to a specific body area where lymph nodes are found. Indeed, the lymph nodes are the ones that clean up the lymph fluid, also called obligatory lymph load. When we treat a patient, we have to make sure where we direct the liquid because we want to ensure that the lymph fluid gets sent to the lymph nodes, where it will be processed and then transferred to the lymph/vein duct at the base of the cervical area. This is extremely important when we treat Lymphoedema, where we may bypass the watersheds, where the lymphatic system has been damaged or is missing, to transport the lymphatic fluid from a stagnant area to an active one. How to bypass a watershed To bypass a watershed and transfer the lymphatic fluid from one side of the body to the other side, we have to stimulate the anastomoses, which are the alternative pathways of the lymphatic system. Unless those pathways are stimulated, we can not transfer the fluid side to side along the horizontal or vertical lines. An example would be a person who went through a mastectomy and has a unilateral Lymphoedema. In that case, we need to stimulate the upper anastomosis to transfer the fluid side to side. In the drawing beside, you can notice the upper anterior and posterior anatomoses drawn in thick green lines. The upper watershed and the duct. After the obligatory lymph load reaches the upper watershed (the one running along the clavicle), it gets passed to the venous system. This happens after the obligatory lymph load travels with the trunk collector and passes through the duct. The duct is the last portion of the lymph trunk that connects to the venous system. In conclusion, we want to specify that the lower quadrants (R leg and L leg) and the upper L quadrant drain in the L thoracic duct within the L subclavian vein. Where the R upper quadrant drains into the R duct connected to the R subclavian vein. Below here, is a list of blog posts that talk about conditions where MLD can be beneficial: Bone fracture Sunburn Preeclampsia TMJ Chronic Pain Fibromyalgia Melbourne Massage and Treatment and Lymphatic Drainage Massage At Melbourne Massage and Treatment, Lymphoedema Clinic, I am specialised in Applied MLD and Lymphoedema management. I did train with the Vodder academy for my Lymphatic Drainage practice, and I have a clinical approach to this type of work. If you are in need of manual lymphatic drainage treatment, do not hesitate to book your next appointment now. A 15-minute Online free consultation is also available for those who suffer from Lymphoedema or Lipedema.

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MLD

Posted on by Giovanni La Rocca
MLD
26
Nov

MLD stands for Manual Lymphatic Drainage. As per a deep tissue massage, MLD treatment works on the lymphatic system and not the musculoskeletal system. This technique aims to boost the capacity and ability of the lymphatic system. Manual Lymphatic Drainage history. MLD is a technique implemented by Dr Vodder and his wife, Estrid Vodder, with the help of many other scientists and researchers. Dr Vodder can be described as a visionary of the lymphatic system role. He dedicates his life to the realisation of this technique. Dr Vodder and his wife formulated a series of hypotheses on how the lymphatic system works, and how it is essential to speed up recovery from diverse conditions. All their hypothesis, along the 20th century, were then confirmed and transformed in theory thanks to the works of many other scientists. As per result, after their first few years of hypothesis formulation, in the early 20th century, they could start promoting their work and run seminars and classes about MLD all around Europe. Nowadays, is in Austria in the village of Walchsee -Tyrol -Austria resides the Dr Vodder Academy –Lymphedema Clinic Wittlinger. The Austrian clinic was founded in 1971, and since that, the MLD spread all around the world, with courses that are taught in any continent. The Lymphatic System. To understand the importance of this technique, let’s analyse the body’s anatomy and the lymphatic system’s role. Indeed, for doing so, let’s compare the lymphatic system with the blood circulatory system. Firstly, the lymphatic system is an open system of “capillaries” (lymph vessels) and “veins” (pre-collector and collectors). Secondly, It differs from the blood circulatory system as it transports lymph, not blood, and is open and not closed. Thirdly, the lymphatic system doesn’t have a pump, as is the heart for the circulatory system. In fact, the lymphatic system, pushes the lymph around through a mechanism of osmosis pressure (at the lymph vessels system) and throughout an inner system of inner valves. Furthermore, the lymphatic system has filtering stations: lymph nodes. It is here where specific white cells live. Indeed, the role of the white cells is to help fight back infections carried by viruses and bacteria. Said so, the lymphatic system’s primary role is to collect waste. This happens at two different levels. At the superficial level (80%), where the lymph vessels are (lower dermis and the superficial zone of the subcutaneous tissue) and deep level of the body (20% below the deep fascia) return this waste to the blood system will then direct all the waste to the organs that clean the body, such as liver, kidney etc. How the lymphatic system works. So, our body is covered in skin, right? Below the skin, before the fascia and muscle layers, we got lymph vessels (the equivalent of capillary for the blood system). The lymph vessel spread on a vertical level all along the body in different concentrations. As per role, the lymph vessel collects the Lymph-obligatory load, the waste and excess material the body doesn’t need. Lymph-obligatory load is made from water, protein, lipids, exogenous substances, cells etc… The collection of the lymph-obligatory load comes through a suction and osmosis approach. The lymph obligatory load travels down to the pre-collectors from the lymph vessel. Indeed, pre-collectors are slightly more significant than the lymph vessel Furthermore,  rather than spread along the undersurface of the skin, they travel deep down and pass the lymph fluid to the collectors. As per result, the collectors that interconnect the lymph nodes transport the lymph-obligatory load to the blood circulatory system. Another specification to look for is that the lymphatic system is divided into superficial and deep. But we will look at this specification in the next blog post, where we will also talk about the watershed and body quadrant. Manual Lymphatic Drainage compared to the massage technique. So, now that we have a better idea of what the lymphatic system is and how it works, we can say that massage techniques such as Myotherapy, Thai Massage, Remedial Massage, or even Relaxation Massage are not the most indicated for helping the lymphatic system. They still would improve its work, but as the lymphatic system sits right below the skin and works by light stimulation, the friction and pressure applied with these techniques would be too strong. Even though no damage occurs to the lymphatic system when significant pressure is applied to it.

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Lower Back Pain

Posted on by Giovanni La Rocca
lower back pain
21
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.

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Melbourne Massage and Treatment - - - Close for Holiday till the 25th/9/2023 - - -
To all the new and returning clients, thanks for being here . I am currently in holiday, and I will be back to give treatment on the week of the 25th/Sept/2023. If you are in severe pain, and feel unwell, please reach out for your GP. If you have any inquire, contact me by clicking here. Booking are open for the month of September and onward. Click here to book your next appointment.