Tag Archives: neck pain

Pain and MLD

MLD on Lower Leg

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.

Cupping, what about

cupping on back

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.  

Fascia

Fascia Photo

What is Fascia? Why is it so important? How does it work? How can Thai Massage help improve fascia mobility? A fascia (from Latin: “band”) is a band or sheet of connective tissue, mainly made of collagen, that sits below the skin and attaches to, stabilises, 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 other body parts, such as ligaments, aponeurosis, and tendons, fascia is made from fibrous connective tissue. 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 by fibroblasts, contained within the fascia. In conclusion, fascia differs from other body components such as ligaments and tendons.This is because ligaments hold bones together, and the tendons attach the muscles to the bones. Going ahead we can define F. based on its location and Superficial F. This is found just below the last skin layer, the subcutis, in most regions of the body, blending with the reticular layer of the dermis. Muscular F. Defined as the fibrous layer surrounding the muscle, or other body parts such as nerves, bones. Visceral or parietal F. This type of structure suspends the organs with their cavities and wraps them in layers of connective tissue membranes. In regard to the functionality of the F., we look into 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, sitting between the skin and the muscle and around the muscle too. If the web is overconnected, that means it is tight, and the muscle would find it difficult to move and slide. 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, there is noticeable dragging in the fascia along the anterior and/or posterior and/or lateral thoracic area. The person, unless told to feel what happens in the thoracic area, would hardly be aware of any restrictions in the thoracic area. Having said that, we can now open a Pandora’s box 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, into the TFL, Obliquos Abdominal muscles, opposite Serratus Anterior, Rhomboids, and finally to Splenius Capitis.As a result, someone who 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 there 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 can Thai Massage help? Thai Massage can help with stretching the fascia by applying a force on the skin in the direction of the restriction. It is enough to check in which direction the skin feels tight, and that’s the direction in which we want to apply a stroke with a pulling force, strong enough that the client does actually feel a stretch. At Melbourne Massage and Treatment, I use techniques of work like MFTT and/or Cupping and static/dynamic stretching. In regard to cupping, add MFTT, which is a technique of work that I did learn at RMIT along with my studies 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 would like to invite you to see this video from Dr Gil Hedley, which dives into the magnificence of Fascia.

Cervical Occipital Muscles

Cervical Occipital Muscles

Firstly the Cervical Occipital muscles are a group of muscles, that seat inferior to the skull and are bilateral to the first and second cervical vertebrae. Cervical Occipital muscles are responsible for 45° of rotation out of 90°. Along with these muscles we find: – Obliquus Capitis Inferior; Origin: Spinous process of Axis (C2) Insertion: Transverse process of Atlas (C1) Innervation: Suboccipital nerve – Obliquus Capitis Superior Origin: Transverse process of Atlas (C1) Insertion: Superior line of Occipital bone Innervation: Suboccipital nerve – Rectus Capitis Posterior Major Origin: Spinous process of Axis (C2) Insertion: Inferior line of Occipital bone Innervation: Suboccipital nerve (posterior ramus of spinal nerve C1) – Rectus Capitis Posterior Minor Origin: Spinous process of Atlas Insertion: Inferior Line of Occipital bone Innervation: Suboccipital nerve The actions supported by Occipital Muscles are to extend and rotate the head. How tight Occipital Muscle affect ROM. When rotating the head, so looking at your right or left, you may notice that you don’t have a full range of 80° to 90°, and you start rotating with the thoracic too. One possible reason for this is tension at the occipital area, due to muscle tension and or facet joint irritation. Moreover, to the rotation and extension actions the Cervical Occipital Muscles, are responsible for holding the head up straight. This characteristic is to be taken into consideration with the anti-gravity functionality. In addition to the Cervical Occipital Muscles, other anti-gravitational muscles are the Soleus, Quadriceps Femoris Group, Gluteus Max, and Erectors Spines group. The anti-gravity functionality is essential for the body to fight back gravity (9.81 m/sec2) and allows the body to stand straight up. This group of muscles received information in regard to the gravity pressure from the feet. This information travels along the nervous system starting from the Center of Gravity (COG) of the feet. If the COG is not balanced all body gets affected with a loss of balance as per result. Furthermore, in modern days, the Cervical Occipital Muscles are under constant stress as per all the other anti-gravitas muscles. This is due to spending long hours standing or seating. For example, standing for long hours would overload the feet, leg and back muscles, whereas seating would inhibit the leg muscle but overload the back and cervical muscles. On top of that, spending long hours looking at the phone and or PC would additionally put stress the Cervical Occipital Muscles muscles, as they get over-stretched. How massage can help? As per massaging this area, as therapists, we look into avoiding the Suboccipital triangle, which is defined by the border of the OCI, OCS, and the RCMaj. The Suboccipital triangle is an endangerment site. This means contains superficial, delicate structures that are relatively unprotected and therefore prone to injuries, such as the Vertebral artery, Suboccipital nerve (C1) and Suboccipital venous plexus. If this post is talking to you, and you are in need of a massage, book your next session by clicking here. And what about exercises? As per all the muscles of the body, there are exercises that can be done for the Cervical Occipital Muscles. Along with Thai Yoga, I teach a really simple exercise that recalls the Scap Off Load Test ( a Functional test used to determine what muscle of the cervical region may affect the head rotation). Firstly, in this exercise, available in the Melbourne Massage and Treatment YouTube playlist, you are seating on the floor with a cross leg (a yoga block or pillow can be used as per support), hands projected backwards, with wrists seated below shoulders on a straight line. As per result, the neck would seat in between the shoulders. Secondly, by flexing the head forward, reach the manubrium (the bond that connects the clavicles) with the chin, and with a gentle rotation movement, start rotating the head in a circular movement. Indeed per many Thai Yoga exercises, it is important to be aware of the movement, the body sensation and the speed of movement, which is to be slow and weighted out.

Exercises for Upper Cross Syndrome

Seating straight

Exercises for Upper Cross Syndrome As previously mentioned, the UCS is caused by a constant habit of poor posture, to achieve a correct posture on top of massage therapy, we would need to do exercises for Upper cross syndrome. So, there are 2 main groups of muscle that we want to target. 1st group, the tense muscles: Levator Scapulae Upper Trapezius Pectoralis Major Second group, weak muscle Deeper Neck Flexors Rhomboids Middle Trapezius. Now, let’s go through some exercises for Upper cross syndrome. Brugger exercises for Neck deep flexors. This exercise is going to focus on improving the strength of the deep flexors. Stand straight with feet apart ; Place 2 fingers, one on each sternocleidomastoid and start gently and slowly flexing the head forward. The fingers seating on the Sternocleidomastoid (SCM) would allow you to keep those muscles deactivate and so would place all the strength of flexion on the deeper muscle that we are trying to train in gaining strength. If you are not sure where the SCM is, place a hand horizontally between the neck and the upper chest, along the Clavicle line. Rotate your head gently right and left and those 2 muscles that pop up below your hand when you rotate the head are the SCM. Just be aware that the L SCM will activate when you rotate right and vice versa; 3 repetitions for 10 head flexion. Do you feel like you need help with your neck pain? Book now your next appointment at Coburg Clinic. Strengthening the Rhomboids and Middle Trapezius. For this exercise, we would need an elastic rubber band for exercises. · Stand straight, feet apart, and wrap the elastic band on your fist, thumb facing out. · As you breathe in flex the elbow at 90, breathe in and bring the rubber band in tension. As you breathe out extend the elbow out. · Release and start again. 3 repetitions of 10. All those exercises have to be done daily for 6 weeks in order to be effective to change the UCS. Self Massage for Pectoralis/Upper Trap/Levator Scapulae. Pectoralis Self Massage exercises: Lie down in a prone position with the arms along the body; Place a tennis or a spiky ball right between the Pectoralis and the floor; Keep the foot’s toes anchored on the floor; Gently push yourself forward and back by breathing in (from the nose) and out (from the mouth). If you would like more pressure, is enough to open the arm at 90 and lightly extend the arm, by lifting the hand from the floor. Upper Trap and Levator Scapulae Thai Yoga exercises: Start by lying in a supine position and the ball will be seated between the shoulder and the floor. Place the ball right next to the upper angle of the scapula. This time keep your shoulder flexed at 90 degrees, so with the hand facing the ceiling. Start gently a slow rotation movement at the shoulder, by drawing a circle with the hand. 3 series of 6 repetitions for each rotation movement. With Thai Yoga, you wanna make sure that each exercise is done slowly and gently. Those exercises often work on the delicate area of the body and can reproduce massage pain. Moving the body slowly and gently and having constant breathing in and out would allow you to live Thai Yoga at its full potential.

Upper Cross Syndrome

Upper Cross Syndrome

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 Coburg 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


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