Happy Thanksgiving

I am always very grateful to my clients for allowing me to do work that I love. But this month, I am particularly grateful that everyone has obliged my request to write in the journal I acquired one month ago. It has already become dear to my heart. Imagine the gravitas it will have years down the road, after its pages are full and it has multiple successors.

I would like to share some of the beautiful thoughts you all shared in it thus far. I may not always be able to interpret the handwriting, but each word brings me joy, whether it’s legible or not. 🙂

The very first entry was October 25th, when the prompt I gave was “Just write whatever is on your mind right now or as you were driving over here.” Later, I added “What are your goals for today’s session”

“How much work is enough? Am I taking care of myself? How best can I spend my time? What am I on a path to?

“I’m looking forward to the escape that happens when I’m here. I achieved true peace last time. It was amazing.”

“Sharp pain, when walking, hits in my back like a sharp knife. Constant feel of pressure lives in my lower back and my shoulders. Heavy stuff.”

“I, like many Americans, am eagerly awaiting our political situation. Feel like my brain has been on overdrive and have spent too much time in front of screens this week. I’m excited for some time away from everything and a chance to relax.”

“Stress, anxiety, and hurt have become normalcy. Why can’t everything be like it used to.”

“This weekend has been one of great relief and release of tension. Now I feel unwound. There is so much to do in my life and in the world. I am ready to face it. I know that I am not by myself. The bright connections with the other people in my life are energized and I am ready to follow their pulls. 

I’m excited about this journey. Onward through the mystery!”

 

“Here today because of the stress of election week. I feel confident in our country to move forward in the right direction but being —– of those who would see a tyrant installed brings so much anxiety.” 

 

“I left work early. I am going out of town to my grandparents Mountain House. I want to be relaxed so I can stay calm all weekend. I came here because I wanted a different approach to therapy. I’m excited! :Drawing of mountains: The mountains grant me peace”

“I stopped journaling when I was a child and my elder sisters teased me with what I wrote, so this is an interesting experience. If we’re dealing with my hopes then they are to leave here feeling relaxed and tranquil. Possibly with further techniques gleaned. I think we’re all seeking connection, especially now. With ourselves and with others.”

 

“Looking forward to trying something new and checking out Erin’s re-made studio. And to relaxing into the weekend!”

Adding Prompts

The first 3 prompts I added were:

“Where do you live? In a house, in a town, in a dream? Be literal or not. The photographer Dorothea Lange once gave her students an assignment to photograph where they lived. They asked her to do it too. She brought in a picture of her foot (she’d had polio as a child). Go with your first thought”

“Write what your five senses are picking up right now. Keep it simple. No thoughts or feelings, just the details of what your body is sensing.”

“Write about a time you went into cold water – a lake, pool, shower, or rain. Write about how your body reacted. Was it delicious relief from the heat, or a shock that caused goosebumps and turned your lips blue? Or write about the cold water as a metaphor.” 

Responses to prompts

“I live in my head. That’s where my comfort is. It’s where I retreat to when I’m stressed or worried or scared. It’s been a long term project to — make space. Seems like now, it’s time to clean, organize, and get things in order.”

“The feeling of cool water in my throat going down to my stomach. The cool air blowing in the room and almost moving with the rhythmic music. The earth tones around me. The relaxed mood of the ambiance. The old leather of this book with old style binding of the leaves of each page. The wagging dog happy at the simple things.”

“The first memory that comes to mind is a morning at swim practice in December. We swam in an outdoor pool and the heater had just broken, so while the temperature of the water was falling my coach made us get in to at least get a warmup. Jumping in when the water was 64 degrees was literally breathtaking. My entire body simultaneously froze and went into overdrive. I could feel every hair on my body as I fruitlessly tried to warm up. Because it was barely above freezing I never did, but it — the best try and a visceral experience.”

Post-massage thoughts

“Calm. Happy. Clear. 
Thankful for this time. 
Centered. Open to listening to what my stressed body is trying to tell me.”

“My brain feels centered now and calm. My body feels less stressed and on edge — finally don’t feel like I’m in my constant fight/flight state.”

“Sometimes all we need is a second or two in our own thoughts. Although things seem out of control sometimes, I need to remind myself that those feelings are temporary” 

“My body feel more alive. It’s like I can sense my blood flowing, my nerves tingling and myself just being awake. I’m smiling on the inside and the outside!”

“I feel so much better already. There were times when I caught myself imagining the worst for our country but I have found comfort in knowing that evil triumphs only when good people do nothing”

“Afterwards, I feel more relaxed. Knots I didn’t know I had are gone. I definitely feel more tranquil. I am looking forward to the rest of my evening.”

“What a lovely ceremony. I feel like a whole person. Thank you! This is the feeling I want to take with me out into the world.”

“I imagined I was a warrior after a battle. A warrior in mind and body. I hope to keep that mentality with me going forward.”

“Music is persistent from beginning to end. Skin is soft from massage and coarse gloves. Muscles are much relaxed and not tight. Mind wanders. Sleeping dog. 🙂 Feeling uplifted! Thanks so much! You’re awesome Erin!”

Good evening, Monkeys.

While reading a narrative review of pediatric massage research, my mind drifted to the thought that massage therapy is a “Miracle Cure”. I immediately rejected it, recalling the dozens of books my mother had in our house growing up. “Garlic Cures All”, “What Your Doctor Doesn’t Want You to Know”, “Deodorant Will Kill You”…blech. What kind of research did those authors do to make their claims? Assuming they even did research, there is a big difference between good and bad “research”. Some people think reading something without verifying the source or accuracy counts as them having done their research.

The best thing I learned in the Occupational Therapy program was how to critique a research study and determine if the results could even be valid from their methods. You’d be surprised what can get passed off as scientific study. For example, only about 7 women were involved in the study which is the basis for everyone thinking women’s menstrual cycles sync up when they live together. Not only did not all the women’s cycles sync, but they only synced up coincidentally for about one cycle. The same thing happens with car turn signals. If they’re blinking long enough, they’ll eventually sync, then unsync again. The researchers were over-excited to have some kind of results so their flimsy study made headlines. Same thing happened with the doctor who drew a connection between vaccines and autism. Bad research that became popular.

That’s why it’s important to read these narrative reviews of where the research currently stands, based on all the studies that have been done. Not just one study. Or two, or six. All the studies. According to the author of this research summary, massage therapy is looking to be a very promising solution for a wide variety of ailments that children and infants suffer. Unfortunately, all the studies involve daily massages, so we don’t know what the results would look like if people were to only receive weekly or even monthly massage. But I support daily massages, regardless.

*https://www.mdpi.com/2227-9067/6/6/78. Field, T. Pediatric Massage Therapy Research: A Narrative Review. Children 20196, 78.

Massage and Safety

We need to talk about massage and safety.

In 2017, Buzzfeed broke a story about abuse occurring in Massage Envy franchise locations. There has been a lot of conversation about the story online and in the news, which you may have seen. What you probably haven’t seen (unless you’re a part of our profession) is the uproar it has caused in the massage therapy community. Horror is a common emotion: who would do such a thing? Sadness: for the people who will be too fearful to receive the bodywork they need out of fear for their safety. And anger. Plenty of anger.

To be clear, this anger isn’t for the thousands of ethical massage therapists, managers, and support staff at Massage Envy. Whether you care for their business model or not, the vast majority of Massage Envy employees are out there doing their jobs, caring for clients, and earning a living, and they deserve our support. The anger is for perpetrators who violated the faith placed in them by trusting clients; the franchise owners, managers, and employees who allowed it to happen; and the organization that provided neither sufficient guidance nor real consequences for the people they allow to work in their name.

But I also want you to know that I care about you. As a client and as an individual. Because you have a right to feel safe while getting a massage. And this goes whether you’re receiving a massage here or anywhere else.

So here are some promises to you:

My promise

I will give you access. I will publicly post information on how to check the license of any massage therapist in the state. If you need help finding information on out-of-state therapists as well, you can ask and we will direct you to the appropriate resources.

I will be proactive and regularly solicit feedback from clients about their experience. Big or small, positive or negative, I want to know your experience so that we can do our best and stop major issues before they start.

The power is yours

There is a natural power differential when a person decides to get a massage. When one person is trained, familiar with the environment, standing up, and fully dressed, and the other has none of those advantages, it can be easy to feel like someone receiving a massage has no power at all. But it’s important to know that, no matter how much of an expert a person may be in massage, you are the expert on your experience. And as the expert on you:

  • You have the right to tell your massage therapist to change or stop what they are doing for any reason.
  • You have the right to end your massage session at any time for any reason.
  • You have the right to stop seeing your massage therapist, or to choose a new massage therapist, for any reason.
  • You have the right to report any misconduct to your massage therapist’s supervisor, to their licensing agency, to law enforcement, or to all three.

Again, you have a right to feel safe while getting a massage.

And since we’re having an open conversation about safety, we also need to be clear about one more thing: massage therapists also have a right to feel safe while giving a massage.

Ensuring the safety of massage therapists from clients who would harass, assault, or otherwise harm them is another conversation that you might not always be privy to as a client, but is a major point of discourse in the massage therapy community. For whatever reason, there are still people out there who confuse (or choose to conflate) massage therapy with sex work, and feel free to act on that impulse regardless of the wishes of the therapist in question.

If this is obviously problematic to you, like it is to 99% of the people in the world, then you don’t really need the following reminder.

But if you’re in that 1% and believe you’re owed sexual favors by virtue of existing and rely on that sense of personal entitlement while preying on massage therapists, especially those who are inexperienced or economically disadvantaged, here’s a wake-up call for you:

Your massage therapist also has rights

  • Massage therapists have the right to refuse to provide any service they feel would be inappropriate, out of their scope of practice, uncomfortable, or unsafe.
  • Massage therapists have the right to end a session at any time if they feel unsafe with a client.
  • Massage therapists have the right to no longer see a client they feel unsafe with or unqualified to treat.
  • Massage therapists have the right to report a client’s inappropriate behavior to law enforcement.
  • Massage therapy business owners have the right to stop scheduling a client for inappropriate behavior, to ban them from the premises, and to warn other local therapists about them. (And massage therapists do talk to one another. It’s a small profession.)

In the end, everything is better off in the light.

It’s better to have a major exposé in the news than for abuse to go on unaccounted-for. It’s better to ask hard questions before choosing a new massage therapist than to go into a session anxious or afraid. And it’s definitely better for massage therapists to address the issue of safety head-on, rather than pretending the concern doesn’t exist.

We all have a right to feel safe.

Hopefully, if we continue to work together to shine light into the dark corners of the world, all of us will.

Why Your Massage Therapist Asks All Those Health Questions

Before your first massage, I’m going to ask you about your medical history.

I’ve got an intake form that will ask about what medications and medical conditions you have, and a whole host of questions about your health history.

So why is this? Am I being nosy? Why do I need to know such detailed, personal information about you that you may only otherwise share with your doctor?

While it may seem like a hassle or invasion of your privacy to fill out an intake form, there’s a great reason I want to know so much about your health: Knowing your health history not only protects you from potential injury during your massage, but it also means I can better personalize your massage to your needs. This ensures that when you leave the massage table, you feel better than ever.

What is a contraindication, and what does it have to do with my massage?

 

Every so often, it turns out that for some people in specific health situations, massage could actually be harmful. This is referred to as a contraindication, and there are two different classifications of contraindications:

Relative Contraindication: Relative contraindication means that caution should be used when performing a certain procedure. In the world of massage therapy, this means that a massage therapy session can happen, but that the therapist will need to adjust the techniques and particulars of the session (like positioning, pressure, even massage products used) to stay safe and effective.

Absolute Contraindication: Absolute contraindication is the term used when massage could cause harm, and should not be applied at all. This is pretty rare, but it happens.

While typically relaxing and healing, there are times when a massage can be painful or even dangerous, for various health-related reasons. In most cases, this means we can proceed with the massage, but I’ll ask some follow up questions to keep it safe and effective.

Examples of massage contraindications include:

  • Varicose veins
  • Undiagnosed lumps or bumps
  • Pregnancy
  • Bruising, cuts, abrasions, and even sunburns
  • Psoriasis
  • Eczema
  • High blood pressure
  • Cancer
  • Osteoporosis
  • Heart problems
  • Epilepsy

Fear not: Not all of the above listed medical conditions mean you have to give up your regular session with your massage therapist.

In fact, for some of these conditions, massage can have major soothing effects. However, it does mean that your therapist will need to give you specific care. This is one of the main reasons it’s vital your massage therapist knows your medical history.

Also, colds, the flu, skin infections, or the presence of a fever are all reasons to wait to get a massage until you are feeling better.   <>

Why does my massage therapist need to know what medications I am taking?

There are some medications that have an effect on your body’s ability to heal and process correctly and I need to be aware of what you’re taking so I can make adjustments.

For example, a firm deep tissue massage could be very dangerous if you are taking blood thinners, or if you’ve been on corticosteroids for a long time, you may have low bone density or thin skin as a result.

Again, in almost all cases, we can make adjustments to keep your massage safe and effective, the key is to keep me fully informed.

In a nutshell, even if you think a detail may be irrelevant, it’s smart to complete my intake form entirely and honestly. That helps me create the best and safest massage, just for you.