A little bit of good is in every bad

When your office flooded, it isn’t a pleasant experience but not a tragedy either.

As you understood from my previous blog “show must go on” a week ago at the day of seminar my office, including the classroom was flooded. This is surely not a great news.  I cannot see my patients, cannot conduct seminars and cannot film videos.

But looking at this event philosophically – it could have been much worse.

The boiler could have exploded, this could have happen at a time I treat clients, and so on.  As Anton Chekhov has put it nicely “If you have tooth ache – rejoice that it’s not all your teeth, if your wife betrayed you – rejoice that she didn’t betray your country and if you are going to prison – rejoice that you are not going to hell.”

Actually I wasn’t aware of the fact that the boiler was directly atop of my office. Now I made sure that boiler would not be above my office anymore, which means what has happen would never happened again.

In addition I requested from a landlord to provide me with safety report in regards to the entire installation, within my office and other facilities connected to my space, including  installation of the special device that will regulate water pressure, which was the main cause for the boiler incident.

Participants of workshop, who have arrived and have witnessed what has happened, advised to take pictures, and videos. These were great and useful advises  especially at the moment of initial bewilderment.  Also I have learned that we have to carefully check our insurance coverage. Not only it must include the professional livability coverage, but also wages lost, property damages, etc.  Let’s learn from my experience and others, in order not to get hurt.

Everyone who can add some advises and can share your experiences are welcome to post.

Summarizing, the greatest news of that day was that the landlord have provided me with the space to conduct of what turned out to be the very successful seminar.  All what happened since then and is happening now is not a very comfortable:  I am not able to see clients. On the good side soon I will have beautiful, safe and practically brand-new office.

Best wishes.

Boris.

P.S. Dear friends,

I’m not the major partner in my company, and is mainly responsible for educational materials.  However I’m always  aware of my management company plans and I did influence them to offer a significant discounts on self treatments DVDs. I can assure you this is very useful material, and would recommend to take advantage on this special offer to purchase all 8 DVDs for $100 only. It soon will be end  for this great and generous offer .take advantage http://medicalmassage-edu.com/dvds-only/265

It is official. Very soon prices on silicon jars will be increased at least on 25%. The wholesale on this jars had increased 28%. Please take advantage and purchase it. Click this link http://medicalmassage-edu.com/video-rentals

From MedicalMassage–edu.com, LLC support team.

Soon the release of Boris’ DVD “Prilutsky’s Method of Silicone Massage. Upper & Lower back disorders” is going to take place.

The DVD is going to cover incorporation of silicone jar massage for the Lower Back disorders, including:

and Upper Back Disorders including:

The suggested retail price of this DVD will be 49.95 +7 dollars shipping and handling.

However, as and promotional effort, the first 200 DVDs, just to cover production cost, will be sold for $15 + $7 shipping and handling on first come first served bases.

If you would have an interest in learning from this DVD please write us to support@medicalmassage-edu.com

 

The role of coffee grounds in cellulite reduction.

Recently I had the most peculiar clinical experience that left me with a big question. A familiar dermatologist referred to me as a client for cellulite reduction massage.  The main focus of my practice is painful pathologies and orthopedic massage.  Strictly speaking, cellulite is not a pathology. However, when a lady looks in a mirror and sees cottage cheese or orange peel marks on the skin, it makes her unhappy. Unhappy people cannot be healthy, and as therapists, our duty is to help people ridding of these sources of unhappiness. In many cases, cellulite reduction massage is a much cheaper and much safer alternative to liposuction or other plastic surgeries. If you would like to get more information on the subject please follow this link.  http://www.youtube.com/watch?v=vFO2vOG-Qdo

The client turned out to be a very extravagant lady, who brought with her a container with coffee muck and insisted on me incorporating this substance while performing cellulite reduction massage.  During the explanation of this bizarre demand, she referred to a cousin of hers, whom usage of coffee muck allegedly brought amazing results.

At that moment I was presented with the moral dilemma.  I was trained in how to incorporate Chinese cupping together with other special massage techniques to reduce cellulite. But since recently I started using silicone jars instead of glass jars, I had my first opportunity to use them for cellulite reduction.  Surely I had to adjust the existing protocol because glass jars are rigid while silicone jars are soft.  However, I had a strong hunch that silicone jars techniques could be even more effective, and less painful in cellulite reduction case as they proved to be in other cases.  But to do coffee mucking?

To do something that has no, known to me, scientific explanation or clinical proof, or lose the client and, more importantly, the first opportunity to investigate the effect of silicone jars?  Captain Kirk inside me wanted to “boldly go where no one has gone before.” Yet Mr. Spock, who happens to also be inside me at the moment, advised caution.  This coffee muck sort of smelled as is the entire experiment.  Surely, I thought of Dr. Oz green coffee campaign http://www.youtube.com/watch?v=nQSjObxUYRs But, first of, can you take Dr. Oz’s advice seriously?  Secondly what my client insisted on using wasn’t green or fresh.  Thirdly, even if it were green and fresh, would rub it in have the same effects as when you drink it?

So, I told my clients that I’ve never done a procedure that incorporated the usage of coffee muck. I also shared with her my suspicion that coffee color can get into the skin pores, and, possibly, can leave stains.  However, if she were to sign a release paper, I was ready to try it.  After all, her cousin used it and according to my client had no negative side effects.  The thought of this made me feel comfortable. I also surmised that coffee muck could play the role of an “emotional feel good“ effect for my client and in the worst-case scenario would do nothing.

To my surprise, the results of that experiment were a dramatic improvement.  Within 5 visits my client lost a significant part of her cellulite looks, developed less edema than usually. I have completed 10 treatments after two weeks have asked her to come for a checkup. The treated parts of her body looked very good compared to the parts I didn’t address. Usually, I concentrate on one location at the time. Now I will start working on other cellulite locations, of course, using coffee muck.

Despite the obvious improvement, the experiment didn’t make me an instant believer in the “coffee muck” method.  This happens because I used coffee muck in tandem with silicone jars.

As a matter of fact, during the last two years, I was developing a method allowing incorporation of silicone jars into medical-massage.  One of the advantages of silicone jar massage is its powerful ability to mobilize fascia, eliminate adhesions which provide faster and more advanced results compared to the classical hand’s fascia stretching and fibrotic cords tears methodology.

So currently I don’t know what caused those visible and rapid results in cellulite reductions.  Should I attribute those results to the incorporation of silicone jars, to the integration of coffee muck or to both?

To resolve these doubts I should have conducted more testing with coffee muck without silicone jars or vise versa.  Of course, I will continue my experiments and would be glad to share the results with you.

In the meantime, I would like to invite your opinion and see what my colleagues think or know about the usage of coffee muck in cellulite reduction massage.

Incidentally, those of you who utilize Chinese glass cupping and generate suction by means of fire, and would like to learn techniques for cellulite reduction, are welcome to look at my DVD#8 please click this link http://medicalmassage-edu.com/dvds-only/72   You can also preview short fragment from this DVD http://www.youtube.com/watch?v=Cdm8BVVf3mA

From MedicalMassage–edu.com, LLC support team.

Dear friends,

Soon the release of Boris’ DVD “Prilutsky’s Method of Silicone Massage. Upper & Lower back disorders” are going to take place.

The DVD is going to cover the incorporation of silicone jar massage for the Lower Back disorders, including:

and Upper Back Disorders including:

 

The suggested retail price of this DVD will be 49.95 +7 dollars for shipping and handling.

However, as and promotional effort, the first 200 DVDs, just to cover production cost, will be sold for $15 + $7 shipping and handling on first come first served bases.

If you would have an interest in learning from this DVD please write us to support@medicalmassage-edu.com

 

Patients reported outcome: Not all cases of sciatica are alike.

Six weeks ago I received a 48 years old woman who suffered from sharp pain in lower back, buttocks area, including a high intensity irradiation pain to right lower extremity for the last seven months.

Actually she had sciatica condition since the age of sixteen. According to her these pains of some intensity were constant.  At least, once a year she had episodes of very sharp pain, that disabled her for few weeks.

All possible tests were done, including repeated MRIs. In the age of 36 MRI shows 4mm disc bulging on L4/L5 level. This time she have gotten a terrible attack for seven months and couldn’t function at all, consuming lots of pain killers, undergoing three epidural injections, during six physical therapy procedures, including exercise, the condition have aggravated to the  point of being not able to function at all.

Listening to her, I was pondering that piriformis muscle syndrome often is the main cause of sciatic nerve neuralgia, and other related syndromes.  So I planned to investigate the presence of piriformis muscle syndrome and then apply the piriformis muscle syndrome protocol since it is very effective in most difficult cases of sciatic nerve neuralgia.

I started by carefully palpating all areas of lower back, buttocks and extremities and have discovered much fascia and muscle tension as well as many trigger points practically everywhere in these regions, but especially within  quadrates lumbarum, gluteal muscles group and hamstring.

Having been aware of similar cases, first few treatments a therapist should advance slowly, expecting to palpate additional abnormalities within soft tissue.  Considering the long history of her disorder and the fact that the exercise programs significantly aggravated her condition, I suspected that she was born with an unusual condition where sciatic nerve fibers intergrew through fibers of piriformis muscle. Due to chronic inflammatory conditions, people develop region adhesions, especially within neighboring muscles and other soft tissues. With age the condition gets much worse exacerbated by soft tissue calcifications.

During my career I have treated people with this condition.  So I carefully  went ahead, following the piriformis muscle syndrome protocol.  I was extra careful while addressing buttocks and shifting gluteal muscles since my goal was to transmit pressure to piriformis muscle.

Because of the intergrowth of sciatic nerve fibers in the fibers of piriformis muscle and neighboring soft tissues, in addition to normalization of aforementioned muscles resting tone, reduction of fascia tension and elimination of all trigger points within region, the main goal of the treatment was to carefully address all adhesions.

Again one has to be very careful tackling this problem and progress slowly. Otherwise it would be easy to significantly aggravate the condition, causing the client additional pain and sufferings.  By the way, this is why cases of sciatic nerve neuralgia/piriformis muscle syndrome, where sciatic nerve fibers intergrew through fibers of piriformis muscle. take many more treatments, then just usual cases.

Usually in case of piriphormis muscle syndrome improvements are evident in a frame of five treatment.  Yet in aforementioned case of intergrowth the progress comes even slower.  My professor Dembo believed that massage therapists  doesn’t necessary have to be very strong , but sensitive.  His view is  especially applicable in this case.

Considering that my client was unlucky enough to be born with the aforementioned intergrowth condition, her timing appearing in my office was perfect.

I just finalized development of silicone jars massage techniques, which proved to be very powerful but gentle in case of adhesions elimination. So I, naturally, have proposed my client to try applying this technique for her condition.

It so happened that her husband, who is a medical doctor, asked me to demonstrate this technique on him.  After being subjected to silicone jars techniques, he come to the conclusion that these techniques are safe, effective and especially was impressed with my approach to introductory part, where I activated pain gate control.  In our collaborative opinion the worst case scenario was that application of these techniques could do nothing.  As for my client, she admitted that had nothing to lose since she already scheduled a  surgery.

After first gentle application of silicone jars techniques, she reported a relief in first time during the last seven months.  For the three days she received treatment while I gradually increased suction.  She improved to the point of coming back to normal life and having no pain.  In total I have provided sixteen treatments.   The surgery was canceled.

In two weeks I recommended to come back for some additional treatments  even if she was free of pain. Of course I asked her to be very careful in all functional activities, avoiding challenging the improvements and proposed her the home program.

By the way, the surgery would have done her nothing good but to add suffering.  In her case changes within L/spine didn’t play the main role in terrible clinical picture she had suffered all her life.

From MedicalMassage–edu.com, LLC support team.

Dear friends,

Soon the release of Boris’ DVD “Prilutsky’s Method of Silicone Massage. Upper & Lower back disorders” is going to take place.

The DVD is going to cover incorporation of silicone jar massage for the Lower Back disorders, including:

 

and Upper Back Disorders including:

 

The suggested retail price of this DVD will be 49.95 +7 dollars shipping and handling.

However, as and promotional effort, the first 200 DVDs, just to cover production cost, will be sold for $15 + $7 shipping and handling on first come first served bases.

If you would have an interest in learning from this DVD please write us to support@medicalmassage-edu.com

 

Increasing unwillingness to bear even small pains

Running across this article Prescription drug abuse surged 400 percent in past decade I was amazed how resonant this topic was with my own thoughts; those that I was mulling over for a while and that were troubling me. From the article: ”A new White House study found a 400 percent jump in prescription drug abuse between 1998 and 2008. Experts blame a lack of monitoring programs as well as Americans’ increasing unwillingness to bear even small pains.“   A rather strange explanation.  Rather not really an explanation at all, but replacement one unknown with another one.  Most are aware of addictions and their terrible outcome.  “Small pains” whatever this means are not life-threatening. Why would people be jeopardizing their health and the very life by consuming “legally prescribed” narcotics? I think what pushes people to take drugs is the exhaustion and desperation due to constant suffering from painful skeletal muscular disorders and mostly from stress.  Stress that crawls from all cracks of modern life and attacks, attacks, attacks.

A rather strange explanation.  Rather not really an explanation at all, but replacement one unknown with another one.  Most are aware of addictions and their terrible outcome.  “Small pains” whatever this means are not life-threatening. Why would people be jeopardizing their health and the very life by consuming “legally prescribed” narcotics? I think what pushes people to take drugs is the exhaustion and desperation due to constant suffering from painful skeletal muscular disorders and mostly from stress.  Stress that crawls from all cracks of modern life and attacks, attacks, attacks.

  1. Stress always awakens and increases muscular tone.
  2. Mainly, people carry stress in the neck and upper back region, abdominal and lower back region.
  3. It expressed in muscular tensions/elevated muscle resting tone.
  4. Stress causes muscular pains and aches.
  5. As we all know in the last 10-15 years, due to The Internet and new communication media, declining economy, terror acts, and many other factors people are exposed to much greater stress on a daily basis.
  6. When one develops painful orthopedic disorders related to trauma or due to chronic skeletal muscular conditions, stress contributes to and fuels pain as well as, in most cases, do not allow sustaining normal muscular resting tone within the injured area.

Why then massage therapists, physical therapists, chiropractors, professionals whose primary focus is a treatment of painful skeletal muscular disorders and stress management cannot stop this epidemic of drug addiction?  I think it’s because as an industry we failed. One of the reasons is – massage therapy community is divided, and therefore general public has a hard time choosing between 1000s alternative names for massage therapy.   During the Last 13 years many of my colleagues, pretended to be scientists, “developed” treatment methodology of their own, denying 1000s year history of clinically proven safe and effective Oriental medicine and scientific discoveries and clinically proven methods of the conventional Western massage that was developed in previous centuries. By all means we have to work with physical therapists, as well as chiropractors together, for the sake of people, and not to be driven by egos and politics. I have a strong suspicion that these distractions and the “new movements” are the heavy contributors to the “400 percent jump in prescription drug abuse.”

Please note that the offered statistics spans the period between 1998 and 2008. It doesn’t look today in 2016 that there is any change for the better. I am saying “we failed,” because it is scientifically and clinically proven that massage therapy is the most powerful methodology in stress management, designed to take care of harmful side-effects of stress and thus alleviate public of all the aforementioned “small pains” in the grand scale. Yet, of course, the reasons for the failure are not only internal contradictions within the massage field.  Many of our colleagues constantly do a great job, providing orthopedic massage, stress management massage, protocols for fibromyalgia cases, etc. and achieving results. The problem is that those great results are not sustained, and when symptoms come back people move back to consuming drugs. To achieve sustained results not only a therapist has to provide, at least, 15 treatments twice a week, but also to understand adequate treatment concepts, such as, for example, the fact that all trigger points have to be patiently discovered and compressed for a thirty seconds producing ischemia. It is also important to understand that trigger points are the results of muscle/fascia dysfunction /insufficiency and in order to achieve sustained results we have to address those dysfunctions appropriately.  Consider the difference between functional potentials of connective tissue and muscular tissues.

By all means we have to work with physical therapists, as well as chiropractors together, for the sake of people, and not to be driven by egos and politics. I have a strong suspicion that these distractions and the “new movements” are the heavy contributors to the “400 percent jump in prescription drug abuse.”  Please note that the offered statistics spans the period between 1998 and 2008. It doesn’t look today in 2016 that there is any change for the better. I am saying “we failed,” because it is scientifically and clinically proven that massage therapy is the most powerful methodology in stress management, designed to take care of harmful side-effects of stress and thus alleviate public of all the aforementioned “small pains” in the grand scale. Yet, of course, the reasons for the failure are not only internal contradictions within the massage field.  Many of our colleagues constantly do a great job, providing orthopedic massage, stress management massage, protocols for fibromyalgia cases, etc. and achieving results.

The problem is that those great results are not sustained, and when symptoms come back people move back to consuming drugs. To achieve sustained results not only a therapist has to provide, at least, 15 treatments twice a week, but also to understand adequate treatment concepts, such as, for example, the fact that all trigger points have to be patiently discovered and compressed for a thirty seconds producing ischemia. It is also important to understand that trigger points are the results of muscle/fascia dysfunction /insufficiency and in order to achieve sustained results we have to address those dysfunctions appropriately.  Consider the difference between functional potentials of connective tissue and muscular tissues. Introductory To Myofascial Release Techniques

Superficial and deep Fascia Release Part 1

Superficial and deep fascia release Part 2

Myofascial Mobilization Summary Part 1

Myofascial Mobilization Summary Part 2

However, in my personal clinical observations, as well as in talking to many other practitioners, I came to the conclusion that in today’s world even the perfect quality of treatment is not enough to secure sustained results.  Because causes of stress are many, are constant and unavoidable – the stress management efforts also have to be just as constant.  In other words, in order to sustain results, a home program must be included. I feel that all of us has to contribute to this struggle for health.  I did my part by creating 8 self-massage DVDs, where I extended medical massage protocols to self-massage techniques and where I’m offering step-by-step instructions in teaching these protocols, including stretching, and exercise program.

To get familiar with this works, please click this link http://medicalmassage-edu.com/dvds-only I also am very happy to announce that the management of my company is offering a special deal for all 8 DVDs.  For a short time, all 8 self-massage DVDs are offered at $100 plus $15 shipping and handling, or you can purchase each individual DVD for $20 +7 dollars shipping and handling.

To purchase please follow this link Self-Massage Discount Page We would be happy to hear your opinion in this much-needed discussion.

Best wishes,

Boris

Patient Reported outcomes: Too much of a good thing.

Stretching is a good thing.  It seems.   Yet it all depends.

Several months ago I’ve gotten a call from a student of mine who is a DPT now.  She asked me to take on a peculiar and difficult case of rotator cuff syndrome.

She said that for almost a year, the client had constant pain in shoulder joint, severe limitations in range of motions in many planes and angles, that he was through all possible forms of conservative treatment, including physical therapy, chiropractic adjustments, acupuncture,  and different  styles of massage. According to her, I was the last stop before corrective surgery.  She also mentioned that he was a kind of a high profile clients, specifically ex-governor of California Gray Davis.

I agreed.  Ex-governors are also people.  Their pain is just as bad as pain of anybody else.

The client came over and during examination told me his story in more details.  Originally he had moderate pain and limitation in range of motion.  But every new procedure he was subjected to included forcible stretching, after which his pain and limitations became greater and greater, until the pain became constant.  As much as I learned,  Mr. Davis isn’t a whiner by nature.  But the constant pain drained him.  He looked tormented.

While examining  the shoulder I discovered that  pain and limitation in range of motion were not uniformed;  in some plains and angles they were greater.  But even the movements that he could do caused lots of pain.

It became obvious  that the muscles that stabilized and moves shoulder joint didn’t work in assembly, and production of energy within this muscles wasn’t adequate.    All the rotator cuff and surrounding muscles: Teres minior, latisimos dorsai, pectoralis major, etc  were overstressed, shortened and inflamed.  Muscles that were suppose to stabilize the joint didn’t and couldn’t  do that, and pain was the protective reaction against the possibility of the joint getting out of socket.

I started to implement  the entire protocol for Rotator  Cuff syndrome, including lymph drainage, fascia mobilization, muscular mobilization  and trigger point discovery and elimination.  After that I started to perform post isometric relaxation for all these groups of muscles and  other muscles that participated in  movement and support of the shoulder joint.

Post isometric relaxation is also a special kind of stretching, but the kind that could be performed on the muscle with elevated muscle tone and cannot harm it.  To understand the difference between regular stretching and post isometric stretching please click here.  To learn more about  the Rotator Cuff protocol please click here.

Practically within several first treatments it became obvious that this was the right course of actions, because the client started feeling better.  Pain became less severe, range of motion increased the client started to sleep normally.

Today Mr. Davis feels much better; back playing golf.  To view his testimonial please click here

As you can see in case of limitation of range of motion stretching along can increase motions but would contribute to instability of joints.  Joints instability is a precondition for sports related injuries, decreases capability to perform well in sports it and eventually leads to disproportionate  to age development  of osteoarthritis.  For better understanding please click here.

In most cases of normal range of motion when it’s produces pain it does means that stretching along shouldn’t be applied , but post-isometric relaxation techniques, in order to balance energy within the same muscles, which will correct muscular assembly work, will increase the joints  stability etc.

Today we have to recommend, and teach home programs for self-massage including stretchings. It’s difficult to sustain results when client receives treatments only in the office.

Please click this link to my DVD, where I demonstrate post-isometric relaxation techniques on many body parts, and much much more.

As for me, I constantly provide myself with self massage as well as utilize  post- isometric relaxation techniques . Please be advised that relaxation techniques means stretchings. Dr. Karel Lewwit who developed and proposed this techniques, under relaxation meant normalization of muscular resting tone , which is possible when pathological changes within muscles are eliminated. When normalization is completed, one can use stretchings only.

These is great material to use for self-care, and then to learn it and teach your clients.



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