Post-Concussion Patient Testimonial

Below is a testimonial of my patient. For confidentiality purposes, let’s call him Paul and let’s call a referring neurologist Dr. Smith. By the way, in November this neurologist planned to do a presentation of this case at a big neurological forum. I will keep you updated. In addition to this case, he will present four more cases of post-concussion rehabilitation I have successfully accomplished.

The last three years I have successfully treated many patients and couldn’t stop being amazed at their transformations to a normal life. Not less importantly, in connection with concussion cases, I am discovering unique facts. According to professor Dembo, during nine months after a concussion, unless hibernated neurons are not fully resurrected to a normal function, the degenerative stage will become not reversible and, in time, it results in further non-reversible degeneration and death of neurons/brain cells.

The uniqueness of the case that I am about to present is in the fact that concussion was originally misdiagnosed, and yet even two years later all the tests, couldn’t support brain dysfunction.  Most likely if this neurologist wouldn’t think clinically and act fast, this person would have been prescribed medications including and not limited to antipsychotic medication. In such case I can say with certainty, he’d never have his life back. When I saw him the first time, it looked very bad, producing an impression of a mental case.

Another unique feature, in this case, is in the fact that symptoms of encephalopathies, appeared two years after the concussion. Having in mind that in the majority of cases symptoms of encephalopathies appear during six months after the concussion, I believe all that we know today about this problem is only a tip of the iceberg.

The post-concussions brain dysfunction is a much larger issue than limited to American football and other contact sports only. The more I research the more I come to the conclusion that car accidents are a major contributor to this pandemics of chronic headaches, memory loss, psychiatric behavioral disorders, movement disorders and more, following by prescriptions/ consumptions of antidepressant, antianxiety, and antipsychotic medications, including many occurrences of a suicidal outcome.

Please read the testimonial below and post your comments questions, share your personal experiences.

Best wishes,

Boris

 

Paul’s testimonial

 

My name is Paul and I am a Mountain Biker. In October of 2013, I crashed and was knocked unconscious, separated my collarbone, cracked two ribs, etc. I was a mess. I was wearing a helmet at least. I woke to a man I didn’t know on the trail who helped me gather myself and I walked with him down the mountain to my car.

We talked the whole way and the birds in my head started to lift. He felt I was making sense and I proceeded to drive home. When I got home I called my Doctor and spoke with him at length and he felt I didn’t need to go to Emergency because I was making sense, but that he would see me the following day. He alerted me that if I got a headache, started vomiting or started to not make sense to get to an ER –ASAP, but none of that surfaced that evening. He did see me the next day and checked me out and determined it would just take time and rest for all of my ailments combined to subside.

Never having had a major head injury, I had no gauge as what to expect from the recovery. My shoulder and ribs healed and from what I was experiencing I felt my head injury improved and had healed?

…Time passed and by the summer of 2015 I had started to notice a strange feeling on the side of my head where I had hit it. It wasn’t overwhelming just a feeling that if I thought of it, I would be aware of a sensation in my brain, like constant intracranial pressure. Again, not having had a major head injury, I thought things like this would pass… all I knew was that before the crash I had no physical feeling like it?

At first, I noticed my typing changing and I was making many mistakes, misspelling simple words like; the and thanks, etc. Then, my thoughts started to get scrambled, I found myself losing a train of thought mid-sentence when speaking. As a teacher, it started to really scare me. I had some interesting conversations with my wife where I would insert subjects into a conversation that we were having that were completely off topic.

While riding my bike, my peripheral vision seemed strange and confined and depth of field was odd. I wondered if this was early onset of Alzheimer’s? So, I went to see my doctor and he suggested that this is probably related to the crash but I should see a Neurologist. That is when I met Dr. Smith. I described everything and he performed tests in his office including EEG and in the next days a CAT scan and MRI.

All of those tests come back normal but he still felt the symptom’s I was experiencing were the result of my crash. He suggested that I go see Boris Prilutsky who specializes in Medical and Sports Massage, particularly with patients that have suffered head injuries.

I worked with Boris initially seeing him twice a week for 5 weeks. After the very first session, just walking from his office across the parking lot to my car I felt much less intracranial pressure and incredible clarity and lift in my head. I looked forward to our next session, slowly the fog started to lift.

Boris explained to me, that special massage techniques for acceleration of lymphatic as well as cerebral spinal fluid drainage, leading immediately to this relief sensation, but most important he said, this increasing much-needed cerebral circulation. We tapered off the sessions to first once a week, then twice a month and now I see him once a month for maintenance.

Now, I have been symptom-free since I started working with him. It was only after Dr. Smith’s suggestion to see Boris and his specialized work and field of expertise that I was able to recover. I have many, many thanks to passing his way for the way I feel today, clear-eyed.

 

We are happy to announce that Boris’

New instructional DVD,

presenting the role of medical massage in post-concussion rehabilitation is now available!
For more detailed description
please follow the link in the description
to

this link

The History of medical massage

It goes back to the 19th century, when British physician Dr. Head published, his, what we now call, Head’s zones. During a very long time, observing hundreds of patients, Dr. Head paid attention that in many cases of chronic internal organs diseases, skin within somatic distal components, develop changes in a form of higher skin density, a local low threshold of pain, etc. The great clinical value of his observation soon became apparent. When he performed skin massage in these areas he not only eliminated these abnormalities in the skin but also have had a tremendous healing impact on diseased internal organs. As far as I know, Dr. Head was the first one who have established visceral somatic reflex concept as well as somatovisceral reflex concept, which allowed to professor Sherback in 1937 to go further and to develop the concept and hands-on techniques of segment reflex massage as we practice it today. There is no doubt that Professor Zabludovsly (1913) remarkably advanced massage therapy as a powerful clinical tool and, I would say, that in many cases, it became the most powerful methodology for treatment.

Professor Zabludovsly (1913) was the first one who explained the reflex effect on arterial circulation in non-massaged extremity. The phenomenon was confirmed later by many experimental and clinical studies (Guthberson, 1933; Ebel and Wisham, 1952; Belaya, 1974; Shtergertz, 1985, etc.)

In 2003, at Beverly laboratory of Vascular Studies, I repeated Professor Zabludovsly’s protocol.  In Medical Massage Vol.2 text, Dr.Ross Turchaninov extended on this experiment. We have provided him with all post-experimental data. In fact, a qualified massage therapist can reproduce the same outcome every time. To study this 15-25 minute protocol is simpler than studying many other simple step-by-step hands-on medical massage protocols.

The Beverly laboratory of Vascular Studies in California examined the effect of medical massage therapy on arterial blood circulation in lower extremities of healthy adults by using Pulse Volume Recording (PVR), Photoplethysmology (PPG) and Thermography (TMG). All these tests measured blood circulation on the opposite lower extremity, i.e. practitioners worked on the left extremity while circulation was measured on the right extremity. Peripheral circulation was measured before the experiment and after application of medical massage. Major changes were registered in PVR, which is a pulsate volume of perfusion through the extremity.

Let’s briefly review the results of this study. Initial PVR registered on the right lower extremity was 0.81.  After this parameter was registered, a medical massage practitioner applied the treatment of the lower extremity for 15 minutes. After 15 minutes of medical massage, PVR increased to 1.22 and continued to climb during the next 2 hours after the medical massage was over. At the end of the second hour, PVR value was 1.63, i.e. blood perfusion through the contralateral lower extremity showed a double increase even after the medical massage was over.

This study is a great example of the valuable effect of medical massage on the peripheral blood circulation (Prilutsky, 2003). This is why patients with arterial circulation disturbances respond so well to medical massage.

It’s hard to overestimate the importance of contralateral extremities massage, in cases of fractures, surgeries, and significant other types of injuries when we cannot apply massage technique directly to the injured area. More than that, at the time of the experiment described above, my models agreed to wait only two hours in order, to allow us to perform PVR measurements. Two hours after the stopping treatment, it continued to increase PVR.

 

Back in the Soviet Union, we have repeated described protocols many times, and the reflex of increasing blood supply is sustained for an average of 15-18 hours. Isn’t this exciting? The stimulation by massage is already stopped, but during 15-18 hours after it is stopped, the body continues intensive healing! Remember after significant blood supply increase, abnormalities never come back to initial conditions, but after every treatment continues to improve.

The importance of tension build-up in the connective tissue/fascia and its impact on chronic somatic and visceral abnormalities, initially, was made known to the medical community through the work of Austrian physical therapist Elizabeth Dickle in 1929. As with many important discoveries, Dickle’s discovery was an accidental find. For several years, she suffered a failure of arterial circulation in her lower extremities as a result of Thromboangiitis Obliterans. The disease had progressed to the stage when amputation became a real possibility. Dickle also experienced chronic, lower-back pain caused by her limping. While rubbing her lower back in trying to relieve tension, she noticed sensations of warmth and weak pulsations in her feet. Intrigued by her finding, she started using various techniques on her lower back. She noticed that the most intense warm sensations in her feet were triggered when she pulled the skin on her lower back. After several months of self-therapy, she was able to restore circulation through her lower extremities and prevented double amputation. Powerful stuff.

Dickle shared her findings with Prof. W. Kohlrausch. Their combined efforts, as well as the later works of Prof. N. Veil and Dr. Luebe in Austrian and German clinics, shaped a major method of somatic rehabilitation they called Bidegewebsmassage or connective tissue massage/fascia release and mobilization techniques as it is known by the rest of the world.

During the extensive research, they developed connective tissue massage/fascia release and mobilization hands-on protocols, including the stipulation regarding the direction of movement. This was presented in a straightforward way so that thousands of massage therapists could learn these techniques and, successfully, implement them on patients. Thousands were replicating outcomes when treating back and limp disorders, internal organ diseases, etc. for more information just Google Bidegewebsmassage.

The work of Prof. Sherback, which is an absolutely fundamental plateau for medical massage, is also a fundamental groundwork for any massage therapy. Today, the concepts that lay the foundation of his works were tested and massively utilized for many years, and thus proved their clinical viability.

After analyzing all the available data, and experiences of other scientists and clinicians, Prof. Sherback started checking somatic components of chronically unhealthy patients.
He figured out that regardless of the disorder type (being it skeletal muscular disorders or internal organs diseases) skin, fascia and muscles develop changes such as higher density of skin, tension in fascia and muscles.

The aforementioned changes produce pain when compressed and, in many cases, form localizations that are painful regardless of compression. Then a revelation come to him – “a simple revelation” as he put it that made massage a very powerful therapeutic tool.

All diseases of internal organs project pathological impulses on somatic parts that share the same level of innervations with a particular somatic part and trigger changes such as higher density of skin, tension within muscles, fascia, etc. forming reflex zones abnormalities/ somatovisceral reflex.  The aforementioned changes in soft tissue can be painful and especially sensitive to touch or pressure.

The most important achievement of his and his students was that, by providing massage and eliminating these reflex zones abnormal changes, they improved the health of thousands of patients.

Another huge plateau was established by Drs. Glaser and Delixo after the tremendous work.  In 1955, they published segments reflex massage text, including more than 30 maps of reflex zones abnormalities, for individual internal organs diseases, as well as for skeletal muscular diseases.

The contribution that prof. Sherback and Drs. Glezer and Delixo made to the development of massage science was indisputable and their influence is hard to overestimate. Similarly, it is impossible to overestimate the contribution of Dr. Sarkisov Serazini, who proposed comprehensive physiological effect of massage approach in 1938 and have established the concept of the physiological effect of massage as we know it today. This foundation allowed further generations of researchers to develop over 60 medical and sports massage hands-on protocols. Thus, the methodical research was done, and optimal step-by-step hands-on techniques were developed, all of which were standing on the foundation of the physiological effect of massage. Here is the link to a short description of the physiological effect of massage. Physiological effect of massage on the human body 

During his experimental clinical research Dr.Sarkisov Serazini said:

”…if you would like to assess the professional capability of a massage therapist, you must assess his capability to perform high-quality kneading techniques. Many different components are necessary in order to achieve rapid and sustainable results, and the quality of kneading techniques is one of this important components.”

Medical massage contains technical disciplines such as connective tissue massage/fascia release and mobilization, muscular mobilizations, trigger point therapy, circulatory massage, and more.  This was my fundamental training in theoretical concepts as well as very intensive hands-on practice.  As you can see no secrets what so ever.

Drs. Glezer and Delixo’s segment reflex massage text, have never been translated into English.  Here comes a million dollar question. If hasn’t been translated into English, can it still be scientific?  Incidentally, it has been translated into Russian, German, Polish, and Hungarian.

By the way, Dr. Ross Turchaninov’s textbooks in English, covers the works of all the scientists I have mentioned above, including interpretation of science of massage. I believe this book presents more than 600 references.

 

A very interesting observation on post-concussion patient

Approximately 50 days ago I received a post-concussion patient who was 56 years old male. He experienced a severe concussion, lost conscious, paramedics brought him to ER and was hospitalized for five days, demonstrating classical symptoms of a severe concussion. His doctor trusted me enough to refer him for my care a week after the incident. By my recommendation, the doctor tested his autonomic activities and, as it was predicted, it showed irregularities of autonomic activities. Once upon a time, doctors used a tilt table to administer an autonomic test. Today technology allowed much more precise tests.

During the first ten treatments, it became obvious, objectively and subjectively, that the patient’s condition has improved. He experienced fewer headaches, displayed improved focus, could sleep better, etc.

A repeated test, after ten treatments, showed improvements from the point of view of irregular autonomic activities. After completion of fifteen treatments, I have discharged him for two weeks.

Actually, Prof. Dembo believed that in order to sustain results the first 15 treatments should be followed by a two-week break. Then after the next 15 treatments a 3 weeks break, should be followed by the final 15 treatments. This approach was implemented while providing in treatments for back and limb disorders and for concussion cases. Giving to the fact that Professor Dembo mainly worked with Olympians, who were engaged in extremely vigorous and demanding training, this approach was necessary.

When it comes to “regular” people, those who are not subjected to an extreme physical strain and in cases of concussions, I believe that in order to sustain results, i.e. to prevent brain dysfunction developments, the frame of 30 treatments is sufficient.

In a case of sports-related injuries, providing we are not talking about professional athletes or Olympians, 15 treatments are sufficient as well.

Unfortunately, during the two weeks of break, a patient subjected to another trauma.  Once during a strong wind, while attempting to close the door of his house, the patient was struck on his head by the door. He didn’t lose consciously, but by all means sustained a second concussion. A repeated concussion is considered to be even more damaging than the original one. To understand why repeated concussions inflicting, even more, damage please review this video   https://www.youtube.com/watch?v=okv-F-55tFE

Naturally, all the post-concussion symptoms came back. The test showed significant irregularities of autonomic activities. Thus, again we had to start from the square one. Little by little 5 treatments helped him and he started feeling better. In the course of this series of 15 treatments, exactly like during the first series of 15 treatments, during each 40-45 minutes treatment, two or three times I performed the test reflecting autonomic activities.

The name of this test is Dermographism. Dr.Ross Turchaninov, can you please post an explanation. For me, this is significant effort to type with one finger LOL.

This is quite a reliable test, allowing to assess sympathetic in parasympathetic domination.  By changing the technical approach we practically can suppress sympathetic activities and, in some cases, to suppress parasympathetic activities.

Of course, the final goal is during numerous treatments is to balance sympathetic in parasympathetic activities and as much as possible.

This time around my patient complained that after the second concussion he experienced a lot of discomfort in his stomach. His doctor recommended to eat less acidic food, but in any case, he wasn’t feeling well.

During the first five treatments, every 15 minutes Dermographism test showed significant irregular autonomic activities. At the same time, in the course of the last five treatment, Dermographism test provided the evidence of an increase in parasympathetic activities. The last five treatment I performed with a pre-event sports massage type of intensity. Usually, Dermographism test shows some improvement after this type of massage. I understood that post-concussion is a complicated condition and didn’t expect significant changes in the test. Suddenly I’ve gotten a startling idea to perform an abdominal massage. As soon as I started introductory part of it the patient started a non-stop burping! He tried to apologize, but I assured him that this was a positive reaction and encouraged him to continue burping and not worry about anything.

I continued my usual routine of abdominal massage, with the difference that I started from anterior wall/abdominal cavity. He burped nonstop during 10 minutes, and then suddenly stopped. I have continued to massage for an additional 10 minutes and then just compelled by my intuition, performed for 10 minutes of Manchurian acupressure.

My client said: ”Boris, you’ve released something.”  I answered “Whatever works” and immediately I felt a bit exhausted but very relieved.

I repeated Dermographism test.  Amazingly, it showed close to normal autonomic activities.

I hope Dr. Ross is available and will explain the principles of Dermographism test.

Now, let me share my thoughts about what happened. However, first please view this video, where three neurologists explaining autonomic dysfunction https://www.youtube.com/watch?v=pka7nhDKA3U

I believe that this intensive changes in activities were caused by smooth muscle constrictions and dysfunction within peristaltic. Subsequently, this peristaltic insufficiency fueled parasympathetic activities, as well as, discomfort within the stomach.

Fellow members, he has gotten better, I would say much better after the first and then the following few abdominal / visceral massage procedures. Dr. Ross and others, do you have any explanation, for frequent intensive burping, and then significant improvement including plus minus normal Dermographism test? I am curious to know.

Most importantly, of course, is that my client has gotten significantly better. By the way, when I treated the first concussion he didn’t complain about stomach discomfort and has gotten much better without abdominal / visceral massage. This experience is just another proof that we must approach each case individually.

Again, just curious to know opinions. Ross, please, find the time.

Thank you,

Best wishes,

Boris

Another interesting point.  Lately, I’m being referred many concussion patients. I didn’t include an abdominal massage, and all went well, I achieved the results. However, from now on, I will include abdominal massage as a part of my massage protocol for concussions, just in case. It cannot harm but can help. There is always a room for improvement.

Members who have rented major rehabilitation from concussion massage protocol,https://www.youtube.com/watch?v=LkDgkp9Z0D4&feature=iv&src_vid=okv-F-55tFE&annotation_id=annotation_1661581881 please contact us and we will send you a link to abdominal visceral massage hands-on video.

During the next couple of days when time will permit, my partner will include abdominal visceral massage video, within concussion instructional rental.

 

We are happy to announce that Boris’

New instructional DVD,

presenting the role of medical massage in post-concussion rehabilitation is now available!
For more detailed description
please follow the link in the description
to

this link

Out of scope of practice or just politics Part 3

Part 3

History of the Soviet Medical and Sports Massage.

As explained in Part 1 and Part 2 of this blog the science of Soviet Medical Massage was originally developed by Professor Anatoli Sherbak in the nineteen thirties as well as my Dr.Serazini, who was internationally recognized as a father of modern sports massage.  In the nineteen fifties, these developments were expanded by German scientists Drs. Glezer and Dalicho.  Later in the sixties and seventies, many scientists of the former Soviet bloc countries contributed to this development.  They were, for instance, Soviet scientists like professor Dembo, professor Popilyansky, Dr.Chernich, professor Kremer, the Bulgarian scientist professor Ivanov, Prof Anichkin, Prof.Belaya, and many, many more.  Yet, little or close to nothing of the Medical and sports Massage protocols, that was improving sports performances, was known in the West. Although the large research institutions were involved in the Medical and Sports Massage studies, their developments were kept in strict secrecy.  The secrecy was guaranteed by KGB and was overseen personally by the influential member of the central Communist Committee comrade Suslov.

The reason for such secrecy was substantial.  During the “Cold War,” Soviet propaganda always tried to portray the Soviet system and the Soviet way of life as superior to the one adopted by the West.  It even came up with the myth of special new “Soviet Person”, the carrier of the advanced Soviet mentality, which allegedly was far superior to a mentality of a Western person.

In order to somehow substantiate this myth, the Soviet propaganda utilized any Olympic sports and the dominance of the Soviet bloc athletes, especially of the USSR and Eastern Germany during Olympic Games in the sixties, seventies and eighties.

It would be essential to note a much greater longevity of the Soviet bloc athletes compared to their Western counterparts.  The vast majority of the Soviet bloc athletes were competitive for ten to fifteen years.  The real secret of such longevity was the elaborate system of pre-event and post-event rehabilitative Sports massage and the proper warm up procedure; a sequence of special exercises including neuromuscular re-education that ensured that all the muscles of the responsible regions work in assembly and in the neurological sense. Such powerful scientifically based methods made verifies that joints are stable enough to withstand huge competitive loads and to perform to the maximum physiological potential of individual athletes.

All that changed during the time of Gorbachev’s “perestroika” – restructuring of the Soviet economy – and, subsequently, during the time when the Soviet system has fallen apart.  The scientific institutions that for decades were supported financially by the Soviet Government, regardless of their actual profitability, were suddenly left without any funding and, thus, quickly disintegrated.

The impressive body of knowledge accumulated by decades of arduous work by talented scientists was literally abandoned.   That’s why, paradoxically, the only people who could carry the torch of knowledge in the Russian Medical and Sports Massage were those who have emigrated from the Soviet Union at the time and prior to “perestroika.”

In the institution where I worked in 1963, a military faculty was organized, which was preparing military sports instructors, thus making it a military PO. Box. The research was conducted under a strict secrecy, and practitioners who were trained were obligated to keep this secrecy and knew that those protocols were a secret product of Communist party. Perhaps, for those who lived in the free world, the threat of KGB will be difficult to comprehend, but we all knew too well that messing around with KGB was a bad idea. It was too serious.

The Soviet government used to keep secrecy only for massage protocols that substantially improved athletic performances. The other medical massage research papers, including hands-on massage protocols, such as fibromyalgia and many other ones were available (see the link below)

Massage Therapy a Beneficial Tool

Medical massage and Control of Arterial Hypertension

As I know, today post-concussion rehabilitation protocols and some other were published.  I remember very well how our bosses used to gloat regarding the fact that Medical Massage for visceral and skeletal muscular diseases in no case was of the interest in America as the US was under complete control of pharmaceutical industry. What was kept in strict secrecy, were post-event sports massage protocols like the one attempted to develop by the Western Experts below:

The possibility of speeding up the athlete’s recovery by massage captured the attention of Western European and American scientists working in the field of Sports Medicine. However, authors of numerous studies in different centers mostly concluded that massage does not have any significant impact on the process of recovery after maximal exercises (Drews, et al., 1990; Carfarelli, et al., 1990; Rodenberg, et al., 1994; Tiidus, et al., 1995; Gupta, et al., 1996, and more). All these studies were conducted by very responsible scientists and published in respected professional journals.

After studying the above report in detail and many other similar to this one, I realized why there was such discrepancy in the results. The time of treatment here plays a crucial role.  All Western articles, which reported about the failure of massage therapy to speed up the recovery process, had the same striking similarity. Despite a truly scientific approach to the evaluation of treatment and its duration, these studies neglected to follow the proper protocol: TIME OF THE TREATMENT and DURATION.

Cafarell, et al., 1990 immediately after exercise 4 min

Drews, 1990 immediately after exercise 30 min

Wenos, et. al., 1990 48 hours after exercise N/A

Rodenberg, et al., 1994,15 minutes after exercise 15 min

Tiidus, 1995 48 hours after exercise 10 min

Gupta, 1996 48 hours after exercise 10 min

After numerous experiments, the Soviet scientists concluded that massage has to be initiated no earlier than 2-2.5 hours after vigorous exercises.  Further, in my further discussion I’ll be referring to this essential consideration.

Only one published article on this subject puts everything in the correct perspective. In this study, a group of North Carolina and Virginia authors (Smith, L.L et al., 1994) formulated a protocol based on that of Russian scientists, proving its value. Prof. Smith, L.L et al., 1994) even wrote, I followed recommendations of Soviet scientists and, evidently, discovered the importance of a rehabilitative massage.

It so happens that I personally know and know very well the Soviet scientist, who in 1993, secretly wrote research massage protocol for Prof. Smith on a piece of paper. Even at that time, Soviet citizens used to be afraid of a disclosure.

According to the Soviet protocol, authors examined the effect of massage on delayed onset of muscle soreness, and creatine kinase (an enzyme indicator of muscle damage) and neutrophil (an inflammatory white blood cell) count.  It is noteworthy, the authors adjusted their experimental protocol according to the practical recommendations of the Russian scientist who was also a massage therapist. These authors considered that vigorous exercises damage muscular tissue with the development of aseptic (noninfectious) inflammation and interstitial edema. The body reacts to these events by mobilizing neutrophils to the affected area. Neutrophils enter tissues and start their cleaning job (i.e., phagocytosis) to remove the waste products produced by the muscular injury and inflammation. Their increased concentration also attracts other types of phagocytic cells, macrophages. In the process of phagocytosis, catabolic enzymes are released from neutrophils, additionally damaging already injured muscular fibers. Dr. Smith and associates, through their research, noticed that two major events indirectly support this theory: temporary reduction of neutrophil count and increased concentration of creatine kinase in local blood vessels, and their following migration into soft tissues as critical elements responsible for the long lasting muscle soreness after vigorous exercises. This study showed that this process precisely matches the 2-hour time limit after vigorous exercise.

This is what Smith, et al., had to say in their conclusion:

“During acute inflammation, blood flow slows as vessels dilate in an area of injury. When this occurs, the white blood cells, including neutrophils, are displaced from the central, axial zone of blood flow to the peripheral, plasmatic zone and subsequently marginate along the vessel walls. Since sports massage appears to increase blood flow through the vascular bed, we theorized that this increased flow rate in the area of microtrauma could prevent the typical outward displacement of neutrophils. In addition, we speculated that the mechanical action of sports massage could shear marginated cells from vessel walls and thus hinder emigration of cells from the circulation into tissues spaces. …control group exhibiting a more rapid and steeper increase CK (i.e. creatine kinase) values than the massage group. …sports massage rendered hours after termination of unaccustomed eccentric exercise reduces the intensity of delayed onset muscle soreness and reduces serum creatine kinase levels.”

Dear colleagues,

Delayed onset muscle soreness might sound innocent. Yet phagocytosis actually injures healthy muscles, and when it happens repeatedly, it makes muscles weaker disabling them from performing at their maximum potential, as well as preconditions them for injury.  As a part of the Soviet training regime, Olympians practiced until their heart rate would reach 205 to 220 times per minutes.  Imagine what kind of physical athletes had to perform if their resting heart rate was 40 to 45 times per minutes.

The workouts of such intensity could produce a substantial damage to muscles unless two hours later athletes would undergo post-event rehabilitative sports massage. This treatment cannot be viewed as a shock absorber, for additional damages by phagocytosis, but as a preventive effort against additional injuries.  Working with Olympian teams, I, as well as other therapists in our group, used to restore the local blood supply in muscles immediately, preventing the development of fascia tension, as well as restoring normal functions of organs and systems. Briefly, I’m talking about this in my article that, amusingly, were published in Massage Magazine.
Sports Recovery and Performance Enhancement

Below I included the references to this article.

Smith, L.L., Keating, M.N., Holbert, D., Spratt, D.S., McCammon, M.R., Smith, S.S., Israel, R.G.: The Effect of Athletic Massage of Delayed Onset Muscle Soreness. Creatine Kinase and Neutrophil Count: Preliminary report. J. Orthp. Sports Phys. Ther., 19(2): 93-99, 1994.

Lucky for “Sports Recovery and Performance Enhancement” all there references to this work were by the Western Experts.
Another important aspect of sports recovery paradigm is referred to in the following snippet.

Working in the “Inhibitory Regime” (massaging while gradually increasing pressure), we awaken reflexes to the original stimuli. These are expressed in vasodilation (reduction of peripheral vascular resistance, reduction of left cardiac work, etc.) As a matter of fact, with Post-Event Sports-Massage, we also prevent the enlargement of the heart muscles (hypertrophy), balance the biomechanics that prevents sports-related injuries, as well as improve the performance of the athlete.

The above article uses proper protocols is what makes the difference between proper and improper utilization of Sports Massage.  Scientifically-proven protocols are designed through extensive research and thorough analysis of data on efficacy and safety of any treatment. Post-Event Sports Massage contains important methods used to improve the performance of athletes, rehabilitate from exercise stress, eliminate side effects, and prevent sports-related injuries.

Dear Colleges,

I hope I don’t end up sounding like a boaster.  In reality, I am a very humble man.  I just happen to be in the right place at the right time and, as a result, I was exposed to the amazing source of knowledge, which, by a freak of current, got abandoned and dried up.

All my life, I was trying to popularize this knowledge, make it available to everybody and especially at the place of my new motherland that was so good for me and my family.  I did what I could, what was within my physical, mental and financial abilities and now I am not a young man.  I made 22 DVDs describing protocols of Medical Massage.  I hope this contribution of mine would be rightly understood despite my less than perfect English.
In Volume 7 of my Medical and sports Massage DVD series, I demonstrate specific techniques of sports massage as well as stretching for different groups of muscles.

For a detailed discussion of all the protocols discussed above please follow the link below.

http://medicalmassage-edu.com/product/volume-7-3/

I also highly recommend to purchase medical massage texts by Dr.Ross Turchaninov

http://medicalmassage-edu.com/product/medical-massage-volume-i/

This is what I wrote about him and his works.

Dear colleagues,
Please find below the descriptions of medical massage books by Dr. Ross Turchanonov. Dr. Turchanonov is a medical doctor with the Ph.D. in studies related to medical massage.
For everyone who desires to learn medical massage, this book is a unique educational source, because it is written by a scientist who himself believes in and practices medical massage.
Dr. Turchanonov is a scientist and educator but is also a clinician. Not only that he shares his knowledge acquired in a medical school and throughout his Ph.D. studies, but also, most importantly, the knowledge gained in the treatment room. Therefore, all scientific data you find in his 3 books, is not for a general education only, but for a practical use in the treatment room.
I often ask myself a rhetorical question: “If a professor, who teaches surgical procedure, could himself have performed a few surgeries; wouldn’t such a professor be able to teach real surgical techniques?”
Massage therapy isn’t a surgery, but it is an extremely powerful medical methodology of treatment, which can possibly prevent surgeries, rid people of painful orthopedic disorders, treat and manage anxieties, clinical depression, tension headaches, and sleep disorders, help managing symptoms of fibromyalgia syndrome, allowing patients to come back to normal active life and much, much more.
Dr. Turchanonov’s books are a great reliable study source; not only from a full-time scientist and a writer, not only from a full-time CE presenter but from a clinician as well. This fusion of expertise could prove to make a crucial difference in the quality of your education.

Best Wishes,

Boris Prilutsky

 

Out of scope of practice or just politics Part 2

Part 2

By Boris Prilutsky

As I explained in the previous blog, when massage Magazine removed my article, without allowing me to reply to those complaints, my partner wrote Karen Manahan editor in chief an emotional personal e-mail. The text is below.

”Hi, Karen,

As you know, I am Boris Prilutsky’s business partner, as well as providing technical support.
Writing to you in regards to, your decision to delete Boris’ blog:” Specially designed medical massage protocol is the most powerful methodology for management of concussions symptoms and much more. “
I understand your position; being squeezed between the readers and the contributors and trying to hold the magazine reputation afloat. I have no regrets parting with this massage Magazine blogging because it was in no way beneficial to our site from SEO point of view. Boris insist, just to respect your request to post blogs in Massage Magazine. However, I have regrets about the entire situation of convoluted perceptions and expressed pseudo-righteousness on the part of the readers.

You might not know this, but among a multitude of bad things that has happened in the former Soviet Union, there were actually rare diamonds of good things. One of those diamonds was Medical and Sports Massage, to which the Soviet Machine devoted huge scientific efforts and human resources.

The reason for this was simple. The Soviet Union was, generally speaking, a closed society and the only change for its people to compare themselves against the West was through sport, Olympic Games, Bolshoi ballet etc. The Olympic gold was the way to show to all people inside the Soviet Union and outside it that the Soviet System is superior to the West and thus making the Soviet life superior as well.

Why was Medical and sports Massage making such a difference? Simple. Because the main problem with athletic performance is athlete’s susceptibility to injuries. In other words, an athlete could have huge potentials, but if s/he’s injured, s/he cannot compete. Side effects of vigorous exercise not only precondition athletes, for sports related injuries, but also wouldn’t allow performing to maximum potentials.
Thus, 50 to 60 years ago the Soviet Union had major advancement in massage science and yet, understandably, it was kept a secret. No one was allowed to publish articles in foreign magazines, which would demystify the Soviet Success in Olympic Games.

Still, people during those times heard the rumors about it, and the profession of massage therapists was very prestigious and required many years (7 years) of extensive medical studies. People who became such therapists always worked in the hospital environment among doctors or, like Boris, worked with Olympic teams.

You see, Boris learned all these protocols long times ago and although he learned them from scientists who invented and tested them, he is not a scientist himself.

For example, the concussion protocol was invented in 1963 by Professor Alexander Dembo, when one of the most famous Soviet boxers, had developed post-concussion encephalopathies. Since that time, Boris uses these protocols very successfully in his practice. However, it is pointless to ask him for references. Again, this information was classified. You actually might find some publications in some old Soviet scientific magazines, but it has never been published in English.

In America, massage was a hugely underdeveloped field, because since 1920’s America took a course to chemically produced medications. With time, this field became a very profitable enterprise, and for its proponents, it was not necessary to develop competitive fields. Thus, for a long time, massage in America was looked by the American public as something borderline prostitution or luxury for rich people.

Today, there is a change for the better, but unfortunately, instead of finding out what was done in massage science in other countries, America is going through the hard times of reinventing the wheel.

Well, the US was very good to us and we want to give it back with whatever we can. In the case of Boris – this is his knowledge. If you only knew how many doctors are sending him their patients to try the last time if the surgery could be avoided because in many cases this is exactly what happen? Is this occurs because Boris is some kind of a magician? No, because he knows many scientifically designed protocols and knows very well how to use them. Can references do this?

Thus, I gather the people who bad mouthed Boris, are simply gullible. A knowledgeable person always objects on a quintessence but the other kind objects on technicalities. Why do they need to see the references, because he’s going to read them? No, it just gives them a comfortable feeling that what he’s reading must be scientific.

Ten years ago I was completely incapacitated by frequent life-threatening panic attacks. Pills only made me drowsy. It was Boris who treated me with Medical Massage. When, after the first session, my blood pressure dropped from 200/100 to 160/85, that made me a believer. That’s why I decided to help him, and in the end, he offered me a partnership. Because he is a person with the big heart and it makes me sad when he is so utterly misunderstood and put down.

All the best to you in your future endeavors,
Best Regards,
Michael

I didn’t know about this letter, and most likely didn’t have to know about my partner’s private affairs.  However, a few weeks ago, Karen told Michael that she is planning to publish his letter in massage Magazine March issue and Michael come back to me with this news. We both agree, if massage Magazine will not allow me to publish the reply to Michael’s letter, then we shall request from massage magazine, not to publish his letter.
I was refused an opportunity to reply, and massage Magazine said too late to withdrawal it, it already went to print. Nice, isn’t it?

My partner, Michael, learn from me quite a bit about the history of Medical Massage in general and especially about the secrecy behind Soviet propaganda that used Olympic Games to prove that the Soviet system is much superior to the West. As a matter of fact, Medical and Sports massage played a crucial role in allowing Soviet Olympians from the 60s to 80s to win the most of the Olympian gold. Yet much of Michael have presented in his emotional reaction letter, needs a clarification. Otherwise, readers of massage Magazine will remember only that: ”Again, this information was classified. You actually might find some publications in some old Soviet scientific magazines, but it has never been published in English.

Pertaining to the late Soviet period of Medical Massage development his description is pretty accurate. However, for the sake of this discussion I should point out that the general history of medical massage is not a secret at all. On the contrary, it is quite well known. I was trained on this fundamental principles and have all the necessary references.

It goes back to the 18th century, when British physician Dr.Head published, his, what we now call, Dr.Head’s zones. During a very long time, observing hundreds of patients, Dr.Head paid attention that in many cases of chronic internal organs diseases, skin within somatic distal components, develop changes in a form of higher skin density, a local low threshold of pain, etc. The great clinical value of his observation soon became obvious. When he performed skin massage in these areas he not only eliminated these abnormalities in the skin but also have had a tremendous healing impact on diseased internal organs. I believe that Dr.Head was the first one who have established visceral somatic reflex concept as well as somatovisceral reflex concept, which allowed to professor Sherback in 1937 to go further and to develop the concept and hands-on techniques of segment reflex massage as we practice it today.No doubt, that Professor Zabludovsly (1913) remarkably advanced massage therapy as a powerful clinical tool and, I would say, that in many cases, it became the most powerful methodology for treatment.

Professor Zabludovsly (1913) was the first one who explained the reflex effect on arterial circulation in non-massaged extremity. The phenomenon was confirmed later by many experimental and clinical studies (Guthberson, 1933; Ebel and
Wisham, 1952; Belaya, 1974; Shtergertz, 1985, etc.)

In 2003, at Beverly laboratory of Vascular Studies, I repeated Professor Zabludovsly’s protocol.  In Medical Massage Vol.2 text, Dr.Ross Turchaninov extended on this experiment. We have provided him with all post-experimental data. Please keep in mind, I can reproduce the same outcome as you about to read at any time. To study this 15-25 minute protocol is the simpler than studying many other simple step-by-step hands-on medical massage protocols.

Professor Zabludovsly (1913) was the first one who explained the reflex effect on arterial circulation in non-massaged extremity. The phenomenon was confirmed later by many experimental and clinical studies (Guthberson, 1933; Ebel and
Wisham, 1952; Belaya, 1974; Shtergertz, 1985, etc.)

The Beverly laboratory of Vascular Studies in California examined the effect of medical massage therapy on arterial blood circulation in lower extremities of healthy adults by using Pulse Volume Recording (PVR), Photoplethysmology (PPG) and Thermography (TMG). All these tests measured blood circulation on the opposite lower extremity, i.e. practitioners worked on the left extremity while circulation was measured on the right extremity. Peripheral circulation was measured before the experiment and after application of medical massage.

Major changes were registered in PVR, which is a pulsate volume of perfusion through the extremity.

Let’s briefly review the results of this study. Initial PVR registered on the right lower extremity was 0.81.  After this parameter was registered, a medical massage practitioner applied the treatment of the lower extremity for 15 minutes. After 15 minutes of medical massage, PVR increased to 1.22 and continued to climb during the next 2 hours after the medical massage was over. At the end of the second hour, PVR value was 1.63, i.e. blood perfusion through the contralateral lower extremity showed a double increase even after the medical massage was over.

This study is a great example of the valuable effect of medical massage on the peripheral blood circulation (Prilutsky, 2003). This is why patients with arterial circulation disturbances respond so well to medical massage.

Dear friends,

I hope you would agree that it is impossible to overestimate the importance of contralateral extremities massage, in cases of fractures, surgeries, and significant other types of injuries when we cannot apply massage directly to the injured area. More than that, at the time of the experiment we’re described above, my models agreed to wait only two hours in order, to allow us to perform PVR measurements. As you could see after me stopping the treatment, two hours after the treatment, it continued to increase PVR.

Back in the Soviet Union, we have repeated described protocols many times, and reflex
of increasing blood supply is sustained for an average of 15-18 hours. Isn’t this exciting? The stimulation by massage is already stopped, but during 15-18 hours after it is stopped, the body continues intensive healing! Remember after significant blood supply increase, abnormalities never come back to initial conditions, but after every treatment continues to improve.

Another researcher- Elizabeth Dickle contributed significantly to massage therapy fields by researching and proposing hands-on protocols that were clinically proven to be a very powerful methodology for treatment since 1929. Below is my extended explanation why I made this claim.

First, a short historical review: Initially, the importance of tension build-up in the connective tissue/fascia and its impact on chronic somatic and visceral abnormalities was made known to the medical community through the work of Austrian physical therapist Elizabeth Dickle in 1929. As with many important discoveries, Dickle’s discovery was an accidental find. For several years, she suffered a failure of arterial circulation in her lower extremities as a result of Thromboangiitis Obliterans. The disease had progressed to the stage that amputation was a real possibility. Dickle also experienced chronic, lower-back pain caused by her limping. While rubbing her lower back in trying to relieve tension, she noticed sensations of warmth and weak pulsations in her feet. Intrigued by her finding, she started using various techniques on her lower back. She noticed that the most intense warm sensations in her feet were triggered when she pulled the skin on her lower back. After several months of self-therapy, she was able to restore circulation through her lower extremities and prevented double amputation. Powerful stuff.

E. Dickle shared her findings with Prof. W. Kohlrausch. Their combined efforts, as well as the later works of Prof. N. Veil and Dr. Luebe in Austrian and German clinics, shaped a major method of somatic rehabilitation they called Bidegewebsmassage or connective tissue massage/fascia release and mobilization techniques as it is known by the rest of the world.

During the extensive research, they developed connective tissue massage/fascia release and mobilization hands-on protocols, including the stipulation regarding the direction of movement. This was presented in a straightforward way so that thousands of massage therapists could learn these techniques and successfully implement them on patients. Thousands were replicating outcomes when treating back and limp disorders, internal organ diseases, etc. for more information just Google Bidegewebsmassage.

The work of Prof. Sherback, which is an absolutely fundamental plateau for medical massage, is also a fundamental plateau for any massage therapy. Today, the concepts that lay the foundation of his works were tested and massively utilized for many years, and thus proved their clinical viability.

After analyzing all the available data, and experiences of other scientists and clinicians, Prof. Sherback started checking somatic components of chronically unhealthy patients.
He figured out that regardless of the disorder type (being it skeletal muscular painful disorders or internal organs diseases) skin, fascia and muscles develop changes such as higher density of skin, tension in fascia and muscles.

The aforementioned changes produce pain when compressed and, in many cases, spawn localizations that are painful regardless of compression. Then a revelation come to him – “a simple revelation” as he put it that made massage a very powerful therapeutic tool.

All diseases of internal organs project pathological impulses on somatic parts that share the same level of innervations with a particular somatic part and trigger changes such as higher density of skin, tension within muscles, fascia, etc. forming reflex zones abnormalities/ somatovisceral reflex.  The aforementioned changes in soft tissue can be painful and especially sensitive to touch or pressure.

The most important achievement of his and his students was that, by providing massage and eliminating these reflex zones abnormal changes, they improved the health of thousands of patients.

The huge plateau was established by Drs. Glaser and Delixo after the tremendous work.  In 1955, they published segments reflex massage text, including more than 30 maps of reflex zones abnormalities, for individual internal organs diseases, as well as skeletal muscular diseases.

The contribution that prof. Sherback and Drs. Glezer and Delixo made to the development of massage science was indisputable and their influence is hard to overestimate. Similarly, it is impossible to overestimate the contribution of Dr. Sarkisov Serazini, who proposed comprehensive physiological effect of massage approach in 1938 and have established the concept of the physiological effect of massage as we know it today. This foundation allowed further generations of researchers to develop over 60 medical and sports massage hands-on protocols. Thus, the methodical research was done, and optimal step-by-step hands-on techniques where developed, all of which were standing on the foundation of the physiological effect of massage. Here is the link to a short description of the physiological effect of massage. Physiological effect of massage on the human body 

During his experimental clinical researches Dr.Sarkisov Serazini said:

”…if you would like to assess the professional capability of a massage therapist, you must assess his capability to perform high-quality kneading techniques. Many different components are necessary in order to achieve rapid and sustainable results, and the quality of kneading techniques is one of this important components.”

Medical massage contains technical disciplines such as connective tissue massage/fascia release and mobilization, muscular mobilizations, trigger point therapy, circulatory massage, and more.  This was my fundamental training in theoretical concepts as well as very intensive hands-on practice.  As you can see no secrets what so ever.

Surely Drs. Glezer and Delixo’s segment reflex massage text, have never been translated into English.  Here comes a million dollar question. If hasn’t been translated into English, can it still be scientific?  Incidentally, it has been translated into Russian, German, Polish, and Hungarian.

By the way, Dr. Ross Turchaninov’s textbooks in English, covers the works of all the scientists I have mentioned above, including interpretation of science of massage. I believe this book presents more than 600 references.

In Part 3. I will discuss the secrecy of medical and sports massage developments during the Soviet Era.

Best wishes,
Boris

 



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