Medical massage VS. bronchial asthma ???

Recently I have received an FB message “medical massage VS. bronchial asthma ???”

Short and to the point. Isn’t it? LOL.  Yes, indeed. There is a significant room for a medical massage when managing bronchial asthma.

Bronchial asthma and bronchitis are very common disorders of the respiratory system. Various factors can cause bronchitis and asthma – viral infections, allergic reactions, etc. Massage therapy and bronchial drainage can play an important role in the treatment and management of the aforementioned disorders. We can assume that in cases of bronchitis & bronchial asthma the activities of the sympathetic nervous system are diminished. Massage therapy has the ability to depress or stimulate the divisions of the autonomic nervous system and can be an invaluable tool in depressing the parasympathetic activities, thereby balancing the activities of the sympathetic and parasympathetic nervous system.

All of the body’s mechanoreceptors have various levels of adaptation (their capability to increase production of action potentials.) A massive stimulation of receptors allows us to affect the activities of different subdivisions of an autonomic nervous system according to our needs.

Before the treatment, it is very important to perform the Dermographism test to determine an imbalance between the activities of the sympathetic and parasympathetic nervous systems. This test is performed in a few strokes with a semi-sharp object (corners of the fingernails will do) on the paravertebral zones from approximately L/S to the neck. The initial white Dermographism changes to red Dermographism, which disappears in a short amount of time.

The white Dermographism should change to red within less than 30 seconds. When red Dermographism stays for a prolonged time, sometimes even becoming edema-like raised lines, this is the evidence that the parasympathetic nervous system is in much more active tone. If it changes very quickly from red back to white or stays prolong white, it is a sign that the sympathetic nervous system is much more active. In cases of bronchial asthma and bronchitis parasympathetic activities dominate.

In other cases, we work in the inhibitory regime as an attempt to depress activities of the sympathetic nervous system and to achieve the desired balance. In the case of asthma, it should be opposite – the massage must be intensive, with the techniques mobile, not staying in one place like the inhibitory regime, intensive performances approximately 100 times per minute.


The strokes must be very intensive. No light touch, no effleurage.

Back of the fingers, 5-6 times on each side.

Back of the fingers cross-fiber direction on paravertebral zones.

Back of the fingers from the top of the trapezius to the middle of the back.

Back of the fingers rotations for the top of the traps.

Fingertips petrissage bilaterally on the neck muscles.

Power thumb strips for the upper back area.

Petrissage #7 (with knuckles) for the upper back area (after massive connective tissue)

Petrissage on the neck, up and down.

Comb the ribs

Petrissage #3 for the neck

The approach is simple – intensive stimulation. It shouldn’t be, prolonged stimulation leading to adaptation of mechanoreceptors. Remember in most cases the inhibitory regime creates stimulation of the parasympathetic nervous system and will not contribute to the therapeutic effect. Conversely, the further suppression of sympathetic activities can even cause the person to have an asthma attack on the table. We want to depress the activities of the parasympathetic nervous system by doing this intensive massage for 20 minutes. Please don’t confuse “intensive massage” with aggressive vigorous pressure massage. We must be careful to not activate the protective muscular spasm…

It is very important to perform the vacuum/suction tapotement. In cases of bronchial asthma and bronchitis, we perform this technique for a much longer time than in cases of other treatments. The application of vacuum techniques should be focused on the upper and middle back.

It is very important to perform this technique correctly – when performed right, the hand makes a hollow sound as it strikes the skin.

After the massage is over we perform bronchial drainage. In cases of bronchitis and bronchial asthma, it’s not only mucus, which obstructs the airways causing breathing difficulties but also the higher tonus of the smooth muscles of the bronchi.

The bronchial drainage techniques are the kind of breathing exercise. When the patient exhales, we squeeze his diaphragm like a ball, squeezing out as much air as possible from the capacity of lungs.

At the point of the maximum exhalation, we ask the patient to start coughing. This causes a kind of stretching and exercise for the bronchi as well as allowing the drainage of mucus from bronchial structures. This kind of bronchi manipulation causes the removal or drainage of the mucus and thus helps prevent bacterial infection and possible subsequent development of pneumonia. Additionally, bronchial drainage techniques also reduce the tension in the bronchial smooth muscles and contribute to the restoration of normal metabolism in these tissues encouraging the swelling and inflammatory condition to go away little by little.

This methodology was proposed by Soviet physician Dr.Lominoga and is described by Dr. Ross Turchaninov in  Medical Massage Volume 2,

On my DVD Vol. 5

I’m offering an explanation and hands-on demonstration.


It is extremely important to understand that two goals such as suppression of parasympathetic activities, as well as mucous drainage and reduction of tension within smooth muscles of bronchi, are equally important in order to achieve sustainable results including frequency reduction of asthma attacks, the necessity of medication consumptions including and not limited to use of steroids.

An injustice to Ray Rice

In 1973 I received training performing medical massage protocol for rehabilitation from post-concussion brain dysfunction. During my long career, I wasn’t aware that the implementation of this protocol is such a necessity. I didn’t even know that so many people suffer a concussion and must be rehabilitated.More so, I didn’t suspect the pandemic proportions of this dysfunction in the US, which made the implementation of this protocol so urgent.

Not only that concussion is caused by the huge popularity of American Football and other contact sports and the mass participation of the population in this game starting from school, but also by even the large scale causation of concussion by frequent automobile accidents.
Most of my practice is based on patient referrals.  Rather than concussions, these referrals covered patients suffering from upper & lower back and neck pains and dysfunctions, shoulder/knee/hip joints disorders, headaches, myofascial pains etc.

My first-hand familiarity with the spread of detrimental consequences of concussion started about three years ago.  I happened to sit in the medical center cafeteria with the group of doctors and scientists, whom I consulted on the treatment of essential hypertension. A specially designed protocol can be helpful in managing essential hypertension.

I was performing hypertension protocol, explaining a physiological effect of massage, goals of the treatment, etc., and guys used to try to develop medications.
Suddenly, there was a breaking news on TV: ”Domestic violence in NFL!” and now famous security camera footage appeared where Ray Rice punches his girlfriend into the face and knocking her out.

The entire nation condemned this action and demanded decisive actions from NFL commissioner. This pressure was so significant, that NFL banned Ray Rice playing for good.
Then Ray Rice appeared on TV asking for forgiveness and promising to take anger management classes. In the end of his apology, his head went down, and he said:” I don’t even remember what happened.”
I commented that Ray doesn’t appear to be a violent person and his behavior has a medical explanation.  By having repeated concussions he has developed psychiatric behavioral disorders, which is a typical brain dysfunction. In these cases after a psychotic episode is over, post brain trauma people often doesn’t even remember what happened.

I immediately asked my partner to investigate when the last time Ray Rice suffered a concussion was. Sure enough, it happened the same year when he had previous concussions with some insignificant time difference between them.

While at the table, the guys asked me, if there was a medical massage protocol associated with such a rehabilitation. I told them that this protocol existed, was developed through research, and is clinically proven. Briefly, I explained the concept and what to do in such cases. If you would like to get familiar with the content based on which this protocol was implemented, you are welcome to read the part one and two of the article published in the Journal of Massage Science.

Certainly, it was terrible to witness a man punching his girlfriend as well as seeing her lifeless body dragged out of the elevator, and I absolutely understand the resulting emotional outcry and the reaction of the media.

Yet, I felt this incident required much deeper investigation before everybody automatically assumed the case of a violent domestic abuse.  To me, Ray appeared as a post brain trauma person in need of treatment and rehabilitation. If he would be treated appropriately, most likely we wouldn’t see what we saw.

Since that time, during the last three years already, I am expanding my practice and specializing in post-concussion rehabilitation.
It just the harsh and unpleasant reality that in the US car accidents spawn pandemic post-concussion encephalopathies phenomena. The treatment of car accidents became somewhat of an industry; that’s not even considering concussions, just counting in headaches and neck pain after accidents. A very high percentage of people who was involved in car accidents and sustained even mild misdiagnosed concussion could suffer from chronic headaches, bad quality of sleep, which with time develops into different levels of dementia, or even Alzheimer’s disease.

Of course, I’m making a pretty significant claim, but this is what I see in my practice. Maybe we don’t see the massive phenomenon of psychiatric behavioral disorders because not many people receiving repeated concussions, but many suffer from other post-concussion symptoms of brain dysfunction.

During my long career, I learned, practiced, and taught more than 60 medical massage protocols. Yet this October 8/9th it was the first time when I have presented post-concussion massage protocol seminar. I was very excited, and I would say, it was my best seminar ever.

What was amazing to me, and still is, was the fact that medical massage protocols are not only extremely powerful when treating back and limp disorders, but also its application can prevent brain dysfunctions such as psychiatric behavioral disorders, dementia/Alzheimer’s disease, movement disorders, headaches and more.  The word “amazing” is related to medical massage scientific and clinically proven power.

Now I would like to come back to the injustice to Ray Rice. It was job-related trauma, and now he is condemned?
Please read these case presentation

If not for medical massage, this person possibly could demonstrate psychiatric behavioral disorder.
>At the time of significant autonomic irregularity and brain dysfunction, moderate irritation can trigger irrational and even dangerous behavior. I believe NFL and the movement that made Ray Rice’s a scapegoat owe him an apology and a financial compensation.

>On a separate note, in a way, I am happy that Ray Rice was forced to stop playing football because he surely would get more brain trauma and if not properly rehabilitated, he could end up like Mohammed Ali, rest in peace.

On the other hand, if in the early stages of concussion Mohammed Ali would have been rehabilitated from the post-concussion brain dysfunctions, he possibly could survive, become healthy again and even continue boxing. I mentioned in my previous article that the boxer Valeri Popenchenko continued to box after having a similar to Mohammad Ali brain trauma. He even won an Olympian gold and pursued his scientific career in physics.


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

this link

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,



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

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

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

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,


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, 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

this link

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