Article List

Does sports massage have a significant impact on the process of recovery after maximal exercises?
Physiological Effect Of Massage On The Human Body
Simple delayed onset muscle soreness
Do pain receptors exist?
Critical vs. Clinical Thinking
Body Cells carry emotional memories.
Manual Therapy vs. Massage Therapy
What type of massage therapy should doctors refer their patients for treatments? Part 3
What type of massage therapy should doctors refer their patients for treatments? Part 2
Self-TMJ dysfunction treatment page
Science of Sports Massage
What type of massage therapy should doctors choose to refer their patients for treatments????
Is massage therapy recognized as a methodology of treatment?
Orthopedic massage – the concept and strategies
Teaching master classes
Continued Education with Medical Massage and Sports Massage
High-tech life style side-effects are significant and must be managed
Lymph Drainage for detoxification
Medical Massage and Control of Arterial Hypertension
A TRIGGER POINT IS NOT FORMATION OF FIBROCONNECTIVE TISSUE IN MUSCLES
Thoracic Outlet Syndrome Relief
Science of Massage and Energy Work
Sciatic Nerve Neuralgia
Reaction to Massage Procedure vs. Aggravation
Medical massage in cases of bronchial asthma
Four Strategies for Deep Tissue Massage
Clinical Psychology and Massage Therapy
“Frozen Shoulder” By Boris Prilutsky
Should Massage Therapists Use the Term “Medical” Massage
Incorporation of Hot Stone in treatments of Thoracic Outlet Syndrome
Pectoralis Stretch
Massage Therapy a beneficial tool in treating Fibromyalgia
Medical Massage for Jaw and Joint Disorders
Keep it Simple
Massage and Stress
Medical Stress Management Massage Therapy
Massage in Sitting Position
Post Isometric Relaxation
Steps for Cellulite Reduction Massage
Tensor Fasciae Latae Muscle Syndrome
Hip disorder
Stress management by Physical activities vs. Massage therapy.
Does Sports Massage Contribute to Post-Workout Recovery?
My views on continuing education for massage therapists
The role of Medical Massage in stress management, discovery of sexuality, and improvement of sexual satisfaction
Medical massage Therapy
Kneading Hands massage
Deep and dark secret
Neuromascular Reeducation

Blog List

CA professor of medicine didn’t ask for references
What do we know about COVID-19?
Can massage techniques be equated with remedies?
Pre-event sports massage against COVID-19
The role of biomedical science in the field of massage therapy/
Detoxification and immune systems sufficiency
Remembering the uniqueness of massage therapy
Do you possess enough expertise and experience “to break my fascia?”/
There might be personal benefits in the act of sincere and active compassion
The uniqueness of massage therapy
Rehabilitation VS inhibition of symptoms
Managing stress on your own
Special price of today
Physiological bases of fascia mobilization
Rehabilitation VS inhibition of symptoms
Addressing lateral abdominal walls
Use of massage in case of a severe concussion
IS MASSAGE THERAPY AN “INNOCENT” PROCEDURE
IS MASSAGE THERAPY AN “INNOCENT” PROCEDURE 2
IS MASSAGE THERAPY AN “INNOCENT” PROCEDURE 3
IS MASSAGE THERAPY AN “INNOCENT” PROCEDURE 4

THE PLACEBO EFFECT AND ITS ROLE IN MASSAGE THERAPY PART II
Sentiments and emotions in the massage therapy field
THE PLACEBO EFFECT AND ITS ROLE IN MASSAGE
Be Careful! Words can damage
Twenty Years Later
It is the time to go back to the roots
With technological developments of testing equipment, we are getting a more scientific explanation on what we are doing
A massage therapist would never know if the case is reversible and treatable until she tries.

If the NFL uses it, must it be good?
“Pseudoscience VS. real clinical phenomena.” I respectfully disagree.
“Never play football?” I respectfully disagree.
plans-for-2017
Medical massage VS. bronchial asthma ???
I’ll do my best, but everything could happen
An injustice to Ray Rice
Post-Concussion Patient Testimonial
The History of medical massage
Out of scope of practice or just politics Part 3
Out of scope of practice or just politics Part 2
Out of scope of practice or just politics Part 1
A contemplation about “Concussion”
Diverticulitis and lower back pain

Specially designed medical massage protocol is the most powerful methodology for the management of concussions symptoms and much more. 
Is massage therapy, the remedy to all diseases?
Concerned about stress-related illnesses
The role of massage therapy in the treatment of difficult diseases
European Cranio-Sacral Therapy
The Power of Massage
My great five days at WMF Part 4
My great five days at WMF Part 3
My great five days at WMF Part 2
My great five days at WMF Part 1
Is it too late to rename “Prilutsky’s method of silicon jars massage to “Prilutsky’s method of fascia mobilizations using silicone jars?”

Interesting discussions at the AMTA CA annual education conference
“Active Engagement Techniques” with Whitney Lowe
Is it necessary to cross the line?
Do you speak your professional mind?
The role of medical massage in fighting pandemics of hypertension.
Are trigger points real, or this is a false claim that has no clinical value?
Lymphedemas can cause the development of neuropathy such as the one accompanying diabetes
Simplicity and extreme healing power of massage therapy.
I believe we all naturally born, it’s just important to realize.
Consuming antidepressants and Lyrica is not always the solution.
A little bit of good is in every bad

The role of coffee muck in cellulite reduction.
Patients reported outcome: Not all cases of sciatica are alike.
Increasing unwillingness to bear even small pains
Patient-Reported outcomes: Too much of a good thing.
Prilutsky’s Method of silicone jar massage. How it was developed.
Patients reported outcome: “In the beginning it helped, but then…”
Patients reported outcome: “There Will Be Blood”
“Prostitution VS. Massage therapy” Are we contributing to the confusion?

When pain, no gain
Unexpected usefulness of certain massage protocols
Clinical incidences could be educational
Common concept: Massage therapy /chiropractic procedure
Increase in blood supply triggered by massage
What separates a good therapist from a great one?
What is this simple approach to massage therapy and how is it different from other approaches?
The scientific community has given massage serious consideration only in the last 100 years.
Medical Massage is not a remedy for all diseases. Yet it is so powerful, that for the sake of one’s well-being, it cannot be ignored.

Critical Thinking vs. Clinical Thinking
The scientific community has given massage serious consideration only in the last 100 years.
What is this simple approach to massage therapy and how is it different from other approaches?
In time of panic or duress take moment to rationalize
Why painkillers could cause more headaches?
The Value of Abdominal Massage
Medical Massage vs Swedish massage
Can massage be promoted as detoxification methodology?

A professor of medicine didn’t ask for references.

A few days after I published the article “Can massage techniques be equated with remedies?”, I receive a call from a cardiologist, whom I already knew for some time. He asked me if he can forward the link to my article to a friend of his who is a professor of medicine, double board-certified cardiologists, Ph.D., at one of the local medical schools. He added that the professor was a great guy, who is conducting research on passage time, and who probably would have a genuine interest in discussing with me the topic presented in my article.

Why would I mind?

In about one hour, I have received an e-mail from that professor and I would like to share a part of it with you.

“…very fascinating stuff. The fascinating questions, to me, includes whether it can be proven that releasing acetylcholine increases capillary flow. It is known that it increases local nitric oxide release, so maybe this is the mechanism. Parasympathetic nerve activity can be measured systemically, but I need to learn more about it. We can measure sympathetic activity from skin electrodes, maybe there can be a connection. Lots of good questions and a lot to learn.”

Isn’t it “fascinating” when a professor of medicine – a very experienced cardiologist – writes that he has ”lots of good questions” and needs “a lot to learn.

The same very day, after receiving this e-mail, we talked on the phone. As I pointed it out earlier, he found the information stated in my article fascinating. For me, it also was equally fascinating listening to the professor of medicine, who is ready to learn.

I felt energized from the thought that a professor of medicine found massage therapy worthy of learning from it.

However, I had to hold myself from getting too excited. Lately, I provided the support in concussion research, in essential hypertension research, was promised that I would be directly involved in research “massage in post-concussions rehabilitation.” I was promised a lot, but not much of it came through.

I was audacious enough to tell the professor, that according to findings by Russian scientists, suppress anticholinergic agents. Consequently, these techniques release of acetylcholine and increases local nitric oxide release.

At the same time, suppressing anticholinergic allows normalization of parasympathetic function, which is conducting impulses to smooth muscles, additionally to function to antagonize sympathetic activities.

There was a moment of gripping silence. He asked me to repeat all that I said. While I was repeating he was murmuring: ”fascinating.” Then being a real clinician and a scientist, he asked if I could prove this clinically.

I answered that most likely I could.  Using these techniques for many years, I successfully implemented them while performing pre-event sports massage. The release of acetylcholine techniques is “must-do” if one is attempting to increase the reaction of muscular functions.

I told the professor that in the days of my schooling we learned to perform pre-event sports massage, in the stimulatory regime, making sure not to suppress too many sympathetic activities. I didn’t remember, that the release of acetylcholine techniques actually suppresses anticholinergic agents, increases the capacity of the capillary network, at the same time contributes to the balancing of autonomic activities. Only recently I found this out from the Russian scientist, who used to be a member of the research group.

The professor told me about his own health problem and expressed a desire to receive my treatment. At the same time, he wanted to receive the treatment in his laboratory.  This would give him the opportunity to measure autonomic activities, as well as passage time.

(Passage time is the measurement of the blood quantities before and after the massage.)

I spent four hours in his laboratory, treating him and another person, who was a scientist from his team.

My goodness, everything that was stated in my articles on the subject, all was proved today in the lab. Both doctors who are not 100% healthy people, got a lot of benefits from massage procedure, including the reaction of acetylcholine release.

I had so much fun and got a real burst of positive energy. I felt empowered with the additional realization about the power of massage and inadvertently learned a lot.

Summary

I have asked the professor, how come he got excited about the information stated in my article, even though it had no references.

The professor said that first of all, it would have been a naïve question. The article itself made a lot of sense, and after all, t was proved clinically, including the professor’s subjective report. Then he added with regret that many research findings and data in his fields, could not be reproduced. He felt that this was a shame but nevertheless the reality we all live in.

Even if you wouldn’t be able to explain the phenomenon thoroughly, the very fact of you being able to reproduce the results twice would make the concept real.

He continued.  “Bias and intellectual demagoguery, damage the health care field.”

I agreed. It was fun to talk to a practicing cardiologist who, at the same time, is a scientist, researching this fascinating subject. He invited me to his lab.

We’ll see what would happen. I will keep you posted.

As you understood from my article, ”Can massage techniques be equated with remedies?” I have discovered and rediscovered many extremely important details and gained a new understanding of the process that transpired while I am doing massage procedures with my hands.

Will this change the way, I am performing pre-event sports massage as I performed for many years?

No, it won’t.

The significance of these additional discoveries suggests that we have to incorporate the release of acetylcholine techniques not only in pre-event sports massage but also in treatments of internal organ diseases, as well as in the treatment of the skeletal muscular disorder. I believe by incorporating these techniques we would get even better and more rapid results.

As we speaking, I am producing instructional video, where mostly I will demonstrate hands-on techniques. Cannot wait to share my knowledge and experiences performing these techniques.

Best wishes.

 

What do we know about COVID-19?

I’m not an infectious diseases specialist, and wouldn’t waste your time, offering the analysis on “What do we know about COVID 19”.

In this article, I am going to discuss the devastating effect of these pandemics on our society, and the fear that leading US infection disease experts and agencies subjected the society at large. However, I am going to look at it through the lens of a massage therapist, focusing on the role that massage therapists should assume in such cases.

Introduction

When approximately 4 months ago, our government and media started discussing COVID-19, we have learned from our leading infectious disease specialists, including world health organization that we should not worry, as COVID 19 transmits from animals to humans only, rather than from human to human. I, as most likely most of us, trusted the information from the CDC site and accepted its guidance.

Then everything has switched and the same leading infection diseases specialists, started screaming about terrible pandemics, and CDC guidance insisted on wearing masks and keeping social distance. From our local and federal government, comes an order “to stay at home.” The country was shouted down.

During the 1st month of the so-called official start of the pandemics, the same leading infection diseases specialists demanded not to wear masks. They stated that masks were not only failing to protect us from infection but also exacerbated the possibility of infection with COVID-19.

They claimed that COVID-19 was not an airborne infection, it was surviving on surfaces and by touching it you can get infected, therefore one must frequently wash hands, and not touch the face. Thus no masks were necessary. Many of us, followed CDC guidance to wear masks; only to learned later that there is a possibility, that wearing masks was the cause of infection. I guess, this dangerous disinformation trapped millions of people. Then, the same leading infection diseases specialists highly recommended to disinfect surfaces and especially metal surfaces and to disinfect, clean all delivered groceries.

WOW! During more than a month, we didn’t clean deliveries

 

Our conscious and subconscious minds naturally recorded these worries and fears of having masks on for an additional month.  The absence of clear directives could possibly lead us to contracting coronavirus.

I have followed CDC guidance and did clean groceries and other deliveries. Probably most of us did. Then, after approximately 45 days, the same leading infectious disease specialists, told us that we don’t have to bother disinfecting the groceries.

Terrible inconsistency shook our minds and sub minds. The strongest of us were in fear. When I saw on TV hundreds of people without masks, to me it was clear that a terrible fear is pushing them to fight this fear, by not wearing masks. The subconscious mind is extremely powerful.

One of the greatest psychoanalysts, Carl Young, said:” if to compare influences on our deeds, decisions, etc., conscious and subconscious, then subconscious will be the ocean, and our conscious, would be a shell of a nut.” Proposed proportions were given for a better understanding.

Political football fueled the confusion and panic of pandemics that I briefly described. “Scientific community” constantly contributed to mass anxiety.  Stanford University is one of the authorities in the world of science in conducting studies.

Eran Bendavid, Bianca Mulaney, Neeraj Sood, Soleil Shah, Emilia Ling, Rebecca Bromley-Dulfano, Cara Lai, Zoe Weissberg, Rodrigo Saavedra-Walker, James Tedrow, Dona Tversky, Andrew Bogan, Thomas Kupiec, Daniel Eichner, Ribhav Gupta, John Ioannidis, Jay Bhattacharya

Here is their conclusion:” Conclusions the estimated population prevalence of SARS-CoV-2 antibodies in Santa Clara County implies that the infection may be much more widespread than indicated by the number of confirmed cases. More studies are needed to improve the precision of prevalence estimates. Locally-derived population prevalence estimates should be used to calibrate epidemic and mortality projections.”

Really? If people develop antibodies, is this bad news?

One would say it is great news. Without symptoms, the human body fighting off infections and developing immunity.

The Stanford team was not clear, but the media presented this study something similar to:   ”Stanford researchers concluded that there may have been 50–85 times more people affected by COVID-19 in Northern California alone than the cases that were officially confirmed.”

Again, let’s keep in mind that Stanford University is one of the authorities in the world of science. These media bloopers added to panic and anxiety. It is asymptomatic to use a serology/antibody test, in assessing the percent of infected population.

The question is, maybe this massive panic/anxiety is weakening even the acquired immune system, making people sick, and possibly leading to mortality?

Further in my article, I am going to talk about the unbelievable power of placebo and nocebo, and therefore maybe my sentence above would make more sense. Probably I would make more scientific sense than the order issued by Texas Governor to shut down all bars. Really? Was there any scientific data supporting spike of coronavirus cases because of drinking in bars? How many of the US population attending bars? Somebody, scientists, healthcare authorities of the state of Texas bothered to apply some reasonable statistics, prior to shot down bars? How about people who have attended bars? I can speculate, that most likely, conscious and subconscious minds weakened their immune systems.

Dear friends, I can offer you many more samples and explanations that triggered massive anxiety, and made some of us sick, including clinical depression and more.

Warning

Dear friends, upfront thank you for understanding. This warning is necessary to avoid misunderstandings.

Thank you.

In conclusion to this article, I am going to offer the links, to article title: ”THE PLACEBO EFFECT AND ITS ROLE IN MASSAGE THERAPY.

When the original article was published, some massage therapists, who clearly didn’t read the entire article, posted comments: ”Boris Prilutsky declared, that massage therapy is nothing but a placebo.”  The article doesn’t claim anything like that. Therefore, if you are not planning to read the entire article, then, in order to avoid confusion, it might be better if you won’t read it at all.

Disclaimer

I am not a scientist, but a massage practitioner with good academic background. For many years I am practicing medical and sports massage protocols developed through extensive research. At the time of the research, all techniques as well as entire massage protocols were tested against the placebo/controlled group. Having rich experience, I can claim massage therapy is not a placebo. At the same time, as I’m explaining in the article, if in addition to all very well-known mechanisms of simulations, we can trigger the mechanism of a placebo, then it makes our method even more powerful.

Thank you.

Conclusion

Let’s come back to “What do we know about COVID 19?”

We know that it is a very contagious unknown strain of the virus. We know that we all must wear masks, and maintain social distances, to wash hands frequently, to develop discipline not to touch the face, etc. This is all that we know for now.

The links below are to part one and part two THE PLACEBO EFFECT AND ITS ROLE IN MASSAGE THERAPY articles. I trust you would find these articles useful.

I would like to stress the importance of one sentence from the “placebo” article:” We cannot talk about placebo and not consider extreme power of nocebo.” I believe that this understanding is crucial in our occupation. Even in the case when nocebo starts destroying the health of individuals, our treatment is extremely powerful and allows people to get their life back. Hopefully, my article and the most important two parts of THE PLACEBO EFFECT AND ITS ROLE IN MASSAGE THERAPY would accentuate the importance of the human factor in the good and sustainable outcomes of treatment.

The real intellectual, scientist, and medical-massage practitioner, Dr.Ross Turchaninov co-authored the second part of this article.

THE PLACEBO EFFECT AND ITS ROLE IN MASSAGE THERAPY PART 1

THE PLACEBO EFFECT AND ITS ROLE IN MASSAGE THERAPY PART 2

Summary

Dear friends

Before coronavirus pandemics,

I couldn’t find any data that would contradict the fact that at least 75% of primary care physician’s visits are stress-related illnesses, and disorders. Disorders, such as headaches, essential hypertension, muscular aches, sleep disorders, anxieties, depression, weakened immune system, and much more.

Massage therapy, clinically proven for many years to be the most powerful methodology in stress management, offering sustainable results, and giving people their life back.

Again, even before coronavirus pandemics, 75% of visits to primary care physicians were stress-related.  Thus, as before, our mission is to address stress, especially considering that nowadays fear induces a tremendous amount of additional stress in a human body.

The links below are to the articles that are devoted to specific techniques that empower the immune system, as well as increasing blood passage time. In these two articles, I discuss stress management, which is balancing sympathetic and parasympathetic activities.

Detoxification and immune systems sufficiency

Pre-event sports massage against COVID-19

Can massage techniques be equated with remedies? – Medical Massage

I will dedicate my upcoming educational video to the release of acetylcholine techniques, including mostly hands-on demonstrations and explanations. Please subscribe to my channel to receive notifications when new educational materials are available.

MedicalMassage-Edu Channel

Recently we made a video, where I’m explaining the role of medical massage in post-surgical rehabilitation, as well as demonstrating hands-on protocols.

Orthopedic Massage in cases of post-surgical rehabilitation

The link below is to the video, where I demonstrate the techniques for cellulite reduction.

Cellulite reduction

                                                                 

Can massage techniques be equated with remedies?

Introduction

Based on my experiences practicing medical and sports massage for many years, I can say with conviction that, although massage techniques cannot be equated to remedies, in certain cases it is possible to discover or rediscover additional healing power that the use of massage techniques can entail.

It is important to add those techniques to the existing ones, developed by scientific research and clinically proven for many years. This is what massage therapy is all about, to achieve faster and sustainable results.

Physical wounds can heal well but psychological trauma associated with physical injuries can continue destroying health to take away persons’ life.

I was in the middle of writing an article, the link you can find in the conclusion section, has received a call from an MD who works in urgent care in my neighborhood. I know this doctor for some time, had the opportunity to treat his lower back, and received numerous referrals from him.

He said:

”Boris I have a referral for you”

I answered

“Thank you, sir, I didn’t reopen my office yet, even don’t have recommended PPE(pandemic protective equipment).”

He replied:

“Don’t worry about it, you can use my facility and I will provide for you all the required PPE.”

I felt the urgency and asked him to present the case.

Almost 2 years ago, a dog viciously attacked a 29-year-old male who and sustained injuries, such as wounds to the scalp, head trauma, wounds to the neck and chest.

Paramedics stabilized him. An ambulance delivered him to a local medical center. After spending five days in the hospital,  he continued to receive treatments at the outpatient facility for another two months. The wounds healed well, but one could still notice  the scar tissue. For the last eleven months, the patient was diagnosed with essential palatal tremor and Trigeminal neuralgia. While for the last four months he was diagnosed with glossopharyngeal neuralgia.

The doctor added:

“Poor guy.The second time he is in my office, this time with the severe clinical picture; an obvious panic attack. We suppressed his panic attack, but couldn’t do much. At this point, I have to refer him to ER, but, honestly, I don’t believe ER doctors could do much for him. Maybe you can try?”

I asked the doctor if the obvious symptoms of glossopharyngeal neuralgia are responsible for a major clinical picture that led the patient to urgent care.  He responded:

”I cannot tell for sure. It’s a mess!”

I pondered… In a situation like this, the healing of physical wounds means little.  I remembered that several years ago I received a young man viciously attacked by a dog.  During the eight months after the attack, he developed a very difficult case of fibromyalgia. It was a challenging case.  I felt proud that I succeeded and achieved sustainable results.  This new case seemed like another big challenge and I decided to take it. Thinking about it I said out loud…

”… body and mind are inseparable. Luckily medical massage allows successfully to address somatic abnormalities, as well as to stimulate the healing process of psychological trauma.”

I shared with him my thoughts and started to explain to him professor Melzack’s Neuromatrix theory of pain and anxiety, and significant role medical massage can play in cases of central sensitization.

Suddenly the doctor interjected:

“Boris forgot to tell you, this fellow has no money and won’t be able to pay you.”

Well, I thought,  “one has to do what one has to do”, and sometimes this “has to do” included “pro bono” and finished our phone conversation by saying:

”I can assure you while placing my hands on patients, I don’t think about compensation. With us it’s like with musicians; the moment they start playing, they are in a different world, and cannot tell whether they are playing a concert for money, or practicing, or whatever.”

When I saw the patient, it became clear what a difficult case this was. Even under medications, I could see pain and desperation reflected on his face. I felt that every moment the patient’s mood could escalate to a full-scale Hysteria. I couldn’t speak to the patient, I couldn’t move him. Thus, I had no choice but to start working with my hands. The situation demanded me to cut the initial interview and evaluation short.

He could barely rotate his neck vertically and while opening his mouth exhibit more than a limited range of motion. While attempting these movements his eyes were wide open. Again, I was under the impression that in his any moment this person could demonstrate a complex of hysterical symptoms.

Briefly, I explained to him that what I was about to do was a pleasant procedure, which would help him relax, and allow him to feel better. I could see that he was relieved.

It was a matter of primary importance to calm the patient down.  By the reaction of his muscles to even light touch, it was obvious that he had a very low threshold of pain. Therefore, my most important challenge was to increase this threshold. I couldn’t start from our usual introductory massage in an inhibitory regime. Needed to alternate, improvise. Very gently, by grabbing folds of his skin and slowly squeezing muscles. Then little by little I started introductory massage in the inhibitory regime, without lubrication.  Tenderness and sensitivity at this moment was an absolute must, as more intensive movement like those with lubrication could have provoked the panic attack and/or muscular protective spots.  Then, after approximately ten minutes working without lubrication, when I felt that I increased his threshold of pain, I added lubrication and could move more freely.

 

I felt relieved when after 15 minutes of the procedure the fellow fell asleep. It was a good moment to see him falling asleep as I prepared myself to witness a full-scale hysteria. I started utilizing some compression. There was no muscular protective spasm, and he didn’t wake up. The rest of the treatment, for 35 minutes, was my usual performance: the usual pressure, usual connective tissue massage, and muscular mobilization. Then I decided to follow intuition and performed techniques to release acetylcholine.

I performed these techniques more intensely, a bit similar to periosteum massage, but applying wider movements. In cases of the low threshold of pain, it is impossible to perform these techniques with quality. He did wake up, but I continued to perform techniques to release acetylcholine, while only asking him whether I applied too much pressure. He responded that the pressure was good and the procedures felt pleasant. I knew we are on a way out of his misery. After the first treatment, the objective and subjective improvement were noticeable. When the doctor stepped into the room, he couldn’t believe what he saw. He told to the patient

“It looks like you are feeling better.”

The patient answered,

“Yes don’t know what happened, but my brain is not fogey and I am not experiencing sharp pains in my throat and ear, like before.”

I have explained to the doctor that mainly, I was focusing on the neck, upper back, and on implementing the entire TMJ protocol. The doctor said that from the very beginning he was questioning glossopharyngeal neuralgia. I said

“most likely glossopharyngeal neuralgia was a misdiagnosis.”

And added

“In such a case who cares about diagnosis, it looks like I will be able to help him.”

The patient already received five treatments, and he feels much better. Greatly increased motion in the neck area, as well as motion in the TMJ, was a significant improvement. The subjective report was also encouraging. For a complicated case like this, such improvements are pretty rapid.  I attributed them to the incorporation of the release of acetylcholine techniques.

For many years, I excluded these techniques from medical massage protocols, while at the same time successfully using them in pre-event sports massage. And now I am proud to report that even excluding the release of acetylcholine techniques, I was able to sustained results in more than 80% of similar difficult cases.

Should I avoid incorporating the release of acetylcholine techniques,it is possible I would still achieve sustainable results, but most likely, it would take many more procedures. This might sound banal, but as therapists, we must strive to change a difficult clinical picture as fast as possible because relieving people of suffering is our duty.

As to this case, to sustain the results, I am planning to provide ten more treatments. Wish me luck.

In my mind, I am considering the conclusion and summary of this article, as real content and this content I would like to share with you.

                                                          Conclusions

Friends, further, in conclusions and the summary I will refer to the Russian Doctor researcher that I mentioned in an original article.

From my original article:

Actually, the scientific data I rediscovered wouldn’t change the way I’m practicing sports massage. Instead, it readjusted, enriched, and broaden my understanding of the power of massage. It, certainly, gave me the opportunity to share with you, extremely powerful details of massage procedure.

From my original article:

Please don’t get me wrong. The entire pre-event sports massage protocol is “must do” to achieve desirable results. All steps in the entire sequence compliments each other. But today we are talking about the role of massage in maintaining the fluidity of blood, as well as the importance to release acetylcholine.

From my original article:

Then he continued: “Boris this is not only a matter of fluidity. No doubt it is important to maintain fluidity, and various Chernich’s techniques, remarkably, achieving it. “The application of Chernich’s techniques combined with the release of acetylcholine techniques, allowed us to constantly maintain the sufficiently high blood supply volume at the capillary network, suppress anticholinergic, and release acetylcholine. The measured level of acetylcholine in blood was indicative of suppressed anticholinergic.  

From my original article:

According to Krasnova, even though some individuals sustained higher than normal blood fluidity, it didn’t change significant passage time. 

From my original article

By 1969, there was enough data and available techniques to elicit the same effect of releasing acetylcholine. Using controlled studies based on biorhythms and the available data, they have developed scientifically and most importantly clinically proven, powerful massage techniques to release acetylcholine, as we know it today.

From my original article

I also asked him, if granted a person accumulated a lot of metabolic waste, I won’t perform detoxification techniques, but only use techniques to release acetylcholine, would it positively affect blood supply volume at the capillary network. He said yes, for a short time. Then I inferred “In such a case as you describe, detoxification is must be done.” His answer was yes.

From my original article:

Then I asked him, why during the educational process the professors didn’t require us to do manual acceleration of lymph drainage along with pre-event sports massage? His answer was:” We didn’t see the need. By constantly providing post-event rehabilitative massage, we stimulated accelerated drainage of lymphatic fluid and promoted the disposal of metabolic waste.

From my original article:

I have rephrased my question. If I will perform detoxification procedure only, without special techniques allowing to release acetylcholine, would it affect the positive volume of the capillary network? He said: ”We researched it. Regrettably performing detoxification procedures only didn’t have much effect on the release of acetylcholine. So to accomplish releasing acetylcholine we had to apply the pre-event techniques as well.” 

From my original article:

Today with even greater clarity I realize how important it is to incorporate these techniques in pre-event sports massage, as well in other types of medical-massage. And knowing what I know today I appreciate this awesome massage protocol I was performing for forty-six years. The effect of this protocol is not releasing acetylcholine only. The successful massage procedure assesses the improvement and normalization of blood volume in the capillary network. By succeeding in it, we should expect improvement in the functioning of internal organs and the Muscular skeleton system.

Here is a link to my original article. http://medicalmassage-edu.com/pre-event-sports-massage-against-covid-19/

 Summary

From my original article:

I talked to the doctors three times, each time for more than an hour. I took notes, and if I would try to present all of them, it would have to write many articles. Each sentence would have at least 10 extended interpretations. Should these additional avenues of discussion would ignite interest, we can manage these discussions on-line

I have asked the doctor whether the pre-event massage techniques are the only techniques allowing to release of acetylcholine.

He said that kneading and friction also contribute to the release of acetylcholine, but not to the extent that pre-event sports massage can achieve. Then he continued:

”The unique discovery we did, was that for example kneading techniques, greatly contribute to vasodilation of big blood vessels, but not to the same degree, affecting dilation of capillary vessels, where is the metabolic exchange happens. Pre-event sports massage techniques release acetylcholine much more massively, greatly improving capacity, the blood passage time through the capillary network, but not as effective when it comes to large arteries. Each technique is complementary to others.

Extensive unlimited research allowed us to investigate the effect of different massage techniques on functions of organs and systems, and then to select and combine the most effective massage techniques for medical and sports massage protocols. I said:

”I wish I would know these additional details regarding the release of acetylcholine techniques.”

He started laughing and said:

“You probably fell asleep in class when I  discussed these details.”

Then he added:

”To make you feel better, none of us incorporated these techniques in medical massage protocols. There was no need as we achieved great results without incorporating the release of acetylcholine techniques. It was necessary only in the pre-event sports massage. Today talking to you I believe it was a mistake not to incorporate the release of acetylcholine techniques in other medical massage protocols”

He continued:

”If a therapist not going to address reflex zone abnormalities, and try to increase blood supply by releasing acetylcholine techniques only, he or she won’t achieve results and possibly only aggravate the condition.”

I was proud to tell him that in my article published at massage magazine, where I explained in detail the importance of addressing abnormalities in reflex zones, emphasizing that the reluctance to do that is counterproductive as it prevents the attempts to achieve results and incorporate stretching.

http://medicalmassage-edu.com/wp-content/uploads/2020/06/233-Orthopedic.pdf

When I felt like we almost exhausted our discussion I asked:

”Maybe you have discovered any other data in that research?”

My goodness!  Asking this question, I felt like a young student in front of a scholar. I told him that I felt like a novice talking to him. His answered:

”… don’t worry, never again will you be the beginner, but feeling this way is the evidence of you still improving your skills.”

I replied :

“… or yes. I know that in regards to our skills developments, the sky is the limit, but you and professor Dembo always were my icons.”

His answer was direct and convincing:

”Boris, if at this very moment, I would have the opportunity to talk with professor Dembo, who always was my icon, most likely, I would also feel like a young student, the beginner. This is the nature of things.  Much is happening in the scientific world and sometimes we have the possibility of unexpected discoveries. In 1969, when we worked to improve  Serazini’s pre-event sports massage protocol, one of the members of our team was a 52-year-old male. Numerous times he, as a model, received pre-event sports massage including, the release of acetylcholine techniques. One day he admitted, that before receiving a massage he developed erectile dysfunction. Suddenly after receiving numerous pre-event sports massage, he got significant improvement, and gain his sexual potential back.”

The doctor continued:

”It was interesting, and we all started looking for an explanation. We got it. It turned out that the release of acetylcholine, triggering the release of Nitric Oxide. After this discovery, since 1969, I personally help to many males who suffered from ED.”

Also, this wonderful doctor real scholar in medical and sports massage, told me how they discovered that techniques of releasing acetylcholine, could be very useful in cases of neuropathodynamics. This is a very long and very important presentation, I will do it in a separate blog.

Dear colleagues, as you understand there are no techniques in massage that could be equated with remedy.

Best wishes,

Boris Prilutsky

PS. My upcoming educational video will concentrate on the release of acetylcholine techniques, including mostly hands-on demonstrations and explanations, and would be based on my recent article.

Please subscribe to my channel to receive notifications when new educational materials are available.

https://www.youtube.com/channel/UC1P3BRptS-MM6gHcG87VSmw

We decided not to post links to new video releases, at FB and other professional groups, because not everyone has an interest in my work, and we are not striving to annoy people who have no interest.

Recently we made a video, where I’m explaining the role of medical massage in post-surgical rehabilitation, as well as demonstrating hands-on protocols.

If you have the interest to learn from this educational material, you’re welcome to visit our channel.

Thank you

Pre-event sports massage against COVID-19

Introductory

People, who follow my articles and posts know that I am a big believer in professional discussions, and am not afraid of being challenged and support my opinion in a mutually respectful back and forth argument. Everyone can learn from this type of professional discussion: those who post, those who disagree, and those who are just following the discussion.  Thus, I hope this post would also elicit a healthy discussion and become a source of mutual learning.

Recently, Dr.Ross Turchaninov invited me to join FB group Students of the Science of Massage Institute Medical Massage Program. Most of the members are recent students or graduates from that program. One of the members posted an overview of the article related to Coagulopathy of COVID-19. A special preview of Ruth Werner’s Pathology Perspectives column scheduled to appear in the July/August 2020 issue of Massage & Bodywork.

This member asked Dr. Ross’ opinion on this very well written article. As always, Dr. Ross Turchaninov offered straight to the point summary and which was correct. I quote:

“There is a growing number of clinical and scientific articles that emphasized that COVID is not a lung problem, as we thought and treated accordingly, but it is rather a completely new virus within the coronavirus family. In the majority of fatal cases, death came as a result of inner organ failure due to the thrombosis of the small arteries. The virus damages inner lining, triggering the coagulation system and that it is the cause of death. Indeed patients are dying from lung failure more frequently, than the liver for example, but the cause of that is thrombosis not blockage of airways by inflammation or sputum as rest of coronaviruses do. It is because lungs have a large circulatory system and they are first to be affected. That recent discovery already makes a huge change in the therapy since the first line of defense now is anticoagulants (frequently the strongest ones) instead of IVL. Results of this therapy, before the vaccine is ready, are significantly better.”

I have replied.

Great commentary! Glad Ruth wrote this article. Probably later on when the time will permit I will write about extensive work by Dr. Chernich related to this issue. To summarize, massage significantly increases the fluidity and decreases the viscosity of blood. I believe that to the cases, presented in Ruth’s article, this is a very important factor. It’s always important to maintain a good level of fluidity of blood but especially during this type of pandemic. BTW, I love the idea to have this site.

Best wishes.

Dr.Ross agreed.

Since then, already a few weeks I’m writing and rewriting my article. I am well familiar with the works of Dr. Chernich.Therefore I was positive, it won’t take me much time to write this article. Suddenly at the time of writing, I felt that all I am talking about, is very superficial, and I am not diving to the very bottom of the issue.

I obviously knew that the acceleration of the lymphatic drainage technique promotes a significant increase in the fluidity of the blood. Also while massaging in the inhibitory regime contributes to vasodilation and triggers a significant increase in the fluidity of blood. But I felt that I am missing a significant piece of pertinent information, preventing me from giving this topic a fair consideration.

The Eureka moment

 

The Soviet scientists and clinicians Dr. Chernich along with thousands of other Soviet scientists and clinicians was the part of the Soviet sports medicine machine placed with the sole purpose of propaganda to help the Soviet athletes to win the Olympian gold, to “rub it in” to the West in the frame reference of the Cold War.  Thus scientists dedicated their entire careers to the developments of methods that prevented sports-related injuries, promoted rehabilitation from sports-related injuries, improved performance of Soviet Olympians, and increased their competitive longevity.

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 sports medicine including and not limited to Medical and Sports Massage studies, their developments were kept in strict secrecy. The secrecy was guaranteed by the mighty Soviet secret service organization KGB.

KGB or the Committee of Government Security, to some degree, was similar to the confluence of two American organizations FBI and CIA.  Except for that American citizens rarely get involved with either of these organizations as it’s primary goal is to counteract internal and external foes of the United States.  In the Soviet Union, one careless word or a risky joke could not only end one’s career but also make him or her a foreign spy – the enemy of the Soviet people and thus being tortured, sent to GULAG or killed.  Therefore no one in the former Soviet Union, messed with KGB, which enabled it to keep any information as secret as the Communist Party wanted it to be. In this particular case, the secrecy was overseen by the influential member of the central Communist Committee comrade Suslov personally.

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 a special new “Soviet Person”, the carrier of the advanced Soviet mentality, which allegedly was far superior to a mentality of a Western person.

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 point out 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 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, 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 before “perestroika.”

Perhaps this sounds bizarre, but just to understand the significance of this loss, in 1963, a military faculty was organized, which claimed to prepare military sports instructors, thus making this faculty a military PO. Box ora top secret institution. These military instructors had nothing to do with sports medicine research, they couldn’t even enter our facilities.The Soviet government used them as a decoy to declare our institution a military PO. Box.

The research was conducted under strict secrecy, and practitioners under training were obligated to keep this secrecy and knew that those protocols were a secret product of the Communist party. Perhaps, for those who lived in the free world, is difficult to comprehend the threat of KGB, but we all knew too well that messing around with KGB was a bad idea. It was too serious.

As you could understand, not much material, and research papers was and is available.For many years I’m practicing this protocols and this a lot but, at the time of writing this article, I knew I was missing some crucial information, that can help to understand more about the role of massage in increasing and maintaining level of blood fluidity.

It was just a pure intuition.I could remember it was more than this.Back during my student years in the Soviet Union, principal investigators used to give tasks to different groups of researchers, with all outcomes coming back to the principal investigator, so that only a very limited number of people could read the entire research paper.

When a particular massage protocol was developed, we learned in details its steps by step application, as well as its underlining theoretical concepts, to understand what we were doing.However, as a clinicians, when all was working well, time after time, and for a long time, sometimes, we weren’t on top of research findings, simply didn’t remember  details.

Yet for writing an article I need more details, I must have deeper and broader explanation.

This was my personal Eureka moment. Actually,the scientific data I rediscovered wouldn’t change the way I’m practicing sports massage, but it readjusted, enriched and broaden my understanding of power of massage, and,certainly, gave me the opportunity to share with you, extremely powerful details of massage procedure.

While studying, pre-event and post-event sports massage was a considerable part of the curriculum.I remember clearly, when I was trained to perform pre-event sports massage, our professors stressed the difficulties at the time of the research to adjust the existing  Serazini’s pre-event sports massage protocol to a much more efficient, and more powerful one.

The regime, at which we perform pre-event sports massage, shouldn’t suppress sympathetic activities to the level we strive to suppress it when performing stress management massage. Its purpose is to balance sympathetic and parasympathetic activities. At the same time, we must increase fresh arterial oxygenated blood supply aiming to increase the volume of the capillary network.

One could say that if you are not suppressing enough sympathetic activities then don’t expect vasodilations to meet the desired expectation. Now I am about to discover the additional supportive pattern to the stimulation by massage and achieving vasodilation and to positively affect autonomic activities.

Unlike the USA where sports medicine experts are mostly orthopedic surgeons, in the Soviet sports medicine the leading sports medicine experts used to be neurologists. Certainly, orthopedic surgeons and traumatologists, physical rehabilitators, including medical and sports massage practitioners, as well as cardiologists, who specialized in biological rhythms also played an important role in the development of sports medicine.

Processes in our bodies exhibit rhythmicity, including blood fluidity rhythms. These highly qualified experts knew how to calculate biological rhythms, and then to adjust the regime of professional athletes practice accordingly. While conducting research, they always used to work with us, as many of them knew hands-on massage procedures quite well and used massage in controlled studies.

Olympian athletes used to practice twice a day three hours each practice. None of them could leave practice unless their heart rates would reach 220 beats per minute. Imagine what kind of physical load young Olympians had to undertake, if their resting heart rate was 40 beats per minute?  That high of a heart rate did not result in overtraining as the biorhythms experts, knew how to adjust the personal training routine of each Olympian, incorporating rehabilitative efforts by use of sports massage.

For many years I have performed pre-event sports massage. Almost half of my long career I have dedicated working with professional athletes, performing equally important pre-event and post-event sports massage, as well as various medical massage protocols in cases of trauma. Very  important technical components of pre-event sports massage are special techniques to release acetylcholine. I knew about the importance of correctly performed techniques in its relation to releasing acetylcholine. What I could remember is that by releasing acetylcholine volunteer muscles reacted much faster, and work better in assembly.

During the last six years of my career, I had the opportunity to manage two green jacket golfers and certainly implemented pre-event and post-event sports massage. Last year I decided to slow down my involvement with these athletes and spend more time with my grandkids.

The managers requested me to train two athletic trainers. These good people, had little interest in pre-event sports massage training as they were positive they knew what to do in pre-event and post-event case. Their main interest was a medical massage in cases of trauma, post-isometric relaxation techniques, as well as correction of biomechanics techniques.

Being in good relationship with these golfers, I periodically treated them in my office. Before coronavirus struck, while treating them both golfers complained:” when you used to perform pre-event sports massage, we could feel its effect; it boosted energy, allowed us to achieve greater focus, etc. These trainers are not achieving it.” I promised to talk to the trainers and, God willing, when all of us would get our normal life back, I will meet with the trainers and explain to them the importance of including the pre-event techniques in releasing acetylcholine.

Please don’t get me wrong. The entire pre-event sports massage protocol is “must do” to achieve desirable results. All steps in the entire sequence compliments each other. But today we are talking about the role of massage in maintaining the fluidity of blood.

For some reason my intuition was screaming, I could remember that techniques to release acetylcholine, also contributing to the increased blood supply and the volume of small blood vessels network. Honestly, it was a kind of intellectuals suffering, to know, but not being able to remember details and theoretical explanation.

As you understood from the history of Soviet sports massage, I couldn’t look up textbook, or Google the information.

Usually, when some question would arise, I immediately contacted my mentor. But he is not with us anymore, rest in peace, great man that he was. Suddenly, it crossed my mind that a long-ago retired sports medicine doctor for the last ten years lived in Israel. He used to work in sports medicine research, as well as he was a clinician and knew theory and practice of medical and sports massage. A few years ago, I talked to my mentor, this doctor was next to him, and I was introduced. I was flattered as he was one of the idols of young practitioners and I used to look up to him.

I called him and luckily he answered. Being 83 years old, he retained a perfect memory. I asked him to explain to me the process of releasing acetylcholine and its effect on the fluidity of blood. He said that in 1969, he worked, in the group with Dr. Chernich and Dr.Krasnova who was cardiologist and biorhythmologist. He further explained that it was their group that developed these techniques to release acetylcholine.

This was a WOW moment for me. Then he continued: “Boris this is not only a matter of fluidity. No doubt it is important to maintain fluidity, and various Chernich’s techniques, remarkably, achieving it.

The application of Chernich’s techniques combined with release of acetylcholine techniques, allowed us to constantly maintain the sufficiently high blood supply volume at the capillary network, suppress anticholinergic, and release acetylcholine, which measured level in blood was the evidence of suppressed anticholinergic.

Besides, releasing acetylcholine is extremely important for speed improvement, muscular assembly work, etc. By suppressing anticholinergic, we allow real and constant vasodilation of arteriole network. We found out that by constantly incorporating these techniques, we are establishing the reflex of normal dilation at the arterioles and capillaries network, and this reflex, sustained for days. An even the treatment extended for a limited time, immediately lead to desirable effects, as well as maintaining this acceptable normal sufficient blood volume in arteriole networks.

For these findings, he gave a lot of credit to Dr. Krasnova. She has carefully analyzed the daily rhythm of blood fluidity and came to the conclusion that this is not only about the fluidity of blood. They tried a controlled study, to use blood thinner medication.

According to Krasnova, some individuals who are even sustained higher than normal blood fluidity, it didn’t change significant passage time.

Passage time is one of the measurements, scientists used to assess blood fluidity, the volume of the capillary network.  The doctor explain to me that Krasnova used many more parameters of measurement. Discussing their entire gamut is well beyond the scope of this article. What she has proved and what I’m trying to stress in this article, that not only blood fluidity is extremely important, but also the capacity of the capillary network allowing to pass more blood.

When she proposed to control the study using anticholinergic medications, it made a big difference for some individuals compared to the group that received pre-event massage.

The Doctor continued: ”We understood there was no future in using anticholinergic medications, because of terrible side effects such as dementia, disorientation, decrees of mucus production, disturbances in bowel movement, increase the heart rates to name just a few. The biomarker of active dominating anticholinergic was blocked acetylcholine.

“By 1969, there was enough data and available techniques to elicit some effect of releasing acetylcholine. Using controlled studies based on biorhythms and the available data, they have developed scientifically and most importantly clinically proven, powerful massage techniques to release acetylcholine, as we know it today.

 

When I asked the doctor what in his opinion contributed to dominating anticholinergic, he responded that the main cause of it is the accumulation of toxic metabolic waste. He continued:” By performing manual acceleration of lymph drainage, you not only detoxifying the human body but also significantly increasing fluidity of blood, but also increasing passage through the capillary  network “Then he joked: ”Not only ‘two birds with one stone,’ but many more”

I also asked him, if granted a person accumulated a lot of metabolic waste, I won’t perform detoxification techniques, but only use techniques to release acetylcholine, would it positively affect blood supply volume at the capillary network. He said yes, for a short period of time. Then I inferred “In such a case as you describe, detoxification is must be done.” His answer was yes.

Then I asked him, why during the educational process we weren’t required to do manual acceleration of lymph drainage along with pre-event sports massage? His answer was:” We didn’t see the need. By constantly providing post-event rehabilitative massage, we stimulated accelerated drainage of lymphatic fluid and promoted disposal of metabolic waste.”

I have rephrased my question. If I will perform detoxification procedure only, without special techniques to release acetylcholine, would it affect the positive volume of the capillary network? He said:” We researched it. Regrettably performing detoxification procedures only didn’t have much effect on the release of acetylcholine. So in order to accomplish releasing acetylcholine we had to apply the pre-event techniques as well.”

Finally, I asked:” Why do we call this technique the “release of acetylcholine?” Shouldn’t these techniques be called “suppressor of active dominating anticholinergic”? His answer was “yes, it is suppressing dominating anticholinergic. But because released acetylcholine, is a biomarker, we decided to call it as you were trained in school, the release of acetylcholine techniques.

The doctor asked me, why I got interested in this topic. I told him about Dr. Ross’ commentary on new findings of coronavirus. He said that in such a case scientists should look at individuals’ active dominating anticholinergics. He also said that during their research, it became absolutely obvious, that dominating anticholinergics, is very individual, and its level is different from person to person. But everyone and especially in competitive sports can greatly benefit from freed acetylcholine. Based on my clinical experience, I can say yes this is true.

 

Conclusions

1.      We can speculate that a massage therapist possesses a powerful means in preventing the detrimental effects of the COVID-19 virus described in the Coagulopathy of COVID-19 article. It is the implementation of pre-event sports massage protocols that elicit the release of acetylcholine, which in turn increases the volume of the capillary network.

2.      We must follow our intuition and not give up. This is got to be something in it.

3.      As we all know, today coronavirus sparkled again. To prevent this infection we must boost the immune system, and increase blood fluidity, as I have described in my article Detoxification and immune systems sufficiency – Medical Massage

4.         The major contributor to dominating anticholinergic is the accumulation of toxic metabolic waste. In order to counterbalance this negative process detoxification procedure must be performed.

5.         The detoxification procedure only has only a minor effect on the volume of the capillary network. To ensure the sufficient volume of the capillary network pre-event massage technics must be performed.

Summary

I talked to the doctors three times, each time for more than an hour. I took notes, and if I would try to present all of them, it would have to write many articles. Each sentence would have at least 10 extended interpretations. Should these additional avenues of discussion would ignite interest, we can manage these discussions on-line.

Twenty-three years ago, I have produced an instructional pre-event and post-event sports massage DVD. Presented hands-on step-by-step pre-event and post-event massage protocols, stressed the importance of each technique. At the same time, during performing hands-on techniques, the DVD stresses the importance of must do the release of acetylcholine techniques. Today even more clarity I realize how important it is to incorporate these techniques in pre-event sports massage, as well in other types of medical-massage. And knowing what I know today I appreciate this awesome massage protocol I was performing for forty-six years. The effect of this protocol is not releasing acetylcholine only, but the success of the massage procedure can be assessed by improvement and normalization of blood volume in the capillary network. By succeeding in it, we should expect improvement in the functioning of internal organs and the Muscular skeleton system.

I had this conversation with you, as a clinician to clinician. I didn’t even try to search for references. Besides I am not that good at doing searches. Besides, I am against the practice of finding data produced by orthopedic surgeons for example and attempting to adjust it to massage protocols. We are in a different business; treating the same disorders, but using different techniques and approaches.

I believe very soon I will produce an educational video presenting hands-on techniques to release acetylcholine. In this video, I won’t discuss pre-event sports massage and demonstrate pre-event sports massage techniques only, but when treating internal organs disorders, stressing the importance of eliminating reflex zones abnormalities in soft tissues, developed due to visceral somatic reflex. Viewing the body in a holistic way, and I will explain the importance of performing each of the medical massage techniques to achieve sustainable results, including and not limited to extremely important techniques to release acetylcholine. The video will certainly include hands-on demonstration those that for many years are clinically proven as excellent.

Best wishes,

Boris