Use of massage in case of severe concussion
A person whose testimonial you’ll be acquainted with below attended my treatment sessions seven months ago. It was a well-observed case.
After the first evaluation, it was obvious that he couldn’t make it out of the bed on his own. In addition to acute pain, he demonstrated severe encephalopathy symptoms. His mom was positive, they were going to lose him. Honestly, it looked like his brain was about to shut down.
When I provided the first 15 treatments, my client was feeling good, was symptoms free, including totally restored brain function. According to the recommendation of professor Dembo MD Ph. D., after 15 treatments, a massage therapist should prescribe the two weeks interruption in treatment to his or her client. Then even if the patient will be 100% symptoms free, the therapist must perform another 15 treatments. The reason that interruption and subsequent 15 treatment, entails extended explanation, that is beyond the scope of this article and requires a separate article, which I will attempt to write at some point in time.
However, at that time, after one week of interruption, the patient asked me to resume the treatments, without waiting for another week. He didn’t complain that the symptoms return, but pointed to his intuition as the reason that urged him to reach out to me.
During many years in practice, I learned to take notice of the patient’s intuitions. Thus, I provided him with another 15 treatments. Since then, during the last seven months, every two weeks he comes for maintenance treatments. Giving to the fact, that he is a songwriter, and performer, I believe maintenance treatments, helped him to balance his autonomic activities.
During the last seven months, he produced two albums and performed in numerous concerts. Seeing him succeed and feeling well, made me think, what a privilege it was to be a massage therapist, to be able to help in severe cases, where conventional medicine is practically helpless. You’re welcome to ask questions,
Let’s call him Alexander.
I got a concussion on St Patricks Day, March 17th, 2018, I was at my friend’s house and was hit in the right side of my forehead by approximately 10-pound plexiglass ball that was suspended from a mechanized wire that was traveling in a circle at around 10 mph at the head level. I immediately went to the ER at UCLA and was diagnosed with a concussion; my CAT scan showed no bleeding in my brain. They gave me a prescription for 600mg ibuprofen and hydrocodone. After that, I stayed home in bed, in the dark, with no screen time and no activity. Looking at screens or any prolonged activity resulted in intense pressure headaches.
Over time, the pain in my head intensified. It became so unbearable that I consulted a neurologist who told me that, based on my symptoms, it sounded like I had a tear in the dura that was causing a cranial spinal fluid leak and that they could do a brain blood patch that had a 75% chance of causing the tear to close and the pain to go away. When in the operating room, where I was scheduled to get the blood patch, I spoke with the doctor and he recommended I do not undergo the treatment and that I’d have better luck waiting it out at home, I returned home but within a few days the pain became so intense that I had to go back to the ER where I was hospitalized. There they did an MRI that showed no brain tear. By this point I was very worried; the pain in my head was incredibly intense. I was hospitalized for five days, trying out a myriad of medications and was ultimately sent home with Valium and Amitriptyline. While the medicine provided some temporary relief, the pain in my head persisted. I spent around four and a half months bedridden and was fearful that I wasn’t going to recover from the chronic severely intense tension headaches.
This was my life, until I had the incredible luck of finding, through my mom’s friend, Boris Prilutsky at the Sports and Medical Massage Center in Burbank. The first time I received treatment from him I had immediate and remarkable relief from the tension in my neck. I started seeing him twice a week and he was brought back more and more each session, and I tapered off the medications. Somehow, Boris’s method of treatment was able to help eliminate the intense symptoms of my diagnosed post-concussion syndrome that I was experiencing every day, without using drugs. I attribute my recovery entirely to his work. I have no idea how I would have survived without him and I am so grateful that I was introduced to him and his practices.
To take advantage of the massage techniques in application to concussion please follow this link
Is massage therapy an “innocent” procedure? Part 4
Thank God, I always have been successful during my entire career. Somehow, from the very beginning, I understood that the development of hands-on skills is a lifelong process. In this respect, the sky is the limit. I also understood that massage being a science-based procedure, is also an art, and like any artist, we need inspiration and need to have it constantly.
As one can say: “if for many decades, massage therapist reproduces outcomes, what kind of inspiration does one need?”
Yes, my dear colleagues, in my opinion, what constantly fuels our inspirations is an ongoing cycle of development of a sense of touch, the development of clinical thinking, the passion of achieving results, and the celebration in our hearts of the great outcome.
My main goal in writing this series of articles is to try to inspire others. Other people personally inspired me, and as I have explained in part 1, how by the comment of a nice fellow inspired me, leading me to rethink the greatness of massage. In the previous sentence, I said:” leading me to rethink the greatness of massage” practically realization of power/greatness of massage generated powerful therapeutic energy, that we using when treating sick people. Not to repeat myself, please read the article The placebo effect and its role in massage therapy part ii
If inspirations of composers, writers, painters, and other artists, create energy to compose great music, etc. in our case inspiration of creating energy, allow us to deliver greater results.
These days, out of nowhere, the idea crossed my mind: “Is it possible that massive stimulations by massage, can lead to the prevention of cancer?”
I have a patient, who is a known oncologist, head of the Department at the local medical center; he is a clinician and a researcher, who has contributed a lot to the developments of immunotherapy. I wrote to him asking to have a short meeting with me, to clarify some questions I had. Upfront I told him, I couldn’t have written these questions, as I am positive he’d never be able to understand them in a written form because in this case, I would have a difficulty explaining myself in writing.
A very nice fellow that he is, he agreed to meet me for 20 to 30 minutes. Our actual conversation lasted for an hour and 20 minutes.
My first simple question was:” Is the main reason why cancer cells replicate themselves, is because they are able to hide from our immune system?” He said: ”Yes, Boris.” Next, I asked him “If immunotherapy would help our immune system to discover these cells, would the illness be overcome?” He agreed.
Then I asked him, whether it was possible that some individual immune systems are in the process of discovering and destroying cancer cells? Such people would never know that their immune system prevents them from developing cancer. He said “yes.”
Then I have asked him to listen carefully to my presentation on the physiological effect of massage on the human body.
I emphasized the fact that therapist hands generate the huge amount of electrical activities, including and not limited to action potentials, piezoelectric potentials, streaming potentials etc. I have explained to him in details the mechanism of the somatovisceral reflex as well as the viscerosomatic reflex, how the massive electrical potentials stimulate the central nervous system, awakening multiple positive changes in the functions of organs and systems. Then I said:” I’m here to ask a question. Based on all I have presented, can we speculate that all these massive electrical activities possibly can mark cancer cells, thus exposing these cancer cells to the immune system?” It took him some time to think over my question and respond.
Then, numerous times, he asked me to extend my explanations further. In particular, he requested to explain again the concept of pathways of Piezoelectric and streaming potentials. When I explained it to the best of my knowledge, including stressed changes in electrophysiology of the tissues to normalize extracellular matrix, he said:” Boris, I trust your presentation on the physiological effect of massage on human body. I could even envision what powerful potentials you are releasing and I think you can speculate that massage possibly can mark/expose cancer cells to the immune system.”
Then he continued: “As a researcher, I would say that a study like this should be undertaken, including control grouping. We have enough testing equipment, for early detection.” I smiled: “No one will do such extensive research. More so, I will never claim, that massage exposes cancer cells to the immune system. However, thanks to you and your answer, I feel I know that during my career, myself and thousands of my colleagues, exposed cancer cells of our clients’ to the immune system, and may be prevented them from tragedy.” He liked my response.
:” After my meeting, I was thinking, that as an M.D. he uses different techniques to expose cancer cells to the immune system. After listening to me, he said: ”You can speculate that.”
Ross Turchaninov is an MD. Ph.D., but also a medical massage practitioner. No one knows the science of massage better than he does.
I decided to ask him the same question: ”can we speculate that massive electrical activities massage therapists create under their hands, can expose cancer cells to the immune system?
He replied: ”Interesting enough. In the next issue of JMS, we plan to publish an article that possibly can echo with your speculation on the issue.”
To me, it was a “WOW” moment. What a coincidence! I cannot wait reading his upcoming article.
Practically today, while finishing this article, I again send an e-mail to this oncologist, just to clarify a few more details. He started explaining to me about cytotoxic T cells, and about how it triggers a response from the immune system, etc. Of course, I appreciated his explanations. Yet, between us, I wasn’t interested in all the “scientific” explanation. What will I do with this information? Can I place this printed email against the body of my client?
I asked: “Tumor, edema, etc. increase pressure in ECM. And it is a fact that massage therapy can decrease pressure within ECM( extracellular matrix). Actually, when we treating sprain strain type of injury, we achieve a decreased pressure within ECM (extracellular matrix). Would this fact additionally support my speculations?” He answered: “Yes, it would. It would add to all your explanation, you have offered during our meeting”.
Summarizing, once again I’d like to stress the following point. As much as we know about the effects of massage on the human body, and the multiple positive changes in functions of organs and systems caused by the original stimulation, including those on the cellular level, it’s still is the tip of the iceberg.
My opinion is based on my longtime clinical experiences. We all would agree: ”nothing in medicine is written in stone. Repeatedly seeing unexplainable, witnessing so-called “miracle changes”, in certain cases, I cannot think differently. We only know a fraction of what the real therapeutic power of massage. Scientific base as we know it today is huge, but still, it’s the tip of the iceberg.
How one can explain the phenomenon that I once presented in my writings? Six years ago, a Parkinson patient was referred to me. He developed a sharp pain in his lower back. While treating his lower back we’ve inhibited the panic attack he developed on the table. In addition, by performing massage on his neck and upper back, not only that we eliminated very painful muscular crump in the lower back, but also stopped his shaking.
Last six years I continued to give him maintenance treatments. Today he is playing tennis and driving a car. Two years ago, this patient insisted to repeat a CT scan, with radioactive dopamine contrast. Images showed that he is a Parkinson patient, but clinically he demonstrated no symptoms of Parkinson’s disease. There are many more unexplainable cases. As I have stated previously, being artists, it’s extremely important to be inspired. This was the reason why I decided to share my speculations with you. Yet those speculations are based on massage science, logical thinking, and clinical experiences.
I just realized, that often in my writings, when describing the physiological effect of massage on the human body, I am saying that the bottom line of our original stimulation leads to multiple positive changes in functions of organs and systems. It just crossed my mind, when we are asking the question:” Is massage therapy an “innocent” procedure?”, in order to have a much more extensive answer on this question, a detailed discussion on the multiple positive changes in the functions of organs and systems is needed.
In my next blog, in the simplest way possible, I will extend on it.
I hope that so far, in previous parts of “Is massage therapy an “innocent” procedure?”
I already made my point: ”no, massage procedure can be considered “innocent”, but safe and extremely powerful.
As always questions, agreements and disagreements are welcome.
Is massage innocent 3
I didn’t finish my discussion: ”Is massage therapy an innocent procedure?”
I will continue to extend on my point: ”no, we cannot consider massage an innocent procedure.”
I would like to share with you something that just came up, preventing anyone from saying:” I wish you would share it earlier.”
Here is what has happened…
Recently I received a text message from my client from a long time ago, who requested me to treat his close friend, who quote his words: ”pulled leg muscle (inner thigh/groin) while playing tennis”.
At the initial evaluation, the fellow described 3 weeks old incident:” at the time when I tried to reach a tennis ball and making a fast movement to the right, I could hear a loud crack at my inner thigh/groin and felt a sharp pain. Since then I cannot walk normally and suffering a strong pain. I saw an orthopedic surgeon, who said that I have nothing to worry about. He said that I pulled muscles, and prescribed ibuprofen 1200 mg a day, and physical therapy. Three weeks later, there were no changes. I only developed stomach aches.” In the end, he said: ”Perhaps I even have greater pain and more difficulties in walking.”
The client is a lawyer. He complained not be able to appear in court or even to see clients. He described the pain as being destructive, disallowing him to focus and think.
I asked him about the quality of his sleep. He responded that ше was terrible. He was waking up, at least, five times a night because of pain, and any attempt to turn from side to side produced sharp pain. I commented that most likely inability to focus is the results of sleepless nights. Three weeks of poor sleeping can exhaust a person.
I asked him to lay on the table. Numerous times, very gentle I slid my hand on the inner part of his thigh. I obviously could feel a little depression, which suggested the possibility of muscular fibers tears.
I would like to stress your attention. I brought a piece of paper, and said, “Sir I will dictate and you please write down.” He couldn’t understand what do I want, but said okay, whatever. My dictation was the following “while gently sliding his hand on my right inner thigh, Boris informed me, that he felt depressions. They could be the evidence of a few muscles fibers tears. In such case, we can suspect formation of a hematoma, deep inside those that I cannot see. By reducing muscular tension within muscles, Boris informed me about the possibility of this hematoma showing on the surface, which as Boris explained, is a positive phenomenon that will stimulate the healing process. I understood that I cannot blame Boris’ massage procedure, for this hematoma.”
He signed the paper. All this dictation process, he accepted like a game, like a joke. We laughed. I said that, at times, my clients forget my warnings. That is why I like them to sign a memorandum.
Little by little, starting as always from L/spine region, gluteus massage, general introduction massage on front thigh, increasing threshold of pain, little by little, I started focusing on, adductor brevis, adductor longus where I suspected the muscular tears were.
I was able to reduce severe protective muscular spasm successfully.
When he stood up from the table, was a happy client, start walking, and told to that he I barely felt the pain.
Of course, I was happy too and scheduled him the next appointment. Next day at noon, his friend texted me:” Boris that’s what has happened. After your treatment, my friend ended up in the emergency room. He had a huge bruise on his inner thigh.
If I wouldn’t feel sorry for the fellow, I’d laugh. My answer was, can he walk better? One hour later, he texted, yes, when he walks with a much lesser pane. I said, “advise him not to miss the next appointment.”
Seconds after releasing this text, my patient/lawyer texted me,
“Hey Boris, after the treatment, a huge bruise appeared on my inner thigh, where you massaged. I was so scared that referred myself to ER. Any advice? I wrote:” my advice is not to panic, especially, in view of the fact that we discussed the possibility of having a big bruise. Most likely, after the treatment you couldn’t see these bruise, usually, it appears a few hours after the treatment. Of course, I have included a picture of signed declaration LOL.
He was not late for his next appointment, and for four more appointments.
He is doing well now. For some time I recommend withdraw from playing tennis. He is walking and lifting weights.
ER doctors discharged him fast and referred him to a primary care physician.
How was I able to predict the appearance of a hematoma on the next day?
It was predictable since the hematoma was sitting deep and creating pressure, contributing to the pain, and fueling the muscular spasm. The muscular spasm prevented this hematoma from surfacing. Practically the entire goal of my massage therapy, at this point, was to release tensions within muscles and increase the blood supply. The moment I achieved desired results, hematoma surfaced.
Guys, my advice when you hearing similar reports from your patients, please ask them to sign the acknowledgment document. As you can see, even being informed, the fellow rushed himself to ER.
THE PLACEBO EFFECT AND ITS ROLE IN MASSAGE THERAPY. PART II
Sentiments and emotions in massage therapy field
|The degree of emotional reactions to everything is different. As we are different people, emotional reactions depend on our personal or philosophical views. At times, one can experience a significant emotional reaction without an apparent or explainable reason.|
|In my professional life, I experienced acute emotional reactions, when inspirations, whatever they can be, make me adjust my energy status. These positive changes always lead to the better outcome in treatment. As an educator, I am emotionally reacting when I scheduled to teach an educational session of an extremely effective rapidly changing health of people, topic, to teaching hands-on protocols that one could effectively incorporate in many other massage protocols, targeting different disorders.|
|Just to clarify, in my professional life I navigate from one excitement to another one, as I am always excited to share my knowledge, no matter what massage protocol I teach. For example, the protocol for sciatic nerve neuralgia. My goodness! It feels great to equip massage therapists with tools for numerous treatments, to be able significantly to reduce the intensity of nerve pain, improve functional activities, and, most importantly, at times to be able to prevent potential surgery! How could that not be highly emotional and spirited feeling when, statistically, 30% of the adult population suffers from lower back disorders and disproportional amounts of spinal surgeries performed daily?|
|Whoever don’t agree with my statement:” in the meantime, the post-concussion rehabilitation protocol, is practically the only available protocol in the entire healthcare field that directly addresses the causes of symptoms, and, most importantly, prevents the developments of brain dysfunction, thus saving the future of many people” please challenge me. It’s important for everyone to come to common terms on this issue.|
|However, prior to challenging me, make sure that the biomarker:” irregularity of autonomic activities” and “post-treatment (+/-) balance in autonomic activities” will be used as the clinical evidence of stabilization of patients/prevention of encephalopathies developments, as well as the end of hypometabolic stage, restoration of brain function, including the evidence of normal/sufficient blood perfusion.|
|Presently, I am very excited when I plan the Manchurian Acupressure for tension headache class at the World massage Festival in Las Vegas, which will happen next month. My excitement in teaching this workshop is due to significant multiple effective uses of this protocol in treatments of many disorders, in cases of all types of headaches; including tension and migraine headaches this method sometimes delivers miraculous results.|
|The difference between a migraine and tension headache is a separate issue. While demagoguery about the causes for migraines is a not stop the discussion, it always ends up with prescription medications, those that do not only stop working with time but can cause even more intense headaches.|
|On the other hand, the effectiveness of the Manchurian acupressure for tension headaches massage protocol is clinically proven. In my opinion, many chronic migraine headaches, in most cases are nothing else but secondary to muscular tensions developments, triggering brain vascular constriction or/and vasodilation. In any case, it’s not about theoretical talks or reading literature. It is all about helping people, and we are doing it.|
|Since Dr. Ross posted in FB:”|
|“As we know now there is no parasympathetic division of ANS in the lumbosacral area and ANS function there is under control of ONLy sympathetic division or more precisely by increase or decrease of sympathetic tone. From this perspective, all bodywork procedures including CTM must be re-adjusted. If we are talking about CTM as a means to decrease fascia pressure it can be used on local bases first, if other modalities are addressing skin, muscle and periosteum are used as well.”|
|As well as you and others, I was taught that the sympathetic nervous system arranged in segments along the entire spinal cord while the parasympathetic nervous system has two separate division cervical and lumbosacral. Thus, each organ and tissue in the human body has dual innervation from each division of the autonomic nervous system. In 2016 an absolutely incredible piece of science was published in ‘Science’ which the world prestigious scientific publication. This study confirmed without any doubts that there is NO parasympathetic division of the autonomic nervous system in the sacral area and functions of all organs in the lower abdominal and pelvic areas are under control of ONLY sympathetic division or more precisely by increase or decrease of sympathetic tone. Many clinical observations are now got their explanation. For example, people under a lot of stress complain about chronic constipation since there is no balancing impact of parasympathetic division on the function of the large intestine. Similar way pathological changes in the function of the soft tissues are also can be explained. For example, the patients with carpal tunnel syndrome very rarely exhibit White Dermographism reaction while the patients with even mild irritation of the sciatic nerve will exhibit such reaction almost immediately as a sign of cutaneous reflex zones formation. This study has the great impact on bodywork in general since it requires of adjustments of modalities and/or techniques which therapist uses. For example, one of the critical components of craniosacral therapy is restoring balance, including lumbosacral area, between sympathetic and parasympathetic divisions of the autonomic nervous system or balance between cervical and lumbosacral parts of the parasympathetic division. If we now know that there is no parasympathetic division in the sacral area the entire theoretical concept and clinical effectiveness of craniosacral therapy become very questionable. Results of this study affect other modalities as well.|
|I have got very excited and posted the following:|
|”Ross. I believe in everything that you say. I got very excited because I personally know a group of 11 DPTwomen, who work exclusively with the cases of infertility, incontinence, and different smooth muscles dysfunctions of the pelvic floor, including cramps. An extremely busy urological and gynecological office refers patients with these disorders. Practically, what they do is the intervaginal massage. They even have different instruments that they employ during the time of these procedures. I am receiving referrals from them for abdominal visceral massage.
For us, as massage therapists, non-parasympathetic innervation offers an additional idea of how to contribute to the outcome. What crossed my mind was to teach these ladies to incorporate the Manchurian acupressure techniques into an intervaginal massage. This additional protocol proves to suppress sympathetic activities. Many times I witnessed these results in clinical conditions when after 15 minutes of application usually 20-millimeter decrease in blood pressure. This is in case of high sympathetic tone. Therefore, the proven techniques affect the balance of autonomic activity.
Of course, when treating people with bronchial asthma, we try to suppress parasympathetic activities. However, in general, as I mentioned: “an inhibitory regime explains successful outcome and even if this is the case of “not parasympathetic innervation”. The main goal is to investigate clinically, how we can improve the outcome, based on the new data. I’m anxious to talk to this ladies and to do some clinical experiment by suppressing sympathetic tone. Will report.”
|This past Thursday I canceled all my plans and went to this PT office. By the way, the head ofthisDPT office is my student. 25 years ago, I was a staff trainer at the big PT Corporation that provided inpatients and outpatients PT services to, practically, all hospitals in greater Los Angeles. At that time, she graduated with an undergrad biology major and didn’t know what she wanted to do in regards to her future career.|
|Back then, she took many medical massage classes from me and successfully implemented them on patients. Until today, we were big friends
On Thursday, I have arrived at 8 AM. Of course, she expected me, we have communicated on the Fourth of July.
The general idea was to test clinically the effect of 15 minutes of Manchurian acupressure for tension headaches, and 15 minutes of lateral toes massage, and record the effect of these procedures on sympathetic activities. In addition, it was to listen to subjective patient reports. She selected six women, chronically suffering from lower abdominal/pelvic floor pains, and poorly responded to treatment.
To exclude the real pathology that could explain these pains physicians subjected all the patients to thorough testing including CTs. Of course, I suspected overactive sympathetic reactions fueled these pains, tensions and nonseptic inflammations. We used the Ambulatory Blood Pressure Monitoring device. Placed 30 minutes prior to my treatment, and removed 30 minutes after my treatments, following subjective patients’ report.
Interesting enough, this pilot study proved a significant suppression of sympathetic activities. All six ladies who received my treatment, being on the monitor for 30 minutes prior to my treatment, evidently demonstrated higher sympathetic activities, at the time of the treatment as well as 30 minutes after the treatment, blood pressure was dropped on average 25 mm. Most importantly, all six reported much less intensity of pain, some described the feeling like a better blood supply. Next Saturday I will provide staff training for this PT office.
I hope now I could explain my high emotions, prior to teaching Manchurian acupressure for tension headaches seminar at WMF, and in general.