Title Author(s) Published Published In Abstract
The use of trigger point "dry" needling under ultrasound guidance for the treatment of myofascial pain (technological innovation and literature review).
Bubnov RV.
Sep, 2010
Lik Sprava. 2010 Jul-Sep;(5-6):56-64.
The aim of the study was to examine the use of trigger point dry needling under ultrasound guidance and myofascial release for the treatment of myofascial pain and to increase the provability of the puncture treatment by visual verification. A review of modern and traditional approaches to myofascial pain treatment is presented in the article. For the first time the trigger point was visualized by ultrasound (US) in this study and ultrasound guided needling therapy of muscles was performed as well. The group of 91 patients, suffered from myofascial pain of different location was included in the study. The patients were treated during last year by patented method (UA patent A 2010 06283). The pain relief effect was registered in 93.3% patients.
Glenn Evan's Blog
As an avid fan of learning new techniques in massage I am always on the lookout for updating my skills and knowledge.I recently came across an email in my inbox from my massage association"ANTA" . I like most of the general public have fears and concerns about the practise and rationality regarding Chiropractics.I feel that this modality can and may help many people with some short term problems and goodness knows I have heard many positive and negative stories from clients.However,I came across this article and thought that it might be good to get some discussion going.
Australian research has cast doubt over the necessity of vigorous spinal manipulations used by many chiropractors to treat neck pain.
Dr Andrew Leaver studied 180 people undergoing treatment for neck pain, revealing that a mild massage involving light pressure on the back of the neck was just as effective as the more vigorous treatment.
It also did not carry the same potentially "catastrophic" risk.
"Neck manipulation is a highly controversial treatment as there are published studies that demonstrate an increased risk of stroke," Dr Leaver, from the University of Sydney, said this week.
"It makes us question why patients, or practitioners, would favour a treatment which possibly carries (the) risk of catastrophic outcome."
© 2010 AAP
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As you can see,this is not my article.My opinion is this."If it's working for you and you are not being harmed then go for it".
I look forward to your comments
Glenn-Evan
Hello every one.Thanks to everyone for their support and e-mails.My apologies if I haven't responded to everyone.Well as the phone keeps on ringing and the B2B is fast approaching I urge you all to book in your pre event massages early.Just a side note though .As from the 21-6-2010 - 27-6-2010 I will be taking some time out to re-energize.
* The next Blob shall be about "shin splints" What causes them and how to best treat them.This is a crucial read if your a newbie to jogging or getting back into exercise.
* Should I boot camp or not?The ins and out of Boot camp training.
P/s Check out the promotion for July and August.
If you are even a teensy bit into running or walking, you would know that it is less than six months to the big one. The Bridge to Brisbane is a highlight on the calendar for many of our clients and colleagues.
Glenn can assist those who are training or planning to run or walk in this event and can help you with rapid recovery, injury prevention and management, and better performance. Regular treatments and follow up of your progress, extended massage sessions to address injury issues, advice, tips and exercises are all available to a limited number who wish to participate in our B2B Training Package.
Now is the time to plan your success in the Bridge to Brisbane. Get in touch and arrange an extended massage consultation at no extra cost for clients who have registered their intention to compete in the Bridge to Brisbane on Sunday 30 August.
OK. Here we go. The answers to the posted questions to the last blog.
We all know that there are a truck load of massage styles to choose from. So let’s say that I would like a massage for relaxing and de-stressing. In this instance let’s use this kind of massage to answer all of the posted questions.
* How do I know I need a massage?
The answer to this is simple. If you feel stressed, tight, tired, wrung out or feel the need of pampering then you probably need a massage.
* How often should I have a massage?
From a therapist point of view, the answer would be as often as you can. From the client point of view there are a number of factors to take into consideration, such as time, affordability, stress level and expectation of massage. I would think that for a top up treatment or just a pampering once a week or every two weeks is ideal for general overall well being.
* What questions should I ask my therapist?
With a standard relaxation massage I would first and foremost find out if the "therapist” is qualified and what level of qualification they have. The most basic level of any massage is certificate four. This is a general type of massage course. This type of training is fine so long as you don't have high expectation, that’s not to say that you won’t get a great rub. Some practitioners just are not cut out for academia, or don’t have the time to do a full diploma.
Also ask at which college they received there training. (You can then phone or go to the college website and do practitioners search).
What type of massage do they offer?
Are they registered with a massage association? (An absolute must in my book)
Do their fees change or is there a loyalty program.
Most of these questions will lead you to discover if the belong in the therapist pages or in the back of the local paper under personal services.
* What questions can, or should my therapist ask me?
If your therapist doesn’t ask you to fill in a consultation form.(which is there for yours and there protection if any thing does go wrong), the therapist should and "must" ask you if you are allergic to anything or are on any medications which may effect you either mentally or physically i.e. heart conditions.
Your therapist may ask things in a general nature to try to give you the best massage possible. Such as have you suffered a heart attack, eppilepsy, major surgery and even are you pregnant or are you constipated or some other internal condition. You are not legally required to answer and so may refuse to answer. There is an onus on the client for information they give out. If in the unlikely event something goes wrong and you have not told your therapist and they have asked you may not have recourse. The more the advanced or intrusive the style of massage the more detailed the questions should be.
* Are there things that should or shouldn't be done in a treatment?
Again, were talking relaxation massage. Your therapist should under no circumstances do any manual manipulations on joints or vertebrae (spinal bones).Obviously nothing sexual should happen either. General things should be ad heard to such as pressure and comfort while in the care of the practitioner. As a rule of thumb machines are avoided in relaxation massage although some trained and qualified therapists do use some equipment.
* What are my rights if something goes wrong?
If you believe your rights have been infringed or something was done that you thought was just not right, you should firstly write it down as soon as you can. If it has not been addressed at the time of incident, please do not stew on an incident or problem. Talk to the therapist as it may have been a simple miscommunication or misunderstanding. Something to consider is that if it is the first time you have used the therapist, you and he/she are probably a little apprehensive and nervous. It takes some time to get to know a therapist and for a therapist to understand how your body is functioning. If you cannot resolve the issue between you then contact their massage association who can advocate on your behalf.
* Who should I talk to if I do have concerns?
First and foremost talk to the therapist. If you are uncomfortable talking with your therapist, talk with any massage association. www.aias.com.au www.anta.com.au or similar health industry regulated body. These associations are designed and exist for the safety and education of the public and industry as a whole. If a practitioner has done something wrong they are dealt with very swiftly and to the full extent off the law. We only want professionals in our fields of work.
* What qualifications should my therapist have and can I check them?
If you wish to have a general relaxation massage then the base level training is certificate four or a T.A.F.E college equivalent. If your therapist is doing Acupuncture, Dry Needling, Homeopathy or anything other than relaxation then they need to have specific qualification given by the appropriate massage association bodies. As for deep tissue, remedial or sports massage they want to have a Remedial Diploma or better. To find out if the practitioner does have this you may ask to have them presented upon commencement or prior to commencement of treatment. You may contact the massage association that they mention for the details as well. This will tell you if their provider status, insurance and membership are current.
* How do I know if massage is benefiting me?
Ahh! Yes. I do like this question. For this question I will respond to it with relaxation and remedial therapy treatments in mind.
After a nice flowing relaxation (Swedish) massage, you should be relaxed, sleepy and generally a little euphoric. You will be comfortable and feel pampered and a little loved and definitely better than when it started.
For a Remedial massage the treatment objectives and probable outcomes are quite different. The treatments are agreed upon between you and your therapist at the outset. During the treatment you may experience some discomfort and a little pain depending upon the desired outcome. After your treatment you may experience some post treatment soreness for a couple of days. This is normal. Benefits you may notice are a greater range of motion and a relief from stiffness and soreness in the muscles. Ultimately you should experience more movement, less pain and an overall feeling of freedom. This may happen quite quickly or over several weeks. Treatments and responses will vary from client to client.
I hope this has helped de-mystify some issues about massage and the industry overall. Please feel free to comment on this or any blog. Simply go to the bottom of the page and "click on comment"
Thank you for reading the blog and all of your support.
Your friend in health and well being
Glenn Evan
Hello everyone, this is a unique opportunity to put your thoughts, questions and ideas out into cyber-space; To ask those questions no matter how big or small the query and to clear up those nagging things you thought you could never ask. Questions you may like to ask are: · How do I know I need a massage? · How often should I have a massage? · What questions should I ask my therapist? · What questions can, or should my therapist ask me? · Are there things that should or shouldn't be done in a treatment? · What are my rights if something goes wrong? · Who should I talk to if I do have concerns? · What qualifications should my therapist have and can I check them? · How do I know if massage is benefiting me? There may be others that I have not mentioned, and I hope you will speak up and let me know what is on your mind. In the coming weeks I will answer all of the above questions and more. Your friend in health and well being Glenn - Evan
Hello.Gemmers(Glenn Evan Mobile Massage Fans). May I start by saying that Although during some of my massage treatments I use some shiatsu techniques. I do not do shiatsu treatments alone .Some of the information contained in this Blog is sourced from other websites and from text and study materials. I hope you find this interesting...
There are actually at least 6 different styles of shiatsu practiced in the West today, though some practitioners combine the different approaches in one treatment session.
The most widely known form of acupressure, shiatsu has been used in Japan for more than 1,000 years to treat pain and illness and for general health maintenance. Using a series of techniques, practitioners apply rhythmic finger pressure at specific points on the body in order to stimulate chi, or vital energy.
Variations include:
Shiatsu, Japanese:
Shiatsu literally means finger (Shi) pressure (Atsu) and although Shiatsu is primarily pressure, usually applied with the thumbs, along the meridian lines, extensive soft tissue manipulation and both active and passive exercise and stretching may be part of the treatments. Extensive use of cutaneovisceral reflexes in the abdomen and on the back are also characteristics of Shiatsu. The emphasis of Shiatsu is the treatment of the whole meridian; however, effective points are also used. The therapist assesses the condition of the patients body as treatment progresses. Therapy and diagnosis are one.
Shiatsu, Five Element:
The primary emphasis of Five Element Shiatsu is to identify a pattern of disharmony through use of the four examinations and to harmonize that pattern with an appropriate treatment plan. Hands on techniques and preferences for assessment varies with the practitioner, depending on their individual background and training. The radial pulse usually provides the most critical and detailed information. Palpation of the back and/or abdomen and a detailed verbal history serve to confirm the assessment. Considerations of the clients lifestyle, emotional and psychological factors are all considered important. Although this approach uses the paradigm of the five elements to tonify, sedate or control patterns of disharmony, practitioners of this style also consider hot or cold; internal or external symptoms and signs.
Shiatsu, Integrative Eclectic:
Integrative Eclectic Shiatsu utilizes Japanese Shiatsu Techniques, Traditional Chinese Medical Theory and Western methods of soft tissue manipulation. Dietary and herbal methods are also included to create a comprehensive integrated treatment method.
Shiatsu, Macrobiotic:
Founded by Shizuko Yamamoto and based on George Ohsawas philosophy that each individual is an integral part of nature, Macrobiotic Shiatsu supports a natural lifestyle and heightened instincts for improving health. Assessments are through visual, verbal, and touch techniques (including pulses) and the Five Transformations.
Treatment involves non-invasive touch and pressure using hand and barefoot techniques and stretches to facilitate the flow of Qi and to strengthen the body-mind. Dietary guidance, medicinal plant foods, breathing techniques and home remedies are emphasized, corrective exercises, postural rebalancing, palm healing, self shiatsu and Qigong are included in Macrobiotic Shiatsu.
Shiatsu, Zen:
Zen Shiatsu is characterized by the theory of Kyo-Jitsu, its physical and psychological manifestations, and its application to abdominal diagnosis. Zen Shiatsu theory is based on an extended meridian system that includes as well as expands the location of the traditional acupuncture meridians. The focus of a Zen Shiatsu session is on the use of meridian lines rather than on specific points. In addition, Zen Shiatsu does not adhere to a fixed sequence or set of methods that are applied to all. It utilizes appropriate methods for the unique pattern of each individual. Zen Shiatsu was developed by Shizuto Masunaga.