On SLOOOooooooowing down...

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themann_ca

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This thread is a tangent spun off from another thread. I've made it separate to prevent hijacking the original.

pueppi said:
JasonE wrote:
I've spent 80 minutes on just 4 strokes, and my client was zoned out in relaxed bliss most of that time.
Jason,

This most definitely would be a "Massage Pearl"!!! When you find time to dissect that into something that we can learn from.... would you post it?

I'd be interested in how you are able to make one stroke last 20 mins. The best I've ever been able to do is 3 mins.... on a back stroke.

Of course, I am not counting something similar to a lomi lomi stroke that includes leg, back, arm and through the cycle again (which I can make last longer, but still not 20 mins.) ... so, maybe this is what you are talking about?

Let me know!!!!! I want to work on this!

Okay, here goes:

While I was in school, most of our training focused on therapeutic work, particularly trigger point therapy. The instructors were all veterans of 16-20 years, so they also taught us advanced palpation and what they called "layering" when doing trigger point work. The essence of layering was to approach trigger points and tender points as foci of discomfort that were embedded in multiple layers of tissue. For example, we might find a tender point between the scapulae. Instead of just apply direct static pressure and push hard for a while, we were taught to apply pressure gradually, feeling for the subtle tissue response(s).

As the tissues started to release, we would follow the softening into deeper layers, waiting at each new layer of resistance until it released and allowed us to sink further in. With practice, we learned to adjust the angulation of our pressure and to use small stroking movements to enhance the effectiveness of our layering. Sometimes we would move through several tender points before finding a trigger point hiding further in, then move through that into more tender points. We NEVER forced the release by just using more pressure, at least, not if we were doing it correctly.

With practice, we learned to feel the releases, count them, and began to understand which layer of muscle we were working on. For example, for a tender point between the scapulae, we were expected to know if we were in the trapezius, rhomboid major or minor, iliocostalis, longissimus, semispinalis, multifidus, etc. It took a combination of anatomical knowledge and palpatory skill to determine this.

For me, the key to mastering layering was patience. I had to accept that the tissues would release when they were ready. So I began to practice layering using gentler pressures, concentrating my attention on feeling for the tissue response and the "sucking" sensation of the softening tissues pulling me in. It was a major challenge for me, but I stuck with it. A phrase uttered by one of our instructors stayed with me, "Move when the tissue permits you, but only so far as it allows."

As I became competent at layering, I started to really enjoy the process of sensing tissues release and following them to the next restriction. It became a bit of a game. Time-consuming, to be sure - it might take an hour to thoroughly work through the flexors and extensors of a forearm, especially if they were really hosed up. However, I was in school and it was all good practice. Eventually, I started to apply the layering concept to some of the other skills I learned, such as effleurage. With my body mechanics in place, I could apply firm/very firm pressure without much physical effort. The next step was using layering to enable deep, slow effleurage. I achieved the 20 minute strokes during a session with a practice client during my last term in school.

In a 90-minute session, I chose to focus on my practice client's erectors. They were so tense that I saw them as multiple raised ridges running along on either side of his spine. After a few minutes of easy warming strokes, I went to the upper attachments of his right iliocostalis. From the head of the table, I positioned a reinforced palm (one palm over the other, with elbows locked) and held a static position as I layered my way in for bit. Eventually I felt as if the tissues were ready for me to move, and I slowly shifted to a more oblique angle of pressure. My hands slowly slid a few millimeters before encountering another restriction. Rather than ease up to a more superficial depth, I simply waited until the tissues melted and permitted further movement. Sometimes I gained a lot of ground, other times it was millimeter by millimeter, all the way down to the top of his glutes. (Then I did light effleurage to glide back to more upper attachments and repeated the process.) When the bottom hand became fatigued, I would take the top hand and place the palm of it immediately behind my lead hand. Once it sank in (which didn't take long), I would use the other hand to reinforce it. In this way I never lost what I had painstakingly gained, and my body wasn't unduly stressed. On the first stroke I switched hands maybe 2-3 times. On the fourth stroke I switched hands maybe 5-6 times. After the four strokes, I switched back to lighter work and closed the session. The client LOVED it, and reported great pain relief (much more than I had expected).

Since then, I have continued to apply layering in most of my work. I have tried different combinations of speed and pressure, and so far slower is almost always more effective (for me) than faster. The patience and palpatory sensitivity I developed have proven to be great assets regardless of what type of work I am doing. I think my body mechanics are much better too, due to developing the ability to safely and comfortably sustain working positions/movements over a longer period of time.

Hope that's what you were wanting, Pueppi! Hope it helps your quest!
 
On SLOOOooooooowing down...

Fantastic Jason, thanks for sharing!
 
On SLOOOooooooowing down...

Thank you so much for taking the time to write such a detailed response. I will have to come visit you if I'm ever in your neck of the woods, and will immediately start adding this to my practice. :)
 
On SLOOOooooooowing down...

Wow! Sounds like a lot of us are going to be practicing slowing down. :D Thanks, Jason!
 
On SLOOOooooooowing down...

Today I noticed a nice article on "Refining Your Sensitivity" by Art Riggs in the July/August 2010 issue of Massage & Bodywork magazine. The edition is currently available for free online, and you ABMPers should be getting your copy in the mail by now. :D
 
On SLOOOooooooowing down...

Thanks for the great post, Jason. It a good reminder to slow down. I did a massage exchange not too long ago with a therapist I didn't know that well and her method of massaging was so fast it was kind of unnerving to me. Being on the receiving end of a massage that was so rapid was a real wake up call for me about the importance of taking it slow with strokes, but I have to say I can't imagine one effleurage stroke lasting 20 minutes.
 
On SLOOOooooooowing down...

Your school sounds exactly like what I am looking for.

Could you please forward me some information? A school name and location?


Thank you.
 
On SLOOOooooooowing down...

roake said:
Your school sounds exactly like what I am looking for.

Could you please forward me some information? A school name and location?


Thank you.

You have a PM.

More info on the school I attended (and some other good schools!) can be found here: http://massageplanet.com/forum/viewtopic.php?f=14&t=15548
 
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    Thursday at 🌴😎🌅𝓗𝓸𝓵𝓲𝓭𝓪𝔂 𝓢𝓹𝓪🌅😎🌴3517 Kennedy Rd, Unit 4, Scarborough ☎️𝟰𝟯𝟳-𝟮𝟰𝟳-𝟭𝟭𝟵𝟵☎️: ANGELA, LUCY & CINDY. Angela is versatile and responsive. LUCY is a beautiful and slim Asian lady with a happy disposition and great services. CINDY is a slim & incredibly sexy lady with a smile that will melt your heart, & an ass that will fire up your spirit.
  46. SugarLoveSpa:
    Thursday at ❤️💙 💜⎝𝗦𝗨𝗚𝗔𝗥 𝗟𝗢𝗩𝗘 𝗦𝗣𝗔⎠💖💗💘: LUNA, MIA, SARA, TIFFANY & VIVI. 1270 Finch Ave W (at Keele St), Unit 18. North York, ON ☎ 𝟰𝟯𝟳-𝟯𝟲𝟱-𝟮𝟲𝟴𝟴 ☎ LUNA is a slim, VERY PETITE and capable Vietnamese beauty, nice natural 34C Cups. Luna can do everything. MIA is a young & slim 𝙎𝙋𝙄𝙉𝙉𝙀𝙍, very PRETTY & PETITE Vietnamese beauty with perfect natural A Cups, 5’1” & 90 Lbs, very versatile.
  47. EMSpa_schedule:
    🎉Come visit us!🎉 Today (Thursday), our amazing attendants are Ada 💜, Cici 🤩, Vicky 🥳, Sophie 🤗 and Monica 🥰. Call us at ☎️ (905) 479-6668 ☎️ to book your favourite and head on over to 7665 Kennedy Road, Unit 4, Markham!
  48. すみません:
    Top notch wellness: Ella , elena, Angela, Michelle, gabby , and Vanna. Call us now to make your appointment. 437-522-9961
  49. bnwellness_wilson:
    We have 4 young girls are working today, young Taiwanese Victoria slime 26’s open mind and young flirty Tina 30’s with curly body open min, young popular kitty 26’s with curve body and pretty Ella are providing deep tissue massage, pls call 4163985777 book appointment and walk in always welcome,back entrance and parking available, 350 Wilson Ave North York
  50. luckywellness:
    Lucky Wellness Center 4379721888 295 Eglinton Ave E,Unit 7,Mississauga We have two girls working today. Judy and Kiki. They are young and beautiful, cute and sexy. Deep tissue massage and relaxation massage are both great. Back walking is very comfortable. They have sweet smiles and work seriously. If you are tired from work, come and make an appointment!🤗
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