It seems odd to me but they don't really teach you about self care in school. They talk about it but they don't force you to do it before/after you see clients for credit (in my school we worked on the public as part of our program).I have a bum right wrist and I never went into massage with the idea of doing a full time schedule, I mean at 25 I had arthritis. So I only do 4-8 massages a week (also I still have my day job).But I do have to cast my vote in favor of all the self care comments. I knead my forearms and stretch my fingers and forearms while my client is changing. I also will stretch my back, hamstrings,calves, and quads if time allows. I believe this has made a big difference in my ability to give massage safely.In my day job, which involves a lot of computer work, everytime my boss wants to gab, I put on some lotion and work on my forearm, wrist,and fingers while he goes on and on about some minor thing. I'm sure I look strange but I don't have carpal tunnel and, aside from the arthritis aching, I've kept my wrist pretty healthy.So I guess the moral here, is find a self care routine and do it all the time. And self care also includes downtime! If it doesn't help, it is time to see the doctor.Also, I love hot packs, ice doesn't seem to be my thing. I get tight more than inflamed from doing massage so the heat is wonderful.Michelle