wrist and thumb killing

[frizzy-head]

the other day while working deep tissue on a client, i hyperextended my wrist. this hasnt happened before and i was wondering if anyone had any ideas on some techniques or exercises to do to my wrist to prevent this from happening again. thank you much!!!!!

 

[katie.]

The very first thing that comes to mind is, don't extend your wrists while you are working. Even when doing Swedish massage, keep the wrist in a neutral position.

The same applies to the thumb. I do deep work and NMT, and these are thumb heavy routines. Do not allow the thumb joints to extend, do not use thumbs in a "windshield wiper" motion. Keep the thumb close to the hand, move the whole hand when using your thumbs. I was trained to also keep the interphalangeal joints of the thumb slightly flexed for support. If you flex your fingers loosely into a fist, you can then "rest" the thumb over the index finger, and this makes excellent support for the thumb.

Other than that, consider things like your table height. Are you working with your shoulders in your ears, or shaking when you apply pressure? Then maybe try setting your table lower and leaning into the tissues.

Here are some MassagePlanetL threads that discuss body mechanics and deep tissue:

DEEP TISSUE ISSUE

looking for a good hand tool

Body mechanics... how to improve?

Forearm Dance Video

Body Mechanics

Hope this helps.

 

[Melissa J]

These are a couple of reference books I just listed on another thread which you may find useful:

The Carpal Tunnel Helpbook by Dr. Scott M. Fried
which has a number of good exercises & suggestions
that may be very helpful for you.

Hand Maintenance Guide (for Massage Therapists)
by Shogo Mochizuki

 

[Pompal 09.]

livgreen does occupational massage therapy which may be helpful for you if you want to look her up & PM her. There have also been other threads on carpal tunnel, nerve & tendon gliding exercises which have been extremely helpful.