Some techniques were found
jianlan | 26 janvier, 2010 09:07
Some techniques were found
Ancient escort girl shenzhen techniques, from Thailand, we also constantly massage club from where the introduction of new massage techniques, to provide customers with a more comprehensive range of services in different sectors from different regions of massage techniques will provide customers a higher level of service, No matter where you are, just gently dial a phone, you can enjoy the VIP treatment, our service is absolutely the most professional, and we will always be committed to providing customers with more comprehensive hfdughi massage services!
If massage therapy is to develop as a profession, we need to take our clinical judgement more seriously. If we deem ourselves to be health practitioners, we cannot turn away people with severe illnesses just because we don't have the knowledge to work with them, nor is it right to go ahead with a treatment without the appropriate skills. I believe that we have a duty of care to ensure that we have the skills to work safely with everyone who would benefit from massage.
At the very least, the public needs to be able to differentiate between therapists who offer 'lifestyle' treatments, who are not prepared to work with clients with any specific health issue, and practitioners who offer 'health' treatments who can assess and adapt sessions to meet a client's somatic needs. At the moment we have the absurd situation where 'massage' can mean anything from highly developed support in complex physical and emotional conditions, to spa treatments or prostitution. It is a confusing situation that undermines the profession and inhibits recognition of the vital benefits of massage.
Time and again, careful, attentive touch has been shown to have a positive effect on human health and well-being, at any stage of life and in all experiences of illness. It is an essential experience for anyone who wishes to enhance their self-esteem, their sense of connectedness and their natural capacities to rest and recover. Specific massage techniques can have additional effects on the body's circulatory, nervous and muscular systems which can help in minimizing symptoms and promoting healing. The question is, how do we need to adapt techniques of touch with different clients to ensure that practitioners are providing safe, informed care within established boundaries of practice? If massage practitioners, and all those who believe in the importance of therapeutic touch, can succeed in moving the profession forward to standards of expertise and confidence, perhaps we can contribute to a future where massage plays a recognized role in our health services and where human touch is valued, rather than reared, in our culture and in our communities.
Some techniques were found to be ineffective, and so we discarded them. Some were only partially effective, so we developed them further. This went on for over a decade. We built up a sort of stroke laboratory. As part of this exploration I also started running workshops in the north of England. I wanted to meet more bodyworkers and find out if my ideas were useful to them also. They were.
Many of the bodyworkers who attended these short workshops were also developing or had already developed serious injuries. I suspected that many of those who hadn't developed injury would soon develop them once their practice became more than a few massages a week.
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something has gone wrong
jianlan | 26 janvier, 2010 09:03
something has gone wrong
Ancient escort service shenzhen techniques, from Thailand, we also constantly massage club from where the introduction of new massage techniques, to provide customers with a more comprehensive range of services in different sectors from different regions of massage techniques will provide customers a higher level of service, No matter where you are, just gently dial a phone, you can enjoy the VIP treatment, our service is absolutely the most professional, and we will always be committed to providing customers with more comprehensive hfdughi massage services!
Doreen, like many elderly people, has a complex medical picture. She has lower back pain due to wear and tear on her dorsal intervertebral discs, which causes occasional sciatic pain, chronic asthma and a tendency to develop bronchitis in winter, hypertension, varicose veins, angina one of three arteries to her heart are partially blocked, and there is oedema in both legs. She has right shoulder pain and restricted mobility, which has deteriorated over the last two years. Her thumb joints are arthritic, and she has an inoperable torn cruciate ligament.
Pause for thought – how to massage her safely without aggravating any of these conditions? And how could massage help alleviate pain or tension? Cardiovascular conditions indicate a letter to the doctor asking if she has any concerns about the advisability of massage. The cause of the oedema is unclear, so best to avoid draining strokes on the legs – but these would be contraindicated anyway by her varicose veins. High blood pressure indicates not too long lying on her front, no deep strokes, no percussion. With her knee problem, she may need assistance getting on and off the table.
Her thumbs could do with some gentle rotations to assist production of synovial fluid, and her shoulders and lower back could do with regular massage, since the muscles there are probably contracting around the pain. Her intercostals and breathing muscles are likely to be tight.
But this is not all. Doreen also takes various forms of medication: bendrofluazide, enalapril, steroids, co-proxamol and doxazosin, a list as daunting as her medical conditions. However, a little internet searching informs me that the first is a diuretic, the second for hypertension high blood pressure, the steroids relieve her shoulder pain, the next one is an analgesic prescribed for arthritic conditions and doxazosin is an alpha-adrenergic blocker, which means that it causes the blood vessels to relax. This is even more information to take into account when planning a treatment. Doreen may need to use the toilet before her massage, or even during, if she's taking a diuretic. The analgesic and the steroids both mask pain, so she may not be able to give accurate feedback if the pressure is too deep. The steroids will reduce inflammation in the shoulder area, but if the cause of the pain is underlying tissue damage, it's probably unwise to try stretches or rotations. The doxazosin may make bruising a possibility, yet another reason to avoid deep massage.
Drugs are prescribed to alter the physiology of the body when something has gone wrong. Since massage can also alter the physiology of the body, there is the possibility that a person on prescribed drugs may respond in an unpredictable way. For example, a client who is using ibuprofen, a common analgesic for muscular pain, on a sore calf muscle may experience pain and bruising after some deep work on the muscle, because ibuprofen reduces the clotting ability of the blood. Another factor to consider is that the side effects of some medication mimic common ailments. Some anti-depressants cause aching in the muscles and joints. If your client on anti-depressants isn't getting any physical benefit from massage, this may be the reason. So it's important to take not just a full medical history, but also to ask a new client for names of prescribed drugs. And if she doesn't remember, ask her to check the labels on the medication and write it down for you. It's also important to know how a drug is administered. If medication is taken orally, or as drops into the eyes or ears, a massage won't interfere, but if it's a cream or ointment applied onto the skin, that area should be considered a local contraindication as should sites of injected drugs. shenzhen escort escort shenzhen escort in shenzhen escort service shenzhen escort girl shenzhen
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Kathleen has enjoyed a massage
jianlan | 26 janvier, 2010 09:00
Kathleen has enjoyed a massage
Ancient escort service shenzhen techniques, from Thailand, we also constantly massage club from where the introduction of new massage techniques, to provide customers with a more comprehensive range of services in different sectors from different regions of massage techniques will provide customers a higher level of service, No matter where you are, just gently dial a phone, you can enjoy the VIP treatment, our service is absolutely the most professional, and we will always be committed to providing customers with more comprehensive hfdughi massage services!
The best site for reliable information about medication belongs to the British National Formulary www.bnf.org. This information is complied by the British Medical Association and the Royal Pharmaceutical Society. All prescribed drugs are listed, the conditions for which they are recommended, how they work and possible side effects. Much of the information, being aimed at medical professionals, is too detailed to be of use, but at least you can find out what a named drug has been prescribed for, and whether there are any things to watch out for, as a massage practitioner. For example, Alice had rheumatoid arthritis and told me she was taking sulfasalazine and methotrexate. Checking with the BNF informed me that both these affect the immune response and suppress the disease process. From the long list of possible side effects, I note that rashes, bruising and anaemia, and peripheral neuropathy are possible so I know to look out for these and watch the pressure I use.
Here's another example where knowing about drug side effects was useful. Kathleen has enjoyed a massage every two weeks or so for the last twenty years, and claims that's what's kept her going so well. Her health has been pretty good most of her life. In the last few years she's had a couple of small TIA's transient ischaemic attacks and as a result, she now takes warfarin, an anti-clotting medication, which 'thins the blood'. Kathleen now bruises very easily; even carrying heavy shopping can result in bruised fingers. So I only use very gentle massage techniques on Kathleen.
But after she began to take lipitor, one of the drugs known as statins, in October 2007 to reduce her cholesterol levels she complained more about her back pain, about little aches and pains all over, she was always tired and she became increasingly forgetful. Early in 2008 she celebrated her eightieth birthday and for a while I thought I was witnessing one of the sudden declines that the elderly can go through before stabilizing again. But when I looked up statins and found that her symptoms were identical to the side effects, I suggested she talk to her doctor about this possibility, but she said she'd never remember the detail and could I write a letter for her. I did, the doctor was happy for her to stop taking the lipitor, and a few months later her energy levels and her mental alertness have both improved considerably.
A little basic knowledge about prescribed drugs does not make us medical professionals or entitle us to inform clients about their use, but it should be an essential part of our knowledge base to ensure that we massage safely, just as knowledge of common pathology helps us make sound decisions about when, what and how to massage.
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I take his medical history
jianlan | 26 janvier, 2010 08:55
I take his medical history
Ancient escort in shenzhen techniques, from Thailand, we also constantly massage club from where the introduction of new massage techniques, to provide customers with a more comprehensive range of services in different sectors from different regions of massage techniques will provide customers a higher level of service, No matter where you are, just gently dial a phone, you can enjoy the VIP treatment, our service is absolutely the most professional, and we will always be committed to providing customers with more comprehensive hfdughi massage services!
When a new client walks into our treatment room, we never know, until we begin to take the medical history, what ailments, temporary or chronic, recent or long-standing, minor or disabling, we will have to take into account as we negotiate treatment options. However much experience we have, there are always the occasions when we aren't sure what to do. And all our massage textbooks and medical dictionaries don't have the answer. I'm in a very fortunate position. I have my own private medical Consultant whom I can call up at any time and who is happy to discuss with me the possible effect of light massage on neuralgia, for example, or how a particular medication acts on the nervous system. He's my brother.
Here's an example of a time when his medical knowledge was very helpful. Mr J was a busy city financier, who would never have chosen to come for massage if it hadn't been for the persistent ache in his shoulders and neck, associated with kyphosis of the spine. He took Ibuprofen orally and locally to ease the pain. He had a complicated medical history: high blood pressure; no known cause but probably stress related, kept under control with medication, monthly injections for low testosterone levels, varicose veins in his right leg that had been stripped resulting in ulceration. The wound was just healed, leaving a considerable area of thin skin around the ankle. The veins in the other leg were also varicose.
He wanted pain relief and better posture. We agreed that I would work with the muscles associated with the curvature in his neck and upper back, to stretch the neck flexors and upper back spinal extensors, while increasing circulation in the shortened neck extensors, shoulder adductors and intercostals. After a while, I was able to persuade him that other muscle groups in his body were also affected, that his pelvis was tilted, the muscles on the fronts of his legs tight and those on the back short, as his body attempted to compensate for the curves in his spine.
And how did I take his medical history into account? On the days when I knew he'd taken Ibuprofen, I modified the depth of the massage, because the drug affects pain perception and is also an anti-coagulant and I didn't want him to be bruised. I remembered to avoid the site of his monthly injection if I saw him within two days. I avoided deep pressure on his abdomen, a contra-indication for high blood pressure. I used draining and stretching techniques on both hamstrings, and holds and energy work on his calves and ankles, taking his varicose veins and thin skin into account. With his permission, I sent a letter to his doctor, informing him that I was massaging his patient, Mr J, and asking the doctor to contact me if he had any concerns. I didn't expect to hear from him – doctors are really busy people – and sure enough, I didn'tshenzhen escort escort shenzhen escort in shenzhen escort service shenzhen escort girl shenzhen
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Holosync technology also uses
jianlan | 26 janvier, 2010 08:47
Holosync technology also uses
Ancient escort shenzhen techniques, from Thailand, we also constantly massage club from where the introduction of new massage techniques, to provide customers with a more comprehensive range of services in different sectors from different regions of massage techniques will provide customers a higher level of service, No matter where you are, just gently dial a phone, you can enjoy the VIP treatment, our service is absolutely the most professional, and we will always be committed to providing customers with more comprehensive hfdughi massage services!
After a year of regular massage, his discomfort had eased considerably, to the extent that he was taking Ibuprofen very occasionally, but, as I'd anticipated, his posture had improved only slightly. Around this time he noticed a small lump in his right groin, which disappeared when he lay down. His doctor diagnosed a Baker's cyst and referred him to a specialist for tests.
My medical dictionary told me that a Baker's cyst is an accumulation of synovial fluid that forms behind the knee. Puzzled, I thought it was time to contact my medical expert. I rang my brother, who also couldn't understand why a cyst in the groin should be a Baker's cyst. He wondered if it was a sac of lymphatic fluid. I described how I was working on Mr J's legs and we decided that it would be sensible to stop using any technique that would affect circulation flow, cardiovascular or lymphatic, in the legs. My mind at rest, I felt confident after this discussion that I could continue to work safely with Mr J.
I am lucky to have access to a medical professional, as this story demonstrates. But my brother gets his information third hand, and does not really know the client. I need to be mindful about confidentiality. And if anything were to go wrong, a verbal discussion with my brother would not cover me for legal purposes as would written communication with the client's doctor. In an ideal world, it would be so useful to discuss clients with complicated medical conditions with their doctors, to ascertain how massage could best help and where cautions would be sensible. In the meantime, it is our responsibility as massage practitioners to ensure that we know as much as we can about pathology and contraindications and how to massage safely and, whenever we can, to help medical professionals to be aware of what we do and how we do it.
Holosync technology also uses bilateral brain stimulation to achieve states of deep meditation very quickly. Developed by Bill Harris at The Centrepointe Research Institute in Oregon, Holosync technology sends tones of slightly different frequencies into each ear, masked by ambient sounds. The brain, in its attempts to adjust, goes into the brainwave patterns associated with relaxation, deep relaxation and deep sleep . As Bill Harris says, everyone has a nervous system threshold above which they become overwhelmed by too much input. Over time, using the meditation tapes, the threshold for activation of the SNS is raised.
Which led me to wonder about the role of bilateral stimulation in massage. When we effleurage someone’s back, the pressure, speed and contact of each hand on either side of the spine will not be completely identical. Perhaps this varying input to the brain from the right and left side of the body, that also occurs when we massage the neck, torso, and face – anywhere where two hands are working simultaneously either side of the midline – is responsible for the shift many people experience during massage into that state between waking and sleeping, a state associated with alpha waves and increased serotonin production.
Massage is relaxing? I am now wondering what other neurophysiological mechanisms might be involved in this response that we take so much for granted.escort girls shenzhen escorts shenzhen female escort in shenzhen shenzhen escort center shenzhen escort place
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Félicitations !
jianlan | 26 janvier, 2010 07:43Si vous pouvez lire cet article, cela signifie que votre enregistrement s’est déroulé correctement et que vous pouvez démarrer l’édition et la publication d’articles.
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