The low down on the rub down!!

Over the last six to eight months, I’ve learned so much about massage and while those who get one regularly already know this, if you are new to massage, you may want to keep these things in mind.

First, a massage really should not hurt. Yes, there may be moments of pain if you are working an area of soreness or injury, but continued pain is NOT a good thing. Speak to your therapist. If something hurts, let them know.

Second, more is not necessarily better. Pressing harder may be what you want a therapist to do, but if you need a specific treatment, deep pressure may not be ideal. In fact, it may very well be counter-productive. Again, communication is the key here. If the therapist is doing something you wonder about, ask them.

Third, you have the right to tell the therapist what you want them to do. In fact, it makes their job easier. If you don’t like your ears to be touched, tell them. If you don’t like your feet to be touched, tell them….kicking them may cause a bit of a strain in your relationship.

Fourth, be sure you are working with a therapist who is flexible and does what is in the client’s best interest. For example, the elderly often need a shorter massage. They may not be able to tolerate lying on the table for a full hour. They may need a chair instead of a table. If you have an injury and just want a specific injury treated, a full hour may not be called for. If the therapist is insisting on hour long appointments and you want shorter sessions, they may not be looking out for you….but for their pocketbook.

Finally, don’t go to get a massage if you are sick…especially if you have a fever. A good therapist will not work on you. They will ask you to reschedule. That may not be what you want to hear, but massage during an acute sickness is generally contraindicated. You may be contagious and the massage may actually make things worse.

Now, I have to let you go….my daughter wants a massage. Have a great week!!!

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Adductors and Hamstrings

Here are some of the notes Robin gave us:

Adductors

Pectineus (Also flexes the hip) 

  • Origin – Superior pubic ramus and Pectineal line on pubis
  • Insertions – Posterior proximal femoral shaft (inferior to lesser trochanter

Adductor Brevis

  • Origin – Inferior pubic ramus
  • Insertion – Proximal third of linea aspera (medial lip)

Adductor Longus 

  • Origin – Anterior pubic body
  • Insertion – Middle third of the linea aspera (medial lip)

Adductor Magnus (Also flexes and extends  the hip)

  • Origins – Ischial tuberosity, Inferior pubic ramus and Ischial ramus
  • Insertions – Linea aspera and Adductor tubercle of the femur

Gracilis  (Longest muscle in the body) (Also Flexes the hip, flexes the knee and medially rotates leg when knee is flexed.)

  • Origin – Inferior pubic ramus
  • Insertion – Medial proximal tibial shaft (at the pes anserinus)

These muscles all adduct and are all innervated by the Obturator nerve….except the Pectineus which is innervated by the Femoral nerve. The Adductor Magnus is also innervated by the sciatic nerve.

Hamstrings: 

Semimembranosus

  • Origins – Ischial tuberosity
  • Insertion – Medial condyle of the tibia (posterior surface)
  • Actions – Flexes knee, medially rotates leg (when knee is flexed), extends hip, medially rotates hip and posteriorly tilts pelvis

Semitendinosus

  • Origin – Ischial tuberosity
  • Insertion – Medial proximal tibial shaft (at pes anserinus)
  • Actions – Flexes knee, medially rotates leg (when knee is flexed), extends hip, medially rotates hip and posteriorly tilts pelvis

Biceps Femoris –

  • Origins – Ischial tuberosity (long head) and Linea Aspera; lower lateral lip (short head)
  • Insertion – Fibular head
  • Actions – Flexes knee, laterally rotates the leg when knee is flexed, extends hip, laterally rotates hip, posteriorly tilts pelvis

All three of the hamstrings are innervated by the tibial nerve. The Biceps Femoris is also innervated by the common fibular/ peroneal nerve (short head). (They make up the sciatic nerve.)

 

Stone Massage Notes

1. The physiological process that draws blood to the surface or periphery of the body by means of heat is known as Retrostasis.

2.  Heat causes the viscosity of synovial fluids in the joints to thin.

3. Cold’s analgesic effect is caused by reduced nerve conduction.

4. Heat and cold should be alternated for clients with arthritis.

5. The stone table is ideally placed at the center side of the table, 3 feet away.

6. A therapy room used for hot stone massage must have access to electricity.

7. Essential oils are particularly useful not only for creating a pleasing aroma, but also for disinfecting the stones AND increasing the therapeutic effect of the massage.

8. Stones that form deep within the earth are cooled slowly, have sharp edges AND are roughly textured with large grain.

9. Common metamorphic rocks are jadestone, marble and quartzite.

10. Marble is formed by uplift of limestone bearing mountains.

11. When collecting your own set of stones, look in past volcanic activity and old, wide, calm rivers.

12. White marble holds cold the longest.

13. In general, large, thick stones hold heat the longest.

14. A static placement stone that is covered can hold its heat up to 30 minutes.

15. Cold stones can be stored in a freezer or a bowl of ice water.

16. Placement of stones on the face should be comprised of warm or cold stones or both at the same time.

17. Static placement of stones are best used in addition to massaging with stones.

18. Devices that are used to help hold stones in place are oven pockets, a sand bags or stone wrappers.

19. The first stone that is introduced to the client’s skin should be tepid.

20. If the client is feeling lightheaded during or after the massage, the therapist should stop the massage, check in with the client AND be sure the client is safe to drive before leaving.

Please check to see if my answers match yours. If you find a mistake, PLEASE let me know. I want to correct it as soon as I can!

Lesson Ten – Hip & Knee Joint (Updated)

Good Morning Classmates! Here are the tips Robin gave us to help us study:

1.  The two hip flexors are the Psoas Major and the Iliacus.

2.  The Deep six Rotators are:

  • Piriformis
  • Gemellus Superior
  • Gemellus Inferior
  • Obturator Internus
  • Obturator Externus
  • Quadratus Femoris

These muscles all laterally rotate, have attachments at the Greater Trochanter and are innervated by the sciatic nerve.

3.  The Gluteal Group is:

  • Gluteus Maximus
  • Gluteus Medius
  • Gluteus Minimus

Remember in this group that the Inferior gluteal nerve is in the Gluteus Maximus while the Superior gluteal nerve is in the medius and minimus. Think of the body compass and how the inferior nerve would be BELOW and the superior nerve would be above. The Gluteus Maximus originates below the others.

4. Tensor Fasciae Latae

  • Originates on the Anterior iliac crest and the ASIS.
  • Inserts on the IT band
  • Abducts, flexes and medially rotates the hip
  • Is innervated by the Superior gluteal nerve

5.  Next are the Quadriceps, the strongest muscles in the body. They are:

  • Rectus Femoris
  • Vastus Intermedius
  • Vastus Medialis
  • Vastus Lateralis

The quads all extend the knee, but the Rectus Femoris also flexes the hip and anteriorly tilts the pelvis. They are innervated by the femoral nerve and found on the anterior side of the body. The Sartorius shares the nerve and the location, but it does not extend the knee. The Sartorius flexes the hip, laterally rotates the hip, abducts the hip and medially rotates the knee when the knee is flexed.

If you want to add to what I have here, please feel free to leave it in the comments! Happy studying!

Bony Markings Lower Extremities

Good morning classmates!! These pictures may not have every point that we studied in class, but I thought you might like quick access to them. This first picture is just the main overview of everything we will be tested on in class on Tuesday. The lower pictures will be more specific.  From getbodysmart.com:

From hiphiphip.jpg

Femur from quizlet.com

Fibula and Tibia from: tibiafibularantlabel.jpg

Foot from: foot-bones-joints.jpg

 Hope these help. Make sure to check your book too! These are just to help you study when you don’t have your books.

Quiz on Tuesday!!