MASSAGE M M M M M M M M M M M M M M M M M M M M M M M M M M M M W W W W W W W W W W W W W W W W W W W W W W W W W W W W M M M M M M M M M M M M M M M M M M M M M M M M M M M M W W W W W W W W W W W W W W W W W W W W W W W W W W W W M M M M M M M M M M M M M M M M M M M M M M M M M M M M W W W W W W W W W W W W W W W W W W W W W W W W W W W W M M M M M M M M M M M M M M M M M M M M M M M M M M M M WWW W W W W W WOW W W W W WRW W W W WLW W W WDW W W W W M M M M M M M M M M M M M M M M M M M M M M M M M M M M W W W W W W W W W W W W W W W W W W W W W W W W W W W W M M M M M M M M M M M M M M M M M M M M M M M M M M M M W W W W W W W W W W W W W W W W W W W W W W W W W W W W M M M M M M M M M M M M M M M M M M M M M M M M M M M M W W W W W W W W W W W W W W W W W W W W W W W W W W W W M M M M M M M M M M M M M M M M M M M M M M M M M M M M W W W W W W W W W W W W W W W W W W W W W W W W W W W W M M M M M M M M M M M M M M M M M M M M M M M M M M M M WTWHWE MW AWSWSWAGWEW AWNWD WBOWDWYW TWHEWRWAPWISWTWS WMWAGWAWZWINWE W M M M M M M M M M M M M M M M M M M M M M M M M M M M M W W W W W W W W W W W W W W W W W W W W W W W W W W W W Getting what you are ISSUE 115 2022 www.massageworld.co.uk worth as a LMT Be a Tailor, Not a Robot World Massage Championships 2022 Amatsu Therapy Painless Spinal Touch Therapy £5.00 What can be done about unresolved back pain? MASSAGE THERAPY ◆ REFLEXOLOGY ◆ BUSINESS TOOLS welcome S ummer is in full swing with people enjoying life again. The massage industry is picking up too with the recent World Massage Championships taking place EDITOR Madelaine Winzer in Copenhagen. It was an exciting event offering massage FEATURES Pauline Baxter therapists a wonderful opportunity to showcase their skills. Rachel Fairweather Susan Findlay Michael Furlong In this issue of Massage World, Owen Lewis writes about his John Gibbons experience on television discussing back pain. An alarming 1 in 6 Jane Langston and mental health. Therefore, it is more important than ever to find people suffer from back pain so it is wonderful bringing these issues Owen Lewis Mark Liskey into the spotlight. Also in this issue, Rachel Fairweather discusses a very important Kathy Scott topic of conversation which is valuing your time. It can be a difficult task for some Ashton Stimson Massage Therapists to charge appropriately for their treatments in comparison to Claire Squire Susanna Terry other bodywork professionals, therefore Rachel’s article serves as a much needed reflect the way we work and the wellbeing we hope to foster in out clients, while Kate Browne Madelaine Winzer reminder that you need to value yourself first in order for other people to do the same. Anna Lisa Zisman better. Giacomo Sandri explains how to manage inflammation by integrating medicinal herbs We are super excited to be hosting the National Massage Championships at Olympia Beauty in London this GRAPHIC DESIGN Victoria Osborne Autumn. If you fancy putting your skills to the test, why SOCIAL MEDIA Pia Singleton MEDIA not sign up now and I may see you there. COMMUNICATION C J Newbury PUB LISHERS NKW Pourbldl ioshffiinceg ADVERTISINGW orld officPelease call the Massage World office T 0207 370 6953 or Jackie Bristow T 01963 361 753 MADELAINE WINZER Freelance writer FOUR QUARTERLY ISSUES @madswinz UK: £20 UK Student: £15 Rest of World: £40 ISSN 1474-4171 Download the HOW TO CONTACT US Network Business Centre, Suite 10 282 Earls Court Road, London SW5 9AS Massage World App! T/F 0207 370 6953 Purchase digital copies of each issue E [email protected] W www.massageworld.co.uk Search for “Massageworld magazine” DISCLAIMERS construed as Policy or an Official Announcement unless stated. The publisher has taken all reasonable measures to ensure the accuracy of the information in Massage World and cannot accept responsibility for errors in or omissions from any information given in this or previous editions or for any consequences arising thereof. The Editor may not always agree with opinions expressed in Massage World but allow construed as Polipcuyb olicr aatnio nO affisc aia ml Aatntenro oufn icnetemreesnt,t nuonthleinsgs pstraintteedd. should be construed as Policy or an Official Announcement unless stated. No part of this publication may be reproduced in any form or by any means whether electronic, mechanical and/or optical Follow us on Twitter! without the express prior written permission of the publisher. @massageworlduk PRINTED BY www.bishops.co.uk 25% off our retail prices for all professionals and students registered online with us 25% off our retail prices for all professionals [email protected] | www.songbirdnaturals.co.uk and students registered online with us [email protected] | www.songbirdnaturals.co.uk contents issue 115 2022 ◆ FEATURES 8 Sports Massage and Beach Volleyball Susan Findlay Director of the NLSSM takes a dive into Beach Volleyball and looks at associated injuries that your clients may present with. Massage mentor Susan also offers up some anatomy of stretching. 12 Be a Tailor Not a Robot I am sure that by now you are back to happily massaging in the corporate environment. Pauline Baxter looks at tailoring your treatments to clients needs. 16 7 Questions to Massage Pain Free Do you view body mechanics as a system 8 of rules to be applied universally? Mark Liskey argues that we must update our current view on Body mechanics for LMT’s 22 When the Cameras Rolled in My Clinic Our regular feature writer Owen Lewis had a visit from a TV production company 12 looking into the idea of Fascia bodywork being a benefit to the general population. This is his diary for the day. 28 Spinal Touch – Treating the Real Cause of Pain and Dis-ease ◆ REGULARS 22 Susanna Terry explains the Light Touch’ approach may bring pain-relief and at the same time realigns the person physically, 3 Editor’s Welcome energetically and often emotionally. 6 News & Views 34 Reviews 30 Getting What You Are Worth If you had to put a price on your head as a 58 Course Listings massage therapist how much would it be? Hundreds? Thousands? Millions? Rachel Fairweather from Jing advanced massage tells you How much. 38 What Can Be Done About Unresolved Back Pain If someone has a traumatic injury - perhaps because of a fall - it is easy to see why they may have a problem with their back. But understanding that in most cases of 16 unresolved back pain, if the problem has built up over time it can be more difficult, says Michael Furlong. ISSUE 115 2022 5 news & views Reacquainted and Realigned with the CHP Conference 2022 We are delighted to be able to in 15 October from 9:30am to 4:45pm This event will be held at The Business Xchange Hub, Marco Polo House 3-5 Lansdown Road, Croydon, Surrey, CR0 2BX. As usual, you can expect an amazing buffet that is fully catered for all attendees throughout the event, and dietary requirements can be expressed by email after a ticket is purchased. Tickets can be bought at https://www. complementaryhealthprofessionals.co.uk/team-3 on the main home page, halfway down the screen select the green “Book Ticket”. These are Launch of Advanced free to Premium Members and students and £60.00 for non-members. Similarly, to years past, the annual conference will have a theme that Clinical Massage & revolves around a central case study which will be explained and presented by the speakers. This year’s theme is Musculoskeletal Disorders. Massage World is Sports Qualification a close media partner of the CHP conference and attends every year. We always look forward to Meghan Mari from Jing Massage who is a regular contributor to the event, and this year will be speaking on The Jing Advanced Massage are delighted to announce the Jing Method which focuses on advanced clinical and sports massage launch of their new improved Advanced Clinical Massage for neck and shoulder pain. This includes whiplash which is one of the qualification (ACMT). This innovative course immerses you most common conditions in the United Kingdom. We also look forward in the Jing Method – how to get results with chronic pain to Jana Mitackova, the director of Spiral Stabilization UK, will open in 1-6 sessions- PLUS the skills and confidence to build a the show by discussing the revolutionary exercise method for spiral successful massage practice and to get the life you desire. stabilization. As well as speakers, the event offers workshops for a In addition to being a recognised and respected hands-on understanding of musculoskeletal disorders, like the postural qualification in advanced clinical massage and the Jing analysis and neuroskeletal re-alignment therapy workshop. During method, we have worked with the SMA (sport massage this, there will be a demonstration on how to properly examine a patient association) for the ACMT to be recognised as a sports to best conduct treatment by focusing on re-alignment points, then massage qualification. The ACMT now includes new each attendee will be able to put this new knowledge into practice by material to allow you to feel confident treating at sporting conducting in pairs. events and working with athletes. What’s more the ACMT now includes a comprehensive This is a cannot miss event! online learning package, monthly Zooms and 3 x 4 day hands on immersion blocks down at sunny Brighton to THE HOT TICKET! ME, YOU learn directly from the dynamic Jing team. Successful graduates can also progress onto our full AND YOGI TOO! BTEC Level 6 (degree) – this certification is unique to Jing and is the highest qualification in massage in the UK. 14 -16 October 2022 If you are short on time or money then there are generous monthly payment plan options plus an affordable ONLINE Stretch your mind and body by attending the OM Yoga ONLY OPTION where you will learn the same dynamic Show. You do not want to miss this year’s event as it skills at a fraction of the price. marks 15 years of hosting the largest yoga gathering in Europe. Located at Alexandra Palace, placed perfectly in between Our next course starts September 2022. Muswell Hill and Wood Green you will be able to use public transport We would love to see you there! and have access to the detailed accommodations on Hotel Map which have deals specifically for the show. Presenters include more than 20 For more information check out our website specialists who all are experts within their perspective fields. www.jingmassage.com/advanced-clinical- massage-therapist-acmt-certificate/ Tickets, FAQs & additional contacts please visit or call us on 01273628942 london.omyogashow.com 6 ISSUE 115 2022 news & views ARE MASSAGE ON DEMAND APPS SAFE? A recent BBC news article, https://www.bbc.co.uk/news/uk- 62081247 highlighted how a number of therapists working for a large well known online massage App provider sexually assaulted clients. Thankfully, there have thankfully been prosecutions as www.handsfreemassage.com/taster a result, but there is rightfully concern that these therapists’ Advanced Hands Free Massage 8 day profiles are not removed from the site quickly enough. Massage is by its nature an intimate procedure that requires Training, starts Dec 5th 2022, BCMB Bristol, a clear understanding of the boundaries in places for both the £970 bodyworker and the client, on both sides. What we are creating Hands Free Massage, as taught by Darien Pritchard, was is a therapeutic dyad, where the ability of the client to feel safe, designed to save your fingers, thumbs and wrists while relax and ‘let go’ is central to optimum results. applying firm pressure. However, there is so much more to There are questions to be asked of the qualifications’ providers the training than just that! in looking out for concerning behaviour and boundary crossing during practical work together with including reflection on the Summary of the training role of a therapist. Safety has long also been a concern for the therapists who • A range of forearm and elbow techniques that can provide mobile treatments on ‘unvetted’ clients for online substitute for and extend ‘classic’ massage techniques companies with anecdotal reports of therapists ‘arming’ with varied pressure for table, chair and side-lying themselves in advance in various ways, both legal and illegal. massage The linked BBC article begins, as a matter of course, by • The soft forearm (the fleshy inner forearm) for effleurage, highlighting the issue of unqualified ‘therapists’ advertising petrissage and applying widespread general pressure. massage services on social media and, devoid of any checks or The soft forearm is firmer and uses less effort than using qualifications, registrations or DBS, and then proceeding to your hand assault clients. While the article focuses on the lack of statutory regulation • The hard forearm (the ulna) and the bony areas and protection of title for massage therapists, it remains a around the elbow for applying focused pressure in an priority for all of us to educate the public to choose therapists appropriate, skillful and sensitive way in order to save who are registered with a reputable organisation which has your fingers, thumb, knuckles, wrist, lower back and checked qualifications and has a clear complaints and reporting shoulders procedure in place. • Using the whole forearm for mobilising With this in mind, ThinkTree has produced a social media pic parts of the body, for applying stretches with which members can celebrate their ThinkTree registration • How to support yourself with dynamic as well as reminding clients of their bodywork qualifications. bodyuse Since there is no statutory regulation, it is one way to remind • ...and soooooo much more! the public always to check that their therapists are, firstly, fully qualified and insured and, secondly, members of a recognised Your tutor is Leora Sharp (mastering professional association. Hands Free since 2008) and if we have a full house of participants, Darien Pritchard will Please let us know your thoughts also be teaching; a fabulous opportunity to [email protected] learn with the master and creator of these amazing 'tools'! www.handsfreemassage.com/advanced .bowentraining.c(cid:116)o.(cid:215)u(cid:307)k(cid:498)(cid:187)(cid:198)(cid:498)(cid:263)(cid:174)(cid:266)(cid:277)(cid:498)(cid:251)(cid:209)(cid:101)(cid:215)(cid:218)(cid:245)(cid:235)(cid:101)(cid:266)(cid:198)(cid:198)(cid:459) (cid:101)(cid:215)(cid:218)(cid:245)(cid:235)(cid:101)(cid:266)(cid:198)(cid:198)(cid:498)(cid:218)(cid:270)(cid:498)(cid:277)(cid:215)(cid:198)(cid:266)(cid:198)(cid:498)(cid:277)(cid:251)(cid:498)(cid:238)(cid:251)(cid:251)(cid:235)(cid:498)(cid:174)(cid:209)(cid:277)(cid:198)(cid:266)(cid:498)(cid:307)(cid:251)(cid:282)(cid:266)(cid:498) (cid:35)(cid:266)(cid:198)(cid:198)(cid:498)(cid:282) 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(cid:15)(cid:251)(cid:282)(cid:266)(cid:270)(cid:198)(cid:498)(cid:1)(cid:188)(cid:188)(cid:266)(cid:198)(cid:194)(cid:218)(cid:277)(cid:174)(cid:277)(cid:218)(cid:251)(cid:245)(cid:453)(cid:498)(cid:1)(cid:263)(cid:263)(cid:266)(cid:251)(cid:300)(cid:174)(cid:238)(cid:498)(cid:174)(cid:245)(cid:194)(cid:498) (cid:15)(cid:198)(cid:245)(cid:277)(cid:266)(cid:198)(cid:498)(cid:1)(cid:263)(cid:263)(cid:266)(cid:251)(cid:300)(cid:174)(cid:238) (cid:35)(cid:266)(cid:198)(cid:198)(cid:498) of Massage Therapies) played a significant role in getting information out to all their how the profession started talking as a unified body, and how we got behind our ◆ MASSAGE MENTOR ◆ professional associations, with GCMT emerged as a body with influence. It is now phrooofwf eM sthsaiesos npaargol efa eTssshsoieocrniaa ptsiioteansr)st e,p dwla tiyatehlkd Gi naCg sM aigsTn aiefi mucanenirfigte erdod l bea osind a yg ,b eaotntdindyg hw ionitwfho rwimnefla ugtieoontn cb eoe.uh ti Intt odi s ao nlul orthw e ir BY SUSAN FINDLAY firmly and increase the need for your services. “Coronavirus And The Impact On Output In The UK Economy - Office For ne of the more recent additions to the Olympics, it was initially O introduced as a demonstration sport in 1992 at the Barcelona Outdoor volleyball Games prior to officially becoming part of the Games in 1996. Its sister game, indoor volleyball was first introduced firmly and increase the need for your services. w“aoPiratiigbnilgno ”af otJerod oh wtnhhseoernn p Pwlaahyuiellre s There are somadesr doapinffp eOerdley nimnc pe1is9c 6f sr8po bmoerf tio nirnde o Troeortk uvyroonl liienny g1b9 aa6ls4l aob tpuhete rdrmu teha natone n ptthr foeet aoetbsutvsri oew.u ass to show up for an outdoors playing on sand, the court size is smaller, the number of players is 2 rather than 6, there are no substitutions in beach volleyball, a block at the net six-man game he decided to counts as one of the 3 allowed touches, scoring system best of 3 sets to 21 play with the small group at rather 1 set to 25. As a result of these changes there is an increased demand hand, 2 on each team, this on endurance and power from the individual players plus when playing on sand the kinds of injuries differ. The sand does offer an advantage, because was the beginning of what we of its cushioning effect it softens the impact from the numerous dives and have come to know as beach falls for the ball, effectively lessening the frequency and severity of injuries. volleyball. The qualities required in order to excel in beach volleyball include the ability “Coronavirus And The Impact On Output In The UK Economy - Office For 8 ISSUE 115 2022 tPola myearkse m quusict kh daviree pcotiwoner cfhual nleggess t, oa sp rwoedlul aces btheein nge acbelses ator ys thoepig ahntd i ns tvaerrtt iicnaslt antly. mentor massage BEACH VOLLEYBALL jumping as well as lateral speed. Extra the overuse conditions include tendinitis, finger and fractures to the metacarpals demand is placed on the joints due to the tears and/or impingement injuries and phalanges. The management unpredictable and sometimes tenacious that involve the rotator cuff and bicep typically uses acute protocols such effects of the sand, strength is critical in tendons. If an athlete is complaining as RICE (rest, ice, compression and stabilizing joints and preventing injury. of an anterior lateral shoulder pain elevation), NSAIDs (nonsteroidal For the upper body, players specifically felt when his arm is doing an overhead anti-inflammatory drugs) and buddy need strong rotator cuffs for serving and motion, impingement is a likely taping/strapping for the fractures. spiking, pectorals and triceps for setting, culprit. Assess and palpate for those Once the injury is in a sub-acute stage and latissimus dorsi for blocking. Other muscles that are tight and overworked conservative soft tissue management can skills include hand eye coordination, and others that are not stabilizing commence using joint play techniques, flexibility, accuracy, core strength and the shoulder (often infraspinatus is softening any tissue restrictions. balance, speed and endurance. Lastly, weak). Focus on developing a better One of the more chronic overuse players must have a soft touch for setting. counterbalance between the rotator conditions that affect volleyball players As in most sports muscle imbalance cuff muscles, lengthening short and is patellar tendinitis also called Jumpers is part of the athletes muscular makeup. tight muscles and engaging weak Knee. It is frequently referred to as a In the case of a volleyball player this is ones using muscle energy techniques. tendinopathy rather than a tendonitis of Massage Therapies) played a significant role in getting information out to all their partly due to the positioning of their Other conditions worth considering as the symptoms usually lack any feet. Having one foot forward with the are acromioclavicular arthritis inflammation. This condition is hips facing in towards the court allows and acromial spurring if a player is connected to most sports that demand a how the profession started talking as a unified body, and how we got behind our fporro gfersesaiotnear lfl aesxsoibciialittioyn tso, wmiothv eG qCuMiTck elmy erged as cao bmodpyl awinithin ign floufe annctee. r iIot ris lnaotewr al pain. lot of jumping or those that participate in forward (to block) and backwards (to While performing a serve there is a higher level of activity. The following peel). But of course this can result in a substantial amount of force coming test can be used to assist in proving or the development of rotational muscle from the shoulder complex coupled disproving its existence, it is consider imbalances that can sometimes become with maximal lumbar extension. This to be a highly sensitive test with good so dominant that there is not enough requires a strong trunk in order to specificity. With your client in supine opposing muscle strength to counteract allow the torso to come forward while placing the leg in extension, put one hand afinrmd lsyt aanbdil iiznec rtehaes ea cthteio nne. e Od nfoer oyof uoru sre rvices. keeping the axial skeleton stable to above the patella (upper pole) while using massage goals is to encourage a more allow the scapula and glenohumeral the other hand to apply finger pressure symbiotic relationship between the two. joint to manoeuver effectively. This on the inferior pole immediately below “Move your feet, bend your knees, explosion of energy needs both strength the patella, if it elicits pain it is positive. get underneath the ball” is another and flexibility to be able to function Specific to volleyball is a condition key skill for a player, along with being well as a whole. It is important to called Sand Toe, this is a plantar flexion able to bring the arms right back and keep in mind that in order to release, injury that occurs when the athlete’s deep to enable better hitting and lengthen, and create more movement foot strikes a hard spot in the sand jumping. Hence, there is great value in their needs to be an element of stability and causes the toe to buckle under “Coronavirus And The Impact On Output In The UK Economy - Office For soft tissue techniques that encourage to support any changes. In soft tissue the foot. The weight of the player’s flexibility in the related joints. work it is of greater benefit to work body drives the great toe into the incrementally, making smaller changes sand causing a very painful sprain Associated injuries that allow the musculoskeletal system to the metatarsophalangeal joint. Due to the repetitive nature of volleyball to adjust decreasing any further It results in a significant functional there are some typical injuries associated risk of injury from instability. impairment that will interfere with with it. For instance the overhead Not surprisingly are the injuries any running, jumping or push off actions such as spiking, blocking and associated with the hand and wrist, the movements. Treatment consists of serving play a significant role in some of more common type of injuries include RICE, NSAIDs, taping, soft tissue the common shoulder injuries. Many of collateral ligament sprains, mallet work, physical therapy that might 10 Issue 110 2020 mentor massage Terminology Corner: BEACH VOLLEYBALL Blocking: is when a player comes close to the net to intercept the ball by reaching higher than the top of the net. Dig: preventing the ball from hitting the ground and putting it up in the air so your teammate can make a play. “Pepper Warm Up Drill” a way to improve their defensive skills http://www.youtube.com/ watch?v=efOnFhj2LQQ Set: a skill in which a player controls or handles the ball with their finger tips and sends to a waiting hitter. “…handling the ball include joint play techniques. Recovery is long and can take anywhere from overhand using finger action with 6 to 12 months. Metatarsal stress fractures (which happens as a result of all the hands separated) are stricter the jumping) takes much less time, 4 to 6 weeks. Fractures are usually found on the beach. In practice, this in the third and fourth metatarsals. Symptoms will commonly be a dull achy means that players are effectively pain in the forefoot which increases during weight bearing. Manual therapy forbidden from setting the ball should focus on correcting any leg length discrepancies, maintaining or on serve receive; similarly, players improving the mobility within the hard structures, softening the tissues seldom use a hand setting motion that might be restricting movement within the tarsals, paying particular as the first (except on a hard driven attention to the subtalar area. Other foot and ankle related conditions found attack) or last of the three allowed in volleyball players include achilles tendinitis and plantar fasciitis. team contacts.” http://en.wikipedia. Additional conditions that are associated with the sport are org/wiki/Beach_volleyball thoracic, lumbar and sacral back pain, iliotibial band syndrome, suprascapular nerve injury. Most of these have been discussed in Spike: the action of jumping greater detail in previous A-Z Olympic sports articles so as not to be striking the ball with one hand repetitive I would recommend picking up some of the back issues. using it as an attack hit. Homecare The majority of homecare is derived from what you find out in the initial subjective interview, finding out what has led to the injury, was it because SUSAN FINDLAY of poor training technique, was the environment an issue, did they warm Susan’s first love is dance, sport, anything to do up and cool down sensibly, is the nutrition supporting their needs etc. with the joy of movement. She trained as a nurse Homecare is often a matter of understanding what has contributed to the in Canada but soon left the profession when she cause and advising an action to counteract it. So for beach volleyball many of came to the UK as she wanted a deeper connection the injuries are from overuse, lack of proper rest, lack of an adequate warm with her clients. For many years she worked in both health and fitness, teaching 20+ classes a week up and poor conditioning therefore good advice would be to rest, devise a and running GP referral schemes. She wanted to proper warm-up, improve the training to adjust it to meet the demands and make better use of all her knowledge which led advise them to get a coach if they do not have one. It might seem obvious her to retrain as a Sports Massage and Remedial but sometimes to the athlete it quite often needs to be pointed out. Soft Tissue Therapist. Currently she is the director of NLSSM and specialises in teaching Oncology Massage. She is the author of Sports Massage: References & great websites Hands on Guide for Therapists and is the Sports http://www.capitalcityvbc.com/ Massage feature writer for Massage World. She volunteers her time as a board member http://www.klokavskade.no/en/ Oslo Sports Trauma Research Center of GCMT. Prevalence of Pain on Palpation of the Inferior Pole of the Patella Among Patients You can join her on Massage Mondays for with Complaints of knee Pain free weekly massage videos http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2666452/ www.susanfindlay.co.uk https://volleyballengland.org/ 10 ISSUE 115 2022