Massage Adjustments?

As a licensed massage therapist, a great question I get asked frequently is if I do adjustments. What this refers to specifically is spinal adjustments which are physical manipulations of the spinal vertebrae. The short answer is, no.

The more complete answer is that a massage therapist works with the soft tissues of the body; these being the connective tissue (skin, fascia that covers and holds everything together), tendons, ligaments and muscles. We use our hands, elbows, forearms and sometimes tools to loosen, stretch, shorten or lengthen these tissues so that the client feels relief. Relief from what? Well, that could mean stress relief. Or it could be for pain management, joint comfort, injury rehabilitation or to keep these body tissues supple, strong and moving the way they are supposed to.

Those who work with the spinal vertebrae are also licensed health care practitioners, typically chiropractors or osteopaths. They specifically assess the continuity of the spinal fluids, the vertebrae and any mis-alignments, injuries or degeneration which affect the body's health. These practitioners, just as massage therapists, educate, assess and treat structures of the body. The difference is that I work with muscles and a chiropractor (for example) works with bones.

What's the connection between the two and why do I get asked if I do adjustments? The connection is that the bones and muscles give structure to the body so we don't all look like a bean bag chair. They work in unison to keep the body upright and mobile. Plus, they keep all our other parts from spilling all over the place.

The reason I get asked about adjustments is because often after a massage therapy session, a client will move a certain way and feel the relief of that familiar "crack" when a vertebrae re-aligns itself spontaneously. Though I say spontaneously, this isn't to be mistaken for "coincidence".

Why is this? Simply put, because the bones go where the muscles put them. This is why you could go to get weekly adjustments for your neck and yet it continues to "go out". If the muscles of the neck or shoulder are continually tight and shortened; as soon as an adjustment is made to the vertebrae, it will be pulled back out of position by the offending muscle(s) structure.

I've seen clients that have received adjustments for years without significant relief of their problem and once they incorporate massage into their wellness regimen, they find the spinal adjustments begin to hold for longer periods of time between visits.

So again, I don't "do" adjustments. But with the help of massage therapy, your body frequently is able to do it's own adjusting.

Don't Let Irritable Bowel Syndrome Make you Irritable

Post-holidays, irritable bowel syndrome can really rear it's ugly head. For those who suffer the ups and downs of the yo-yo digestive (and elimination) tract; the stress and altered eating patterns of the holiday season can wreak havoc. So that makes this post perfect timing as everyone tries to get back on track, lose holiday weight gain and determinedly stick to those resolutions (or have you given up already?)

Before I offer some help to the long suffering IBSer; I feel I should at least describe the condition. And realize, though I may speak with humor there's really very little to laugh about if you're caught up in the throes of the discomfort IBS can instill. Any humor I inject comes from 1) familiarity with the issue and 2) the belief that the more lightheartedness you can add to any situation; the better your outlook will be. Pretty simple, yes?

So, IBS or irritable bowel syndrome is a collection of symptoms that can include abdominal discomfort, bloating, cramping and alternating constipation and diarrhea. These symptoms vary from sufferer to sufferer and day to day. Because of the erratic behavior patterns of this health condition; most IBSers know EXACTLY where a bathroom is located no matter where they are. It's a pain......well.... in the ass. Sorry, I had to.

IBS doesn't just cause physical pain and discomfort but also mental duress which can be severe. Loss of self esteem, the blues, anxiety and others can make one feel uncomfortable enough to not even want to leave the house. This sets the IBSer up for even more severe emotional problems such as agoraphobia or clinical depression. Yikes.

A diagnosis of IBS usually comes after a lengthy discussion with a health care provider. Said provider will, hopefully, rule out more serious diseases instead of just making a blanket diagnosis of IBS. If indeed, that is what the problem is determined to be, the IBSer will likely be offered various pharmaceuticals to control symptoms. Be warned that many drugs will ease one symptom only to cause another. It's the nature of the Pharma Beast.

Fortunately, because IBS has been around for awhile and lots and lots of people suffer with it; there have been breakthroughs in alternative treatments for the condition which are more gentle, infinitely more effective overall than traditional health care methods, and less inexpensive.

• Massage. What would you expect me to say, I'm a massage therapist. :-) Seriously, I wouldn't advocate it if it didn't work. Massage facilitates the calming of an overactive nervous system which is part of the IBS complex. The more your entire body relaxes, the more your colon will too. Because many IBS sufferers have a predominance of either diarrhea or constipation; a therapist can use specific abdominal strokes to hasten or slow the motility (movement) of the colon contents.
• Diet. Most sufferers already have a pretty good idea what foods/beverages they should avoid to manage IBS attacks. The problem here is not adhering to the diet that makes one feel the best. That's a choice. If you have IBS and you know that dairy causes cramping and diarrhea but you still eat cheese; that's a choice you've made. I'm being kind of harsh and I could apologize but I won't. YOU can control what goes into your mouth and many types and combinations of foods will trigger IBS symptoms like clockwork.
• Supplements. Fiber, probiotics, calcium and magnesium, oil of peppermint or fennel and others may all be useful in quelling the symptoms of IBS. It's important to research the effectiveness and quality of any supplements so that symptoms aren't made worse or money wasted on ineffective products.
• Hypnotherapy/EFT/BodyTalk/Others. Many mind body therapies use energy psychology to elicit a healing response in the body. Energy psychology is a synergistic blend of body work with tapping into one's emotions to clear blockages in the mind and body that inhibit healthy function.

Talking to other IBSers to learn how they cope may also be helpful as long as one skips the "whine" with the cheese...... Remember that being proactive in one's own health care, including having a positive outlook, is often the best medicine.

Stress and You

'Tis the season. The holiday season is upon us and with it comes a myriad selection of activities that flood our days (and sometimes nights). We add these holiday activities and functions to our already full plate consisting of home, family, work, volunteering, recreational activities (Feel free to add your own choices to this list) and before we know it we've got headaches, fatigue, feelings of overwhelm, colds, indigestion, sleeplessness, and short tempers.


What's the solution? From my perspective as a licensed massage therapist (and crazed holiday enthusiast who partakes in creating, sharing, eating rich holiday foods, decorating in an eclectic country home spun yet elegant Martha Stewart-esque style, seeing clients daily, writing a business manuscript on massage therapy, taking care of a home, pets, family, volunteering with a civic organization and trying to fit in time for socializing with the special people in my life); it's safe to say I know a little something about the topic of stress, it's effects on the human condition and how to effectively reduce it.


First, it's important to know how stress registers for you. Some people can go, go, go and not even know they ARE stressed so it's important to recognize the signs before you become worn out.

• Fatigue (feeling like you wake up tired and go to bed tired.)
• Muscle tension (especially neck, shoulders, chest and abdomen)
• Racing thoughts (too much in your head to think about)
• Easy to anger (that %*@$% cut me off in traffic!)
• Feeling overwhelmed (manifesting as sadness, frustration, anger, anxiety)
• Sleeplessness (worry, tension, a long "to do" list)

There are other symptoms that may present as well but these are some of the more commonly overlooked signs of stress overload. After these come the ones that FORCE us to take notice. Things like: headaches, heartburn/gerd/acid reflux, colds and flu, and other problems that effectively put us down for the count....at least temporarily.

It's vitally important (all the time) but especially at busy times of the year like the holidays to induce the relaxation response as frequently as possible to keep stress from becoming more problematic. Unchecked stress can lead to many serious health issues like heart disease, high blood pressure, cancer and diabetes so knowing how it affects you and how you can deal with it is well worth the time and effort. Here are a few options for you to try:

• Massage and bodywork. (Of COURSE I'm going to mention this! Massage is one of THE premier ways of inducing the relaxation response through soothing the nervous system, releasing muscular tension and shutting off monkey mind chatter).
• Deep breathing. (When stressed, we naturally breathe more shallow. Deeper breathing sends nourishing oxygen to all the cells of your body. Good stuff, trust me.)
• Mindful exercise. (Yoga, tai chi, qi gong, walking. These options help you to focus your mind, increase rhythmic breathing, stretch your body while releasing stored tension and improving circulation)
• Guided meditation or visualization. (These offer verbal guidance to help you to progressively relax your muscles, deepen your breathing and slow your conscious brain activity)

The holidays needn't be a time of dread due to a to-do list that extends around the block. Take on those things that are "have tos", interspersed with the things that make you feel great. Don't feel you have to do it all or be it all. You don't. The more relaxed you feel, the better you'll enjoy your holidays, friends and family and the reason for the season. (You get to choose what that is for you.)

So go color a picture and just let go.....

What About Me?

I've been asked a number of times what I do as a natural health care practitioner, to relax myself. Many people might think massage and other types of bodywork are the number one things on my list of things to do. I will say they are "up" on the list, of course. :-) Massage and bodywork have numerous benefits including relaxation and improving overall health and wellbeing, but there are a number of ways that I can use to take care of me. These are just a few of my favorites:

• Walking
• Breathing exercises 
• Meditation
• Reading
• Appreciate as much as possible - even the simplest thing
• Driving
• Motorcycle riding
• Petting my cat, Lucky

 You'll notice these activities are mostly free and readily available. I find it's good to have a ready-made list to help me to access that relaxing point which I might not otherwise get to when I'm feeling stressed and overwhelmed.

I urge you to make your own list today. Discover what helps make YOU feel relaxed and gives you that break that you may need, or need without knowing you need it. :-)

Oh, and........ I love coloring mandalas like the one you see below!

The Best Place to Start is With You

And the best starting point is with the question: What do you do for YOU?

How do you take care of yourself?
What relaxes you?
Do you make time for you or do you push through to get to the "end result" of your day?

Most of us start off our day with a to-do list a mile long. And that's ok - to a point. It's productive to have a plan and goals set for the day, but it's important that those plans and goals include regular self-care too, to avoid burnout and the feeling of "what am I doing all this for?".

Self-care can mean anything from starting your day with a good breakfast to getting a massage during free time to taking time to relax with a walk in the sunshine. Of course, there are probably millions of ways to provide self-care for yourself. But it needs to be scheduled in right along with work, shuffling kids, and house and yard work.

Make a list of your daily activities today and find out for yourself where you are with your self-care routine. It might surprise you to find yourself near the bottom of the list.