A little bit of good is in every bad

When your office flooded, it isn't a pleasant experience but not a tragedy either. 

As you understood from my previous blog “show must go on” a week ago at the day of seminar my office, including the classroom was flooded. This is surely not a great news.  I cannot see my patients, cannot conduct seminars and cannot film videos.

But looking at this event philosophically - it could have been much worse.

The boiler could have exploded, this could have happen at a time I treat clients, and so on.  As Anton Chekhov has put it nicely “If you have tooth ache – rejoice that it’s not all your teeth, if your wife betrayed you – rejoice that she didn't betray your country and if you are going to prison – rejoice that you are not going to hell.”

Actually I wasn't aware of the fact that the boiler was directly atop of my office. Now I made sure that boiler would not be above my office anymore, which means what has happen would never happened again.

In addition I requested from a landlord to provide me with safety report in regards to the entire installation, within my office and other facilities connected to my space, including  installation of the special device that will regulate water pressure, which was the main cause for the boiler incident.

Participants of workshop, who have arrived and have witnessed what has happened, advised to take pictures, and videos. These were great and useful advises  especially at the moment of initial bewilderment.  Also I have learned that we have to carefully check our insurance coverage. Not only it must include the professional livability coverage, but also wages lost, property damages, etc.  Let's learn from my experience and others, in order not to get hurt.

Everyone who can add some advises and can share your experiences are welcome to post.

Summarizing, the greatest news of that day was that the landlord have provided me with the space to conduct of what turned out to be the very successful seminar.  All what happened since then and is happening now is not a very comfortable:  I am not able to see clients. On the good side soon I will have beautiful, safe and practically brand-new office.

Best wishes.

Boris.

P.S. Dear friends,

I'm not the major partner in my company, and is mainly responsible for educational materials.  However I'm always  aware of my management company plans and I did influence them to offer a significant discounts on self treatments DVDs. I can assure you this is very useful material, and would recommend to take advantage on this special offer to purchase all 8 DVDs for $100 only. It soon will be end  for this great and generous offer .take advantage http://medicalmassage-edu.com/dvds-only/265

It is official. Very soon prices on silicon jars will be increased at least on 25%. The wholesale on this jars had increased 28%. Please take advantage and purchase it. Click this link http://medicalmassage-edu.com/video-rentals

From MedicalMassage–edu.com, LLC support team.

Soon the release of Boris’ DVD “Prilutsky’s Method of Silicone Massage. Upper & Lower back disorders” is going to take place.

The DVD is going to cover incorporation of silicone jar massage for the Lower Back disorders, including:

·         Sciatic Nerve Neuralgia/ Piriformis Muscle syndrome

·         Hamstring

·         Quadriceps

·         Knee

·         Calf

·         Plantar fasciitis

and Upper Back Disorders including:

·         Thoracic outlet syndrome

·         Rotator Calf syndrome

·         Golf & Tennis Elbow

·         Carpal Tunnel Syndrome

The suggested retail price of this DVD will be 49.95 +7 dollars shipping and handling.

However, as and promotional effort, the first 200 DVDs, just to cover production cost, will be sold for $15 + $7 shipping and handling on first come first served bases.

If you would have an interest in learning from this DVD please write us to support@medicalmassage-edu.com

The role of coffee muck in cellulite reduction.

Recently I had the most peculiar clinical experience that left me with a big question. A familiar dermatologist referred me a client for cellulite reduction massage.  The main focus of my practice are painful pathologies and orthopedic massage.  Strictly speaking cellulite is not a pathology. However, when a lady looks in a mirror and sees cottage cheese or orange peel marks on skin, it makes her unhappy. Unhappy people cannot be healthy, and as therapists our duty is to help people ridding of these sources of unhappiness. In many cases cellulite reduction massage is much cheaper and much safer alternative to liposuction or other plastic surgeries. If you would like to get more information on the subject please follow this link.  http://www.youtube.com/watch?v=vFO2vOG-Qdo

The client turned out to be a very extravagant lady, who brought with her a container with coffee muck and insisted on me incorporating this substance while performing cellulite reduction massage.  In explanation of this bizarre demand she referred to a cousin of hers, whom usage of coffee muck allegedly brought amazing results.

At that moment I was presented with the moral dilemma.  I was trained in how to incorporate Chinese cupping together with other special massage techniques to reduce cellulite. But since recently I started using silicone jars instead of glass jars, I had my first opportunity to use them for cellulite reduction.  Surely I had to adjust the existing protocol because glass jars are rigid while silicone jars are soft.  However I had a strong hunch that silicone jars techniques could be even more effective, and less painful in cellulite reduction case as they proved to be in other cases.  But to do coffee mucking?

To do something that has no, known to me, scientific explanation or clinical proof, or lose the client and, more importantly, the first opportunity to investigate the effect of silicone jars?  Captain Kirk inside me wanted to “boldly go where no one has gone before.” Yet Mr. Spock, who happen to also be inside me at the moment, advised caution.  This coffee muck sort of smelled as is the entire experiment.  Surely, I thought of Dr. Oz green coffee campaign http://www.youtube.com/watch?v=nQSjObxUYRs But, first of, can you take Dr. Oz’s advise seriously?  Secondly what my client insisted on using wasn't green or fresh.  Thirdly, even if it were green and fresh, would rubbing it in have the same effects as when you drink it? 

So, I told my clients that I've never done procedure that incorporated usage of coffee muck. I also shared with her my suspicion that coffee color can get into the skin pores, and, possibly, can leave stains.  However if she were to sign a release paper, I was ready to try it.  After all, her cousin used it and according to my client had no negative side effects.  The thought of this  made me feel comfortable. I also surmised that coffee muck could play the role of “emotional feels good“ effect for my client and in the worst case scenario would do nothing.

To my surprise the results of that experiment were dramatic improvement.  Within 5 visits my client lost a significant part of her cellulite looks, developed less edema than usually. I have completed 10 treatments, after two weeks have asked her to come for checkup. The treated parts of her body looked very good compared the parts I didn't address . Usually I concentrate on one location at the time. Now I will start working on other cellulite locations, of course, using coffee muck.

Despite the obvious improvement, the experiment didn't make me an instant believer in “coffee muck” method.  This happen because I used coffee muck in tandem with silicone jars.

As a matter of fact, during the last two years I was developing a method allowing incorporation of silicone jars into medical massage.  One of the advantages of silicone jar massage is its powerful ability to mobilize fascia, eliminate adhesions which provides faster and more advanced results compared to the classical hands fascia stretching and fibrotic courts tears methodology.

So currently I don’t know what caused those visible and rapid results in cellulite reductions.  Should I attribute those results to incorporation of silicone jars, to the integration of coffee muck or to both?

To resolve these doubts I should have conducted more testing with coffee muck without silicone jars or vise versa.  Of course, I will continue my experiments, and would be glad to share the results with you. 

In the meantime, I would like to invite your opinion and see what my colleagues think or know about the usage of coffee muck in cellulite reduction massage.

Incidentally, those of you who utilize Chinese glass cupping and generate suction by means of fire, and would like to learn techniques for cellulite reduction, are welcome to look at my DVD#8 please click this link http://medicalmassage-edu.com/dvds-only/72   You can also preview short fragment from this DVD http://www.youtube.com/watch?v=Cdm8BVVf3mA

From MedicalMassage–edu.com, LLC support team.

Dear friends,

Soon the release of Boris’ DVD “Prilutsky’s Method of Silicone Massage. Upper & Lower back disorders” is going to take place.

The DVD is going to cover incorporation of silicone jar massage for the Lower Back disorders, including:

·                  Sciatic Nerve Neuralgia/ Piriformis Muscle syndrome

·                  Hamstring

·                  Quadriceps

·                  Knee

·                  Calf

·                  Plantar fasciitis

and Upper Back Disorders including:

·                  Thoracic outlet syndrome

·                  Rotator Calf syndrome

·                  Golf & Tennis Elbow

·                  Carpal Tunnel Syndrome

  

The suggested retail price of this DVD will be 49.95 +7 dollars shipping and handling.

However, as and promotional effort, the first 200 DVDs, just to cover production cost, will be sold for $15 + $7 shipping and handling on first come first served bases.

If you would have an interest in learning from this DVD please write us to support@medicalmassage-edu.com

Patients reported outcome: Not all cases of sciatica are alike.

Six weeks ago I received a 48 years old woman who suffered from sharp pain in lower back, buttocks area, including a high intensity irradiation pain to right lower extremity for the last seven months.

Actually she had sciatica condition since the age of sixteen. According to her these pains of some intensity were constant.  At least, once a year she had episodes of very sharp pain, that disabled her for few weeks.

All possible tests were done, including repeated MRIs. In the age of 36 MRI shows 4mm disc bulging on L4/L5 level. This time she have gotten a terrible attack for seven months and couldn't function at all, consuming lots of pain killers, undergoing three epidural injections, during six physical therapy procedures, including exercise, the condition have aggravated to the  point of being not able to function at all.

Listening to her, I was pondering that piriformis muscle syndrome often is the main cause of sciatic nerve neuralgia, and other related syndromes.  So I planned to investigate the presence of piriformis muscle syndrome and then apply the piriformis muscle syndrome protocol since it is very effective in most difficult cases of sciatic nerve neuralgia.

I started by carefully palpating all areas of lower back, buttocks and extremities and have discovered much fascia and muscle tension as well as many trigger points practically everywhere in these regions, but especially within  quadrates lumbarum, gluteal muscles group and hamstring.

Having been aware of similar cases, first few treatments a therapist should advance slowly, expecting to palpate additional abnormalities within soft tissue.  Considering the long history of her disorder and the fact that the exercise programs significantly aggravated her condition, I suspected that she was born with an unusual condition where sciatic nerve fibers intergrew through fibers of piriformis muscle. Due to chronic inflammatory conditions, people develop region adhesions, especially within neighboring muscles and other soft tissues. With age the condition gets much worse exacerbated by soft tissue calcifications.

During my career I have treated people with this condition.  So I carefully  went ahead, following the piriformis muscle syndrome protocol.  I was extra careful while addressing buttocks and shifting gluteal muscles since my goal was to transmit pressure to piriformis muscle.

Because of the intergrowth of sciatic nerve fibers in the fibers of piriformis muscle and neighboring soft tissues, in addition to normalization of aforementioned muscles resting tone, reduction of fascia tension and elimination of all trigger points within region, the main goal of the treatment was to carefully address all adhesions.

Again one has to be very careful tackling this problem and progress slowly. Otherwise it would be easy to significantly aggravate the condition, causing the client additional pain and sufferings.  By the way, this is why cases of sciatic nerve neuralgia/piriformis muscle syndrome, where sciatic nerve fibers intergrew through fibers of piriformis muscle. take many more treatments, then just usual cases.

Usually in case of piriphormis muscle syndrome improvements are evident in a frame of five treatment.  Yet in aforementioned case of intergrowth the progress comes even slower.  My professor Dembo believed that massage therapists  doesn’t necessary have to be very strong , but sensitive.  His view is  especially applicable in this case.

Considering that my client was unlucky enough to be born with the aforementioned intergrowth condition, her timing appearing in my office was perfect.

I just finalized development of silicone jars massage techniques, which proved to be very powerful but gentle in case of adhesions elimination. So I, naturally, have proposed my client to try applying this technique for her condition. 

It so happened that her husband, who is a medical doctor, asked me to demonstrate this technique on him.  After being subjected to silicone jars techniques, he come to the conclusion that these techniques are safe, effective and especially was impressed with my approach to introductory part, where I activated pain gate control.  In our collaborative opinion the worst case scenario was that application of these techniques could do nothing.  As for my client, she admitted that had nothing to lose since she already scheduled a  surgery.

After first gentle application of silicone jars techniques, she reported a relief in first time during the last seven months.  For the three days she received treatment while I gradually increased suction.  She improved to the point of coming back to normal life and having no pain.  In total I have provided sixteen treatments.   The surgery was canceled.

In two weeks I recommended to come back for some additional treatments  even if she was free of pain. Of course I asked her to be very careful in all functional activities, avoiding challenging the improvements and proposed her the home program.

By the way, the surgery would have done her nothing good but to add suffering.  In her case changes within L/spine didn't play the main role in terrible clinical picture she had suffered all her life.

From MedicalMassage–edu.com, LLC support team.

Dear friends,

Soon the release of Boris’ DVD “Prilutsky’s Method of Silicone Massage. Upper & Lower back disorders” is going to take place.

The DVD is going to cover incorporation of silicone jar massage for the Lower Back disorders, including:

• ·         Sciatic Nerve Neuralgia/ Piriformis Muscle syndrome
• ·         Hamstring
• ·         Quadriceps
• ·         Knee
• ·         Calf
• ·         Plantar fasciitis

and Upper Back Disorders including:

• ·         Thoracic outlet syndrome
• ·         Rotator Calf syndrome
• ·         Golf & Tennis Elbow
• ·         Carpal Tunnel Syndrome

The suggested retail price of this DVD will be 49.95 +7 dollars shipping and handling.

However, as and promotional effort, the first 200 DVDs, just to cover production cost, will be sold for $15 + $7 shipping and handling on first come first served bases.

If you would have an interest in learning from this DVD please write us to support@medicalmassage-edu.com

Increasing unwillingness to bear even small pains

A couple of days ago while browsing the Internet second time  I ran across this article.

Prescription drug abuse surged 400 percent in past decade

I was amazed how resonant this topic was with my own thoughts that I was mulling over for a while and that were troubling me.

From the article:” A new White House study found a 400 percent jump in prescription drug abuse between 1998 and 2008. Experts blame a lack of monitoring programs as well as Americans' increasing unwillingness to bear even small pains. “  

A strange explanation.  Rather not really an explanation at all, but replacement one unknown with another one. 

Most are aware of addictions and their terrible outcome.  “Small pains” whatever this means are not life-threaten.   Why would people be jeopardizing  their health and the very life by consuming “legally prescribed” narcotics?

I think what pushes people to take drugs is exhaustion and desperation due to constant suffering from painful skeletal muscular disorders and mostly from stress.  Stress that crawls from all cracks of modern life and attacks, attacks, attacks.

1.       Stress always awakens and increases muscular tone

2.       Mainly, people carry stress in the neck and upper back region,  abdominal and lower back region.

3        It expressed in muscular tensions/elevated muscle resting tone.

5.       Stress causes muscular pains and aches.

6.       As we all know in the last 10-15 years, due to Internet and new   communication media, declining economy, terror acts, etc. people are exposed to much more stress daily.

7.       When one developing painful orthopedic disorders related to trauma        or  due to chronic skeletal muscular conditions, stress contributes and fuels pain as well as in most cases do not allow to sustain normal          muscular resting tone within injured area.

Why then massage therapists, physical therapists, chiropractors, professionals whose primary focus is treatment of painful skeletal muscular disorders and stress management cannot stop this epidemic of drug addictions?  I think it's because as an industry we failed.

One of the reasons is - massage therapy community is divided, and therefore general public practically has a hard time cannot choose between 1000s alternative names for massage therapy.

Last 13 years many of my colleagues, pretended to be scientists, “developed” treatment methodology of their own, denying 1000s year history of clinically proven safe and effective Oriental medicine and scientific discoveries and clinically proven methods of conventional Western massage that was developed in previous centuries. By all means we have to work with physical therapists, as well as chiropractors to gather, for sake of people, and not to be driven by great, egos, politics. It happens but not enough.

I have a strong suspicion that these distractions and "new movements" are the heavy contributors to this “400 percent jump in prescription drug abuse.”  Please note that the offered statistics spans the period between 1998 and 2008. It doesn't look today in 2013 it changed for the better.

I am saying "we failed," because it is scientifically and clinically proven that massage therapy is the most powerful methodology in stress management, designed to take care of harmful side-effects of stress and thus alleviate public   all the aforementioned "small pains" in the grand scale.

But, of course, the reasons for the failure are not only internal contradictions within the massage field.  Many of our colleagues constantly do great job, providing orthopedic massage, stress management massage, protocols for fibromyalgia cases, etc. and achieving results. The problem is that those great results are not sustained, and when symptoms come back people move back to consuming drugs.

To achieve sustain results not only a therapist has to provide, at least, 15 treatments on twice a week basis, but also to understand adequate treatment concepts, such as for example that all trigger points have to be patiently discovered and compressed for a 30 second producing ischemia.

It is also important to understand that trigger points are the results of muscle/fascia dysfunction /insufficiency and for sustained results we have to address it appropriately.  Consider the difference between potentials of connective tissue and muscular tissues. 

Introductory To Mayofascial Release Techniques

Superficial and deep Fascia Release Part 1

Superficial and deep fascia release Part 2

Mayofascial Mobilization Summary Part 1

Mayofascial Mobilization Summary Part 2

However, in my personal clinical observations as well as talking to many other practitioners I came to the conclusion that in today's world even perfect quality of treatment is not enough to secure sustain results.  Because causes of stress are many, are constant and unavoidable - the stress management efforts also have to be just as constant.  In other words in order to sustain results a home program must be included. 

I feel that all of us has to contribute to this struggle for health.  I feel did my part by creating 8 self-massage DVDs, where I extended medical massage protocols to self-massage techniques and where I'm teaching these protocols step-by-step protocols, including stretching, and exercise program. To get familiar with this works, please click this link http://medicalmassage-edu.com/dvds-only

I also am very happy to announce that the management of my company

offering special deal for all 8 DVDs.  For a short time all 8 self-massage DVDs are offered at $100 plus $15 shipping and handling, or you can purchase each individual DVD for $20 +7 dollars shipping and handling.  To purchase please follow this link Self-Massage Discount Page