Home

 

“It is only the illusion of individuality that is the origin of all suffering.”— Dr. David Hawkins, The Eye of the I, p. 297

Intro. On-Line Only In-Call Special 1 1/4 hr $50.00 (1st time client’s) Mon – Fri

plus  offering senior and  veteran  in-call discounts with id.   Policies

Please call for an Appointment: 805-637-7482   Please no texts

 

Save Time and Download 1st Visit Intake Form HERE

❶Nicola offers  Deep Tissue Massage,  Barefoot Deep Tissue Massage, Ashiatsu, ShiatsuCompression Massage, Sports and Injury Massage, Therapeutic Massage, Orthopedic Massage  (OM)  Myofascial Release, Trigger Point MassageNeuromuscular ReleaseSwedish Massage, Relaxing Massage, Reflexology Massage, Chair Massage, Lymphatic Drainage and some Asian bodywork. He also offers Healing Massage for Depression and Anxiety.

Nicolais a practicing licensed and insured professional Licensed Massage Therapist ( State Certification # 7239 ) and artist based in Santa Barbara, CA. Nicola has a wide range of female and male clients from athletes, artists, business people, educators, construction workers, house wives and tourists. He is very flexible in scheduling appointments either at his studio which is located in the San Roque area in Santa Barbara.  He can also make professional appointments at Holistic Centers in Santa Barbara, Buellton, Key2Fitness or can make home or out call visits in the Tri – Counties area. He also works with other local area professional massage therapists and can schedule male and female therapists to come to your home for a couple’s massage. Maybe you own a business with a large group of people or have a large party of people.  Nicola can organize as many therapists as you need to accommodate your specific needs.

 

A mandala containing symbols from 16 of our world`s many spiritual traditions, designed for honoring all paths to truth. Includes the Jewish Star of David, Buddhist Prayer Wheel, Native  American Medicine Wheel, Christian Cross, Hindu Om, Great Goddess, Taoist Ying Yang, Islamic Moon  and Star, Winged Sufi Heart, Sikh Symbol, Baha`i Star, African Goddess, Zoroastrian Flame, Confucian  Circle and Dot, Wiccan Pentacle and Egyptian Ankh.

 

 

 

 

 

 

 

 

A mandala containing symbols from 16 of our world`s many spiritual traditions, designed for honoring all paths to truth. Includes the Jewish Star of David, Buddhist Prayer Wheel, Native American Medicine Wheel, Christian Cross, Hindu Om, Great Goddess, Taoist Ying Yang, Islamic Moon and Star, Winged Sufi Heart, Sikh Symbol, Baha`i Star, African Goddess, Zoroastrian Flame, Confucian Circle and Dot, Wiccan Pentacle and Egyptian Ankh.

Therapeutic Healing Bodywork by NiCoLa!

 

Santa Barbara Massage. Nicola Bandak is a California State Licensed and Insured CMP (Certified Massage Practitioner) Professional BODY WORKER, by APPOINTMENT ONLY, Last Minute Appointments are OK.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Warning-Massage can become Addicting!

 

Warning- Good Bodywork can become Addicting!

If you appreciate high quality bodywork or just want to RELAX and go to “LA LA LAND” call Nicola.  Are you a serious athlete and need EXTREME bodywork or “FIX IT” work, weekend warrior with injuries or just want to keep that body tuned up? Then you have finally found your Santa Barbara Licensed and Insured Massage Therapist.

Nicola (aka – Nick, Chris or Banduechy…so named by his handball buddies) is a California State Licensed and Insured LMT (Licensed Massage Therapist) Professional Body Worker, by APPOINTMENT ONLY, Last Minute Appointments are OK!

 

 
Get into the ZONE…the PARASYMPATHETIC Zone
Click this link for a diagram  that explains the parasympathetic nervous system
 
 

 

Before you continue PLEASE watch this video called " The Wounded Healer"....
.. fantastic.

http://www.youtube.com/watch?v=TDLUR15Z9o8

My style of Deep Tissue Massage releases the body’s natural painkillers whereby it stimulates the release of endorphins, the morphine-like substances that the body manufactures into the brain and nervous system. Once that happens (your now in a parasympathetic state  (“rest and digest”) I then go to work on your sore or injured areas to break up the damaged fibrous adhesion’s which are spread randomly though out a muscle’s tissue thus increasing blood flow, oxygen, strength, flexibility and tissue re-building. I use a variety of modalities to accomplish this: Swedish: This is your basic massage modality which incorporates long gentle strokes to increase blood flow to and from the muscles. Myofascial Release: This technique involves slower and deeper pressure into the muscle tissue to assist in breaking up adhesions and scar tissue in the muscle. Neuromuscular Release, NMT, Neuromuscular Re-Education, Body Pattern Synchronization (Call it what you want… everybody gives it their own name but we are all trying to do the same thing): This technique is “point-specific” work which targets muscle adhesion’s, muscle spindles in the belly of the muscle, trigger points that restrict normal flow of the nervous system to the muscles. Once the adhesion’s are broken up the client usually experiences an increase in range of motion, strength, and speed. ActiveRange of Motion:This technique is a stretching modality which takes the client through his or her normal range of motion to assist motor control and aids in the reduction of scar tissue and muscle adhesions. Active Isolated Stretching: This technique involves stretching which incorporates a process called reciprocal inhibition  (RI) to stretch the muscle as well as increase kinesthetic awareness of the body.

The key to “My STYLE” is an aggressive approach combined with sustained pressure ( increasing Ischemic blood supply) over time and a spiritual component.

(This diagram link explains this process)

 

 

 

 

 

 

 

What does Riktr mean?

Derived from “Off the Richter Scale” meaning that something is excellent, very good, over the top, on the edge, awesome, cool, da bomb, fantastic, hot or amazing.

Nice Quotes:

The strongest of all warriors are these two: Time and Patience.– Leo Tolstoi Patience, persistence and perspiration make an unbeatable combination for success.- Napolean Hill If only we arrange our life according to that principle which counsels us that we must always hold to the difficult, then that which now still seems to us the most alien will become what we most trust and find most faithful. – Rilke (Rilke on love an other difficulties-translations and considerations of Rainer Maria Rilke by John J. L. Mood) I tell you that I have a long way to go before I am –where one begins… – Rilke Resolve to be always beginning—to be a beginner. -Rilke ” The harder you work, the luckier you get.” – Gary Player, golfer “Nothing happens until something moves.” Albert Einstein As Dr. Rolf said, “Put the tissue where it should be and then ask for movement.” Our sorrows and wounds are healed only when we touch them with compassion. – Buddha Once you label me you negate me.  -Søren Kierkegaard I must find a truth that is true for me. -Søren Kierkegaard   Click here for: other nice quotes

FYI: Where does Riktr’s healing energy come from: These pictures say it all.

God’s Universal Energy or Chi, Ki, Ka, Xi, Netter, Ihund, Life Force, Prana, Holy Spirit, Ruhuh, Biomagnetic Energy or Innate Intelligence starts here. Click these links for more on Universal Energy.

Check out this video called “Angelic Human Race”   http://www.youtube.com/watch?v=TDLUR15Z9o8   (See 101 Names of God)  

The Earth is part of  universal energy.

Check out this video called “Healing the Hearts of Humanity”   http://www.youtube.com/watch?v=7aKcvgTvIMQ&feature=related

The earth captures Universal magnetic energy in many different ways and stores it.

Check out this video called “The Awakening of The Cosmic Heart (The Core Rainbow)”   http://www.youtube.com/watch?v=es-YbHlBKtU&NR=1

Magnetic universal energy is stored in the earth’s core and then is released.

The earth unleashes it’s energy in different ways.

Keeping your third eye open lets all the magnetic energy flow in and out of your body.

 

Human beings collect, store and release the magnetic energy.

Human beings collect, store and release magnetic energy some more then others.

 

Check out these links for Healing Sounds!

http://www.youtube.com/watch?v=URFnBeW423E http://www.youtube.com/watch?v=73J05gjmMgw http://www.youtube.com/results?search_query=HEALING+SOUNDS&aq=f

MASSAGE IS

M—Message of caring A—Aesthetics for the body S—Sacred touch S—Soothing of tension A—Anthology for the body G—General healing E—Energy balanced Massage Is a … Healing time for regeneration. Special time for individuation. Quiet time for imagination. Restful time for gratification. Sacred time for reflection. Sensational time with an exclamation!

by Joan Donato 

CitySlick local ads and coupons. Find Health Care Deals Deals!

*Disclaimer: This information is not intended to be a substitute for professional medical advice. You should not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. Please consult your healthcare provider with any questions or concerns you may have regarding your condition. The information provided is for educational purposes only and is not intended as diagnosis, treatment, or prescription of any kind. The decision to use, or not to use, any information is the sole responsibility of the reader.

 

MSN Business Directory  

 

Effects and Benefits of Deep Tissue Massage in Santa Barbara, Goleta, Nicola, LMT, Riktr Pro Massage 805-637-7482

 

 

“It is only the illusion of individuality that is the origin of all suffering.”— Dr. David Hawkins, The Eye of the I, p. 297

Intro. On-Line Only In-Call Special 1 1/4 hr $50.00 (1st time client’s) Mon – Fri

plus  offering senior and  veteran  in-call discounts with id.   Policies

Please call for an Appointment: 805-637-7482   Please no texts

 

Save Time and Download 1st Visit Intake Form HERE

❶Nicola offers  Deep Tissue Massage,  Barefoot Deep Tissue Massage, Ashiatsu, ShiatsuCompression Massage, Sports and Injury Massage, Therapeutic Massage, Orthopedic Massage  (OM)  Myofascial Release, Trigger Point MassageNeuromuscular ReleaseSwedish Massage, Relaxing Massage, Reflexology Massage, Chair Massage, Lymphatic Drainage and some Asian bodywork. He also offers Healing Massage for Depression and Anxiety.

Nicola is a practicing licensed and insured professional Licensed Massage Therapist ( State Certification # 7239 ) and artist based in Santa Barbara, CA. Nicola has a wide range of female and male clients from athletes, artists, business people, educators, construction workers, house wives and tourists. He is very flexible in scheduling appointments either at his studio which is located in the San Roque area in Santa Barbara.  He can also make professional appointments at Holistic Centers in Santa Barbara, Buellton, Key2Fitness or can make home or out call visits in the Tri – Counties area. He also works with other local area professional massage therapists and can schedule male and female therapists to come to your home for a couple’s massage. Maybe you own a business with a large group of people or have a large party of people.  Nicola can organize as many therapists as you need to accommodate your specific needs.

 

Effects and Benefits of Deep Tissue Massage

Massage strokes can be considered to have one or more of the following effects.

 

Breaking adhesions

Often when a muscle has been overworked, tense, or stationary for a period of time the layers of myofascia within the muscle can become adhered to each other. This restricts circulation to the muscle cells, and leads to a build-up of metabolites such as lactic acid. Massage strokes that break this type of adhesions typically involve a cross-fibre component. Consider this image of muscle structure .

http://upload.wikimedia.org/wikipedia/commons/8/89/Illu_muscle_structure.jpg
When you apply pressure to the epimysium of the muscle, then apply a cross-fibre force, can you see how the epimysium will tend to rotate around the muscle?

This rotation breaks adhesions between the epimysium and the deeper perimysium.

Now consider the effect of the same stroke on the deeper myofasica of the muscle. When the epimysium rotates, it tends to drag the perimysium with it. The perimysium as it moves pulls on the endomysium. In this way, a simple cross-fibre stroke can work right into the center of a muscle, acting to break myofascial adhesions between many layers of fascia.

Breaking adhesions restores circulation and freedom of movement. The stored metabolites are then able to move back into circulation.

 

Flushing

After doing some deep tissue work, you should always flush out the area that you have just worked into. The massage will have opened up circulation to the affected muscle, but the metabolic wastes will be sitting in the interstitial fluid. Flushing the area helps to return these metabolites to circulation via the lymphatic system and the cardiovascular system.

 

 

The effect of flushing on the lymphatic system

The lymphatic system is driven by a mechanical pumping action. When you flex and extend your elbow, the increased fluid pressure in the fold in the fold of your elbow (i.e. Cubital fossa) acts to push lymphatic fluid into your lymphatic capilliaries. Lymphatic vessels are one-way tubes, so that when fluid enters the tube it pushes all the fluid in that tube along.

 

Lymphatic capillaries
Lymphatic system

Lymph glands act as collection channels and pumps for the lymphatic system. They tend to cluster around the joints, because these are the areas which are subject to the greatest changes in fluid pressure.

Any stroke that increases the fluid pressure in the tissues will push fluid into lymphatic capilliaries and therefore increase lymphatic flow.

It is typically considered that more superficial strokes have a greater effect on lymphatic return, and that deeper strokes have a greater effect on venous return.

Manual Lymphatic Drainage is a specific bodywork application which aims to maximise this effect. It is used in the hospital treatment of lymphoedema among other things.

The effect of massage on the cardiovascular system

Massage has two main effects on the cardiovascular system.

Vasodilation
The application of massages stimulates the release of histamine, which increases the permeability of the capilliaries (Hertling & Kessler, 1996) causing local vasodilation. The pinking effect that you get on the tissues after you’ve worked an area is a sign of this increase in blood flow. Local vasodilation increases blood flow into the tissues and blood flow back into circulation. This increases the natural rate of flushing both during the massage, and also after the massage (as movement also has a flushing effect).

Histamine

Histamine is an organic nitrogenous compound involved in local immune responses as well as regulating physiological function in the gut and acting as a neurotransmitter.[2] Histamine is involved in the inflammatory response. As part of an immune response to foreign pathogens, histamine is produced by basophils and by mast cells found in nearby connective tissues. Histamine increases the permeability of the capillaries to white blood cells and some proteins, to allow them to engage pathogens in the infected tissues.[3] From Wikipedia, the free encyclopedia

Venous return
Local fluid pressure has some effect on venous flow, but the most significant effect massage has on venous circulation occurs as a result of deep longitudinal strokes in the direction of the heart. Venous return is dependent largely on the pressure exerted by the contraction of muscles on the veins (Marieb, 2004). Deep longitudinal effleurage strokes in the direction of the heart act to increase venous return by pushing blood through the veins.

Influence Of Massage On Circulation 

By: Thanks to Pat Donohue
Massage provides an additional assist to the veins and lymphatic vessels, aiding in their mechanical emptying and facilitating forward movement of blood and lymph. The effect is similar to a combination of suction and a force pump. Careful observation, of the superficial veins, will show the veins collapse and refill as they are manipulated by the hands of the therapist. This aids the circulation in the deep veins as well as that in the arterioles and capillaries of the region. Gentle centripetal stroking massage is a mild stimulant to the vasomotor nerves supplying the blood vessels of the skin. Prolongation of the massage brings about hyperemia of the region. Massage usually arouses dormant capillaries and increases the speed and extent of the circulation in that region.Studies researching the effects of massage on circulation conclude that deep stroking and kneading massage produces moderate, consistent and definite increase in the blood flow to the extremities of patients who have flaccid paralysis, just as it does in normal extremities.A demonstrated increase in the diameter and permeability (the condition of the capillary wall that enables substances in the blood to diffuse into tissue spaces or into cells, or vice versa) of capillaries after mechanical stimulation has been recorded. Also massage provokes the release of histamine (stimulates gastric secretions, flushing of skin, dilatation of capillaries, lowers blood pressure and reduces headaches) and acetylcholine (an ester of chorine occurring in various organs and tissues of the body. It is thought to play an important role in the transmission of nerve impulses at synapse and myoneural junctions), accompanied by vasodilatation, while increasing blood flow and discharge of erythrocytes (a mature red blood cell) from the spleen. As already noted, the mechanical effect of massage increases the movement of blood, making the exchange of nutrients and waste more efficient and improving the tropic (concerned with nourishment) state of the skin and underlying structures.Massage gives a brief increase in arterial blood pressure, but after the massage, the net outcome is a decrease. The reason for this outcome is the venous pressure is increased. So the effect of massage is the arterial circulation is hastened by the quicker outflow from the veins and the diminishing pressure within them. After the massage, there is active hyperemia in the skin and the muscles and the number of erythrocytes in the superficial vessels are increased by 40 to 50 per cent. Reports have definitely observed peripheral vasodilatation together with an increase in the rate of peripheral blood flow following massage. The release of acetylcholine and the production of histamine and histamine-like substance in the tissues play an important role in vasodilatation induced by massage.Light pressure results in an instant temporary capillary dilation, whereas heavier pressure results in a more enduring dilation, with connective tissues playing an important role in the vasodilatation induced by massage. Deep stimulating massage acts as a nerve transmission and is used selectively in order to stimulate the sensitive endings of the nerves and to produce vasodilatation by means of axon reflexes and release of histamine. Massage produces a definite increase in the circulation and increased exchange of substances between the bloodstream and the tissue cells, along with improved metabolism.The Vascular System: Reference: Pathology for Massage Therapist 2nd Edition by Don Newton, MA, DC pages #33-#52. Massage therapy has a powerful effect on the blood and lymph systems. Knowledge of the common vascular diseases is therefore of great significance to the massage therapist and may be lifesaving to the client.Client/Patient under Physician’s care: (Including blood thinner medication pre and post operative.) Ethics plays a major role in this situation. One of the basic principles for ethical behavior is RESPECT. That includes esteem and regard for clients, other professionals and oneself. The client’s attending physician should be contacted out of respect in order to treat their patient with Massage Therapy. (The doctor’s patient becomes our client.) A simple prescription, which at first can be a verbal release by phone, is all that is necessary. Therapy should not be given until the client’s doctor has been consulted.Treatment Protocol:The following protocols are designed to establish a way for the student to become familiar and comfortable with the hands-on application of medical massage techniques. They are intended for use on complaint-related conditions and syndromes. Medical history, palpatory and assessment skills, and ongoing client/therapist communication are all important to the successful treatment of soft tissue pathology.

These routines are a model for the student to base their work and to feel comfortable in addressing these client situations. Keep in mind, there are numerous ways to accomplish the same thing and get similar results. Different strokes and different approaches may well be effective. These protocols offer a basis for which you can establish your own individualized work as a Massage Therapist.

Heart Conditions:

The client should always have their upper and lower extremities supported. It’s vital to remember never stress the heart. Use gravity to assist the massage treatment. No stripping of the muscles; always use mild and gentle, yet firm, evenly distributed pressure through the hand while contouring to the musculature of the body. Applications of ice or heat must be moderate as well. Ice would shock the body causing stress on the heart, as well as to its systems, while too much heat would injure the capillaries when vasodilatation occurs. Focus of the massage should be to the lower extremities to increase the venous circulation while decreasing the pressure on the arterial walls. No direct pressures should be applied to the chest or deep pressures on the posterior aspect of the heart while massaging the back.

Characteristics:

  • Weakness in the heart
  • Compromised cellar structure (e.g.: capillaries)
  • Edema in the extremities
  • Emotional component (e.g.: depression)
  • Tends to feel cold (poor circulation)

Assessment: Visual

  • Broken capillaries
  • Edema (extremities – ankles)
  • Lack of muscle tone (tonicity)
  • Body posture or attitude (anxious or irritated – depression

Palpation

  • Coldness to the touch (extremities)

Treatment Plan:

Place the head and legs in an inclined position with bolsters and pillows to encourage venous blood flow.

  1. All effleurage strokes are to be mild to moderate, NO deep stripping of the muscles.
  2. Employ all forms of petrissage to increase the blood and lymphatic circulation.
  3. Use mild joint movement and static friction where applicable.
  4. Use longitudinal friction when necessary to warm and lengthen muscle tissue and finish the area with a moderate passive effleurage stroke to stretch muscles, keeping in mind the goals of your treatment.

High Blood Pressure:

The abdominal area is a contraindication for massage application because of the extra pressure, which stresses the inferior vena cava and may endanger the client’s health.

Note – Be aware of the clients who are on mind altering drugs or alcohol. These clients are not to be treated. Hemorrhage in the tissue may occur due to the extreme vasodilatation occurring in the capillaries.

Diabetes Mellitus:

Reference: pages 82-84 Pathology A to Z by K. Premkumar
Up to 10% of the U. S. population has diabetes mellitus (hyperglycemia). Family history as well as a viral infection of the pancreas may play a role in its etiology. Other risk factors include obesity, stress, pregnancy and some medications.

There are two types. Type I (insulin-dependent; juvenile onset) diabetes usually occurs before age 30 and may be present at birth. It involves defective pancreatic insulin production and is usually treated with regular insulin injections.

The more common Type II (non-insulin dependent; adult onset) diabetes usually occurs in obese adults after the age of 40 and is treated by diet, exercise and drug therapy. (At all times, consult with the patient’s physician and explain your proposed treatment, and what you expect to do.) Normal glucose level in blood in between 80-120 mg/100 ml, whereas in a patient suffering with diabetes mellitus, the fasting glucose will be 200-300 mb/100 ml. It is most common in people who are overweight and in the older age group. The cause of diabetes, here, has been attributed to decreased number of defective receptors for insulin in fat cells. There is an association between incidence of diabetes and family history.

Focus and Intent of treatment:

 

  • Emotional and physical stress must be addressed. Relax the nervous system. Long rhythmical continuous effleurage (30% of treatment) gentle medium/slow continuous strokes are used to relax the body while encouraging circulation of blood.
  • If the patient has an inactive lifestyle but needs to increase his or her amount of exercise, your massage can act as a passive exercise for this patient. Petrissage should be utilized for at least 50% of the treatment time to help tonify muscles.
  • Peripheral nerve damage – add some gentle friction to the lower extremities after a sufficient amount of effleurage has been completed to aid the body in absorption of fluids. This will give a more adequate flow of blood to the extremities. (Remember friction can not be done on areas that are swollen, as direct pressure down – characteristic of friction – will further close the dysfunctional vessels. If done improperly, friction will cause more vascular damage and bruising. Your massage should create no pain. Lighten the pressure to defer to pain.
  • Stimulation through vibration (20%) improves visceral reflexes – including the function of the adrenal glands, which play an important role in the body’s autoimmune function. Apply vibration over the adrenals. Vibration has been proven to improve some visceral reflexes, including the function of the adrenal glands. Adrenal glands play an important role in the body’s autoimmune function, so by stimulating the suprarenal glands, you will aid the body’s own restoration process.
  • Massage therapy assists with the complications that occur from diabetes. The high glucose levels have detrimental effects on almost all systems. Eyesight is affected due to bleeding in the retina. There is loss of sensation in the periphery especially the hands and feet. (The massage therapist should observe the patient’s feet carefully while treating.) The effect on the autonomic nervous system results in parenthesis (low back pain supine/prone) diarrhea, and impotence. The high levels of cholesterol in the blood speed up the formation of arteriosclerosis with its associated complication of thrombosis and emboli. The patient is generally dehydrated, weak and fatigued. A diabetic is prone to infection and takes longer to heal. Massage therapy increases circulation, decreases and addresses swelling especially in the lower extremities, stimulates periphery nerve impulses in hands and feet, affects the autonomic nervous system.

Diabetes

Characteristics:

  • Edema in extremities
  • Compromised cellular structure (e.g.: capillaries)
  • Emotional stress
  • Back pain (from adrenals)
  • May have inactive life style
  • Injection site (insulin dependent)
  • Neuropathy (lack of feeling in feet)

Assessment:

  • Visual
  • Foot irritation (cuts, infection)
  • Edema (extremities – ankles)
  • Discoloration (capillaries)
  • Injection site discoloration
  • Monitor aspects of depression

Palpation

  • Coldness to the touch (extremities)
  • Poor muscle tone
  • Contracted muscles of the back

Focus of Treatment: Attention should be given to the adrenal glands, latissimus dorsi and teres major muscles as well as the lower extremities especially the feet.

Treatment Plan for Diabetics:

Do a general full body massage with special attention to the legs and feet. Execute with long effleurage strokes mild/moderate pressure, no stripping of the muscles.

Additional focused area in the prone position to be added to the back massage.

To palpate adrenals, place hand (ulnar) crosswise at level of 12 rib, kidney is under hand adrenal at thumb above kidney.

These techniques provide improved nutrition to kidney and adrenals.

  1. Compression/twist to latissimus dorsi – fingertips together, in a rotary motion. Emphasis is on fingertips creating a rotary force as one unit on the flat muscle structure.
  2. Latissimus dorsi stretch – from the same side of the table, hand-over-hand, inferior to superior, following lats up into the axillary area as joint movement simultaneously occurs to fully elongate the muscle.
  3. Vibration – hand-over-hand, placed longitudinally, starting with the heel of the hands at the crest of the ileum moving superiorly in 1/2-inch increments to the inferior angle of scapula. This action can be executed inferior to superior as well.
  4. Rhythmic shaking (vibration) of the adrenals – same side of table, moving the hands in a wave-like motion, two hands on one side of the lats, shuffle back & forth, while entrapping the organs. This vibration can be done for 30 seconds up to three minutes, with some rest in between, and should be done at the end of the back massage.

Client Position: Supine

 

  • Bolster in the supine V position (wedge under back/neck and legs/feet)
  • Keep client warm (extra blanket – warm room) because of poor circulation
  • General massage consisting of
    • 30% effleurage
    • 50% petrissage
    • 20% vibration
  • Focus on extremities
  • For edema – work proximal /distal/proximal
  • Do not massage near injection site for insulin dependent clients

Client position – Prone

 

  • General massage as above (bolster under feet)
  • Adrenal twist – stand at side of table and place both hands flat on the ribs. Your little finger (of the lower hand) in on the 12th rib. With slight compression, twist your hands to the left and then to the right – repeat 3X
  • Latissimus Dorsi stretch – hold your client’s arm overhead (with your upper hand) and use your lower hand to glide from the lower spine to the axillary/deltoid region.
  • Vibration – hand over hand from the PSIS (iliac crest) to the inferior angle of the scapula. The direction you use dose not really matter. You can start at the scapula or at the crest.
  • Adrenal shake – rhythmic shaking of the adrenals glands. Stand at the side of the client facing their head. Place your upper hand on the posterior ribs and your lower hand on the side ribs. The motion is lateral rocking. The top hand goes down and out – the side hand goes in and up. Create a rhythm with the movement.

Summary of the effects of massage on circulation

 

 

Stretching

Although most of the stretching effects of massage occur because of stimulation of the nervous system stimulation, it’s useful to consider them separately because of their importance.

Any massage stroke that engages with the muscle and produces a pull in the direction of the muscle fibres (i.e. a longitudinal stroke) will act to stretch the muscle. The effect on the body is similar to if the client stretched that muscle themselves. Deep longitudinal effleurage on the hamstrings will have a similar effect to the stretch demonstrated here.

The stretching effects of massage are likely to affect the tissues in two ways

When stretching muscles move against each other. This breaks fascial adhesions that may have formed, freeing up movement. Stretching also stimulates the proprioceptors of the muscles leading to either toning (rapid stretching) or relaxation/lengthening (long slow stretches).

 

Nervous system stimulation

The stimulus provided by massage stimulates a cascade of hormones and neurotransmitters which have some dramatic effects on the client including

 

Therapeutic Massage Santa Barbara, Goleta, Ca, Santa Barbara Massage Therapy,  Licensed Massage Therapist, Lymphatic Therapy Santa Barbara, Sports Massage Santa Barbara,  Pain Relief Santa Barbara, Deep Tissue Massage.

 

The information contained herein is not intended to be used as or to replace professional medical advice, nor does it constitute medical diagnosis or treatment. It is provided for educational purposes only. You assume full responsibility for how this information is used. Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment. Consult with your healthcare provider about any questions you may have regarding a medical condition.

Therapeutic Massage Santa barbara, Goleta, Ca, Santa Barbara Massage Therapy, Licensed Massage Therapist, Lymphatic Therapy Santa Barbara, Sports Massage Santa Barbara, Pain Relief Santa Barbara

 

Intro. On-Line Only In-Call Special 1 1/4 hr $50.00 (1st time client’s) Mon – Fri

plus  offering senior and  veteran  in-call discounts with id.   Policies

Please call for an Appointment: 805-637-7482   Please no texts

 

Save Time and Download 1st Visit Intake Form HERE

❶Nicola offers  Deep Tissue Massage,  Barefoot Deep Tissue Massage, Ashiatsu, ShiatsuCompression Massage, Sports and Injury Massage, Therapeutic Massage, Orthopedic Massage  (OM)  Myofascial Release, Trigger Point MassageNeuromuscular ReleaseSwedish Massage, Relaxing Massage, Reflexology Massage, Chair Massage, Lymphatic Drainage and some Asian bodywork. He also offers Healing Massage for Depression and Anxiety.

Nicolais a practicing licensed and insured professional Licensed Massage Therapist ( State Certification # 7239 ) and artist based in Santa Barbara, CA. Nicola has a wide range of female and male clients from athletes, artists, business people, educators, construction workers, house wives and tourists. He is very flexible in scheduling appointments either at his studio which is located in the San Roque area in Santa Barbara.  He can also make professional appointments at Holistic Centers in Santa Barbara, Buellton, Key2Fitness or can make home or out call visits in the Tri – Counties area. He also works with other local area professional massage therapists and can schedule male and female therapists to come to your home for a couple’s massage. Maybe you own a business with a large group of people or have a large party of people.  Nicola can organize as many therapists as you need to accommodate your specific needs.

 

Therapeutic massage

Therapeutic massage is a general term that describes any type of massage modality that helps relieve pain, reduce stress, and work on a specific problem—such as a frozen shoulder. People tend to assume therapeutic massage means deep tissue massage, and that they will get a very strong massage.
Therapeutic massage is primarily a way to indicate to the customer that the massage is therapeutic purposes and health benefits. Massage had a seedy reputation in the 1960s and even beyond. Massage was associated with “massage parlors” that were essentially places of prostitution.Calling it “therapeutic massage” was part of a the professionalization of massage therapy. It is a way to communicate that this was a massage for health, and that no sexual contact was involved.Today, any professional massage is therapeutic, with real health benefits. But the phrase “therapeutic massage” is also sometimes used to indicate that the massage will be a little more intense than a pure relaxation massage and perhaps deal with long-term or chronic issues. The most common examples would be a deep tissue massage or sports massage. The therapist uses more pressure and cross-fiber friction in order to get knots (also known as adhesions) to release.

Nicola  specializes in therapeutic massage, which for many people is synonymous with deep tissue massage. That makes sense because deep tissue massage is the most common of the therapeutic massage modalities—and if that’s what you’re looking for, you’ve come to the right place. Go ahead and click here to book an appointment with Nicola.

Therapeutic Massage vs Deep Tissue

Therapeutic massage is a general term that describes any type of massage modality that helps relieve pain, reduce stress, and work on a specific problem—such as a frozen shoulder. People tend to assume therapeutic massage means deep tissue massage, and that they will get a very strong massage. But this is not always the case. Deep tissue massage is great at breaking down scar tissue and getting your blood circulating, but it may not be what you need on a particular day. A good therapist will apply the specific techniques and the right amount of pressure to address your need, and sometimes that’s a lighter touch.

Types of Therapeutic Massage

There are several different types of therapeutic massage in addition to deep tissue massage, such as:

  • neuromuscular massage
  • myofascial massage
  • trigger point therapy
  • sports massage

Many therapists will use a combination of techniques depending on what your body needs. In addition, therapists will often take additional classes in different techniques.

Benefits of Deep Tissue Massage

Most of our clients are interested in deep tissue massage, and that makes sense because it is a great way to manage pain. Deep tissue massage—as well as the other therapeutic massage methods—can give you a lot of relief from chronic pain. Many of our clients come in for frozen shoulder treatment and neck pain—two side effects of working on computers all day.

Deep Tissue Side Effects

Many people want to know what the side effects of deep tissue massage are. That’s a great question, and it varies from person to person—and it can even vary for you depending on what’s going on in your body the day you get a massage. Typically, people may feel more muscle soreness for a day or two after the massage, especially if the therapist gives you a strong massage. A deep tissue massage shouldn’t cause horrible pain—and if it does you need to tell your therapist you need less pressure. However, if they’ve been working your muscles, you will probably feel it as the toxins leave your body.

Another side effect is a feeling of disorientation when the massage is over (we call it massage drunk). You may be a little light headed and out of it. That’s very normal. Just sit down and drink some water until the feeling passes! You’ll usually be fine in 10 to 15 minutes.

Finally, a deep tissue massage will leave you dehydrated. That’s why your therapist gives you water when it’s over. It is very important to drink plenty of water after a therapeutic massage.

Therapeutic Massage Santa barbara, Goleta, Ca, Santa Barbara Massage Therapy,  Licensed Massage Therapist, Lymphatic Therapy Santa Barbara, Sports Massage Santa Barbara,  Pain Relief Santa Barbara.

 

The information contained herein is not intended to be used as or to replace professional medical advice, nor does it constitute medical diagnosis or treatment. It is provided for educational purposes only. You assume full responsibility for how this information is used. Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment. Consult with your healthcare provider about any questions you may have regarding a medical condition.

Trigger Point Massage Therapy Treatments, Conditions, Symptom Checker, Pain Guide in Santa Barbara, Goleta, Ca by Nicola, LMT of Riktr Pro Deep Tissue Massage, 805-637-7482

The whole problem with the world is that fools and fanatics are always so certain of themselves, and wiser people so full of doubts. – Bertrand Russell ( 1872 – 1970 )

 

 

Intro. On-Line Only In-Call Special 1 1/4 hr $50.00 (1st time client’s) Mon – Fri

plus  offering senior and  veteran  in-call discounts with id.   Policies

Please call for an Appointment: 805-637-7482   Please no texts

 

Save Time and Download 1st Visit Intake Form HERE

❶Nicola offers  Deep Tissue Massage,  Barefoot Deep Tissue Massage, Ashiatsu, ShiatsuCompression Massage, Sports and Injury Massage, Therapeutic Massage, Orthopedic Massage  (OM)  Myofascial Release, Trigger Point MassageNeuromuscular ReleaseSwedish Massage, Relaxing Massage, Reflexology Massage, Chair Massage, Lymphatic Drainage and some Asian bodywork. He also offers Healing Massage for Depression and Anxiety.

Nicolais a practicing licensed and insured professional Licensed Massage Therapist ( State Certification # 7239 ) and artist based in Santa Barbara, CA. Nicola has a wide range of female and male clients from athletes, artists, business people, educators, construction workers, house wives and tourists. He is very flexible in scheduling appointments either at his studio which is located in the San Roque area in Santa Barbara.  He can also make professional appointments at Holistic Centers in Santa Barbara, Buellton, Key2Fitness or can make home or out call visits in the Tri – Counties area. He also works with other local area professional massage therapists and can schedule male and female therapists to come to your home for a couple’s massage. Maybe you own a business with a large group of people or have a large party of people.  Nicola can organize as many therapists as you need to accommodate your specific needs.

 

 

What are Trigger Points?

(This link will take you to Trigger point info. From Wikipedia,
 the free encyclopedia.)

TRIGGER POINTS ARE TINY KNOTS THAT DEVELOP IN A MUSCLE WHEN IT IS INJURED OR OVERWORKED. COMMONLY A CAUSE OF MOST JOINT PAIN, THEY ARE KNOWN TO CAUSE HEADACHES, NECK AND JAW PAIN, LOW BACK PAIN, TENNIS ELBOW, AND CARPAL TUNNEL SYNDROME.

 

Based on the discoveries of Drs. Janet Travell and David Simons in which they found the causal relationship between chronic pain and its source, myofascial trigger point therapy is used to relieve muscular pain and dysfunction through applied pressure to trigger points of referred pain and through stretching exercises. These points are defined as localized areas in which the muscle and connective tissue are highly sensitive to pain when compressed. Pressure on these points can send referred pain to other specific parts of the body.

 

Trigger Point Therapy can relieve muscular aches and pains in association with these areas. It can also assist with the redevelopment of muscles and/or restore motion to joints. Trigger Point Performance products are specifically designed to support the massage associated with Trigger Point Therapy. Trigger points are described as hyperirritable spots in skeletal muscle that are associated with palpable nodules in taut bands of muscle fibers. Trigger point researchers believe that palpable nodules are small contraction knots and a common cause of pain. Compression of a trigger point may elicit local tenderness, referred pain, or local twitch response. The local twitch response is not the same as a muscle spasm. This is because a muscle spasm refers to the entire muscle entirely contracting whereas the local twitch response also refers to the entire muscle but only involves a small twitch, no contraction.

 

These trigger point charts show specific areas that have been identified as trigger points and typical trigger point referral patterns. By strengthening, toning, and massaging these areas, flexibility and strength that has been lost can potentially be regained.

Trigger_Point_Front_body

 

Trigger_Point_Back_body

Trigger Point Massage

As I began studying massage therapy I became increasingly interested in discovering what exactly caused certain areas of the body to refer pain. I was amazed that I could apply pressure to spots in the middle of the back and you would feel pain referring to your chest.

I then began studying Trigger Point Massage techniques. I had a basic knowledge of how muscle tissues responded during massage treatment and I was thoroughly interested in learning about the cause, symptoms and treatments of trigger points.

What I had found in my search is that most trigger points are caused by repeated stress on individual muscles. This seems to cause a continual contraction of the muscle group which directly and indirectly causes these specific muscle knots.

What I have found is that during a trigger point massage session many of my clients also tell me that they can experience release of other muscles in their body that are not related at all to the spots that I am focused on. I truly feel that while applying pressure to individual trigger points our bodies release levels of dopamine into our system to illicit pain relief.

With this additional pain reliever in the body it allows my clients to become even more relaxed and almost enter a state of meditation. Trigger point therapy is extremely effective in alleviating symptoms of migraine headaches, sinus pressure and back pain.

When receiving Trigger Point Therapy it is essential that you find a therapist that is qualified in the treatment. If a trigger point is stimulated too short a time it can actually activate the area to release more pain.

If a trigger point is pressed for too long, or too hard for too long, it can cause the area to feel as though it were bruised for a number of days following treatment. It is always best to go with a therapist that you feel comfortable with who has proved over time to be competent in their treatment styles as well as conscious of how you are receiving and experiencing the treatment provided.

 

 

Symptom Checker

To use Symptom Checker click on these links and  simply move your cursor over the body figurine and click on the area where you feel pain.  A new window will then open and allow you to choose which pain pattern looks the most like the pain you are experiencing.  You may then click on that picture and review information pertaining to that specific muscle.

 

General information is provided for every muscle listed and is intended to educate the general population on pain that arises from the muscular system.  This information is not intended to provide medical advice or to replace the advice of a licensed physician.  Portions of this information, however, may be used to provide material to your physician for review.

http://myofascialtherapy.org/symptom-checker/

http://myofascialtherapy.org/symptom-checker/individualsearch.html

 The Trigger Point & Referred Pain Guide

 

To use the the Trigger Point & Referred Pain Guide click on this link:

http://triggerpoints.net/

 

 

Riktr Pro Deep Tissue Massage, LMT,  Santa Barbara Goleta Massage Therapy, specializes in Myofascial Trigger Point Massage Therapy, Theraputic Massage, Sports Massage, to help relieave pain and is a certified trigger point therapist in Santa Barbara, Goleta, Ca. ” Nicola is an expert at Myofascial Trigger Point and deep tissue Massage and you will not find a better LMT.”  Micheal B

 

The information contained herein is not intended to be used as or to replace professional medical advice, nor does it constitute medical diagnosis or treatment. It is provided for educational purposes only. You assume full responsibility for how this information is used. Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment. Consult with your healthcare provider about any questions you may have regarding a medical condition.

Massage and Treatments / Conditions for Tendonitis / Tendinitis in Santa Barbara / Goleta, Ca by Riktr Pro Massage, Nicola, LMT 805-637-7482

 

 

Intro. On-Line Only In-Call Special 1 1/4 hr $50.00 (1st time client’s) Mon – Fri

plus  offering senior and  veteran  in-call discounts with id.   Policies

Please call for an Appointment: 805-637-7482   Please no texts

 

Save Time and Download 1st Visit Intake Form HERE

❶Nicola offers  Deep Tissue Massage,  Barefoot Deep Tissue Massage, Ashiatsu, ShiatsuCompression Massage, Sports and Injury Massage, Therapeutic Massage, Orthopedic Massage  (OM)  Myofascial Release, Trigger Point MassageNeuromuscular ReleaseSwedish Massage, Relaxing Massage, Reflexology Massage, Chair Massage, Lymphatic Drainage and some Asian bodywork. He also offers Healing Massage for Depression and Anxiety.

Nicola is a practicing licensed and insured professional Licensed Massage Therapist ( State Certification # 7239 ) and artist based in Santa Barbara, CA. Nicola has a wide range of female and male clients from athletes, artists, business people, educators, construction workers, house wives and tourists. He is very flexible in scheduling appointments either at his studio which is located in the San Roque area in Santa Barbara.  He can also make professional appointments at Holistic Centers in Santa Barbara, Buellton, Key2Fitness or can make home or out call visits in the Tri – Counties area. He also works with other local area professional massage therapists and can schedule male and female therapists to come to your home for a couple’s massage. Maybe you own a business with a large group of people or have a large party of people. Nicola can organize as many therapists as you need to accommodate your specific needs.

What Is Tendinitis?

Tendinitis (also called tendonitis) is an inflammation or irritation of a tendon, a thick cord that attaches bone to muscle.

 

What Causes Tendinitis?

Tendinitis is most often caused by repetitive, minor impact on the affected area, or from a sudden more serious injury.

There are many activities that can cause tendinitis, including:

Incorrect posture at work or home or poor stretching or conditioning before exercise or playing sports also increases a person’s risk.

Who Gets Tendinitis?

Anyone can get tendinitis, but it is more common in adults, especially those over 40 years of age. As tendons age they tolerate less stress, are less elastic, and are easier to tear.

Where Does Tendinitis Occur?

Tendinitis can occur in almost any area of the body where a tendon connects a bone to a muscle. The most common places are:

 

 

Massage or Massage Therapy for Tendonitis

Tendonitis (also called tendinitis) is the infinitesimal tearing of the tendon fascicles due to overuse of the tendon resulting in inflammation and irritation, thereby causing pain in the affected area. Tendon is a thick cord of fibrous tissue that attaches muscles to bones. Various names given to tendonitis problems are: wrist tendonitis, Achilles tendonitis, posterior tibial tendonitis, patellar (kneecap) tendonitis, rotator cuff tendonitis, tennis elbow (lateral epycondilitis), golfer’s elbow, pitcher’s shoulder (jumper’s knee) and swimmer’s shoulder.
Tendonitis could be caused by gardening, raking, carpentry, shovelling, painting, scrubbing, sports, incorrect exercising, injury, rheumatoid arthritis or diabetes, thermal injury (mountain or rock climbing), ageing, knee surgery or anatomically (realignment of the tendon by surgery).  Symptoms for tendonitis are tenderness, pain, burning sensation, redness, lumpiness on tendon sheaths, adhesive capsulitis‚ or frozen shoulder, or swelling of the tendon.
Treatments for tendonitis are rest, icing, discontinuation of heavy activities and application of anti-inflammatory medicines; surgery being the last alternative. Massage therapy is also becoming extremely common as a cure for tendonitis. It can be applied by working on the injured fibres back and forth (not up and down).
Massage should not be given until 48 hours after the injury, or if the tissues are swollen or noticeably inflamed. A self massage therapy for tendonitis is friction massage therapy. It is used in injuries caused on shoulder, elbow, back of the heel or thumb-side of the wrist. In this therapy strokes (back and forth) are applied perpendicular to the injury using gentle pressures with fingers and thumb. Studies have shown that friction massage stimulates the production of collagen in damaged tendon fibres, thereby healing the injured part rapidly. Trigger points in the forearm can be massaged to reduce an injury of tendonitis on the wrist.
Another massage therapy for tendonitis is known as DTFM, or deep transverse friction massage (also known as cyriax massage). Here, the fingers are used to make short back and forth motions around the injured area but do not slide over it. This helps in restoring mobility by moving across a ligament and mobilizing it. The active release technique is a patented soft tissue management treatment in which adhesions and scarred tissues are repaired. This is done by a practitioner with specific vigorous movements by the injured to liberate the connected tissue.
Sports massage therapy is ideal for Achilles tendonitis. It helps in breaking the scarred tissue resulting in a blood flow thereby healing and aiding in stretching of calf muscles. Calf massage therapy can be used to stretch and relax the gastrocnemius and soleus muscles thereby healing the aching heel. To cure an Achilles tendonitis massage therapies such as transverse mobilization (alternate finger and thumb to apply transverse pressure), effleurage (applying pressure from the heel to the knee), stripping the Achilles tendon (applying sustained pressure), cross frictions (applying pressure in a transverse direction) and circular frictions (applying pressure in a circular direction) can be used.
Massage therapies can decrease swelling, foster blood circulation and avert the development of adhesions. It is best to choose a massage therapist who possess the qualifications or experience with curing tendonitis.

How Massage Therapy Can Help Tendinitis and Tendinosis

Clients frequently come to me suffering from joint pains they believe are tendinitis or bursitis, and that they hope are not due to arthritis. With simple assessment techniques, I can evaluate which tissues are injured or causing pain and which treatment approaches can help.

Tendinitis and tendinosis are dysfunctions of tendons, which are the crucial structures in our bodies that connect our muscles to our bones. Tendons must be tough enough to withstand our strongest muscle contractions, and flexible enough to allow the myriad of movements we make every day. Tendons stay strong and elastic with good circulation, nutrition, hydration, exercise and rest.

A healthy tendon can tear in extreme situations when a sudden force overpowers it. Anyone can suffer trauma like this in the course of their daily life. In this case, the tear causes inflammation and pain, known as tendinitis, and scar tissue forms as the healing process continues.

In contrast, tendinosis is the result of a much more common scenario when repetitive strain and chronic overuse cause a breakdown within the integrity of the tendon on a molecular level. This derangement of the tendon tends to occur without inflammation (Lowe, 2006, p. 10 and Hendrickson, 2009, p.20), and thus without the healing process that inflammation brings. The science and art of orthopedic massage come together to initiate a renewed healing process in your body for both tendinitis and tendinosis.

An effective orthopedic massage will have five crucial elements in it:

1. Skilled orthopedic testing to identify and locate the injured or deranged tissue
2. Skilled Cyriax frictioning of the precise location revealed by the testing
3. Release of tension in adjacent muscles that have had to work harder to compensate for the injured tendon
4. Opening of constricted areas due to postural patterns that may be contributing to the strain at the injured site
5. Instructions for client self-care between sessions (including simple targeted stretches and rehabilitative exercises; good food, water, and rest; stress-reduction strategies)

The first goal of effective orthopedic massage is to accurately identify the compromised tissue using skilled orthopedic evaluation. If orthopedic tests reveal either tendinitis or tendinosis, my treatment will include Cyriax frictioning on the exact place discovered to be injured. This orthopedic massage technique stimulates a mild local inflammatory healing response, which will enable the scar tissue to remodel. Treatment is most effective when combined with targeted stretches (creating elasticity in the healing tissue) and rehabilitative exercises (creating strength in the healing tissues). A strong elastic scar or remodeled tendon will be much more functional, and much less likely to be re-injured.

Frictioning is performed for only a few minutes per massage session. The rest of the session relieves the tension caused by injury overcompensation, postural and other patterns that contribute to the problem.

The final key to optimal healing of tendinitis or tendinosis is the self-care the client offers themselves between massage sessions. Besides proper directed exercises for the specific site of injury, we must take care to eat, hydrate, and rest well. We also need to look at any areas of our life that are causing stress. All stress, whether physical, chemical, emotional, and mechanical, is perceived by our body’s chemistry similarly, raising the stress hormones. This, in turn, affects our immune system and our ability to heal. When dealing with tendinosis or tendinitis, your body is experiencing a stressor. You may be emotionally stressed from the pain. Orthopedic treatment of the injuries through therapeutic massage can reduce the stress of the injury site. The remaining time in an hour massage session, caring for areas of tension,will further reduce the stress felt in your body.

References:

Lowe, Orthopedic Assessment in Massage Therapy, p. 10, 2006

Hendrickson, Massage and Manual Therapy for Orthopedic Conditions, p. 20, 2009

 

What Are the Symptoms of Tendinitis?

The symptoms of tendinitis include:

 

How Can I Avoid Tendinitis?

To avoid tendinitis, try these tips when performing activities:

Site Logo

Tendinitis or bursitis often involves the shoulder, elbow, wrist, hip, knee and ankle. The pain it causes may be quite severe and often occurs suddenly. As in arthritis, the pain is worse during movement. Unlike arthritis, the pain is often in parts of the body far from a joint.

Tendinitis often results from repetitive use (overuse). Though the problem can recur or be chronic (long term) in some people, it is most often short term, mainly if treated early.

Fast Facts

What is tendinitis?

Tendons are cord-like structures located where a muscle narrows down to attach to a bone. The tendon is more fibrous and dense than the elastic, fleshy muscle. A tendon transmits the pull of the muscle to the bone to cause movement. Tendinitis is often very tender to the touch.

What is bursitis?

Bursitis is inflammation of a bursa. This small sac acts as a cushion between moving structures (bones, muscles, tendons or skin). If a muscle or tendon is pulling around a corner of a bone, or over a bone, a healthy bursa protects it from fraying and stress. When a bursa is inflamed, it becomes very painful, even during rest.

What causes tendinitis and bursitis?

Tendinitis can occur from a sudden intense injury. Most often, though, it results from a repeated, minor injury of that tendon. Doctors call this repetitive stress or overuse. For example:

To prevent these overuse injuries, follow the tips in the Joint Protection Table.

Persons with gout, pseudogout, or blood or kidney diseases often develop bursitis as part of that disease. Older persons are more prone to get tendinitis and bursitis.

Rarely, some drugs can cause tendinitis and tendon rupture (spontaneous tear). These include fluoroquinolone antibiotics and statins (drugs that lower cholesterol).

anserinus_bursaGreen part of image illustrates the anserine bursa of the knee, which becomes inflamed in bursitis. Tendons (white) connect the muscles (red) to insert onto bone, above the bursa.

How are tendinitis and bursitis diagnosed?

To determine the cause of these problems, a health care provider asks about your medical history and does a careful physical exam. Tenderness along the tendon or its sheath (outer covering), or at one specific point in the tendon, suggests tendinitis. Pain occurs when the muscle to which the tendon is attached is worked against resistance as part of the exam.

Most patients at first do not need imaging tests like X-rays, magnetic resonance imaging (often referred to as MRI) or ultrasound scans. Imaging and blood tests are done only if the problem recurs or does not go away. A blood test also can help detect an infection. Signs of an infection include redness, warmth and swelling. If bursitis is the result of infection, fluid must be drained from the bursa at once and promptly studied.

How are tendinitis and bursitis treated?

Treatment depends on the cause. In overuse or injury, you must reduce the causing force or stress. If tendinitis is job related, the doctor or physical therapist should review proper ergonomics, so you can work safely. Some patients may need joint protection advice and support of the involved region. There is little proof that therapeutic ultrasound helps these problems, and most doctors do not recommend it.

Treatment can consist of any of the following.

Rest. You should rest the injured limb or joint, at least for a short time. Failure to rest it will most likely continue your symptoms. If the problem is in a hip, leg or foot, you may need to stop stressful weightbearing activities for a short time. This lets the inflammation lessen.

Ice. Ice may help reduce inflammation and pain. Ice the area for 10–15 minutes once or twice a day.

Medicine. If your pain persists, you may need nonsteroidal anti-inflammatory drugs—often referred to as NSAIDs—such as aspirin, ibuprofen or naproxen. Topical (applied to the skin) forms of NSAIDs are now available and may reduce pain and inflammation without stomach upset. Acetaminophen (Tylenol) also can help relieve pain.

Coricosteroid injections may provide short-term benefit in certain forms of tendinitis, and may be considered if you are unable to take NSAIDs.

If an infection is present, you most often will need a proper antibiotic. (Daily drainage of fluid with a needle also may be needed.)

If crystals of gout are found in joint fluid, there is medicine that controls the disease.

Supports. Use of a cane in the opposite hand can help a painful hip. Splints or braces for the affected body part help rest and reduce stress on the body. Off-the-shelf supports may be enough. If not, you may need custom-made braces and referral to an occupational therapist.

For ankle tendinitis, you may need orthotics to reduce the stress at the ankle or in the foot. An orthotic is a device that goes inside the shoe, which changes the support and the angle of the foot. This improves foot mechanics and relieves pain or pressure. They can be custom made or off the shelf.

Physical therapy. Some tendon problems do not go away despite standard treatment. If tendinitis lasts beyond a few weeks, you may need a referral to a physical therapist or a rheumatologist. The doctor or therapist can give you exercises to do that will maintain strength and function. If the tendinitis or bursitis has begun to limit joint movement, or already restricts movement, seeing a physical therapist is wise. For instance, if pain in a shoulder has gone away, but you can no longer raise your arm as high as your healthy arm, a “frozen shoulder” or other rotator cuff problems are developing. You can prevent this problem with early treatment.

Surgery. If, after a few months of treatment, tendinitis still limits an essential activity, you may want to consider surgery. Ask your doctor to refer you to an experienced orthopaedic surgeon.

Some patients with an infection or adhesions of the tendon or bursa may need a cortisone injection or an operation.

A possibly serious complication of tendinitis is rupture of a tendon. The most common rupture is a tear of the Achilles tendon in the lower calf. It most often needs surgery.

Prevention

There are ways you can prevent these problems from occurring. These tips apply to all joints:

The Table shows how to protect certain joints.

Table: Joint Protection

Shoulder
  • Face an object you are reaching for, rather than reaching sideways or backward.
  • Rise from a chair by pushing off with your thigh muscles, not your shoulders or hands.
  • Do pushups from the wall, not the floor.
  • When reaching for a heavy object overhead, keep the load centered in front of you and use both hands.
Elbow and wrist
  • Recognize and avoid hand clenching or gripping tools or other objects too hard. Use power tools. In the kitchen, use aids such as jar openers. Pad your car steering wheel.
  • Use your stomach muscles to help roll over when getting out of bed.
  • Avoid carrying heavy items in one hand or at the side of your body.
Knee and ankle
  • Avoid sitting with a leg folded under.
  • Wear shoes that give support and comfort, with room for the toes to extend fully during weightbearing.
  • Check shoes often for signs of wear, and replace them when worn.
  • If you walk or stand on concrete, cushion the inside bottom of your shoes with pads or wear walking or running shoes with cushioned soles.
  • Keep leg muscles strong. Do leg lifts with ankle weights (5–20 pounds) while seated.

WHAT IS THE BROADER HEALTH IMPACTS OF TENDINITIS AND BURSITIS?

Tendinitis or bursitis in the shoulder can become a greater problem if the shoulder becomes stiff. It is important to do range of motion exercises, such as stretching, each day. This preserves movement in the shoulder joint.

LIVING WITH tendinitis OR BURSITIS

Tendinitis or bursitis can be painful. Seek medical attention early to prevent joint stiffness and chronic problems that may follow. It also is important to rest the limb or the joint, at least until movement is free of pain. Failure to rest it most often delays full healing.

Points to remember

Good Stretches:

Other good links:

http://www.wikihow.com/Treat-Tendonitis

http://saveyourself.ca/articles/frictions.php

http://www.arthritis.org/conditions-treatments/disease-center/tendinitis/

http://www.medicalnewstoday.com/articles/175596.php

http://www.amazon.com/s/?ie=UTF8&keywords=elbow+support+for+tendonitis&tag=googhydr-20&index=aps&hvadid=35006470884&hvpos=1t1&hvexid=&hvnetw=g&hvrand=2736851150936301989&hvpone=&hvptwo=&hvqmt=b&hvdev=c&ref=pd_sl_1ktssuolfj_b

 

*Disclaimer: This information is not intended to be a substitute for professional medical advice. You should not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. Please consult your healthcare provider with any questions or concerns you may have regarding your condition. The information provided is for educational purposes only and is not intended as diagnosis, treatment, or prescription of any kind. The decision to use, or not to use, any information is the sole responsibility of the reader.

 

 

What are your dimensions of pain? Nicola, LMT Riktr Pro Deep Tissue Swedish Massage 805-637-7482

 

 

Intro. On-Line Only In-Call Special 1 1/4 hr $50.00 (1st time client’s) Mon – Fri

plus  offering senior and  veteran  in-call discounts with id.   Policies

Please call for an Appointment: 805-637-7482   Please no texts

 

Save Time and Download 1st Visit Intake Form HERE

❶Nicola offers  Deep Tissue Massage,  Barefoot Deep Tissue Massage, Ashiatsu, ShiatsuCompression Massage, Sports and Injury Massage, Therapeutic Massage, Orthopedic Massage  (OM)  Myofascial Release, Trigger Point MassageNeuromuscular ReleaseSwedish Massage, Relaxing Massage, Reflexology Massage, Chair Massage, Lymphatic Drainage and some Asian bodywork. He also offers Healing Massage for Depression and Anxiety.

 

Demensions of pain low res

Good Links:

http://www.painsociety.com/docs/articles/lechnyr.and.lechnyr.psych.of.pain.mgmt.pdf

http://www.carolinashealthcare.org/documents/NorthEastInternalIntegrative/research-library/Massage/MassageLowBackPain.pdf

 

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.

UCSB Massage for Students and Faculty – Health and Wellness in Santa Barbara and Goleta, CA by Nicola, LMT Riktr Pro Massage 805-637-7482

Nicola offers University of California UCSB students in Santa Barbara, Goleta  student massages and Faculty massages – Health and Wellness in Santa Barbara and Goleta, CA

 

Intro. On-Line Only Student and Faculty In-Call Special 1 1/4 hr $50.00 (1st time client’s) Mon – Fri

plus  offering senior and  veteran  in-call discounts with id.   Policies

Please call for an Appointment: 805-637-7482   Please no texts

 

Save Time and Download 1st Visit Intake Form HERE

❶Nicola offers  Deep Tissue Massage,  Barefoot Deep Tissue Massage, Ashiatsu, ShiatsuCompression Massage, Sports and Injury Massage, Therapeutic Massage, Orthopedic Massage  (OM)  Myofascial Release, Trigger Point MassageNeuromuscular ReleaseSwedish Massage, Relaxing Massage, Reflexology Massage, Chair Massage, Lymphatic Drainage and some Asian bodywork. He also offers Healing Massage for Depression and Anxiety.

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.

The Benefits of and Understanding of Deep Tissue Massage and Swedish Massage in Santa Barbara, Goleta, CA. Nicola, LMT of Riktr Pro Deep Tissue Swedish Massage 805-637-7482

 

 

Intro. On-Line Only In-Call Special 1 1/4 hr $50.00 (1st time client’s) Mon – Fri

plus  offering senior and  veteran  in-call discounts with id.   Policies

Please call for an Appointment: 805-637-7482   Please no texts

 

Save Time and Download 1st Visit Intake Form HERE

❶Nicola offers  Deep Tissue Massage,  Barefoot Deep Tissue Massage, Ashiatsu, ShiatsuCompression Massage, Sports and Injury Massage, Therapeutic Massage, Orthopedic Massage  (OM)  Myofascial Release, Trigger Point MassageNeuromuscular ReleaseSwedish Massage, Relaxing Massage, Reflexology Massage, Chair Massage, Lymphatic Drainage and some Asian bodywork. He also offers Healing Massage for Depression and Anxiety.

 

Understanding Deep Tissue and Swedish Massage Benefits in Santa Barbara, Goleta, CA

Deep Tissue Massage targets the deep tissue structure of the fascia and muscles, referred to as connective tissue. Of the many types of massage, deep tissue focuses on the release of muscle tension and chronic knots (aka adhesions).

Deep tissue massage can break up and eliminate scar tissue from previous injuries. A common problem is that stressed muscles can block nutrients and oxygen from getting to where they need to go, and this will cause inflammation that allows toxins to build up in your muscle tissue. The inflammation and toxins contribute to pain and stress. Deep Tissue Massage breaks up and releases the built-up toxins by loosening the muscles. With the toxins released, blood and oxygen can circulate as they should through one’s body. Being properly hydrated before you go to your massage appointment and drinking plenty of water after one of these massages is highly recommended.

The strokes used in Deep Tissue Massage are similar to those used in a Swedish Massage except more pressure is used and it uses cross grain strokes (strokes that go across the gain of the muscles instead of with the grain). As with a classic Swedish massage, you will be lying on a massage table and partially covered with a sheet or towel.

During Swedish massage, usually the therapist will only use their hand and forearm, however with a Deep Tissue Massage, elbows, fingers, and ceramic, wooden, or glass tools may be used for optimal penetration of the muscle. The speed of the strokes will be slower than a classic massage as well, which means they are longer in duration (about an hour and a half, depending on the therapist and how much you pay). If you tell the therapist where your trouble spots are (everyone has one or two) before the massage starts, during the massage the therapist will apply pressure and hold it for a few minutes before moving on, for extra relief.

Many massage therapists have some basic deep tissue training, so they can do some of the techniques during a classic massage. However, for a good Deep Tissue Massage you should find a massage therapist that specializes in deep tissue massaging. There may be some soreness after a deep tissue massage; however, the soreness should go away within a day or two. The massage should not hurt but will be a little more uncomfortable than a classic massage. If you feel the pressure is too hard, tell the masseur. Do not act tough if the massage causes severe pain or the pressure is too hard, as it may do more damage than restoration.

A good way to recover from a Deep Tissue Massage is by soaking in a warm bath with Epsom salt. This soaking is recommended because it will help get more of the toxins out of your body (Epsom salt draws the toxins out into the water). Your muscles need some rest after one of these massages, even if you feel no soreness. So do not plan any activities within a day of a Deep Tissue Massage.

Some people think that if you just push hard enough, a knot could be worked out in one session, but this is not the case. For built-up tension and chronic knots (adhesions) deep tissue massage is just one part of the treatment. If you do not exercise, correct your posture, and/or employ relaxation techniques along with Deep Tissue Massage you may not get the full benefits from your massage.

One of the most important things to remember to do when getting a Deep Tissue Massage is to breathe deeply during the session and while relaxing afterwards. Oxygenating the muscles will help the massage do its work and ease discomfort.

If you can’t afford a deep tissue massage, you might consider some self massage options.

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.

Riktr Welcomes POWERWATTS Cyclists from Canada – Nicola, LMT of Riktr Pro Massage

The PowerWatts™ training system

Powerwatts training systemThe PowerWatts™ training system was created in 1996 by exercise physiologist, coach and former professional Ironman triathlete Paulo Saldanha. Paulo coupled many years of racing experience with the science behind quality based conditioning to build an innovative and effective training tool.

PowerWatts™ includes very specific power based interval  modules, with completely multi-adjustable bikes on proprietary hardware and software. All training sessions are led by a certified PowerWatts™ coach creating an effective, dynamic and exciting group training environment. Join the growing population of clients who line up for this incredible indoor cycling experience!

THE PROGRAM

Certified and experienced PowerWatts coaches lead all instructional workouts that focus on Technique, Endurance and Power development. The PowerWatts program offers workouts that are 60minutes long, over a 29-week period. These fun, challenging and dynamic workouts are jam packed with specific intervals designed to improve fitness and performance.

One more cup of coffee a day could cut your risk of Type 2 diabetes

Coffee beans


Another reason to drink coffee: A study finds a correlation between increased coffee consumption and a lower risk of Type 2 diabetes. (Justin Sullivan / Getty Images)

 

 

By Deborah Netburn, LA Times
April 24, 2014, 3:04 p.m.

Drinking more coffee may decrease your risk of developing Type 2 diabetes, a new study shows.

Researchers from Harvard University found that people who increased their coffee consumption by at least one cup per day over a period of years were 11% less likely to get Type 2 diabetes compared with people whose coffee-drinking habits didn’t change.

On the flip side, people who dialed back their coffee habit by at least one cup a day were 17% more likely to develop Type 2 diabetes.

COFFEE: Daily habit may lower your risk of liver cancer

The study was published Thursday in Diabetologia, the journal of the European Assn. for the Study of Diabetes. Previous studies have found a correlation between coffee consumption and a lowered risk of Type 2 diabetes, but this was the first study to look at how changes in coffee consumption affect that risk.

“Coffee is pretty fascinating,” said Shilpa Bhupathiraju, a nutritional epidemiologist at the Harvard School of Public Health and the lead author of the paper. “It seems to be associated with a lower risk for many chronic diseases.”

The findings in this study are based on statistical analysis of three long-term and large-scale studies that  tracked the diet, lifestyle and medical conditions of more than 120,000 medical professionals over the course of 20 years.

Previous work has shown that chemical compounds in coffee, not the caffeine, are likely responsible for the association between coffee drinking and lower risk of Type 2 diabetes.

“We know that phenolic compounds in coffee improves glucose metabolism in animal models,” Bhupathiraju said. “Coffee is also a really good source of magnesium, which has been associated with a lower risk of Type 2 diabetes.”

If that is the case, drinking more uncaffeinated coffee should be just as effective as drinking more caffeinated coffee in lowering the risk of Type 2 diabetes. In this study, the researchers found that changes in decaffeinated coffee consumption had no statistical effect on risk. That may be because not enough participants made a major change in their decaf coffee drinking, the authors note.

But before you run out to refill your Starbucks card, keep in mind that increasing the amount of coffee you drink is just one part of keeping Type 2 diabetes at bay.

“You can’t get at causality with these studies,” Bhupathiraju said. “You need a healthy body weight, a good diet and a healthy lifestyle. Coffee consumption in the context of all this is associated with a lower risk.”

However, she said that as long as coffee doesn’t make you jittery or keep you from sleeping, there’s no reason you shouldn’t drink up.

 

 

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition

 

What are the Zen (10) Oxhearding Pictures?

 

 

The Ten Oxherding pictures are an early teaching in the Ch’an/Zen tradition. Oxherding was a useful metaphor for training the mind. There is the story of a monk working in the kitchen when his master came in and asked what he was doing. He replied ‘Just herding the ox’.

 

ten_texts

 

The master responded ‘How are you herding it?’.

The monk replied ‘Every time the ox tries to wander off the way to eat grass, I rein it in and put it back to work’.

The ox, of course, is our mind. It must be trained not to wander off into distracting, discursive thoughts. It must be trained to align with the Dharma and so become pure.

Many versions of the oxherding pictures were created. They varied in number and in the content of the pictures. Eventually ten pictures or stages were developed. The most famous set is by K’uo-an Shih-yuan. Many artists have drawn these pictures and many poets have added commentaries. Below is just one example -

  1. The Search for the Ox

    In the pasture of the world,
    I endlessly push aside the tall
    grasses in search of the Ox.
    Following unnamed rivers,
    lost upon the interpenetrating
    paths of distant mountains,
    My strength failing and my vitality
    exhausted, I cannot find the Ox.
    I only hear the locusts chirping
    through the forest at night.

    Humans are different from animals in that they can think and reflect. It is our thinking and reflecting that brings us to wonder or question about ourselves and life. Some people seek a reason for life, they seek the ox. At first they seek outside of themselves, looking at philosophy, science, occult matters, etc. Perhaps wealth and personal possessions have been amassed to cover the aches and discomforts of the heart and mind, and now the person wearies of this, it no longer works.

     

  2. Discovering the Footprints

    Along the riverbank under the trees,
    I discover footprints.
    Even under the fragrant grass,
    I see his prints.
    Deep in remote mountains
    they are found.
    These traces can no more be
    hidden
    than one’s nose, looking
    heavenward

    Eventually the sincere seeker discovers that what must be investigated is the mind itself. Perhaps the seeker has fortunate karma ripening, coming into contact with the Buddha Dharma. It is when we stop looking to external things to save or liberate us.

     

  3. Perceiving the Ox

    I hear the song of the nightingale.
    The sun is warm, the wind is mild,
    willows are green along the shore -
    Here no Ox can hide!
    What artist can draw that massive
    head,
    those majestic horns?

    Here the person sees the tail of the ox. There is the realization that one has found the true path for salvation and liberation. What a relief it is! The world can seem a much sweeter place. However, the ox has not yet been grasped.

     

  4. Catching the Ox

    I seize him with a terrific struggle.
    His great will and power
    are inexhaustible.
    He charges to the high plateau
    far above the cloud-mists,
    Or in an impenetrable ravine he stands.

    At this stage the person has engaged in their Buddhist practice. Here the mind is apparent most of the time. No longer is the person lost in delusion, being not even aware of how they really are. For the first time the undisciplined activities of the mind are addressed. At first it seems so difficult with old, habitual patterns of thought rising up and overwhelming us. Sometimes our mind runs wild. Sometimes it is stuck, not moving with circumstances.

     

  5. Taming the Ox

    The whip and rope are necessary,
    Else he might stray off down
    some dusty road.
    Being well-trained, he becomes
    naturally gentle.
    Then, unfettered, he obeys his
    master.

    Here Buddhist practice continues diligently. Many means of help are used. These can be meditation, mantras, temple services, chanting, sila (precepts), etc. They can also be the kinship of fellow Buddhist practitioners, guides and teachers.

    As the negativities of the mind are quieted it is possible to practise self-cultivation in one’s ordinary life. Here one is not fully overwhelmed by the habitual, negative aspects of the mind. It has become clear what Buddhist practice is.

     

  6. Riding the Ox Home

    Mounting the Ox, slowly
    I return homeward.
    The voice of my flute intones
    through the evening.
    Measuring with hand-beats
    the pulsating harmony,
    I direct the endless rhythm.
    Whoever hears this melody
    will join me.

    Here the oxherder is playing a flute while riding the ox. The ox still has its nose-ring and rope. But now the oxherder no longer has to hold the rope and pull the ox back to the way. Buddhist practice and self-cultivation have become a natural activity. The sense organs are purified, meaning that the person is aware of the environment but does not generate feelings of greed, anger or lust from the contact with outer things.

     

  7. The Ox Transcended

    Astride the Ox, I reach home.
    I am serene. The Ox too can rest.
    The dawn has come. In blissful repose,
    Within my thatched dwelling
    I have abandoned the whip and ropes

    In the beginning stages it is like swimming upstream. Hard, diligent practice is needed to make headway against the current of the mind. Here there is no need for the swimmer. The swimmer and the water have become one. Practice is no longer done for a goal, to get somewhere. Life itself is practice.

     

  8. Both Ox and Self Transcended

    Whip, rope, person, and Ox -
    all merge in No Thing.
    This heaven is so vast,
    no message can stain it.
    How may a snowflake exist
    in a raging fire.
    Here are the footprints of
    the Ancestors.

    In the eighth picture there is no ox and no person. Is a fish aware of the water it swims in? When there is a subject, looking out, then there is an object. When there is an object then there is a subject to know it. If there is one then there must be two. One is only in comparison to something.

    This is the stage beyond all dualities, of no inside, no outside; no subject and object; no person and environment. It is said there is no words to describe this stage. How can you grasp yourself, is it by pointing at your face and saying this is me, or by describing ourselves? When we are truly ourselves we would be able to separate from ourselves. When one has become one with self-nature there is no longer self-nature.

     

  9. Reaching the Source

    Too many steps have been taken
    returning to the root and the source.
    Better to have been blind and deaf
    from the beginning!
    Dwelling in one’s true abode,
    unconcerned with and without -
    The river flows tranquilly on
    and the flowers are red.

    There is a famous Ch’an/Zen saying that in the beginning mountains are mountains and rivers are rivers. Then, at a particular point in practise, represented by the eighth picture, mountains are no longer mountains and rivers are no longer rivers. After this mountains truly are mountains and rivers truly are rivers.

    This stage is to know the world in its true nature. Rivers flow and a flower is red. There is no more self-consciousness reactions to distort the world.

     

  10. In the World

    Barefooted and naked of breast,
    I mingle with the people of the world.
    My clothes are ragged and dust-laden,
    and I am ever blissful.
    I use no magic to extend my life;
    Now, before me, the dead trees
    become alive.

    Here is an enlightened person. Bare of self adornments and pretensions. There is only the wholesome outflowings of an enlightened mind.

    The dead trees become alive refers to two things

    1. There is a Ch’an/Zen saying ‘The flower blossoms on the withered branch’. It means that when our negativities have completely withered then our Buddha-nature blossoms, and

    2. It is the activity of the enlightened person to awaken the unenlightened.