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January 18, 2007

Follow-Up To Emergency Session

A client had called needing a massage for back pain between their regular sessions. The massage combined with heat helped them for a couple of days and then they felt a catch in their back. More heat and rest got them over their latest bout with pain so that they could function. As time went on, the pain diffused and spread across their back.

They were able to point to specific areas that needed work upon their return to my office. Since the client has a scoliosis problem, they come to me for maintenance. However, there are certain areas that I have learned to avoid in order to prevent pain. However, on this session, many of the places I usually avoid were where this client requested extra work to ease discomfort. The muscles responded beautifully and I feel we made real progress on their back.

This client also has chronic sinusitis and frequently has to go on antibiotics to clear up an infection. I make sure to work my sinus protocol on them and this prevents them from getting a full-blown infection. So when they arrived this session, they made sure to tell me they had a sinus headache so we could finish the session on their sinuses.

Along the way, however, one of the complaints they had associated with their back was knee pain. From my visceral manipulation class, I was prompted to ask about any bladder issues they might have. Because the medial knee fascia extends up the adductors of the thigh and continues directly into the fascia surrounding the bladder and obturator externus, this becomes a logical question. In fact, due to an old surgery, the client had known abdominal scarring on the right side, near the bladder--the same side as the knee pain! I checked bladder mobility and found the right side to be stuck into place. This could explain some of the emptying issues this client reported. As I worked gently to free the right ligament which allows the bladder "stand up" and empty, my client reported feeling pulling then relief in the right knee, and then referred sensation followed by relief in their back where they had been having so much trouble! I was thrilled to make the connection.

It always pay to follow the body when working with pain syndromes. With proper training, your unique skills as a therapist can lead you down paths with your clients that you didn't know existed. Creating a dialog with your clients so that they know what you can do will open up even more opportunities for you to help them.

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Posted by linda at January 18, 2007 12:16 PM

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