CategoriesCorrective Exercise

Massage: Misunderstood and Misused

I have an excellent guest post for you today, but before I hand it over to you for your reading pleasure I wanted to quickly remind people of my Premium Workout Group on WeightTraining.com.

After a 4-month block of a strength emphasis (and people breaking personal records left and right), we’re currently in the midst of a fat-loss block that’s, well, kicking everyone’s ass.  And people are still breaking PRs.

I say “fat loss” with a grain of salt because honestly, I hate that term.  I think most people see the phrase “fat loss” and automatically cringe and assume endless repetitions of burpees, supersets, Prowler pushes, puke buckets and carrot sticks.

Wait! Maybe carrot sticks aren’t Paleo enough?  Celery sticks then?  Crap, now I’m just confused.  Maybe James Fell can help shed some light on that topic?

Anyhoo, while making things more metabolically challenging does enter the equation and helps to expedite the process, a major mistake many people make with their fat loss programming is going  bat-shit crazy with training volume.

The role of a WELL-STRUCTURED fat-loss program should be to MAINTAIN or PRESERVE as much muscle mass as possible.

Most fat-loss programs do nothing but make people a smaller, weaker version of their original selves.  In other words, skinny-fat.

To that end, with my approach to fat-loss, people still lift heavy things, and the overall training volume isn’t egregious.  Ie….assuming you’re not eating like an a-hole, and calories out trumps calories in, training doesn’t have to be too dissimilar compared to regular ol’ strength training.

For more information just click HERE and you’ll see what I mean.

And with that, I now introduce to you Justin Sorbo.  Justin’s a local personal trainer and competitive powerlifter here in the Boston area who’s currently finishing up massage therapy school.

He’s been gracious enough to offer some free clinical hours to both myself and Lisa and I have to say, he’s good.  Like, REALLY good.  He offered to write a post on the massage industry and how it’s often misunderstood and misrepresented.

I hope you enjoy it!

Massage: Misunderstood and Misused

“ Sweet, bro. You’re gonna be a masseuse?  Can I sign up for a rub-n-tug?”

“Oh, that sounds like a nice idea for  some work on the side.  Which spa are you working at?”

“…What do you plan on doing with that?”

As a massage therapy student with a background in Kinesiology, I cringe every time I hear a friend or family member interject with one of the above statements.

Among other specialties like lymphatic drainage, clinically trained LMTs can prescribe and perform movement assessment, soft tissue work, stretching, active movement, joint mobilizations, and corrective breathing drills.  Combined with an exercise background (exercise science, CSCS, etc), we can be capable clinicians with a wide scope of practice.

In the United States, popular culture continues to regard the profession as strictly a form of pampering for the rich and famous, or; a thinly guised romp with a prostitute.

Note from TG: BOM CHICKA BOM BOM (sorry Justin, I couldn’t resist).

In reality, massage can be a powerful facilitator in the healing process and the management of pain.  The cloud of ambiguity surrounding the true nature of bodywork rests largely on the massage community itself.  In no particular order, here are a few of the forces driving massage culture in America today:

-Low Barrier of Entry with Minimum Prerequisites:  In most states, one can acquire a license to practice with a GED and a couple thousand dollars.  Massachusetts requires 650 hours of education, while some states require less.

This is a double edged sword: higher rates of entry mean lower quality students, but the relatively small financial and time commitment allows for a potentially better investment than a typical non-profit university.

-A History of Sex Work: Many of us have witnessed or heard of a local business being raided for prostitution.  The massage setting can be an easy target for shady people and moral-less money makers.  Privacy, intimacy, and trust are easily abused.

-Lack of a Definition of Massage: In reality, massage encompasses many modalities of manual therapy, yet usually seems to be imaged as a picture of a woman lying face down on a table.

-Pseudoscience: To me, this is the most damning of the bunch.  The world of massage therapy abounds with poor logic, uninformed or apathetic educators, and a lack of good research.

Historically, massage theory and technique has been derived largely from anecdote. Mechanisms for its effects have been proposed throughout the years, but very few have stood the tests of research and time.  The embrace of half-truths and lies surrounding soft tissue science further distance the profession from its rightful place as a part of mainstream medicine.

While certainly not a “cure-all”, manual therapy can be a formidable weapon for the treatment of a variety of conditions; some of which are better supported with research than others.

Specifically, massage shows promise as an effective treatment for low back pain in both acute and chronic sufferers.  Massage is an excellent treatment for the relief of anxiety and depression, conditions which are highly correlated with painful physical manifestations.

Mobilizations are effective at improving rehab outcomes, and breathing work can facilitate range of motion changes.

In order to be recognized as a form of healthcare, we need to focus on movement rather than just static palpation on a table.  We need to be testing and retesting our techniques, and documenting the outcomes.  We need to be able to communicate through anatomical language, and recognize our lack of understanding of biological mechanisms.

Most of all, we have to be morally and intellectually honest.

Addition from TG: Much like any profession, the process of learning and continuing to improve one’s skills doesn’t end once you stop paying for a course.  In addition, those therapist who succeed are generally the one’s who understand that not every person fits into one mold where one form of massage or manual therapy works 100% of the time.

While it’s great to have a niche or speciality to help separate yourself from the masses, in my experience those therapists who thrive are the ones who DO NOT pigeon hole themselves into being  SOLELY a deep tissue guy (or girl) or a fascial manipulation guy or a Swedish guy or a Graston guy or a Active Release guy or however many other forms of manual therapies are out there.

Opening up your skill set and adopting other modalities as you learn and gain experience is paramount.  What’s more, just to toss it out there, developing a network and referral system is hhhyyyyyyooooogggge.  This is something a lot of fitness professionals neglect to do, and I can tell you right now that in the future I’ll be referring clients to Justin because 1) he was proactive and reached out and 2) I KNOW he’s good.

It also doesn’t hurt that I know he’s open minded and he actually lifts weights.

For those looking on more insight on how to develop solid referral systems, Dean Somerset wrote a nice post on that topic HERE.

About the Author

Justin Sorbo is a Boston based personal trainer working out of One-to-One BodyScapes located in Newton, MA.  He’s also a competitive powerlifter.

You can find out more information via his Facebook page HERE.

CategoriesCorrective Exercise Rehab/Prehab

Recovery Revisited: The March Madness Edition

Today’s guest post comes from certified personal trainer and massage therapist, Geoff Pritchard. Geoff actually wrote a fantastic guest post for me last year around this time (link below), and when he extended the offer to write a follow-up I accepted without any hesitation.

I know for some, the topic of recovery is about as exciting as watching NASCAR or an episode of Downton Abbey.

Ironically, it’s a topic that most people could benefit from reading more on, as it’s generally the one thing that people tend to gloss over on day-to-day basis.

That said, READ IT!!!!!!

A year ago I posted on Tony’s blog about some ideas and people who were shaping the fitness industry in terms of recovery and regeneration. I wrote that article to inspire you to spend more time working on tight muscle tissue. But I realized in my massage business that my athletes were still coming in broken from lack of focused recovery work. So, what advice did I give them? Let’s take a step back in time, revisit what I said before and continue the dialogue with some new action steps to save your soft tissue from harm!

My objectives (as stated in my previous post):

  • Review the foundational items you should do to achieve better performance
  • Evaluate the research and evidence based practice of fitness and bodywork professionals, and
  • Incorporate simple changes into your schedule

These objectives are the key components of what I tell my clients to do for maximum results.

The foundational items are still nutrition and sleep.  The body can only recover from the daily demands of stress from appropriate nutrient intake and adequate amounts of rest. If this foundation isn’t solid, then no matter how hard you try, your recovery steps will be severely compromised … and crumble quicker than the #1 ranked teams in men’s college basketball!

Research and Evidence Based Strategies

Last year I mentioned the names of Nick Grantham and Sue Hitzmann for their recovery strategies and products. Nick is continuing to mentor athletes and fitness professionals in England, while in recent weeks, Sue has published her book, The MELT Method (currently #3 on the New York Times bestseller list) and appeared on Dr Oz to describe the structure of fascia and how it relates to mobility and optimal movement.

Sue was even able to convince NBC to show Gil Hedley’s video of dissection on national TV. If you want a true “inside look” at our muscle and fascia – and have a few hours to be amazed – Gil has made these videos absolutely FREE on his YouTube channel. In my opinion, you need to check it out – it’s pretty freakin’ remarkable!

My 2013 Recommendations

So, which experts are making a huge impact on resolving soft tissue dysfunction and therefore helping to eliminate the long-term consequences of poor movement – chronic pain and muscle damage? My list comes from two sources:

Kelly Starrett

Ok, so this won’t be a new name to most people, but his recent two-day seminar hosted by creativeLive was probably the best all-encompassing workshop I’ve attended.

He spoke for over 12 hours on the mobility paradigm and methods he uses with all clients – and how it all relates to athletes and the general population.  In addition, he enlisted the help of his friends … Carl Paoli (GymnasticsWOD), Brian Mackenzie (CrossFit Endurance), Jim Kean (WellnessFX) and Jill Miller (Yoga TuneUp). This workshop should go right alongside your collection of Assess and Correct, Muscle Imbalances RevealedUpper and Lower Body, and Training = Rehab, Rehab = Training.

While full access to the videos at creativeLive will cost you $99, most of the content can be filtered out through his blog and videos at MobilityWOD (which contains over 400 posts). Just search and go!

My Peers –Bringin’ It in Baltimore.

Fifteen months ago I moved away from one of the major hubs of fitness – Boston, MA – and home of Mike Boyle Strength and Conditioning, Cressey Performance, and the kids of Harvard (where the Ancestral Health Symposium was held) to be living near family in Baltimore. It was a big transition for my family and my uprooted business – as well as my physical health – would be dependent on meeting great trainers and great bodyworkers.

[On a side note… it eases the transition when your Super Bowl success in New England (2002, 2004, 2005) follows you south and you watch the Ravens bring the trophy to Charm City … which I credit my son for doing, since only days before a Wild Card game with Indianapolis he got his first sports jersey J]

Fortunately for me, the local Baltimore community is outstanding. I have access to a wonderful network of people:

Not too shabby!! (And we even get to enjoy the local clothing scene from Under Armour, who just opened their first storefront)

So, how does this relate to recovery and restoration? What changes should you incorporate into your program? My suggestion is anything you HAVEN’T been doing. We get stuck in our ways pretty frequently – think Groundhog Day with Bill Murray – and forget to challenge our soft tissue in areas that need assistance.

One way to do this is to get an outside opinion. Here’s your A-ha moment … Contact someone from your network of local experts (who’s not your regular gym buddy) and ask them to assess and find your weak links! By fixing these areas of dysfunction and stagnant tissue, we restore better resting muscle length, alleviate unwanted fascial restrictions and improve our chances for optimum performance.

You can even utilize online coaching – it’s easy to access the best movement specialists around the world with an Internet connection and webcam. If you have the funds to pay for a couple sessions, then utilize those experts to get you moving, literally and figuratively, in the right direction.

After you know what to do (trigger point, soft-tissue work, and/or active stretching – AIS or PNF), then these restorative changes should be incorporated into your schedule for 15 minutes a day, every day until the change is permanent and integrated (this could mean between two and five trouble areas). And, don’t forget to move! If we don’t integrate the new patterns with movement, then we haven’t fully reset our neuromuscular motor control.

Be vigilant to complete those 15 minutes EVERY DAY! And be aggressive and focused – constantly remind yourself of the agonist / antagonist relationships and go deeper as long as you can control your breathing.

Need Any Help? Free Skype Consultation?

If you want suggestions on movements, leave a comment about what’s hampering your performance or recovery and I’ll reply with a couple ideas to get you started.  Whether it’s “gliding surfaces”, “hydration”, “breathing patterns”, “joint centration”, or “wow… how do Bikram Yoga teachers have such crazy mobility?”, search your favorite blogs and YouTube channels for ways to achieve better movement patterns.

I also want you to comment about local experts in YOUR city that are making a difference – and pushing the envelope against the barrage of magazine and TV mis-information – to educate and influence our understanding of recovery and regeneration.

BONUS… to show my love for Tony and his loyal audience – I’m offering a FREE Skype consultation to one person – chosen randomly – who posts a comment and/or question over the next two weeks.

Now, I’m off to practice my recovery and mobility routine: trunk rotation and extension using active isolated stretching and a couple internal hip rotation mobility exercises from Evan Osar.

Author’s Bio

 

Geoff Pritchard is an NSCA certified personal trainer and a licensed massage therapist. He has eight years of training experience at gyms, health clubs, and corporate wellness centers. He is passionate about using bodywork and exercise to help people move better. He recently relocated to Maryland and opened up Charm City Massage – Therapeutic Bodywork for Optimum Performance – in Lutherville-Timonium. If you want to contact him, please connect with Geoff on Facebook.