Archive for the ‘Sue Coughtry LMT’ Category

Massage Therapists are Health Professionals

Wednesday, July 8th, 2009

by: Sue Coughtry, LMT

Something that I find disappointing in my practice is how seldom doctors recommend therapeutic massage to theirpatients for the alleviation of pain.  They prescribe drugs, give shots, some recommend physical therapy (which is good and physical therapists can do some massage, but usually do very little in their work) and recommend surgery.  Only a rare doctor recommends massage or soft tissue work.  But massage therapy can do wonders for many conditions in a gentle way with only beneficial side effects.  I think part of the problem is that most doctors – and most people for that matter – look at massage therapy as simply a relaxing luxury instead of a set of soft tissue techniques for relieving pain.  This became obvious just this year as our Governor considered taxing massage therapy as part of the beauty industry, though we are licensed in a health field.  Fortunately the economic stimulus package allowed the Governor to drop this idea, but it made it clear how most people view massage therapy.

NYS has the most stringent requirements and the toughest licensing exam in the country for massage therapists.  While there is no separate licensing exam or certification for medical or orthopedic massage therapists, it is generally understood that a medical massage therapist has had more hours of schooling and continuing education to learn the latest and most cutting edge techniques for pain relief.  Medical massage therapists are specialists in muscles and they know how muscle imbalances can affect the joints and the organs and posture and cause pain. 

I’d love to see massage therapy taken seriously as the health profession that it is. I’d love to see options for higher levels of education and licensure. I would love to see physicians refer patients to highly trained massage therapists – medical massage therapists – as a first step to see if the soft tissue techniques can solve the particular problem before they try something more invasive.  I’d love to see physicians collaborate with massage therapists the way many chiropractors do now.   I’m so grateful and delighted to be working with a group of doctors and health professionals who do take this seriously.  We have great success working together here at the Center.

What’s Really Going on When You’re Hurting: Trigger Points and Muscle Pain

Tuesday, May 19th, 2009

By Sue Coughtry, LMT

Spring is here and we’re all out cleaning up our lawns and planting gardens and brushing up on our summer activities. Often we over-do it and get sore. My patients often ask what causes those knots that they feel in their muscles.  They often wonder what trigger points are.

Here is what’s often going on when you hurt:

Muscles work in pairs.  When one muscle tightens to move a part of the body, the opposite muscle relaxes and lengthens to allow that movement.  So one side pulls and the other side relaxes.  When there is a muscle strain of any kind, the side that tightens actually pulls too hard or too fast, and the side that lengthens gets over-stretched.  To protect the muscles that are over-stretching from reaching the point of tearing, nerve fibers within the muscles themselves immediately makes that over-stretching muscle contract back pretty hard.  While it protects against tearing, which  is a really good thing, that muscle can also now get stuck in this new, now overly contracted state.  This creates a knot in the muscle, and that knot is a trigger point.

When you try to move, the affected muscle tightens even more to protect itself, creating a cycle of pain and more contraction, which causes more pain and then more contraction. You may get other supporting muscles to join in to protect the injured one.  We call that splinting.  Then the area gets even more painful.  You can often feel those areas of contraction as knots in a muscle, and they are very tender to pressure.  These trigger points can also cause pain in other areas of the body – this is called referred pain.

How medical massage can help:

There are many massage and bodywork techniques to release the trigger points, ease the pain and get both sides of the affected muscle back into balance.  Trigger point work, positional release therapy, myofascial release, craniosacral therapy and myokinesiology can all release these trigger points and help your muscles return to a more balanced, pain free state.  Each person responds to these techniques differently so when one technique doesn’t seem to work, another may.  This is why I tailor any of my bodywork sessions to the individual clients’ needs. Often my sessions will include a combination of techniques.  If you find yourself really sore after an afternoon of spring clean up, come in to the Center and see what some of these techniques can do for you.

Learn more about positional release therapy, and craniosacral therapy.

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