Treating Disc Injuries
Question:
I had a client make an appointment for a massage with a recent disc fracture. This client had been through physical therapy, but has a doctor's script (however I'm aware that medical doctors most times do not understand that massage can injure instead of help the person in pain). This is an elderly client without much information and I am concerned that I may re-injure the client. Do you have any suggestions?
Thanks,
- Valeriel, CMT
Answer:
I do agree that most people do not fully understand the benefits of therapeutic massage. However, in a case like this, the doctor has recommended therapeutic massage. With the training you have as a registered massage therapist, plus a detailed case history and thorough assessment you should be able to assess a safe massage to start out a series of treatments for this client. My only suggestion would be to start off with very light, slow and precise pressure and strokes. Also always check in with the client periodically throughout the massage to make certain they are comfortable with the treatment. In addition, make an effort to check with the client 24 to 72 hours after each treatment (for the first few treatments) to see if there has been any delayed effects from the massage. If they are not feeling any ill effects from the treatment after adequate time you may want to start increasing your pressure and using some therapeutic, deep tissue techniques that you would not normally use on an acute injury. You may be surprised at the response you will get from this type of increased care. It may even increase your referrals!
Good Luck!
Karin
