Bates Method – Part 2

• Seated Acupressure Neck & Shoulder massage is a short focused massage to release tension in the Neck & Shoulders
• Choose Sports massage over deep tissue massage when you go to the gym with a specific sporting goal in mind, i.e. you are going for more than just generally keeping fit.  Or you are really focused on your sport including actively taking part in competitions or you are keen to improve your performance or your training is solely focused on your sport and you do not cross train.

Ankle sprains are one of the most common injuries, which involves trauma to the ankle ligament.  A sprain occurs when one or more of your ligaments have been stretched, twisted or torn, usually as a result of excessive force being applied to a joint.  They often occur if you change direction or speed suddenly, fall and land awkwardly or collide with an object or person – such as when playing sports. If you have ever sprained your ankle, then you will probably remember the initial pain, the considerable swelling and bruising.  The swelling from a sprain will often occur soon after the injury, but the bruising may not show until later or it may not show at all. Bruising can sometimes occur some distance from the affected joint, as blood from the damaged tissue seeps along the muscles and around the joint before coming close to the skin. It should be noted that ankle sprains take at least 12 weeks to heal. When to visit your GP? Most ankle sprains are relatively minor and can be cared for by self-treatment.  However, you should visit  your GP if you think you have a sprain and:

• the pain is particularly severe
• you cannot move the injured joint or muscle
• you cannot put any weight on the injured limb, or it gives way when you try to use it
• the injured area looks crooked or has unusual lumps or bumps (other than swelling)
• you have numbness, discolouration or coldness in any part of the injured area
• the symptoms have not started to improve within a few days of self-treatment

• Rest your ankle.
• Ice (wrap ice cubes in a tea towel) and hold over the ankle for 5 - 20 minutes every 2 hours for 2-3 days, then daily for the next 3 days.
• You can then bandage the ankle in a figure 8 with the heel in the centre of the figure 8, with a compression or elastic bandage.
• Finally you should elevate your ankle to reduce the blood flow to the area, for the first 24 hours.

• Circle your ankle clockwise repeat 3 times
• Circle your ankle anti-clockwise repeat 3 times
• Lie down on your back, point your foot and your toes and then bend your foot up the ceiling and the same time straighten your toes - repeat 3 times.
• Now sit on a char and draw the alphabet in the air with your foot this will move your ankle full a range of movement.
• Once you have your full range of movement back, then you can start increasing your proprioception.  You can stand on a pillow on one leg (your affected ankle), and build up the time until you feel that you stability is the same in both your legs.

One of the first things you learn as a massage therapist is that everyone wants deep pressure in massage.  This is because no one wants a light fluffy massage because they feel there will be no benefit and they have wasted both their time and money. The second thing you learn as a massage is that everyone has their own idea what deep pressure is and what would be light pressure for one person is deep pressure for another person.  Even if you take one client, the pressure they consider deep on their tight shoulders will be different from their idea of deep pressure on their legs.   So there is no fixed concept of what deep pressure is, it varies from client to client, and with the same client it varies treatment to treatment and depending up on the part of their body your are treating. Given all this how do we work out pressure in clinic.  First, we base it on our experience, your body type, the tension in the muscle we are working on.  But most of all we talk to you about how the pressure feels to you and respect your preferences for pressure. I am sure most of you have heard me talk about good pain.  Its based on a phenomenon that I have seen in clinic over the years.  This is where someone comes into clinic in pain, we apply pressure and the pain turns into a good pain – because the pressure is a source of relief.  For some people this “good pain” just feels right.  This good pain is strong but welcome and came sometimes be described as a “sweet ache”.  For some clients the good pain, is such a welcome relief that pain doesn’t even seem the right word. A word of warning, I like all my other therapists are only human and sometimes we get it wrong.  This can be if we have missed a trigger point that is very sensitive, and we go into deep or the opposite can happen where a muscle locks up and we apply pressure and you as the client can’t feel anything.  These situations can also arise due to change with your body i.e. an intense gym session or longer work hours than usual so lots of extra time sitting at your desk. I try to ask all my clients regularly without sounding like its some automated message, do you want the pressure deeper or lighter and if so let me know.  I know the other therapists in clinic do this as well. In clinic we always want you to get the most out of your treatment.  So please remember we always welcome feedback on pressure throughout your treatment.