A. A physician's referral is not required, however one is suggested to rule out other pathology that may be causing your condition. In some cases, a therapist may require a physician referral to be sure that there is not a serious underlying medical condition that needs to be addressed.
A. Since every condition is different, the frequency and duration of treatment may vary. The length of time you have been in pain, the severity of your pain and the number of body parts that are in pain and your overall physical health affect how long treatment lasts. In the majority of cases, a person will achieve a noticeable reduction within 2-3 visits. Often the first visit gives significant relief. Being an active participant in your treatment will help you to recover more quickly.
A. Your therapist will identify certain activities in your life that exacerbate your pain condition. We call these "perpetuating factors". These areas must be addressed to achieve lasting pain relief. These factors include posture, ergonomics, sleep and nutrition, among others. As part of your treatment program, your therapist will help you develop solutions to these perpetuating factors.
A. Trigger points are very sensitive. In the treatment of myofascial pain pressure is applied to trigger points. You are always in control of how much pressure tolerate. Often patients describe it as "good pain". Often a pain scale of 0-10 is used (0= no pain, 10= intolerable pain. ) We recommend pressure in a 5-7 pain range. You should let your therapist know if they are applying more pressure than you can handle.
A. Not usually. Even though some certified trigger point therapists are also certified massage therapists, they usually differentiate between a trigger point therapy session and a massage session. Some massage therapists will work on a trigger point when they find one, but usually do not provide their patients with our comprehensive treatment protocol.
A. Myofascial Trigger Point Therapists need easy access to the areas needing treatment. Depending on what area is being treated you can choose to disrobe, wear undergarments or a swim suit. You may also choose to wear loose fitting clothing and adjust your clothing so that your skin is accessible for treatment. A typical trigger point therapy session will have your body in a variety of different treatment and stretch positions and may have you standing and walking so that the therapist can assess your posture and gait.
A. Yes. Your trigger point therapist can teach you self-treatment techniques. You can use your hands or your therapist may recommend treatment tools to assist you. Your therapist can guide you to appropriate educational materials.
This is from NAMTPT
Where will my massage or bodywork session take place?
Must I be completely undressed?
Will the practitioner be present when I disrobe?
Will I be covered during the session?
What parts of my body will be massaged?
What will the massage or bodywork feel like?
Are there different kinds of massage and bodywork?
What should I do during the massage or bodywork session?
How will I feel after the massage or bodywork session?
What are the benefits of massage and bodywork?
Are there any medical conditions that would make massage or bodywork inadvisable?
Where will my massage or bodywork session take place?
Your massage or bodywork session will take place in a warm, comfortable, quiet room. Soft music may be played to help you relax. You will lie on a table especially designed for your comfort.
Must I be completely undressed?
Most massage and bodywork techniques are traditionally performed with the client unclothed; however, it is entirely up to you what you want to wear. You should undress to your level of comfort. You will be properly draped during the entire session.
Will the practitioner be present when I disrobe?
The practitioner will leave the room while you undress, relax onto the table, and cover yourself with a clean sheet or towel.
Will I be covered during the session?
You will be properly draped at all times to keep you warm and comfortable. Only the area being worked on will be exposed.
What parts of my body will be massaged?
A typical full-body session will include work on your back, arms, legs, feet, hands, head, neck, and shoulders.
What will the massage or bodywork feel like?
A relaxing Swedish massage is often a baseline for clients. In a general Swedish massage, your session may start with broad, flowing strokes that will help calm your nervous system and relax exterior muscle tension. As your body becomes relaxed, pressure will gradually be increased to relax specific areas and relieve areas of muscular tension. Often, a light oil or lotion is used to allow your muscles to be massaged without causing excessive friction to the skin. The oil also helps hydrate your skin. You should communicate immediately if you feel any discomfort so that another approach may be taken. Massage and bodywork are most effective when your body is not resisting.
Are there different kinds of massage and bodywork?
There are numerous types of massage and bodywork; various techniques utilize different strokes, including basic rubbing strokes, rocking movement, posture and movement re-education, application of pressure to specific points, and more. We can discuss which methods may be most appropriate for you.
What should I do during the massage or bodywork session?
Prior to the massage, feel free to ask the practitioner any questions about the technique or the upcoming session. During the massage, make yourself comfortable. The practitioner will either gently move you or tell you what is needed throughout the session (such as lifting your arm). Many people just close their eyes and completely relax, communicating if/when they need more or less pressure, another blanket, or anything else relevant to the session. If you have any questions regarding the session or about the particular technique you are receiving, feel free to ask.
How will I feel after the massage or bodywork session?
Most people feel very relaxed. Some experience freedom from long-term aches and pains developed from tension or repetitive activity. After an initial period of feeling slowed down, people often experience increased energy, heightened awareness, and greater productivity which can last for days. Since toxins are released from your soft tissues during a massage, it is recommended you drink plenty of water following your massage.
What are the benefits of massage and bodywork?
Massage and bodywork can help release chronic muscular tension and pain, improve circulation, increase joint flexibility, reduce mental and physical fatigue and stress, promote faster healing of injured muscular tissue, improve posture, and reduce blood pressure. Massage and bodywork is also known to promote better sleep, improve concentration, reduce anxiety and create an overall sense of well-being.
Are there any medical conditions that would make massage or bodywork inadvisable?
Yes. That's why it's imperative that, before you begin your session, the practitioner asks general health questions. It is very important that you inform the practitioner of any health problems or medications you are taking. If you are under a doctor's care, it is strongly advised that you receive a written recommendation for massage or bodywork prior to any session. Depending on the condition, approval from your doctor may be required.