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Massage therapy can help to decrease pain and muscle aches, reduce stress and anxiety, and promote overall wellness and relaxation.

LMT looking for advice from fellow massage therapists.

Wendy Faber (Westlake, OH) on Jan 19, 2013
1 user found this answer helpful
Have you had anyone do any myofascial release? It's a possibility that your fascia could be tangle and bound up restricting movement. Glad to hear you got back as much as you did, even though it's been a long process.
Paula Reeder (Katy, TX) on Jan 6, 2013
where are you located?
Heather Topoly (Akron, OH) on Mar 9, 2013
I tore my supraspinatis in a car accident 2007, had 5 months otherapy. It got better than got so bad I couldnt even lift a phone book off the table into the air. Massage helpes it for a brief period. Eventually decided the have rotator cuff surgery, the rehab was awful. However it was the best decision, my shoulder is back to 100%. Lost minimal ROM but can use it as ormal.
Eve Torres (Pinellas Park, FL) on Jan 6, 2013
Seems to me you've done the standard things we normally do with an injury of your nature. My suggestion is to find someone who will work gently and slowly to reduce and release the adhesions formed from the tears. this will help heal the muscles and increase your ROM.
Ben Strickler (, ) on Jan 6, 2013
There is a guy in Santa Barbara dr hesu Whitten of the healing place who heals all body issues
Diane Palma (Oak Park, IL) on Jan 6, 2013
I am so sorry to hear about your accidents. I had been in 2 very bad accidents myself and several surgeries that still left me in pain too. Never give up - there is help out there for you. Since the massage has only brought you so far, try searching out other therapies too. Have you considered craniosacral? Reflexology? Both work thru the central nervous system and may bring the more profound changes that you need. I am not an expert on craniosacral, but know reflexology will get your body working on itself to truly heal. Only get it on the foot - for the brain reacts more powerfully to the working of the reflex arch to the brain vs. the hands or ears. A message goes up to the spinal cord to the reticular formation in the brain (where it has a map of the whole body). From there a message is sent to specific body parts prompting them to heal and fine tune themselves. Whatever you end up doing I wish you the best. Warmly, Diane
Attila Pegan (Savage, MN) on Jan 6, 2013
Hello there, I only can answer for the last part below: "What is better for trigger points, muscle lengthening, and fascia restoration or resetting. ART? Functional Range release? Post isometric relaxation? myofasical release? I have ankle, knee, hip, and back pain, with horrible posture, always tired, gait issues, the whole nine yards. I want to know whats the most effective in improving range of motion, muscle lengthening, muscle quality, etc." Such a trauma that you suffered takes time to heal and integrats, settles in the whole body. Minimum of 6 months when the compensations build up. You mentioned it happened about 14 months ago so your body definitely settled, other than reinjuring the same area with exercise. PT would be my first recommendation, as they can localize the work. Then I would look for a Structural Integrator, to address the whole body compensation patterns. Also swimming, yoga and pilates that you may want to explore if you haven't yet. Attila Pegan
Nancy Web (Pawtucket, RI) on Jan 6, 2013
Unfortunately some injuries will never recover to 100% but the goal is to reduce symptoms and increase mobility and there may still be more you can do. I would recommend Craniosacral therapy. I have had good luck using this technique with several whip lash injuries and it has helped to release headaches associated with the injuries. Shiatsu would also increase the energy flow to the area which tends to get blocked with injury. Myofascial release would unwind the trauma from the tissues, which tend to hold on to the trauma. When you stretch your neck grasp your hands behind you or hold onto a tie and this will give a deeper stretch to the neck muscles and the supraspinatus. Blessings and good luck on journey towards healing.
Jeff Byrd (Las Vegas, NV) on Jan 6, 2013
I understand your pain. The same happen to me. That is why I went into massage. Never stop trying to improve your strength exercises. It is a road I have been on for 13 years. Some simple things to look at. Your body mechanics while doing your massages and in general as well as your table height. It makes a difference. You never stated that you have massage done. I go three or four times a week when things are bad. That is what helps me.
Howard Rontal (Potomac, MD) on Jan 6, 2013
Myofascial Release, Rolfing, Hellerwork, or the Myofascial Release Massage (which is derived from Hellerwork) can be very useful to you, both for your shoulder pain and over your whole body. Severe trauma, as you had, is a whole body event, however localized the symptoms. The logic of the body in the circumstance of severe trauma, is that if motion causes pain then no motion will protect the body from pain -- and the body tightens up. Over time the fascia which wraps and interweaves the muscles down to the fiber level will contract, harden, and become adhesive and can stay that way forever unless there is manual intervention. What you experience is increasing degrees of pain, stress, and tension and decreasing range and ease of motion. This certainly works against any rehab program you undertake, slowing it down or limiting the results. Regarding your shoulder, the tightness I just referred to can create patterns of strain and trigger points that limit your range of motion and strength. It also exacerbates the pain and limited ROM caused by the small muscle tears. This process can also cause nerve impingements, which from you write, you clearly have. Please check out my website, for information on the Myofascial Release Massage and to see if there is a certified practitioner near you. (I am the founder of the Myofascial Release Massage.) Also go to Youtube and look up Doug Alexander's video, Nerve Flossing and Gliding, for self care techniques that can reduce your nerve pain. Good luck to you; I hope this helps.
Mike Guthery (Saint Louis, MO) on Jan 6, 2013
Sounds to me like you need whiplash release to the neck , pecks , rotators and back . I prefer Rolfing & Myofascial release on these muscles the best it seams to help the best . And when striping the muscles you need to do them one at a time . Don't forget use rom and stretches to help with recovery
Peggy Richards (Scottsdale, AZ) on Jan 6, 2013
Dear Recovering MT, Thank you for your history. I would recommend you get Structural Integration also known as Rolfing. I have had my share of car accidents and the pain that follows while trying to give massages. I am celebrating my 31st year of being in the bodywork business (since I began formal training) and when I have had issues that have plagued me such as a tennis elbow type thing that crawled up my arm and froze it; or a whip lash injury; or you name it ~ worked too much and did not take the time to do my self care or worked on by other therapists, I found that Rolfing and "Prolotherapy" helped me get through the hard times and onto full recovery, pain free. Especially when I worked. I know of an excellent Naturopathic Dr. in Scottsdale that does Prolotherapy like no one else ~ he is really good! And I have been studying Rolfing with the original students since 1980. I work in Scottsdale and Sandpoint, ID. If I can be of any assistance to you, please don't hesitate to contact me. Peggy Richards.
Deborah Lee (Ventura, CA) on Jan 6, 2013
I would recommend acupuncture for that last 10%. I have had fantastic results with nerve impingement issues and enjoy the benefits of the multiple treatments, herbs and creative thinking that an acupuncturist brings to a session. Also, they are wonderful about referring out if their work doesn't have the desired results- no signing up for a year in advance! And cranial sacral work may really help with the head pain and very soothing to your whole system.
Luis Castillo (Boca Raton, FL) on Jan 6, 2013
I would continue with ROM exercises and slowly introduce some strengthening exercises to patient's tolerance. You may not be able to return to 100% execution of movement of the shoulder because of all the scar tissue build up. The ROM exercises will re-align the muscle fibers, but remember that scar tissue is less flexible, less strong and more susceptible to pain. Have you had MRI of the Cervical spine? you may have disc damage (herniations, bulging etc) and this could be the reason for the headaches. I would start with the sub-occipital muscles and work them out to see if this can help with the headaches.
Karen Orlosky (Lafayette, CO) on Jan 6, 2013
I believe CranioSacral therapy may help your situation. Also, it's a good treatment protocol to learn for yourself, as it is very gentle and easy on the practitioner. I would be inclined to do an initial visit which includes an assessment and start treatment with CranioSacral techniques.
Christina Richards (New York, NY) on Jan 6, 2013
I would take some Alexander Technique lessons and learn to carry as little tension in your head and neck as possible when you are working or in life. When you are bending over a massage table it is obviously compressing the nerves due to engaging the muscles. Feldenkraise Technique is very useful to help regain movement starting with micro movement and using as little effort as possible. Otherwise there is always Rolfing Structural Integration to lengthen the fascia, improve ROM, and realign your body. Good luck!
Rosemary Rickard (Tampa, FL) on Jan 6, 2013
You may benefit from Chiropractic care, Acupuncture, Cranio Sacral Therapy, Structural Integration, and Water exercises.
Brenda Thomas (Garland, TX) on Jan 6, 2013
I was in a car accident in Feb 2012, I had a major case of whiplash and I saw a chiropractor for 8 weeks and it made all the difference. Initially I could not even reach over a client let alone do anything beyond a Swedish but as the sessions progressed with the chiropractor I regained my strength and ROM please try it.
Christopher Smith (Pikesville, MD) on Jan 6, 2013
First and foremost, I would find someone who can do Active Release to break up the scar tissue related to your injury. Also, your headaches appear to be possible trigger points. there is also a technique that I've had success with, it applies pressure to either side of adjacent vertibrae ( to imagine this, place one open hand on top of the other and slowly move them alternate ways) this will stretch the smaller muscles and decompress possible pinched nerves. Hope everything works out and gets better for you
Mary Jo Smiley (Warrendale, PA) on Jan 6, 2013
Has anyone treated the trigger points in the neck and shoulders? PT is generally bad news for this lind of injury. The "shooting, stabbing pains" would cause me a good bit of concern. Try to find someone that is WELL TRAINED in trigger points. Also do searches for the pain patterns of the upper trap, scalenes, levator, SCM and other neck and shoulder muscles. You will find a "symptom checker" here: dont give up until after having a properly trained MTPT work on you. The average MT has very little training, no matter what the teacher told them.
Margarita Perez (Jersey City, NJ) on Jan 6, 2013
There are two issues here that need to be looked at. 1. What is the source of the diagnosis of the damages? I would like to know, before being more than general in advice, that the diagnosis was provided by a doctor or similar medical professiona (chiropractor?) with experience in these issues, supported by tests such as, but not necessarily limited to, MRI. The way this question is posed suggests these are a self-diagnosis and I am never comfortable with that. In the absence of that information, I am concerned about the treatment program embarked upon. I am not saying it was wrong. I am only saying that I cannot support it without professional verification of information that is not mentioned. 2. Assuming that information is available, and armed with the information and tests that support the professional diagnosis, I would start with a interview and on-the-table examination to confirm the significance and relevance of that diagnosis to available massage modalities. A course would then be indicated and confirmed with the responsible doctor. Without anticipating what that course would be, my experience says it almost certainly would require a massage therapist with substantial experience in orthopedic work. In sum, this situation is not one that should be dealt with on the basis of anecdotal reporting alone, but with solid, careful co-operation between your medical professional and a therapist who has experience in those issues. You do not mention where yo are located, but if you are in our area (Jersey City, NJ) and are registered as a professional member of Zeel, and will pull together that diagnostic information and if your doctor will be available for consultation, I would be happy to extend a free consultation as a professional courtesy. If you are not in this area, I respectfully recommend that you seek those resources where you are before further work.
Kate Reust (Seattle, WA) on Jan 6, 2013
Morning, I had injury at nearly identical cervical levels with pain in the shoulder that exagerated to present as frozen shoulder. Eventual nerve implications showed up to distal elbow. Are you AMAZING under chiropractic care? If not I can make that recommendation as it may very much help the C1/2 alignment or Atlas lock that may be causing the headache. have you had any intraoral therapy for the whiplash? It's a specialty of my practice and a HUGE benefit for addressing even very old whiplash related issues. Do you have a PCM? Get your doctor to refer you for a cervical MRI. Make sure that there is no spinal or nerve impingement that would be making it appear to be a "shoulder" issue. 99.999% of the time I find that extremity 'mystery issues' are at the spine. Kate
Tim Garrison (Plumsteadville, PA) on Jan 6, 2013
I am a mfr therapist trained in the John Barnes Approach. I feel that myofascial release would be a great modality to turn to with regard to your health history. Im not sure how much you know about the fascial system, but it surrounds every fiber of your being from the superficial fascia all the way down to the cellular level. It is one, continuous, spider-web-like matrix that surrounds not only muscle tissue, but organs, bones, nerves, blood vessels, lymph vessels, etc. The fascia's function is to protect, support, and organize various systems of the body. It is highly resistant to tension but has a liquid component which allows it to move with the body. During trauma such as your series of car accidents, the fascia solidifies to absorb shock, exerting up to 2000lbs per sq in force on all entrapped structures. And since the fascia is continuous throughout the body, it starts to pull into other areas causing postural abnormalities, restriction, and more symptoms. Fascia needs to be addressed differently than muscle tissue. You can do all the stretching you want, but if not held for 2+ minutes, the fascia will remain restricted causing symptoms to come back. I am not saying John Barnes MFR is the magic bullet, but I work with many folks in your situation and it definitely works better than most conventional therapies. (I am a converted deep tissue- trigger point therapist) To find a John Barnes therapist near you, search the practitioner directory at Best wishes to you. Stay positive and be patient with yourself.
Theodore Schiff (Northampton, MA) on Jan 6, 2013
In looking at your post, I am inclined to recommend Positional Release Therapy as it's not all about elongation of sensitive muscles. The work I do is gentle and encopasses approximation, which resets the muscle spindles, bringing them back to a shorter resting point. It is equally effective at addressing postural alignment, which may easily address your persitant headaches and shoulder pain. If your hips are off, chances are your foundatundational leg lenth is off. This can easily cause foot, knee, hip, back, shoulder, neck pain and headaches. Ted Schiff, LMT. CR. CST, Valley Massage Therapy (413)687-7878,
Vicki Mah (Sacramento, CA) on Jan 6, 2013
You can get your ROM back or further improved. You can benefit from further myofascial release related to head and neck area. I am sure I can help you further. You can view my work at release-the-pain com
Kate Peck (West Newton, MA) on Jan 6, 2013
You must normalize the muscles & vertebral motion of your neck before your shoulder will recover. I can recommend an osteopath in the Boston area who will do gentle mobilizations, no high velocity adjustments that may be too much for your traumatized neck.
Laura Kitchens (Saint Cloud, FL) on Jan 6, 2013
Hey there, Sorry to hear of your accidents. I suggest an A.O. Chiropractir they ar not easy to find but i believe are the best option for neck injurys. Go to Also find a certified structural energetic therapist......cranial structural release will do u a word of good... Good luck Laura k lmt
Stephen Fortier (Pinellas And Pasco Countie, FL) on Jan 6, 2013
I believe you could benefit very well from a combination of neuromuscular techniques, myofascial release, and positional release. In your situation, the therapist should be very good at manual assessment with fingertips. If you have any further questions, please feel free to contact me via email at (Steve)
Heather Park (Sandy, UT) on Jan 6, 2013
Hello, after reading your story, first I want to say, I am really sorry your have had these horrible car accidents to cause such damage to your body. In acute stages it can take 2 weeks to up to 1 year to heal, some times longer. My name is Heather, and I work with a women at Quantum Healing Arts, we usually really help people who come to our office with injuries such as yours and they end up healing and improving. Most of the clients we get have seen a doctor or gone through an attorneys office to receive medical massage work usually provided through a doctors prescription. Injuries are very dangerous, some injuries to the spine if worked on in the wrong way can cause a person to become a paraplegic. Most injuries cause a lot of fibrotic tissue to cause severe immobility and loss of range of motion. If you want your body to heal, my suggestion to be stop working for a while and take some time to rest, heal, and if you haven't yet, go see a doctor and get an MRI to find out what the real damage is. I had an injury to my lower back a year or so ago, and I took care of it, went to see a chiropractor, and had work done, and took time off, and it has healed. Because of the tears in your muscle tissue, and the areas you mentioned stretching, isn't the right thing to do. Also, I do Cranial-Sacral work, and it helps in the healing of the mind, the spine and the spirit. It will also rid you of headaches. Your body is in trauma, your neck needs a lot of time to heal, and because your trying to work, your not allowing healing time, in fact you could be making your body work harder causing more stress. IT's more difficult to massage others when we are in so much pain we can't do a good job and our best work. I hope the information I have given you has been helpful, and not caused you grief or frustration. I work at Quantum Healing Arts in Sandy, and would be happy to help with testing, and using the tools I have to help you completely heal from your injury both mentally and physically. Sincerely your fellow Massage therapist, and friend. Heather Park LMT, NCBTMB
Tracy Bloom (Fairfield, CT) on Jan 6, 2013
Regarding neck muscles, were they address by LMT/PT? Regarding shoulder, etc from car accidents, and headaches, have you had a DR check these? MRI? These could tell you more. Generally I recommend Pilates exercises for tightness and limited ROM (and I teach Pilates) because it includes Golgi tendon reflexes and PNF responses, is not static stretching. As you know, tight muscles can create further problems, pain, etc. It could take a long time to get pain free. Swedish massage can help with the general relaxation responses, but more specific modalities may be needed. It is a balanced combination of rest, work, stretching and strengthening, not just of the individually injured muscles themselves but of the whole body. You don't give your age, but the older we are the longer it may take to recover from exercise soreness, rebuild tissue, etc... Don't give up!
George Engelhard (Orlando, FL) on Jan 6, 2013
Acupuncture/Chinese medicine would be what you should try next.
George Engelhard (Orlando, FL) on Jan 6, 2013
Acupuncture/Chinese medicine would be what you should try next.
George Engelhard (Orlando, FL) on Jan 6, 2013
Acupuncture/Chinese medicine would be what you should try next.
George Engelhard (Orlando, FL) on Jan 6, 2013
Acupuncture/Chinese medicine would be what you should try next.
Carol Stuhmer (Miami, FL) on Jan 6, 2013
You didn't mention - did you have an MRI you only mention m & n damage. If it's not's a good idea. I would suggest some CranioSacral Therapy for your headaches - find a therapist who has completed at least CST II or higher level of training. This includes the mouth work, which is very effective in working with clients with migraines and headaches. I've been using cold laser, MicroLight 830 and it is excellent for obtaining relief. A demo model is more efficient cost wise and they have very light use. You can get it on a 90day trial (full refund except shipping cost)....and make two payments a month apart. I used mine daily for issues with my knee. I know know which points work best with which pains. even an old shoulder issue that acts up now and again is greatly relieved with treatment. FYI full training is online with purchase....I also use it for clients where appropriate, great with those stubborn triggerpoints, and at tendons, after multiple deep tissue sessions sometimes my wrists just throb - a short treatment and I'm good as new. It also helps keep my back open, I typically have L3-5 issues and tight muscles around that which sends me into a pain syndrome (I was in a severe accident when I was 18 - now 62 - it wasn't until around 40 yoa that I started having pain and numbness). I wish I'd know about this laser 20 years ago. I researched a lot of the lasers out there...this is the most cost efficient and effective. If you do a little research on the internet you'll find the penetration of the 830 nm is the best penetration for getting into the muscle. You can get the little pen light things for hundreds of dollars - they have a very subtle effect....I know people who swear by them, and that's what got me started on my investigation. Check it out for yourself. Look it up or email Greg the sales rep I dealt with: greg@ml830clearance dot com . or 8887890745 Tell him Carol Stuhmer referred you.
Bharat Kalra (Wheaton, IL) on Jan 6, 2013
Craniosacral Therapy, Cold Lasers, Meditation and very gentle deep breathing can restore normalcy.
Nicole Keane (Anchorage, AK) on Jan 6, 2013
I have seen this before with several shoulder injuries. The most important thing to do is pay attention to your body and if you are overworking it, getting headaches, pains, back off the massage and do less for the time being. I also believe myofacial release and trigger point therapy will be helpful for you. The key is to find a skilled practitioner. Myofacial release/ trigger point therapists are all different. I believe what distinguishes therapists is knowledge plus intuition. I have seen people get worse because DO's have done "trigger band" therapy and not really listened to what the body they were working on was telling them. You could have all the knowledge of facia and physiology in the world and still not be able to do this work effectively. Poke around and see if you can find a myofacial therapist that comes recommended in your area. ROM exercises are good, but if you have trigger points, weight bearing exercises may make them worse. Manual therapy should help you. Good luck and good for you for refusing the "treatment" recommended and going for massage. Massage isn't recommended enough and most patients just feel that they should do what they are told by their doctors/ therapist. It's good that you listened to your intuition and what your body was telling you to do about the injury.
Kim Greenlee (El Paso, TX) on Jan 6, 2013
What type of massage have you had for your injuries? I recommend neuromuscular on the affected and surrounding area along with specific stretching and some cross fiber friction for the scar tissue. Also a hair analysis to check for any nutritional deficiencies. You wont be able to completely heal if you are nutritionally deficient. Contact me. I'd love to help you if I can.
Prisila Jacobs (New York, NY) on Jan 14, 2013
To Whom It May Concern: I believe that it's time to give accupuncture a try. Don't stop doing ROM exercises and getting massages, since you've improved significantly from this treatment. However by integrating accupuncture into your regimen, I believe that the referred nerve pain that you have experienced will decrease gradually. I'm a strong believer in accupuncture because like you, I experienced severe trauma from a car accident in 2007. While rollerblading I was body slammed, and run over by an SUV. I suffered from a herniated disc that sent sciatic pain down my perroneals. But with regular treatments by my accupuncturist I have experienced great relief of these symptoms, and most days I'm pain free. I also take Omega XL. This is no regular Omega and it's extracted from mussels in New Zealand, which have higher concentration of Omega 3s. Studies have shown that this product decreases inflammation and pain significantly, in people suffering from chronic conditions . In addition, I also take really warm baths with Epsom salts as often as I can. In your case though, I would see whether a combination of Ice/heat could work to calm the nerves in your neck. This treatment is recommended for chronic pain. I would Ice for 2 minutes than sink in the hot tub (5 min), Ice for another 2 minutes, and sink in the tub again (5 min), add 2 more cycles (about 30 min total). I hope that this helps. Let me know if it works for you. Best, Prisila Jacobs (LMT)
Pauline Haughton (Fort Lauderdale, FL) on Jan 9, 2013
You should really go back to your consultant for re- evaluation. I am not sure why you think getting several massages a day would be a benefit, I would probably stick to one a day or 2-3 times a week, depending on what your physician says. Its been that long since your accident, I would'nt be playing guessing games. Go to the person that will know! MT's are not allowed to diagnose. MD's don't like this and it is out of our scope of practice. Please follow up with your doctor. In the mean time, try using a herbal ball/sack, warm on your shoulders. Do this everyday. You can alternate between hot and cold throughout the day.
Nicole Neely (Beltsville, MD) on Jan 10, 2013
I would suggest Myofascial Release it is an amazing technique, and I use it all of the time and allows the body to self correct. Myofascial Release is a safe and effective hands-on technique that can eliminate pain and restore motion. Fascia is the connective tissue that surrounds the muscles, blood vessels and nerves. It connects all of these parts of the body and binds them together like plastic wrap. Fascia can become restricted due to stress, trauma, inflamation or disease and this can lead to pain, muscle tension and loss of motion. These restrictions create a "straight-jacket" of pressure that won't show up on tests like x-rays or CAT scans. Myofascial Release involves applying gentle, sustained pressure into the Myofascial connective tissue restrictions to elongate the fascia and relieve pressure. I use a multitude of Myofascial Release techniques and movement therapy. Outside of the one-on-one sessions, you can build strength and improve flexibility further with self treatment and postural and movement awareness. Traditional physical, occupational and massage therapy treats the symptoms caused by the restrictions, but does nothing about the “straightjacket” of pressure that causes and perpetuates the symptoms. This is why so many people only have temporary results never seeming to get better with traditional therapy. Only Myofascial Release treats the entire Myofascial mind/body complex eliminating the pressure of the restricted Myofascial system that causes the symptoms. Myofascial Release will safely and gently release the entire Myofascial complex for lasting and comprehensive results and authentic healing.
Jon Tallerico (Springfield, MO) on Jan 10, 2013
Without knowing what the remaining 10% is, it is hard to say what might still be going on with the shoulders. What are the remaining signs of injury? The only muscles that could lead to neck, head, and shoulder discomfort by themselves would be Trapezius, Levator Scapulae, and the Scalenes group. Some inhibition work on those hardened neck muscles will likely help with the remaining pain, especially the headaches. I would assume, since you mentioned the whiplash, that anterior cervical spine muscles (Longus Colli, Longus Capitus, Scalenes), are at least partially responsible for the irritation leading to headaches. Posterior cervical muscles to consider would be Splenius and Semispinalis, depending on if certain motions of the head and neck cause discomfort. With any reoccurring headache I also check in with the suboccipitals, as they have been known to irritate the greater/lesser occipital nerves.
Danica Carlson (Berkeley, CA) on Jan 11, 2013
First of all I would go back to the doctors and request an MRI to ensure there aren't any lasting injuries that went undetected the first time around. I feel that as massage therapists we believe so strongly in alternative remedies that when they have had their best effects and we still need more we forget where we can turn. While they may not have a solution to the problem better understanding your injury will allow you to better cope with and heal it. Honestly for me, when I get to the point where it does not seem like my client is improving any further from the treatments I think it's time to reassess the problem. That can be with your doctor, a physical therapist, chiropractor, massage therapist or another type of therapy that you believe to be beneficial. Acupuncture is under appreciated and if you cannot heal any further I would highly recommend it for dealing with the pain and limited ROM. As for the inflammation I am sure as a massage therapist that you're aware that it is a sign on a underlying issue. However, while you are trying to figure out what that issue is there is no reason to be in pain from the swelling. Wobenzym is an incredible supplement for edema and may be greatly beneficial for you while you're massaging and working towards a complete remedy. Sorry I do not have a solution for you, without being able to examine you myself it would be difficult to say. I hope that these answers help you find the solution you're looking for and help you to cope with the pain in the mean time. Thank you for your question and I wish you the best! Warmly, Danica Carlson
Miles Lee (Honolulu, HI) on Jan 11, 2013
It seems to me that some deep myofascial tissue work and some traction on the arm would help a lot. What I have in mind would require assistance from another therapist. With one hand, the therapist grasps the arm just above the elbow and with the other hand, grasps just below the elbow. Placement of the hands is to stabilize the elbow. The arm is extended laterally and twisted in one direction so the head of the humerus is rotated to the end of its range. Hold this position for 30 seconds or so. Do some traction on the glenohumeral joint and again hold for 30 seconds. Repeat this process but in the opposite direction. Do this several times with active and passive ROM between each rep.
Yusef Najem (Oakland, CA) on Jan 13, 2013
I wouldn't be so quick to conclude that this is as good as it gets just yet regarding your ultimate recovery from all those injuries of yours. I take under consideration the steady progress of your improved range of motion _ slowly yet surely your body has been doing what it needs to return to the more near whole condition you would more appreciate. Also I consider the awesome amount of injury which your body is in the process of recovering from. It has taken about three years to become debilitated, it is fairly realistic to figure your body will require several months to rehabilitate more fully. I once had a client that needed to schedule additional time each session just to work on his shoulder. In that client's case, after several months of deep work and R.O.M. work, that client comes in for routine sessions, with no particular shoulder issues and no need to book additional time for it. With the work we were doing, and the life style strategy of honoring his range limits and not forcing or over exceeding the range, with the gradual and constant progress that came with it, when that client would ask "how long does it take?" I could only say in light of the degree of injury over time, and amount body work and progress, it takes as long as it takes. Keep doing what you've been doing, be patient and Be Well.
Prisila Jacobs (New York, NY) on Jan 14, 2013
To Whom It May Concern: I believe that it's time to give accupuncture a try. Don't stop doing ROM exercises and getting massages, since you've improved significantly from this treatment. However by integrating accupuncture into your regimen, I believe that the referred nerve pain that you have experienced will decrease gradually. I'm a strong believer in accupuncture because like you, I experienced severe trauma from a car accident in 2007. While rollerblading I was body slammed, and run over by an SUV. I suffered from a herniated disc that sent sciatic pain down my perroneals. But with regular treatments by my accupuncturist I have experienced great relief of these symptoms, and most days I'm pain free. I also take Omega XL. This is no regular Omega and it's extracted from mussels in New Zealand, which have higher concentration of Omega 3s. Studies have shown that this product decreases inflammation and pain significantly, in people suffering from chronic conditions . In addition, I also take really warm baths with Epsom salts as often as I can. In your case though, I would see whether a combination of Ice/heat could work to calm the nerves in your neck. This treatment is recommended for chronic pain. I would Ice for 2 minutes than sink in the hot tub (5 min), Ice for another 2 minutes, and sink in the tub again (5 min), add 2 more cycles (about 30 min total). I hope that this helps. Let me know if it works for you. Best, Prisila Jacobs (LMT)
Tony Damian (Altamonte Springs, FL) on Jan 8, 2013
I would recommend CranioSacral Therapy. With all the trauma experienced at the cervical spine, shoulders, neck and head there are surely joints, vertibae and bones in the skull that are locked and/or misaligned. If the ceribral spinal fluid is restricted from flow from the skull to the sacrum it will produce headaches and such. Unwinding of the cervical spine would greatly reduce the likelyhood of nerve impingements through the neck and head. In your therapy I would also recommend concentrated work on the scalenes and SCMs. Wish you luck and speedy healing TonyD, LMT, RMT
Marina Sandu (Ridgewood, NY) on Jan 15, 2013
Have you seen a chiropractor for these complaints yet? A few cervical adjustments might help, as long as the chiropractor decides they will be safe for your case
Drew Gulsrud (Ventura, CA) on Jan 22, 2013
Sorry to hear about this. In my experience, it is a reality that some accidents will change a person forever. This doesn't necessarily mean you are as good as you're going to get...just that you may not be able to be exactly as you were pre-accident. I don't know what sort of massage you have been recieving, but if you havent already, I would try seeing someone a bit more aggressive and specialized in clinical treatment of those specific areas. could be a bit of a no pain/no gain situation... Have you been taking epsom salt baths after treatment and work? have you tried using arnica gel to alleviate it at work? I have had several clients who had great results combining massage, infrared therapy, and those self care steps after bad accidents. Best of luck in finding some relief and recovery! Drew Gulsrud, LMT 888-274-8886
Sheryl Hodges (Auburn, CA) on Jan 29, 2013
It seems that you may need constant massage maintenance on your shoulder and on your neck issues. Continuos massage therapy appears to be working for you. It takes time for nerves and tissues to heal ,for you to be at 90 % is great.
Carin Piacente (Putnam Valley, NY) on Feb 13, 2013
it sounds to me you may have some scar tissue build up.
Della Melville (Plainfield, IL) on Feb 16, 2013
Seek out the help of someone who practices NeuroKinetic Therapy, or look into learning it yourself. It will give your body and your practice a whole new dimension of thinking.
John Angles (Huntersville, NC) on Feb 18, 2013
So sorry about your accidents.It sounds to me that you can use some more massage therapy work on your neck, upper back and shoulders, usually during an accident sometimes in that split second moment in time our bodies tend to lose muscle memory in a safe mechanism sorta of way. Nueromuscular massage therapy is the best medium to help with the memory restoration process, as the brain stem and the spinal cord need to be able to reboot back to normal.Deep tissue work to your levator scapula on your left side of neck and shoulder up to your occiput, also to your SIT(supraspinator, infraspinator,& teres minor) rotator cup muscles will help alleviate the shooting and stabbing pain with the headaches diminish. Also a great old remedy that helps out big time is a warm Epsom salt bath for appx 20 minutes helping you load up with magnesium which will help your body relax and absorb a much needed mineral in your recovery and restoration. I hope that was helpful to you... John Angles LMBT
Eric Middleton (Los Angeles, CA) on Jan 9, 2013
Well it sounds like you may have a mid case of facial neuralgia. I suggest see a doctor. I also suggest you continue getting Swedish massages. I think it may the pressure of the massage that's aggravating your situation. I also would like to suggest warm epsom salt baths after your massage sessions. I hope this advice helps you.
Diana Sponsler (Syracuse, NY) on Jan 8, 2013
Consider Orthopedic massage, it addresses chronic contraction, as well as scar tissue that may be restricting motion and entrapping nerves. I am certified by James Waslaski, and anyone who is could probably offer significant help.
Erik Jacobson (San Clemente, CA) on Feb 19, 2013
always keep the state of mind that you will be back to 100% its all in your belief. Learn to relax your body out of the pain instead of focusing on what hurts think about feeling better and having a fully functioning body. Its all in your belief system learn to lay flat on your back and relax every single muscle in your body letting go of any tension or pain. take deep calm breathes in and out expanding your stomach or diaphragm giving your internal organs a gentle massage. listen to your body feel any pain and then let it go
Angie Blair (Cincinnati, OH) on Jan 7, 2013
It sounds like you have some nerve damage. Talk to your doctor about what you could do. The stretches & strengthening is probably your best option, just dont use the weight until you feel stronger. Maybe start with only once or twice a week & go from there.
Stephen Wagner (Atascadero, CA) on Jan 7, 2013
The sad truth is that 90% may be as good as it will get. However, I would not give up. I have had good results releasing sub-scapularis, low level laser therapy, and accupen therapy on neck and shoulder issues like yours. Obviously, you need to get more massages if you are going to be giving several massages a day. That is what your headaches are telling me. Feel free to contact me if you have any questions.
Teena A Masters (West Mifflin, PA) on Jan 7, 2013
Hi, there. It sounds to me like you overdid the stretching and strengthening work in the beginning, when you probably still had a lot of inflammation going on in that shoulder and arm, which most likely lead to more inflammation, and your shoulder/arm finally had to "shut down" to protect itself. So it got very painful, pretty much immobile, or both. I would suggest continuing what you are doing now as long as you don't experience pain and weakness from those actions or activities, but when you are resting or not working, ICE the areas in question for 15 min, then take the ice off for 30 min. Repeat this process several times if possible. Do not add any heat to these areas when the ice is off, as tempting as that might be. When something is inflamed, it is already "hot" and adding heat, though it feels good momentarily, will aggravate the problem. That said, I would also suggest you seek out a BodyTalk® practitioner to have energy links repaired. This could very well provide you with more relief and ROM, getting you closer to that elusive 100%. Wish you all the best!
Rick Malcolm (Dallas, TX) on Jan 7, 2013
I am an orthopedic massage therapist, First I would have to see you in order to do an assesment to determine what is going on with what muscle, Second it sounds to me that you started rehab to strong and to early. Drop the 2lb weight & start off with you arm weight only untill it takes no effort to do the strengthning excersizes. The stabing and shooting pains are usually from nerve inpingment. Question is what muscle & what nerve. Please set up an appointment for an assesment then we can go from there. Regards Rick
Scott Gauthier (Denver, CO) on Jan 7, 2013
I have found through working with people who have had a severe trauma such as you describe, that their body will never be like it was before. It can become functional and pain free, and perhaps work even better, but it will be different. I have found that Structural Integration can help in these situations because you have the trauma related to the original injury and the compensation patterns that have become established since then. Let me know if you would like to talk about this. Scott Gauthier
Steven Green (Chicago, IL) on Jan 7, 2013
your still have nerve issues better now then befor but the moument you use your muscles inproper signals r being sent. once a nerve is pinched then the muscle doesnt understand the message an hurts to move or retraps the nerve causeing pain . nerve damage takes 6 months to a year ive been told to heal they heal very slowly an u must keep the area soft to promot healing , pain is reversing the healing procese.
Catherine Schneider (Toledo, OH) on Jan 7, 2013
I find that CranioSacral is VERY effective for a wide range of issues. Also do read the Egoscue books. . .he teaches postural positions that correct the adaptations we make when we have pain-related issues such as yours. Following Egoscue's recommendations (I was able to get several of his books at the public library), I was able to get relief in TWO DAYS from an issue that had been bothering me for years--no matter WHAT healing technique I had tried!
Vladimir Batista (Miami Beach, FL) on Jan 7, 2013
Hi, morning. Sorry for be late about your worry. Is trust when you take sweedish massage you feel better because the muscle fibers is going to relaxing and the blood flow increase. Besides the release of endorphins and so on that make your pain subsides. This will be for a short time because you are a long time in chronic stage and you need more than anything is neuromuscular therapies. The neuromuscular therapia is focused on: Ischemia, Trigger Point, neural interferences, postural and biomecanic dysfutions, nutritional factors and emotional wellbeing. You need to go more deep into your body, you need to be evaluated by the neuromuscular specialist. Sorry my English writing. Muchas gracias y espero te ayude esta respuesta y que dios te bendiga.
Dean Moseley (Stafford, VA) on Jan 8, 2013
I would try either myofiscial release or find someone that uses the Graston technique to help break up the deeper tissue damage that regular massage can't get to.
Joseph McCoy (Muenster, TX) on Jan 7, 2013
Sounds like you got multiple issues going on. I would do some serious Joint capsule routines, as well as tendon work around all the surrounding rotator cuff joints. I would also look into very deep work into the deep cerviocal extensors for the whiplash. Splenius Capitis, Cervicis, rotatores, Intertransversarii etc. Anterior scalens and Sternocledo mastoid also need worked. I would have avoided strenghtening exercise until you were healed somewhat. You can re-injure and tear more when doing this. I could help you but do not know your area. Anyone that is certified or has experience with Dalton's Myoskletal alignment technique would be great.
Kimberly Schadewald (Lake Como, NJ) on Jan 7, 2013
It sounds to me like you have a Nueromuscular Issue. Look up NMTs or Nueromuscular Therapists in your area to see if there is someone who can take a look at your concern. It is likely an issue with one of the following but could be caused by another muscle: Levator Scapulae, Supraspinatus, Seratus Posterior Superior, or Trapezious. Best of Luck!
Robbin Phelps (Takoma Park, MD) on Jan 7, 2013
So glad you have made so much improvement. I strongly recommend either the Trager® Approach or the Feldenkrais Method. These are movement education and body-mind modalities that gently, but very deeply, engage us in a thorough re-learning of how to be in and with the body. You find you can move with ease and lightness and freedom. You can find qualified practitioners in your area on their websites. Good luck!
Christine Sortwell (Ipswich, MA) on Jan 7, 2013
You may be able to increase your ROM and funtionality by receiving work on the Rotator Cuff muscles. I recently became certified in Roatator Cuff release and have seen awesome results in my clients with a decrease of pain, increase of ROM and strength. It was taught by Peggy Lamb from Texas through CCE but you can look her up online to get an idea of how this may help. If you see no further improvement, you can look into arthrossage certification which many of my Swedish style clients really like and find beneficial and is VERY easy on the therapist. This course I took through LMT success group, but if you could, I would try to take it with Adrian Carr out of Georgia as he developed it. Hope this helps. Christine Sortwell, LMT, NCTM Slight of Hand Massage Ipswich, MA
Deborah Hill (Oakland, CA) on Jan 7, 2013
So Sorry for your accidents. I would try several treatments with temperature. You could do hot and cold showers, hot tub and cold showers or LaStone Therapy with a certified therapist offering Deep Tissue work with the stones. It can break up the congestion in the upper traps and move the inflammation that is in the whole area. It will bring fresh oxygenated blood to heal the tissue, and alternating with lymph massage will keep the energy moving. Hope this helps.
Sharyn Cerio-Bernstein (Pueblo, CO) on Jan 7, 2013
Have you been getting trigger point work during your treatments? Also supplementing with msm, glucosamine and fish oils can help with the tissue repair
Andy Ly (Sterling Heights, MI) on Jan 7, 2013
Your neck muscle and shoulder may still have the blood stagation (trigger points) built up from the acident. The stagnation built up that limit the blood circulation that supply Oxogen, nutrients and biochemical to your head, and aslo limit the lymph fluid flow, that is why you are getting daily heache. If this condition get worse you may experience, ear infection, ringing ear, TMJD, or insomnia. You can massage your neck muscles and shoulder during hot shower, also stretching ROM head and shoulder daily that may help to release those stagnation and trigger points. If not Micro-puncture (small blood letting) to release the blood stagnation in the effdective areas along with acupunture may be the best solution. Good luck!
Brian Skow (Scottsdale, AZ) on Jan 6, 2013
It seems your suffering stagnation in a meridian, possibly Gallbladder. See a qualified Asian Bodywork Therapist - - for relief.