Relaxation vs Therapeutic Massage

After much thought and consideration, I have decided it is time to change my rates. If you're curious as to what lead me to this, I encourage you to read my Self Performance Evaluation here. Effective January 1, 2013, I will be raising my rates by $5 raise across the board for all massage sessions, and will then be distinguishing between relaxation massage and therapeutic massage. Therapeutic massages will then be an additional $5 or $10. Now, I know you want to know...what is a therapeutic massage versus a relaxation massage?

Relaxation massage is best described as massages that are:

• gentle on the body (both yours and mine),
• usually not exceeding medium pressure,
• that do not require special focused attention or extra time working on known aches, pains, tensions, etc, and
• can have the full body treated within one hour. There are some exceptions to this, depending on the size or build of a person's body, but for the most part, without giving extra time to "troubled" areas, a full body relaxation massage can be done in 60 minutes, and may certainly go on longer if the client chooses to have even more down time.

Therapeutic massage is best described as any session that specifically and skillfully addresses any of these 11 points:

1. Aches, pains, spasms, tensions, or sore spots and/or use of pain scale assessments for session-to-session progress evaluation;
2. Working primarily on a specific area of the body, though this will likely include surrounding areas that may be affected by or contributing to the "problem;"
3. Use of very firm/deep pressure whether throughout the majority of the session or on specific points of the body that require time to allow them to release;
4. Coaching before, during and/or after your massage for:
   (a) stress management techniques,
   (b) referrals to other healthcare modalities (chiropractic, physical therapy, yoga, etc),
   (c) stretching,
   (d) strengthening, and/or
   (e) other suggestions to modify the way you use your body throughout your life;
5. Monitoring frequency/severity of your ailments, such as:
   (f) headaches/migraines,
   (g) numbness/tingling,
   (h) pain medications.
   These sessions may be limited to certain areas of the body for focused work done on a time/financial budget or may be worked in a full body massage within a longer session, and may be done with any range of light-firm pressure. The cost of your session will be $5 more than relaxation massage rates if 1-5 of the above points have been provided, and will be $10 more if 5-11 of the above points have been provided.

Included in EVERY session will be a discussion prior to your massage to see how you are feeling that day and how you want to spend your time. I realize most new clients who come to see me are not accustomed to this question and that it is something that sets me apart from most other massage therapists. I also firmly believe that it helps us reach the goals you have for the time and money you invest into receiving massages. This discussion will largely determine whether your session will be a relaxation or a therapeutic massage.

What happens if...
--If you expected one type of session and it turns into the other, the pricing will be based on what is actually provided to you.
--If, during our intake conversation, we decide you'll be having a relaxation massage, but then as you're on the table, I find things that could use more time spent working on, I will check in with you to see if you want to convert your session to therapeutic and address those areas more thoroughly, or if you want to continue on with a relaxation massage and not spend any extra time on those areas. If you decide to convert to therapeutic massage, your session will be an additional $5-10. 
--If, conversely, we expect your massage to be a therapeutic massage, but there isn't any coaching involved and your body doesn't have much going on to "work with" in terms of tight muscles, I will have the pleasure of telling you your massage that day would be $5-10 less than we expected! 
--If you are somewhat concerned about the financial implication of the new rates, remember that I have always considered gratuities as "never expected, always appreciated." If the new rates mean you aren't able to be as generous with gratuities as you have in the past, it's okay to leave less or none at all. While tips have made up 9% of my income so far this year, the bottom line is, I'd rather see you and not have a tip than have you stop coming altogether because you don't have money for a tip. Additionally, you can "like" my Facebook page and keep your eye out for when I post same-day appointments I'm looking to book at a $15 discount. 
--If you are really concerned about the financial implication of the new rates, I encourage you to take advantage of my upcoming Black Friday special offers and/or purchase a package of 5, 10, or 15 massages before the end of the year that can be used up to a year from date of purchase. That's a great way to lock in my current rates, and the packages are even offered at 5%, 10%, and 15% discounts. 

Raising my rates means I can continue to offer a Client Loyalty Program. A couple months ago, I was beginning to feel really sore about the Client Loyalty Program, because I really make it easy for clients to save money and was worried about MY bottom line. I almost felt like I needed to wipe out the Client Loyalty Program altogether. 

Right around that time, I had 3 clients come in within a short time span--one had just referred a new client to me and I had sent him a referral reward, another was in a delicate emotional state that I gave coping suggestions to, and another was using her benefits through her HealthNet insurance to receive massage with only a $25 copay. The man with the referral reward didn't even bring in his coupon, but paid my full rate plus a $15 tip. The one who received coping strategies then tipped me $25. The woman using her HealthNet benefits also tipped me $30. 

Not only did the generosity of all three touch my heart beyond words, it helped me understand that I AM worth it and that both my Client Loyalty Program and my rates needed to evolve with my business, skills, and experience (the Client Loyalty Program hadn't been changed since I first put it in place at least 3yrs ago, and I have never raised my rates in my 6yrs as a licensed massage therapist). So I chose to modify it a little, and to also raise my rates. In doing so, I can continue to extend my thanks to you in all the many ways still in place for your continued patronage and trusting me enough to refer your friends and loved ones to me. The clients I have already mentioned these changes to over the past few weeks have been very supportive, and I appreciate all the feedback that has been shared with me as you've helped me reach this decision.

Non-Verbal Communication

This is one of those thoughts that comes up in my mind during almost every massage, and that I repeatedly forget about when the time comes to write a blog. Well, at long last, here it is! 

Non-verbal communication is what I depend on for a large percentage of massages I give. Here are some signs that I pick up on, and my interpretation of what they might mean to you, the client. PLEASE tell me if my interpretations are wrong, as I do use this information to guide the session. If I'm reading your signals wrong, I won't be giving you what you want, and that will make for a less than 100% satisfaction for you when we're done. 

Breath/Breathing

This is a hugely important strategy that you can use. A stand-alone deep sigh can mean you're finally beginning to relax. It might also mean I might need to back off from the intensity or the area that I've been working at. You can also sync your breath to the work I'm doing, so that you breathe in while I'm getting to the tight/tense/trouble spot, and then exhale as I zone-in and hold that spot. When I can sense you are doing this is one of my favorite things about giving massages. It means you and I are working together on this issue you have, and when we do that, you'll get the results you're after even faster. Here's what you need to know about this process: When I'm zoning-in on that spot, sometimes I need to hold into it longer than your breath cycle. For those times, I will ease up my pressure a little for you to inhale, and then I'll sink back into it as you exhale again.

Fidgeting or Flinching

You might fidget if the pressure is too much, or if I'm haven't found the right spot. A flinch might mean you're beginning to doze off and catch yourself, so you're alert again. You might also flinch if I've hit a nerve or an exceptionally tight band of muscle tissue. Depending on what my senses are telling me, I will probably check in with you to make sure you're okay. This is your opportunity to steer me back on track, tell me to lighten up or dig in deeper. Take advantage of this invitation to get what you want from your massage.

"Helping" 

This one tells me that you are not relaxed. Pretty much the only time I really need you to help is to lift your feet or knees so that I can move the bolster under them or take it out. I can usually get the leg drape without help, though lifting your leg is helpful if your skin has lost elasticity, and you NOT lifting your leg might result in me inadvertently pinching your skin as I try to tuck in the sheet. I'm working on improving that anyway. Those without skin elasticity concerns who do lift their leg make me nervous, that I might reach somewhere I don't intend when I tuck the sheet under your thigh. :-/

Holding

Holding also tells me you are not relaxed. I know sometimes it can be very difficult to relax. If you're getting your very first massage, or if it's been a very long time since your last massage can make it more difficult to relax--when you aren't really sure what to expect next. If you are one of those people who just have a hard time relaxing period, here's what you can do: Focus on your breathing, counting up to 8 while you breathe in, and then back down to zero as you exhale. It's good to take a pause between your exhale and inhale too. Another alternative to help relax is to really focus on what my hands are doing, specifically, how your body feels as I work on you.

Resisting

Resisting is a spin-off of holding. You might resist me as your body's way to protect itself if an area is particularly tight or sensitive. Some resistance can be prevented by me clearly communicating with you on what to expect, but other times, it's just your body's instinctive response. What can you do? For the former, I may give you a little wiggle or try to move your body in a way that distracts your mind from trying to anticipate what I'm doing. For the latter, get into your breath. Exhale as I'm working through that area of tension. 




Are you surprised by how much information I gather without you saying anything? I am quite fascinated by body language and am eager to learn more about it. These are the most prominent methods of non-verbal communication that I use and pick up on during sessions. As a client, do you try to communicate other ways with me that are not listed here? Let's talk about it, I'd love to learn what else I should be looking out for in my clients. 

Experience=Skill?

Dusting off the ol' blog, and hope to touch back once in a while with refreshing topics. Today, I share with you two greatly varying experiences of receiving massage. I'd love to hear feedback from your own experiences. Please share your comments below, or back at my Facebook page.

Experience #1--My Own Personal Experience

Last week, I went to my school for my (free for alumni) monthly massage. My student therapist was Veronica. I must say, I was quite impressed! She was very receptive to everything I said I was needing that day--a little more therapeutic than just relaxation as I had just begun my P90X workouts. Veronica's pressure was great. She asked about what kind of pressure I liked in our intake, and checked in with me a little bit into the massage. I said it could be just a little deeper, and she adjusted her pressure perfectly. I also asked her about doing glute work, as every massage I'd had at the school in the past 6 months, no one had worked my glutes, and I didn't know if that was a new clinic rule or something. She said it was not, and was happy to work my glutes (they're big muscles, and one of my favorite areas to get worked on!). 

As the massage was nearing the end, she had worked on my right arm, then went to my left. I felt like my right arm, particularly my triceps, needed a little more work thanks to the workout I'd done that day. She spent more time with my left before going back to my right. As I was already face up, she wasn't quite sure how to work my triceps as much as they needed. I suggested that one way would be for me to flip over, and have my arm off the side of the table, also to get into the lats that way. She quickly thought to bring my arm so my hand reached my opposite shoulder, and that worked well without needing to flip back over to my stomach again. I was impressed too, that Veronica didn't seem at all intimidated to be getting such feedback from a licensed therapist--I remember as a student or even newly LMT that I was a bit intimidated by having other LMTs as my client. 

All in all, she did a fabulous job, and I was completely satisfied. I can easily say she has been the best student therapist I've had since I've been going back to the school for massages. She'll be in clinic at Anthem College in Beaverton for another 5-6 weeks, so I definitely recommend going to see her if you happen to live/work in that area. It's $25 for a one hour (think 55min or so) massage, cash only. Call 503-906-9045 and ask for an appointment with Veronica. Appointments are Mon-Thurs at 2:15, 3:30, and 4:45. I'm not sure if there's later appointments than that currently. And let her know I sent you--I'm sure she would love to hear that!

Experience #2--Client Feedback From Massage at Massage Envy

Also last week, one of my regular clients (who has been through massage school, but is not yet licensed) emailed me after receiving a massage from a gift certificate that was given to her. Here's what she had to say: 

"So a friend gave me a free massage for Massage Envy. I used it tonight...the whole time I was just thinking about how it wasn't done very well.  Not really well at all actually. The therapist I had has been a LMT for eight years. I'm not a massage therapist, yet, but I'm pretty sure I do better than that. And I'm really not trying to be mean or anything. I mean it wasn't horrible, just very different from yours. (which I love!) Missing a part here and there, not very smooth or flowing, didn't do any compression before pulling the sheet down, just different. I found it interesting and wanted to say Thank you! By far, you are the best massage therapist I've met and I really enjoy and appreciate you and your services. :)"

What a contrast in experience, right? Not all therapists are a good fit for every client, and some may have seen the therapist at Massage Envy and be perfectly happy with their experience, just the same as you may go see Veronica and think that I'm crazy too. We all have different needs, and as therapists, we all interpret our clients' wants/needs and have different ways to reach those goals. I definitely side more with making sure I understand your wants/needs prior to beginning the massage, and hope you'll also be honest with me during your time on the table and tell me what you need to have done differently if I'm not quite getting it right for you. As a client, you have only so much time on the table--however, if my schedule allows, I may suggest you take a little more time so I can really work out what needs attention/what brought you in--and I value your time and want to make it a good investment for you. 

Have you ever had a massage at a student clinic at one of the massage schools around town? What has your experience at a massage chain (Massage Envy, Elements, etc) been like? What is your "best massage ever" story? Worst?

Product & Service Spotlight: Aloe & Herb Bodywraps; & Scrub Cloths

Just before I started my vacation this month, a new client inquired about having bodywraps done. Not wanting to leave her stranded while I was on vacation, I was going to make an exception to see her, as she wanted to do the wraps in preparation for an upcoming trip. We did 3 of the Warm Linen Wraps before my vacation, then she purchased some of the Solution Gel and continued doing the wraps herself at home. Upon returning from my vacation, she went back to the Warm Linen Wraps. She decided to just take measurements at her first and last wrap with me, so I can't tell what her inch loss is up to this point, but it is noticeable, as well as smoothing of cellulite from the thighs. What struck me, was her comment that she feels much less fatigue, much more energy than before beginning the wraps, and that she would be continuing the wraps (package of 7) for that benefit alone, that the inch-loss was now just a perk to go along with that result.

Aloe & Herb Toxin Cleansing Body Wraps

Aloe and herbs surround you for 45 minutes during these warming, soothing, hydrating, and deeply relaxing body wraps. A great treatment for clients with fibromyalgia, chronic fatigue syndrome, arthritis, MS, diabetes, gastric bypass, acne, and the list goes on. No shower needed after body wrap. 

It is your choice whether we take measurements before and after. If we do, I mark the places I get measurements on your body with an eye-liner pencil, to assure measuring the same place again after your wrap is finished. 

Inch-loss results are possible and best seen by clients who bathe with Aloe or Lavender Body Wash and with series of 7 or 12 wraps. Series discount pricing when booking and paying in advance. Following the wrap, the effect of the Aloe & Herbs stays in your body for 3 days. For each of those 3 days, try to drink a gallon of water (128oz) to help flush the toxins (Toxins stored in fat include but are not limited to ca ffeine, nicotine, medication by-products, food chemicals, environmental substances, etc.) from your body. Ideally, wraps should be done at 4 day intervals, to maintain the level of Aloe & Herbs effect in your body. 

You have three choices of wraps, and each is explained below.

Warm Linen Wrap

This is the most commonly done wrap using rolled linen cloths that have been soaked in the tea-like Aloe & Herb Solution. The linen cloths are wrapped on your body, and you will look like a mummy when we're finished. Wearing cotton underwear and bra will allow the aloe & herb solution to reach your skin for full body absorption and maximum toxin cleansing. 

After each half of your body is wrapped, you pull the warming suit (think rain-suit) over the wrapped parts to hold in the heat. Then you get cozy under a blanket on the massage table and enjoy 45 minutes of peace and quiet while the Aloe & Herbs penetrate through your pores. It's not uncommon to be chilled as the wraps are removed. $75

Warm Linen Wrap Series of 12 $750--SAVE $150=TWO FREE WRAPS!!

Warm Linen Wrap Series of 7 $450--SAVE $75=ONE FREE WRAP!

Solution Gel Wrap

The gel formula allows those sensitive to heat or with sunburns to enjoy the cleansing effects of the traditional body wrap. The gel is applied to the body and covered with plastic wrap.  Then you get cozy under a blanket on the massage table and enjoy 45 minutes of peace and quiet while the Aloe & Herbs penetrate through your pores. It's not uncommon to be chilled as the plastic wrap is removed.  $65

Express Wrap-n-Go

Solution Gel Wrap applied from elbows to knees, covered with plastic wrap. Then you redress, go about your day, and remove the plastic wrap yourself after 45-60 minutes. $35

Scrub Cloths

Speed the skin cell turnover process by buffing your skin more effectively than with a washcloth or loofah. Use prior to your bodywrap with the Aloe Bodywash or Lavender Spa Bath/Bodywash for maximum absorption power of the bodywrap.

Small $6, Large $9

Upcoming Events: 2012

Happy new year!! Have you made resolutions, or just decided on some goals for the year? I prefer to think along the lines of goals or changes I want to see in my life, as opposed to resolutions. Resolutions bring with them the shadow of doubt and failure, but goals speak more definitively to me--something I really want to have happen. My goals this year are ... mostly to be more committed. Those things I wish I did better or more consistently--those are the things I plan to focus on. Flossing. Exercising (did you think I was perfect at this? I'm not!!) Blogging. Journalling for my boys. Reading for pleasure. Spending time with friends. Sharing love with everyone. Paying it forward. All of these things. It sounds like a lot when you put it all together, but I think it's really more about tightening up the strings that hold life together and which have been a little too sloppy in my life, and I'm ready to cinch up a bit. What are the things you want to work on this year? Write it down. Share it. Commit. 

I'll be taking some time off this month. Hubby has (paid--jealous!!) vacation from the 9th-13th. I was on the fence about whether I would also be taking that week off and blocking out my schedule or not. We didn't make plans to go anywhere or anything, so I didn't HAVE to. Sharing that with a client that was planning to book his next appointment in that week, he suggested I take the week off, that money will always come, but you never get the time back. He convinced me. Blame him. ;) But really, it won't hurt to call or email me if you're really hurting that week. I have blocked my Clickbook calendar out, so you will have to come at me more directly if you need some attention that week. 

I'm planning on having my next Save Your Hands! workshop on Sunday, March 11. I admit I have not been marketing for these workshops as well as I should, and that's another goal I have this year. I'd like to be utilizing and sharing the knowledge I've gained, so I'm buckling down and planning on doing at least 4-6 workshops this year. Some will be on weekends, some on week days, because therapists have different availabilities with their schedules too. Check my website for a list of dates. They'll be posted soon.

Please share your goals in the comments below. I'd love to help if possible.

A Dose of Inspiration: Keep Moving

So you know this much about success: Make goals, break them down, and start checking steps off your to-do list, right? An important piece to keep in mind is to keep moving. You sit down, and it's SO much harder to get back up and work on the next step. Keep your head up, take deep belly breaths, focus. Remember why you're doing it, how much better you'll feel when you've finished it, what difference it will make in your life, who else will benefit from the end result with you. 

Keep moving.

And don't be reluctant to pat yourself on the back when you reach your goal. I am a big proponent of rewarding myself for a job well done. The reward doesn't have to be huge. I'm a bit like Pavlov's Dog when I'm at work--I've developed a tradition of allowing myself one piece of Dove dark chocolate after each massage I give. Keeps my sweet tooth in check. ;) 

I'm also about to get my next massage scheduled--after many hard hours working in our backyard this week, it's almost done, and I am SOO ready to rest and treat my body to some TLC. And I highly recommend you do the same! ;) 

Got the second stump out yesterday.

Hard to believe there used to be 2 trees growing in the middle of the yard, then 2 big holes from taking out the stumps, huh? Can't wait to make it grass instead of dirt now!!

Yes, I know I need more massages than just after lots of hard yardwork, but I also know how much more enjoyable it will be to know that I won't have to do more yardwork still, after I've gotten a massage. Once the grass seed is down & covered, I will relax. Ahhh....can't wait!

Finding Your Rhythm

Rhythms are a natural part of life that help soothe and comfort us. People are drawn to the rhythms in music. Babies are drawn to the rhythm of their mother's heartbeat. Our bodies are built for rhythm. Rhythmic movements, rhythmic breath.

When these rhythms are off, the result is noticeable. Any of my family can tell you my musical sense of rhythm is very poor. Fortunately for me, I chose to work with bodies, not music! 

Back to the body, yoga and tai chi help the body learn to move more smoothly and build strength in places prone to weakness to keep our bodies balanced against stressors in their daily use. You notice when this rhythm is off when you find a "catch" in your back/neck/shoulder/hip. 

Most people don't think much about their breathing or the impact it can make on their body. It is helpful to practice breathing exercises to avoid putting strain on weaker muscles in the neck and upper back, and to develop the diaphragm muscle. Begin with visualizing an oval. As you reach the end of your inhale, you are at the top of the oval, and as you complete your exhale, pause at the bottom of the oval before returning to the inhale. Done correctly, this exercise should not cause you to become dizzy or hyperventilate.

Your breathing can also impact the results of your massage sessions. When you breathe in a rhythm, I can adjust my techniques to work in sync with your body. Particularly when working with a trouble spot, it is helpful to focus on your breathing. I will lighten my pressure or pause while you inhale, and as you exhale slowly, I will work into the trouble spot. When you and I work in rhythm in this way, your guard is released so your muscles aren't resisting the work, your body becomes more receptive to the work I'm doing, and faster progress can be made.

Working in rhythm with my clients' breathing is one of my favorite things, unfortunately, not a lot of my clients utilize this tool they possess. It is my hope that by addressing it here, clients will become more aware of how to get even better results from their sessions with me.