Skeletal System Pathologies: Part 2

**This video is for teaching purposes only. Please consult a doctor for proper diagnosis.
Massage therapist stay within your scope of practice.
►REFERENCE BOOK USED
Massage Therapy: Principles and Practice 6th Edition: amzn.to/38iNlBq
►PDF of DESCRIPTIONS BELOW W/ PART 1
tinyurl.com/Sk...
►TIME STAMPS
0:00 Introduction
0:41 Lyme Disease
is a recurring form of arthritis that affects the joints, skin, heart & nervous system. It is caused by a bacteria introduced to the body by a tick bite. It is carried by deer or mice. Massage is contraindicated while client is experiencing system inflammation usually accompanied by fever. Massage can be performed after client has been fever free for at least 24 hours. Treat local rashes & skin lesions as contraindications for massage.
1:59 Osteoarthritis (AKA) OA
is the most common form of arthritis. It is inflammation of the joint capsule & can lead to loss of articular cartilage. It affects both peripheral and central joints of the body. Common causes are trauma, sprains, dislocations, fractures, long term stress, high impact sports and obesity. Always position your client in a comfortable position. Propping up with pillows & bolsters or rolled up towels under the wrists if needed. Massage decreases pain & stiffness, anxiety, depression and reduces stiffness. Movements of the spine and hips are omitted due to deteriorating effects.
4:07 Osteoporosis
is loss of bone density where the spongy bone becomes thin and compact bone is porous. Bones become brittle and weak. It is common in the elderly causing debilitating injuries and fractures. Light pressure is indicated a 3 out 10 on the pain scale. Keep client comfortable supported by pillows and bolsters where needed. Client may not be able to lay comfortable in certain positions. Avoid passive stretching specially of the hip and shoulder joints.
5:53 Patellofemoral Pain Syndrome; Runner's knee
is the softening & degeneration of the articular cartilage on the posterior patella. Commonly seen in young athletes in running sports such as soccer, tennis and cross country. Caused by over use or injury. Flat feet can also contribute to this syndrome. Massage will help to relax tight muscles. It is important to work the Hamstring muscles along with the Quads and Adductors. Keep pain threshold to the clients comfort. Always support with bolsters behind the knee and adjust pressure accordingly. Avoid overstretching the Quads on the affected side. Avoid putting pressure on the popliteal area where blood vessels & nerves go through.
6:50 Rheumatoid Arthritis (AKA) RA
is a chronic inflammation and systemic type of arthritis in which synovial membranes are destroyed. Inflammation spreads to articular cartilages, joint capsules, surrounding ligaments and the underlying bone. This arthritis can be crippling and causes deformity of the bones. Clients have periods of exacerbation and remissions. Avoid massaging areas of subcutaneous nodules. Massage is contraindicated during exacerbation periods. Gentle, slower massage is indicated with a light pressure of 3 out 10. Massage can reduce pain and improve function in the joints. Warm moist heat may be beneficial.
8:35 Scoliosis
is a lateral curvature in the thoracic spine. The lumbar and cervical areas may also be involved. It is classified as either structural or functional. Structural scoliosis is associated with vertebral rotation. This includes congenital malformation of the spine. Functional (Postural) scoliosis is a secondary problem rather than the spine itself. May be caused by leg length discrepancy, trauma, paralysis, chronic spasticity of the back muscles and bad posture. Client may not be able to lay supine for prolonged time. Sideline may be more comfortable. Myofascial release decreases pain and may improve posture. Address the paraspinal muscles along with Rhomboids and trapezius muscles. Overstretching is contraindicated.
10:33 Spondylosis
is Osteoarthritis of the spine. It is more common in the cervical area and lumbar area. Aging process if the most common cause. Intervertebral discs dehydrate and shrink. Massage helps to manage the pain. Make sure you support the clients neck while in the supine position as they may not be able to lay supine for long periods of time.
11:29 Sprain
occurs when ligaments are torn or overstretched. Common in the ankle & knee caused by twisting, trauma or accidents. Do not massage until healed and inflammation has gone down. MCE may be applied. Treat as a local contraindication.
13:46 Temporomandibular disorders (AKA) TMJ
these are disorders that affect the jaw, it's musculature or joint. Stress can cause grinding of the teeth, sleeping face down with head turned to one side may also cause the jaw to be strained. Prolonged dental work or Trauma or accidents, poor fitting dentures or misaligned teeth. Masseter, Pterygoids, Zygomaticus, Temporalis and all the neck muscles.
#pathology #skeletal

[@germanbilbao1393]

Gracias María por todo. Lo mejor está por venir, por un excelente 2021. Seguiremos esperando más y más enseñanzas, nuevamente gracias y feliz año nuevo

[@MassageTherapeutics915]

Igualmente Germán Feliz Ańo! Ya espero con ansiedad el 2021! Nuevas esperanzas y metas que lograr. Mil gracias por tú apoyo también ❤️🙏🎆

[@oliverrojas7117]

Great to see the statue of a person's exposed muscle fibers. Very helpful information about different types of a client's symptomatic challanges. Helpful to understand signifigance of staying within the scope of your knowledge and trainig. If I were a massage therapist, I agree it is interesting to find the root cause of symptoms.

[@MassageTherapeutics915]

Yes it’s very important to treat the cause not just the symptoms! Unfortunately a lot of people just treat the symptoms! I appreciate your feedback 🤗❤️

[@rover5788]

Happy New Year to you Maria and your family ! xo (hoping it will be a better one). :)

[@MassageTherapeutics915]

Happy New Year to you as well...thank you for the good wishes!!! I do hope it’s a better year! I’m ready to get back to a more “normal” lifestyle! I truly think it will be a better year!

[@mememe2223]

Hi Maria, Dimple’s Day 25 check in. I’ve realized for all skeleton diseases mentioned a therapist cannot do much for cures, no passive stretch or movement around the problem area, and also no heavy pressure where blood vessels and nerves go through. However, therapists still can do something help clients--pains will be reduced and blood circulation in the surrounding areas will be promoted, possibly to enhance the therapeutic process, or at least, to prevent deteriorating. This is the confidence in both therapists(especially beginners) and clients.

[@MassageTherapeutics915]

You are correct! As massage therapist we are limited to being able to help when it comes to the osseos tissue however increased blood flow to the are does help improve healing. You are so detailed and observant I’m very proud you are my student! You will be the type of student that becomes better than the teacher. I’ve had 4 of those students during my lifetime. You will be the 5th! Excellent detail!

[@mememe2223]

Proud of you Maria. I dare not aim high but will keep being your good student. Everyday a little makes a mickle. Have a nice weekend❤😄

[@theresecouture5903]

Hey Maria Thank you for all you do . I just want to wish you a belated Merry Christmas and a very Happy new Year. Been very busy with school 4 month left in lock down now do not like that missing my massage time and my chances to pick the teacher brain. I am doing well thanks to people like you and other on the net May GOD bless you in all you do LOVE YOU.

[@MassageTherapeutics915]

Thank you so much Therese for all your good wishes and kind words. It’s been a challenging year for sure for all of us yet we have persevered and found a way to make it work for us. That speaks good about you! Happy New Year and let’s create a great 2021! 🥂🎆❤️🎊

[@loredanaprofir3270]

Wish you a great year, dear Maria! I am a massage therapist from Romania and I watch your videos with a lot of interest, I like your teaching methods and explanations. Regarding the technical issue you reffered to, if I may suggest using/writting the lesson on a flipchart, it will be more visible on The screen and you can play with different coloured markers, as you like. Thank you for your Time and wonderful spirit! 💝🤗

[@MassageTherapeutics915]

I really appreciate your support from 🇷🇴 Romania! Yes I will look into the flip chart and see what works out better. Thank you for the suggestion.

[@loredanaprofir3270]

💝🤗

[@gabrielleremy4281]

so clear and informational ! thanks !

[@MassageTherapeutics915]

I appreciate the feedback so thank you!!! Happy New Year 🎆🎊🎈

[@helenelundchirwa8011]

Thank you Maria. You are just awesome 💕

[@MassageTherapeutics915]

Thank you Helene! You are awesome too for taking the time to leave such positive comments! 🙏❤️

[@jaynegreen1230]

Thank you Maria xxx

[@MassageTherapeutics915]

You are welcome!

[@tylerrood2806]

Thank you! I’m taking the Mblex today this was a nice touch up. Wish me luck 😅

[@MassageTherapeutics915]

You can do it! Glad it was helpful.

[@leahj2622]

These are great! Thanks you again for the content!

[@MassageTherapeutics915]

You are welcome! It’s a quick review that will also help students when they’re preparing for the MBLEX. Please share if you can. Thank you & Happy New Year 🎆

[@leahj2622]

@@MassageTherapeutics915 Yes will do!

[@andramaharaj1158]

Happy New Year Maria. Thanks for the lessons. It is really helpful.

[@MassageTherapeutics915]

Happy New Year to you too! I’m ready for 2021! You are welcome and I appreciate your support!

[@philipwhitehead5661]

Thank you so much Maria from England, your video's are the best, nice watching them for the past 18 months or so, it will all be back to normal later in 2021 when all the lies are revealed, have a happy New Year love, all the best. Namaste.🙏🥰

[@MassageTherapeutics915]

Happy New Year! I am so ready to start 2021! Lots of exciting things happening that I want to share with you guys. I truly appreciate your support and you have been a loyal supporter too. You have been here since the beginning watching the good, the bad and the ugly 🤣😳. I appreciate you and hope things are getting better in England too! Namaste

[@NoName-ke4mi]

Wonderful and Informative. Thanks 😊

[@MassageTherapeutics915]

You’re very welcome! Thank you for leaving a comment

[@rubygalaxy3409]

Very nice 👍

[@mariaisabelletamas1257]

Happy New 💜Year, Maria! Gratitude for everything you do!⚘

[@MassageTherapeutics915]

I appreciate you too! Happy New Year! ❤️🤗

[@phyllishandy2367]

Thank you so much!

[@MassageTherapeutics915]

You are welcome! 🤗

[@hibbaabdilrazak4230]

Happy new year. Thanks for this important information. I need lesson 1?

[@MassageTherapeutics915]

Happy New Year! Part 1 came out before part 2. Look under the Playlist for Pathologies.

[@bettina-m.druskus9529]

🦴💖🦴💖🦴💖🦴💖🦴💖🦴💖🦴💖Thank you so much. Love, love, love and a Happy NEW for you 💞

[@MassageTherapeutics915]

Thank you & Happy New Year to you too!

[@gemachavez2988]

Happy New Year 2021

[@MassageTherapeutics915]

Igualmente!!! Let’s create a better 2021 no matter what!!! 🥂🍾💫⚡️✨❤️💕

[@josibiora5694]

Great information... Thank You só much !!! Happy New year ... Please .. use Bigger words so I can read...😁😁😁

[@MassageTherapeutics915]

Thanks for the feedback! I am figuring out how to do that. In the mean time you can zoom in.

[@zahram6364]

Hi. I would like to thank you for your great videos. I have a request. Can you add Arabic subtitle to your videos.

[@MassageTherapeutics915]

Hello Zahra. I wish I could translate to every language however I have to pay out of pocket for all translations. If you would like to pay for them I can have them translated to Arabic. It costs $5.00 per min. You could send money through PayPal if you want.

[@j.g.2593]

What do you do if there is a actual tick on the client at time of the session? Do you stop the session? Do you send them to the doctor or urgent care?

[@MassageTherapeutics915]

I’ve never had that happen because we don’t live in a wooded area with tall grasses and bush. However I would recommend them to see their doctor and I would definitely stop the session. Damn now you made me think because I have no clue what a tick looks like!

[@marcelamoccagatta5449]

Hola excelente tus videos pero no puedo entender no puedo poner en español tal vez puedan poner subtitulo gracias 🙂

[@MassageTherapeutics915]

Discúlpame pero este no tiene subtítulos en Español. Desgraciadamente no puedo ponerlos en todos. Ojalá y pronto pueda hacerlo. Gracias por tú apoyo.

[@donnarobbinstherapies5634]

Another great video Maria. Thank you. Lots of good information. Pathology is something I've learn't with experience & post grad' training. It wasn't taught a great deal way back when I trainned in 1997. So this is wonderful content for budding entusiasts :)! Oh & feedback...I prefer the white board.

[@MassageTherapeutics915]

I appreciate the feedback Donna! I learned the same way! Through experience with my clients! Now it is incorporated into the curriculum. This is just a quick review so students can at least get familiar with the pathologies & terminology. I’m still not sure what Is better for you guys. I just hired someone to add the graphics for the names of the pathologies. Still trying to figure it out. I’m between wanting it to look aesthetically nice or practical with my crappy writing ✍️😂. I really appreciate you Donna. I’m glad you’re using your lockdown town for self learning! We need to schedule zoom with everyone again to brainstorm! Create a great day

[@MassageTherapeutics915]

Oh check out the New Nervous System pathologies that just came out today. Let me know what you think of the graphics! Thanks

[@donnarobbinstherapies5634]

@@MassageTherapeutics915 Education has certainly progressed since our initial training days, which is great! I'm totally down with your crappy handwriting. Content over aesthetics I say :)! Oh now another professional zoom is a fab' idea :)! x

[@donnarobbinstherapies5634]

@@MassageTherapeutics915 Lovely more path' videos hooray! Will watch & report back to base :)!

[@MassageTherapeutics915]

@@donnarobbinstherapies5634 I know I wish I had had some of this technology handy 30 years ago! I’m surprised you could read my crappy writing 🤣😂. I should have been a doctor to match the messy writing 😂😂

[@cruzgutierrez4602]

Tok Sen Therapy or massage I recently found it and believe is very interesting...I already order my wood tools...I'm using regular wood now ...can talk about this ancient technique...also do we need to take classes in order to include it for those areas with TrP's? Any advice Here vibrations helps is not tapping very hard...

[@MassageTherapeutics915]

I haven’t heard of Tok Sen therapy before so I can’t give an opinion on it. There’s so many modalities now I can’t keep up with all of them. I do believe that in order to call yourself under any specific modality you must have had the training for it. Usually they give a certificate for completion of the training.

[@rubygalaxy3409]

Very nice 👍

[@MassageTherapeutics915]

Thank you very much 🤗