Our Overworking Backs – Our Half Asleep Abdominals..

 

The physical body is quite beautifully complex, working always to maintain a fine balance within its systems and these systems with one another. Analogous to so much in life, keeping the body’s structure and function optimal is crucial. When either are compromised, pain can be a result. Imbalances that develop over time also logically require time to backtrack. Fortunately, along this journey of seeking functional balance, there’s that wonderfully satisfying sensation of “letting go” in a tight muscle which we experience right away via bodywork. It’s a warm, freeing sensation, like hot shower water on sore muscles; as if the tension is flowing off you just as shower water does in streaming down your back. 

A broad canvas of muscles, soreness can be found a variety of places in the back. The spinal muscles near the base of the ribs is an especially great area for over-taxed muscles. Commonly, there are weak abdominal muscles and a postural collapsing of the anterior rib cage to go along with this, since the anterior torso muscles  interplay with and directly affect the back muscles. Postural fatigue, some muscles too tight and some too stretched out, and even just gravity all play a role here. In this curved forward position, back muscles get over-stretched, especially around that posterior bottom rib zone; a recipe for soreness. In gently asking a bound muscle here to open, I really love that sensation of select pressure applied and sustained to a pinpointed area. Sometimes it’s a trigger point, creating a radiating referral pattern from that spot; sometimes it’s simply one of many bullseyes in the hypertonicity asking to be dispersed. Palpating the muscles that are right along the spine near the inferior rib cage, then moving away from the spine, there will be many spots to pinpoint within a trio of spinal muscles:  spinalis, longissimus, and iliocostalis. Also known as the erector spinae muscles, this group extends along the length of the spine either side and is generally sore on us from helping to maintain erect posture day after day.

It feels good to use the lower aspect of the forearm, supported fingers, and supported thumbs with sustained pinpoint pressure in this aforementioned junction. Alternating these approaches changes what we feel within the tissue while also making it easier on the massage therapist. Focused palpation can help highlight the tightest area within the tight muscle; like seeking the center of a bullseye. It’s good to include massage strokes to the sides of the torso as the abdominals wrap around here and can be addressed to balance out the back. Since a lot of people don’t like their abdomen worked on, sweeping along the sides of the torso while working on the back, then doing some stretching open of the anterior torso once the client is turned, will keep the massage balanced and in alignment with addressing structure and function. 

The weight of gravity, of our thoughts, and of all we carry in life can pull down on us. This is normal for humans; we have to forgive it. But to keep sweeping it off of our frames, lightening the burdens and the soreness, can be a sweet feeling, a warm relief, and fresh start to another new day and a new vision.

 

Copyright © by Lara Stillo 2017

Neck to Shoulder, Shoulder to Neck

 

Sitting at a jazz show Saturday night, one of the best I’ve seen in some time, I found myself reaching my hands back to the base of my neck into shoulders, trying to comfort the area; that C7/T1 zone, where the cervical vertebrae transition into thoracic vertebrae.  If a stellar jazz performance can’t distract me from muscular tension, I know I’ll be working on the spot later, just like I do so often with clients. What a great area to give focus to! The trick is not to over-do the work and make the area weaker compared to its anterior counterpart, since most of us are posturally flexed forward more with over-lengthened, weaker back muscles trying to counter-balance.

I like to address the tighter side first, sinking fingers gently into the tissue of the C7/T1 vertebrae area. Staying focused on this small zone, feeling what the tissue quality is like, exploring it from its start alongside the vertebrae to just about an inch or less out laterally, and in a superior/inferior direction. Moving fingers up, down, and out from the spine, it challenges the tissues to open up in different directions, breaking down adhesions, warming hypertonicity out of the area.The focus feels wonderful to receive and to give. Just in being attentive and patient, relaxation and movement can happen. So often in life, we don’t feel like we get the attention we desire, whether it’s in being heard, recognized, or understood. Receiving this honed in attention on a troubled area is a wonderful balm to the physical body and to other layers of who we are as people.

Taking a moment to look up some anatomical charts and apps, it’s fun to explore the layers of muscles attaching in and around the lower cervicals and upper thoracic vertebrae. Trapezius, splenius capitus and cervicis, rhomboid minor and major, semispinalis cervicis and thoracis, multifidus, spinalis cervicis and thoracis, all layering over each other and inserting into the area. Given this amount of pull from so many head, neck, and upper back muscles, that junction is usually crying out for relief. In ending, it’s good to do broader, lighter sweeps away from the area, carrying it through the surrounding musculature. The last complement to this work would be to do some work opening the anterior upper torso. As in life, balance is often everything. To over-do in one area while disregarding another can create other problems; again, analogous to life. Go in with a plan, see what you find, adjust the plan as needed, and keep the intention clear: supporting a harmonious system, in body and in spirit of life.

 

Copyright © by Lara Stillo 2016

Breathing a Little More Deeply…

 

Working the soft tissue open along a line under the clavicle – often sensitive because the pectoralis major is generally tight on people, sometimes awkward since there’s less tissue mass here, and usually it’s not an area one thinks of as “relieving” to have worked. But that said, it’s interesting to see that most people do respond positively to the work here. Understanding anatomical function and common postural imbalances, it is an important area to address, yet the way people respond with such surprise and relief themselves always interests me; I learn from it, every time. Watching these same reactions over and over helps me to refine my work and supports the style and intention of it:  to accomplish the most I can, as effectively and efficiently as possible, promoting some positive and acceptable change for the client, while keeping the touch itself great to receive. And we can work this area a little on ourselves, too, which is always a plus.

Apply it to yourself first. Bring the four fingers of each hand together, placing them under the most medial portion of the clavicle, staying in soft tissue, off the sternum and above the first rib. Sink in a little bit first, anchoring your fingers into the tissue, noticing how just the pressure can feel good. Let the fingers slide simply by applying more pressure (a little lotion may be needed here, so the skin isn’t dry, but also isn’t overly lubricated). Sensations can vary: the head and neck can feel less restricted from the anterior pulling of flexion; the upper thorax feels more open, allowing the ribs to expand more in breathing; the shoulders also feel less of that anterior pulling from postural flexion. And even if the client (or you) can’t put words to all the above, there is a lightness felt, like a weight has been removed from around the upper body. Another simple, effective technique here is to apply gentle, rapid, continuous pulses from your fingertips; like a faster rocking to the area. With this approach, the fingertips do better sitting lightly atop the first ribs, anchored in enough to allow the jogging movement against the solidity of bone, while not applying so much pressure that the client feels like you’re trying to do chiropractic adjustment. It creates almost a small wave moving through the client’s body as they lie on the table, or a shorter wave through the upper torso if you’re applying to yourself. Keep the focus on the pectorals major, the primary muscle being addressed here, as it attaches along the anterior and more medial surface of the clavicle and drapes down along the upper anterior torso.

Anything that feels less restrictive in our bodies, anything that feels freeing, is generally well-received and gratefully acknowledged. We don’t always notice the feelings of heaviness we carry around until they are removed. The result can feel like our mood lightens, or we’ve more energy, or sometimes even that years have been dusted off. The responsiveness of the body to touch is amazing, affecting us on so many levels, and so often difficult to describe fully. How does it feel if you apply it to yourself? Grounding, relaxing, opening, comforting, revitalizing, or? See what you notice, see what your client’s non-verbal responses tell you, and hopefully breathing can go more deeply because of it.

 

Copyright © by Lara Stillo 2016

 

 

The Tactile Comfort of Massage Linens

 

Musing on how much we look forward to receiving bodywork, to receiving therapeutic touch, receiving kindness through this touch. Soreness in our muscles yanks at us, the tension in our bodies piles up and pulls us off course, and the energy drain of these imbalances weighs us down; so whatever the cause or reason for how we feel off kilter, massage is generally always something we feel uplifted about. What I find really lovely, interesting, and pertinent to why I started this blog, is how many clients over the years have expressed their liking of simply having the linens arranged over them; continuously shifted and re-draped during the massage session, like origami respectfully and carefully done.

I confess that while I love pleasant, tactile sensations and certainly delight in receiving massage, I have not payed as much attention to how nice the linens feel around you during a session. Yet I’ve always been very aware of how it might feel to the recipient as I work, so as I drape, I’m conscious of the different folds and layers of the linens and blankets, both in how they look and how they look like they feel. How are they laying across the client? Are they pulling too much, or feeling too tight, too heavy, or too loose? Is there ease in how these materials rest on the person, covering them with respect, warming them just enough, enfolding them in a way that matches the caring, professional, goal oriented intention of the work? Details matter. All our actions and intentions speak more loudly than our words.

A client of mine recently mentioned how the linens being moved around made her more aware of her own body, of areas that might be more tense than she realized, of imbalances that were spot specific that she was unaware of until she felt the drapes shift. I loved hearing her insight and experience; very unique to her and a reminder to me as well. Now I expand my own awareness from doing the draping and being attentive to how it could feel, to myself receiving it when I get bodywork done. Any reminder to be in the moment, enjoying simple sensations in a meditative kind of way, is lovely, mindful gift.

 

Copyright © by Lara Stillo 2016

The Base of the Thumb – A Large Small World

 

Seriously, who doesn’t enjoy having their hands massaged? Let’s do a simple one for the thumbs (talk about an overworked area). Think of this as a very small road trip, a tiny but effective exploration. – Take the thumb tip of one hand, place it on the medial  or inner side of the thumb joint on the opposite hand. Stroke it down along that inner edge of the thumb’s metacarpal bone, following it along to where the bone ends. Then turn a right angle to trace inward along the palm’s base, moving toward the center of the hand, still staying low along the base of the hand. It’s simply two short, firmly pressed lines, tracing the outer edge of the thenar eminence, yet these two brief strokes do help to move tension out from the area – and it feels really good! A lot of tension can sit around that edge, in our usually over-used thumbs. Notice spots that are tender, tighter, or even gritty in muscle texture; the left and right hand will probably feel different from one another. Grouping the forefinger, middle, and ring fingers together is a nice alternative to using the thumbs here. With this broader point of contact, you can use these three finger tips to apply strokes from the thumb joint down across the thenar eminence, to the base of the hand right above the carpal/wrist bones. A nice break from the computer, allowing a space for “zoning out,” exploring this small area with simple, focused strokes. 

What are we feeling in there, besides tension or soreness? Applying the above simple strokes explores along the abductor pollicis brevis, the flexor pollicis brevis, and the opponens pollicis muscles. Along with the soft tissue, there’s also the carpometacarpal joint at the thumb, the first metacarpal bone, and a little of the trapezium in the wrist –  all the aforementioned in this small space, receiving needed touch, and working hard and ongoing for us as we move through the world. The complexity of human anatomy seems never-ending, and still our learning about it continues. The power of simple but focused touch seems even more of a universe; constantly new, every time, and so often without words to explain how it feels. You don’t need to know the anatomy of the area to appreciate massage here, though it does help to grow our appreciation of what we are and what we have. The more over-worked or stressed any given region of the body is, the more we seem to expand and let go once these areas are addressed with care and attention. So work on your own hands, or offer this gift to another. Allow yourself to notice in receiving this touch, how a stillness can rise above the noise, and a quiet can grow deeper within.

 

Copyright © by Lara Stillo 2016

 

 

 

 

A Furrowed Supraorbital Ridge Impedes the View

Tightness in the brow ridge above the eyes, the supraorbital ridge, is another one of those small, delicate spots where addressing it can be wonderfully helpful, yet it’s an often overlooked area, especially when limited time is usually a part of any bodywork session.  Relaxing this zone can ease eye tension, affecting our eyesight; it can release pressure on the sinuses located right behind the brow ridges; and it can reduce tension being held throughout the facial muscles, felt both within the tissue and the emotions. 

Some people love having their complexion touched while others do not. It’s always best to ask your client first about receiving facial massage, making sure no medium (oil or excess lotion) is on your hands, as it can make people break out, alter their makeup, and so on. Working close to the seat of someone’s sensory organs (eyes, nose, mouth, ears), creates that much more of a need for awareness and sensitivity in approach. The forefinger tips are usually easiest to use here, placing one at a time lightly but with assurance, so the recipient can relax into having digit tips that close to their eyes. Try starting at the medial edge of the brows, doing a gentle pull with the forefingers in a superior direction, away from the eyes. The client can often immediately feel sinus passages opening and tension dissipating out of furrowed expressions, away from the center of the face. Noticing how the therapist gives the eyes plenty of space usually generates even more relaxation within the client. For the massage therapist, it feels good to let the finger tips sink into that bony curve at the top sides of the nose, right between the brows. There is a happy sense of evaporating tension within a few seconds; a sense of positive, focused effect being created quickly and easily.

Working within small, delicate areas can sometimes create more hand tension for the therapist, so it’s good to change how the hands are used. Try thumbs for a few seconds instead of forefinger tips, or all four fingertips on the length of the brows sweeping medial to lateral while also pulling in a slightly cranial direction. Alternating with fluid, slow deliberation amongst the aforementioned approaches can feel good to both the therapist and the client. It creates a subtle wave of changes in address, contact, pressure, and direction, keeping the therapist and client very present, focused yet relaxed, and more interested in what’s occurring. A meditative moment shared by both people, in a tiny space with a big effect.

 

Copyright © by Lara Stillo 2016

The Sacrum is Often the Heart of the Matter

I’ve noticed that people are generally always surprised by how sore the edges of the sacrum are, and how much relief we can bring in easing the area open. A triangular shape framed between the large wings of the hip bones, the sacrum creates the sacroiliac joints by articulating with the ilium on either side, and even demands some attention as an artistic visual with its unique looking shape. This small piece of our skeletal system holds down some important jobs: an outlet for lower spinal nerves, a support holding the upper body’s weight while also helping to transmit it through the lower extremities into the ground, and a base supporting the upper spine. So it makes sense that this funny, knobby-feeling skeletal bone can run from being hypersensitive to the lightest massage pressure, to feeling eased in receiving touch, often truly creating a sigh of relief for people. With its important roles and structure always kept in mind (the nerves present, the lack of muscle density actually passing over the site), massaging the sacroiliac joints need care and consideration, with the pressure level very specific per individual and even different per side of the same individual.

As long as the client has not mentioned to avoid working on their sacrum, once you make contact with it, you’ll start to get a sense fairly quickly for how the area feels to them. A nice way to start is by placing fingertips on the center of the sacrum first, before gliding off the rough formation and into soft tissue near the edge, noticing how different the bony triangle feels compared to the tissue connecting along its sides. Taking these steps with deliberation before beginning to explore the tissue, conveys a solid sense both of your awareness of the area and of your client to said client. This alone can create a calming effect in a generally overstressed spot. Moving next into massaging the tissue, gently use supported fingertips to create circular or parallel friction along the sacral edge, working superior to inferior and noticing subtle differences in each fraction of an inch along the way, lingering with more time in areas of increased density or soreness. Light static pressure can also be relieving if the tissue has hypertonic spots wanting to spasm. However the area allows you in, it can be wonderful to receive this kind of focus here, like the sweet reassurance of a loving hand placed upon slumped shoulders.

I love that kindness, attentiveness, and relief can all be brought to the sacrum if intention is sustained within the massage. There’s a lot of beauty in this: honoring and caring for an area simultaneously strong and sensitive, with the grace and warmth of knowing our client is allowing us to address this space. Thinking about how the sacrum sits just enough out of easy reach on the posterior plane of the lower body, yet also high enough that reaching back with your own hands is awkward, it’s usually lost to our own attempts to calm it. Allowing another to address this central hub of the body becomes a lovely sharing of trust given by one and acknowledged by the other, and that aforementioned sigh of relief from the body becomes palpable to our very fingertips.

 

Copyright © by Lara Stillo 2016

Sensing Digits Return As Tense Fingers Relax

I used to love pulling any kind of lace between my fingers as a child. The sensation of having this type of fabric, with all its possible variations, move across the finger webbing and against the sides of the fingers themselves, was comforting. Another wordless feeling – no reason for it if you had asked me, and no really solid descriptions to give for the feeling itself. Yet in thinking about it now, this is a fairly sensitive area that at the same time is always “sensing,” as our hands are generally the first point of contact with the environment. We usually think of the fingertips or the palm with this; the star players. What of the other, less noted areas of the hands, such as the aforementioned webbing? To give specific attention to detailed areas is wonderful to receive, though frequently overlooked in favor of treating larger muscle groups.

Gently compressing the finger webbing, pinching it between your thumb and another finger, a slow dragging pull from proximal to distal, letting each section of webbing between any two fingers come gently free from your grip. Thin at the end of the pull, denser closer to the hand, sometimes stretchy in quality or sometimes tight, short and shallow or with thicker flesh depending on the person’s hands, the webbing is as individual as the hands themselves. On the dorsal side of the hand the webbing can seem so much like tissue paper, while the palmar side has similarity to the sole of the foot, possibly callused from use in the world and protection against it, same time. The digits should have more lightness in their movement after just one pass of this. Taking it deeper, if you move the starting point of the compression in closer, rocking back and forth into the tissue between the base of the fingers, soreness is usually there waiting to be worked out. The recipient might notice being able to splay their fingers apart much wider; hands ready to engage with the world more fully, range of motion increased, and more alacrity in movement.

Given that our hands do an amazing amount of work ongoing, including in that too much keyboard typing, easing tense hands open is a warm, welcome, yet almost forgotten relief. The wonderful thing here is, even if no deeper work is done, simply doing a gentle pull down the finger webbing, letting the client feel how much sensation exists there, and creates lightness through stiff fingers after this simple palliative touch is given. Almost like shaking someone’s hand, briefly being introduced, then leaving a kindness from the exchange to linger hopefully long after.

 

Copyright © by Lara Stillo 2016