Avalon Holistic Therapies LLC

For this message, I want to talk a bit about the difference between Relaxation and Therapeutic (or Deep Tissue, or Medical) Bodywork. First, I want to state, that Relaxation is, by itself, quite therapeutic. Helping to alleviate stress is a HUGE step in the right direction towards achieving wellbeing. The benefit of touch in and of itself is extremely important. Most people, on some level, want to be touched and can sometimes have a difficult time finding “acceptable” situations to get those needs met in a safe manner. For the purpose of description, however, I will separate Relaxation massage from Therapeutic Bodywork.

Relaxation massage is what most people think of when they hear the word “Massage.” It usually incorporates various strokes from the Swedish style of body work such as effleurage, (Long gliding strokes, usually with lotion or oil) petrissage, (kneading strokes) tapotement, (think karate chops) and compression (pressing the muscles into a hard surface such as the bone underneath.) This style of massage is usually performed with oil or lotion and soft music to encourage a state of deep relaxation. Sometimes Aromatherapy is also used to deepen this relaxed state.

Therapeutic Bodywork (or Deep Tissue or Medical Massage) is all about getting to the cause of pain and alleviating it. This work can be done with draping or in comfortable clothing. It can also, at times, feel deep and intense. It is important to remember, however, that you are the one in charge of the session and must communicate with the therapist regarding level of pain. This work is not about suffering in silence or suffering at all. It is about communication and targeting sore spots. Sometimes muscles get strained, over-tightened, over-lengthened or stuck together. Sometimes parts of the muscle get ischemic (lack of blood flow) and create tender spots or trigger points (which refer pain to other areas) and need to be worked out and loosened. This work can be extremely difficult to do on your own and sometimes a detailed knowledge of anatomy is necessary so you are not stretching already over-lengthened muscles. A qualified bodyworker can really help alleviate pain and suffering to the point of eliminating the need of prescription pain killers in some instances. Another point to consider…deep work is not the same as deep pressure. Some people come in to get a massage and say they want deep tissue work when what they really want is deep pressure. Therapeutic Bodywork can also be very gentle. Myofascial work can feel very light and still be extremely effective at relieving chronic pain. A good bodyworker will listen and respond to the needs of your body in that day. Sometimes lighter work is needed, sometimes a little firmer pressure is needed. Again, the key is good communication between client and therapist.

Here are some things you can do for yourself to assist you in your wellness goals…Get plenty of sleep, drink tons of water, stretch and elevate your heart rate every day.

We at Avalon Holistic Therapies are passionate about the work we do. Check out our website and contact us today to see what we can do to help enhance your state of wellness.

In health and healing,
Ann-Marie Hall, LMT #17372
www.avalonholistic.net

First of all…These tips come from my own experiences. I am not a lawyer or a doctor and I don’t prescribe, diagnose, give a prognosis or legal advice. The following are just some tips to keep in mind as you navigate the difficult situation of having been in a car accident. If I have overstepped my bounds in any way, it has been done in ignorance and I will remove any offending material if there be any. This is for informational purposes only and is not intended to replace the advice from a trained professional. That being said… Let me share some insight that might help avoid some pitfalls that I have seen happen to clients as they have gone through their treatment.
1) Get checked out ASAP

Even if you don’t feel very bad, do not say that you are okay. Pain symptoms can take 2-3 days (or longer) to manifest. Sometimes a claims adjuster will call within the first 24-48 hours to get you to settle the claim. Don’t do it until you have given it enough time to evaluate your condition and have been checked out by your primary care provider. This can mean traditional medical doctors or, in Oregon, Chiropractors or Naturopaths. Check to see who is considered a primary care provider in your state. When you are checked out make sure to accurately report all symptoms. This not only includes things like neck pain and back pain, but also headaches, dizziness, nausea, extreme fatigue, etc. Anything new since the accident needs to be put in the report.

2) Be honest

ACCURATELY describe your pain. This means don’t exaggerate or UNDER report your pain symptoms. Determine a good pain scale with your physician and just be consistent. For example: 1-3 = mild pain; 4-6 = moderate pain; 7-9 = severe pain. Some clients have reported a 3 on the pain scale and then describe how they can only sit for about 10 minutes before having to move around because of the pain. This isn’t the time to ignore your pain. Be in touch with your body. Notice how it affects you and how you have to compensate because of the pain. All of these details are important to tell your providers as they are helping you and to see how well the treatment is working, or if a change needs to be made.

3) You can choose your team

Some people have health insurance or managed care providers and think they need to get their treatment from these avenues. YOU DON’T. If you are happy with the care then continue. You do not need a prescription to see a Chiropractor or Naturopath in Oregon. They are primary care providers. If your doctor sends you home with muscle relaxants and pain meds, this does not address the cause of the issue. Your body just went through a major PHYSICAL TRAUMA. It makes sense to get physical manipulation of bone and tissue to help with that trauma. Car insurance pays for the treatment and care in most cases, so call and verify coverage with your provider. If your practitioner doesn’t automatically recommend Massage Therapy (a lot of them do) you can request it. Most will have no problem writing a prescription. Other providers that may be helpful might include, Chiropractors, Naturopaths, Acupuncturists, Physical Therapists, etc. You may even need help with housework in the beginning if you are aggravating your condition by doing so and if it is keeping you from getting better. You can help make the decisions for your care and treatment. It is your body and you will have to live with the results, so don’t hesitate to voice your opinion.

4) Your treatment is your job

It is sad to admit but recovery can seem like a part-time job. Between the appointments and phone calls with insurance companies it can seem like everything revolves around this brief moment of time that changed your life so drastically. Keep a good calendar so you show up to your appointments consistently and on time. If you are not consistent in your treatment it might be determined that you are “all better” and your care will come to a halt. Keep a pain journal. How does the pain affect your life and how do you have to change things because of it? How are you sleeping? How long can you sit, stand or walk? Are any activities avoided because of the pain? These can all be used to evaluate the effectiveness of the treatment as the frequency and duration of pain flares decreases over time. It really could take months to regain pre-accident status so be patient and keep showing up for yourself.

5) Do your homework

When dealing with the insurance companies, do not undervalue yourself or your property. If your car was totaled and you will need to purchase a new car, make sure you know the values and advocate for yourself. It helps to receive assistance from others. Ask a professional. This might include people in the auto body shop, your care givers, or even a lawyer. Make sure you educate yourself and don’t sell yourself short.

6) Do your other homework

If your care givers offer “homework” do it as well as you can. It will only speed up your recovery. This could include stretches, exercises, Epsom salt baths, Ice, dietary changes, etc.

7) Ultimately, the medical bills are your responsibility

The auto insurance pays for your treatment and care. If you have Personal Injury Protection it pays for the treatment of your condition as you receive it. If you don’t have PIP (it is required in Oregon) then the insurance may not pay until the case is closed. As this can take months it may put your provider in a difficult financial situation. You will need to discuss this with your provider and come up with a mutually agreeable arrangement. Become aware of what your coverage offers. Do they cover rental? How much? Do you have PIP? How much? Also, if your PIP runs out or the insurance company decides you are done (for example after an IME – See below) then they may stop paying your providers and the responsibility becomes yours. They won’t necessarily tell you when you are close to running out of PIP money so be proactive and make sure you know where things stand. This protects you and your providers.

8) Check your PIP now

Make sure you have PIP in your insurance plan. In Oregon it is required but in other states it is not. This is NOT an area to skimp. Your body is your most valuable possession. Make sure you can get better if you have an accident. Also…most people have about $15,000 in PIP. You may be surprised how quickly medical bills can add up. If you have a very bad accident and end up in the ER you can use most of that immediately. Check out options and weigh the value of a few dollars for a higher PIP.

9) Alert your team about any IME

If your insurance company wants to send you to an “Independent Medical Examination” please notify your care team as soon as possible. If you are sent to an IME it could mean the end of your treatment and it may mean that your bills will stop being paid. Discuss options with your treatment providers and possibly even a lawyer.

10) Be gentle with yourself and give yourself plenty of time to heal!

It can be hard to not be able to do as much as you did before the accident. Overstressing yourself may slow down your healing process. Be patient. Oh… and drink lots of water and get plenty of sleep…Because that can never be said enough!

Hope this helps! Stay safe and get lots of massage! 😉

I grew up thinking that doing things for myself was selfish. That I should think of others first. It’s better to give than to receive. I get where this is coming from…if we are dealing with a group of people who are completely self-absorbed and only self-serving then this is very good advice. Doing good for others, assisting others for the betterment of the group; these are admirable traits. What I have seen in my own life and in the lives of many of my friends, colleagues and clients, is that this is taken to mean that taking care of self is not important, and in fact, detrimental to our well-being. Self-sacrifice wins the day as our bodies (and minds) slowly fall apart from lack of TLC. What is ironic is that these same people would give the advice to others, “You should take better care of yourself. Go do something special just for you.” Ironic, no?

I have (finally) learned that Self Care isn’t a luxury. It isn’t something we do when we have nothing else to do. (Because that NEVER happens.) It is something to be planned FIRST. This is incredibly hard when time and money are at a premium. Be creative! There are many ways of taking care of yourself. Obviously I LOVE massage and feel that regular bodywork is ESSENTIAL in maintaining proper functioning, AND…what about taking a walk in the woods? A hot bath, reading a good book, having a cup of tea by the fire in sweet silence, crafting, quilting, talking with a friend, taking a nap, visiting someone who helps you feel better, gardening, etc. It isn’t what you do that makes the difference…it’s how you FEEL about it. Do you feel energized? Does it put a smile on your face? Does it help your body feel more relaxed. This isn’t just for emotional well-being either. Stress is a killer and we need to actively address it.

I love the wisdom of the heart…the first artery to come off the aorta is the one that feeds the heart. It takes care of itself FIRST. Put your oxygen mask on before trying to help others put on theirs and you will be amazed at how much more productive and effective you are in your obligations and other relationships. Self Care is not Selfish…it is essential.

December is finally here. The weather has turned chilly and the thought of sitting by the fire with a hot beverage sounds incredibly inviting right now. I am noticing feeling more inwardly focused and it is absolutely appropriate at this time of year. The leaves have fallen and the plants are going dormant, ready to sleep for the year. Winter can be seen as a time for reflection and introspection. The year is closing and a new year is about to open. The time is now to start evaluating how things are going and how things have been. It is also time to start thinking about what you want to create for the new year. If you don’t plan it, chances are it won’t happen.

Here are some questions to start that process:

What have I done well this year, what can I celebrate?

What would I like to do better next year?

How can I make changes that will create my ideal living situation?

How can I make changes to help create more ideal relationships in my life?

How can I make my own self-care more of a priority?

How can I be of service to others?

What is my passion and am I pursuing it?

These are just some ideas. I invite you to use this time of hibernation to create space for all the wonderful things to come in 2014.

Pain is a complicated thing. Some of us have more than our fair share. Some seem to have, what seems like, an insurmountable serving that seems humanly impossible to bear, and yet they move forward…day by day…living life with a smile on their face. Sometimes we can’t see the pain because there is no outward sign that they are suffering. I want to send out loving thoughts and a warm embrace to those who suffer by just being in their own body. Many of these people have learned to live with their pain, and while it isn’t desirable, I have to think they have learned something precious that many others will never understand.

I got a small cut yesterday. I cut my finger with sissors and it kind of hurt. In that moment it seemed like a flood of memories came back to me of all the times I have been told to “be careful” ”don’t hurt yourself.” I have said these same words countless times to my four children. In that moment I asked myself, “How much living have I ignored out of fear of being hurt? And is the pain really that bad?” How much do we, as a society, fail to achieve/discuss/work through, because we don’t want to experience discomfort. Don’t get me wrong…plenty of people have repeated the mantra of ”No Pain, No Gain.” But that kind of pain is empowered pain. When we push through pain we have control of it. (Not that I’m advocating this approach.) The unexpected and uncontrolled pain is what makes us feel small and powerless. The EMOTIONAL pain seems worse than DEATH. How many of us would rather do ANYTHING than feel heartbreak or the pain of loss?

I don’t have any great advice except perhaps this…Live BOLDLY. Take the risk. I can almost guarantee you will experience pain, loss, being out of control. But with risk comes great reward. The pain is usually not as bad as the fear that preceeds it. Feel deeply because with the pain also comes joy and ecstacy.

Make it a spectacular year!