Monday, December 8, 2008

Give the Gift of Massage!



This Holiday Season, Give a Massage!
with a little help from Four Hands Bodywork & Massage.

This year, how about offering a massage to someone you care about.
Give them a waste-free present.
Give them an opportunity to take care of themselves.
Give them some relief from chronic pain or stress.
Give them some support for that New Year's resolution.

Tell them that you care!

Gift Certificates for sessions at Four Hands
are only $85 for a 90 minutes gift certificate,
or only $72 for a 60 minutes gift certificate!
(when ordered between Dec 1st and Dec 31st, 2008)
(spread the word!)

Yes, you can gift them to yourself :).
Regular prices are $80 for a 60 minutes session and $95 for a 90 minutes session.
For additional volume discounts, please contact me!
Gift certificates do not expire, however, the price per session is only guaranteed for a year. If the price of the session has increased after a year, the certificate bearer might be asked to pay the difference.
Cannot be used with other discounts.

Wednesday, November 26, 2008

Happy Thanksgiving!

Giving Thanks
to my friends and clients for all their support

It is that time of the year. The time to remember and express what you are thankful for. I am very grateful for your continuing support. It has been a fabulous journey so far and I look forward to the path ahead.

A very Happy Thanksgiving to you
and all whom you care for.



Wednesday, November 12, 2008

Advanced Orthopedic Massage


In an effort to further my training in more medical-oriented bodywork modalities, I have been pursuing my certification in Advanced Orthopedic Massage with James Waslaski. Now, after almost 6 months of hard work, I am happy to announce that I have achieved this certification.

So what is Advanced Orthopedic Massage?

Advanced Orthopedic Massage (AOM) is a multidisciplinary approach to chronic pain conditions outlined by world-renowned bodyworker James Waslaski. This approach uses a combination of structural integration techniques, deep myofascial techniques and the latest scar management techniques to address complicated conditions such as carpal tunnel syndrome or frozen shoulders (adhesive capsulitis) in a pain free manner. The techniques have been developed using the latest medical research in musculo-skeletal related conditions and fascia.
The techniques used in AOM are many of the myofascial techniques I have used for years. The difference lies in how we approach the injury. You probably have heard me say that I imagine you have one muscle and 600 or so compartments of that muscle. It is referred to as structural bodyworking. AOM adds a balancing element to that equation. When using AOM, we work to balance out the different compartments. For example, if you suffer from carpal tunnel syndrome (CTS), it is likely that the flexor muscles in your arm, the muscles that you use to flex your fingers and your wrist, are more developed than the extensor muscles. The extensor muscles are called the antagonist muscles (or more accurately muscle group) to the flexors. Restoring balance between the flexors and extensors would be the first step needed before we can efficiently address the tenosynovitis, adhesions and the other causes of CTS.
AOM is a more active or engaged style of bodywork. During the session, I use many joint movements and gentle muscle loading to help with scar tissue treatment. While this is always performed in a pain-free manner, it requires a greater participation on your part in the session than the traditional relaxation massage.

AOM results are truly impressive. It is particularly effective in treating frozen shoulders, thoracic outlet syndrome, carpal tunnel syndrome, piriformis (also known as ‘false sciatica’) syndrome, knee problems and plantar fasciitis. Typically, you should see significant results after a couple of sessions. Combined with some gentle stretching exercises, you will be amazed by the results we will get using AOM techniques.

You probably have noticed that I have been using some of these techniques in your session. I am creating a new session format for the more medical-oriented treatments. This will help me better understand your expectations for the session, prepare the self-care exercises for you and give you some additional information about your session that you can share with your other medical providers (ie: primary care provider, physical therapist, or chiropractor).

If you are wondering if Advanced Orthopedic Massage would work for you, feel free to call me or send me an email with your questions.

Friday, November 7, 2008

4 Hands Now on Twitter


I am excited to announce that you can now follow me at Twitter.

If you don't know Twitter, it is a service that allow you to post short messages about what your status or mood is.

I will use Twitter to publish the availability I have for that particular day as well reminder of current promotions.

Check it out!

Monday, November 3, 2008

Vote!!


It is time! If you haven't voted yet, tomorrow is your last chance! Rain or shine!

To find the polling station closer to your home, click here.

After having voted, you can get a free cup of coffee at any Starbucks store.

Go Vote!


* the image I use here is from one of my favorite artist, Nikki McClure from Olympia. You can learn more about her work here.

Thursday, October 30, 2008

Happy Halloween!



Well... It is that time of the year again. Every Halloween for the past few years I have been the Gate Keeper at the Stoker Farm's Field of Screams corn maze. It is great fun! If you happen to be around Snohomish around Halloween, come experience the maze. You won't regret it!

Enjoy!


Wednesday, October 22, 2008

Stress help from 4 Hands...



Breathe!

Between the plummeting economy, the darkening days of Fall and the constant barrage of election related ‘advertisements, stress is running high.

As our way to bail you out of this gloomy climate, we would like to offer you an opportunity to relax.

All sessions at Four Hands are just
$72 per session
from October 17 to November 17, 2008
(this includes 60 minutes sessions, 90 minutes sessions and one gift certificate per client)

Schedule Now!
and spread the word!

Thursday, September 4, 2008

Speaking of sport injuries and women athletes

This morning NPR Morning Edition ran a piece on the higher rate of injuries in women athletes and the efforts of University of Cincinnati to look for a conclusive prevention training program.

The piece is a nice introduction to Sokolove's book I reviewed a couple of weeks ago. It is nice to see the issue gaining some traction with the media.

You can read or listen to the story at NPR.org.

Keep moving!

Monday, August 25, 2008

Book: Warrior Girls by Michael Sokolove


While I was lending half an ear to the controversy about the age of the Chinese Olympic female gymnastic team, I discovered a very interesting book about sports injury rates sustained by women athletes.

Michael Sokolove presents a fascinating piece of investigating journalism about an under-reported epidemic; why do women athletes seem to get injured more often than their male counterpart. The numbers are impressive. According to his investigation, young women playing soccer at a competitive level are eight times more likely to rupture their ACL (a stabilizing ligament in the front of the knee) than their male counterparts. The numbers are as high for concussions and other injuries in a wide variety of other sports. The question he asks is why?
Naturally the answer is far from obvious. Sokolove explores the several leads such as the lack of cross-training for young athletes (kids are being pushed to specialized in a single sport as early as grade school), the gruesome schedule they submit themselves to (year-long seasons, playing for school and club teams) and of course the incredible amount of money at stake (from Ivy League college admission selection process to specialized tournament sponsored by the usual suspects).

A good portion of the book is also dedicated on understanding the state of research around female athletes' injuries, particularly when it comes to ruptures of the ACL.

Sokolove never questions if women are capable of the same athletic performances as men, nor does he question the benefits of sports for anybody. His thoughtful and rather thought provoking book challenges the rather obsessive culture we have created about children sport. Reminding us that exercise and sports are not the same thing, the author raises the hypothesis that competitive sports can be detrimental to a healthy body. He relates the story of young soccer players who have their 4th or 5th knee surgery before the age of 20, forced to 'retire' before they leave college with debilitating knee pains.

The book also reminded me of a few injuries I have sustained as a competitive fencer but also of a few injuries I see regularly in my practice. Over-training is definitely a big issue in a society where nuance and moderation are secondary values. I cannot emphasize enough the need for anybody to factor rest time as part of their program whether training for a triathlon or to be a massage therapist.

This book is fascinating and written in a page turning style. I highly recommend it to anybody with children involved in sports (boy or girls) or anyone interested in the socio-economical role sport is playing in our society.

Keep moving!


_________________________
Warrior Girls by Michael Sokolove
Simon & Schuster (June 3, 2008)
ISBN: 978-0743297554

Monday, August 18, 2008

Eco-Centric Practice

It has been a while since my last entry. It took me longer than I thought to get settled in my new office. But with new beginnings come new opportunities.

Green seems to have become the new black. There is not a day that goes by in the media without talk of carbon footprint, climate change, energy consumption, etc. And it seems that everybody has an opinion about what to do about it.

Living in harmony with my surroundings, my environment has always been high on my priorities list. I constantly try to find the proper balance between my well-being and my impact on the well-being of others; people, animals, plants or minerals.

I am committing to turn Four Hands into a more eco-centric* practice. My vision is to improve the well-being of my clients (that would be you) and to a larger extend the well-being of our planet by reviewing Four Hands operational and business procedures twice a year to assess their environmental impact. With that information, I will improve the procedures to bring them progressively in line with the eco-centric vision. If you have any suggestions or tips, I would love to hear them.
The first priority in this endeavor is to identify how to improve products and processes that ‘touch’ my clients directly. As such I have changed the creams and oils I use in my practice to now only use organic and free of known harmful chemicals (parabens, etc) products. I have chosen the massage crème from Sacred Earth Botanicals (a company based in Eugene, OR) and organic Jojoba oil. I will continue to use Castor oil and to some extend Traumeel Homeapthic Ointment in my practice due to their incredible efficacy.
The biggest environmental impact of a massage practice is without doubt the laundry. I typically wash a load of laundry every day. For sanitary reasons, I do the wash with hot water and dry the sheets, towels and face cradle covers at high temperature. I am fortunate to have a modern, high efficiency commercial washer/dryer set on premise and do use a soy based detergent (Ecos from Earth Friendly Products). While it is difficult to truly evaluate the environmental impact of the laundry, I am signing up with the Seattle Light Green Up! program to offset some of my energy consumption. The Green Up! program offers business and residential City Light customers to purchase a fraction or the entirety of their electricity from green power sources.

In the same vein, I would like to thank you for helping me in this effort. As of today, the 18th of August 2008, I am offering a 10% discount on your session if you have come to the appointment under your own power. That includes walking, running, biking or using public transportation to come my office. Please check my updated Payment Policy document for details.

Keep moving!

__________
* The term Eco-Centric was first coined by my friend, the fabulous ceramic artist, Randolph Sill. You can check his work at www.madpotter.com

Thursday, June 5, 2008

Four Hands is moving... just around the corner

Dear Friends,

I am thrilled to announce that I have moved my treatment space to a new facility. This bigger space offers plenty of opportunities to continue our work together in a more comfortable setting.

The new space is just around the corner, on 1403 NW 85th. It is in the same building as before. The entrance to the building however is located on 14th Avenue, just around the corner from the pharmacy.

I look forward to seeing you soon.

Olivier;

Wednesday, May 14, 2008

Pain as a teacher.

After writing the blog entry about the Spinal disorder seminar, I would like to share some personal experience about back pain.

About 3 months ago, I helped a friend move his fridge down a couple flight of stairs. He was (actually still is) remodeling his house and needed the fridge to be moved to the garage. We carried the fridge on an oversized hand truck down the stairs, him at the top, and me at the bottom. In retrospect, that may not have been the smartest thing in the world to do. Ah well.

On the last step (why does it always have to be the last step?), the fridge fell on my knuckles. In a reflex, I lifted the fridge to free my hands, alas not exactly using proper lifting techniques (and swearing quite a bit as well). The reaction of my back was immediate. I felt a sharp, unbearable pain in my low back. I couldn’t straighten my back. I was bent over, trying to catch my breath and not panic. The latter was easier said than done. Images of slipped discs and debilitating pain flashed before my eyes. I didn’t know if would be able to work again and if yes, how soon. It is pretty much impossible to perform any kind of massage with a back seized up. I cursed myself for being so stupid and for knowing better than to try to lift a whole fridge with my arms.

After I managed to quiet my initial panic reaction (when in doubt, just breathe…), I tried to assess the situation. Movement and heat seemed to help. That is good news. I didn’t feel any shooting pain in my legs, and no numbness or tingling. Another good news. That’s when I remembered that I see many people every week with all sorts of back problems. It is easy to let such intense pain take over your emotional being (at least for me). I have been privileged to witness many amazing recoveries and the amazing healing abilities of the human body. So I calmed down and remembered: I will be alright. I will recover. It might take weeks, months or (shudder) years but I will recover. I will not let the pain take over me, define me, rule over me.
This affirmation changed my outlook on the situation. The pain, the injury became an opportunity, a teacher.

Let me clarify a few things. I do not pretend to a higher ground because of this decision, nor do I think it would work for everybody. I have seen the relentless erosion work that chronic pain can have. I completely understand the feeling of hopelessness that it sometime creates and I don’t think I am actually immune from it. But this pain, although probably the worst I’ve ever felt with the exception of some raging toothaches, was different.

I have been lucky to manage to go through life without ever experiencing serious back injuries. Because of my work, I need to understand the structures and mechanisms involved in a lot of back injuries but until now could not really understand the emotional and psychological ramifications of the pain. I now understand better how profound a back injury can be. Almost all major movements initiate in our core muscles, our low back and lower abdominal muscles, from our lower Dan Tien as referred to by Tai Chi practitioners. When your back hurts, almost every movements of daily life hurt. This can really be distressing. Also, the back is perceived as the strong side of our bodies, our shell. Don’t we turn our back to protect ourselves from a potential blow? The implication of our armor, the strong side of our bodies, our shell to be injured definitely feeds a sense of insecurity, of vulnerability.

This revelation allows me to be a better bodyworker, understanding not only the mechanics of back pain but also its emotional impact on the whole person. After all, it is all connected!
As for my back injury, after about 3 weeks of intensive care by massage, yoga and contrast therapy, it is healed, as expected :).

If you are interested to learn more about the concept of pain as a teacher, I recommend you read “The Gift of Pain” by Paul Brand and Philip Yancey. Check the booklist on my web site for more information.

Thursday, May 8, 2008

Surgical and Nonsurgical treatment options for Spine disorders.

I love Seattle! I really feel blessed to live in an area of the country where we have access to so many resources about healthcare and well-being. One of the resources I recently discovered is the collection of community education seminars put together by the Swedish Medical Center. These seminars are open to the public and almost always free. Check Swedish’s web site for details (http://www.swedish.org/).


Last week, I attended a seminar put together by the Orthopedic Institute about surgical and non-surgical treatment options for Spine disorders. I see a lot of clients complaining about back pain in my practice. I thought it would be quite interesting to hear what orthopedic surgeons' take on the problem was.


The presentation was delivered by Dr. Alexis Falicov, an orthopedic surgeon for Proliance Surgeons. Dr Falicov went through a set of slides describing the basic anatomical structures making up the spine. He then covered some of the traditional symptoms associated with spinal problems and the most common spinals disorders encountered. He then reviewed non operative treatment and prevention options before explaining in detail the different surgical procedures available.


Far from being an advertising for surgery, Dr Falicov really emphasized that surgery should be your last recourse and should not be considered lightly. He mentioned that the United States performs 3 times as many surgeries as other ‘industrialized’ countries, primarily because it is a very lucrative industry (this is probably a good topic for another entry). His message was clear: surgery is a traumatic event for the body and should really be avoided if possible. This is definitely a message I agree with.


The section about nonoperative treatment options and prevention methods was particularly interesting to me.
The prevention message was clear: exercise is the fountain of youth when it comes to your spine. Flexibility and conditioning training such as yoga and Pilates are amongst the best thing you can do to maintain a healthy back. Also critically important is the use proper lifting techniques.
One statistic worth repeating was that 90 to 95% of all back problems can be treated without surgery. The secret: patience! It may take months and sometime years for the symptoms to completely disappear. Also, most back pains are a result of muscular problems along the spine which surgery will not help. Massage therefore can help a lot!

Dr Falicov’s approach to spine problems is rather simple: plenty of prevention, 48 to 72 hours of rest after a flair, use of heat and ice to calm to muscle spasms (or what I call contrast therapy), patience, the use of over the counter medications (if it cannot be avoided) and talking to your primary care physician.

It was also interesting to hear him talk about the use of corticosteroids injections. He said that the injection’s primary role is to hide the pain, not to accelerate the healing. The healing speed is the same with or without the injection. What changes is the patient’s comfort level.
When surgery is the only option, Dr Falicov outlined some general principles to remember:
· Arm and leg pain are more often relieved than neck and back pain
· Pain and weakness respond better to treatment than numbness
· Surgery is a physical stress and trauma to the body
· Psychosocial stressors dramatically modify pain and do not respond well to surgery (ie: if you are under a lot of stress at the moment, chances are it is the cause of your pain).
· It is difficult to restore motion. You more than likely sacrifice motion in the back to regain function in the limbs.

Another interesting fact I learned during the seminar is nerves actually can regrow. The process is extremely slow (about 1mm per day) and the recovery is rarely complete.

I highly recommend those seminars. They are truly a wonderful resource to help us take ownership of our health!

Tuesday, April 15, 2008

Thoughts about treadmills and TVs.

With spring upon us, some of us are looking forward to trade the monotony of indoor training sessions for the feeling of the wind on our faces and the joy of running on pavement again.
I work with a few runners in my practice. Some of them enjoy running as a way to keep their fitness level while others enjoy the challenge of endurance running. I can usually tell if a client is a runner. Tight IT bands, tibialis anteriors and glutes are some of the tell-tale signs betraying their addiction.

This winter I have worked with a few of runners complaining about some different pain patterns. The pain was generally unilateral (only on one side of their body), located on the side of the hip, low-back or knee. The other interesting variable was that the pain was only present while using a treadmill. During the massage, I did notice some tension around the external rotators of the hip and the Lats. This is a rather unusual pattern for a runner, at least in my experience. The tension seemed to indicate torsion in the hips and the upper body while running.
The common environmental factor to all these cases was the position of the TV monitors. While trying to break the monotony of the run, a lot of people watch TV while on a treadmill. Interestingly, if the TV is not directly in front of the machine, we naturally turn our heads and to some extend our shoulders and torso towards the screen. Our hips however continue to face forward to allow us to run on the belt. This is the torsion I noticed during the massage. In my opinion, that torsion creates a slight stress on the hip rotators which could explain the pain pattern. During a run outdoors, we never maintain our upper body in a rotation for very long. And since we tend to be creatures of habit, it is not unusual to always use the same treadmill at the gym. This could explain why the pain is always on one side.

So, when running (or walking) on a treadmill while watching TV, try to have the screen straight in front of you. And if that’s not possible, try to alternate which machine you use or which screen you’re looking at.

Have fun!