Archive for November, 2009

Malignancy

November 9, 2009

Hmmm…. I don’t even know what to say. I don’t think my other book had a chapter on this and if it did I don’t remember it. This one seems to be the toughest patient to massage for us. I mean I don’t know if i could massage someone with cancer with out it hurting them. I didn’t know the procedures for cancer or treatments I should say until today. I mean I heard about the chemotherapy. But I didn’t know bone marrow cancer was one type of cancer. But this chapter does say if detected early you have a better chance of beating it. I don’t know. Anyone want an orange I’m go get one.

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Reproductive System

November 9, 2009

Everyone’s worst nightmare is to attain an std lol. I’m glad our textbook shows us the lesions and stuff. I also learned more about the pregnancy here than I did on my other book. The other book had good stuff but this one breaks it down for dummies like me so its easier to understand and stuff. This chapter is eye opening makes me wanna have a baby now lol. But again it felt like a lot of it was review.

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Urinary System

November 9, 2009

Its no wonder why we Massage Therapists suggest to our clients to drink lost of water. I can imagine having trouble with the urinary system that must be bad big time. Ok no more alcohol for me. It’s important to keep my kidneys going. And my liver as well. LOL. I had a teacher who once said (it was actually my health teacher in high school) "I would prefer to have quality years in my life instead of quantity." It finally sank into my head what he meant. WOW.

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Respiratory Disorders

November 9, 2009

Review of Mosby’s Pathology for Massage Therapists, by Salvo and Anderson. Within the course of Dr. Johnson.

So as I read this chapter I kept in mind what I could be going through myself. I had just gotten over a cold like a day or two ago. But I feel like I still have this mucus all in my chest and throat. It was an easy chapter for the reading wasn’t bad. But the conditions are long for the respiratory system; a lot happened when something goes wrong here.

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Cardiovascular System

November 9, 2009

Review of Mosby’s Pathology for Massage Therapists, by Salvo and Anderson. Within the course of Dr. Johnson.

By far one of the hardest chapter yet. I just don’t like reading about the heart and lymphatic system. I felt that it was one of the harder subjects in the other book I have read. This book though it had better pictures and explanations for things I still found it kind of difficult to focus. I will continue to keep up with the heart and lymphatic system only because they are vital to well being. And I think it is important for me to know this.

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Urinary Tract System Pathology

November 6, 2009

The urinary tract is an area many woman have issues with. More woman than men have urinary tract diseases and disorders. The client needs to be aware of the area of pain, and the color of their urine. Kidney stones are rather common, as the therapist be aware if they have a history of them, if they have any at that moment, and be sure to suggest that they increase their fluid intake. You may have to get clearance from their health care provider if they are taking any medication for it.

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Chapter 6 and prior

November 6, 2009

Review of Mosby’s Pathology for Massage Therapists, by Salvo and Anderson. Within the course of Dr. Johnson.

The human body never stops amazing me. So many things can go wrong with it and it still has the capability to keep going. I knew some people with the diseases I’ve seen in this chapter. I wonder if bi-polar disease can be acquired from working at a place like the post office. Working there for five yrs I’ve seen many of these conditions I have read about in chapters 1-6. Carpal tunnel, scoliosis and such other conditions.. Wow. I’m ready to take my mid term people I know I’m a little behind but wish me luck.

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Nervous System Pathology

November 6, 2009

Review of Mosby’s Pathology for Massage Therapists, by Salvo and Anderson. Within the course of Dr. Johnson.

More review for me on this chapter. What was new for me was the four parts of the brain and how the nervous systems work with them.. But I have one concern maybe it shouldn’t be a concern to me at all. But did anyone else get the same questions on the chapter 5 quiz that were on the chapter 4 one. Cuz that was an easy 100 percent lol. Or maybe I messed up let me go take another look at it. LOL and I like how this chapter has the medicines laid out for us and stuff that is very helpful.

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Skin Pathology

November 6, 2009

Review of Mosby’s Pathology for Massage Therapists, by Salvo and Anderson. Within the course of Dr. Johnson.

This chapter was a bit easier for me to read. I had the info from the back of my brain surface to me . I had retained some of this information from my previous class so a lot of the symptoms looked familiar and was easy to understand. I didn’t have the same luck with chpt 3.

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Respiratory Disorders

November 5, 2009

Respiratory diseases, like bronchitis, or pneumonia, are very common. This flu season its very important to stay healthy because the swine flu is known for turning into one of those two and can lead to death. When giving a massage to a client who has trouble breathing, if approved by their doctor, it can help to position the client in a semireclining position.

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Endocrine

November 5, 2009

Why should the therapist ask clients who are adolescent or premenopausal women whether their menstrual cycles are regular? The therapist should ask because problems associated with the reproductive system can be linked to the endocrine system. How could a client’s use of insulin affect how the therapist performs massage on that client? Insulin injections sites should be avoided for at least 10 days, and the therapist should be prepared to respond if the client enters insulin shock. Also, the therapist should be prepared to assist clients who feel light-headed when getting up from the massage table. If clearance is obtained from the client’s health care provider, what massage techniques can be useful for clients with acromegaly? Clients with acromegaly can experience a great deal of pain due to the stress of larger, heavier bone structures on the client’s joints. Therefore, the therapist should use gentle gliding strokes and kneading to decrease pain and provide relaxation. Joint mobilizations might be contraindicated because they could damage the already stressed joints. If clearance has been obtained from the client’s health care provider, what massage techniques can be useful for clients with Addison’s disease? If the client is debilitated, a shorter and gentler massage is indicated. Otherwise, the massage should be tailored to the client’s current state. If clearance has been obtained from the client’s health care provider, what are the massage considerations for clients with cretinism? A gentle, relaxing massage should be performed, and the neck/throat region should be avoided. If clearance has been obtained from the client’s health care provider, what are the massage considerations for clients with Cushing’s disease? A relaxing massage with gentle pressure is indicated to prevent bruising. What are the massage considerations for clients with diabetes insipidus? Clients suffering from diabetes insipidus should always have their medication available during massage treatments and can benefit from either a gentle or more vigorous massage, depending on the vitality of the client. Water can be offered if the client is not well hydrated. Because massage can increase local blood flow, the insulin can enter the blood more rapidly than it should and cause a low blood sugar reaction. What are some other important massage considerations for clients with diabetes mellitus? Vigorous massage, especially percussion and vibration, must be carefully administered since they can damage already compromised blood vessels. Also, it is important for the client to have any necessary medications (e.g., insulin) available in case of a diabetes-related emergency such as a diabetic coma or insulin shock. General massage can be performed on clients with Graves’ disease, and should be tailored to the client’s vitality. If clearance has been obtained from the client’s health care provider, what are the massage considerations for clients with hyperparathyroidism? Gentle gliding strokes and gentle kneading can help reduce muscle tension. Joint mobilizations and stretches should be avoided. If clearance has been obtained from the client’s health care provider, what are the massage considerations for clients with hyperpituitarism? The goals of massage therapy for clients with hyperpituitarism are to decrease pain and provide as much relaxation as possible. Kneading or gentle gliding strokes are generally helpful to those with hyperpituitarism. Joint mobilizations might be contraindicated because of the potential damage to joints that are already stressed due to the larger and heavier bone structure. If clearance has been obtained, gentle massage can help relieve anxiety and reduce fatigue. When massaging the throat area, the therapist should perform a tissue release. Manual traction of the cervical vertebrae and light nerve strokes can also be helpful. It is important for massage therapists to recognize and distinguish between these two conditions so that clients can receive the appropriate treatment as quickly as possible. â— What symptom, if any, do these two conditions share? Abdominal pain is a symptom for both of these conditions. If clearance has been obtained, what are the massage considerations for clients with hypoparathyroidism? The therapist should ask the client whether there is muscle tension, and, if so, in which muscles. Gliding strokes and kneading can help relieve muscle pain. Gentle pressure should be used over any body parts that are tingling. Joint mobilizations and stretching can help the client maintain flexibility, and lubricants can help alleviate dry skin. Light-headedness is common, so the therapist should be ready to assist the client in getting up. When performing massage on clients with hypopituitarism, therapists should be aware that the client might chill easily or experience light-headedness when getting up from the massage table. When performing massage on clients with hypopituitarism, therapists should perform a tissue release when massaging the throat area. Manual traction of the cervical vertebrae and light nerve strokes are also often helpful. Seasonal affective disorder is common in areas such as Alaska, where, during the winter months, people may only get as little as five to six hours of daylight per day, and most of those short daylight hours consist of cloudy, overcast skies. The majority of the winter days in these regions are spent in night darkness.

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Nervous System

November 5, 2009

During the premassage interview, the massage therapist should ask the client about the items listed here to assess the client’s nervous system. â— If the client is experiencing changes in sensory abilities or impairment in mental abilities, these symptoms could indicate a neurological problem or the aftermath of an injury. More information is needed. â— The cause of fatigue, depression, insomnia, or anxiety could be a mental and/or emotional condition. Tingling or shooting pain could indicate nerve entrapment or nerve compression. â— If the pain is continuous for the client, what should the therapist do? The therapist should ask the client to acquire a medical diagnosis and clearance for massage from the client’s health care provider. â— If the client is taking medications for mood and/or mental disorders, the side effects of these medications should be taken into account before performing massage on the client. During the premassage interview, the massage therapist should observe the client. â— If the client does not move with grace and balance, further test are needed to determine whether the client is suffering from a nervous disorder. â— Involuntary movements are often an indication of a neurological disorder or a problem with a medication. â— Shallow and rapid breathing can indicate stress or anxiety. One of the most important consequences for massage therapists to keep in mind is that medications for mood disorders depress sensory information entering the nervous system. This means the massage therapist must adjust the client’s massage so that it is not overly aggressive since the client will not be able to provide accurate feedback about pressure. When should massage therapists announce their presence? Therapists should announce their presence when they enter a room occupied by a visually impaired client. If the client is not also hearing impaired, it is important to remember to speak in a normal tone of voice to avoid offending the client. â— When assisting visually impaired clients in moving from one area to another, therapists should be careful to give clear and specific directions and stand just in front or to the left of the client. Sensations of numbness, coldness, tingling, or itching might also be accompanied by loss of motor control. What massage techniques can be useful in maintaining mobility for clients with Alzheimer’s disease? Passive joint mobilizations, stretching, and applying friction around the joints are all useful techniques. When does carpal tunnel syndrome occur? Carpal tunnel syndrome occurs when the size of the carpal tunnel (where the transverse carpal ligament connects across the carpal bones) decreases or the inflamed tendons increase in size. â— If the carpal tunnel syndrome is chronic, how can edema be reduced? Edema can be reduced by elevating the limb and using centripetal gliding strokes or lymphatic draining techniques. What can cause the conjunctiva of the eye to become inflamed? Inflammation of the conjunctiva can be caused by any of the following: bacterial infections, viral infections, allergies, or environmental factors such as debris. â— Why is massage contraindicated? Massage is contraindicated because this is often a contagious disease. What causes the elevated pressure in the eye? The elevated pressure is due to an obstruction of the outflow of aqueous humor from the eye. The elevated pressure causes defects in vision. â— Massage therapists should also avoid the eyes of clients who have glaucoma when doing a facial massage to avoid putting undue pressure on sensitive eyes. After obtaining clearance from the client’s health care provider, what are the goals of massage therapy for clients with Guillain-Barre syndrome? The goals of massage therapy are to prevent muscle contractures and increase the tone of flaccid muscles. To achieve these goals, the following massage techniques can be useful: passive joint mobilizations, stretching, and applying friction around joints. Once the client has completely healed and clearance has been obtained from the client’s health care provider, massage can begin. Huntington’s chorea is a debilitating disorder that requires medical supervision during massage. The massage therapist must rely heavily on the client to indicate comfort of position, pressure, and technique. What massage techniques can be useful for clients with Huntington’s chorea? Gentle, gliding strokes can help the client to relax. The massage therapist should also be conscious that clients who use wheelchairs can develop pressure sores; these should be avoided when performing massage, and the client’s caregiver should be notified. Lou Gehrig’s disease (amyotrophic lateral sclerosis) is a debilitating disorder that requires medical supervision during massage. The massage therapist must rely heavily on the client to indicate comfort of position, pressure, and technique. What massage techniques can be useful for clients with Lou Gehrig’s disease? Gentle, gliding strokes can help the client to relax. The massage therapist should also be aware that the client might not be able to get on the massage table, which means that the therapist should be prepared to perform massage while the client is in the wheelchair. Why is massage contraindicated for clients who have meningitis? Massage is contraindicated because meningitis is often a contagious disease, and meningitis can be life threatening. Massage during remission can lessen exacerbations, relax the client, decrease tone in rigid muscles, and prevent stiffness and contractures. However, the client should be thoroughly evaluated before each massage since the client’s symptoms can vary significantly from day to day. If clearance has been obtained from the client’s health care provider, what massage techniques can be useful for clients with myasthenia gravis? Gliding strokes, gentle kneading, passive joint mobilizations, and stretching can be helpful. Clients suffering from nerve compression benefit most from massages focused on relieving tension in the muscles. If clearance has been obtained from the client’s health care provider, what massage techniques are useful for clients with nerve compression? Gentle kneading and gliding strokes are most useful. However, massage therapists should avoid applying pressure to vertebral disks. Clients suffering from nerve entrapment benefit most from massages focused on relieving tension in the muscles. The massage therapist can work deeply, but briefly, to release the tissues responsible for entrapment; overworking the affected area can cause further trauma. Clients suffering from neuropathy should be referred to their health care providers for diagnosis and treatment. Massage should not be performed until the cause of neuropathy has been determined. What can the clients who have Bell’s palsy do on their own to alleviate symptoms? Clients can massage their own faces two or three times a day to maintain muscle tone. The massage therapist and client might need to develop a code to use for communication if the client cannot speak. â— What massage techniques can be helpful for clients with cerebral palsy? Light strokes and gentle kneading can help reduce spasms and involuntary movements. Passive stretching and joint mobilizations can help to prevent muscle contractures. What event often causes Erb’s palsy? Birth trauma is often the cause of Erb’s palsy. The injury of the upper brachial plexus causes paralysis in the arm. Massage is acceptable for clients with paraplegia. However, massage therapists should be aware that the longer the client has been inactive, the weaker the client’s bones and muscles will be. The massage therapist should also keep in mind that, when massaging legs or arms that have little or no sensation, light pressure must be used. Only enough pressure should be applied to increase circulation but not enough to cause bruising or discomfort. For clients with paralysis, sometimes only the motor neurons have been damaged (leaving the client immobile), but sensory damage might also have taken place. Sensory damage can occur to varying degrees, so it is important for the therapist to determine the extent of any sensory damage and compensate accordingly. The goal of massage therapy for clients with Parkinson’s disease should be to reduce rigidity. What massage techniques are useful for clients with Parkinson’s disease? Gentle gliding strokes and kneading during the massage followed by passive movements of joints after the massage can be helpful. Lighter massage is preferred as the client’s skin might be dry and fragile. â— What massage techniques can be useful for patients with poliomyelitis? Kneading can help to reduce contractures; passive joint mobilizations can help retain joint mobility; and cross-fiber friction over joints and atrophied muscles can help loosen adhesions. The massage therapist should keep in mind that the loss of motor function is irreversible and be aware of the possible presence of pressure sores on clients who wear braces or use crutches. Massage therapy is contraindicated for clients with rabies because rabies is infectious and life threatening. The client might not be able to provide active feedback, so massages should only consist of gently gliding over the affected area. The massage should be tailored to meet the specific needs of the client since the symptoms can vary significantly from treatment to treatment. â— Are passive joint mobilizations useful in this case? If clearance for massage has been obtained from the client’s health care provider, and the symptoms are not severe, then passive joint mobilizations can help increase joint mobility for clients with reflex sympathetic dystrophy. Massage therapists should assess and record the motor and sensory function of clients with sciatica before each massage treatment. What should a massage therapist do if a seizure occurs during the massage treatment? The therapist should try to place the client on his or her side and provide light immobilization to prevent the client from falling off the table. The therapist should only call 911 if the seizure lasts more than 5 minutes. In less severe cases of spina bifida, clients can benefit from general massage. However, local massage in the lumbosacral area is prohibited. â— If the form of spina bifida that the client has involves neurological complications, how should the massage therapist proceed? In these more severe cases, the massage therapist must gain clearance from a health care provider before proceeding. If significant paralysis has resulted from the spinal cord injury, then the therapist might have to perform the massage while the client is in a wheelchair. In general, the massage considerations for clients with spinal cord injuries are the same as the considerations for clients who are paralyzed. If clearance has been obtained from the client’s health care provider, what massage techniques can be helpful for a client who has had a stroke? Massage strokes should be slow, superficial, soothing, and rhythmic. Deep pressure should be avoided. Joint mobilizations within the client’s tolerance can be helpful. Compression or entrapment of the neurovascular bundle can be caused by any of the following: a cervical rib, tight scalene muscles, a depressed clavicle, or a tight pectoralis minor muscle. If the pain is severe, then local massage is contraindicated, but general massage is permitted if clearance has been obtained from the client’s health care provider. What massage techniques should be used for a general massage in this case? Light gliding strokes can be helpful as long as they are within the client’s tolerance. The massage therapist should obtain the name and phone number of a contact person and the client’s health care provider in case a panic attack occurs during massage treatment. Which phase of bipolar disorder is likely to cause more trouble for massage therapists? The manic phase of bipolar disorder is more likely to cause trouble for the massage therapist since the client could be hyperactive, have trouble concentrating, and have extreme emotional outbursts. Should massage therapy sessions be scheduled to coincide with times when the client has lots of energy or when the client has very little energy? Massage treatments can be scheduled during either. Massage can help the client relax during high-energy times, and massage can help rejuvenate the client during low-energy times. Massage therapy can be part of the recovery process for clients with addictions because it helps to relieve stress during periods of chemical withdrawals. â— Why should deep pressure be avoided? Deep pressure should be avoided during the early stages of withdrawal because it could intensify the release of toxins into the body. Massage can be performed on clients with insomnia as long as the cause of the insomnia is not a condition for which massage therapy is contraindicated. For clients with vertigo and hyperesthesia, clearance from the client’s health care provider is required before massage can be performed.

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