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[post_content] => Almost everyone will experience at least one episode of back pain in their life, and many of us will have several bouts or even chronic back pain. While acupuncture, massage, and chiropractic can help, it’s worth having some tools you can use on your own, wherever and whenever the need arises.
I’ve been helping people get out of pain for the past 20+ years, and have discovered many useful strategies for back pain. Today I’ll share five of my favorites.
But first, a little theory. I’ve found that teaching my patients about the mechanisms behind pain often produces an instant reduction in their discomfort. A fundamental principle of Traditional Chinese Medicine (TCM) is that all pain involves some sort of stagnation. Whether it’s stagnant digestion, stagnant blood flow, stagnant lymph, or even stagnant thinking and emotions, stuckness is counter to wellness. Good health, on the other hand, always entails flow – a free-flowing adaptability to challenges, free movement of blood, other fluids, muscles, tendons, and joints, and freely feeling and moving through thoughts and emotions. So everything I recommend below entails opening up stagnation and restoring free movement again.
1. Keep Moving Your Body. After an injury, we’re often told to rest (which has some value), but total immobility usually slows down the recovery process. In nearly all pain, there is muscular tightness and restricted circulation. This stagnation is even more obvious in the case of swelling (e.g., a sprained ankle), where lymph has pooled in the area and gets stuck there. Safely moving the affected area promotes clearing of pooled lymph, elimination of cellular waste and debris, an influx of fresh blood – and a reduction of pain.
In biomedical terms, pain is an alarm that’s trying to warn us of danger or injury – like the pain that arises when you touch a hot pan. But it’s not an infallible system. It can be trained (or mis-trained) to give us a strong pain signal even when we’re not in danger. It can also get “stuck in the ON position” – not turning off the pain even though we’ve resolved whatever the issue was.
Experimenting with ways to safely move the painful part of your body without causing pain is a useful means of retraining the nervous system to deactivate the alarm and lower its sensitivity.
Also, it’s always a good idea to move around frequently throughout your day, since a sedentary lifestyle – and the postural stress it causes – is a major contributor to back pain.
2. Heat + Topical Herbs. Another way to promote circulation and alleviate pain – and especially useful when movement is restricted or not possible – is through the application of heat and circulation-enhancing herbs. Heat application promotes dilation (opening) of blood vessels. It doesn’t have the numbing effect that cold can, but in the long run it’s a more useful treatment.
It’s especially effective when applied in combination with external herbs or essential oils of plants that also enhance circulation. Many of these can be found in our
Muscle Melt products. Some of the most popular are peppermint (or its most active constituent, menthol), eucalyptus, cinnamon, fresh ginger, and capsaicin (chili pepper).
It’s always a good idea when using a heating device to check frequently to make sure you’re not burning yourself, since sensitivity to heat may be impaired due to the pain, pain medications, and/or the external herbs.
3. Stretches + Hydration. Dehydration often plays a role in pain. The suppleness of our tissues and the free flow of – well, everything in the body – depends on water. Especially if you combine dried out muscles with a sedentary lifestyle or exertion without first warming up, you’ve got a recipe for pain. I like to have patients combine hydration with stretching, to help get the water into the affected tissues. There are lots of stretches that can help, depending on the particular nature of your back pain. These are six that tend to be the most helpful.
a. Cat-Cow. On your hands and knees, slowing alternate back and forth between a fully rounded spine and a fully arched spine. Taking a five seconds to move from one position to the other. Repeat ten times.
b. Cobra. Lying face down on the floor, place your hands palm-down under your shoulders and slowly arch your back. Hold, then slowly release back to the floor. Repeat ten times. You’re primarily using your back muscles to lift yourself, with the hands just there for stability. You don’t need to strive for a big stretch here – just enough muscle engagement to warm up the lower back without causing any pain.
c. Child’s Pose. Kneel on the floor, touch your big toes together, sit on your heels, spread your knees as wide as your hips, then lay your torso down between your thighs. Rest your arms at your sides, palms up. You can lie in this position for as long as it feels good. Breathe slowly and deeply.
d. Lying Side Twists. Lie on your back with legs extended. Bring one knee up toward your chest, then take it across your body, aiming past the opposite hip. Your knee may or may not rest on the floor. Hold for ten seconds, then come back to center and repeat. You can also try placing the knee higher and lower to direct the stretch to different parts of your back. Generally, with a high knee (even with the opposite hip, for instance) you’ll target the lowest part of the lumbar spine. With a lower knee (even with the opposite knee, for instance), you’ll target more of the upper lumbar region and lower midback.
e. Lying Glute Stretch. Lying on your back with your knees bent and your feet flat on the floor, cross your left ankle over your right knee. Then interlace your fingers to grasp your right knee (either inside the bend of the knee, holding onto the hamstrings, or – even better – grasping over the front of the knee) and pull the knee toward you. You may need to use your left elbow to press against your left knee to push it away and intensify the stretch. Make sure your left foot is extended (dorsiflexed) toward the left knee. Hold for 30 to 60 seconds, then switch sides.
f. Hamstring Wall Stretch. Lie on the floor near a flat wall. Scoot your butt as close to the wall as you can get it. Gently raise your legs and place them with unbent knees flat against the wall (scoot your butt a little bit more forward if you need to). Tight hamstrings often contribute to a tight lower back and this hamstring stretch tends to be easy on the lower back. Rest in this position for 30 to 60 seconds.
4. Breathe Through It. In TCM, our vital energy – Qi – is considered to be circulated by the breath. That is, breathing moves energy. It’s part of why we sigh when we’re stressed – or relieved. Intentionally breathing “through” a painful area can often quickly reduce pain. Imagine that you’re drawing your inhale through your back, and then exhaling the pain out through your back.
Meanwhile, practice non-resistance. Don’t fight the pain. Just for this moment, allow it to be here, stop struggling against it, and stop telling yourself something is “wrong.” In fact, see if you can even invite the pain to just be here. And breathe.
5. Visualize Movement. There are many useful visualization practices for alleviating pain. A basic place to start is to imagine movement happening in the painful part of your back. Visualize blood coursing through the area, see energy or light moving in and out of your back, “watch” your cells shutting down the inflammation, making repairs, and soothing irritated tissues. Inhale white, healing light, and exhale dark, stagnant pain out of the area. Find a visualization that works for you. I sincerely hope these techniques work for you and that very soon you’re pain free and getting back to what you love.
Be well,
Dr. Peter Borten
P.S. If you’re looking for more support for living pain free, we invite you to join us for an online mini-course my wife, Briana, and I are leading on how to give a relaxing, pain-relieving massage. Briana and I have over 40 years of combined professional experience giving massage and training teams of massage therapists. Massage has so many benefits: It relieves tight and painful muscles and joints. It measurably decreases stress. It strengthens immune function. It improves sleep quality. It promotes better circulation. It reduces fatigue and improves mood. And it facilitates faster recovery from injury and surgery. We should all be taking advantage of it! Since that's not possible due to the pandemic, why not learn how to give each other massages at home?
Unlike massage trainings for people starting a new career, this course is geared toward non-professionals who want to learn the fundamentals of good massage - even if you don't have a massage table or other special equipment. We'll teach you the most effective ways to release tight muscles and promote stress relief. We'll share ways to use your body so that you can work deeper and for longer without getting tired or sore. And we'll explain some things we wish were taught in massage schools that make for a better overall experience for both the giver and receiver.
Learning massage skills is a gift that will provide a lifetime of connection, relaxation, and effective pain relief. If you’ve ever thought, “I’d love to massage my partner, but my hands hurt and I can’t do it for more than a few minutes,” or, “I want to give a good massage but I just don't know what I'm doing”, this is exactly the course you need to gain confidence in your ability to provide a great therapeutic massage. Join us live to have your specific massage questions addressed.
And if you’d like to learn a bunch more about managing your own pain – including both Eastern and Western approaches, psychological tools, special acupressure points, guided meditations, pain relieving herbs, and altogether the most comprehensive course in the world for getting out of pain (I made that up but it’s probably true!), check out Live Pain Free. We’ve gotten only rave reviews from users.
[post_title] => 5 Ways to Relieve Back Pain
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[post_content] => One of the most common reasons a client comes in for a massage is because they are experiencing back pain. This can be due to a variety of reasons. Some common complaints are from clients who are constantly lifting and carrying small children, or who were overzealous in their workout at the gym, or who were in a car accident many years ago but are still experiencing pain. Massage is a great choice to ease back pain.
When you receive a massage, your brain will release natural pain killers and mood elevators. Your circulation increases, and fresh blood and lymph are carried throughout the body. Your muscle tension and stress levels will decrease. The combination of these actions results in a decrease in pain, and an increase in the ability to heal faster from injuries.
Studies have shown that compared to control groups not receiving massage, those receiving massage reported less severe pain, less reliance on pain medication, longer lasting pain-free stretches of time, and overall better daily functioning. The type of massage did not matter, but the consistency of treatments did matter. I would suggest for moderate back pain, commit to coming in for a massage every other week for a few months, and see how your pain level improves. It is far more enjoyable than other invasive methods of treating back pain.
This being said, massage is not a cure all. It does facilitate healing, and you can use it in conjunction with other methods of treatment, like regular exercise to strengthen your core and back, for best results.
-Colleen C (Lead LMT at The Dragontree Thurman)
[post_title] => General benefits of Massage
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[post_content] => ***
CLICK HERE TO CHECK OUT OUR NEW 'LEARN HOW TO MASSAGE' COURSE ***
From the beginning, Briana and I agreed that if The Dragontree could be well known for anything, we wanted it to be that our therapists are absolutely top notch. We’ve felt especially qualified in guiding The Dragontree’s massage program, since we have both worked professionally at performing and teaching massage.
Our friends often tease us when one of us has a massage interview planned. “Oh, it must be so hard,” they chide, “having to get massages all the time.” But I assure them, when I’m receiving a massage as a means of evaluating whether to hire someone to represent my business, it’s not usually a relaxing experience. I am constantly evaluating their technique, and I am pretty picky.
We try to check out other spas and get treatments whenever we travel, and, for better or worse, it can be hard to turn off my inner critic (especially when they only give me 50 minutes for my “one hour” massage). When you know how good a massage can be, you’re always hoping that every massage will be that. One year, on my birthday, I was receiving the worst massage of my life, and I actually ended it after fifteen minutes – something I had never done before. The therapist was clearly taken aback when I sat up and said it wasn’t working for me. When he defensively responded that he had plenty of clients who love his work, I realized, most people don’t know what to look for in a good massage. And that’s what I’m going to teach you.
It’s always worth remembering when you have an unsatisfying massage – or any other kind of service – that not every two people are compatible. It could be that the professional – whether a graphic designer, massage therapist, or hair stylist – is skilled at what they do but they just don’t do it to your liking. So, I hope to provide you with some criteria that will make the evaluation process a bit more objective.
I realize that by writing this, I am setting up The Dragontree to meet some very high standards, but I believe I’m also setting up our practitioners for some very big tips. And, I hope that I’m arming you with ways to be constructive about a massage that falls short of your expectations.
Ideally, you can communicate to your therapist during the massage if it isn’t to your liking, and it can be improved on the spot.
If you just like receiving massage, these criteria may help you identify if a particular therapist is right for you or not. If you are an amateur or professional massage therapist, you might find something here to improve your skills. These are, in my opinion, the six most important factors in a good massage.
1. Confident Touch - The first moment a massage therapist lays their hands on a client’s body, something is communicated. When the touch is not confident, the communication is something like, “Hmmm... let’s see... err... maybe this way... no, wait. Oh, I have an idea... uh, maybe not.” As the client, it is difficult to relax and trust the therapist’s skills. When touch is confident (and I don’t mean firm, but something less tangible), the communication is, “I know what I am doing, and I’m here for you.” Confident touch makes us feel like the therapist has a plan. Every touch feels purposeful. This encourages us to relax and open ourselves to the therapist’s therapeutic intention.
2. Continuity of Touch - Every time the therapist removes their hands from the body, there is a disruption in the continuity of sensation and connection. Occasional disengagement from the body is sometimes necessary. But when it happens very frequently, and especially if the therapist’s hands are more off the body than on the body, there is a choppy or jumpy, discontinuous feeling to the massage. It impedes our ability to relax. Conversely, therapists who maintain nearly continuous contact with the body help us stay in a relaxed state.
3. Complete Strokes - When a therapist is working along a natural line on the body, it generally feels best to a client if this line is followed to its completion. There are some techniques that are exceptions to this rule, but when doing long strokes, if a therapist stops short of the natural end point of a stroke, it feels incomplete to the recipient. For instance, if a therapist is performing a stroke down the spine, and they stop a few inches above the base of the spine, or if they working along a limb and they stop before reaching the joint or the end of the limb, it usually doesn’t feel as satisfying as when a therapist continues the stroke to its natural end.
4. Entering the Tissue at the Right Speed and Depth - Some therapists are enthusiastic about getting hard and deep into people’s muscles, but they fail to perceive the body’s unwillingness to let them in. When a therapist tries to go too deep too fast, we tense up and the whole thing becomes counterproductive. When a therapist “listens” well to the body, they enter the tissue at a rate whereby it is able to accept increasing amounts of pressure and depth without tightening up and pushing back. If the body does tighten up, the therapist feels this, backs off, and re-enters more slowly or in another way. If the area continues to be excessively reactive, the good therapist may leave it alone entirely, and work complementary areas instead. This doesn’t mean that good massage must be painless, but at no point should it feel like the therapist is fighting with the client’s body.
5. Sensitivity and Responsiveness – As I alluded to in the previous section, a sensitive therapist is able to perceive how their touch is being received by the client. They also check in verbally from time to time to be sure the client is getting what they want out of the massage. Then, a responsive therapist adjusts their technique to suit the client’s needs. Some therapists with good sensitivity do minimal verbal checking in and still succeed at making appropriate adjustments throughout the massage, but even a seasoned therapist should know that they can fail to read a client’s feelings, so they should always be humble enough to ask.
6. Devoted Presence - A devoted therapist conveys throughout the treatment that the client has their undivided attention. The client never feels that the therapist’s needs are “in the room.” Thus, a devoted therapist rarely starts conversation during a treatment. Some clients like to talk a lot. While there is nothing wrong with this, the therapist who is really devoted to their art recognizes that this may diminish the benefit of the treatment, and they will often gently guide the client back to relaxing and feeling what is going on in their body. Another mark of a devoted therapist is that they are open to receiving criticism, because they want the client to have the best possible experience. That said, when we’re clients, if we really want the best outcome, we’re likely to get it by offering any criticism in a kind way.
In the end, everyone likes something a little different, and there is no single massage therapist who is perfect for everyone. If you ever have a massage experience here at the Dragontree that doesn’t quite meet your expectations, please feel free to talk to us about it. We’d love to hear your input and are eager to find ways for you to have the blissful experience you deserve.
Be well,
Dr. Peter Borten
All rights reserved © 2015 Peter Borten
[post_title] => The Six Keys to a Good Massage
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[post_content] => Almost everyone will experience at least one episode of back pain in their life, and many of us will have several bouts or even chronic back pain. While acupuncture, massage, and chiropractic can help, it’s worth having some tools you can use on your own, wherever and whenever the need arises.
I’ve been helping people get out of pain for the past 20+ years, and have discovered many useful strategies for back pain. Today I’ll share five of my favorites.
But first, a little theory. I’ve found that teaching my patients about the mechanisms behind pain often produces an instant reduction in their discomfort. A fundamental principle of Traditional Chinese Medicine (TCM) is that all pain involves some sort of stagnation. Whether it’s stagnant digestion, stagnant blood flow, stagnant lymph, or even stagnant thinking and emotions, stuckness is counter to wellness. Good health, on the other hand, always entails flow – a free-flowing adaptability to challenges, free movement of blood, other fluids, muscles, tendons, and joints, and freely feeling and moving through thoughts and emotions. So everything I recommend below entails opening up stagnation and restoring free movement again.
1. Keep Moving Your Body. After an injury, we’re often told to rest (which has some value), but total immobility usually slows down the recovery process. In nearly all pain, there is muscular tightness and restricted circulation. This stagnation is even more obvious in the case of swelling (e.g., a sprained ankle), where lymph has pooled in the area and gets stuck there. Safely moving the affected area promotes clearing of pooled lymph, elimination of cellular waste and debris, an influx of fresh blood – and a reduction of pain.
In biomedical terms, pain is an alarm that’s trying to warn us of danger or injury – like the pain that arises when you touch a hot pan. But it’s not an infallible system. It can be trained (or mis-trained) to give us a strong pain signal even when we’re not in danger. It can also get “stuck in the ON position” – not turning off the pain even though we’ve resolved whatever the issue was.
Experimenting with ways to safely move the painful part of your body without causing pain is a useful means of retraining the nervous system to deactivate the alarm and lower its sensitivity.
Also, it’s always a good idea to move around frequently throughout your day, since a sedentary lifestyle – and the postural stress it causes – is a major contributor to back pain.
2. Heat + Topical Herbs. Another way to promote circulation and alleviate pain – and especially useful when movement is restricted or not possible – is through the application of heat and circulation-enhancing herbs. Heat application promotes dilation (opening) of blood vessels. It doesn’t have the numbing effect that cold can, but in the long run it’s a more useful treatment.
It’s especially effective when applied in combination with external herbs or essential oils of plants that also enhance circulation. Many of these can be found in our
Muscle Melt products. Some of the most popular are peppermint (or its most active constituent, menthol), eucalyptus, cinnamon, fresh ginger, and capsaicin (chili pepper).
It’s always a good idea when using a heating device to check frequently to make sure you’re not burning yourself, since sensitivity to heat may be impaired due to the pain, pain medications, and/or the external herbs.
3. Stretches + Hydration. Dehydration often plays a role in pain. The suppleness of our tissues and the free flow of – well, everything in the body – depends on water. Especially if you combine dried out muscles with a sedentary lifestyle or exertion without first warming up, you’ve got a recipe for pain. I like to have patients combine hydration with stretching, to help get the water into the affected tissues. There are lots of stretches that can help, depending on the particular nature of your back pain. These are six that tend to be the most helpful.
a. Cat-Cow. On your hands and knees, slowing alternate back and forth between a fully rounded spine and a fully arched spine. Taking a five seconds to move from one position to the other. Repeat ten times.
b. Cobra. Lying face down on the floor, place your hands palm-down under your shoulders and slowly arch your back. Hold, then slowly release back to the floor. Repeat ten times. You’re primarily using your back muscles to lift yourself, with the hands just there for stability. You don’t need to strive for a big stretch here – just enough muscle engagement to warm up the lower back without causing any pain.
c. Child’s Pose. Kneel on the floor, touch your big toes together, sit on your heels, spread your knees as wide as your hips, then lay your torso down between your thighs. Rest your arms at your sides, palms up. You can lie in this position for as long as it feels good. Breathe slowly and deeply.
d. Lying Side Twists. Lie on your back with legs extended. Bring one knee up toward your chest, then take it across your body, aiming past the opposite hip. Your knee may or may not rest on the floor. Hold for ten seconds, then come back to center and repeat. You can also try placing the knee higher and lower to direct the stretch to different parts of your back. Generally, with a high knee (even with the opposite hip, for instance) you’ll target the lowest part of the lumbar spine. With a lower knee (even with the opposite knee, for instance), you’ll target more of the upper lumbar region and lower midback.
e. Lying Glute Stretch. Lying on your back with your knees bent and your feet flat on the floor, cross your left ankle over your right knee. Then interlace your fingers to grasp your right knee (either inside the bend of the knee, holding onto the hamstrings, or – even better – grasping over the front of the knee) and pull the knee toward you. You may need to use your left elbow to press against your left knee to push it away and intensify the stretch. Make sure your left foot is extended (dorsiflexed) toward the left knee. Hold for 30 to 60 seconds, then switch sides.
f. Hamstring Wall Stretch. Lie on the floor near a flat wall. Scoot your butt as close to the wall as you can get it. Gently raise your legs and place them with unbent knees flat against the wall (scoot your butt a little bit more forward if you need to). Tight hamstrings often contribute to a tight lower back and this hamstring stretch tends to be easy on the lower back. Rest in this position for 30 to 60 seconds.
4. Breathe Through It. In TCM, our vital energy – Qi – is considered to be circulated by the breath. That is, breathing moves energy. It’s part of why we sigh when we’re stressed – or relieved. Intentionally breathing “through” a painful area can often quickly reduce pain. Imagine that you’re drawing your inhale through your back, and then exhaling the pain out through your back.
Meanwhile, practice non-resistance. Don’t fight the pain. Just for this moment, allow it to be here, stop struggling against it, and stop telling yourself something is “wrong.” In fact, see if you can even invite the pain to just be here. And breathe.
5. Visualize Movement. There are many useful visualization practices for alleviating pain. A basic place to start is to imagine movement happening in the painful part of your back. Visualize blood coursing through the area, see energy or light moving in and out of your back, “watch” your cells shutting down the inflammation, making repairs, and soothing irritated tissues. Inhale white, healing light, and exhale dark, stagnant pain out of the area. Find a visualization that works for you. I sincerely hope these techniques work for you and that very soon you’re pain free and getting back to what you love.
Be well,
Dr. Peter Borten
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Unlike massage trainings for people starting a new career, this course is geared toward non-professionals who want to learn the fundamentals of good massage - even if you don't have a massage table or other special equipment. We'll teach you the most effective ways to release tight muscles and promote stress relief. We'll share ways to use your body so that you can work deeper and for longer without getting tired or sore. And we'll explain some things we wish were taught in massage schools that make for a better overall experience for both the giver and receiver.
Learning massage skills is a gift that will provide a lifetime of connection, relaxation, and effective pain relief. If you’ve ever thought, “I’d love to massage my partner, but my hands hurt and I can’t do it for more than a few minutes,” or, “I want to give a good massage but I just don't know what I'm doing”, this is exactly the course you need to gain confidence in your ability to provide a great therapeutic massage. Join us live to have your specific massage questions addressed.
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