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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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Back when I was a graduate student doing my internship in Chinese Medicine, I got my first patient whose chief complaint was a lingering cough, and I remember thinking, “This will be easy.” Boy, was I naïve. Even under the guidance of an elder practitioner, it took months of treatment for it to resolve. In the nearly two decades since then, coughs have often proven stubborn. Luckily, they usually run their course within a few weeks – with or without intervention – and I’ve found some herbs that can often speed up the recovery process.
First, a few words on coughs and how they work. The respiratory tract (airway) consists of two main regions. The upper part includes the nasal cavity, sinuses, pharynx (the area where the back of the nasal cavity becomes the throat) and is sometimes considered to include the larynx (“voice box”). This is the site of most common colds, or “upper respiratory infections” (URI’s). Coughs coming from this area are usually due to throat irritation and post-nasal drip, and are pretty responsive to treatment.
The lower respiratory tract consists of the trachea (“windpipe”), the tubes through which it branches into the lungs – the bronchi, the smaller bronchioles, and finally the little sacs called alveoli – and sometimes the larynx. All but the smallest of these passageways are lined with cough receptors, which are highly sensitive to light touch. The presence of phlegm (or dust, or certain chemicals) triggers the cough reflex. Coughing is a cooperative effort between the diaphragm, abdominal muscles, the muscles between the ribs (intercostals), and the structures of the airway – an attempt to forcibly expel whatever’s in there.
Sometimes it’s effective – what we refer to as a “productive cough” – but when the respiratory passages are inflamed and dry, or full of sticky, tenacious phlegm, a cough can go on and on. The hard part is that coughs themselves can be debilitating. We lie down to sleep, the phlegm spreads out, post-nasal drip trickles down, and the cough worsens. It degrades the restorative value of sleep, and the continuous spasmodic contraction of our muscles wears us out, sapping us of the energy to cough in a productive way.
The herbs I’ll discuss here are for these acute forms of cough. Coughs that occur for much longer and those that are due to weakness, asthma, or damage to the lungs fall into the chronic category and they’re beyond the scope of this article because they require more comprehensive treatment.
I have taken and prescribed nearly every Chinese and Western herb that’s commonly used for cough, and they rarely work as well as I hope. That cough reflex is difficult to overcome – and, really, you would only want to suppress it if you were doing something to address the underlying problem. I’ve found that when I’m more accurate about discerning the type of cough (dry / moist, strong / weak, clear phlegm / yellow phlegm), my treatments are usually more effective, but the herbs I’ll introduce today are usually beneficial for most types of cough.
- Mullein: Mullein is a fuzzy, sage-colored plant that grows all over the place in the United States. I see it nearly every day. The leaves and yellow flowers are excellent for coughs. Adults can take an ounce of dried leaves or flowers and steep covered (don’t simmer) in a few cups of just-boiled water. Strain it to avoid drinking the little hairs, and drink it, divided into three portions, over the course of the day.
- Pine, Spruce, and Fir Needles: All of these evergreen needles are useful for coughs and are rich in vitamin C. You can throw a handful of them into a bowl of hot water, put your face over it, cover your head and the bowl with a towel, and inhale the steam. Then you can drink the resulting tea. Or you can just brew a strong tea by simmering a large handful in a couple cups of water. Keep it covered and the heat low, so you don’t lose all the essential oils. I like to chew spruce, fir, and pine needles when I’m out on walks, and the ones that work best for coughs tend to be those with the best, strongest flavor.
- Thyme leaves: Thyme has long been a popular herb in Europe for coughs, and it probably has some antimicrobial effects (one of the noteworthy compounds in the herb, called thymol, is the active ingredient in Listerine and various antiseptic cleaners). The flavor is rather strong, so the usual dose is just one to two teaspoons of the dried herb steeped in a cup of water. I don’t have great faith in thyme on its own, but it can be a useful adjunct herb combined with others.
- Ginger: Ginger’s pungency is good for opening the respiratory tract. The dried herb is considered “hotter” than the fresh stuff, so I use the dried product more for coughs will lots of clear or white phlegm, and the fresh herb more for coughs with yellowish phlegm. You can use approximately a thumb-sized piece of ginger, sliced or grated, simmered for a few minutes in about a cup of water (do this multiple times a day).
- Licorice root: Licorice is a mild herb for coughs, but it’s a nice adjunct with other herbs, especially when the throat and/or respiratory tract feels raw and sore. Licorice is sweet and mucilaginous, and has a calming effect on spasmodic coughs and a soothing effect on mucous membranes. You can use approximately 2 teaspoons per day. Keep in mind that prolonged use of licorice or high doses can cause a temporary elevation of blood pressure (usually not more than about ten points systolic).
- Hyssop leaves: This common garden herb is a member of the mint family and has a longstanding reputation, especially in Europe, as a useful herb for coughs and sore throats. Several times a day, steep two to three teaspoons of the dried herb (or much more of the fresh herb) in a cup of water to make a pleasant tasting tea. Hyssop is mild, and therefore best combined with other herbs.
- Horehound leaves: Horehound also has a longstanding reputation in Europe and northern Africa as a valuable herb for respiratory complaints, and it’s one of the main ingredients in Ricola cough drops. I’ve noticed that it’s not much used in the United States, perhaps because the FDA claims it has no value in the treatment of cough, but I had one profound experience with it about 20 years ago, when I made some horehound tea and it completely stopped a nagging cough in about a day. You can make a tea using about two to three teaspoons of the dried herb in a cup of boiled water.
- Slippery Elm Bark and Marshmallow Root: These herbs are soothing to mucous membranes and especially appropriate for dry coughs. You can add one or both to your cough formula (approximately a teaspoon per cup of tea) to add a “demulcent” effect that will also soothe your throat.
- Nigella Seed Oil: This herb, also known as “black seed” or “black cumin,” has been trendy recently, though perhaps for good reason. A number of studies show it has promise in the treatment of a variety of health issues, and there’s rather robust research on its value in respiratory problems (asthma, in particular). For cough, you can take a teaspoon of the oil at a time, in a cup of hot water. You can also try rubbing the oil on your chest, over your lungs.
- Umckaloabo root: This African relative of the geranium is useful for upper respiratory infections. It’s available in raw, dried form as well as tinctures and homeopathics. The easiest form to take is as the commercial product Umcka. It’s one of very few substances that can legally claim to benefit the common cold. The specific verbiage allowed by the FDA is, “shortens severity and reduces duration of upper respiratory symptoms.” I always have some of the powdered form of Umcka in the house, which I mix into hot teas to add some additional potency.
- Pineapple Juice: I don’t know of any research on pineapple juice for coughs, but it’s a popular folk remedy, often drunk warm and seasoned with cinnamon, cayenne, or black pepper. I don’t know why it would be beneficial in coughs and I haven’t tried it myself, but it may have something to do with the activity of the enzyme bromelain that it contains. In any case, it’s not likely to hurt – especially if it gets you to drink more fluids.
- Water: Speaking of fluids, staying well hydrated is super important when you have a cough, as it helps keep the mucous in a more liquid state so that it can be more readily expelled. Also, immune function just tends to work better when you’re getting enough water. Other than possibly consuming some pineapple juice with it, it’s best to stick to pure water or tea, rather than juice or sweetened beverages.
Choose a few of these substances, use them simultaneously and consistently (like, all day long), and get as much rest as you can. If necessary, sleep in a semi-upright position to reduce nighttime coughing.
Whenever I write articles on herbs I wonder if I’m doing the field of herbal medicine a disservice by simplifying it and presenting it in such a way as to suggest we can choose herbs simply based on the symptoms we want to treat, without respect for the diagnosis. But I feel the need for accessible home remedies is more important. In the case of the herbs above, they are all quite safe and unlikely to do any harm. However, if your cough persists, if it is severe, if you cough up blood, or if anything else alarming happens, or if you intend to use these herbs on small children, please consult with a qualified healthcare practitioner.
Be well and breathe freely,
Dr. Peter Borten
[post_title] => Tips for Kicking a Cough
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I was wandering around in a hardware store the other day, feeling rather hot and stuffy in my mask – and also a little anxious – when I realized my mouth was wide open. I shut my mouth, which required me to deepen my breathing through my nose, and soon my mask felt less stuffy and the anxiety was gone. It occurred to me that I mouth-breathe a lot when I have a mask on, and I’ve resolved to stop.
A few years after moving to Colorado I realized that I had been mouth breathing while asleep and increasingly while awake, too. During the same period of time, I noticed my sleep had been worse, I felt more anxious, I had a harder time concentrating, my energy was lower, and my gums had receded significantly. It might sound like a stretch to attribute all of that to breathing through my mouth rather than my nose, but I’m convinced that mouth breathing was a contributing factor.
Mouth breathing begets more mouth breathing. When we breathe through our mouth over years, the facial structure can change – especially in children. The face may become longer and narrower. The palate narrows too, which causes a higher arch, infringing on the airways above. Teeth become crowded and crooked. The tongue drops to the floor of the mouth all day instead of resting against the upper palate, and this can contribute to sleep apnea and snoring.
Mouth breathing tends to be more rapid than nose breathing, which may promote a feeling of anxiousness and may be misdiagnosed as Attention Deficit Disorder. Breathing through the mouth is less efficient at oxygenating the body than nasal breathing. Mouth breathing can raise our blood pressure. It causes dryness of the mouth, bad breath, and increased susceptibility to tooth decay and gum disease.
When we breathe through the nose, we inhale more of a gas called nitric oxide (not “laughing gas” which is nitrous oxide) that is produced in the paranasal sinuses. Nitric oxide kills bacteria. The nose also warms and filters incoming air. For all these reasons, nasal breathing reduces our chances of getting sick via airborne germs. In terms of spreading sickness to others, we exhale many fewer “respiratory droplets” through the nose than through the mouth. Some doctors propose that nasal breathing is an easy intervention to reduce your risk of contracting COVID-19. If wearing a mask causes you to mouth breathing, this may partly or significantly negate the protective value of the mask. I recommend trying to remember to breathe through your nose especially in public spaces and when wearing a mask.
Nose breathing carries the nitric oxide from the nasal airways down into the lungs, where it decreases blood pressure and increases oxygenation of our tissues. When we mouth breathe we don’t get these benefits. Interestingly, studies have shown that humming increases nasal nitric oxide production, so your homework assignment is to hum throughout the day.
For most mouth breathers, switching to nasal breathing is mainly just a matter of remembering to do it. But there are three times when it can be more tricky: while sleeping, while congested, and while exercising.
If you keep your mouth closed while sleeping, chances are you’ll sleep better, snore less, wake up with sweeter breath, and without a sore throat. Some scientists have also proposed that mouth breathing during sleep increases the need to urinate during the night, so switching to your nose may reduce your trips to the bathroom.
I’ve found that blowing my nose before bed and simply intending to keep my mouth closed while asleep works fairly well. If that doesn’t work for you, consider taping your mouth closed. I know it sounds weird and perhaps unpleasant, but it’s not bad. Just use a small piece of medical tape (about an inch) vertically over the center of your lips. 3M paper tape is a good choice. If this makes you psychologically uncomfortable, try taping your mouth half an hour before going to sleep so you can get used to it. Or try taping just one side of your mouth. (Don’t tape your mouth if you’re drunk or have a health issue that may necessitate an urgent need to open your mouth or an obstruction of your nose. It’s also a good idea to leave at least a corner of your mouth not taped.) Having a bedroom that’s cool, airy, and clean will help.
It’s totally normal to breathe through your mouth while engaged in intense exercise. Just watch people jogging down the street and note how many have an open mouth. It takes practice and effort to break yourself of this habit, and it may feel at first like you simply can’t get enough air in through your nose. But you’ll find that your nasal breaths are longer and deeper. Your breathing rate will slow down considerably and so will your heart rate. Plus, you’ll get more oxygen into your body and at the end of your workout you’ll feel invigorated.
If you have a hard time breathing through your nose because you’re congested, there are a few options. Obviously if you’re sick you may just have to wait for it to pass, and if you have allergies you’ll have to do your best to avoid allergens and treat your allergy symptoms with whatever works (some natural options include quercetin, nettle extract, liposomal vitamin C, n-acetyl cysteine, and a supplement called Antronex made by the company Standard Process [I have no relationship with them]).
But simply breathing through your nose anyway can often encourage it to clear. At the beginning you may have to enlist your mouth to assist, but if you continue to breathe exclusively through your mouth your nose will be less apt to clear. Just try to breathe through your nose and notice its ability to clear itself.
Finally, there are some specific breathing techniques for unblocking your nose, one of which is simply to hold your breath for as long as you can while nodding your head up and down or swaying your torso from side to side, then releasing the breath through the nose. Within five breaths this usually works. Here’s a video of it. You may also benefit from nasal rinsing (AKA “neti”) followed by nasal lubrication. We make a Nasal Oil for this purpose which I formulated.
I would love to hear about your experience with mouth breathing and nose breathing. Share with us in the comments section.
Be well,
Dr. Peter Borten
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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
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