Massage Tutorial: Ankle pain techniques and strategy

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  • čas přidán 12. 07. 2015
  • My new book is out! It's called Massage Is Weird: massagesloth.com/book/
    Got massage clients with ankle pain? Consider all of the structures that might be contributing to that pain: the dorsi- and plantarflexors, and the inverters and everters. Realize that, while the pain may "live" in the ankle, the soft tissue criss-crossing the joint is likely playing a role in that pain sticking around.
    With this particular client, I found it necessary to use lighter-pressure massage. Her sensitivity has been ramping up over the last few years, especially as she's transitioned from steady dance training to other activities. I have no intention of trying to break up adhesions, bust up "knots," or coax her fascia toward a particular direction. Instead, I'd like to give her nervous system the signal to calm down and reduce its sensitivity. While some clients might seek painful massage to treat painful conditions, I think that this is often counterproductive.
    Let me know what you think! Would you treat this particular case any differently? Are there techniques that you'd recommend? Tell me about it in the comments!
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Komentáře • 98

  • @chantaljackson9153
    @chantaljackson9153 Před 6 lety +36

    I am so thrilled to hear a massage therapist talk about the nervous system. As a fellow massage therapist and bodyworker I feel I am always working at the nervous system level, inviting the body to repair itself with my hands and nervous system as a faciliator. Thank you so much!!!

  • @SonnyL
    @SonnyL Před 4 lety +9

    Dude has a relaxing voice

    • @FransceneJK98
      @FransceneJK98 Před 3 lety +1

      I know right? He could be committing a cr i m e and I’d be relaxed lol

  • @stevejanowiak1982
    @stevejanowiak1982 Před 3 lety +16

    Seems your anatomy knowledge is 200 times that of most therapists. Seriously! Very impressive.

  • @legolus
    @legolus Před 5 lety +8

    I'm glad I watched this video. Thanks for the Tip. I tend to apologize if my pressure is too much for my client & back off my pressure a bit. I'll now keep in mind to just say "thanks for letting me know" & adjust accordingly.

  • @BorisVolni
    @BorisVolni Před 8 lety +6

    Thank you for the Video Ian, I really enjoyed it and it is always great to see another way or technique on how to treat your patients.

  • @yogablossom100
    @yogablossom100 Před 7 lety +2

    Thank you so much for your teachings!

  • @DieterHaeussler
    @DieterHaeussler Před 6 lety +2

    Thank you Ian for another easy to understand tutorial. Very informative. I have a new client this coming Monday and will remember this video....and yes, Rachel is cute. Thank you Rachel !

  • @tortoisenhare
    @tortoisenhare Před 8 lety +6

    AUGH I haven't watched you in a couple weeks and you threw me off completely with the no facial hair! LOVE this video, and LOVE your truth about not being able to change our clients body; that it's up to their nervous system. I've been saying this very observation for years. Keep up the good work, thank you so much for all you do!

    • @MassageSloth
      @MassageSloth  Před 8 lety +1

      Stephanie Mitchell Haha, sorry about that. I should have eased my viewers into it with a mustache or something. Thanks for the kind words!

  • @user-sz7du5qk3v
    @user-sz7du5qk3v Před 8 lety +1

    I enjoyed watching this one it was excellent, thank you.

  • @growmesomethingmister4930
    @growmesomethingmister4930 Před 8 lety +11

    Your intros are HI-larious! I like how you introduce your friends and in some form/fashion they say something, wave, etc. Your videos are well done.

  • @SR-dy5zm
    @SR-dy5zm Před 4 lety +5

    I love the emphasis on the nervous system here. This is a great video as an example of your overall approach that has influenced my style so much.

  • @tamiarthur2744
    @tamiarthur2744 Před 3 lety

    Love you videos. Thanks so much for reminding me about nervous system reset.

  • @h5y
    @h5y Před 8 lety +1

    Great video!

  • @ditsytheoneandonly7930
    @ditsytheoneandonly7930 Před 8 lety +3

    Thank you for sharing your videos I really enjoy them .

  • @dinametaweh6431
    @dinametaweh6431 Před 8 lety +1

    Starting to walk my dog on uneven ground with boots. So painful in my ankle and calf. Walking with a limp for the second time this week.This video really helped but tricky to do to myself. Help with self massage please. Oh and your awesome.🙋🏽

  • @slavadubov1361
    @slavadubov1361 Před 8 lety +1

    Very useful! Thank you! )

  • @user-pg5uk9fu3r
    @user-pg5uk9fu3r Před 4 měsíci

    Thank you Ian….very helpful and detailed video…your advice will help me a lot’s in my practice.

  • @elainenilsson5472
    @elainenilsson5472 Před 6 lety +6

    I felt everything you were doing. I wish I were her. I broke my ankle 6 weeks ago and although the bone is healed I have the exact same pain that she does. No doubt from being in a boot for a month. I tried to follow along and do what you were doing. Thank you.

    • @FransceneJK98
      @FransceneJK98 Před 3 lety +1

      I was in a boot for 6 months and lost my entire calf muscle and all strength from knee down. Still experience pain years later

    • @elainenilsson5472
      @elainenilsson5472 Před 3 lety +1

      @@FransceneJK98 my pain is completely gone. Took about a year and a half

    • @FransceneJK98
      @FransceneJK98 Před 3 lety +1

      @@elainenilsson5472 glad to hear that. Society doesn’t talk enough bout the mental damage that physical pain causes us

  • @thisissomeloadofshit
    @thisissomeloadofshit Před 8 lety +32

    I have a total crush on Rachel BUT outside of the totally superficial you are the best at what you do. You're informative but you mix it up with some humor and drop some science on us. You're like the Alton Brown of massage!

    • @MassageSloth
      @MassageSloth  Před 8 lety +19

      thisissomeloadofshit Rachael is the bee's knees. And, I've gotta say, being called the Alton Brown of massage is all I've ever wanted. Thanks!

    • @thisissomeloadofshit
      @thisissomeloadofshit Před 8 lety +1

      But of course. Keep up the good work, mate.

    • @marcopolo3001
      @marcopolo3001 Před 8 lety +4

      +Massage Sloth Come on man don't tell me you are completely comatose when working her angles dude. Can it even be possible to have nothing happen behind the scenes with such a specimin?

    • @glennygtube
      @glennygtube Před 8 lety +21

      +Marco Polo It's called professionalism, guys. Put your tongues back in your mouths. A heavy-set older lady, or a fit young woman, or a handsome athletic man, or an old frail gentleman with paper-thin skin and varicose veins...all just a body on a table, a person with pain, a collection of muscles, nerves, joints and emotions. When a professional looks at the body, we see an opportunity to lift a burden of pain. That's all.

    • @thisissomeloadofshit
      @thisissomeloadofshit Před 8 lety

      +Glenn Reither I think if you read the initial comment of mine it you'll find it actually pretty innocuous.

  • @dexterchambers4525
    @dexterchambers4525 Před 2 lety

    Thanks for teaching this 😀😀

  • @dhaddhee7545
    @dhaddhee7545 Před 5 lety

    This is totally true to tried this ine bafore and its help me a lot

  • @lisastikes4991
    @lisastikes4991 Před 8 lety +17

    I am so relaxed and falling asleep only half way through watching this. I want a foot massage mmmmm

  • @hugojames85
    @hugojames85 Před 2 lety +1

    I have had a lot of massage-work done in my life, and I have never received anything approaching the deep and careful work that can be seen in videos like this one. A quick, half-arsed rub of the neck and upper back and that's your lot is what seems to be the norm.

  • @rosalinnickie9571
    @rosalinnickie9571 Před 8 lety +1

    Thank you for your video,very informative,i have ankles problems and while i was watching your video i try to do some of the massages on my legs and i can tell you i had some relief,because my ankles was real tight and paining after standing on them at work for eight hours.thank you,and looking forward to see more of your videos.

  • @roseys6511
    @roseys6511 Před 8 lety +1

    love your videos! Thank you!

  • @janinehazzard6294
    @janinehazzard6294 Před 4 lety

    I love your video

  • @TheWritersPlayground
    @TheWritersPlayground Před rokem

    This video is fantastic. Thank you for it. I’m turning it into a self massage as I have sudden severe pain in both feet and ankles for a few weeks now. I’m genuinely scared :(
    Thanks again. Love from London x

    • @MassageSloth
      @MassageSloth  Před rokem +2

      If you haven't already done so, please let me encourage you to go see a doctor for an evaluation. Sudden and severe pain is worth having checked out - and if it ends up being just muscle tension, then working with a physiotherapist can be a big help. Best of luck!

  • @jspohl
    @jspohl Před 6 lety +4

    Thank you this may be very helpful for me - and I see an angel numbers in the views too and am taking it as a very good sign from the universe. 💖

  • @sundaybest27
    @sundaybest27 Před 6 lety +7

    Thank you so much for these wonderful and educational videos! I am learning way more from you than what 20k I spent on my formal training. Yeah, kind of an idiot for that one. 🙄

    • @since1876
      @since1876 Před rokem

      You may learn more from him but without spending that money you're never getting licensed lol

  • @MdSujon-su4fh
    @MdSujon-su4fh Před 5 lety

    excellent

  • @naderalipour2151
    @naderalipour2151 Před 6 lety

    I love it

  • @penguins0392
    @penguins0392 Před rokem

    what kind of bolster are you using? it looks great. great video!

  • @DarkKnight-hj6ts
    @DarkKnight-hj6ts Před 6 lety

    Relaxing

  • @pennysmith6657
    @pennysmith6657 Před 6 lety

    It hurts my ankle when i do the press into the pillow-even with no massage. Any advice?

  • @danielgamingpc4090
    @danielgamingpc4090 Před rokem

    good video !! Big like !!

  • @lilbrans
    @lilbrans Před 8 lety +1

    Thank you SO MUCH for these videos!

  • @choochoochooseyou
    @choochoochooseyou Před 8 měsíci +1

    I would be in heaven. Rachael/el is absolutely gorgeous.

  • @mikebaker2436
    @mikebaker2436 Před 4 lety +4

    22:25 I tend to relate direction to their own body. This reduces (but does not eliminate) confusion. So, in this case, I would grab the heel and say "Rachel point the toes of this foot up towards your shin (or knee)."
    You are relating to the client in their primary positional awareness (distil/proximal/medial/lateral) rather than in spacial and planar directions which they are disoriented to while on the table.

  • @GameOnShanny
    @GameOnShanny Před 5 měsíci

    What do you do when you had a swollen ankle for over a year

  • @Jaci631
    @Jaci631 Před 3 lety

    Do you recommend stretches as home care? Or refer out for stretch and strengthening home care? Thank you for the great tutorial!

    • @MassageSloth
      @MassageSloth  Před 3 lety +1

      I do offer stretches that I'm able to demonstrate quickly and simply, like in this video: czcams.com/video/Ascz2whmczs/video.html For anything more complex, like a full stretching and strengthening regimen, I'll direct my clients to see a personal trainer or (in the case of pain) a physical therapist.

    • @Jaci631
      @Jaci631 Před 3 lety

      @@MassageSloth thanks for the info, your tutorials have really helped me through burnout as a therapist and re-inspired my practice.

  • @Stephieandcheech
    @Stephieandcheech Před 6 lety +5

    Love your videos. Was wondering if you could do a video on how to handle clients who develop feelings for you. Its a tricky area to deal with.

    • @MassageSloth
      @MassageSloth  Před 6 lety +3

      That is a tough one, but not uncommon in any therapeutic field. I may make it a blog post, or discuss it on a live stream (which I plan to start doing soonish). Thanks for the good idea!

    • @Stephieandcheech
      @Stephieandcheech Před 6 lety +1

      Massage Sloth Thanks Ian, I would love it, if you did some live streams. Great way for therapists to congregate and motivate one another.

    • @musicgirl999
      @musicgirl999 Před 8 měsíci

      @@MassageSlothHave you made a video or blog like this including for therapists that may develop affection for their clients?

  • @mussahaji905
    @mussahaji905 Před 2 lety +1

    Thanks so much for your intake procedures..As Canadian massage student I find bit awkward for you to be on the same table with your client and the boundary is so minimal

    • @ZephaniahL
      @ZephaniahL Před 2 měsíci

      Embrace the Christ Mr. Haji

  • @naderalipour2151
    @naderalipour2151 Před 6 lety

    It was grand

  • @erikclarkson2811
    @erikclarkson2811 Před 6 lety +7

    Tom Cruise voice!!

  • @amandadianne6507
    @amandadianne6507 Před 7 lety +1

    Do you know anyone who does this type of massage in Houston?

    • @ullgirl84
      @ullgirl84 Před 6 lety +1

      Amanda Dianne did you ever find anyone? I'm in Houston as well and am hesitant when it comes to massage places. There's one on every corner around here and a lot of the time it's used for "other things." I wish I could find someone as good as this guy.

  • @itssohardtomakeaname
    @itssohardtomakeaname Před 7 lety

    what oils do you use besides the jojoba?

    • @MassageSloth
      @MassageSloth  Před 7 lety +4

      Just the jojoba. If I were smart I'd keep some thick cream around for the feet (jojoba sometimes doesn't interact well with the texture of the plantar foot), but in those cases I just do less gliding. Have I mentioned how lazy I am? :)

  • @herteldenmucizeler2738

    Super...

  • @tylerswenson9744
    @tylerswenson9744 Před 6 lety +5

    This dudes forearms

  • @marisagomez3032
    @marisagomez3032 Před rokem

    Subtitles in spanish. Plizzzzz

  • @VeryPoorNerd
    @VeryPoorNerd Před 6 lety +7

    Rachel is so gorgeous

  • @lmsteevee746
    @lmsteevee746 Před 5 lety +1

    I got my ankles broke today while Playing basketball

  • @nosinfantasia
    @nosinfantasia Před 3 lety

    can i have her MySpace ?

  • @kevyelyod1211
    @kevyelyod1211 Před 6 lety +4

    This guy sounds like tom cruise

  • @donnybrooklads
    @donnybrooklads Před 5 měsíci

    This is all fantastic but I better call my bank manager for a loan as this can cost a lot with therapists.

  • @adeliachamberlain7367
    @adeliachamberlain7367 Před 8 lety

    Would you use cross frictions on the tendons to loosen them

    • @MassageSloth
      @MassageSloth  Před 8 lety +2

      +Adelia Chamberlain I don't put a lot of stock in our ability to loosen/lengthen connective tissue, or to break up collagen/scar tissue. Dense connective tissue is far stronger than the surrounding tissue, so any attempt to dig into it to change its structure is much more likely to cause microtrauma in the surrounding tissue (bruising). While we can likely promote connective tissue change over time by stimulating the activity of fibroclasts and fibroclasts, that would be over the course of many sessions, and with the assistance of the client making habit changes.
      That said, I would want to work directly with the tendons and ligaments once they're able to tolerate contact. It's not to cause any structural chance, but rather to stimulate the embedded nervous tissue and, hopefully, further reduce sensitivity. Good question!

    • @shamshadshaikh821
      @shamshadshaikh821 Před 7 lety

      Massge Sloth

  • @Irbyjakai
    @Irbyjakai Před 5 lety

    Look like gabrielle moses

  • @NixDeGraves8888
    @NixDeGraves8888 Před 6 měsíci

    She’s a solid 7/10. Yeah, you’d hit it, but you wouldnt fall in love.

  • @Cecedidic
    @Cecedidic Před 2 lety

    4:04

  • @ramonporties9022
    @ramonporties9022 Před 2 lety

    Vb
    😆😖

  • @Fabo100
    @Fabo100 Před 5 lety +4

    Friend Zoned

  • @darnellgaspard1369
    @darnellgaspard1369 Před rokem +1

    Nothing like pretty feet on a woman

  • @leslycarbajal6211
    @leslycarbajal6211 Před 7 lety +1

    Tbh , I was so annoyed I felt like it was a talk show with very little foot massaging action. Maybe I only watched the first half but still.

  • @liananime7374
    @liananime7374 Před 6 lety +2

    She should start doing a foot fetish.

  • @yoya4766
    @yoya4766 Před 5 lety +1

    Creepy voice