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7/28/2019 Trigger Points Faq
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Faq
Q. What does it mean to work in the inhibitory regime?
A. In order to reach safe rapid and sustained results in neuromuscular disorders or in stressmanagement, we must perform massage in the inhibitory regime. Every nerve receptor has its
own level of adaptation that is its capability to produce electrical activities (also known as
impulse or action potential). The rhythm of massage strokes should be about 70-80 movements
per minute and the technique application on the massaged area should be prolonged while
gradually increasing pressure and minimizing disconnect. This produces a massive amount of
nervous impulses that travel to and excite corresponding nervous centers. With the prolonged
application of the massage techniques, the nervous centers become inhibited by the massive,
continuous flow of afferent electrical impulses from the massaged area. Performing massage in
inhibitory regime, eventually not increasing production of action potential, but the flow of afferent
neural impulses from the contact area of our hands will continue.
Q. How does piezoelectricity effect Massage Therapy?
A. Both inorganic and organic substances have the ability to generate electrical potential in
response to pure mechanical deformation. This is referred to as the piezoelectrical
phenomenon. During the performance of massage therapy, we are deforming the tissues, cells,
and molecules thereby generating/creating piezoelectrical charges. In massage, the main cause
of piezoelectric phenomenon is the deformation of collagen molecules. One should rememberthat elastin and keratin also carry piezoelectric properties. As we know, our molecules are
surrounded by large amounts of extracellular fluid (at least 70-75% of our body is water). By
performing massage therapy we not only generate electrical impulses that travel thru peripheral
nerves, which conduct their way to the central nervous system, but also piezoelectrical charges
of electricity. These piezoelectric charges move out in all directions, thru extracellular fluid and
other molecular structures, creating streaming potentials that travel to the inner organs and
there create massive additional afferent impulses. These afferent impulses from the inner
organs in turn further stimulate centers within the central nervous system and increase the
power of reflexive therapy (positive changes in function of organs and system due to original
stimulation by massage).
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Faq
Q. How much pressure should be applied?
A. Nowadays, some massage therapists make no distinction between the concepts of strongmassage and deep massage. Most of us agree that strong massage will not always be deep
massage. There is no doubt that when we perform deep tissue massage it feels stronger. The
question is how much pressure should we be applying? In order to reach results, and to avoid
injury from applying strong pressure, we must utilize the following rules. 1. Pressure has to be
significant (gradually increasing to the maximum extent) but must avoid activating the pain
analyzing system. Given the fact that pain is a somewhat subjective sensation and cannot be
measured like weight, or blood pressure, we have to design the pressure by consulting our
client. The moment when the individuals threshold of pain is determined, the therapist can
properly increase pressure to the required level. 2. If the applied pressure causes protective
muscular contraction reflex, and even if the client encourages you to continue or increase it, youmust reduce the pressure and restart the process of gradually increasing pressure to its
maximum value that will avoid muscular reflex contraction. If we will apply very strong pressure
that will activate the pain analyzing system (activation of the pain analyzing system causes
reflexive protective muscular contraction) and will continue to vigorously perform the massage,
this kind of act actually traumatizes the muscles, causing inflammation of the muscles and
following development of trigger points within the muscles and other difficult pathologies of
muscular system. By gradually applying pressure we not only avoid injuring the client, but as
you understand, we also relax the superficial layers of tissue that allow us to mobilize the tissue
to the deepest possible extent.
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Faq
Q. Which DVD from Boris' collection should you start with?
A. The collection of Boris instructional DVDs covers more than 50 topics of Medical Practice.
These topics are not presented in any specific order such as from simple to more complex, or
from lesser important to more important, because in real life everything is important. So, ingeneral, it's up to a practitioner to select the topics of his or her particular interest. Having said
that, you should start from the DVD#2 - Full body stress management Massage. Besides this
topic, the DVD#2 also offers very useful topics like Hypertension, Dizziness, Headaches,
Worsening of Vision, Greater Occipital Nerve Neuralgia and Neck Rehabilitative Exercises.
Please pay attention at how Boris assesses a client before he starts performing massage
protocols and study the most important petrissage techniques. These important topics are
included in each of Boris' DVDs. The next step in your study really depends on your clientele. If
you are dealing more with young, sports oriental people then you must know about pre-event
and post-event massage presented on DVD #7. If you happen to massage a very large and
muscular person you need to be familiar with the DVD#12, which also includes techniques toprovide lots of pressure for those clients who never have enough. If your clients are
predominantly office workers then it's very important to know carpal tunnel, neck and upper
back protocols and detoxification techniques. It's just as essential to know TMJ and Tension
Headaches protocols, because nowadays these dysfunctions are very common as well. If you
offer your services in various offices it is very beneficial to know techniques of performing
massage in massage chair and to know how to conduct such massage when there is no
massage chair. In many cases it is very beneficial to know how to provide lubrication without
putting oil or cream on your client. What I mean is how to execute massage on silk. One
marketing idea. We all know that most of people, especially nowadays, have no time and money
to visit massage therapist as many times as they need it to maintain their health. That's whyBoris developed 8 self massage DVDs that allow them to do most important massage on their
own. At first look it sounds like self massage might be a competitor to a massage therapist. In
reality it will help you to keep your clients and will make your work easier, if you will recommend
your clients to implement self massage between the visits. First of all this will present you as a
person who genuinely cares for their health and trust is what makes people to come to a
therapist over and over. Secondly, you can offer yourself as an self-massage instructor in health
clubs and offer self massage to groups of people. As you can see Boris' instructional DVDs
provide vast variety of topics, each of them necessary for a competent massage therapist.
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