Starting July 15 we will be raising our massage therapy prices.
30 min- $65.00
45 min- $90.00
60 min- $110.00
75 min- $130.00
90 min- $155.00
120 min- $230.00
Jeff Gabert is a graduate of the inaugural massage therapy program at Langara College. Throughout the program he was fortunate to work with diverse populations and benefited from the knowledge shared by fantastic teachers and fellow RMT’s. Jeff has a special interest in treating chronic pain and fatigue, particularly those dealing with arthritis. He regularly leads talks and workshops for the Arthritis Society dealing with coping skills and tips for pain management. Another area of interest for Jeff is sports massage and injury rehabilitation. He will be spending a week this summer traveling and working on the competitors of the BC Bike race, keeping them in riding shape. Jeff seeks to aid the body in its natural healing process and help clients implement a homecare program that will facilitate their recovery. By employing a variety of massage techniques including: Swedish, deep tissue, myofascial release, joint mobilizations and muscle energy; Jeff creates a unique and client centred massage treatment.
Outside of massage, Jeff enjoys cycling the seawall, weight training, playing music and a weekly trivia night. “I look forward to meeting you and working together.”
I have seen faces whose eyes speak volumes of the horrific experiences they have gone through. I have seen the kind eyes of a grandmother, the worried eyes of a father, the comradery and commitment between friends, the confused face of a young child. I have spoken with people who have expressed their dreams of finding peace and security- both financially and in their lives. Most know that the future will be extremely difficult and uncertain for them
whether they are able to get into the EU and apply for asylum or whether they are forced to go back home to their dangerous countries.
I smile much of the time here because… to see a traumatized face or a face frozen with past memories relax into a smile is one of the most beautiful things I have ever seen.
Sharing a word or two with someone even if we do not speak the same language goes such a long ways in helping feel the humanity, the heart connection that is possible between us though our lives are worlds apart.
Today I worked at the tea tent starting at 7am and we were commenting on how the day seemed quieter than other days. This gave us time to get to know each other more- we are a group from Switzerland, US, Canada, Mauritius, Pakistan, Germany… Then a bus full of refugees who just got off a boat in quite dangerous conditions arrives. They are freezing cold, most without shoes as they were left at the beach or lost in the water during their crossing. The boat’s engine had failed over an hour before and it was also slowly filling with water, so they were forced to drift towards the rocky and dangerous beach where they landed. Had there not been volunteers there, called by local Greeks who had seen the boat approaching, there would have been a lot of casualties and for sure deaths.
Some of these people were shaking so hard they could barely hold the cup of hot tea I was giving to them. One young mother who was shaking uncontrollably kept getting food and then turned to give it to others.
Who knows the last time they had eaten much. Some refugees must wait days on the Turkish side, hiding from police with no proper shelter, no food except what they may have on them, until the smugglers get them onto a boat. The smugglers are often violent and force people on even if they no longer want to at that time.
Later, as I was cleaning around the camp, I see a group of these new arrivals and it is good to see them with fresh dry and warm clothes and settling down.
I popped in to the children’s tent to drop off some donations of things to craft and with. Here the small children can come and really be kids again. It is a small safe area and it temporarily removes them from the gritty reality of their situation. They giggle, draw, play and build little things here…. Some of the children’s drawings shockingly reflect the trauma they have experienced in their lives. It is so sad.
Tonight I work midnight til 10am waiting for boats. It is likely to be busier with arrivals tonight as last night was far too windy for boats to come. We will be waiting with blankets, tea, first aid, dry clothes and help shuttle them to Moria.
Tomorrow I work at the medical tent giving massage, aromatherapy and acupuncture.
Volunteers work with dedication and love long 9- 16 hour shifts and sometimes will go from one job to the next. There is ALWAYS SO MUCH TO DO!!
I have seen firsthand that it is the small groups of volunteers and the independent volunteers willing to do anything at any time that do most of the work here. The larger NGOs have far too much bureaucracy and red tape to get things done quickly and effectively be fluid as situations change.
The thing is here, the situation changes very quickly. Rules about refugees in different EU countries change, the number of people stuck at the camp because they cannot get registered is growing and many are stuck because they have no money, tensions build, small riots happen and then get peaceful again, we give out of food, shelters get built or changed in minutes, clothing is sorted and handed out and even washed…. All this done efficiently by INDEPENDENT, small volunteer groups and small NGOs.
If you can, please support the work been done here for the refugees by donating. I can give you a list of some of the groups that are doing invaluable work if you like, just message me.
I also have my GoFundMe campaign that I will keep active as long as I am here. If I pass my goal, all the better! More to help out! Donations can be great gifts when made in someone’s name for the Christmas season this year. The people here need financial support to keep helping as much as possible.
Namaste. Thanks for being incredible people in my life. Your love and support is amazing.
Everything on this island depends on the volunteers, who are doing a great job, but are there are not enough at the moment! Different organizations are in need of more people, so I am called to go!
So far more than 500.000 people have arrived through Turkey to Greece and the total number is expected to raise to 1 million in the next short while. The island is totally dependent on the work of volunteers and their international networks.
If you spare some funds, your money will end up on Lesbos, directly where it is needed -A little can go a long way to keep a baby dry and warm, help people to not sleep in the mud, and give them a meal and medical aid.
The refugees and helping organizations are so grateful for any donation you are able to give.
By David Kent, LMT, NCTMB
When clients schedule a treatment session, they expect results and regardless of which massage modality or technique you’ve mastered, you want to deliver.
Back pain is a common complaint among massage clients, and symptoms such as pain across the mid-back or low-back pain over the sacrum below the iliac crest in the gluteal region could be the result of myofascial trigger points in the rectus abdominis. (Figure 1) According to Simons and Travell, “An active trigger point high in the rectus abdominis muscle on either side can refer to the mid-back bilaterally, which is described by the patient as running horizontally across the back on both sides at the thoracolumbar level.”1 The authors also state that “In the lowest part of the rectus abdominis, trigger points may refer pain bilaterally to the sacroiliac and low back regions.”1 (Figure 1).
Although many trigger points have been identified in the rectus abdominis muscle, this article will cover two primary trigger-point patterns that cause back pain in these regions, as well as tips about how to treat them and how to educate your clients about the nature of their pain.
Trigger points can form in the rectus abdominis muscle due to visceral disease, direct trauma, emotional stress, poor posture and over-exercise, to name a few. Examples of trauma include surgery in the area or injury to the muscle during a motor vehicle accident. These muscles can also become overstressed by everyday activities, including certain exercises or rigorous housework.
Before treating the rectus abdominis, however, it is important to rule out other muscular possibilities. Referred pain from myofascial trigger points into the lower thoracic region can also be produced by muscles in the back, such as the latissimus dorsi, serratus posterior inferior, illiostalis thoracis, multifidi, intercoastals and insterspinales.
Lower lumbar, sacral and gluteal pain often includes trigger points from the quadratus lumborum, gluteul muscles, piriformis and the hamstrings. In addition to the rectus abdominis, the iliopsoas is another muscle that refers pain into both of these regions.
Encourage clients to reveal important clues about their pain by having them complete a thorough health history and intake form. This useful tool also enables you to ask intelligent questions relevant to the possible causes of the client’s pain.
In addition to the health history and intake forms, have your clients complete a visual-pain chart to specify and document the regions of their discomfort; this tool will help you easily spot the trigger-point patterns and treat them accordingly. (Figure 2)
And before getting started, remember to communicate with the client to rule out potential contraindications, such as recent surgery, abdominal aortic aneurysms, or pregnancy, for example. This information should also be documented on the intake form.
Using analogies can help your client understand the cause and effect of trigger points and their pain. For example, some trigger points are similar to a gun and bullet. When pressure is applied to the “trigger” of a gun, it shoots a bullet, which produces an effect at the point of impact. Likewise, when a therapist applies pressure to a “trigger point” in myofascial tissue, it produces referred phenomena (shoots a bullet) to another area of the body; that effect is usually described as pain, numbness, tingling, weakness or other like complaints.
Therapists and clients must communicate with each other to determine the presence of trigger points. Instruct your client to let you know if you reproduce the pain when you palpate a myofascial trigger point. Only the client can tell you if the region being palpated is tender and referring pain elsewhere. Once you have identified the culprit, you can treat the appropriate muscle.
Place the client in the supine position with support under the knees and the arms at the side to avoid tightening the skin over the abdomen. (Note: These same techniques can also be used with the client in a side-lying position).
Determine the borders of the rectus abdominis by asking the client to tense the muscle; he can do this by moving into a semi sit-up position as you palpate the region. Make sure that the client relaxes the muscle before you start treatment. Check for muscle sensitivity by palpating with your fingers using static compression.
Release the attachments around the xyphoid process (Figure 3) and costal margin (Figure 4) with your fingers or thumbs. The pubic attachments can be easily located by asking the client to place their thumb over their belly button and extend their middle finger down until they palpate the pubic symphysis. Use static pressure initially. If the area is not too sensitive, add a combination of friction movements in the direction of the muscle fiber (superior and inferior) and across the muscle fiber (medial and lateral). It will be more comfortable for the client if the intention of your pressure is more dominant in one direction.
Lubricate the muscle belly; then stabilize the skin with the non-treating hand. With the other hand, treat with the muscle fiber using a scooping movement with the fingers (Figure 5), followed by cross fiber (Figure 6).
Make sure to check in with the client frequently about the level of pressure. The body is reflexive, and it responds automatically to stimulation. For example, when you touch a hot surface with your hand, you automatically, or “reflexively,” pull away to avoid burning the skin.
This concept is also true in massage therapy. If the client is reflexively protecting him or herself by pulling away, tightening the muscle, holding his breath, squinting his eyes or clinching his teeth, then you are applying too much pressure. Additionally, if the tenderness in the area and/or the intensity of the referred pain does not ease up within 8 to 12 seconds of holding static pressure on the trigger point, again too much palpation pressure is being applied, leave the area and return later; and then use considerably less pressure.
Emotions and Sensitivity: The abdominal region can be a sensitive area for clients. Use good judgment and educate your clients to ensure that they are comfortable with having the abdomen treated.
Positioning and Draping: The client must be positioned comfortably on the treatment table in order for the muscle to fully relax. Additionally, your client’s privacy must always be protected and respected. There are a host of factors that determine the draping technique that you use. If the client is not comfortable with his/her abdomen exposed during treatment, you can still effectively treat the area through the draping itself.
Ice or Heat: If the injury or trauma is acute and/or swelling is present, avoid the injured area, and use ice when appropriate. Otherwise, a moist heat pack can be placed over the muscle prior to therapy.
Topicals: Topicals can help relieve the client’s pain between treatment sessions. You can earn additional income without being in the treatment room. One topical company offers free samples and will even print your contact information on the accompanying promotional materials.
Staying informed by reading articles, textbooks, watching DVDs and taking hands-on seminars to keep your knowledge and skills sharp while helping you perform at your best in the treatment room to meet your personal goals and your clients’ expectations. A percentage of the back pain you treat will be from myofascial trigger points in the rectus abdominis. Watch for the clues and patterns, educate your clients, and use all of the tools at your disposal. Wishing you much success.
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678 Leg In Boot Square
Vancouver, BC V5Z 4B4 Canada