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It’s not really the thought that counts.

July 22, 2024 By: Drew Hume2 Comments

attention not intention

Image source: linkedin.com/.

There’s a lot of emphasis placed on the idea that “it’s the thought that counts”, and I often hear this show up in the context of massage as reinforcement for the idea “that all we need is intention”.

When actually, what serves everyone best is not INtention, but instead ATtention.

Attention = currency

Even though I’m specifically referring to massage here, this definitely also works in other areas of life.

In massage, the more attention you can pay to the work you’re doing, the more your work is worth. Both financially and also in all the other realms of worth.

Because attention is the currency of care. And the quality of massage is directly connected to how much care you can successfully impart on your client.

Even more specific than that is that your attention needs to be focused on SENSING & RESPONDING to the work you’re doing.

Firstly, how is this person showing up today? What’s their baseline? How are they holding themselves – and how do they move?

Then in the session that continues into questions/reflection of: How is the pressure being received by the body? How long is that response taking? What is that telling me about the time I need to spend there? Or which nearby areas do you need to work? How is their breath and expression responding? How does that inform your next touch or posture selection? (And so on)

Of course, your attention and the answers to those questions need to be linked intimately with your skill of technique and execution of the massage tool in order to drive real change, but the key to the door is attention.

In this way, intention is much less important, since it requires little to no attention. (And since any outcome can be supported with “but that wasn’t my intention”). You can have wonderful intentions, but if you’re distracted the entire treatment, it directly shows in the quality of your work.

Work on your direction of attention, and the results will be vastly better. You’ll also never get bored in this practice if you’re continuously searching for responses and trying to sense the requests of the tissues.

If you’re not a practitioner of massage but you’re reading this – search for someone who places more emphasis on their attention than their intention. Your sessions will feel much better and the results will follow suit.

Drew.

If Massage Were a Conversation.

July 7, 2024 By: Drew Hume2 Comments

massage is a conversation*Enters the room.* “Go and fill up the car with fuel, now.” *Leaves the room.*

The person on the couch sits there thinking “what the heck” just happened. Also, they’re probably not going to do it. Almost all of us don’t like being told what to do – let alone without any context or conversation about it.

What if instead, the interaction had gone like this:

*Enters the room* “Hey, do you have a minute to help me with something?”

“Hey, yeah sure. What’s up?”

“I was wondering if you could help me by filling up the car with fuel?”

“No problem. Do you need it done now or in a little bit?”

“If you could do it now, that would be awesome – I’ve got that appointment to get to at 3pm and I think I’m going to need it to make it there.”

“Sounds good. I’ll be back soon then!” *wanders off to go do the thing*

This [made up] conversation is how I’d like you to conceptualize massage pressure. I’ve been thinking about this analogy for ages now and I think that even though it’s a bit cheesy it encapsulates a few ideas I’d like to share with you about how you approach your massage pressure.

  • 1. Going in and demanding change from the tissue is abrupt and likely won’t produce the results you want. No one likes being told what to do, point-blank, and neither do your muscles/nervous system. This is why we approach our work as a facilitator instead of a healer.
  • 2. The sweeter you approach the conversation, the more likely you are to get a conversation. This part of the analogy speaks to the state of the nervous system and its willingness to even entertain your massage pressure. If you don’t open with a gentle question, the response will likely be “no”. You want a foot in the door to be able to ask more questions.
  • 3. The more details you can give, the more conversation you have, the more back-and-forth there is in the dialogue, the closer you get to the desired outcome. If you ask questions in an order (apply pressure in an order), from peripheral to deep with incremental pauses for a response – you’re more likely to get space from the body (get the car filled up with fuel).

The same way you feel about the first scenario, is how your clients’ muscles feel if you jump in abruptly and without any conversation. If instead, you approach your pressure as a continuously changing conversation, where in order to get the desired outcome (for everyone), you need to be asking soft questions, incrementally AND you need to be waiting for the response before you make your next addition or subtraction of pressure – you’ll most likely get the response you’re looking for.

Responsiveness is key. Just like in a verbal conversation.

If your therapist doesn’t approach it this way, send ’em on over to Navina to feel the difference.

Drew.


Read more like this:

That “Delicious Pain” Sensation in Massage.

Sometimes leave it alone.

How to Make Your Treatment More Soothing.

June 30, 2024 By: Drew Hume2 Comments

soothing massageI’ve got a bit pf a reputation for going on the hunt for things – trigger points specifically – and that’s really detailed work aimed at getting to the source of pain.

It can also be a little intense. And sometimes your client wants something less intense – and more soothing.
[Read more…]

Touch, Oxytocin & Autism

April 2, 2024 By: Drew Humecomment

massage and autsim

Image source: dallasnews.com/

In my last post we talked about touch, Oxytocin and the social bonding that occurs as a result of the physical contact that produces Oxytocin release.

The conversation of touch, Oxytocin and social bonding leads us into a conversation about autism. So here we are – let’s explore this.

A couple of things that are characteristic in people with autism:
  • Altered social bonding
  • Touch sensitivity or aversion
  • Generally lower baseline levels of Oxytocin

We also now know (from the last article) that touch types and situations are important for the production of Oxytocin. Considering that people with autism process stimuli and emotions differently to people without autism, it makes sense then that there would be even more factors to consider around the touch requirements for producing Oxytocin (and thus having the same effect).

A really small study has actually shown some really interesting increases in Oxytocin levels in children with autism resulting from consistent (daily) massage from mothers. A few behavioural changes also occurred as a result – things like: improved attention, improved communication and calmer.

There’s also been some work done around the application of intranasal Oxytocin (spray) for people with autism and then the continued application of massage. Seemingly when used in combination, the nasal spray of Oxytocin reduces the initial neural and behavioural resistance that often occurs in folks with autism.

This might be a bit of a window into an enhanced sense of bonding for people with autism, along with behavioural shifts that are also seemingly advantageous and reduce overall stress.

It’s important to note that the expectation of touch and the expectation of the person applying the massage (the mother) were also noted as important factors in the increase in Oxytocin levels.

Check out the paper over here if you’d like.

Yet another incredible application for massage. Remember, it’s not just about sore body parts – or at least, the function of massage can be so much more than helping people get out of pain (as if that’s not enough).

Something to ponder. And also something to remember, for when you’re out there in the world offering touch/hugs/greetings; that there are a LOT of factors that go into touch-induced Oxytocin release, and that for different people those factors might be different.

If you have any personal stories about this you’d like to share, I’d love to read them 🙂 Pop them below.


You might also like to read “We’re going to have our work cut out for us, you and I”.

Touch & Oxytocin: Nuance

March 31, 2024 By: Drew Humecomment

touch and oxytocin

Image source: >neurosciencenews.com

We often talk about how touch can be really beneficial, how it leads to the increase in release of the feel-good hormones – which includes Oxytocin, which the “bonding hormone” and so it helps us build social connection (which, if you haven’t heard is a really key component to longevity).

You might have even heard about needing to get a certain amount of hugs in per day or time in hugs, and that kind of thing. Because touch does increase the production of Oxytocin. But does it happen every single time you make physical contact with another person?

No. Context is important. So not ALL touch gives you that same series of interactions and therefore not ALL touch gives you the same results.

A few things that seem to be important:
  • Type of touch (is it soft or is it rough?) – Oxytocin production is increased only in pleasant situations of touch.
  • What’s the intent behind it (is it caring or not?) – Whether by some other mechanism or perhaps via the effect intention has on execution of touch, depending on someone’s intent we might increase Oxytocin levels or not.
  • Time in contact – as you can imagine, the more time in contact (when the other elements line up) is going to lead to more Oxytocin.
  • Familiarity with the person touching you – interestingly, we produce less Oxytocin when people we don’t know are touching us.
  • Area of the body touched (is it the back or the face or your leg?) – different areas are likely to elicit different degrees of responses depending on your personal preferences. For example, someone who likes their back being tickled, will get more Oxytocin from that experience than someone who doesn’t.

This is why we focus so heavily on HOW to touch in class. The intent, the pace, the trust, and the understanding of touch biology – this all comes together to set you up with a recipe that is most likely to get the best response from your time together.

More Oxytocin equals a faster bond with your client. That means more visits, which is great for you as a practitioner, but more importantly it means a higher chance of them getting out of pain (your client) and feeling better in their bodies – overall better outcomes for them.

These are things to think about not just as a practitioner, but also if you’re wondering why certain interactions with people have different feelings, even when they might appear similar on the outside.

Learning touch literacy goes beyond massage. It reaches out into everything you do – and all the relationships you have and will have. That’s really why we teach you massage techniques through the lens of touch biology. Because evidently, the nuanced details are extremely important.

Drew.

It’s a millimetres game.

November 9, 2023 By: Drew Humecomment

The other day a client asked me if everyone had tension in the same spots or if I was specifically finding the spots that needed attention.

And the answer is yes and yes.

Yes, people mostly carry tension in the same areas. Almost everyone in the last couple of weeks of treatments needed attention to the shoulders, neck and chest. And so to some extent there are patterns there that set me up for a certain degree of success (success as in, successfully finding the spots that need attention).

AND, at the same time it’s not just a matter of pressing on exactly the same spots for everyone. This is where it becomes a millimetres game. Because each of these areas have almost endless possibilities for where trigger points could be housed.

So whilst it would be a decent treatment if I were to just generally press the same areas for everyone, it wouldn’t be “mind-blowingly awesome”, which is what I’m aiming for.

That takes detail. It’s a millimetre to the left on this side of their body and 2 mm to the right on the other side. It’s an extra mm deeper in the muscle for today’s client than yesterday’s. The slight shift of the angle at my elbow makes the world of difference for the trigger point I’m seraching for right now. The extra mm of rotation of my arm takes me from being “oh so close to the right spot” to “stay there and don’t move”.

It’s in those details on a person-by-person basis that make all the difference.

It’s also the process by which this work takes on so many potential shapes, so many (almost endless) options for the application of pressure. It’s the investigation required in this process that makes the client feel like they’ve just had the most thorough massage treatment of their lives.

And on the practitioner side of things it’s also the process by which the work never gets boring.

Because when we’re working the millimetre game, you have to be so deeply attentive to what you’re doing and to the effects of what you’re doing, that there’s simply no time for feeling bored.

It’s an exploration of living tissue and at this minute level it’s remarkably different every single day, for every single person.

That’s the game I try to teach you when you come and study with me.

If you’re reading this with a keenness to explore on such a detailed level, check out our course calendar over here.

And if you hear your massage therapists mentioning that they’re getting bored of their practice – send them my way please. We’ll peel back the next layer of their explorations together.

Drew.


You might also enjoy reading “Sometimes leave it alone.“.

Sometimes leave it alone.

October 4, 2023 By: Drew Humecomment

thai massage on the table
Mostly I teach you to wait for some kind of change in the tissue when you’re applying pressure. You maintain your weight on the spot you’ve found until you notice some change in texture – hopefully some kind of softening or the sensation that there is now some more space in the tissue.

That holds true for the majority of people.

But of course, there are exceptions. You may have even encountered an exception to the “rule”, where no matter how long you wait, there’s no change in the texture of the muscle.

Now, if you’re experriencing that with a lot of clients, I’d say you’re probably not waiting long enough. If instead you’re on a spot for more than 3 consecutive minutes (with the one touch) and there’s been no change, you might have found someone who breaks the rule.

In this instance I give it the full 3 minutes or so – and then, I leave it alone.

Yep, that’s right – I’ll give it what would normally be considered a generous hold, wait, and if nothing changes, then I leave it alone for a bit.

I’ll continue with the session and see how many other points I can find in the area and throughout their body, but for the time-being, I’ll leave that stubborn spot alone.

Why?

A few of reasons:

  • We get nowhere we want to be by forcing the issue. You’ve given the tissue and the nervous system time, and it hasn’t responded in the way you were waiting for, so trying to force it to is definitely not going to be the best choice. Especially because those points usually are some of the more chronic and persistent points a client might have.
  • If it IS one of those chronic and persistent points, we have to remember that one treatment vs. the years it took to get chronic is a drop in the ocean. Play the long game and remember that the best impact we can have with people is over the long-run. This will also ensure they feel good tomorrow (even if the point didn’t release), rather than beat-up.
  • The work/pressure continues giving, even once we leave. Notice how the benefits of a massage keep rolling in after the session is done, through that evening and even into the next day? Well, apply that knowledge to this situation – sometimes things in the body just need more time to integrate than most points or people.

Sometimes I’ll leave it alone for most of the treatment and then return to see how it’s doing later on. In that instance I’ll often give it a bit more time-under-pressure before once again leaving it be. And other times I’ll leave it alone entirely. I’ll just let it settle. And if they rebook for the following week it gives me a chance to continue working on it in a way that is gradual and in collaboration with the body, instead of something forced for a quick outcome.

Have you encountered any of these points?

If you have, you might try giving it this approach – after some solid time under pressure, leave it be.

It’s a detailed an intricate thing, this work we do – and sometimes it means the occasional contradiction of the main advice I give.


If you enjoyed this, you might also enjoy: “What does “release” in massage even mean?“

That “Delicious Pain” Sensation in Massage.

September 21, 2023 By: Drew Humecomment

delicious pain massageYou know when you get a massage and your practitioner is on the perfect spot and with the perfect pressure that it feels so intense and yet you don’t want it to stop because there’s some part of you that knows that this is exactly what you need?

I’ve been thinking how it is we distinguish between that “delicious” pain and other intensities that might not be beneficial for us?

As in, how is it that we interpret some intensities to be beneficial in the long run – and so we even like it and pay money for it (hello our profession), whereas perhaps a slightly different degree or type of intensity is understood by our brains to be undesirable and something we don’t want?

There are of course subjective elements to this equation – like how much pressure is needed from the practitioner in order to get that “delicious” sensation, but for the most part the sensation itself is reasonably universal – a shared experience by many, regardless of how much pressure it takes to get there.

I say “reasonably” universal because I’ve also come to learn over the years that there are some people who actually DON’T get that melty-good-intensity sensation in massage.

Once upon a time I wrote this article (here) and in a course soon after, a student said “there’s no such thing as “delicious” pain – pain is horrible and we shouldn’t say that it’s anything but that”.

At the time I thought “there’s definitely a deliciousness to that pain”, but I didn’t respond that way of course. I took the time to explain that we’re certainly not diminishing anyone’s experience of pain by describing certain versions of it as delicious, and also made a mental note about it. Because I wondered if that was a product of the fear of pain and perhaps having had that dimisihed by others over the years, OR if there was also something else happening there – like that this person actually didn’t feel that same melty-ouch that most others do.

Sure enough, years later, I’ve now come across a handful of people who don’t experience massage pressure this way. Instead, the sensation is tolerated because they logically understand what’s happening instead of an intrinsic feeling of benefit.

At least in a couple of these people I’ve noticed traits of EDS (Ehlers-Danlos Syndrome) as well and I wonder if that has something to do with it, but it also hasn’t been a mutually exclusive relationship.

I’m also wondering, how many of you are there out there? Are YOU one of these folks that scratches their head when hearing “delicious” pain, wondering what we’re on about? I’d love to know. I’d also love to know how often you get massage – or do you? Let me know if you can take a moment.

In terms of how we distinguish between those beneficial degrees of intensity from other, less-helpful degrees – well, I had a theory back in 2017 when I wrote that article above. I’ll stand by it for now until I can come up with a better reasoning. Here’s the link again if you’d like to read it.

How Yin Yoga “targets the fascia”

May 18, 2023 By: Drew Hume1 Comment

thai on the tableYou’ve probably heard the phrase “Yin yoga gets into the fascia more”. The question is, is it true? And if it is, how does that happen?
[Read more…]

Low Back Massage to Help with Low Back Pain

April 25, 2023 By: Drew Humecomment

There are of course lot’s of things that might contribute to low back pain – but in almost all situations, the following technique can help at least a little. Try it out and let me know how you feel at the end:

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