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Posts Tagged ‘Massage’

By Sue Shekut, Owner, Working Well Massage, Licensed Massage Therapist, Wellness Coach, ACSM Personal Trainer

For the past few years, I’ve been reading and learning more about evidence-based practices, research methods, and, sadly, the paucity of solid research backing up the medical benefits of massage therapy. While some members of the massage community are diligently working to improve the quality and quantity of massage research, there are many misconceptions about massage that have been taught to massage therapists in massage school and then passed on to massage clients. Some of these misconceptions have to do with the idea that “massage releases toxins” (technically, it does not and what people mean by “toxins”is unclear as well), that you must drink water after a massage (often as way to “flush” these said” toxins”). Some massage therapists and massage clients believe massage is a healing modality and that massage can release muscle “knots,”  While massage can reduce muscle tension, the conceptualization of knots in our muscles is misleading.  Many of these claims have either been seriously called into question, or explained to be misconceptions caused by massage school instructors trying to simplify physiological explanations.

More will be revealed about how massage therpy works

More will be revealed about how massage therapy works

That all said, I do believe that massage has some physical, mental and possibly, medical benefits. I do believe that most massage therapists genuinely want to help people feel better, want to use massage as  a healing tool and are doing their best to teach clients what they know about the benefits of massage. And I think that while it is important to understand the mechanism of how massage therapist works on our bodies and minds, for now until the research we need pours forth, I would like to propose a few simple explanations as to how massage can benefit us:

1. Most massage therapy, whether performed on a massage chair or massage table, puts the person being massaged into a really relaxing comfortable position. And in our culture, people rarely have a chance to relax or just sit. If we sit down to relax, we often think we are being lazy or unproductive. So giving ourselves permission to get a massage “for our health” or to “reduce stress” allows us to give ourselves permission to sit down and do relatively nothing for a period of time. It’s not magical. It’s not mystical. But relaxing is good for our health. By sitting down or laying down for a period of time, from 10 minutes to an hour or more, allows our nervous systems to move from sympathetic (fight or flight adrenaline pumping mode) to parasympathetic resting and digesting mode).

Just laying down on a massage table is relaxing

Just laying down on a massage table is relaxing

This may seem obvious to you, and you may think, “well what’s the big deal about that?” The big deal is this, in my experience few people in this culture will take the time to just sit down and do nothing or to lay down and relax, especially during a work day or when the kids needs help with homework or they want to spend time with friends. Relaxing is only socially acceptable if we do it in a structured environment like during a massage or while doing meditation. (Even though yoga was originally designed to calm the nervous system and relax the body, in the U.S., we even add words like “power” to yoga and add weight training to a yoga session! Which in my view, really defeats the purpose of doing yoga in the first place.)

2. Another aspect of our culture is that we are super “busy”…and often touch deprived. Our to do lists have to do lists. If we are not accomplishing, if we are not helping kids, parents or friends or making money (or being good consumers by spending money) we are not being “responsible, we are not being “productive” and we are not being “good” parents, children, neighbors, workers, bosses, employees, friends, community members. We are, in an unspoken way, not supposed to take time for ourselves (unless it is to work out, “power” style) because that is considered to be “selfish.” But getting a massage lets a person take care of him or herself without guilt. Instead of this being a selfish act, getting a massage is now seen an act of self caring. If we do not take care of ourselves, we cannot give to others because we will be too sick or too stressed out to be of much use! When you get a massage we allow ourselves to say, “hey this is my hour, or my ten minutes and I want the attention to be on me. I want to feel good, I want to be touched in a positive,  kind way, without the touch feeling sexual or violent or ticklish. And it is for my health so it’s okay in this instance for me to do something for my self.

Getting a massage gives you a little window of time for self care

Getting a massage gives you a little window of time for self care

Likely down the road, we will be able to use science to explain the psychology of massage through random clinical trails. Someday soon we will be able to point to research that shows more specifically how one person touching another via massage actually causes the recipient’s nervous system to shift into parasympathetic mode. But for now, I am content in my own explanations. I know my clients, and clients of other Working Well Massage therapists, benefit from our massages. I know people relax and enjoy getting massages. The science will come. Until then, we will keep providing relaxation, comfort and care to massage clients. And we will acknowledge and encourage their willingness to take care of themselves.

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By Sue Shekut, Owner, Working Well Massage, Licensed Massage Therapist, Wellness Coach, ACSM Personal Trainer

When you think of health insurance companies, what comes to mind first about them? (And, no, this is not a commercial!)  Is it that your health insurance company is a great source of healthful tips on managing stress, improving your health and saving you money on health care costs? Well, Blue Cross Blue Shield of Illinois does more than just process insurance claims. They provide some really helpful info about your health! The Blue Cross website provides members with tips to beat the holiday blues here.  

Christmas lights on Aleksanterinkatu.

Christmas lights on Aleksanterinkatu. (Photo credit: Wikipedia)

And note that I am not paid by BCBS nor do I have any stock in the company. But I do think their website is a great service, even if you are not a member!

Among the helpful healthful tips: keep your holiday expectations realistic. Not low, but realistic. What this means varies from person to person. During this holiday season, there are a lot of invitations to events, gifts to buy, end of year financial obligations to handle. And for those with children in homes that celebrate Christmas, presents to buy, hide and wrap. It’s a time of family and friend visits and parties. But we still all have to go to work, school or take care of children or elderly loved ones. And adding high expectations (that everything be perfect, that our loved ones will love every gift we get them, that we can work, shop, cook and still maintain our health despite many additional demands without compromising anything) adds significant stress to our lives.

This holiday season, give yourself the gift of relaxation, either by getting a relaxing massage, taking time out to sit in a hot bath, going to the gym to work off some stress, meditation, resting, stopping and taking a walk in the woods or by the lake (bundle up though!). Your heart, your pancreas, your blood pressure will all benefit as you remove yourself from the face pace of the holiday shopping frenzy and let your body rest and recharge.

Here are some of my tips on maintaining your health and not overdoing during the holiday season:

• When someone asks you to take on one more event or obligation, say “let me think about it.”  Then take the time to really think if you have time and energy to take this on, if the event is more important than other obligations you may have, and then give your denial or approval.

• Make a list of all the extra holiday related things you need to do in the next month. Then check your list and decide if anything can go or be done in an easier way. For example, you can shop in a store or you can save time and shop via the internet. I hate to beat the death knoll for big box stores and retail shopping, but when people are pressed for time, shopping online saves the hassle of fighting through long lines and heavy traffic and lets you check an item off your to do list without leaving your computer.

• Consider giving less gifts and giving more of yourself. Not to contradict myself, but instead of rushing around to save a few bucks on the latest electronic gift or trendy item that will likely be unused and relegated to the closet  soon after unwrapping, consider giving gift certificates or coupons either for actual professional services (spa, dinner, movie passes) to be enjoyed along with you or make home made certificates for future events with you. A dinner, a back rub, a vacation, a plan for a hike, a walk, an afternoon in any of the fabulous museums in Chicago (which have free days for the budget conscious). Whatever you and your family and friends like to do together when the holidays are over and you all have more free time to spend with one another.

• Commit to spending at least 10 minutes a day laying down, either on a bed, on the floor or on a mat. All you need to do is be comfortable, focus on your breathing (counting as you breathe in out with a 4-count for inhalation and a 4-count for your exhalation) and let your thoughts come and go without getting to attached to any one thought. (Trust me, those thoughts and to do lists will be there after 10 minutes of rest and relaxation.)

• Commit to spending at least an hour a day unplugged no phone, no television, no game system, no computer. Whether you spend the hour talking in person to loved ones or whether you simply stare out the window and pet your cat, just spend one hour a day not using electronic devises and not responding to the call of a phone, television commercial or email. If the thought of doing this panics you, then you need that hour more than most!

 Overall, do less, slow down and ENJOY the time you have with those you love. Then just to prove you are not in such a rush that you forget to be kind, let the guy or gal in front of you in line or on the street. That small act of kindness may just make you feel a little less stressed and a little more in the holiday spirit!
And (shameless plug for self-promotion), feel free to stop by our Working Well Massage chair stations inside the Whole Foods Markets in the Gold Coast (30 W Huron) and Lincoln Park (1550 N Kingsbury) any time from noon to 8pm daily. No appointment needed! Just stop in and in 10 or 15 or 20 minutes we can help you feel less stressed and more relaxed! Click here for our website with more information.
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By Sue Shekut, Owner, Working Well Massage, Licensed Massage Therapist, Certified Wellness Coach, ACSM Personal Trainer

I’ve been taking Pilates lessons from Jacob Greathouse for the past few months and I love how it’s working for me! As a long time yoga practitioner, I appreciate Jacob’s attention to detail and the way he is raising my awareness of specific muscle groups and body movements in our Pilates sessions. I’ve known Jacob for a few years now, having first met him as a personal trainer and then working with him to help me improve my swim strokes and water aerobics techniques. I really enjoy working with Jacob because he  knows his anatomy, is super patient and nonjudgmental and he approaches each session with enthusiasm and a sense of humor.

Jacob Greathouse, founder of be fitness & wellness embodying fitness and wellness every day!

Jacob grew up in Louisiana but you would never know because he barely has a Southern accent after living in Chicago for the past several years. Jacob shares his personal journey to wellness on his website: “As a child, my family taught me the importance of spirituality. My mother, a former college athlete and coach, instilled the importance of health and exercise. This combination of spirituality and physical health lead to my search for a more integrative approach to life and wellness as they work hand in hand with each other. I continued developing the spiritual side through my college education and continued the physical side through years as an Emergency Medical Technician and a Personal Trainer.

To further my holistic understanding with fitness & wellness, I received a master’s degree in Divinity and completed studies in yoga practice, philosophy and Thai massage in America and Thailand. It is out of these experiences, that my own personal philosophy of living, working, playing, and being as whole individuals – mind, body, and spirit – has coalesced into what we now know as be fitness & wellness.

When mind, body and spirit are challenged, all three can develop in balance; we embrace our challenges and personal growth occurs.”

Jacob also recently graduated from the New School of Massage and is now a Licensed Massage Therapist. Jacob has also studied Thai massage in Thailand. He can give both Swedish massages as well as Thai massages. Jacob”s website is befitnessandwellness here.

Between Pilates, fitness classes and his own Ironman training, Jacob’s abs are strong enough to demo Pilates moves in excellent form!

Jacob’s philosophy for his company, Befitnessandwellness from his website: be fitness & wellness seeks to address the whole person: mind, body and spirit. Traditional models of fitness and wellness usually focus on only one of these three areas. At be, we work with you and develop a plan to set realistic, balanced and challenging goals. be’s primary objective is not to attain a specific body weight, a physical or mental ability or a level of enlightenment, but to help you find your personal best. be assists you in reaching your “best” and encourages you to make your “best” – your everyday state of be-ing.

Jacob Greathouse showing off his Pilates training mad moves!

Jacob currently is completing his training in Pilates instruction at Body Endeavors, a beautiful very spacious studio in Lincoln Park on Halsted  near the Lincoln Park Whole Foods Market. Want to hire Jacob for a massage, fitness or Pilates session? Check out his pricing structure here.

Jacob Greathouse demonstrates every move he expects me to do which greatly helps me understand where to position my body in a Pilates exercise.

Want to know more about Pilates? Check out Body Endeavors website and FAQ here.

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By Sue Shekut, Owner, Working Well Massage, Licensed Massage Therapist, Certified Wellness Coach, ACSM Personal Trainer

While I’ve been interviewing and setting up the new massage services at the Lincoln Park Wellness Club, I’ve been able to receive demo massages from a variety of talented massage therapists. And at the same time, I’ve been extremely aware of my own muscle issues and tension. As a massage therapist myself, I frequently feel my client’s tight muscles, work out muscle adhesions and try to educate them as best I can about proper body mechanics at work and how to stretch. But I myself find that, when times are stressful and my workload is intense, I don’t always have time to practice what I preach, exercise-wise. And that’s where massage therapy really saves me.

I don’t see massage therapy as a luxury these days. Without a few weekly chair massages and a table massage every other week, I would be in too much pain to function properly. When people tell me they can’t afford  a massage, I think, I can’t afford to NOT get a massage. Massage therapy is part of my wellness routine. Just like drinking water, getting enough rest and exercising as much as I can, time permitting. But why is massage so important to me and why do I promote massage, not just at my own Working Well Massage locations, but in general?

1. Massage therapy offers me a few minutes or an hour of time that is just for me. I don’t have to answer emails texts or phone calls. I don’t have to talk to the massage therapist if I don’t want to. My massage time is devoted to me and my wellbeing. The rest of the week I may be working hard, attending to my own clients but My massage time is just that MY time!

2. When I’ve been recovering from muscle injury or chronic tension, I can try to work out the muscle tension myself, but even for an experienced massage therapist, it’s tough to work my own neck and shoulders!

3.  For stress management, I can either hop a plane to somewhere warm and snorkel out in the ocean or I can go get a massage. Cheaper than a plane ticket, easier to do more frequently than a few times a year, and certainly less expensive!

4. I find that most massage therapists and certainly the ones I select to work at Working Well Massage locations, are warm, kind people. They care about my well being and my pain and they try to help me. I like my dentist too but even though he is super nice and tries not to hurt me, I don’t run to see him as often as I get a massage.

5. In our fast paced world, it’s s easy to lose touch with our physical bodies. I can spend hours in front of the computer and not move. I try not to but I know that many of my clients are in the same boat. When your job involves computer work, it’s difficult to get enough movement in during the day and it’s easier to forget that our bodies need movement and rest. On days I am computer bound, I tend to feel more muscle tension and even feel a little cranky. But within about 10 minutes of a good massage, my mood lifts, I feel less tension and I know I will feel much better at the end of my massage. And I do!

6. I am not an anti-Western medicine fanatic. I go to the doctor for my checkups, I get mammograms and take prescription drugs when needed. But I don’t tend to need a lot of prescription drugs.  Due to my relatively healthy living habits, most of my pain tends to come from allergies or muscle aches and pains. So instead of taking a pill every day or needing frequent medical care, I get regular massages to help me manage the aches and pains of an active aging body.

There are many other reasons I get regular massage, but enough about me!  What about you? Why do you receive massages? Tell us in your comments.

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By Sue Shekut, Owner, Working Well Massage, Licensed Massage Therapist, Certified Wellness Coach, ACSM Personal Trainer

Lorian Bates, Working Well Massage Therapist inside Whole Foods Market

Pamper yourself and get a sneak peek at the soon to be opened Wellness Club in Lincoln Park!  There will be a number of relaxing and natural spa treatments including manicures,  facials and mini-massages from Working Well Massage therapist’s Heidi and Lorian.

When: Thursday, August 11, 2011, from 6:30pm to 8:30pm,

Where: The Wellness Club is located on the Mezzanine level of Whole Foods Market in Lincoln Park
1550 N. Kingsbury, Chicago, IL 60642

Cost: Attending the Spa Night is absolutely free!

Register in advance by emailing mw.kbs.marketing@wholefoods.com and you will receive an exclusive gift, courtesy of Keeki Pure and Simple®.

Working Well Massage to provide Massage in the New Wellness Club!

Working Well Massage will be expanding our massage services by offering 60-minute table massages the Wellness Club starting in September. This allows us to provide longer massages than we can in our chair massage booths and gives us another way to meet the needs of our massage clients.

We welcome current and future Working Well Massage clients to visit us in our chair massage stations daily from  Noon to 8pm at both the Lincoln Park and the Gold Coast Whole Foods Markets. And then, in September clients can also  schedule an appointment with one of our massage therapists at the Wellness Club!

What is the Wellness Club at Whole Foods Market?

The Wellness Club will offer a wide variety of services to support healthy lifestyle change or maintenance. The goal of the Wellness Club is to create a community that has something for everyone who wants to make positive health choices. Services will include a comprehensive series of nutrition classes, breakfast and supper clubs, yoga, fitness classes, group support meetings and cooking classes. Members will also receive a 10% discount on many products throughout the store! Finally, members will have exclusive access to a local provider network that offers discounted complimentary services like massage, fitness club memberships, fitness apparel and healthy restaurants.

The Wellness Club will open on September 5th, 2011.

If you’d like more information on the Wellness Club, email lincolnpark-wc@wholefoods.com or call the Wellness Club at 312-587-0648.

Keep up to date with all the upcoming events at the Wellness Club on Facebook here.

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By Sue Shekut, Owner, Working Well Massage, Licensed Massage Therapist, Certified Wellness Coach, ACSM Personal Trainer

Recently, I had a reader post a questions about an earlier post I had written regarding massage and chiropractic issues in Illinois. While trying to answer her questions, I found out much more about the legislation that governs the use of unlicensed personnel to perform massage in chiropractic offices.  I thought it might be useful to others if I wrote it out in a post versus burying it in a comment, so read on…

In my mind, having a non massage therapist receptionist perform a massage, whether or not the chiropractor is in the same office, is unethical, even if it were legal in Illinois. However, there other stipulations that restrict the use of a receptionist and office manager from performing massage in a chiropractic office. And specifically, in Illinois, unlicensed people may not practice massage on new patients outside the office setting even if the chiropractor is present.

Let me give another example of how this law can be broken and how unlicensed, untrained people can be giving massages out in public. Last fall, I volunteered at a charity event performing massage with the understanding that my company would be the only massage providers at this event. I bought signs for our booth (which set me back quite a bit), contracted with a massage therapist to work the event with me (because I don’t expect other massage therapists to work for free to promote my business) and made it to the event to locate our booth. And what did I find? A chiropractor was setting up massage chairs in our booth and had a young lady in tow to help him give massages. I was uncomfortable with having people I don’t know giving massages under my company’s banner, but at that point the event had already started. So we welcomed the chiropractor and his staff person and got to know them better.

We had spoken to the chiropractor about our frustrations with the law regarding chiropractors hiring unlicensed people to perform massage.  I asked the young lady if she was a licensed massage therapist and she said “No.” My fellow massage therapist and I were shocked and concerned that she would be giving massages in our booth. The young lady said “Well, I’ve been in enough locker rooms and have seen people get massage to know what I am doing.” With that as her rationale for being able to provide massage, and the chiropractor mumbling something about his other massage therapist not being available that day, she started massaging people. Soon she was massaging children under 18 years old. Granted, the chiropractor was standing right next to her the entire time. But would you want your kids or loved ones to be given a massage by someone who’s main claim to her abilities was seeing other people get massages in a rehab room? I wouldn’t. Was the chiropractor violating the law? Yes. Was she? Yes, as well. And if she hurt someone or even gave them a bad massage, it was my name on the banner people would associate her with. I did not know then that they were not obeying the law. Now that I know I would have handled the situation differently.

So if you are hosting a charity event or getting a massage at such an event, make sure you ask if the massage therapist is licensed, especially if they are part of a chiropractor’s booth. I have to wonder too if a chiropractor is using unlicensed people illegally to give massages, could I trust him or her in other areas of my care?

I pasted the relevant text of the relevant law below. Note that although the text says physicians, chiropractors are included as physicians in this act. My clarifications are given in brackets.

(225 ILCS 60/54.2)
(Section scheduled to be repealed on November 30, 2011)
Sec. 54.2. Physician delegation of authority. [Which also includes chiropractors]
(a) Nothing in this Act shall be construed to limit the delegation of patient care tasks or duties by a physician, to a licensed practical nurse, a registered professional nurse, or other licensed person practicing within the scope of his or her individual licensing Act. Delegation by a physician licensed to practice medicine in all its branches to physician assistants or advanced practice nurses is also addressed in Section 54.5 of this Act. No physician may delegate any patient care task or duty that is statutorily or by rule mandated to be performed by a physician.
(b) In an office or practice setting[so only in the office, not at health fairs or at charity events to market the practice] and within a physician‑patient relationship, [which means, within the context of an existing patient/physician relationship, not to market new clients] a physician may delegate patient care tasks or duties to an unlicensed person who possesses appropriate training and experience provided a health care professional [which in this case would either be training by the chiropractor OR licensed massage therapist], who is practicing within the scope of such licensed professional’s individual licensing Act, is on site to provide assistance [so the licensed massage therapist must be on site to provide assistance unless the chiropractor is trained to give massages].
(c) Any such patient care task or duty delegated to a licensed or unlicensed person must be within the scope of practice, education, training, or experience of the delegating physician and within the context of a physician‑patient relationship. [Again, the massage given must be within the scope of practice of the chiropractor/and or licensed massage therapist on site AND must be within an existing physician-patient relationships, not for marketing purposes or for new patients]
(d) Nothing in this Section shall be construed to affect referrals for professional services required by law.
(e) The Department shall have the authority to promulgate rules concerning a physician’s delegation, including but not limited to, the use of light emitting devices for patient care or treatment.
(Source: P.A. 96‑618, eff. 1‑1‑10.)

The link to the final law is here.

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By Sue Shekut, Owner, Working Well Massage, Licensed Massage Therapist, Certified Wellness Coach, ACSM Personal Trainer

Recently a client of mine recommended a new hair salon for me to try out. One of the big selling features for me was that they had good hairstylists. But they also have something more: they give 10 minute neck and shoulder massages while they shampoo your hair.  I know, many hair salons give you a relaxing scalp massage as they wash your hair. But I have never been in a hair salon where the massage experience is such a, well, a massage experience.

At Kelly Cardenas Salon in Bucktown (a neighborhood in Chicago near Wicker Park), they have set up a special darkened room with relaxing music and 3 shampoo chairs.

Relaing massage/shampoo room is just behind the darkened glass window!

When you arrive at the salon they have you change into a smock and then whisk you into the relaxing shampoo station. There a hair dressor rests your weary head back in the shampoo bowl and the massage/shampoo experience begins. Sure she washes your hair but then she does a really relaxing shoulder and neck massage while you rest your head against her arm. As a massage therapist, I am always appreciative of someone else giving ME a massage!  And getting a great haircut on top of it makes Kelly Cardenas Salon a winner in my book.

Kelly Cardenas also has a salon in Las Vegas. But for Chicagoean, you can find them at

1909 W. North Avenue in Chicago. Phone: 773-342-4474

To go to the website click here.

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By Sue Shekut, Owner, Working Well Massage, Licensed Massage Therapist, Wellness Coach, ACSM Personal Trainer

As a massage therapist and personal trainer, I am NOT a doctor. According to the State of Illinois, I have no medical credentials beyond licensure for massage therapy. However, I see my clients more often than many of them see their doctors. I see more of my client’s skin than they can see themselves (especially their backs).  I  palpate my clients’ muscles and limbs when I massage them. Over the years I have run into several situations where I’ve noticed skin problems, suspicious bumps and lesions, odd body odors and general changes in my clients complexion and energy level that indicated disease. Some of my clients are serious athletes, others are desk jockeys with very little physical activity. All of my clients come to me with some issue, pain or injury and often they come to help handle stress.

Before I go on let me throw out a HUGE derriere-covering disclaimer: I don’t think that massage therapy is a substitute for medical care. I don’t think you should run to your massage therapist instead of to your doctor. What I do think is that massage therapists see your body, feel changes in your tissue and have a more intimate working knowledge of your body as it changes over time more so than the medical doctor you see maybe once per year.  Below I have listed some of the situations where massage therapists can be your first line of defense and awareness of health issues.
Skin Cancer
In massage school, we were taught to identify suspicious skin conditions and look for moles or freckles that fit the ABCD rule. (The ABCD rule helps identify potential areas of skin cancer: if a mole/freckle is asymmetrical, is bigger than a pencil eraser, is multicolored or dark black and is larger in diameter than a pencil eraser, it may be skin cancer.) I can’t treat or diagnose skin cancer, but I can tell my clients about a suspicious looking mole on his or her back. Melanoma is a serious form of skin cancer. If you have a mole or discoloration on your back or other hard to see area (back of knees for example), your massage therapist can notice your skin and changes in your skin each time you receive a massage.

Tension Headaches

Often times, tense neck and upper back muscles can lead to tension headaches. Some of my clients have chronic headaches and have been to doctors  and neurologists that find no known causes. If the pain in a client’s head is caused by tight muscles triggering the pain to their temples, a few minutes of massage can really help relieve their pain. And as a massage therapist, I know that I can’t “treat” a headache and I don’t pretend to be able to diagnose allergies or neurological conditions. I refer my clients to doctors that can do that. But when headache pain is just a general condition causes by muscle pain and my client has already ruled out any serious illness, relieving muscle tension can make my clients’ lives much easier.

Cysts and Tumors

One of the benefits of going to the same massage therapist regularly is that your massage therapist gets to know your body–and knows when something is not normal. I’ve had quite a few clients with  sebaceous cysts (usually benign pockets of fat encapsulated by a cyst). Massaging these cysts is painful and not advised. But when I first see or feel a new cyst, I’ve been able to advise my clients to seek medical attention. Usually the doctor tells them that just a fatty tumor and it’s not a big deal. But there have been times when a client has had a fatty tumor growing into a nerve or growing so fast it causes them pain and discomfort. Again, having a regular massage therapist that notices these changes can help you get to a doctor before the tumor grows too large. In cases where the tumor is not benign, I’ve been glad that I told my client about the cyst right away so he or she can seek medical attention. In one case, my client told me the doctor removed it immediately  and the tumor did turn out to be serious.

Repetitive Use Injuries

Frequently clients come to me with complaints of neck pain, shoulder pain and wrist pain. Many of my clients are heavy computer and smart phone users with little time to stretch or exercise. Again, I do not diagnose nor do I treat carpel tunnel syndrome. But I can loosen the tense muscles around my clients cervical spine, the muscles in their forearms and the scalene muscles in their necks. Often times the pain disappears in just a few massage sessions. As a personal trainer, I can also give my clients exercises and stretches to do to keep their upper bodies from getting too tense again.

Muscle Injuries

When clients injure themselves in accidents or during exercise, my first advise is to see the doctor, then RICE (Rest, Ice, Compression and Elevate the injured limb). I don’t massage acutely injured muscles, especially if there is any chance of the muscle being torn or of the limb being broken. I also don’t massage bruises which any well-trained massage therapists knows is a contraindicated condition for massage. But after my client has seen his/her doctor or chiropractor, or if the injury is a week old and the client is on the mend, a few sessions of massage can send fresh blood to the effected area and help speed the healing process of my client’ own body. Using a combination of therapeutic techniques I can also release some of the muscle tension in the injured area and help ease my client’s scar tissue adhesions.

Scar Tissue

While I was in massage school I over exercised and ended up with a pretty serious groin pull. And after visiting two medical doctors that could not find out what was wrong, and after an MRI and an X-ray that did not show the scare tissue area clearly, I recovered thanks to the help of my massage teacher and my Chinese Medicine Doctor. It turns out my injury was bad enough to cause me pain and restrict my movement but not show up on an X-ray or MRI. After a few scar tissue massages, I was walking easier and my pain subsided.

I am not one of those people who think alternative medicine is the only way nor do I refuse medical treatment. If I need surgery, antibiotics, or have any serious medical condition, I go to the doctor. Bet most of my issues these days are not medical. They don’t require radiation explosing X-rays, doctors visits, pharmaceutical drugs nor surgery. In my own daily life, muscle tension is likely my number one complaint. And for that, I prefer massage therapy to muscle relaxers!

Colds and Flues

When I am working on my clients I notice their energy level and body temperature. A few weeks ago one of my regular clients was very rundown and quiet. When I worked her neck and back she feel very warm. I asked her is she was coming down with something and she said she didn’t think so. But something felt off and I worked on her more lightly. A few days later I got an email that she indeed did have a bad cold.

When someone has a fever, it’s often the first sign of the body fighting off a virus or infection. But in the summer heat it’s hard to tell if you are warm or feverish. Massage is contraindicated for a fever because it takes energy away from your body and your body needs that energy to fight the illness. Similar to working out when you are sick or run down. it can put your body into a healing crisis aka make you really really sick really really fast! When  feel a client is warm or seems low energy I change my focus and work with lighter strokes. I try to give them more of a relaxation massage versus a deep tissue massage. I can’t cure their cold and I can’t even diagnose what’s wrong with them. But I can modify my massage to fit their condition that day and that can help make them feel better or at the very least less sick than if I worked their muscles very deep that day.

Referrals

Sometimes people are reluctant to go to their doctor or a specialist. They think their problems will go away over time. They don’t want to take the time to get an MRI or leave work to see their doctor. In this case, your massage therapist can nudge you to see your doc and verify that indeed your condition does require medical attention. If I massage someone who has muscle pain and there is not a noticable improvement in 1 or 2 sessions, of if the condition worsens, I advise them to see a doctor. For muscle and bones issues, I refer them to chiropractors or orthopedic doctors. By referring my clients to other health care providers, I let them know that yes their condition does require a doctor’s care. I also give them a second opinion (aside form their own) that yes they need to take the time to take care of their problem. Sometimes people are looking for an outsider to give them permission to take care of themselves. As a licensed massage therapist, in many people’s eyes, I have more credibility than say,Jimmy the Bartender, when it comes to body issues like injured muscles. Again, I am not treating or diagnosing, but I do notice, bring awareness to my clients and refer them to various other health care providers depending on their problem.

Emotional Issues

Lastly, for some people, being touched and having their muscles massages brings up emotions or memories of past traumas. For people dealing with addictions like compulsive overeating or smoking addiction, getting a massage brings their awareness to their body and may even make them want to take better care of their bodies. In these cases, I can refer my clients to licensed psychologists or counselors to help them better cope with their issues.

Overall, I look at massage therapists as partners in wellness with medical doctors, chiropractors and physical therapists. We are not doctors, but we do see clients more frequently than other health care providers and we do care about our clients health and well being!

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By Sue Shekut, Owner, Working Well Massage, Licensed Massage Therapist, Certified Wellness Coach, ACSM Personal Trainer

Back Muscles and Spine

Massage therapists and and chiropractors have had a symbiotic relationship over the years.  Chiropractors hire massage therapists and massage therapists often refer clients to chiropractors and/or rent space from chiropractors. I used to teach the Business class at one of the local massage schools, and, as a business owner myself, I have to keep up on laws and regulations regarding massage…and chiropractic.  Unfortunately a recent law has put the chiropractic profession a bit at odds with massage therapists. To enlighten clients and other massage therapists, I am going to break down some of the current laws regulating massage and chiropractic are in Illinois.

The Law Regulating Massage Therapists in Illinois

The State of Illinois began requiring massage therapists to obtain a state License for Massage in January, 2005. This law requires massage therapists to complete schooling of at least 500 hours, take and pass the National Certification Exam and pay a fee every two years. In Illinois, Massage Therapist’s are also required to take 24 hours of continuing education credits every two years. This licensing act was an attempt to further legitimize massage therapy (and make it clear massage is not prostitution) and give massage therapists  a uniform standard of education and ethics to follow. Prior to this law, each municipality regulated massage according to their own guidelines. Some cities had stringent regulations, others had none. The state law helped eliminate this confusing patchwork of regulations and put massage therapy under one set of rules, the Massage  Licensing Act.

The Massage Licensing Act requires licensees to be fingerprinted as part of the license application process. This is required to help protect the public from sexual predators and other people with a history of sexual violations. The law also requires massage therapists to have taken and passed courses including kineseology and anatomy and physiology. This means that licensed massage therapists know how your muscles attach, work and can be injured–and how to reduce muscle tension and “knots” in your muscle tissue.

The Law Regulating Use of Unlicensed Persons to Perform Massage In Chiropractic Offices

However, the State of Illinois then passed an act, 22S ILCS 60/Medical Practice effective January, 2010, that allows Chiropractors to hire unlicensed, and potentially untrained staff to give clients “therapeutic” massages at the Chiropractor’s office. Chiropractors may have lobbied for this bill saying that they did not want to have to wait for students to pass their licensing exam before they could work for chiropractors. However, there is no shortage of Licensed Massage Therapists in Illinois (According to the ABMP, there are currently about 8,000 Licensed Massage Therapists in Illinois). And chiropractors can directly bill insurance companies for massage services, while independent massage therapists cannot for most insurance companies in Illinois. Ironically, according to a representative I spoke to at Blue Cross Blue Shield, even with a high-end Blue Cross insurance plan, only chiropractors are allowed to perform the massage, not massage therapists, in order for the insurance company to reimburse for the massage.

Unfortunately, this paves the way for chiropractors to now hire unlicensed, potentially unqualified people to give clients their massages and then in some cases, the chiropractor may bill the insurance company for those massages even if the chiropractor does not perform the massages. Thus untrained employees can be allowed to provide direct patient care to patients with medical conditions. Untrained people can injure you while doing massage work because they haven’t had the 500-hour massage school training (which includes not only training on proper massage techniques, but also anatomy, kinesiology and physiology. And ask a massage therapist: most chiropractors do not stand over massage therapists as they work, monitoring their massage performance–chiropractors are usually working on other patients. In some offices, chiropractors work in one room while the massage therapist works behind closed doors in another room.

License Massage Therapists may lose work to unlicensed people because the chiropractor can hire someone else to do the same work for less pay. In addition, Public Act 096-0618, does not afford the public protections from sexual predators or require unlicensed massage therapists to be finger printed or background checked! It is not clear  how this new law protects the public or can be said to be for the public good.

Note: Reimbursement requirements depend on your particular insurance plan.

As a client, what can you do to protect yourself and make sure your massage therapist is qualified and licensed?

1. Check the State of Illinois Division of Professional Regulation website to look up your Massage Therapist by name and see if he or she has a valid state Massage Therapist license here.

2. If you receive massage from someone at a chiropractor’s office, ask the chiropractor if the massage therapist is licensed. If not, ask for a massage therapist that is licensed by the state and has completed all required training and testing.

3. If your insurance company has been paying a portion or all of your massage bills at the chiropractor, check with the insurance company to find out the exact requirements for reimbursement. Does your insurance company require the chiropractor to personally perform your massage or can they have someone in their office perform the actual massage for reimbursement?

If the insurance company requires the chiropractor to perform the massage, and your chiropractor charged your insurance company for performing massages then he/she delegated the massage to a staff member that is not a Licensed Chiropractor, your chiropractor could run into trouble with the insurance company. If the insurance company ever found out, you may also be in trouble too. You may have to pay back the insurance company for your massages and you may also be accused of committing insurance fraud. But, if it’s a great deal for you and the chiropractor to have the insurance company pay for your massage, who would ever tell the insurance company? Well, a disgruntled employee of the chiropractor’s office for one.  Or a spouse divorcing one of the chiropractor’s patients could be a whistle blower. Anyone with a bone to pick with the chiropractor. (Bad pun intended.)  Ask yourself if saving a few dollars is worth the legal risk.

4. Note that using a Flexible Spending Account or Health Savings Account (HSA) for to pay a massage therapist directly for your massages IS legal IF the massage is considered therapeutic. For example, if you have been diagnosed by a doctor or chiropractor with plantar facitis or a low back or cervical disorder that requires massage, that would be a therapeutic massage. Or, if you have fibromyalgia or a repetitive injury such as a thoracic outlet syndrome, massage to help with these conditions would be considered therapeutic. Check with your Flex Spending or HSA account administrator for details of your specific plan. To be an expense for medical care, the expense has to be primarily for the prevention or alleviation of a physical or mental defect or illness.  Check the U.S. Government’s rules for “qualifying medical expenses” here.

For example, a Cigna plan allows you to use a FSA or HSA funds to pay for massages if they are used to treat a physical defect or illness. Cigna Plan - Fees paid for massages are not reimbursable unless to treat a physical defect or illness. Physician’s diagnosis letter required.”

I don’t want to scare anyone out of getting a massage at your chiropractor by any means!  Most chiropractors are law abiding and follow insurance company guidelines. I work closely with several chiropractors and I refer clients to them often. But knowing the law and abiding by it may save you from problems and legal issues down the road.

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By Sue Shekut, Owner, Licensed Massage Therapist, Certified Wellness Coach, ACSM Personal Trainer

Legitimate massage therapy happens every day!

According to the Association of Bodywork and Massage Professionals, the City of Chicago’s Committee on Zoning passed a motion on March 25, 2010, to amend its zoning ordinance affecting massage establishments. The amendment, sponsored by Alderman Ray Suarez (31st Ward), would prohibit “massage establishments” from operating in B Zoning Districts, moving them into C Zoning Districts only. The vote passed 2-0, but the majority of committee members did not vote.

Massage establishments in the city of Chicago can currently operate in areas typically used by other small businesses and retail establishments in local neighborhoods (B Zoning). If the amendment offered by Alderman Suarez passes as proposed, massage establishments would be moved out of safe and convenient neighborhoods and would be located only in areas normally zoned for commercial and industrial businesses (C Zoning), such as outdoor storage areas and automobile lots.

The zoning change would affect solo practitioners, massage clinics, and businesses that offer massage therapy as an ancillary service, such as spas and salons.

The proposed changes to the Massage Establishment ordinance make me think that some Chicago aldermen still think ALL massage therapy spas, saloons, clinics and sole proprietors are simply fronts for prostitution. For my clients, my massage therapists and all the massage therapists I know in Chicago, this would be a sad commentary on our elected officials view of  the massage profession. As I said in my post, “Massage and Prostitution–Whats’ the Difference,” yes, there are some shady operators that open up massage “parlors” and use massage as a front for prostitution. But those are few and far between. The current laws have recourse for shutting down those types of impostors. It’s illegal in the city of Chicago for a business with a Massage Establishment License to offer prostitution. And a business that operates as a massage “parlor” aka prostitution, can be shut down and fined. Any massage therapist or non-massage therapist that offers sex for money will be fined and lose his or her State Massage Therapy License. And relocated massage establishments to C Zone Business districts will only help shady operators. People can come and go from areas with storage warehouses and car dealers without much notice. In B Zone Districts, illegal activity is more noticeable–and much more safe for legitimate massage clients and for legitimate massage therapists!

According to Fran Spielman’s article, “Alderman targets massages to rein in ‘sex parlors’” at the Chicago Sun Times: Suarez persuaded 26 aldermen to co-sign the ordinance, but some of his colleagues say he’s going too far. They hope to derail the ordinance on the City Council floor.

“He’s probably got one place that’s a front for a sex operation, and instead of going after it with law enforcement, he’s trying to kill a whole industry,” said one alderman, who asked to remain anonymous.

“Just clean up the ones that need to be cleaned up and let the legitimate places operate. I have a large hairdresser that’s trying to come to my area. Something like this would kill it.”  Read the entire Chicago Sun Times article here.

I am sure Alderman Suarez is just trying to do his job and keep Chicagoans safe from prostitution. I applaud his good intentions. However, Licensed Massage Therapists are not prostitutes. We do not need to be hidden away in industrial corridors. We are professional, ethical, health care providers. And we have the required education, code of ethics and State of Illinois license to prove it. Limiting massage therapy businesses to C Zone Districts and industrial corridors would actually make it EASIER for disreputable massage parlors to operate and more DIFFICULT for legitimate massage therapy centers to offer legitimate therapeutic massage!

We need your help to keep massage therapy businesses in safe convenient neighborhoods. The next Zoning Committee meeting will be held on Monday, April 12th at 11am in room 201-A in City Hall at 121 N. La Salle in Chicago. Make your voice heard before this next important meeting.

Take Action Today!

1. Call or email Alderman Suarez and ask him to reconsider sponsoring this amendment. He can be reached at 773-486-6488. You can send him an email message at rsuarez@cityofchicago.org

2. Call or email your own alderman today and ask him or her to OPPOSE the zoning amendment. (You can find contact information for your alderman listed below. )

Let your alderman know that you oppose this change to the Massage Establishment ordinance and that you are happy having legitimate massage therapists near your local shops and retail establishments!

A Sample Email to Your Alderman

“As a client of a legitimate massage therapy business, I implore you to oppose the amendment to limit massage therapy establishments to only C Zoning Districts.  I value the health care benefits of massage and do not want my legitimate massage therapist penalized for the actions of a few illegal massage parlor operators. I visit my massage therapist in a safe convenient location and I do not want to have to travel to an industrial corridor to get massage therapy. Approving this amendment to the Massage Establishment ordinance will put a huge financial strain on legitimate massage therapy businesses if they are need to expand or relocate, would make it unnecessarily difficult for new massage therapists to open a business, and could increase the city’s unemployment by putting legitimate massage therapists out of work. Please oppose this amendment.”

Feel free to cut and paste our sample email or write your own!

City of Chicago Alderman Names and Emails by Ward

1st Ward Proco Joe Moreno ward01@cityofchicago.org
2nd Ward Robert Fioretti ward02@cityofchicago.org
3rd Ward Pat Dowell Pat.Dowell@cityofchicago.org
4th Ward Toni Preckwinkle tpreckwinkle@cityofchicago.org
5th Ward Leslie Hairston lhairston@cityofchicago.org
6th Ward Freddrenna Lyle flyle@cityofchicago.org
7th Ward Sandi Jackson Sandi.Jackson@cityofchicago.org
8th Ward Michelle Harris mharris@cityofchicago.org
9th Ward Anthony Beale abeale@cityofchicago.org
10th Ward John Pope jpope@cityofchicago.org
11th Ward James Balcer jbalcer@cityofchicago.org
12th Ward George Cardenas ward12@cityofchicago.org
13th Ward Frank Olivo folivo@cityofchicago.org
14th Ward Edward Burke eburke@cityofchicago.org
15th Ward Toni Faulkes Toni.Foulkes@cityofchicago.org
16th Ward JoAnn Thompson JoAnn.Thompson@cityofchicago.org
17th Ward Latasha Thomas lrthomas@cityofchicago.org
18th Ward Lona Lane ward18@cityofchicago.org
19th Ward Virginia Rugai vrugai@cityofchicago.org
20th Ward Willie Cochran Willie.Cochran@cityofchicago.org
21st Ward Howard Brookins ward21@cityofchicago.org
22nd Ward Ricardo Munoz rmunoz@cityofchicago.org
23rd Ward Michael Zalewski mzalewski@cityofchicago.org
24th Ward Sharon Dixon Sharon.Dixon@cityofchicago.org
25th Ward Daniel Solis dsolis@cityofchicago.org
26th Ward Roberto Maldonado Contact by Phone 773)395-0143
27th Ward Walter Burnett wburnett@cityofchicago.org
28th Ward Ed Smith ehsmith@cityofchicago.org
29th Ward Deborah Graham (no contact info)
30th Ward Ariel Reboyras ward30@cityofchicago.org
31st Ward Ray Suarez rsuarez@cityofchicago.org
32nd Ward Scott Waguespack ward32@cityofchicago.org
33rd Ward Richard Mell rmell@cityofchicago.org
34th Ward Carrie Austin caustin@cityofchicago.org
35th Ward Ray Colon ward35@cityofchicago.org
36th Ward John Rice Contact by Phone 773)622-3232
37th Ward Emma Mitts emitts@cityofchicago.org
38th Ward Thomas Allen tallen@cityofchicago.org
39th Ward Margaret Laurino mlaurino@cityofchicago.org
40th Ward Patrick O’Connor poconnor@cityofchicago.org
41st Ward Brian Doherty bdoherty@cityofchicago.org
42nd Ward Brendan Reilly Brendan.Reilly@cityofchicago.org
43rd Ward Vi Daley vdaley@cityofchicago.org
44th Ward Thomas Tunney ttunney@cityofchicago.org
45th Ward Patrick Levar plevar@cityofchicago.org
46th Ward Helen Shiller hshiller@cityofchicago.org
47th Ward Eugene Schulter ward47@cityofchicago.org
48th Ward Mary Ann Smith msmith@cityofchicago.org
49th Ward Joe Moore ward49@cityofchicago.org
50th Ward Bernard Stone bstone@cityofchicago.org
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