Podcast appearances and mentions of Ruth Werner

A massage therapist wonders about the communicability of herpes from lesions on the sacrum: How might this infection spread from one person to another? “I Have a Client Who . . .” host Ruth Werner takes the opportunity to talk about herpes epidemiology, communicability, and asymptomatic viral shedding. You won't want to miss this one!   Resources:   ABMP Education Center: https://www.abmp.com/learn/courses   Hygiene: Critical Updates for Massage Therapists   Protect Your Practice: Public Health and Contagious Diseases, Part 1 and Part 2     Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.            About our Sponsors: Anatomy Trains: www.anatomytrains.com  Earthlite: www.earthlite.com PMNT: www.pmnt.org Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function.                      Website: anatomytrains.com                        Email: info@anatomytrains.com             Facebook: facebook.com/AnatomyTrains                       Instagram: www.instagram.com/anatomytrainsofficial   YouTube: https://www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA    Precision Neuromuscular Therapy seminars (www.pnmt.org) have been teaching high-quality seminars for more than 20 years. Doug Nelson and the PNMT teaching staff help you to practice with the confidence and creativity that comes from deep understanding, rather than the adherence to one treatment approach or technique.   Find our seminar schedule at pnmt.org/seminar-schedule with over 60 weekends of seminars across the country.   Or meet us online in the PNMT Portal, our online gateway with access to over 500 videos, 37 NCBTMB CEs, our Discovery Series webinars, one-on-one mentoring, and much, much more! All for the low yearly cost of $167.50. Learn more at pnmt.thinkific.com/courses/pnmtportal!    Follow us on social media: @precisionnmt on Instagram or at Precision Neuromuscular Therapy Seminars on Facebook.   Earthlite Unlock an exclusive 20 percent discount on all Earthlite products, from portable tables and chairs to professional sheets and oils. Visit earthlite.com, create an account, and enter your ABMP member ID during registration. Plus, enjoy free ground shipping on orders over $75 and a flat rate of $395 for stationary or electric lift tables. (Prices subject to change at any time.) Significant savings on everything you need to enhance your practice. We are proud to assist you as the “World's No. 1 Brand in Massage!”   Sign-up page: https://www.earthlite.com/customer/account/login/referer/aHR0cHM6Ly93d3cuZWFydGhsaXRlLmNvbS8~/      

A 70-year-old client fills in an online intake form, saying she has myasthenia gravis, hypertension, and hypothyroidism. She only takes Synthroid, and says her hypothyroidism and hypertension are well controlled. She has low back pain and muscle soreness. At first glance, this seems fairly simple. MG does not appear to be a major factor for her, because she is not controlling it with medication. But a closer look reveals some possible tangles between MG, hypothyroidism, and some cautions about hypertension drugs. Join me as I completely overthink this situation, it will be fun!   Resources:   Barnes, S. (2023) Massage is not just a luxury for those of us with myasthenia gravis | Myasthenia Gravis News. Available at: https://myastheniagravisnews.com/columns/massage-is-not-just-luxury-those-us-with-myasthenia-gravis/ (Accessed: 16 April 2025).   Myasthenia Gravis (no date a) Physiopedia. Available at: https://www.physio-pedia.com/Myasthenia_Gravis (Accessed: 16 April 2025).   Myasthenia Gravis (no date b). National Library of Medicine. Available at: https://medlineplus.gov/myastheniagravis.html (Accessed: 16 April 2025).   Myasthenia Gravis | National Institute of Neurological Disorders and Stroke (no date). Available at: https://www.ninds.nih.gov/health-information/disorders/myasthenia-gravis (Accessed: 16 April 2025).   Myasthenia gravis - causes, symptoms, treatment, pathology (2016). Available at: https://www.youtube.com/watch?v=bYGxGdu9MsQ (Accessed: 16 April 2025).   ‘Myasthenia Gravis: Practice Essentials, Background, Anatomy' (2024). Available at: https://emedicine.medscape.com/article/1171206-overview (Accessed: 16 April 2025).   Myasthenia Gravis: What Is It? (no date) Cleveland Clinic. Available at: https://my.clevelandclinic.org/health/diseases/17252-myasthenia-gravis-mg (Accessed: 16 April 2025).   Sheikh, S. et al. (2021) ‘Drugs That Induce or Cause Deterioration of Myasthenia Gravis: An Update', Journal of Clinical Medicine, 10(7), p. 1537. Available at: https://doi.org/10.3390/jcm10071537.     Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.      About our Sponsors:   Anatomy Trains: www.anatomytrains.com    American Massage Conference: www.massagetherapymedia/conferences   Earthlite: www.earthlite.com   Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function.                      Website: anatomytrains.com                        Email: info@anatomytrains.com             Facebook: facebook.com/AnatomyTrains                       Instagram: www.instagram.com/anatomytrainsofficial   YouTube: https://www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA      American Massage Conference Get ready to immerse yourself in the excitement as the American Massage Conference (AMC) arrives to Disney Springs near Orlando, Florida (May 16th-18th, 2025)! With a legacy of 17 successful years in Ontario, Canada, this premier event, proudly hosted by ONE Concept Conferences and expertly produced by Massage Therapy Media (MTM), boasts a lineup of presenters from across the nation and around the globe. The American Massage Conference began in Atlanta in 2011 and has been hosted through the years in San Diego, Chicago, and Virginia Beach. The conference provides educational opportunities with engaging one-, two-, three- and four-hour class formats, networking opportunities, masterminds, MTM Talks, demonstrations, and an extensive exhibitor tradeshow.   Mark your calendars for an unforgettable experience filled with education, networking, and the celebration of massage therapy excellence! ABMP members receive a special discount to attend this in-person conference—log in to your ABMP account to access the discount code and register today. Website: https://www.massagetherapymedia.com/conferences   Earthlite Unlock an exclusive 20 percent discount on all Earthlite products, from portable tables and chairs to professional sheets and oils. Visit earthlite.com, create an account, and enter your ABMP member ID during registration. Plus, enjoy free ground shipping on orders over $75 and a flat rate of $395 for stationary or electric lift tables. (Prices subject to change at any time.) Significant savings on everything you need to enhance your practice. We are proud to assist you as the “World's No. 1 Brand in Massage!”   Sign-up page: https://www.earthlite.com/customer/account/login/referer/aHR0cHM6Ly93d3cuZWFydGhsaXRlLmNvbS8~/  

A contributor sent me several descriptions of people dealing with the aftermath of Lyme disease, hoping for some answers to the questions this mysterious condition brings up. Sorry, no answers here—just more questions. Chronic Lyme disease, post-treatment Lyme disease syndrome, Long Lyme… whatever you call it, it's hard to get a handle on it. But here's a starting place. Resources:  Long-Term Lyme Disease, Controversies and Challenges, July/Aug 2022 Development, P. (no date) 73: Long Term Lyme Disease: What Helps? (with Ruth Werner) | The Thinking Practitioner. Available at: https://www.thethinkingpractitioner.com/e/long-term-lyme-disease-what-helps-with-ruth-werner/ (Accessed: 24 March 2025).   Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.      About our Sponsors:   Anatomy Trains: www.anatomytrains.com    American Massage Conference:  https://www.massagetherapymedia.com/conferences   Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function.                      Website: anatomytrains.com                        Email: info@anatomytrains.com             Facebook: facebook.com/AnatomyTrains                       Instagram: www.instagram.com/anatomytrainsofficial   YouTube: https://www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA       American Massage Conference   Get ready to immerse yourself in the excitement as the American Massage Conference (AMC) arrives to Disney Springs near Orlando, Florida (May 16th-18th, 2025)! With a legacy of 17 successful years in Ontario, Canada, this premier event, proudly hosted by ONE Concept Conferences and expertly produced by Massage Therapy Media (MTM), boasts a lineup of presenters from across the nation and around the globe.   The American Massage Conference began in Atlanta in 2011 and has been hosted through the years in San Diego, Chicago, and Virginia Beach. The conference provides educational opportunities with engaging one-, two-, three- and four-hour class formats, networking opportunities, masterminds, MTM Talks, demonstrations, and an extensive exhibitor tradeshow.     Mark your calendars for an unforgettable experience filled with education, networking, and the celebration of massage therapy excellence! ABMP members receive a special discount to attend this in-person conference—log in to your ABMP account to access the discount code and register today.   Website: https://www.massagetherapymedia.com/conferences

For his 40th birthday, a man is treating himself to his very first massage. His health history includes a few noteworthy details, one of which is a condition neither his massage therapist nor I had ever encountered before: hereditary spherocytosis. Are there any potential concerns? Possibly. Resources:  Hereditary Spherocytosis - Symptoms, Causes, Treatment | NORD (no date). Available at: https://rarediseases.org/rare-diseases/anemia-hereditary-spherocytic-hemolytic/ (Accessed: 19 February 2025). Hereditary spherocytosis: MedlinePlus Genetics (no date). Available at: https://medlineplus.gov/genetics/condition/hereditary-spherocytosis/ (Accessed: 19 February 2025). ‘Hereditary Spherocytosis: Practice Essentials, Pathophysiology, Etiology' (2023). Available at: https://emedicine.medscape.com/article/206107-overview?_gl=1*1ulm2jw*_gcl_au*NDQwNzg1MDc3LjE3MzkzMDYxNDM. (Accessed: 19 February 2025). Hereditary Spherocytosis: What It Is, Symptoms, Causes & Treatment (no date) Cleveland Clinic. Available at: https://my.clevelandclinic.org/health/diseases/23058-hereditary-spherocytosis (Accessed: 19 February 2025). Mehta, P. (no date) What Is Hereditary Spherocytosis?, WebMD. Available at: https://www.webmd.com/children/what-is-hereditary-spherocytosis (Accessed: 19 February 2025).   Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                    About our Sponsors:   Anatomy Trains: www.anatomytrains.com    American Massage Conference:  https://www.massagetherapymedia.com/conferences   Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function.                      Website: anatomytrains.com                        Email: info@anatomytrains.com             Facebook: facebook.com/AnatomyTrains                       Instagram: www.instagram.com/anatomytrainsofficial   YouTube: https://www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA     American Massage Conference   Get ready to immerse yourself in the excitement as the American Massage Conference (AMC) arrives to Disney Springs near Orlando, Florida (May 16th-18th, 2025)! With a legacy of 17 successful years in Ontario, Canada, this premier event, proudly hosted by ONE Concept Conferences and expertly produced by Massage Therapy Media (MTM), boasts a lineup of presenters from across the nation and around the globe. The American Massage Conference began in Atlanta in 2011 and has been hosted through the years in San Diego, Chicago, and Virginia Beach. The conference provides educational opportunities with engaging one-, two-, three- and four-hour class formats, networking opportunities, masterminds, MTM Talks, demonstrations, and an extensive exhibitor tradeshow.   Mark your calendars for an unforgettable experience filled with education, networking, and the celebration of massage therapy excellence! ABMP members receive a special discount to attend this in-person conference—log in to your ABMP account to access the discount code and register today. Website: https://www.massagetherapymedia.com/conferences  

Listen in to Research Perch as MTF President Adrienne F. Asta, BA, LMT, speaks with author and educator Ruth Werner, BCTMB, about the upcoming 2025 International Massage Therapy Research Conference (IMTRC) in Alexandria, VA. Learn how attending can benefit you and your clients, explore speakers and topics, and find out how IMTRC impacts research in the field.

For nearly 30 years, Rob Kelly has taught anatomy, physiology, pathology, lymphatic work, and orthopedic massage. Recently, Kelly reached out to “I Have a Client Who . . .” host Ruth Werner to share his observations on how easy it is to misunderstand how the body works and how these stories we tell ourselves can have negative consequences. Kelly and Werner turned their conversation into an episode about the power of language and the responsibility we have to elevate our profession by using words carefully.   Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                    About our Sponsors:   Anatomy Trains: www.anatomytrains.com    Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function.                      Website: anatomytrains.com                        Email: info@anatomytrains.com             Facebook: facebook.com/AnatomyTrains                       Instagram: www.instagram.com/anatomytrainsofficial   YouTube: https://www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA    

A client with Marfan's syndrome, a connective tissue disorder with dysfunctional collagen, has had multiple surgeries for a traumatic accident, and their scar tissue is restricting their ease of movement. Their massage therapist is concerned about how best to help them regain function. When I have questions about scar tissue, I go to the Scar Tissue Diva, Cathy Ryan. In this episode we discuss the difference between “challenging tissue” and working with the fluid environment to improve function.   Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.            Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app Cathy Ryan, Registered Massage Therapist, at cryanrmt@gmail.com Live and online scar tissue classes through Healwell: https://online.healwell.org/pages/scars-fascia-lymph-landing ABMP CE Library: Scar Tissue Management, with Cathy Ryan and Nancy Keeney Smith: https://www.abmp.com/learn/course/scar-tissue-management-part-1-introduction A short list of Stecco fascial research papers: Adstrum, S. et al. (2017) ‘Defining the fascial system', Journal of Bodywork and Movement Therapies, 21(1), pp. 173–177. Available at: https://doi.org/10.1016/j.jbmt.2016.11.003. Stecco, A. et al. (2023) ‘From Muscle to the Myofascial Unit: Current Evidence and Future Perspectives', International Journal of Molecular Sciences, 24(5), p. 4527. Available at: https://doi.org/10.3390/ijms24054527. Stecco, C. and Schleip, R. (2016) ‘A fascia and the fascial system', Journal of Bodywork and Movement Therapies, 20(1), pp. 139–140. Available at: https://doi.org/10.1016/j.jbmt.2015.11.012. Suarez-Rodriguez, V. et al. (2022) ‘Fascial Innervation: A Systematic Review of the Literature', International Journal of Molecular Sciences, 23(10), p. 5674. Available at: https://doi.org/10.3390/ijms23105674.   About our Sponsors:   Anatomy Trains: www.anatomytrains.com   MassageBook: www.massagebook.com   Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function.                      Website: anatomytrains.com                        Email: info@anatomytrains.com             Facebook: facebook.com/AnatomyTrains                       Instagram: www.instagram.com/anatomytrainsofficial   YouTube: https://www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA     Save time and reduce stress with MassageBook. It's not just software—it's a comprehensive solution that handles online scheduling, payment processing, and marketing campaigns, making it easier for you to provide your clients with top-notch care. Enjoy free, unlimited access for 30 days and save on your monthly subscription with your exclusive ABMP member discount.   Special Offer: Right now, MassageBook is offering listeners $50 off when they sign up with coupon code ABMP50. Start your free 30-day trial today and transform your practice with tools designed to increase bookings and streamline client management.   Connect with MassageBook: Visit their website: MassageBook Follow MassageBook on Facebook, Instagram, LinkedIn  

A client has a history of a very unusual and somewhat alarming condition: pyoderma gangrenosum. Can massage therapy be applied in this situation? Probably yes, but in specific circumstances. Listen to this episode of “I Have a Client Who . . .” to learn more and to hear host Ruth Werner get on one of her favorite soapboxes: the language of massage therapy.   Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                   Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Brooklyn, T., Dunnill, G. and Probert, C. (2006) ‘Diagnosis and treatment of pyoderma gangrenosum', BMJ : British Medical Journal, 333(7560), p. 181. Available at: https://doi.org/10.1136/bmj.333.7560.181.   Mohd, A.B. et al. (2022) ‘COVID-19 Vaccine: A Possible Trigger for Pyoderma Gangrenosum', Cureus, 14(5), p. e25295. Available at: https://doi.org/10.7759/cureus.25295.   Pyoderma gangrenosum (no date) Autoimmune Association. Available at: https://autoimmune.org/disease-information/pyoderma-gangrenosum/ (Accessed: 23 October 2024).   Pyoderma Gangrenosum - Symptoms, Causes, Treatment | NORD (no date). Available at: https://rarediseases.org/rare-diseases/pyoderma-gangrenosum/ (Accessed: 23 October 2024).   Schmieder, S.J. and Krishnamurthy, K. (2024) ‘Pyoderma Gangrenosum', in StatPearls. Treasure Island (FL): StatPearls Publishing. Available at: http://www.ncbi.nlm.nih.gov/books/NBK482223/ (Accessed: 24 October 2024).   Zou, H. and Daveluy, S. (2023) ‘Pyoderma gangrenosum after COVID-19 infection and vaccination', Clinics in Dermatology, 41(1), pp. 129–131. Available at: https://doi.org/10.1016/j.clindermatol.2022.11.003.     About our Sponsors:   Anatomy Trains: www.anatomytrains.com      MassageBook: www.massagebook.com  

A client had a complex surgical procedure on her heart two weeks prior, but it was conducted by way of a catheter threaded up her femoral artery and aorta. Now, she wants to receive massage again. A quick Google search suggests that it would be OK. Her MT is skeptical and wants to be more conservative. Who is right? Listen on for information about transcatheter aortic valve replacement (TAVR) surgery, using AI to make clinical decisions, and how to get to “yes” for people who have recently had surgery. Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                    Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Braun, L.A. et al. (2012) ‘Massage therapy for cardiac surgery patients--a randomized trial', The Journal of Thoracic and Cardiovascular Surgery, 144(6), pp. 1453–1459, 1459.e1. Available at: https://doi.org/10.1016/j.jtcvs.2012.04.027.   Grafton-Clarke, C. et al. (2019) ‘Can postoperative massage therapy reduce pain and anxiety in cardiac surgery patients?', Interactive Cardiovascular and Thoracic Surgery, 28(5), pp. 716–721. Available at: https://doi.org/10.1093/icvts/ivy310.   Patients Who Stay in Hospital Less Than 3 Days After TAVR Fare Better (no date) American College of Cardiology. Available at: https://www.acc.org/about-acc/press-releases/2019/03/04/13/53/http%3a%2f%2fwww.acc.org%2fabout-acc%2fpress-releases%2f2019%2f03%2f04%2f13%2f53%2fpatients-who-stay-in-hospital-less-than-3-days-after-tavr-fare-better (Accessed: 26 September 2024).   Pressler, A. et al. (2018) ‘Long-term effect of exercise training in patients after transcatheter aortic valve implantation: Follow-up of the SPORT:TAVI randomised pilot study', European Journal of Preventive Cardiology, 25(8), pp. 794–801. Available at: https://doi.org/10.1177/2047487318765233.   Transcatheter Aortic Valve Replacement (TAVR) (no date). Available at: https://my.clevelandclinic.org/health/treatments/17570-transcatheter-aortic-valve-replacement-tavr (Accessed: 25 September 2024).   Wang, A.T. et al. (2010) ‘Massage therapy after cardiac surgery', Seminars in Thoracic and Cardiovascular Surgery, 22(3), pp. 225–229. Available at: https://doi.org/10.1053/j.semtcvs.2010.10.005.   What recovery looks like 6 months after an aortic valve replacement (2023). Available at: https://www.medicalnewstoday.com/articles/6-months-after-aortic-valve-replacements (Accessed: 25 September 2024).   Sponsors:   Anatomy Trains: www.anatomytrains.com    Elements Massage: www.elementsmassage.com/abmp   MassageBook: www.massagebook.com   Books of Discovery: www.booksofdiscovery.com   The American Massage Conference: www.massagetherapymedia.com/conferences    

A client has hereditary hemochromatosis, which has affected their hip and toes. It is bad enough that they are considering joint replacement. In the meantime, they would like to receive massage for hip pain. Oh, and there's this tiny little issue about having recent strokes. What is going on? How can iron overload cause joint damage, and is it involved in strokes too? Is bodywork even possible in this situation?   Resources:   IHACW Episode 317, available here   Agarwal, A.R. et al. (2022) ‘Postoperative Complications in Patients With Hereditary Hemochromatosis Undergoing Total Joint Arthroplasty: A Matched Cohort Analysis', The Journal of the American Academy of Orthopaedic Surgeons, 30(1), pp. e99–e107. Available at: https://doi.org/10.5435/JAAOS-D-21-00105.   Arteriovenous Malformations (AVMs) | National Institute of Neurological Disorders and Stroke (no date). Available at: https://www.ninds.nih.gov/health-information/disorders/arteriovenous-malformations-avms (Accessed: 28 August 2024).   Arthropathy and joint pain (2020) Haemochromatosis UK. Available at: https://www.haemochromatosis.org.uk/arthropathy (Accessed: 29 August 2024).   Brain AVM (arteriovenous malformation) - Symptoms and causes (no date) Mayo Clinic. Available at: https://www.mayoclinic.org/diseases-conditions/brain-avm/symptoms-causes/syc-20350260 (Accessed: 30 August 2024).   Carroll, G.J., Breidahl, W.H. and Olynyk, J.K. (2012) ‘Characteristics of the arthropathy described in hereditary hemochromatosis', Arthritis Care & Research, 64(1), pp. 9–14. Available at: https://doi.org/10.1002/acr.20501.   Hemochromatosis | Arthritis Foundation (no date). Available at: https://www.arthritis.org/diseases/hemochromatosis (Accessed: 28 August 2024).   Hemochromatosis (Iron Overload): Causes, Symptoms, Treatment, Diet & More (no date). Available at: https://my.clevelandclinic.org/health/diseases/14971-hemochromatosis-iron-overload (Accessed: 28 August 2024). McCurdie, I. and Perry, J.D. (1999) ‘Haemochromatosis and exercise related joint pains', BMJ : British Medical Journal, 318(7181), pp. 449–451.   Porter, J.L. and Rawla, P. (2024) ‘Hemochromatosis', in StatPearls. Treasure Island (FL): StatPearls Publishing. Available at: http://www.ncbi.nlm.nih.gov/books/NBK430862/ (Accessed: 30 August 2024).   Sahinbegovic, E. et al. (2010) ‘Hereditary hemochromatosis as a risk factor for joint replacement surgery', The American Journal of Medicine, 123(7), pp. 659–662. Available at: https://doi.org/10.1016/j.amjmed.2010.01.024.   Walling, A.D. (1999) ‘The Differential Diagnosis of Joint Pain: Hemochromatosis', American Family Physician, 59(9), pp. 2587–2588.   Host:            Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.      This podcast sponsored by:     Books of Discovery: www.booksofdiscovery.com   Anatomy Trains: www.anatomytrains.com    Elements Massage: www.elementsmassage.com/abmp   MassageBook: www.massagebook.com

A 60-ish year-old client with a history of surgery for aortic aneurysm insists—INSISTS—that his 21-year-old massage therapist work with him, in spite of his new onset severe leg pain. What are the practitioner's options in this literally life-or-death scenario? This story, that looks cut-and-dried on the surface, is more complex than it appears. Plus, we get to talk about bulges in the aorta, bleeding ruptures, migrating devices, new surgical innovations, and much much more. Listen in to find out how it all turns out. Resources: Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app Ameli, F.M. et al. (1987) ‘Etiology and management of aorto-femoral bypass graft failure', The Journal of Cardiovascular Surgery, 28(6), pp. 695–700. Choi, E. et al. (2021) ‘Risk Factors for Early and Late Iliac Limb Occlusions of Stent Grafts Extending to the External Iliac Artery after Endovascular Abdominal Aneurysm Repair', Annals of Vascular Surgery, 70, pp. 401–410. Available at: https://doi.org/10.1016/j.avsg.2020.06.028. Daye, D. and Walker, T.G. (2018) ‘Complications of endovascular aneurysm repair of the thoracic and abdominal aorta: evaluation and management', Cardiovascular Diagnosis and Therapy, 8(Suppl 1), pp. S138–S156. Available at: https://doi.org/10.21037/cdt.2017.09.17. Endovascular repair of complex aortic aneurysms - Mayo Clinic (no date). Available at: https://www.mayoclinic.org/medical-professionals/cardiovascular-diseases/news/endovascular-repair-of-complex-aortic-aneurysms/mac-20429867 (Accessed: 31 July 2024). Ivancev, K. and Vogelzang, R. (2020) ‘A 35 Year History of Stent Grafting, and How EVAR Conquered the World', European Journal of Vascular and Endovascular Surgery, 59(5), pp. 685–694. Available at: https://doi.org/10.1016/j.ejvs.2020.03.017. Modern History of Aortic Surgery, by Hazim J. Safi, MD | McGovern Medical School (no date). Available at: https://med.uth.edu/cvs/2020/08/25/modern-history-of-aortic-surgery-by-hazim-j-safi-md/ (Accessed: 31 July 2024). Park, K.-M. et al. (2017) ‘Long Term Outcomes of Femorofemoral Crossover Bypass Grafts', Vascular Specialist International, 33(2), pp. 55–58. Available at: https://doi.org/10.5758/vsi.2017.33.2.55. Sponsors: Anatomy Trains: www.anatomytrains.com  MassageBook: www.massagebook.com Elements Massage: www.elementsmassage.com/abmp

During this episode I had the pleasure of having a discussion with Ruth Werner.  _ Ruth is a Massage Therapy educator, podcast host and author of, “A Massage Therapist's Guide to Pathology: Critical Thinking and Practical Application”, now in it's seventh edition.  _ During this episode Ruth provides a great deal of information about how to navigate the world of manual therapy and pathology. _ Ruth provides tips on how to navigate uncertainty, how to communicate with physicians, how to modify treatments with confidence, as well as Ruth outlines the process of critical thinking in the context of a clinical visit.   _ There is so much value in this episode. I hope you enjoy it. 

A client cancels her massage therapy appointment because she has hand, foot, and mouth disease. Her therapist is grateful but wants to know when it will be safe to work with the client again. Oh, by the way, the client also has strep throat and lupus. Does that make a difference? Find out on this episode of “I Have a Client Who . . .” Pathology Conversations with Ruth Werner. Sponsors:     Books of Discovery: www.booksofdiscovery.com   Anatomy Trains: www.anatomytrains.com  MassageBook: www.massagebook.com Elements Massage: www.elementsmassage.com/abmp   Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                        Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Acropustulosis: Symptoms, Causes, Treatment, and More (2017) Healthline. Available at: https://www.healthline.com/health/acropustulosis (Accessed: 3 July 2024).   Diagnostic Department and Public Health Laboratories, Hellenic Pasteur Institute, Athens, Greece. et al. (2023) ‘A case of hand-foot-and-mouth disease in a systemic lupus erythematosus patient presenting as late complication onychomadesis', Open Journal of Clinical and Medical Case Reports, 9(39). Available at: https://doi.org/10.52768/2379-1039/2150.   Disease Alert: Foot-and-Mouth Disease (no date). Available at: https://www.aphis.usda.gov/livestock-poultry-disease/cattle/foot-and-mouth (Accessed: 3 July 2024).   Faulkner, C.F. et al. (2003) ‘Hand, foot and mouth disease in an immunocompromised adult treated with aciclovir', The Australasian Journal of Dermatology, 44(3), pp. 203–206. Available at: https://doi.org/10.1046/j.1440-0960.2003.00679.x.   Hand-Foot Syndrome: What It Is, Causes & Treatment (no date). Available at: https://my.clevelandclinic.org/health/diseases/24105-hand-foot-syndrome (Accessed: 3 July 2024).   ‘Hand-Foot-and-Mouth Disease (HFMD): Practice Essentials, Background, Pathophysiology' (2024). Available at: https://emedicine.medscape.com/article/218402-overview (Accessed: 3 July 2024).   It's Not Strep Throat: Treating Hand, Foot, and Mouth Disease | University of Utah Health (2018). Available at: https://healthcare.utah.edu/the-scope/kids-zone/all/2018/11/its-not-strep-throat-treating-hand-foot-and-mouth-disease (Accessed: 3 July 2024).   Li, Z., Jiang, N. and Xu, Y. (2016) ‘The concurrence of subacute cutaneous lupus erythematosus and hand-foot syndrome in a patient undergoing capecitabine chemotherapy', Australasian Journal of Dermatology, 57(1), pp. e14–e16. Available at: https://doi.org/10.1111/ajd.12224.   Qin, L. et al. (2019) ‘Identification of immune and metabolic predictors of severe hand-foot-mouth disease', PLoS ONE, 14(5), p. e0216993. Available at: https://doi.org/10.1371/journal.pone.0216993.  

A client with frequent nosebleeds works with a massage therapist on TMJ pain, and something unexpected happens: she goes from 3-4 bleeds a week, to about one. The therapist has referred her to get more information about her sinus health, which is a good idea. But is there anything else they can be doing? Sponsors:     Books of Discovery: www.booksofdiscovery.com     Anatomy Trains: www.anatomytrains.com  MassageBook: www.massagebook.com EmbodyU: www.embodyu.net   Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                             Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Association of Hypertension With the Risk and Severity of Epistaxis | Bleeding and Transfusion | JAMA Otolaryngology–Head & Neck Surgery | JAMA Network (no date). Available at: https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2770570 (Accessed: 28 May 2024).   Durham, J. and Wassell, R. (2011) ‘Recent Advancements in Temporomandibular Disorders (TMDs)', Reviews in Pain, 5(1), pp. 18–25. Available at: https://doi.org/10.1177/204946371100500104.   Epistaxis and Hypertension: Reviewing a Complex Relationship (no date) Medscape. Available at: https://www.medscape.com/viewarticle/epistaxis-and-hypertension-reviewing-complex-relationship-2023a1000i7t (Accessed: 28 May 2024).   ‘Epistaxis: Practice Essentials, Anatomy, Pathophysiology' (2024). Available at: https://emedicine.medscape.com/article/863220-overview?&icd=login_success_email_match_fpf (Accessed: 28 May 2024).   Karegeannes, M. (2018) Red Flags, Treating TMJ. Available at: https://www.treatingtmj.com/symptoms/red-flags/ (Accessed: 28 May 2024).   Nose Bleeds at Night: 5 Causes (2017) Healthline. Available at: https://www.healthline.com/health/nose-bleeds-at-night (Accessed: 28 May 2024).   Nosebleeds (Epistaxis): Causes, Treatment & Prevention (no date) Cleveland Clinic. Available at: https://my.clevelandclinic.org/health/diseases/13464-nosebleed-epistaxis (Accessed: 29 May 2024).   Nosebleeds: When It's Time to Get Medical Attention (2021) Columbia University Irving Medical Center. Available at: https://www.cuimc.columbia.edu/news/nosebleeds-when-its-time-get-medical-attention (Accessed: 28 May 2024). Image of Kiesselbach Plexus Credit: FirstAdmiral, CC-SA-3.0  

A person with rheumatoid arthritis and lupus develops new back pain in her mid-upper left side. It feels like “it's coming from under my ribs,” she says. First, it's diagnosed as arthritis, but interventions don't seem to make a difference. Finally, a year into this unremitting pain, a rheumatologist asks about her breathing and discovers she has developed a complication called pulmonary thrombosis, probably related to her autoimmune diseases. They start treatment and voilà, her back pain is gone. This is a good example of a case in which massage therapy was definitely NOT the best choice.   Resources: Dsouza, K.G. et al. (2023) ‘Management of interstitial lung disease in patients with autoimmune disease-related interstitial lung disease', Multidisciplinary Respiratory Medicine, 18(1), p. 890. Available at: https://doi.org/10.4081/mrm.2023.890.   Fibrosis as an autoimmune disease (no date) CPC - M. Available at: https://www.cpc-munich.de/en/research-projects/fibrosis-as-an-autoimmune-disease/index.html, https://www.cpc-munich.de/en/research-projects/fibrosis-as-an-autoimmune-disease/index.html (Accessed: 3 May 2024).   3. Gole, S. and Bankole, A. (2024) ‘Nintedanib', in StatPearls. Treasure Island (FL): StatPearls Publishing. Available at: http://www.ncbi.nlm.nih.gov/books/NBK585049/ (Accessed: 8 May 2024).   Interstitial Lung Diseases - What Are Interstitial Lung Diseases? | NHLBI, NIH (2022). Available at: https://www.nhlbi.nih.gov/health/interstitial-lung-diseases (Accessed: 8 May 2024).   5. Kašiković Lečić, S. et al. (2022) ‘Management of musculoskeletal pain in patients with idiopathic pulmonary fibrosis: a review', Upsala Journal of Medical Sciences, 127, p. 10.48101/ujms.v127.8739. Available at: https://doi.org/10.48101/ujms.v127.8739.   6. Massage & Bodywork - MAY | JUNE 2021 (no date). Available at: https://www.massageandbodyworkdigital.com/i/1358392-may-june-     Host:   Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.        Sponsors:   Anatomy Trains: www.anatomytrains.com    Elements Massage: www.elementsmassage.com/abmp   Earthlite: www.earthlite.com  

Welcome to "The Rub," a captivating podcast delving into the world of massage therapy. Join your host, Corey Rivera, as they explore the intricacies of continuing education in massage therapy with guests Ruth Werner, Whitney Lowe, and Rebecca Sturgeon.In this enlightening episode, Corey engages in insightful conversations with industry experts about the transformative shift in massage therapy education, particularly focusing on the transition from traditional in-person classes to the realm of online learning.The discussion delves into contrasting viewpoints on education's purpose within the massage therapy community. Whitney laments the prevailing focus on technique-oriented courses, advocating for broader clinical reasoning skills.Ruth Werner shares her passion for teaching ethics in massage therapy, emphasizing the power of role-playing and peer discussions in cultivating a supportive learning environment.Rebecca Sturgeon champions the emotional and social dimensions of in-person learning, highlighting its unique ability to foster camaraderie and resilience among practitioners.As the episode draws to a close, Corey invites reflections from the guests on their favorite topics to teach and learn.Join Corey Rivera and their esteemed guests on "The Rub," where each episode invites you to uncover the secrets, challenges, and triumphs of the massage therapy profession.Links:Healwell's Oncology ClassesWhat is the Transformative Learning Theory?An Update on Transformational LearningRuth WernerWhitney LoweRebecca Sturg Healwell Homecoming; Sept 20-21In true Healwell fashion, we're inviting you to join us as we redefine the status quo, lead with kindness, and have fun doing it. Come as you are and come ready to collaborate, celebrate, and learn! Connect or reconnect with people you've met over the years through Healwell!Come for the classes and stay for the party!Support the showHealwell Homecoming is September 20-21st in Arlington, VA. Come for the classes and stay for the party!Let us know what you think! Send us an email: podcast@healwell.orgCheck out our interview-style podcast: InterdisciplinaryYou can support Healwell and the cool things we make by donating here!Other ways join in: Leave us a review on Apple Podcasts Find bonus content from Interdisciplinary and early release episodes on Patreon! Check Healwell's live and online classes Continue the conversation with a two-week free trial of the Healwell Community Find a copy of Rebecca Sturgeon's book: "Oncology Massage: An Integrative Approach to Cancer Care" Thank you to ABMP for sponsoring The Rub!Healwell is a 501(c)(3) non-profit based out of the Washington DC area. Check us out at www.healwell.org

A client uses fentanyl patches to manage chronic pain from a back injury. What kind of risk does this present to the therapist? And, if we're not careful, the bigger risk might be to the client. Check it out on this episode of “I Have a Client Who . . .” with Ruth Werner. Resources:   Cai, B., Engqvist, H. and Bredenberg, S. (2015) ‘Development and evaluation of a tampering resistant transdermal fentanyl patch', International Journal of Pharmaceutics, 488(1), pp. 102–107. Available at: https://doi.org/10.1016/j.ijpharm.2015.04.061. Commissioner, O. of the (2023) ‘Accidental Exposures to Fentanyl Patches Continue to Be Deadly to Children', FDA [Preprint]. Available at: https://www.fda.gov/consumers/consumer-updates/accidental-exposures-fentanyl-patches-continue-be-deadly-children (Accessed: 4 April 2024). ‘Drug Overdoses - Data Details' (no date) Injury Facts. Available at: https://injuryfacts.nsc.org/home-and-community/safety-topics/drugoverdoses/data-details/ (Accessed: 4 April 2024). Duragesic Transdermal: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing - WebMD (no date). Available at: https://www.webmd.com/drugs/2/drug-14008/duragesic-transdermal/details (Accessed: 4 April 2024). Ep 186 – Fentanyl Patches: “I Have a Client Who . . .” Pathology Conversations with Ruth Werner (2022) Associated Bodywork & Massage Professionals. Available at: https://www.abmp.com/podcasts/ep-186-fentanyl-patches-i-have-client-who-pathology-conversations-ruth-werner (Accessed: 4 April 2024). Equity--OS-OPAE--1600, O. of P.A. and (no date) Fentanyl Exposure in Public Places | Washington State Department of Health. Available at: https://doh.wa.gov/community-and-environment/opioids/fentanyl-exposure-public-places (Accessed: 4 April 2024). Fentanyl Facts (2024). Available at: https://www.cdc.gov/stopoverdose/fentanyl/index.html (Accessed: 4 April 2024). Khan, S. and Sharman, T. (2024) ‘Transdermal Medications', in StatPearls. Treasure Island (FL): StatPearls Publishing. Available at: http://www.ncbi.nlm.nih.gov/books/NBK556035/ (Accessed: 4 April 2024). Kim, T.S. et al. (2015) ‘Comparison of adhesion and dissolution of fentanyl patches: Fentadur® and Durogesic DTrans®', Journal of Pharmaceutical Investigation, 45(5), pp. 475–480. Available at: https://doi.org/10.1007/s40005-015-0195-y. Mann, B., News, A.P.-K.H. and Bebinger, M. (2023) ‘In 2023 fentanyl overdoses ravaged the U.S. and fueled a new culture war fight', NPR, 28 December. Available at: https://www.npr.org/2023/12/28/1220881380/overdose-fentanyl-drugs-addiction (Accessed: 4 April 2024). Overdose (no date) Drug Policy Alliance. Available at: https://drugpolicy.org/overdose/ (Accessed: 5 April 2024). Prausnitz, M.R. and Langer, R. (2008) ‘Transdermal drug delivery', Nature Biotechnology, 26(11), pp. 1261–1268. Available at: https://doi.org/10.1038/nbt.1504. Shearn, I.T. (2023) Fentanyl myth: Police cry overdose, facts prove otherwise, NJ Spotlight News. Available at: https://www.njspotlightnews.org/special-report/fentanyl-myth-police-cry-overdose-facts-prove-otherwise/ (Accessed: 5 April 2024). Using Skin Patch Medicines Safely (no date). Available at: https://www.poison.org/articles/using-skin-patch-medicines-safely (Accessed: 4 April 2024). Wong, W.F. et al. (2023) ‘Recent Advancement of Medical Patch for Transdermal Drug Delivery', Medicina, 59(4), p. 778. Available at: https://doi.org/10.3390/medicina59040778.   Host:   Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.        Sponsors:   Books of Discovery: www.booksofdiscovery.com     Anatomy Trains: www.anatomytrains.com    Elements Massage: www.elementsmassage.com/abmp   Earthlite: www.earthlite.com

A client was recently treated for colon cancer—and it didn't go well. She had surgical complications, a bout of sepsis, and more. She has substantial abdominal scar tissue, which is giving her a lot of pain. But after finding a massage therapist who is helping a lot, things are looking up . . . until she gets COVID. And now she's having a long, slow recovery. The highly educated MT wants a little more information about COVID-related clot risk before they go back to work. How can they determine when it is safe to proceed? We discuss all that on this episode of “I Have a Client Who . . .” Pathology Conversations with Ruth Werner. Host Bio:                  Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.    Resources:  Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   CDC (2020) COVID Data Tracker, Centers for Disease Control and Prevention. Available at: https://covid.cdc.gov/covid-data-tracker (Accessed: 13 March 2024).   Frequently Asked Questions: COVID-19 and Blood Clotting (no date) Blood Clots. Available at: https://www.stoptheclot.org/covid-19-and-blood-clotting/frequently-asked-questions-covid-19-and-clotting/ (Accessed: 13 March 2024).   Scharf, R.E. and Anaya, J.-M. (2023) ‘Post-COVID Syndrome in Adults—An Overview', Viruses, 15(3), p. 675. Available at: https://doi.org/10.3390/v15030675.   ‘Study finds risk of serious blood clots up to six months after covid-19 | BMJ' (no date). Available at: https://www.bmj.com/company/newsroom/study-finds-increased-risk-of-serious-blood-clots-up-to-six-months-after-covid-19/ (Accessed: 13 March 2024).   On sepsis:   Ep 292 – Sepsis: “I Have a Client Who . . .” Pathology Conversations with Ruth Werner (2022) Associated Bodywork & Massage Professionals. Available at: https://www.abmp.com/podcasts/ep-292-sepsis-i-have-client-who-pathology-conversations-ruth-werner (Accessed: 13 March 2024).   Massage & Bodywork - NOVEMBER | DECEMBER 2021 (no date). Available at: https://www.massageandbodyworkdigital.com/i/1417136-november-december-2021/40?token=ZWM1ZjJmODdiNTEwOWZiM2ViMWYzNDQ1YzIxYTJjMmJkYWZlMWE0NQ%3D%3D (Accessed: 13 March 2024).   About our Sponsors:   Anatomy Trains: www.anatomytrains.com   Elements Massage: www.elementsmassage.com/abmp   Earthlite: www.earthlite.com   Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function.                      Website: anatomytrains.com                        Email: info@anatomytrains.com             Facebook: facebook.com/AnatomyTrains                       Instagram: www.instagram.com/anatomytrainsofficial   YouTube: https://www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA       Founded by a massage therapist for massage therapists, the Elements Massage brand is a network of independently-owned and operated studios dedicated to changing lives--including yours!  The Elements Massage brand believes massage therapists deserve a supportive team, business and marketing resources, and the chance to learn as much as they want, so many Elements Massage studios offer and reimburse continuing education on an ongoing basis. It's no surprise Elements Massage therapist and client satisfaction leads the industry. That's because from day one, the brand has kept an unmatched commitment to deliver the best therapeutic massage experiences possible for both clients and massage therapists. Elements Massage studios expects the best. So should you. If this sounds like a fit, reach out. Studios are  hiring!    Website: https://elementsmassage.com/ABMP Facebook: https://www.facebook.com/elementsmassage Instagram: https://www.instagram.com/elementsmassage Youtube: https://www.youtube.com/channel/UCXLHkAYMgmA6_MJ8DSEZm-A   Disclaimer: Each Elements Massage® studio is independently owned and operated. Franchise owners (or their designated hiring managers) are solely responsible for all employment and personnel decisions and matters regarding their independently owned and operated studios, including hiring, direction, training, supervision, discipline, discharge, compensation (e.g., wage practices and tax withholding and reporting requirements), and termination of employment. Elements Therapeutic Massage, LLC (ETM) is not involved in, and is not responsible for, employment and personnel matters and decisions made by any franchise owner. All individuals hired by franchise owners' studios are their employees, not those of ETM. Benefits vary by independently owned and operated Elements Massage® studios. Elements Massage® and Elements Massage + design are registered trademarks owned by ETM.     Unlock exclusive 20% discounts on ALL Earthlite products for all ABMP members, from portable tables and chairs to professional sheets and oils. Simply visit earthlite.com, create an account, and enter your ABMP member ID during registration. Enjoy free ground shipping on orders over $75 and stationary or electric lift tables at a $395 flat rate - a significant savings on everything you need to enhance your practice. We are proud to assist you as the World's #1 Brand in Massage!   Sign up page: https://www.earthlite.com/customer/account/login/referer/aHR0cHM6Ly93d3cuZWFydGhsaXRlLmNvbS8~/   Website: https://www.earthlite.com

A young client is comatose after a series of ischemic strokes. They have frequent painful episodes of paroxysmal sympathetic hyperactivity, during which their muscles become spastic and their heart rate and blood pressure rise. Their palliative care team wonders if massage therapy might help the contractures of their limbs, and the massage therapist is willing to try . . . but the results are unexpected.   Resources:   Neurostorming: Causes, Signs, Risks, and Treatment (2022) NewGait. Available at: https://thenewgait.com/blog/neurostorming/ (Accessed: 16 February 2024).   Paroxysmal sympathetic hyperactivity - UpToDate (no date). Available at: https://www.uptodate.com/contents/paroxysmal-sympathetic-hyperactivity (Accessed: 14 February 2024).   Zheng, R.-Z. et al. (2020) ‘Identification and Management of Paroxysmal Sympathetic Hyperactivity After Traumatic Brain Injury', Frontiers in Neurology, 11, p. 81. Available at: https://doi.org/10.3389/fneur.2020.00081.   Verma, R., Giri, P. and Rizvi, I. (2015) ‘Paroxysmal sympathetic hyperactivity in neurological critical care', Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine, 19(1), pp. 34–37. Available at: https://doi.org/10.4103/0972-5229.148638.   Xu, S., Zhang, Q. and Li, C. (2023) ‘Paroxysmal Sympathetic Hyperactivity After Acquired Brain Injury: An Integrative Review of Diagnostic and Management Challenges', Neurology and Therapy, 13(1), pp. 11–20. Available at: https://doi.org/10.1007/s40120-023-00561-x.   Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.      Sponsors:     Books of Discovery: www.booksofdiscovery.com   Anatomy Trains: www.anatomytrains.com Elements Massage: www.elementsmassage.com/abmp MYCO CLINIC: www.myco-clinic.com   Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function.                      Website: anatomytrains.com                        Email: info@anatomytrains.com             Facebook: facebook.com/AnatomyTrains                       Instagram: www.instagram.com/anatomytrainsofficial   YouTube: https://www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA       Founded by a massage therapist for massage therapists, the Elements Massage brand is a network of independently-owned and operated studios dedicated to changing lives--including yours!  The Elements Massage brand believes massage therapists deserve a supportive team, business and marketing resources, and the chance to learn as much as they want, so many Elements Massage studios offer and reimburse continuing education on an ongoing basis. It's no surprise Elements Massage therapist and client satisfaction leads the industry. That's because from day one, the brand has kept an unmatched commitment to deliver the best therapeutic massage experiences possible for both clients and massage therapists. Elements Massage studios expects the best. So should you. If this sounds like a fit, reach out. Studios are  hiring!    Website: https://elementsmassage.com/ABMP Facebook: https://www.facebook.com/elementsmassage Instagram: https://www.instagram.com/elementsmassage Youtube: https://www.youtube.com/channel/UCXLHkAYMgmA6_MJ8DSEZm-A   Disclaimer: Each Elements Massage® studio is independently owned and operated. Franchise owners (or their designated hiring managers) are solely responsible for all employment and personnel decisions and matters regarding their independently owned and operated studios, including hiring, direction, training, supervision, discipline, discharge, compensation (e.g., wage practices and tax withholding and reporting requirements), and termination of employment. Elements Therapeutic Massage, LLC (ETM) is not involved in, and is not responsible for, employment and personnel matters and decisions made by any franchise owner. All individuals hired by franchise owners' studios are their employees, not those of ETM. Benefits vary by independently owned and operated Elements Massage® studios. Elements Massage® and Elements Massage + design are registered trademarks owned by ETM.   MYCO CLINIC stands at the forefront of natural pain relief and quality patient care.  Backed by 20 years of research and experience developing naturally derived topical products MYCO CLINIC was developed specifically for healthcare professionals and is available in moderate, extra strength and maximum strength formulas in a variety of sizes for in-clinic and home care solutions.   Product benefits include a smooth glide, no greasy residue, no medicinal smell and enhanced natural performance. All ingredients are clean, vegetarian or vegan-friendly, naturally sourced and/or USDA organic extracts. MYCO CLINIC products are manufactured in an FDA registered and cGMP audited facility to ensure the highest quality standards.   Try it today- get your free 10-pack sample of MYCO CLINIC ointment by visiting myco-clinic.com/get-free-samples/ 

Blood clots, legitimate concern about blood clots, and well-honed knowledge about blood clots are all part of our profession's requirements for safe practice, right? And over the years I've been doing I Have a Client Who . . ., I've received dozens of stories about blood clots in one context or another. Today, we'll look at yet another: a condition called Factor Five Leiden.   Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   CE class, "A Doctor's Note is Not Good Enough, and what is better".   Chronic Venous Insufficiency - an overview | ScienceDirect Topics (no date). Available at: https://www.sciencedirect.com/topics/medicine-and-dentistry/chronic-venous-insufficiency (Accessed: 10 January 2024).   Factor V Leiden (no date). Available at: https://www.nationwidechildrens.org/conditions/factor-v-leiden (Accessed: 10 January 2024).   Ghalaut, P.S. et al. (2014) ‘Ischemic Stroke in a Patient with Heterozygous Factor V Leiden Mutation: An Uncommon Association', Indian Journal of Hematology & Blood Transfusion, 30(Suppl 1), pp. 335–337. Available at: https://doi.org/10.1007/s12288-014-0392-2.   Jehangir, W. et al. (2014) ‘Treatment for Factor V Leiden, Stuck Between a Rock and a Hard Place: A Case Report and Review of Literature', Journal of Hematology, 3(2), pp. 43–45. Trani, J.L. and Lawson, J.H. (2007) ‘5 - HYPERCOAGULABLE STATES ASSOCIATED WITH CHRONIC VENOUS INSUFFICIENCY', in J.J. Bergan and C.K. Shortell (eds) Venous Ulcers. San Diego: Academic Press, pp. 55–65. Available at: https://doi.org/10.1016/B978-012373565-2.50009-9.     Sponsors:     Anatomy Trains: www.anatomytrains.com    Zibby Media: www.zibbymedia.com   Elements Massage: www.elementsmassage.com/abmp   Susan's CBD: www.susanscbd.com     Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function.                      Website: anatomytrains.com                        Email: info@anatomytrains.com             Facebook: facebook.com/AnatomyTrains                       Instagram: www.instagram.com/anatomytrainsofficial   YouTube: https://www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA       Zibby Media is a women-led company dedicated to deepening the connections between readers, authors, and each other. We do so by offering many ways to connect—even for those who don't have time to read. Founded by Zibby Owens, author, podcaster, publisher, bookstore owner, CEO, and mother of four, Zibby Media includes a publishing house, a magazine, podcasts, retreats, classes, a book club, salon events, and an independent bookstore with frequent author events. If you have ever loved a book, you're in the right place.   Learn more at zibbymedia.com Follow us on instagram: https://www.instagram.com/zibbybooks/?hl=en Listen to the podcast @momsdonthavetimetoreadbooks Read the magazine @zibbymag   Founded by a massage therapist for massage therapists, the Elements Massage brand is a network of independently-owned and operated studios dedicated to changing lives--including yours!  The Elements Massage brand believes massage therapists deserve a supportive team, business and marketing resources, and the chance to learn as much as they want, so many Elements Massage studios offer and reimburse continuing education on an ongoing basis. It's no surprise Elements Massage therapist and client satisfaction leads the industry. That's because from day one, the brand has kept an unmatched commitment to deliver the best therapeutic massage experiences possible for both clients and massage therapists. Elements Massage studios expects the best. So should you. If this sounds like a fit, reach out. Studios are  hiring!    Website: https://elementsmassage.com/ABMP Facebook: https://www.facebook.com/elementsmassage Instagram: https://www.instagram.com/elementsmassage Youtube: https://www.youtube.com/channel/UCXLHkAYMgmA6_MJ8DSEZm-A   Disclaimer: Each Elements Massage® studio is independently owned and operated. Franchise owners (or their designated hiring managers) are solely responsible for all employment and personnel decisions and matters regarding their independently owned and operated studios, including hiring, direction, training, supervision, discipline, discharge, compensation (e.g., wage practices and tax withholding and reporting requirements), and termination of employment. Elements Therapeutic Massage, LLC (ETM) is not involved in, and is not responsible for, employment and personnel matters and decisions made by any franchise owner. All individuals hired by franchise owners' studios are their employees, not those of ETM. Benefits vary by independently owned and operated Elements Massage® studios. Elements Massage® and Elements Massage + design are registered trademarks owned by ETM.     Founded in 2017, Susan's CBD is a woman-owned business that manufactures high-quality, high-milligram CBD and CBG massage products for the massage and wellness industry. Located in Boulder, Colorado, we handcraft our massage and topical products using all-natural ingredients and effective amounts of hemp CBD because we believe milligrams matter. Elevate your client's experience and build your practice by using our wide range of massage and topical products. Licensed massage therapists can try eight different CBD and CBG massage products with our free sample pack (one per customer). Contact us today by visiting www.susanscbd.com and clicking on the Professional Pricing tab to get your free sample pack! Licensed therapists also receive 50 percent off retail pricing with a wholesale login.   Website: www.susanscbd.com Email: info@susanscbd.com Instagram: www.instagram.com/susanscbd   Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.     

In our final episode of 2023, we revisit our powerful conversations with massage industry groundbreakers Andrew Biel, Rachel Beider, Allison Denney and Ruth Werner. Let their personal journeys, advice and reflections inspire you to take the next step on your massage path right now.To learn more about CRSMT, visit www.atouchofcostarica.com

A client has a rare condition that might impact her ability to receive massage. A brief look shows no special cautions, but a deeper look reveals some important questions to ask. In this episode Ruth takes listeners along for the treasure hunt for useful information—not just for Wolff-Parkinson-White syndrome, but for your future use when you have a client with a condition you've never heard of.   Sponsors:     Books of Discovery: www.booksofdiscovery.com       Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36. “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.           Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Ablation for Arrhythmias (no date) www.heart.org. Available at: https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/ablation-for-arrhythmias (Accessed: 13 December 2023).   Athletic Screening (no date) 1-to-1 Pediatrics. Available at: http://www.1to1pediatrics.com/athletic-screening.html (Accessed: 13 December 2023).   Chhabra, L., Goyal, A. and Benham, M.D. (2023) ‘Wolff-Parkinson-White Syndrome', in StatPearls. Treasure Island (FL): StatPearls Publishing. Available at: http://www.ncbi.nlm.nih.gov/books/NBK554437/ (Accessed: 13 December 2023).   Massage & Bodywork - NOVEMBER | DECEMBER 2020 (no date). Available at: https://www.massageandbodyworkdigital.com/i/1299745-november-december-2020/40? (Accessed: 13 December 2023).   Patient Education: Wolff-Parkinson-White Syndrome (Beyond the Basics). Available at: https://www.uptodate.com/contents/wolff-parkinson-white-syndrome-beyond-the-basics. (Accessed: 13 December, 2023).   Screening in Sport (no date) Physiopedia. Available at: https://www.physio-pedia.com/Screening_in_Sport (Accessed: 13 December 2023).   Vagal Maneuvers with Supraventricular Tachycardia (no date) ACLS.com. Available at: https://acls.com/articles/vagal-maneuvers/ (Accessed: 13 December 2023).   What Is Wolff-Parkinson-White Syndrome? (no date) Cleveland Clinic. Available at: https://my.clevelandclinic.org/health/diseases/17643-wolff-parkinson-white-syndrome-wpw (Accessed: 13 December 2023).   ‘Wolff-Parkinson-White Syndrome: Practice Essentials, Background, Pathophysiology' (2022). Available at: https://emedicine.medscape.com/article/159222-overview (Accessed: 13 December 2023).  

A client wants to know if massage will help with their uterine fibroids? How can we answer this question?   What does “help” mean?   What are their goals?   What does the research say?   Spoiler: the research, while thin, holds some surprises.   Sponsors:     Books of Discovery: www.booksofdiscovery.com     Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36. “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.           Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Massage Today (no date) Massage Today. Available at: https://www.massagetoday.com/articles/14184/Uterine-Fibroids (Accessed: 29 November 2023).   Maya Abdominal Massage for Women: Northeast Rehab (no date) Northeast Rehabilitation Hospital. Available at: https://www.northeastrehab.com/services/maya-massage/ (Accessed: 29 November 2023).   Mehl-Madrona, L. (2002) ‘Complementary medicine treatment of uterine fibroids: a pilot study', Alternative Therapies in Health and Medicine, 8(2), pp. 34–36, 38–40, 42, 44–46. Rubio, E.M. et al. (2023) ‘Complementary and Alternative Medicine Use Among Women with Symptomatic Uterine Fibroids', Journal of Women's Health (2002), 32(5), pp. 546–552. Available at: https://doi.org/10.1089/jwh.2022.0094.   The Dos and Don'ts of Managing Fibroids – Taking Control Of Your Health : Midwest Institute for Non-Surgical Therapy: Vascular and Interventional Radiologists (no date). Available at: https://www.mintstl.com/blog/the-dos-and-donts-of-managing-fibroids-taking-control-of-your-health (Accessed: 29 November 2023).

A young adult who's been struggling with epilepsy wakes up after a seizure and is completely paralyzed on their left side. What does this mean? What happens next? And how can we best serve our clients who live with epilepsy? Join host Ruth Werner for those questions and more on this episode of “I Have a Client Who . . .”   Sponsors:     Books of Discovery: www.booksofdiscovery.com     Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38 “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36. “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.           Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Ep 113 – Seizures and Action Plans: “I Have a Client Who . . .” Pathology Conversations with Ruth Werner (2021) Associated Bodywork & Massage Professionals. Available at: https://www.abmp.com/podcasts/ep-113-seizures-and-action-plans-i-have-client-who-pathology-conversations-ruth-werner (Accessed: 12 November 2023).   Todd's Paralysis (no date) Epilepsy Foundation. Available at: https://www.epilepsy.com/connect/forum-archive/living-epilepsy-adults/todds-paralysis (Accessed: 12 November 2023).   Todd's Paralysis | National Institute of Neurological Disorders and Stroke (no date). Available at: https://www.ninds.nih.gov/health-information/disorders/todds-paralysis (Accessed: 12 November 2023).   ‘Todd's paresis' (2023) Wikipedia. Available at: https://en.wikipedia.org/w/index.php?title=Todd%27s_paresis&oldid=1170991936 (Accessed: 12 November 2023).  

Til Luchau and Ruth Werner talk with Walt Fritz PT, as they prepare for some hands-on work with Ruth's chronic cough. Listen in as these three powerhouse presenters discuss hands-on strategy, potential triggers, and psychosocial impacts related to chronic coughs. Ruth shares her personal experiences, emphasizing the challenges and similarities with chronic pain. Their stimulating conversation then delves into the broader implications of treating the whole person rather than just the symptoms, offering unique perspectives on the intersection of manual therapy, anatomical specificity, and the human experience. (This conversation was the run-up to Ruth and Til's "Chronic Symptoms" interview at ABMP, which was featured in Thinking Practitioner Ep. 100) Watch the video and get the full transcript of their conversation on Til or Whitney's sites:  Til Luchau's Advanced-Trainings.com  Whitney Lowe's Academy of Clinical Massage Resources: Walt Fritz's site Ruth Werner's site Sponsor Offers: Books of Discovery: save 15% by entering "thinking" at checkout at booksofdiscovery.com. ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/. About Whitney Lowe  |  About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)    

Tucked away during rainy season in a tropical paradise, a mosquito-borne virus runs rampant. What does Dengue fever mean for massage—how does it spread, what does it do, how is it treated and what are the risks? Listen in to learn. Then get the bug spray.   Sponsors:     Books of Discovery: www.booksofdiscovery.com     Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36. “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.           Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   CDC (2023) Dengue Clinical Presentation | CDC, Centers for Disease Control and Prevention. Available at: https://www.cdc.gov/dengue/healthcare-providers/clinical-presentation.html (Accessed: 29 October 2023).   Dengue and severe dengue (no date b). Available at: https://www.who.int/news-room/fact-sheets/detail/dengue-and-severe-dengue (Accessed: 29 October 2023).   ‘Dengue: Practice Essentials, Background, Pathophysiology' (2023a). Available at: https://emedicine.medscape.com/article/215840-overview#a3 (Accessed: 29 October 2023).   ‘Etymologia: dengue' (2006) Emerging Infectious Diseases, 12(6), p. 893. Available at: https://doi.org/10.3201/eid1206.ET1206.   Saeed, O. and Asif, A. (2020) ‘Chapter 2 - Dengue virus disease; the origins', in A.I. Qureshi and O. Saeed (eds) Dengue Virus Disease. Academic Press, pp. 9–16. Available at: https://doi.org/10.1016/B978-0-12-818270-3.00002-3.    

A client with a 3-week-old pacemaker wants a relaxation massage. Her Facebook group of other pacemaker users encourages her to do it, but her massage therapist is hesitant. When exactly is it safe for this person to get on a massage table? Spoiler alert: No one knows for sure, but we can make some pretty confident choices, and we go over those choices on this episode of “I Have a Client Who . . .”   Sponsors:     Books of Discovery: www.booksofdiscovery.com       Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36. “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.           Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Clients with Medical Implants (no date). Available at: https://www.abmp.com/textonlymags/article.php?article=790 (Accessed: 18 October 2023).   Digby, G.C. et al. (2009) ‘Physiotherapy and cardiac rhythm devices: a review of the current scope of practice', Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology: Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology, 11(7), pp. 850–859. Available at: https://doi.org/10.1093/europace/eup102.   Pacemaker (for the Heart): Surgery, Types & What It Is (no date) Cleveland Clinic. Available at: https://my.clevelandclinic.org/health/treatments/17360-permanent-pacemaker (Accessed: 18 October 2023).   Pacemaker Insertion (2021). Available at: https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/pacemaker-insertion (Accessed: 18 October 2023).   Pacemakers - Who Needs Them | NHLBI, NIH (2022). Available at: https://www.nhlbi.nih.gov/health/pacemakers/who-needs (Accessed: 18 October 2023).   Q&A: Novel Therapy Holds Promise for Hypertension Treatment in Patients With Pacemakers (2023) AJMC. Available at: https://www.ajmc.com/view/q-a-novel-therapy-holds-promise-for-hypertension-treatment-in-patients-with-pacemakers (Accessed: 18 October 2023).   Sabin, G. and Schuster, P. (1982) ‘[Long-term observation of arterial blood pressure after pacemaker implantation (author's transl)]', Deutsche Medizinische Wochenschrift (1946), 107(15), pp. 575–578. Available at: https://doi.org/10.1055/s-2008-1069979.      

Here is a situation where healthcare for illness and self-care for wellness intersected in an unexpected way for me. I started with one point of view, and came around to another one—or at least a new curiosity – by the time I was finished. Where will you land on the issue of IV infusions?   Sponsors:     Books of Discovery: www.booksofdiscovery.com       Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36. “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.           Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   IHACW Episode 288, Iron Infusions: https://ruthwerner.com/ep-288-iron-infusions/   IHACW Episode 317: Hemochromatosis: https://ruthwerner.com/ep-317-hemochromatosis/   Chelation for Coronary Heart Disease: What You Need To Know (no date) NCCIH. Available at: https://www.nccih.nih.gov/health/chelation-for-coronary-heart-disease-what-you-need-to-know (Accessed: 4 October 2023).   Chelation therapy: Can it treat heart disease? (no date) Mayo Clinic. Available at: https://www.mayoclinic.org/diseases-conditions/heart-disease/expert-answers/chelation-therapy/faq-20157449 (Accessed: 4 October 2023).   Chelation Therapy: EDTA and Other Chemicals, Benefits, Side Effects (2018) Healthline. Available at: https://www.healthline.com/health/chelation-therapy (Accessed: 4 October 2023).   Chelation Therapy: Purpose, Procedure, and Side-Effects (no date). Available at: https://www.webmd.com/balance/what-is-chelation-therapy (Accessed: 3 October 2023).   Food with EDTA, What Is EDTA in Food - Foods that Contain EDTA (no date). Available at: https://www.irochelating.com/news/foods-that-contain-edta.html (Accessed: 4 October 2023).   IV therapy: Uses, benefits, risks, and more (2022). Available at: https://www.medicalnewstoday.com/articles/iv-therapy (Accessed: 3 October 2023).   Kingson, J.A. (2021) Massage, facial, pedicure... intravenous drip?, Axios. Available at: https://www.axios.com/2021/12/01/intravenous-drip-therapy-nutrition-vitamin (Accessed: 4 October 2023).    

An elderly client has severe back and hip pain as she recovers from her second bout with COVID. Her doctor gave her a steroid shot, but her MT wonders if the pain is a post-viral form of myalgia. Join us in this episode of “I Have a Client Who . . .” as we look at some research about post-COVID musculoskeletal pain and the many mechanisms involved (and host Ruth Werner throws a short tantrum about a narrowly focused study that misses some important factors). Sponsors:     Books of Discovery: www.booksofdiscovery.com     Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36. “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.           Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Alnamlah, O.S. and Almarwani, M.M. (2023) ‘Musculoskeletal pain post-COVID-19 in patients undergoing physical therapy in Saudi Arabia: a cross-sectional study', BMC Musculoskeletal Disorders, 24, p. 507. Available at: https://doi.org/10.1186/s12891-023-06647-9.   Cevei, M. et al. (2022) ‘Rehabilitation of Post-COVID-19 Musculoskeletal Sequelae in Geriatric Patients: A Case Series Study', International Journal of Environmental Research and Public Health, 19(22), p. 15350. Available at: https://doi.org/10.3390/ijerph192215350.   Khoja, O. et al. (2022) ‘Clinical Characteristics and Mechanisms of Musculoskeletal Pain in Long COVID', Journal of Pain Research, 15, pp. 1729–1748. Available at: https://doi.org/10.2147/JPR.S365026.   Tiwari, V. and Bergman, M.J. (2023) ‘Viral Arthritis', in StatPearls. Treasure Island (FL): StatPearls Publishing. Available at: http://www.ncbi.nlm.nih.gov/books/NBK531507/ (Accessed: 18 September 2023).     My articles on COVID and massage:   Massage & Bodywork - JANUARY | FEBRUARY 2022 (no date). Available at: https://www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36? (Accessed: 20 September 2023).   Massage & Bodywork - SEPTEMBER | OCTOBER 2020 (no date). Available at: https://www.massageandbodyworkdigital.com/i/1276187-september-october-2020/46? (Accessed: 20 September 2023).    

A contributor writes, “I said no to massage to a patient after fresh dialysis. When would it be OK to work on this person?” Seems like a simple question. But it's not. We know a fair amount about kidney disease and about dialysis. And here's a surprise: The interface between massage therapy and people using dialysis has sparked a lot of conversation in research and medical circles. What are people saying—and learning—about massage therapy for dialysis users? Better listen to this episode of I Have a Client Who . . .   Sponsors:     Books of Discovery: www.booksofdiscovery.com       Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36. “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.           Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Çeçen, S. and Lafcı, D. (2021) ‘The effect of hand and foot massage on fatigue in hemodialysis patients: A randomized controlled trial', Complementary Therapies in Clinical Practice, 43, p. 101344. Available at: https://doi.org/10.1016/j.ctcp.2021.101344.   Dialysis: Types, How It Works, Procedure & Side Effects (no date). Available at: https://my.clevelandclinic.org/health/treatments/14618-dialysis (Accessed: 6 September 2023).   Diane Mastnardo, B.S. et al. (2016) ‘Intradialytic Massage for Leg Cramps Among Hemodialysis Patients: a Pilot Randomized Controlled Trial', International Journal of Therapeutic Massage & Bodywork: Research, Education, & Practice, 9(2), pp. 3–8. Available at: https://doi.org/10.3822/ijtmb.v9i2.305.   Habibzadeh, H. et al. (2020) ‘Effects of Foot Massage on Severity of Fatigue and Quality of Life in Hemodialysis Patients: A Randomized Controlled Trial', International Journal of Community Based Nursing and Midwifery, 8(2), pp. 92–102. Available at: https://doi.org/10.30476/IJCBNM.2020.81662.0.   Hemodialysis - NIDDK (no date) National Institute of Diabetes and Digestive and Kidney Diseases. Available at: https://www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/hemodialysis (Accessed: 6 September 2023).   I have a person who is on dialysis 3 times per week requesting massage therapy. We are taught that it is contraindicated in school. Is it safe for a person receiving dialysis to receive massage? (2014) National Kidney Foundation. Available at: https://www.kidney.org/blog/ask-doctor/i-have-person-who-dialysis-3-times-week-requesting-massage-therapy-we-are-taught-it (Accessed: 6 September 2023).   Kidney disease and massage - Ask Our Experts / Dr. John Agar, Nephrologist (2012a) Home Dialysis Central. Available at: https://forums.homedialysis.org/t/kidney-disease-and-massage/2745 (Accessed: 6 September 2023).   Kidney disease and massage - Ask Our Experts / Dr. John Agar, Nephrologist (2012b) Home Dialysis Central. Available at: https://forums.homedialysis.org/t/kidney-disease-and-massage/2745 (Accessed: 6 September 2023).   Kidney Disease Statistics for the United States - NIDDK (no date) National Institute of Diabetes and Digestive and Kidney Diseases. Available at: https://www.niddk.nih.gov/health-information/health-statistics/kidney-disease (Accessed: 6 September 2023).   Lai, M.-Y. et al. (2006) ‘Fever with acute renal failure due to body massage-induced rhabdomyolysis', Nephrology Dialysis Transplantation, 21(1), pp. 233–234. Available at: https://doi.org/10.1093/ndt/gfi158.   Lazarus, E.R. et al. (2020) ‘The effects of an olive-oil massage on hemodialysis patients suffering from fatigue at a hemodialysis unit in southern India - a randomized controlled trial', Journal of Complementary & Integrative Medicine, 18(2), pp. 397–403. Available at: https://doi.org/10.1515/jcim-2019-0338.

When Ruth Werner sought Til Luchau's hands-on help with a chronic symptom, they stopped by ABMP's Colorado studio for a fascinating discussion with Darren Buford and Kristin Coverly about what they were learning by working together.  (This special episode is thanks to ABMP.) Get the full transcript of their conversation on Til or Whitney's sites:  Til Luchau's Advanced-Trainings.com  Whitney Lowe's Academy of Clinical Massage Resources: Ruth Werner's site Til's site Sponsor Offers: Books of Discovery: save 15% by entering "thinking" at checkout at booksofdiscovery.com. ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/. About Whitney Lowe  |  About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)

A client has an undiagnosed situation with the skin over their glute, and to the massage therapist it looks suspiciously like ringworm. What is ringworm? How do we get rid of it? And what is the risk to the massage therapist in this situation? Listen to this episode of I Have a Client Who… as Ruth Werner talks about one of her favorite topics: ringworm (RW).   Sponsors:     Books of Discovery: www.booksofdiscovery.com     Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36. “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.           Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Mycoses Abounding (no date). Available at: https://www.abmp.com/textonlymags/article.php?article=2068 (Accessed: 23 August 2023).  

Ruth Werner has been dealing with a chronic cough for decades. She is now working with Til Luchau to determine what can be done. In this episode of The ABMP Podcast, Ruth and Til discuss the process of dealing with this mysterious chronic cough and how massage may be able to help. Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.      Til Luchau is the author of Advanced Myofascial Techniques (Handspring Publishing), a Certified Advanced Rolfer, and a member of the AdvancedTrainings.com faculty, which offers online learning and in-person seminars throughout the United States and abroad. He and Whitney Lowe cohost the ABMP sponsored Thinking Practitioner podcast. He invites questions or comments via info@advanced-trainings. com and Advanced-Trainings' Facebook page.   Hosts:   Darren Buford is senior director of communications and editor-in-chief for ABMP. He is editor of Massage & Bodywork magazine and has worked for ABMP for 22 years, and been involved in journalism at the association, trade, and consumer levels for 24 years. He has served as board member and president of the Western Publishing Association, as well as board member for Association Media & Publishing. Contact him at editor@abmp.com. Kristin Coverly, LMT is a massage therapist, educator, and the director of professional education at ABMP. She loves creating continuing education courses, events, and resources to support massage therapists and bodyworkers as they enhance their lives and practices. Contact her at ce@abmp.com.     Sponsors:     Anatomy Trains: www.anatomytrains.com        Touch America: www.touchamerica.com       Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function.                      Website: anatomytrains.com                        Email: info@anatomytrains.com             Facebook: facebook.com/AnatomyTrains                       Instagram: www.instagram.com/anatomytrainsofficial   YouTube: https://www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA     TouchAmerica is a leading manufacturer of professional grade wellness furniture, bodywork tables, halotherapy suites, hydrotherapy equipment, sound bathing loungers, and other related products. At TouchAmerica, we believe in a future where good health and vitality are common in all aspects of living. Promoting the positive power of conscious touch is at the core of our vision. We hope our products help add a touch of functional elegance to your massage & spa work environment. ABMP members receive 20% off all standard products. Discounts do not apply to salt or special-order SKUs. Visit https://www.touchamerica.com/ or Call 800 67 TOUCH and use code touchABMP*. Reach out today and feel the TouchAmerica difference! ference!

A client reports having Ramsay Hunt syndrome (RHS)—a version of shingles that affects the facial nerve. Her massage therapist can't find any useful information to help guide their decisions. But they were able to establish that it isn't contagious, so they pulled on their gloves and got to work. Listen to this episode of I Have a Client Who . . . with host Ruth Werner to find out what happened, and why you might be seeing more about massage and RHS soon.   Sponsors:     Books of Discovery: www.booksofdiscovery.com     Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                    Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36. “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.         Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Crouch, A.E. et al. (2023) ‘Ramsay Hunt Syndrome', in StatPearls. Treasure Island (FL): StatPearls Publishing. Available at: http://www.ncbi.nlm.nih.gov/books/NBK557409/ (Accessed: 18 July 2023).   Facial Synkinesis | Otolaryngology | Loyola Medicine (no date). Available at: https://www.loyolamedicine.org/find-a-condition-or-service/otolaryngology-ent/otolaryngology-conditions/facial-synkinesis (Accessed: 18 July 2023).   https://www.facebook.com/verywell (no date) The Geniculate Ganglion: Taste, Tears, and Facial Expression, Verywell Health. Available at: https://www.verywellhealth.com/geniculate-ganglion-4802365 (Accessed: 18 July 2023).   Massage Therapy Foundation Case Report Hub: https://massagetherapyfoundation.org/education/case-report-hub/  

A potential client—we don't know how old, or how healthy—has sickle cell disease (SCD). There's very limited information about safe massage therapy in this context. What's an MT to do? One option is to reach out to an expert and hope you'll get a quick but thorough response—if you get one at all. Another option is to check your bookshelf: you might be pleasantly surprised. (And if you don't own a pathology book, maybe it's time to remedy that situation—see some options listed below.) SCD is a complicated and serious condition with lots of decision points for massage therapy: What are the complications, how is the person treating it, and what is their risk for infection? Listen on for a short primer on faulty hemoglobin, collapsing red blood cells, and implications for bodywork.   Sponsors:       Books of Discovery: www.booksofdiscovery.com       Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36. “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.           Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Textbooks:   Cowen, V. Pathophysiology for Massage Therapists p. 183-184   Salvo, S. Mosby's Pathology for Massage Therapists p. 231-232   Walton, T. Medical Conditions and Massage Therapy p. 236-237   Werner, R. A Massage Therapist's Guide to Pathology p. 278-279    

Are you a manual therapist with joint mobility issues? Then this episode of “I Have a Client Who . . .” is for you. And if you have a client with joint mobility issues, you'll want to tune in too. My colleague Natalie Pendergrass recently reached out to me to share her experiences with being diagnosed with Ehlers-Danlos syndrome (EDS). EDS is a genetic disorder involving the formation of abnormal collagen. It occurs in 13 different identified subtypes, starting with hypermobility of joints and covering a wide spectrum of variations in connective tissue problems. Natalie shares what it's like to receive massage as a person with EDS, but also the special challenges of being a massage provider with EDS. She developed practices that allow her to do demanding work while protecting her joints. Natalie also recently started some contact points for people with EDS so MTs can get more of this important information. Check them out:   https://www.instagram.com/eds_biker_therapist/   https://www.facebook.com/sacredspiritbodyworks   Sponsors:       Books of Discovery: www.booksofdiscovery.com       Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36. “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.           Resources:      Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app      

Will an ad beckon you to your destiny? When legendary massage educator Ruth Werner happened upon a small ad for a massage school in the back of a newspaper, it set off a chain of events that has resulted in a 35+ year career in the industry and authoring seven editions of the gold standard textbook, “A Massage Therapist's Guide to Pathology.” She talks about her journey, standout episodes from her own podcast tackling medical conditions that therapists encounter and her upcoming return to Costa Rica School of Massage Therapy in the fall. Also, Ruth takes shares the experiences that bring her joy in Samara. To learn more about CRSMT, visit www.atouchofcostarica.com 

I received a story in which body odor was a factor. I turned the question back to you . . . and got hundreds of responses! In this episode of “I Have a Client Who . . .” we discuss what kinds of body odor issues turn up in massage therapy settings, when it's appropriate to discuss it, and some strategies for how to make those conversations compassionate and supportive.   Sponsors:     Books of Discovery: www.booksofdiscovery.com     Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36. “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.           Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app  

Waaay back when I was in massage school… We looked for one-size-fits-all answers to highly individualized questions. That doesn't work anymore! In this episode we consider a number of questions about massage therapy for surgical patients—when, where, how, what, and more. Of course the answer is always “it depends”—but WHAT does it depend ON?   Sponsors:     Books of Discovery: www.booksofdiscovery.com       Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36. “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.           Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Hospital-Based Massage Therapy course: https://www.healwell.org/hospital-based-massage-therapy   Scar Tissue course with Cathy Ryan: https://online.healwell.org/courses/scar-class-2023   Traumatic Scar Tissue Management by Nancy Keeny-Smith and Catherine Ryan, published by Handspring/Singing Dragon: https://us.singingdragon.com/products/traumatic-scar-tissue-management   “A Doctor's Note is Not Good Enough… and what is better”: https://app.ruzuku.com/courses/85832/about    

An 88-year-old man is preparing for his third decompression surgery for spinal stenosis. His friend wonders if massage therapy might be helpful, or even replace this risky procedure. Join us for a closer look at spinal stenosis and the risks and benefits of this common surgery!   Sponsors:     Books of Discovery: www.booksofdiscovery.com     Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36. “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.       Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   The Back Jam https://themassagementorinstitute.com/p/backjam   Alhaug, O.K. et al. (2021) ‘Criteria for failure and worsening after surgery for lumbar spinal stenosis: a prospective national spine registry observational study', The Spine Journal, 21(9), pp. 1489–1496. Available at: https://doi.org/10.1016/j.spinee.2021.04.008.   Anderson, D.B. et al. (2019) ‘SUcceSS, SUrgery for Spinal Stenosis: protocol of a randomised, placebo-controlled trial', BMJ Open, 9(2), p. e024944. Available at: https://doi.org/10.1136/bmjopen-2018-024944.   Beatty, R.M. (1987) ‘Persistent nerve root compression by buckling of the longitudinal ligament after chemonucleolysis', Neurosurgery, 20(2), pp. 332–334. Available at: https://doi.org/10.1227/00006123-198702000-00025.   Complications of Spine Surgery (no date). Available at: https://www.umms.org/ummc/health-services/orthopedics/services/spine/patient-guides/complications-spine-surgery   Ep 34 – Spinal Fusion—“I Have a Client Who …” Pathology Conversations with Ruth Werner (2020) Associated Bodywork & Massage Professionals. Available at: https://www.abmp.com/podcasts/ep-34-spinal-fusion-i-have-client-who-pathology-conversations-ruth-werner.   Katz, J.N. et al. (2022) ‘Diagnosis and Management of Lumbar Spinal Stenosis: A Review', JAMA, 327(17), pp. 1688–1699. Available at: https://doi.org/10.1001/jama.2022.5921.   Laminectomy Surgery for Back Pain: Treatment, Risks, Recovery (no date) Cleveland Clinic. Available at: https://my.clevelandclinic.org/health/treatments/10895-laminectomy-surgery-for-back-pain   Massage & Bodywork - MARCH | APRIL 2021 (no date). Available at: http://www.massageandbodyworkdigital.com/i/1338685-march-april-2021/36?   Surgery for spinal stenosis linked to lower mortality and costs (no date). Available at: https://www.wolterskluwer.com/en/news/surgery-for-spinal-stenosis-linked-to-lower-mortality-and-costs   What is the latest treatment for spinal stenosis? (2022). Available at: https://www.medicalnewstoday.com/articles/what-is-the-latest-treatment-for-spinal-stenosis

A client with chronic pelvic pain has been through the wringer, trying to get a solid diagnosis and effective treatment for what has—for lack of a better option—been diagnosed as levator ani syndrome. Is there anything massage can do for this person? And is there a connection between levator ani syndrome and this client's extreme flexibility? We explore these questions and more on this episode of “I Have a Client Who . . .” Sponsors:     Books of Discovery: www.booksofdiscovery.com     Advanced-Trainings: www.advanced-trainings.com   Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36. “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.           Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Chronic Pelvic Pain in Women (no date). Available at: https://www.abmp.com/textonlymags/article.php?article=1550 (Accessed: 2 May 2023).   Gilliam, E., Hoffman, J.D. and Yeh, G. (2020) ‘Urogenital and pelvic complications in the Ehlers-Danlos syndromes and associated hypermobility spectrum disorders: A scoping review', Clinical genetics, 97(1), pp. 168–178. Available at: https://doi.org/10.1111/cge.13624.   https://www.physiotherapyroom.com/Self-Care-for-Pelvic-Pain-A-Sensory-Integration-Toolkit   Knowles, C.H. and Cohen, R.C. (2022) ‘Chronic anal pain: A review of causes, diagnosis, and treatment', Cleveland Clinic Journal of Medicine, 89(6), pp. 336–343. Available at: https://doi.org/10.3949/ccjm.89a.21102.   Levator Ani Syndrome: Symptoms, Causes, and Treatment (2017) Healthline. Available at: https://www.healthline.com/health/levator-ani-syndrome (Accessed: 28 April 2023).   Massage & Bodywork - JULY | AUGUST 2016 (no date). Available at: http://www.massageandbodyworkdigital.com/i/694071-july-august-2016/44? (Accessed: 2 May 2023).   Myofascial Pelvic Pain (no date) Physiopedia. Available at: https://www.physio-pedia.com/Myofascial_Pelvic_Pain (Accessed: 2 May 2023). Self-Care for Pelvic Pain—a Sensory Integration Toolkit by Sandy Hilton, PT, DPT, MS

A client is a survivor of childhood trauma. She is a single parent of two children with special needs. She has recently been diagnosed with fibromyalgia and wonders if other conditions also contribute to her problems. She appreciates massage, but her massage therapist is worried they're not helping enough. What can we do when we have a crisis of confidence? “I Have a Client Who . . .” host Ruth Werner offers a couple of important reminders about realistic expectations and the benefits that massage can, and sometimes can't, offer. Sponsors:     Books of Discovery: www.booksofdiscovery.com     Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36. “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.           Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Relevant M&B articlesTrauma-Informed Care: Walking the Path of Client-Centered Connection and Collaboration. Available at http://www.massageandbodyworkdigital.com/i/1464088-may-june-2022/72?   Working with Invisible Pain: The Sustainable Practices MTs Can Use to Help Clients with Fibromyalgia. Available at http://www.massageandbodyworkdigital.com/i/1464088-may-june-2022/72?    

A client is struggling with plantar fasciitis. They call a local massage therapist with the right kind of expertise, but reveal they are concerned about their toenail fungus and the risk it could spread. How concerning is this risk? Is it possible to spread toenail fungus to other areas of the body. Could it spread to other people? We explore those questions on this episode of “I Have a Client Who . . .”   Sponsors:     Books of Discovery: www.booksofdiscovery.com     Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36. “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.           Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   digger.jpg (223×272) (no date). Available at: https://lastrow.files.wordpress.com/2009/10/digger.jpg (Accessed: 29 March 2023).   Fungal Nail Infections | Fungal Diseases | CDC (2022). Available at: https://www.cdc.gov/fungal/nail-infections.html (Accessed: 29 March 2023).    

In our Third Annual Shingles Episode, we consider a client who developed shingles soon after receiving massage. Is it possible that the massage caused it? And what are the safety guidelines about working with someone during a shingles outbreak? It turns out this is all more complex than it sounds, and the decisions here require some nuance. Listen to “I Have a Client Who . . .” for more!   Sponsors:     Books of Discovery: www.booksofdiscovery.com     Massage Mentor Institute: www.themassagementorinstitute.com   Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36. “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.           Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Episode 20: https://www.abmp.com/podcasts/ep-20-undiagnosed-rash-what-do-you-think-it-i-have-client-who-ruth-werner   Episode 118: https://www.abmp.com/podcasts/ep-118-shingles-how-long-do-we-wait-i-have-client-who-pathology-conversations-ruth-werner     About our Sponsor:   Massage Mentor Institute   In 2019, Diane Matkowski, aka the Massage Mentor, began a closed Facebook page for hosting discussions with industry leaders. These interviews gave her an idea for The Massage Mentor Institute and Jam Series workshops. The goal was to create various continuing education classes offered in one spot. The Institute is a space for massage therapists to learn different approaches and philosophies of bodywork and business classes. It's also home to the Shoulder, Hip, Neck, and Back Jam workshops. We believe that no one technique works for every human being. Our goal is to help you find your path. We have selected teachers we trust, admire, and believe will help you grow as a licensed massage therapist.   Website: themassagementorinstitute.com   Facebook Group: facebook.com/themassagementor   Instagram: @massagementorinstitute  

On this episode of “I Have a Client Who . . .” a client reports she has been diagnosed with pelvic organ prolapse: Her uterus, bladder, and colon are descending into her vagina. She is young and otherwise healthy, but her body seems to be falling apart. Is there anything massage therapy can do to help?   Sponsors:       Books of Discovery: www.booksofdiscovery.com       Massage Mentor Institute: www.themassagementorinstitute.com     Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36.   “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.             “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.           Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   5 Things I Wish All Women Knew About Pelvic Organ Prolapse (no date). Available at: https://www.acog.org/en/womens-health/experts-and-stories/the-latest/5-things-i-wish-all-women-knew-about-pelvic-organ-prolapse (Accessed: 15 March 2023).   Pelvic organ prolapse | Office on Women's Health (no date). Available at: https://www.womenshealth.gov/a-z-topics/pelvic-organ-prolapse (Accessed: 15 March 2023).   Pelvic Organ Prolapse: Types, Causes, Symptoms & Treatment (no date) Cleveland Clinic. Available at: https://my.clevelandclinic.org/health/diseases/24046-pelvic-organ-prolapse (Accessed: 15 March 2023).   About our Sponsor:   Massage Mentor Institute   In 2019, Diane Matkowski, aka the Massage Mentor, began a closed Facebook page for hosting discussions with industry leaders. These interviews gave her an idea for The Massage Mentor Institute and Jam Series workshops. The goal was to create various continuing education classes offered in one spot. The Institute is a space for massage therapists to learn different approaches and philosophies of bodywork and business classes. It's also home to the Shoulder, Hip, Neck, and Back Jam workshops. We believe that no one technique works for every human being. Our goal is to help you find your path. We have selected teachers we trust, admire, and believe will help you grow as a licensed massage therapist.   Website: themassagementorinstitute.com   Facebook Group: facebook.com/themassagementor   Instagram: @massagementorinstitute  

A young woman is newly diagnosed with irritable bowel syndrome. Is massage therapy safe? Can it be helpful? What does a massage therapist need to know ahead of time? Answers: Yes, yes, and it's all here in this episode of I Have a Client Who . . . Sponsors:     Books of Discovery: www.booksofdiscovery.com     Massage Mentor Institute: www.themassagementorinstitute.com   Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36. “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.           Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   About our Sponsor:   Massage Mentor Institute   In 2019, Diane Matkowski, aka the Massage Mentor, began a closed Facebook page for hosting discussions with industry leaders. These interviews gave her an idea for The Massage Mentor Institute and Jam Series workshops. The goal was to create various continuing education classes offered in one spot. The Institute is a space for massage therapists to learn different approaches and philosophies of bodywork and business classes. It's also home to the Shoulder, Hip, Neck, and Back Jam workshops. We believe that no one technique works for every human being. Our goal is to help you find your path. We have selected teachers we trust, admire, and believe will help you grow as a licensed massage therapist. Website: themassagementorinstitute.com Facebook Group: facebook.com/themassagementor Instagram: @massagementorinstitute  

A massage therapist lives and works near the East Palestine, Ohio, train derailment site. They want to know about the possible risks of working with people exposed to chemical toxins. With so many unknowns, what's the safest way to proceed? Join host Ruth Werner as she helps answer that question and others in this episode of “I Have a Client Who . . .”   Sponsors:     Books of Discovery: www.booksofdiscovery.com     Massage Mentor Institute: www.themassagementorinstitute.com     Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36. “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.           Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Phone number for free, private water testing: 330-849-3919 Allnutt, B. (2023) ‘East Palestine waste could mean more PFAS, dioxins in Michigan waterways', Planet Detroit, 26 February. Available at: https://planetdetroit.org/2023/02/east-palestine-waste-could-mean-more-pfas-dioxins-in-michigan-waterways/ (Accessed: 1 March 2023). Bartels, M. (no date) Chemical Health Risks from the Ohio Train Accident—What We Know So Far, Scientific American. Available at: https://www.scientificamerican.com/article/chemical-health-risks-from-the-ohio-train-accident-what-we-know-so-far/ (Accessed: 22 February 2023). EPA not testing for dioxins in East Palestine, Ohio, scientist Stephen Lester calls reason ‘lame' (no date). Available at: https://www.wkbn.com/news/local-news/east-palestine-train-derailment/epa-not-testing-for-dioxins-scientist-calls-reason-lame/ (Accessed: 1 March 2023). How the Ohio Train Derailment Could Affect Your Health (2023) Men's Health. Available at: https://www.menshealth.com/health/a43008521/ohio-train-derailment-health-effects/ (Accessed: 28 February 2023). Kwong, E., Cirino, M. and Ramirez, R. (2023a) ‘How the EPA assesses health risks after the Ohio train derailment', NPR, 27 February. Available at: https://www.npr.org/2023/02/24/1159385101/how-the-epa-assesses-health-risks-after-the-ohio-train-derailment (Accessed: 28 February 2023). ‘Like putting a puzzle together': CDC arrives in Ohio to investigate health risks from toxic train derailment (2023) NBC News. Available at: https://www.nbcnews.com/health/health-news/ohio-derailment-cdc-begins-investigation-toxic-train-disaster-rcna71948 (Accessed: 28 February 2023). National, T. (2023) Mystery illnesses and dead animals plague Ohio after train derailment, The National. Available at: https://www.thenationalnews.com/world/us-news/2023/02/27/mystery-illnesses-and-dead-animals-plague-ohio-after-train-derailment/ (Accessed: 1 March 2023). Per- and Polyfluorinated Substances (PFAS) Factsheet | National Biomonitoring Program | CDC (2022). Available at: https://www.cdc.gov/biomonitoring/PFAS_FactSheet.html (Accessed: 1 March 2023). Todd, S. (2023) ‘Experts weigh in on potential health hazards posed by chemicals in Ohio train derailment', STAT, 21 February. Available at: https://www.statnews.com/2023/02/21/east-palestine-train-chemicals/ (Accessed: 22 February 2023).       About our Sponsor:   Massage Mentor Institute   In 2019, Diane Matkowski, aka the Massage Mentor, began a closed Facebook page for hosting discussions with industry leaders. These interviews gave her an idea for The Massage Mentor Institute and Jam Series workshops. The goal was to create various continuing education classes offered in one spot. The Institute is a space for massage therapists to learn different approaches and philosophies of bodywork and business classes. It's also home to the Shoulder, Hip, Neck, and Back Jam workshops. We believe that no one technique works for every human being. Our goal is to help you find your path. We have selected teachers we trust, admire, and believe will help you grow as a licensed massage therapist.   Website: themassagementorinstitute.com   Facebook Group: facebook.com/themassagementor   Instagram: @massagementorinstitute  

A client reports she's about to lose a kidney due to a kidney stone. That seems . . . extreme, doesn't it? What's probably happening is that she has a staghorn calculus: a stone that takes up all the space in her kidney. If it's not removed it will continue to grow, which could lead to all kinds of problems. What is a staghorn calculus? And what accommodations do we need to make for a person who has lost an entire vital organ? These questions and more on this episode of “I Have a Client Who . . .”   Sponsors:       Books of Discovery: www.booksofdiscovery.com       Advanced-Trainings: www.advanced-trainings.com     Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36.   “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.           Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Hill, A.J. et al. (2022) ‘Incidence of Kidney Stones in the United States: The Continuous National Health and Nutrition Examination Survey', Journal of Urology, 207(4), pp. 851–856. Available at: https://doi.org/10.1097/JU.0000000000002331.   Staghorn Calculus: Causes, Symptoms & Treatment (no date) Cleveland Clinic. Available at: https://my.clevelandclinic.org/health/diseases/22509-staghorn-calculus (Accessed: 22 February 2023).   ‘Struvite and Staghorn Calculi: Practice Essentials, History of the Procedure, Problem' (2021a). Available at: https://emedicine.medscape.com/article/439127-overview (Accessed: 23 February 2023).   Struvite Stones (2021b) National Kidney Foundation. Available at: https://www.kidney.org/atoz/content/struvite-stone (Accessed: 23 February 2023).   Struvite Stones: Symptoms, Causes, Treatment, and Diet (no date). Available at: https://www.healthline.com/health/kidney-health/struvite-stones (Accessed: 23 February 2023).   Torricelli, F.C.M. and Monga, M. (2020) ‘Staghorn renal stones: what the urologist needs to know', International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology, 46(6), pp. 927–933. Available at: https://doi.org/10.1590/S1677-5538.IBJU.2020.99.07.   About our Sponsor:   Massage Mentor Institute In 2019, Diane Matkowski, aka the Massage Mentor, began a closed Facebook page for hosting discussions with industry leaders. These interviews gave her an idea for The Massage Mentor Institute and Jam Series workshops. The goal was to create various continuing education classes offered in one spot. The Institute is a space for massage therapists to learn different approaches and philosophies of bodywork and business classes. It's also home to the Shoulder, Hip, Neck, and Back Jam workshops. We believe that no one technique works for every human being. Our goal is to help you find your path. We have selected teachers we trust, admire, and believe will help you grow as a licensed massage therapist.   Website: themassagementorinstitute.com   Facebook Group: facebook.com/themassagementor   Instagram: @massagementorinstitute  

A client is an adult man with spastic cerebral palsy. He has a Baclofen pump and is preparing for Botox injections. He's also found a massage therapist who has the experience and expertise to help him—that's amazing! Understandably, the MT has questions about the Botox—what are the guidelines for manual therapy when this is used to treat spasticity? Well, that assumes that such guidelines exist, which is not a safe assumption. Listen to this episode of “I Have a Client Who . . .” for some thoughts about what to do next.   Sponsors:     Books of Discovery: www.booksofdiscovery.com       The Massage Mentor Institute: www.themassagementorinstitute.com     Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36.   “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.           Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Adult Cerebral Palsy: Symptoms, New Challenges, Progression (2018) Healthline. Available at: https://www.healthline.com/health/adult-cerebral-palsy (Accessed: 22 February 2023).   Adults with Cerebral Palsy (no date). Available at: https://www.abmp.com/textonlymags/article.php?article=558 (Accessed: 22 February 2023).   Botox, Orthopedic Surgery, Posterior Rhizotomy and/or a Baclofen Pump? – KAREN PAPE, MD (no date). Available at: http://karenpapemd.com/Botox-orthopedic-surgery-posterior-rhizotomy-andor-a-baclofen-pump/?fbclid=IwAR0ymMxOR26gR2lg3ndskBbQgU5KQBKUU9d_cQHQqGmOox2-4II_9mS2TQg (Accessed: 21 February 2023).   Cerebral Palsy Massage Therapy (no date) Cerebral Palsy Guidance. Available at: https://www.cerebralpalsyguidance.com/cerebral-palsy/treatment/massage-therapy/ (Accessed: 21 February 2023).   Prevalence of Cerebral Palsy (no date) cerebralpalsy.org. Available at: https://www.cerebralpalsy.org/about-cerebral-palsy/prevalence-and-incidence (Accessed: 22 February 2023).   The Many Faces of Botox (no date). Available at: https://www.abmp.com/textonlymags/article.php?article=151 (Accessed: 22 February 2023).   ‘What is Cerebral Palsy?' (no date) Cerebral Palsy Research Network. Available at: https://cprn.org/what-is-cerebral-palsy-cp/ (Accessed: 22 February 2023).   About our Sponsor:   Massage Mentor Institute   In 2019, Diane Matkowski, aka the Massage Mentor, began a closed Facebook page for hosting discussions with industry leaders. These interviews gave her an idea for The Massage Mentor Institute and Jam Series workshops. The goal was to create various continuing education classes offered in one spot. The Institute is a space for massage therapists to learn different approaches and philosophies of bodywork and business classes. It's also home to the Shoulder, Hip, Neck, and Back Jam workshops. We believe that no one technique works for every human being. Our goal is to help you find your path. We have selected teachers we trust, admire, and believe will help you grow as a licensed massage therapist.   Website: themassagementorinstitute.com   Facebook Group: facebook.com/themassagementor   Instagram: @massagementorinstitute  

A client reports she has Sprengel's deformity and was told never to get massage or chiropractic. Nonetheless, she finds that massage is very helpful! What is Sprengel's deformity? And what are the questions we need to ask so we can make safe and effective clinical decisions? Spoiler alert: It's not as tricky as it sounds, and you'll find out on this episode of “I Have a Client Who . . .”   Sponsors:       Books of Discovery: www.booksofdiscovery.com       Advanced-Trainings: www.advanced-trainings.com   Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                      Recent Articles by Ruth:          “Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36, http://www.massageandbodyworkdigital.com/i/1481961-november-december-2022/38   “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36.   “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.             “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.         Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Kafadar, C. et al. (2016) ‘Omovertebral bone associated with Sprengel deformity presented with chronic cervical pain', The Spine Journal, 16(2), p. e43. Available at: https://doi.org/10.1016/j.spinee.2015.09.044.   Köhler, S. et al. (2021) ‘The Human Phenotype Ontology in 2021', Nucleic Acids Research, 49(D1), pp. D1207–D1217. Available at: https://doi.org/10.1093/nar/gkaa1043.   Sprengel's Deformity - Pediatrics - Orthobullets (no date). Available at: https://www.orthobullets.com/pediatrics/4038/sprengels-deformity (Accessed: 15 February 2023).   Zarantonello, P. et al. (2021) ‘Surgical Treatment of Sprengel's Deformity: A Systematic Review and Meta-Analysis', Children, 8(12), p. 1142. Available at: https://doi.org/10.3390/children8121142.   Wikimedia, authors Stelzer, John W.; Flores, Miguel A.; Mohammad, Waleed; Esplin, Nathan; Mayl, Jonathan J.; Wasyliw, Christopher Available at: https://commons.wikimedia.org/wiki/File:Klippel%E2%80%93Feil_syndrome_and_Sprengel%27s_deformity.png   About our Sponsor:   Massage Mentor Institute   In 2019, Diane Matkowski, aka the Massage Mentor, began a closed Facebook page for hosting discussions with industry leaders. These interviews gave her an idea for The Massage Mentor Institute and Jam Series workshops. The goal was to create various continuing education classes offered in one spot. The Institute is a space for massage therapists to learn different approaches and philosophies of bodywork and business classes. It's also home to the Shoulder, Hip, Neck, and Back Jam workshops. We believe that no one technique works for every human being. Our goal is to help you find your path. We have selected teachers we trust, admire, and believe will help you grow as a licensed massage therapist.   Website: themassagementorinstitute.com   Facebook Group: facebook.com/themassagementor   Instagram: @massagementorinstitute