1. Introduction to Myomassology
Brian John Piccolo, LMT
Revised 9/07/17

2. Contents Part 1: Introduction & Biography Part 2: Contraindications
Part 3: Endangerment Sites
Part 4: Body Mechanics
Part 5: General Considerations

3. Part one
Introduction
&
Biography

4. BRIANjohnpiccolo.com Power Points PDF Files Reviews Exams

5. Kinesiology Taping Class
Shoulder Pain
Thumb Sprain
Carpal Tunnel
Edema on Knee
Kinesiology Taping Class

6. Neuromuscular Therapy
Neuromuscular Therapy at Dynamic Back & Neck.

7. The NMT Team at Dynamic
Graduates of Irene’s

8. Chrysler Industrial Rehab CTR

9. Spectra Medical

10. Integrative Medicine, Beaumont Hospital

11. Part-2: Contraindications

12. 13 Contraindications for Massage
The Science and Practice of Myomassology
Acute infections or disease. Refer to Doctor.
Acute inflammation in joint areas.
Advanced osteoporosis as bones become brittle. Energy work yes.
Severe varicose veins could rupture. No deep Massage.
Phlebitis-inflammation in a vein with pain and swelling. Could also cause blood clots.
Aneurysm-generally in aorta or cerebral arteries.
Edema-sometimes massage in not indicated. (Toxemia during pregnancy because of the poisons in blood.)
Cancer-could spread through lymphatic system. Limited massage okay if Doctor ordered.
In cases of chronic fatigue , only light massage of short duration till toxins in body are flushed out.
Certain prescription drugs. Check with Doctor.
Various skin conditions – cancer, open sores, eczema, broken blood vessels, burns, sunburn, lacerations, poison oak, poison ivy, etc.
Area of broken bones-only energy balance type work.
Contagious diseases.

13. Skin Infections & Others
The Science and Practice of Myomassology
Herpes Zoster (shingles)
Skin Cancer

14. Osteoarthritis of the Knee
Bone Cysts
Osteophyte
Erosion of Cartilage & Bone
Narrowing of Joint Space
The joint changes resulting from this disorder are shown.
There is progressive loss of articular cartilage.
The inflammation of the synovial membrane and narrowing of the joint space result in joint pain, stiffness, limitation of motion, joint instability and deformity.

15. Plantar Fasciitis
The plantar fascia is a thick sheet of connective tissue found on the plantar surface (sole) of the foot extending from the Calcaneus to the toes. Inflammation of this fascia produces the characteristic symptoms.

16. Edema The swelling of the feet and ankles with lymphatic fluid.
Manual lymphatic drainage massage is required here.

17. Aortic Aneurysm

18. Part-3: Endangerment Sites
Areas Not to Massage

19. Endangerment Sites and Massage Modifications
Do Not Massage Around:
Eyes
Frontal Neck
Breasts
Xiphoid Process
Armpits
Elbow Crease
Wrists
Hip Crease
Groin Area
Femoral Triangle
Ankles on Pregnant Female.
Gluteal Crease
Back of the Knees

20. Part-4: Body Mechanics
Body Mechanics

21. Massage Therapist Abilities
Sandy Fritz, Mosby’s Fundamentals of Therapeutic Massage
A well-trained massage professional should be able to effectively provide five to six massage sessions a day, five days per week, without excessive fatigue or pain.
If you are unable to maintain this type of work pace, your body mechanics is the most likely cause.
Take action now so that you can have the career you desire.

22. Massage Therapist Injuries
Some Massage Therapists burnout in less than five years.
A recent study by the Journal of Bodywork and Movement Therapies, showed that 78% of massage professionals have experienced a work-related injury.

23. Save Your Hands, Lauriann Greene, LMP.
Injury Happens When…
Save Your Hands, Lauriann Greene, LMP.
Injury happens when the body is stressed beyond its own limits.
Hands-on practitioners get injured by performing techniques or working under conditions that cause undo stress to their bodies.
The upper extremity is the part of the body most often injured, since the hands and arms are overused in doing hands-on work. – Lauriann Greene

24. Mosby’s Fundamentals of Therapeutic Massage
Weight Distribution
Mosby’s Fundamentals of Therapeutic Massage
Working
Hand
Working
Hand
Weight on Back Foot opposite working hand.
Weight on Front Foot same side working hand.

25. Mosby’s Fundamentals of Therapeutic Massage
Weight Distribution
Mosby’s Fundamentals of Therapeutic Massage
Working
Hand
Working
Hand
Weight on Front Foot same side working hand.
Weight on Back Foot opposite working hand.

26. Part-5: General Considerations
General Attitude
of the
Massage Therapist

27. General Considerations
Allow your work to be guided by unconditional love and respect for your client.
Have a clear intent regarding the focus of the work to be performed (i.e. to relax, increase range of motion, to relieve pain).
Grounding-centering yourself (through breath, meditation, affirmation, etc.
Be present and in the moment (become skillful at directing your focus on the client).

28. The Science and Practice of Myomassology
Proper Hygiene
The Science and Practice of Myomassology
Wash your hands between every client.
Clean all tables, bolsters and instruments used in massage between each client.
Do not wear perfumes and etc., they may effect client allergies.
Use clean sheets with all your clients.
Nails have to be trimmed and clean.
Dress professionally.

29. Introduction to Massage Techniques
Part-6: Techniques
Introduction to Massage Techniques

30. The Science and Practice of Myomassology
Effleurage
The Science and Practice of Myomassology
This is either superficial or deep. It is a stroking movement performed with whole of one or both hands or with the palmer surface or the finger and thumb. The movements should be carried out slowly, rhythmically, and gently. Start lightly.
Effleurage accelerates the venous and lymph circulation, promotes absorption, and is thus beneficial in relieving congestion.
The over all effect is soothing.
Do all strokes with a minimum of three repetitions.

31. The Science and Practice of Myomassology
Pretrissage
The Science and Practice of Myomassology
Pretrissage includes all movements in which the tissues are grasped in one or both hands, raised from their attachments, and subjected to an intermittent double pressure. It is a kneading type of movement.
Promotes the nutrition and strengthening of weak muscles.
Helps in the absorption of inflammatory oxidation and drives toxins out of weak muscles.

32. End of Presentation
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