Massage Tutorial: Carpal tunnel syndrome (myofascial release)
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- Опубліковано 31 січ 2015
- My new book is out! It's called Massage Is Weird: massagesloth.com/book/
Got clients with tingling/numbness in the first few digits? We're probably dealing with compression of the median nerve. Even if they've had a formal diagnosis of carpal tunnel syndrome, this broad myofascial work should be gentle enough to apply to most clients.
My main piece of advice is to avoid focusing too much on the wrist. If there is nerve impingement and inflammation there, it's not going to be too happy about deep friction. Instead, see about calming down the wrist and finger flexors. If you can defuse that bomb, sometimes the wrist will follow.
While you're at it, work with the neck, shoulder, and hand. Follow the median nerve all the way up and down, warming and soothing the tissue.
As with all neurological problems, keep track of your client's symptoms, and back off if any particular strategies seem to be aggravating the tingling/numbness. Remember that it took your client many years to get into this situation, so it may take a number of sessions!
Let me know what you think!
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It's 3:40 am and my pregnant wife can't sleep because carpal tunnel is making her hands hurt. I was able to look up this video and provide a bit of comfort and relief to her until we can get to a proper therapist. Thank you!
Once it's to a point where it's waking you up at night, it's past, massage at this point.
You need a steroid shot to relieve the pain.
This massage is good for mild or moderate symptoms.
@@ContessyMadame_Messy..I don't agree
Massage therapy can make it so you can avoid surgery and steroids, (save time and money)You just have to go consistently for massage until pain goes or until pregnancy is completely.
Is it possible to get rid of carpal tunnel syndrome with this kind of massages. It's been 2 years I'm suffering from this.
@@empressstaceyjackson5375is it possible to get rid of carpal tunnel syndrome completely with these kind of massage. It's been two years for me
Ian, please, please, please write a book. You're always so helpful, enthusiastic and inspiring! Thanks for helping shape and inform my massage practice!
Your videos are making me a better therapist! Thanks Ian! I owe you!
Glad to help, and thanks!
Excellent Ian, I have a client coming in today with carpal tunnel, I've learned so much, thank you!!
Seeing that hand massage effected me more than anything i ever watched , i need this !!!!!! My own whole body reflexes when you hit some points
Thank you so much for this. My husband was diagnosed as having "carpal tunnel", so we found your video. Turns out he actually has TOS, the subclavian artery has some compression when he lifts his arms, but they think it's neurogenic TOS . We shall see, because they've just been ignoring him as he's loosing the muscle in his hands. Your video helped so much and pointed us in the right direction. The massage techniques help a bit.
I was considering carpal tunnel surgery and was very close to getting it scheduled UNTIL I learned about the success of myofascial
Therapy and saw this video. I get a tingling feeling in my hands towards the end of my half mile swim so I’ve always thought that it originated in my shoulder, I think you just confirm that that is a strong possibility. Thank you.
Update?
I need a massage from you! Anytime I’m feeling like I need some inspiration to get out of a “burn out” stage I come to your channel! Thank you so much for your dedication to helping other Massage therapist like myself!
Ironically I've always wanted to GIVE Ian a massage. Just because whatever feedback he gave would be gold!
One of my coworkers last week if I knew how to massage anyone with carpal tunnel. I was about to start my next session but I told her I saw this video and recommended she watch it too before her client came in later that day. I asked afterwards if she watched it and if it helped...needless to say it was yes on both.
So as always thank you Ian Harvey 😊
+Rachel Smith Thanks for passing that along, Rachel! Glad it helped :)
how often should a person with carpal tunnel syndrome have a treatment like this?
+Mel Farinas
One of the biggest factors concerning the time it takes for clients to find relief revolves around the time they’ve spent suffering from the symptoms. The longer a person goes without treatment, the longer it takes for them to recover.
So with that being said the number of sessions a client needs to find relief will vary and will depend on how severe the problem is.(Cautionary Note: relief does not mean complete resolution of symptoms)
Most agree, however, that clients should see some relief after the first session and sometimes it takes three to five sessions to get long-term results, sometimes more and sometimes less.
Hope this answers your question.
+Rachel Smith thank you so much..
Well done Ian! Very well explained and demonstrated. I will try some of these massages. Thanks for presenting this to us folks with painful fingers! We appreciate you.
Very good video. I really appreciate the more global and holistic approach that considers the state of the nervous system, which is always implicated in pain conditions.
Thanks for all your videos! So much to learn, and you do such a fantastic job explaining everything just right :)
Thank you Ian! Everytime I watch your videos I'm motivated to be a better therapist
I really appreciated this video. I watched a couple others before I hand but none of them really describe what they were doing with their hand you were very descriptive in the video and it actually was very helpful and teaching me what it is that I need to do to fix the problems in my sweethearts are at least help thank you.
Doing a this massage at 12:34 AM in the morning it was a good massage 6-6-23.
Great protocol. Thank you!
That "Hi" in the beginning is so wholesome.
I just did it on myself the best I could. I thought the video was very complete.
thank you for making this video, and going over more aspects to the median nerve than just that carpal tunnel section of the wrist. ive been having issues with compression of that nerve further up towards my shoulder (combination of side sleeping and a new job that puts strain on that area), and it was difficult to find any info about it that wasnt focused specifically on the carpal tunnel.
Thanks very much! I am trying to assist a very dear friend. Your help is so very valuable to us.
Excellent! Thank you sir.
Really love your videos man! I learned S.I. and find your videos a great help to expanding my practice and knowledge!
Really good video 😊👍✨️
thanks I'm gonna try
Very helpful!
Thks again for your quality sharing. I will be incorporating all these techniques into my Sloth Bag!!! I'm thinking that when doing CTS TX only, I think I'll have the client(s) more over slightly on the table to the none TX side, giving me more space on the TX side to lay forearm down to work comfortably on those flexors.
Velma Gause-Price, CMT Good heavens... I've never thought of having them scoot over to give me more table space. You, Velma, are a genius. Thanks for the great comments!
Lol, you're very funny and you're very welcome! Continue to keep of these great tutorial please
Excellent
you are fulfilling your lifepurpose
first video of yours i’ve seen but this shit’s 100% gonna get me through school lmao
His voice puts me in a relaxing state
Ian, please how many sessios must be done ? Thank you so much, you did a great job.
really good thank you doctor
Wona Peaceful I'm no doctor, but thank you!
oh! sorry. Physio or Chiro? you have good knowledge of anatomy n pathology.
Wona Peaceful Just a humble massage therapist :) Thanks for the kind words!
You got a good belly laugh from the "I did this in 3 separate takes"
Kỹ thuật này là chuẩn /nếu cân chỉnh thêm các đốt sống cổ C4+C5+C6+C7 nữa thì tốt hơn 👍👍👍.
This technology is very good /if we can to neck alignment in C4+C5+C6+C7 and nerves irritation area V-2 :C4 to C7-oke.
Writing from Thủ Đức hcm city viet nam. 🇻🇳
The amount you use your thumbs is impressive, if it were me I'd feel an ache from hyperextension
I'm actually using them a bit much in this video! I plan to have another one soon with other ways of working with the client's forearm without relying on your digits. Listen to your fatigue, and try to switch tools before it sets in.
Massage Sloth, Always switch forms! Thanks for the advice man!
I would lové to find a therapist like you In Paris to treat my bilatéral cubital syndrom with soft and deep massage
Thank you.
I hope I hear back from you. What can a person do for themselves to massage these areas? Maybe nothing but I hope something can be done I can't afford a masseuse.
Hi Ian Harvey, Can you please put up a short video teaching all the hand techniques you use like open fist and that other c cup grasp I have seen in you're videos. Anyways cheers!
BTW you're anatomy is fabulous! I never knew myofascia technique was so bomb, haha! I love it. I went to massage school with a lady that went to Dr Barnes courses and stuff, i loved getting massages from her
joseph lee Hi Joseph! I'll definitely have one on open fist use soon. I like the idea of a video on different petrissage style (pincer grip, "duck" grip, thumbless, etc), so thanks for that! Thanks for the kind words as well. Let me know if there's anything else you'd like to see moving forward!
Hi Ian, great work! How can one get in touch with you
hi is there any way to do even a modified version of this on ones self or only through a therapist.. ps have you heard of myofascial release covered by insurance or not really . thanks. I had carpal tunnel in my left so let them clear it when i had ulner nerve release since was a lready being cut. its back a wee bit but right hand has gotten bad. trying to find a doc who takes insurance i have and plus is into alternative therapies before i let them cut the right.. so down the rabbits hole.. ive seen a few people saying this can help and hold off the need for surgery .. so might be worth trying. thanks
Hello! New subscriber here. Would love to see a video on Cubital Tunnel Syndrome. Please let me know if you already have one and I missed it...
I don't, but I'll add that one to the list. Thanks for the suggestion!
i’m doing it by myself 😢 been dealing with tingling and numbness for more than a month
Can carpal tunnel be triggered by shoulder surgery?
Ian - I have a client who had surgery on left and right for carpal tunnel syndrome. He is having pain/numbness/tingling on his right (dominant) forearm/wrist, has a thick scar at the surgical site, hypertonic muscles (think body builder) and is a carpenter. Finally he is consulting his surgeon but it has been nearly 3 months since the surgery and is coming to me for pain relief. I'm incorporating info from this video, arms, thoracic outlet trying to help him. Any more thoughts on what I can do?
Lindy King Hi Lindy, it sounds like you have the right idea! Incorporating the entire arm, shoulder girdle, and neck may help. With a client like this (frequent weight lifting and physical activity) it may be worthwhile to explore deeper pressures and more direct work than you would usually use. Definitely set the arm down and use fists for some of the work rather than just thumbs, and try having him take his wrists through a range of motion (or just opening and closing the fist) as you travel along the flexors and extensors. If he has PT exercises, encourage him to do them daily; if he doesn't, some simple wrist and shoulder stretches would not be a bad idea. Good luck, let me know how it goes!
+Lindy King Here's how to cure carpal tunnel ==> www.endcarpaltunnel.tumblr.com
I have a client with some heavy scar tissue build up around the median nerve around the clavicle and front of the shoulder joint. would these techniques help to break up some of that tissue? We've been working together for about a year now and I feel like I've hit kind of a wall in her improvement.
LPSDave It's certainly worth a shot. Track her closely, make sure that you're within her pain tolerance, and try some slow drawing of the tissues at that myofascial angle. Combine with the cradled arm rocking (check my frozen shoulder video for more on that) and see if that helps further. All of that said, you may have reached a true plateau in the amount that massage can help with her condition. Definitely keep working (there will be many other benefits, even if median nerve function remains impaired), but she may need something more aggressive than we can offer (physical therapy, etc). Let me know if you have any follow-up questions!
@@MassageSlothwhat kind of physical therapy would help her? What other things would help?
I'm also a massage therapist...I gave a similar massage to someone with carpal tunnel recently. Unfortunately it didn't help and they felt it made their symptoms worse. The only difference was I worked with them prone with arms hanging off the side of the table. The only thing I can think of, was that they're impingement must have been on the inside of the shoulder where it was pressing on the table. Thoughts?
You might be onto something with the positioning. When I hear about exacerbation of symptoms following massage, positioning is usually high on my list of suspects. It may have also been a bit too much too soon, either in terms of duration, intensity, or both. If you work with this client again, I'd suggest broadening the scope of the massage, working more with their shoulder, neck, and upper arm, as well as the forearm. You may want to avoid direct work with the wrist, instead focusing on the wrist flexors in the forearm and the intrinsic muscles in the hand. Best of luck!
@@MassageSloth I did work with the neck and shoulders for 20 minutes before I even touched the arm. The client actually wanted more pressure which I felt was contraindicated. you're pregnant right about the direct hand work though, and positioning
@@MassageSlothwhy even massage the muscles in the hand? That is not the source of the problem
Do you have a video on release the levator scapula?
I do! ua-cam.com/video/MQlPuGJdmU4/v-deo.html
What lotion do you use?
Almost all videos of his I've watched he seems to favor jojoba oil. A very small amount of course.
Tunnel of Guyon.
after trying it. my left hand numbs :( and swollen :( maybe wrong way of doing it
If you're experiencing discomfort or negative side effects, definitely discontinue. I advise getting a medical evaluation. Best of luck!
thanks, Doctor
!
هل ممكن ترجمه للفيديو عربي
قم بتشغيل الترجمة، ثم ابحث عن خيار "الترجمة التلقائية" الذي يظهر. سوف أقوم بعمل أفضل مما أستطيع! إذا كان يقوم بعمل سيئ، واسمحوا لي أن أعرف.
What about pain and tightness near the inside if the elbow how would you work that out?
I plan to have a video on that soon! It's actually similar to what I have in this video: Slow work with the muscles on the anterior forearm, along with some gentle wrist movement as I iron the wrist flexors out. That pain at the medial epicondyle tends to be a symptom rather than a point that needs to be "worked out," so I mostly work with the muscles that attach there.
hi ,will this help both hands that feel like sandpaper/vinal,somewhat burning feel, its ALL fingers NO WRIST PAIN, when I touch clothes,paper,make bed gets more acute, dont have diabetes or thyroid or iron problem ( im 49 ,maybe pre menopausal stuff),happend after i hauled water in basement , this was 8 months ago,still in discomfort really hard to deal with,no doctors help,dont want surgery Im thinking this could help,I do notice when midback is massged I do feel some let up but its 24/7 it doesnt go away,no wrist pain-thanks for video
Hi MM, my main advice would be to keep up with your doctor's visits, and to see if you can get a referral to physical therapy (or to an occupational therapist who specializes in wrists/hands). Massage can be a good adjunct, but a personalized regimen of stretching and strengthening from a PT could address the cause. Best of luck!
Can I please be your guinea pig
Half this video it’s at the wrong camera angle and you can’t see the technique he’s explaining!
why is she naked ??? surgery?? or u just wondering?
She isn't naked she is properly draped for massage. Most people do get their massages in this manner.
Get to it nerdo