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Alexandru Dan Negrea, The Knee Therapy course notes
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Alexandru Dan Negrea
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August 19, 2016 - 4:31 am
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Module 1 :

I’m very exciting to learn this – We have many patients in our clinic with problems in the knees.
I think the explanation about the posture it is a great lesson itself. I really didn’t realise until now the importance of the posture of the shoulders or the hips for example in the explanation for the knees pain.
I always checked how my patients walk because I need to understand their problems with their feet. But I also checked their shoes because I learned in these years : many problems in the legs of my patients come with their shoes.
Will be a little difficult for me to make abstraction about my western education ( ligaments, bones, muscles etc. ), but I think this is an extraordinary way to heal someone’s knees. I think the anatomy introduction is very helpful and very exemplificative.
I tried the first techniques with my brother and was very interesting: I don’t searched for tendons or ligaments like in the therapeutic massage or in sweedish massage and everything was more confortable for him and for me in the same time.

I just need to practice more these techniques until the next module. I have some little problems with the fluidity of the movements right now ( especially the second position with two hands on one leg ) but I’ll practice them until I’ll found that fluidity. 

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Shama
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August 19, 2016 - 2:46 pm
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Hi Alex, welcome to the Knee Therapy course and our forum. You are right, the approach to healing in Thai Massage is different from the western anatomical model. However I can tell you from my own experience that you can get excellent results with the eastern model. 

The difference is that the western model focuses on a specific anatomical area, whereas Thai Massage focuses on improving the energy flow in the knee and leg, and on removing energy blockages. That’s quite a shift in thinking – I know. But it works and has been working for many hundreds of years in Asia. Smile

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Alexandru Dan Negrea
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August 19, 2016 - 2:53 pm
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In three hours I’ll have a patient – a lady with serious knees problems. I can’t wait to apply what I just learned in the first module and to share that experience ! SmileI already worked with her in the western style with some amelioration, but I’m so confident now – after I worked 2 hours with my brother to train myself- the eastern method is better for her.

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Shama
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August 19, 2016 - 2:57 pm
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Excellent! If you are so confident just after the first module, you will be in ‘therapist heaven’ after you complete all the modules! Laugh

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Alexandru Dan Negrea
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August 20, 2016 - 4:29 am
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You know – I worked with my patient only what I learned from first module and the results are very good: I mean, was not easy to work on massage-table, but I did all the moves from first module ( I repeat for 3 or 4 minutes every move)  and I felt the patella more elastic than yesterday. Was a good result because that noise in the knee dissapear in the end of the session. The patient goes in weekend with less pain and she can stand firmly on her feet now.

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August 20, 2016 - 9:47 pm
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That’s really impressive. It’s great to know that you are immediately putting this material to good use. Can’t wait to hear what you will do with it after completing all the modules!

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Alexandru Dan Negrea
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August 21, 2016 - 10:29 pm
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Module 2

I received the module yesterday and I just saw it for 5 times from now, taking notices, repeating them with some volunteers here in my home and repeat and repeat the moves. It’s not so easy to do what appear to be  easy to see because all the moves have their’s complexity.
I know I must to do very well every move because I’ll must to make them in clinic on massage table and will be more difficult if I don;t understand very well their principles.
The end of the module is a great healing philosophy and I love to hear it – it is what I felt like massage therapist all over the time about the mechanism of the body when it must to heal himself.
Almost every move here need very much attention and more practice because are some moves who are combined with the others – like in the rocking moves who goes from gastrocnemius muscle to the upper knee, changing the position of the fingers and changing the pressure. It is very hard without practicing every of these to make a proper move. Shama have an amazing fluidity even when he repeat it in slow motion.
I’ve done somatic massage so much time and I must to say I really don’t believed to found such a complex moves who can put me a lot of problems with the body-hands coordination .
I’m a little scared about this module because I know I must to do a lot of work to assimilate it but I love more now the Thai Massage and it’s principles, I love it’s effects on my hands and the entire energy I feel when I’m doing the massage.

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Shama
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August 24, 2016 - 9:02 am
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Thai Massage is clearly a different  way of working and it takes some getting used  to. However with a little practice it will feel natural very soon. The most unusual techniques will probably be the rocking movements. It is well worth practicing them because in my experience they are probably the most effective way of dealing with knee pain. Smile

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Alexandru Dan Negrea
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August 25, 2016 - 11:56 am
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Module 3 :

I love this module because it made me understand what I am – a massage therapist – and what my client is – a human been alive. I know this is sounding so simple for a moment, but when I have the hands there on the client, and my mind is concentrated on his pain and body and technique, we are somehow connected and work together. A great lesson about the entire energetic body. Now I can see : it is very difficult to do all this simple techniques because that “dance” whereof Shama is talking, demand a lot of practice and dedication.
I stoped the practice with my clients with knee problems until I’ll perfect my understanding about the movements. I know now – after I saw this module and I practice in my home that “simple” moves – I need to move deeply the energetic body of the client to unblock that pressure who cause the pain. In this moment, after the module 3, not the technique ( the moves ) is my concern, but my internal attitude, my relaxation when I work.

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Alexandru Dan Negrea
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August 26, 2016 - 2:19 pm
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Module 4 :

It is a little bit difficult to find and maintain the proper position with the leg of the client on your leg. When I put the my brother’s leg on top of top of my knee was a little difficult to mantain his leg there when I work on it. He has all the time a problem with relaxation of the leg because he think his leg will fall from there. Smileanyway I’ll practice all this days until all the side-moves will be relaxing moves.
I had a problem with my leg ( that one who stay under me ) because it was very numb after some time, but I think my position there was not so good. I must work on it, too.
In that position when lift up the leg of the partner and put it in your groin and work with the arm under the knee, I pressed on the tendon there accidentaly and was not a very nice feeling for my brother. I reallise after that I jut move too much my arm.

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Alexandru Dan Negrea
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August 28, 2016 - 1:13 am
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Module 5 : 

In the begining of the module, I’m a little bit concerned about the situation when my client will have problems with his circulatory system – I mean when someone could have varicose veins, spider veins or / and other problems with the leg veins. I think I cannot do those techniques in that case ? 

I want to ask you, Shama – how long can be a knee session ? I mean – how long is usual to be ? 1 hour maybe if I work with the both knees and the both of them  have problems ? Or 1 hour is too long ? Maybe 1/2 hour ? 

The demonstration is great, I saw you in a normal motion, wonderful technique – my hands I think will must to practice some years to move like this, but I love all you learned me and I will practice until I can do properly every move.

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Shama
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August 28, 2016 - 2:06 am
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This is always a matter of discretion. If someone has some varicose veins, there shouldn’t be a problem with the techniques since you are not applying sustained and prolonged pressure on those veins. As long as you use motion techniques where your hands or knees or forearms are in constant motion, you will most likely be fine. However I cannot make a definitive statement about this since it will always be a case-by-case situation.

It depends on the severity of the condition, so you will have to use your own judgement to decide what you can do and what not. All I am saying is that some varicose veins are not a contraindication for the techniques in this course, but a severe condition might be. 

The other factor is that you can always reduce the pressure which you apply. You can work quite gently and still be very effective. 

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Alexandru Dan Negrea
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August 28, 2016 - 3:01 am
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I understand. Thank you, Shama! I asked you this because, in my country, many women who have problems with their knees, have also problems with the veins on the legs.
What can you tell me about the time per a session ? I don’t want to exagerate with 1 hour/session. I saw in module 5 in your sample-session you do the knee massage for couple of minutes for one leg. Do you think it is enough 1/2 hour for a session on both legs, or maybe is better 1 hour ? I don’t know how much time how long it takes in a normal session in Thailand ?

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Shama
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August 28, 2016 - 3:27 am
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Actually here in Thailand you cannot get a knee massage session. Those knee therapy techniques are largely my own creation. They are not known by Thai Massage therapists in general with the exception of a few moves.

I would say that if someone has knee problems, something like half an hour is probably a good amount of time. A one hour session just on the knees might feel like a little too much. However if you combine it with a lot of leg work, and the client likes it and it is helping, you could go longer also.

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Alexandru Dan Negrea
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August 28, 2016 - 3:58 am
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This is what I think so too.
Thank you very much, Shama, for all your guidance in this course. I’ll use all I’ve learned here to improve my massage therapist skills. I can help better my clients now and I’m profoundly obliged to you because you simply shared with all of us all this wonderful knowledges.

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Alexandru Dan Negrea
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September 3, 2016 - 11:21 pm
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Today I trained myself with a good friend who has serious problems with her right knee. What can I say – it was wonderful. I worked on both knees and she don’t felt something special on her healthy knee ( the left one ) but in the end of the session ( 1 hour session ) she felt a great energy and some warming in her right leg – where she have the problems.
I still work on rocking moves- because are the most difficult for me now-  to perfection them. I can work now on the floor – in my clinic exist a space for kinetotherapy and I’ll work there the knee sessions.
Thank you, again, Shama for this great course. I feel myself more rich now like therapist. I can’t wait for another course in thai massage in your Academy.

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Shama
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September 3, 2016 - 11:43 pm
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Congratulations for your successful one hour treatment. It is amazing how much some additional techniques can help one’s skills and confidence. It’s just such a rewarding experience to be able to really help someone.

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