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denisebruno complete thai massage progress notes
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denisebruno
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August 22, 2015 - 10:56 am
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Module 10  I practiced with my daughter which always is a challenge because of her anatomy and past surgeries.  It makes me really evaluate her and use my judgment as how to use the techniques in a safe manner and whether I use some of the techniques at all.  For instance, I was not able to to do the leg stretches on her right leg ( the one that received the osteotomy.).  I did use the techniques on the left and went back to some stretches from the earlier modules on her right leg.  My other children are more flexible which then allows me to use the techniques and use the more advanced stretches.  I enjoy this variety because I know that every individual I see will be unique in their own way. 

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Shama Kern
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August 22, 2015 - 2:51 pm
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This variety of practice partners and their different body types and requirements are the best way to implement the material. It forces you to learn that not every technique works for everyone and to be intuitive and creative in finding out the best way to work on a particular person.

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denisebruno
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August 26, 2015 - 8:21 am
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Module 10.  I liked this module in regards to the many different angles "hip pie"  It really helps to make sure that all angles and range of motion is accomplished.  I practiced with this in mind and it helped me perform in a more organized manner.  I do like how you explained the anatomy of massage as well.  The one thing that did happen to me was very interesting.  When you spoke of the practitioners energy and what can happen if he or she is stressed it is so important.  I was getting ready to practice on my daughter but had been upset about something.  I started practicing on her and noticed how she was stiff, was crying and was not her usual relaxed self.  I then realized that my energy was making her stressed.  I know of this but when I practice on my clients I always prepare for a good quality stress free session.  I know that I took for granted working on my daughter since i was at home and I usually work with her everyday.  I just let the daily stresses take over and in turn did an injustice to my daughter.  After I realized what I did, I took a deep breath and tried to regroup my thoughts and energy.  I have learned that it would be better to skip the session till later or skip all together if I dont have time.  I can always complete a longer more effective session later or the next day.  I have been working with my daughter for years and this is a new and exciting way of working with her.  The good news.... she stood in her loft strand crutches by herself which she has not been able to do in three years.  I am so excited to continue with this modality and see the new and miraculous things my daughter will accomplish.

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denisebruno
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August 26, 2015 - 9:05 am
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module 11.  I truly appreciate you making a module with a summing up of what we have learned so far.  This was a great way to practice on my sister.I am finding it difficult with putting my legs in the right places.  I am not fluent at all and really need to practice.  I feel comfortable with this massage and i know i need to be patient.  I realize it is going to take some time before I can get through the massage with ease. 

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Shama Kern
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August 26, 2015 - 7:01 pm
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It sounds like you had a really good lesson in energy transfer and state of mind. I am sure you knew that already, but like you said, in some cases we might disregard it and it's not fair to our client.

We work with our bodies and with our minds, and we work on our client's bodies and on their minds as well. The two cannot be neatly separated. There is always an energy transfer.

You will really appreciate the "Magic Touch" bonus module which goes much deeper into this topic.

I am so happy to hear that your daughter is making progress!

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denisebruno
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August 28, 2015 - 4:35 am
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module 12  I really appreciate the variations in the calf stretches.  I am short so many of the techniques you show us for short practitioners definitely applies to me.  I did not realize until i practiced it, however the hamstring calf combination stretch is very powerful and I did not realize my own strength unti doing it.  My client had that look of "wow."  I lightened up on the stretch and it was fine.  So many techniques and so many variations but this is so helpful when I embark on this new massage modality for my career.

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August 28, 2015 - 6:36 pm
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Good to hear that Thai Massage will help you in your career - that's the idea! Smile

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denisebruno
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September 9, 2015 - 9:29 am
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Module 13.  I have a client on a regular basis who has cerebral palsy.  He is non verbal but have been massaging him for 10 years.  In regards to the pain scale it is a great tool.  For me in this situation I obviously cannot ask him his level of discomfort.  I really love how you have given such a wide range of moves in order to modify when needed.  In this instance I used a lot of the finger scooping and rolling which allows me to ease in slowly in order to not hurt or injure him.  He does make certain faces and noises which I have learned to read as to what is uncomfortable for him.  Thank you for such a wide range of variations to the Thai.

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denisebruno
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September 9, 2015 - 9:35 am
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Module 14.  I loved this module.  There are so many people that have hip problems it is nice to be able to approach this area in a very comfortable yet effective way.  My sister has very bad sciatica problems and has always been treated lying prone.  Working on her in a supine position was much less painful for her as apposed to the deep tissue manipulation she is used to.  I think if she continues to have me work on her with the Thai and alternates with her other massage therapist who uses deep tissue she will she alot of progress to this area. 

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denisebruno
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September 9, 2015 - 9:41 am
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Module 15.  I used this on many different clients ranging from my Cerebral Palsy clients to my regular clients and it was amazing.  I really never include abdomen in many of my massages since most clients usually want me to focus on the areas of pain such as neck, back, and shoulders.  I was amazed at how relaxing and soothing it was to them.  I especially was excited to learn this technique for the issues of constipation.  In working as an RN in a pediatric office, many parents called with issues of constipation in their children.  I see myself using this often in my pediatric kids as well as the adults. 

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Shama Kern
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September 9, 2015 - 8:25 pm
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That's great feedback! You might consider my Thai Massage For Sciatica course to help your sister even more. I use it on my wife who also has sciatica problems.

Thai Massage For Sciatica

Personally I love abdominal work and I have had a lot of success with it. If you want to go deeper with the abdominal work, I also have a course just about that, by the way. It's just a $37 course, but you can do complete abdominal sessions with it. It seems like you would be the perfect candidate for it. Smile

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denisebruno
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September 15, 2015 - 2:31 pm
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module 16,  I enjoyed this module because one of the biggest areas that many clients report stiffness and pain is in the shoulder and neck area.  My client enjoyed the massage however my back was cramping up.  I need to really focus on form for myself.  I find myself tensing up many times.  I have the module playing while I work so I can follow along at least once then I practice without it on.  I think I am trying to perfect my moves so much that i am not letting myself relax.  I am sure as I learn the techniques my form with just naturally flow and I will not be so tense.

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denisebruno
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September 15, 2015 - 2:43 pm
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module 17,  This technique was excellent for my daughter.  Her right arm is always in a flexed position because of her CP and it makes it very difficult for her to use that arm.  This arm and hand massage really relaxed her.  I know i will be using this one on her on a regular basis. 

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denisebruno
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September 15, 2015 - 2:47 pm
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module 18.  This is definitely going to take practice.  I am short so my biggest fear is that I will end up kicking or kneeing someone in the head as I move from one side to the other.  My legs are short so I found that I need to take a wider stance with my positioning.  This made it easier for me to move from side to side.

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Shama Kern
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September 15, 2015 - 11:38 pm
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If your back is cramping up, you need to focus differently. Just imagine yourself being a graceful dancer, or a Tai Chi practitioner and try to work in this frame of mind. Make sure that your ergonomics are supporting you and that you only work with body weight and not with muscle pressure. 

There are thousands of tiny Thai women who all had to learn how to use their bodies in such a way that they can do Thai Massage all day long, year after year, without causing problems for their own body. This is super important. Thai Massage should never feel like a strain.

You can take one single technique and play around with it by adjusting your body position until it feels easy. Try straightening your back, working more slowly, breathing with the movements, eliminating anything which feels stressful to you.

If you keep watching the videos, I demonstrate all this many times throughout the course. I know it doesn't come naturally to everyone, and some therapists have built up muscling habits in other modalities. 

Instead of keeping up with the modules, try to perfect some individual techniques. This will change your focus and help you will all techniques.

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denisebruno
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September 16, 2015 - 7:27 am
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Thank you so much for the advice.  I will definitely take these suggestions and practice, practice, practice.  I know it will get easier as time goes on. 

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denisebruno
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September 22, 2015 - 4:27 am
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Module 19  As always, I really enjoy the modules that are a comprehensive of all that we have learned so far.  I do use the computer as I go along with each module we learn so it is nice to have a module with out much talking.  It flows so nicely and allows me to really put everything together in a smooth method.   

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denisebruno
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September 22, 2015 - 4:42 am
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Module 20.  I worked on my daughters foot first.  She has very small feet and even though I thought I was using light pressure she said it hurt.  I lightened up even more and she was fine.  I do not  know whether this was the result of her CP and she is sensitive or if I was in fact too deep.  I then worked on my husband with much bigger feet and I needed to then adjust my pressure significantly.  He loved it.  This is good because every individual has their own sensitivities to pressure.  I found that to be true with my massaging.  Big muscular men sometimes do not like deep tissue a lot of times and little petite women can take a tremendous amount of pressure.  

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Shama Kern
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September 22, 2015 - 11:33 am
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So true, for example I don't like very strong massage at all. I like to zone out and drift off into trance-land. Everyone is different and it is our job to find out what works for whom. There is a lot of good information in the communication module (#35) in this course about this.

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denisebruno
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September 27, 2015 - 11:33 am
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Module 23.  I know I am our of order.   21 and 22 will come soon.  I really needed to do some sacral work for some clients.  I never really did a huge amount of sacral work in my regular practice.  I really need to practice this technique.  It is not always easy to feel what I am trying to feel for.  My daughter is very thin and has a twisted spine and it is very hard to palpate that area.  Other clients which have more padding again makes it difficult.  I know with time and practice I will learn to find the area I need to be working on much quicker.  You made the percussion and the thumb movement seem so easy.  I tried it and it was much more difficult than I thought.  There have been some techniques that have come so natural to me than there have been others that were not so natural.  I will continue to palpate and practice.  Enjoying everything I have learned so far.

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