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Diana Ohlson's Thai Hip Therapy course notes
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Diana Ohlson
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October 25, 2015 - 3:37 am
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It still suprises me that Thai massage offers a view of the body and how it works which I have not before been experienced in any of my trainings.

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Shama
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October 26, 2015 - 2:27 am
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Hi Diana, welcome to our forum and to the Hip Therapy course. Just one question: Are you posting just to share your experience or are you posting in order to get a certificate?

In the first case you are fine. In the second case you would need to start the process here:

Certification Registration

Just checking to make sure we are on the same wave length...Smile

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Diana Ohlson
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November 5, 2015 - 11:09 am
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Module I

Wow! Perhaps I have it now, that is, how to post for my CEU's Thai Hip Therapy course credit.

My client LH has been a client for some years. She came to me for relaxing massages.  I knew her right hip has bothered her for years.  I have worked on her gluteus, the IT band, the hamstrings concentrating on the muscle attachments to little good change in her hip.  Our first session after viewing Module 1, I had her lay on her back then I had her spread her legs to a “V” to determine if her feet would be vertical or angle laterally.  We were not surprised to note that her right foot stood at attention in the 90 degree vertical angle from the floor.  Her left foot had a small amount of lateral direction but not much.

The next step was to roll her leg right leg at the hip joint.  I was kneeling by her right side lifting her leg with the knee bent at a right angle.  My right hand was cupping her heal while my left hand was on her knee to rotate her leg at the hip joint.  I did this movement gently asking her frequently if the movement was comfortable.  She responded yes.  Beyond that LH did not notice any difference in how her hip felt.  I repeated the same movement of rotation on LH’s left leg.

Her next appointment she will report any changes she may have experienced.

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November 5, 2015 - 10:17 pm
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Looks like you got it all figured out. If you want to double check, you can take a look at our certification check list here:

Certification Check List

I want to make one point: The Thai Massage hip therapy techniques are very effective. However you need to keep in mind that ALL massage is a gradual process toward improvement, not a quick fix thing like popping a pain killer (as I am sure you know). So don't expect LH to come back with a miracle report after one session! Smile

That's a good way to set yourself up for frustration if you set your expectations too high. Also it's not just about learning the techniques. It takes plenty of practice, experience and intuition to make those techniques really effective - and that takes time.

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Diana Ohlson
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November 17, 2015 - 7:58 am
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Client IM was tested to determine if her feet gave us an indication of any hip restrictions.  Well ,we knew from past experience that her left hip gives her the most trouble of the two hips and don’t you know her left ankle   was standing at  90 degrees from the mat/floor with toes pointing to the ceiling.  IM’s left hip did appear to be higher than her right hip.  I attempted the rocking motions on both hips for IM’s right hip frequently needs some attention too.  IM was in a minor car accident last year requiring me to work on her hips frequently and I have hope that the Thai Hip massage therapy will help me help IM through time.

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November 17, 2015 - 2:04 pm
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Diana, please make sure to put the module number at the top of your post so that everyone can easily know which video you are referring to (same as in your post about module 1)

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Diana Ohlson
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November 19, 2015 - 12:47 am
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Module #3

The therapist's tasks in this module are certainly pleasing as they lead us to the meat of the restricted hip's problems.

Using one's forearms to lean into the quads, the top portion of the sartorious and the top of the Tensor fasciae latae feels empowering to me as a therapist. The use of the arm saves one's hands and wrists and will affect a large area of the client's thigh. Thank you for mentioning the issue of working on a male client.  I was working on my husband with this move and he did confirm that the closeness to the crouch was an issue.  He also commented on the tightness along the thigh on both legs.  On his  left leg though he felt a sensation  in the upper thigh on the scar of an old operation on that knee and asked me to go gently when I actually was close to his knee.

Using my knee and my foot is uncomfortable just now but with practice on family members I will become more comfortable with it. However, using my knee to work on the ITB is great.

I am pleased to be reminded that moving energy is involved with our therapy.

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November 19, 2015 - 9:16 pm
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Actually the whole principle of Thai Massage is different from western massage. The goal of a Thai Massage session is not to soften or lengthen or stretch muscles and tissue, but to open up energy flow in order to allow the body to activate its innate healing energy.

In the eastern world the idea of healing is that disease, trauma, accidents, or life style habits can block energy flow which makes it difficult for the body to heal - and this blocked energy is released by Thai Massage work.

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Diana Ohlson
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November 21, 2015 - 4:44 am
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Module #4

The eight possible “pie” positions for the client’s leg with knee bent are to stretch the muscles which are restricting the hip’s full potential giving the therapist a way to visualize said possible positions.  We have been told previously that one method to help loosen the restriction is to use a variety i.e. not consistent patterns, of movement by the therapist in order to confuse the muscle and muscle attachments which have begun to act as though the new out of balance position is where they want to be. Long sentence and not so clear.

One method which I recall and know it will be a favorite is when the client’s leg will not bend to the mat I will massage the adductors by grabbing and squeezing them while using a rocking movement all the while coaching the client to relax and let go.

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Diana Ohlson
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November 22, 2015 - 7:28 am
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Module #5

Using one’s finger tips using both hands, one on top of the other, moving in a circular direction can be advantageous to relieve a specific tight area of muscle.

In order for the therapist to manage the”Slow down blood flow” move the therapist may sit and rest the client’s thigh on the therapist’s thigh.  To feel the femoral artery, it is to be felt just where the thigh can bend nearly opposite the ball and socket joint of the hip.  The therapist will use his or her forearm to slowly feel and then hold the femoral artery. The movement is to be slow, sinking in slowly, do not move and not press and when felt the therapist will feel the pulsing  of the artery -hold for 30 seconds to a minute.  The therapist will feel the strength and the heat. from the artery. After the hold of 30 seconds to one minute the therapist will slowly and gently release.  If one is working on a small person then the use of the heel of the therapist’s hand should be used instead of the forearm.

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November 22, 2015 - 11:54 pm
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Diana, please read item #7 of the certification check list:

Certification Check List

Basically it says that you shouldn't list the content of the video but rather talk about your practice and your experience with the material, partner feedback, how it is working for you. I don't need to hear what's in the videos - I know that, after all I created them! Laugh

Listing the content only shows me that someone watched the video. But talking about your practice and your partner's reactions shows me that someone is actually working with the material. And that's the purpose of the certification program.

Please talk a bit about your practice experience with module 5 in your next post. Smile

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Diana Ohlson
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November 24, 2015 - 9:32 am
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Module #5 “second attempt”

I have several clients with whom I am slowly introducing Thai Massage.  

 

Using the finger tips of both hands, one on top of the other, while moving in a circular direction allows me to work on my client's hip muscle. Adding this to what the client has experienced with my massages previously. Another technique from this module which is easy to incorporate is using the heel of my hand across the adductors.  I believe I may have mentioned previously that I am most excited about working on my client's adductors as one more avenue to help relax the hip muscle.  I also appreciate the advice of making/ keeping my movements fluid, artistic and using my body weight softly. As my massage practice of these past 13 years has been primarily with my the thumbs and fingers of my hands and sometimes with my elbows and on the client’s back with my forearm.  These lessons require a big change both for me and for my clients  who range between 50 and 70. At this time I I have no large clients but my notes and the access to the videos will be at hand should I need them in the future.  I know you have told us that the “Slow down blood flow” is safe and your clients like it but I am most unsure of using this method.  If I were to experience it myself then that would help.

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November 24, 2015 - 9:45 am
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Module #6

Focus: Hip Pie Slice #5.  Using a rocking move holding the client’s heel and knee towards client’s shoulder is one I have been using to relax clients's hips. Rocking from side to side holding the client’s knee and heel moving towards the client’s shoulder is a technique which is comfortable to me and so far to my client LH who’s sister is having a hip replacement on December 11.  It is my goal to introduce, slowly, much of what I am learning in Thai Hip massage so that LH will not need to follow her sister with a hip replacement.  LH does not like hospitals nor the idea of surgery. Using the #5 stretch by placing my knee on the back of the client’s thigh to move client’s bent leg towards the client’s chest is a technique which I like though none of my clients can manage having their leg too close to their chest at this time but this does give me the opportunity to learn to use my knee as a massage tool and another Thai massage move to incorporate into my therapies.

 

Another of the stretches that I appreciate is to stretch both of the client’s hips at the same time, bending client’s knees toward their chest holding, if you will, the client’s knees between my knees.  Not the easiest technique for an American trained massage therapist.

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November 25, 2015 - 12:07 am
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"Second attempt" much better Diana. Laugh Now I can relate to what you are doing.

That's a very worthy goal to keep LH out of the hospital and chances are good that you will succeed.

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November 25, 2015 - 7:06 am
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Module #7

At is good to keep in mind the warning that not every stretch will fit every client though by this many years with clients I can only hope that I do know each client well enough to not be a cookie cutter type of therapist following only one recipe. I do like to be reminded just in case.

Hip Pie Slice #6’s goal is to take the client’s knee to the opposite shoulder thereby giving a maximum stretch in this one portion of the eight stretches.  My husband was not able to stretch either of my knees to my opposite shoulder though the rocking worked rather well for both of us. 

Pie Slice #7 requires gentleness for it is easy for the therapist to put too much weight pressing on the client’s outer hip DB as was the case for . This is where the 1 to 10 question is necessary.  The gentle rocking of client’s leg bent at their knee is all I have managed with IM, as an example.

 

 

Pie slice #8 position feels ever so much easier for me to remember, it just makes more sense in my visual memory.  Placing the client’s foot against my bent leg/knee also makes sense. However, the actual two arm movement was not easy at all.  Using my left arm in a circle worked well. Using two arms at a time is more like a dance. I do need more time practicing.

 

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Diana Ohlson
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November 25, 2015 - 11:54 pm
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Module #8

This client position I like and offering a pillow for the client’’s head and one for the client’s top knee which will not be pushed into the mat.  It is also the double hand movement using the heels of my hands which is more like or  somewhat similar some of the techniques I have been using. As mentioned earlier making the change to use my whole body will be a continual physical learning for me.

Gallop Rythym is difficult again for I do not have much of the dancing skills.  I have a bit of what I call right and left dyslexia.  Riding a bicycle across the US was easy but not any dancing.  The rythym of cycling is the same for each leg.  Using my knuckles is new.  I have not used my knuckles before. Again practice is needed here.

I am taking notes while watching the video and therefore my notes contain what I beleive to be useful directions for me to read.

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Diana Ohlson
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November 26, 2015 - 1:37 am
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Found and completed my test.  First  Score was 75% and the second was 93%.

Module #9

I have used my elbow on my client’s hips for years but I have not rolled my arm down to increase the area worked on.  Also I have not done any circling while using my elbow on client’s hips. Perhaps when I have a younger client I will attempt using my knee on the hip of my client but I cannot see that working for myself and any of my clients just now.

Placing myself in the front of my client IM who was lying on her side in order to work on her gluts with eight fingers was a pleasant surprise for IM. I have worked her gluts frequently with my hands but never as you show in this module. IM did not like so much the jack hammer technique.

The next move with the client face down on the mat I raised the hip and leg up with the 45 degree angle which seems like it will allow an opening up of the sacrum and most of the pelvic. Hopefully I can convince one of my massage friends to experiment on me with this one. It looks to me that I must try this move first on a younger client. Yes, Practice one more time.

Happy Thanksgiving  tomorrow.    I prepare a very simple meal of turkey, mashed potatoes, broccoli, salade with pumkin bread.  No sugar, no Gluten.  Blessings!

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November 26, 2015 - 1:54 am
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If the "jackhammer method" feels like a jackhammer to the client, they won't like it. However if you do it gently, lightly, and with a relaxed wrist and hand, you will find that clients will like it. 

And just to set the record straight, this technique is not called the "jackhammer method". Actually I specifically explain in the video that it should NOT be done like a jackhammer. It's a percussion technique. 

The knee on the hip is mostly useful if you have a large client who needs strong work and you want to have good power with little effort. Knee work is often a good solution is the client is a lot larger than you are. It has nothing to do with old or young, but with size differential.

Enjoy your Thanksgiving dinner - we don't have that here in Thailand.

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Diana Ohlson
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November 26, 2015 - 11:08 pm
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Module #10

This first circular hip stretch is rather easy and comfortable both for me and for IM using traction and rotation.

( a note to self) “Hip Flexors can easily become weak pulling the hip forward while sitting.. Thai massage cannot strengthen the hip flexors. The client must do such for themselves.  Make this clear to your client,. While my client is in prone; have their knees bent and out. I place my thighs against the client their heels to be pushed to buttocks (maybe).”

 

Powerful hip flexor stretch will be felt in the quads.  To use this on a client who is prone on the mat.  Lift opposite leg of Client have their knee bent lift up on their kneel, place my hand on their buttocks while lifting their knee my hand on —this is my airport standing stretch, I did not understand how useful it is altogether. And one more time, I have not used this stretch for any client.  It will be interesting for I know only one other person who uses this stretch on their own body but while standing.Cool

The next stretch I  managed was with the MI’s knee out at an angle, requiring some practice, though it looks to have some promise.

Prone angled leg lift-wish I had a still photograph of this one 26:26 minutes

Yes, especially odd for Americans generally speaking to sit on a client’s buttocks but all we need to do is look at the invasive techniques and touching in hospitals. To achieve the prone straight leg lift I can straddle my willing client while facing their feet and sitting on their buttocks- and lifting their leg Note: Hand to be above the client’s knee not on their knee.

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November 27, 2015 - 1:49 am
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If you use VLC media player as I recommend in the course manual, you can take a snapshot of any frame in the video. You can also speed up or slow down the video.

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