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Roger Drakes Thai massage for Sciatica
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ROGER DRAKES
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July 19, 2015 - 11:53 pm
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Just purchased the free two-for -one Thai massage course.

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Shama
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July 20, 2015 - 12:00 am
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Great. I have full confidence that you will put this new material to good use. 

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ROGER DRAKES
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July 21, 2015 - 2:40 am
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Module 1

I read and understood.

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ROGER DRAKES
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July 21, 2015 - 2:48 am
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Module 2

Seeing the big picture is important and knowing your scope as a therapist.

A comprehensive approach is desired as no single muscle works in isolation. These tests are good diagnostic tools for any therapist.Sometimes when you raise the leg in the side on position and the toes point to the roof is a good indicator of a tight piriformis muscle.

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Shama
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July 21, 2015 - 3:32 pm
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You are really moving along. Now you are working on two courses at the same time. Somehow I picture you as a really organized, productive and focused person.

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ROGER DRAKES
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July 24, 2015 - 7:31 am
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Module 3

I like the picture you are seeingSmile.I welcome the anatomy of the sciatic nerve.

The rocking technique for warming up the lumbar and gluteus area is very effective as i tried it one of my sciatica clients and  was able to petrisage much sooner and deeper than normal.

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Shama
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July 24, 2015 - 10:40 am
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Rocking techniques often allow you to accomplish your objective quicker and in a more pleasant way than direct pressure techniques. I guess by now you are well aware that I am very partial to rocking/motion techniques.

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ROGER DRAKES
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July 26, 2015 - 5:57 am
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Module 4

I fully embrace the idea of saving the hands from repetitive movements via the use of elbows , forearms and feet. The friction movements along the spine are effective and felt good. The use of the elbow in that way along the spine was  new to me but will be useful on large clients.

I like drumming and the percussive technique on the sacrum is good and feels good as the vibrations  resonate through to the underlying structures. Prior to this course I hardly ever really worked on the sacrum.

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Shama
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July 26, 2015 - 9:18 am
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You and most other therapists! For some reason the sacrum is rarely touched. I even heard from therapists that they think it is inappropriate to touch it. This is really strange for me since there is just no good reason for this attitude. In my experience and the experience of many of my students clients really like sacrum work. And for sciatica work it is really necessary to work on it.

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ROGER DRAKES
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July 27, 2015 - 11:21 pm
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Module 5

These techniques feel good to my partner but I have a client who suffers with sciatica and who experiences a "sick" feeling in the leg with the sciatica whenever she is rocked in the prone position. She says she also get a pain on the upper portion of the leg. I plan to use this module on my client but am wondering if it will cause the discomfort and pain which I just described . Will it or will the pain /sick feeling subside as I proceed with the techniques of this module?

I am transitioning much better but now feel a stiffness in my groin. I think I have to bend forward more when transitioning.Working with the knees and elbows is a pleasure.

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Shama
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July 28, 2015 - 1:36 am
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That's one of those questions which are impossible to answer without seeing and feeling and talking with the client. The only thing you can do is tell your client that you will use a few different methods and you want feedback what feels best and what doesn't feel right. 

Normally sciatica is mostly felt in the lower section of the leg because that's where the nerve runs. However the sciatic nerve branches out into lots of small side branches which is the reason why people feel it all over the place. So there is "referred pain". It's kind of like having a toothache where you feel pain in the affected tooth, the other teeth and the entire head as well.

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ROGER DRAKES
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July 31, 2015 - 6:59 pm
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Module 6

So its possibly referred pain... but all along the adductor hurts , all away down to the knee therefore difficult to stretch the piriformis.

Using the forearm gradually increasing the pressure really works...increasing the pressure at 5 sec intervals seems adequate.

I dont like using my fingers on the hamstrings prefer the forearms. Have to save the fingers.

Good lower backstretch learnt from Thai massage course already.

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Shama
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August 1, 2015 - 1:28 pm
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You don't have to stretch the piriformis in such a case. Just work directly on the piriformis with pressure and motion techniques. If a stretch cause intense pain, don't do the stretch - at least not until you have improved the condition enough through other methods so that the pain is much less. And if the pain doesn't get less, skip the stretch.

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ROGER DRAKES
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August 4, 2015 - 6:24 am
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Module 7

Knee rocking across entire range does indeed help to free up the stiffness in the joint,Rocking and pushing on the hamstrings also. The pigeon pose is too strong for my partner.

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ROGER DRAKES
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August 4, 2015 - 6:33 am
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Module 8

Good information especially the homework you give the client. This is what the physiotherapist do.

 

Module 9

Incorporating other modalities is useful. I will try the quantum touch one.

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