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Tamara Krenn Hip Therapy progress notes
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Tamara Krenn
Concord,New Hampshire, USA
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February 7, 2017 - 10:02 am
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Moduel 1. I loved learning about the bursa and inflamation in the joints. I got to try the using the knee circles to access the hip tightness and my clients love it. It will take a while to figure our the hip acessment with my fingers on the hip bones. I have a big arthritis bump on my right pointer finger joint and it's hard to see which side is higher.

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Shama
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February 7, 2017 - 11:51 pm
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Hi Tamara, welcome to our forum community and to the Thai Hip Therapy course. Please take a moment to familiarize yourself with our certification check list here:

Certification Check List

Regarding the hip assessment, once you get used to it, you can just eyeball it and you will detect differences. Using the fingers helps, but you could also use your thumbs. In this way the arthritis bump won't get in the way.

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Tamara Krenn
Concord,New Hampshire, USA
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March 18, 2017 - 12:53 am
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Hips- Module 2. 

I love the rocking! Several people that I have worked on have arthritis in their hip which restricts their movement. They have found this work very receivable. Today I worked on a women with a resurfaced hip. A new one for me, I had to modify by not taking the leg across midline. Do you have any suggestions about working with resurfaced hips. It's not a common surgery in the USA , she had it done in Europe.

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Shama
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March 19, 2017 - 12:34 am
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The rocking is everyone's favorite. Smile

On any joint replacements or similar operations I would primarily use rocking movements and avoid strong stretches. There are two reasons. First you don't know what exactly the condition of this joint is, so it is better to err on the cautious side.

Second - if the client has any complications, even if it had nothing to do with your work, there is the possibility that such a client might blame it on you, or maybe his/her doctor will insinuate this. Better be safe than sorry. Luckily rocking is very harmless.

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Tamara Krenn
Concord,New Hampshire, USA
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March 23, 2017 - 8:28 pm
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Hips-Module 3

I am still trying to find ease in the sitting between the legs movements. To get the leg comfortably positioned I had to sit much closer to the groin than I originally thought was respectful, but Iwas assured that sitting really close to the groin did not feel invasive. Also I am short waisted and in "sandwiching" the two sides of the thigh I had to sit at a greater angle facing toward a the feet to keep my breasts from being squished. I look forward to practicing more and getting greater confidence.

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Shama
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March 23, 2017 - 11:39 pm
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Many course students are initially worried about "too close for comfort" positions. However Thai Massage is done with a lot of physical contact. They have the big advantage that you can use your body weight much more effectively and you get much better ergonomics than on a table.

In Thailand this is considered totally normal, and in my 18 years of doing Thai Massage I have never felt that anyone thought that these positions were intrusive. I am convinced that if the therapist has good clean energy and confidence, no client will feel that anything the therapist does is intrusive. 🙂

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Tamara Krenn
Concord,New Hampshire, USA
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March 28, 2017 - 9:02 pm
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Hips Module 4

 

I love how much of this can be incorporated into table massage. Slice 1 is a delicious hip opener and I can stabilize the passive leg while doing this wonderful stretch on the table. The other real delight is the lift, pull  and squeeze on the adductor. I work on an older population and this area is often tight and painful. This technique is a great way to work with this. Also with unconscious holding, I will often ask them to tighten the muscles as they can do that and then release has a greater chance of success.

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Shama
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March 29, 2017 - 6:24 pm
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Yes, lots of this can be done on a table. I always demonstrate it on the floor which is my personal preference, but many course students are creatively adapting it to the table.

I find working with older people very rewarding. They tend to appreciate good massage more than young people in good shape who don't feel the need for massage so much (yet).

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