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Tehroma Lask: Complete Thai Massage course notes
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Tehroma Lask
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April 22, 2022 - 3:38 am
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Complete Thai Massage Module 23 -  Sacrum and Glutes

My client's favorite from this module were: thumb rocking in the groove and karate chop up and down the glutes.

Knee rocking on the glutes provides a nice release for tension in the glutes and saves my hands (thank you!)

Gradually reducing movement and slowly moving away from the client feels like gently turning down the volume.

Grace in movement and transition are an important part of how I practice. This is pleasant for the client and myself. I also notice where I feel less graceful and take note to continue to practice ease with movement and breath. Moving with my whole body and with my client as best as I can.

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Shama Kern
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April 22, 2022 - 4:27 am
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"My client's favorite from this module were: thumb rocking in the groove and karate chop up and down the glutes."  -  Now, who would have expected that!! Smile  Most therapists avoid the sacrum (for lack of techniques and out of unfounded fear), but clients typically love it.

"Grace in movement and transition are an important part of how I practice."  -  That's part of the art of Thai Massage that goes beyond just moving body parts around. Congratulations!

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Tehroma Lask
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April 22, 2022 - 6:16 am
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Complete Thai Massage Module 24 -  Prone Back 1

I hadn't heard of the recommendation to turn feet and knees in whenever possible (not straight on the knee caps) and I wondered how this would work with my client who's legs (when supine) rotate out. I was surpised to see that in prone, and with the assist of gently rotating the knees and feet in, he looked and said he was comfortable. He has tight ankles so (I keep various sizes of pillows, as you recommend) I like to place a soft pillow under his akles so the tops of his feet feel supported and he feels more comfortable. 

The big palm circles on the far side of the back were a bit hit! All the back work. Backs get so tired and achy! I really enjoy working on creating a nice consistent rhythm while moving the hands down the back. Kneeling works well for me. At the same time -- not always, but sometimes -- after a session, I find that my right hamstrings are feeling tired and I am not sure why, just yet. I am familiar with tightness in my right hip and am aware of when it feels over done, but the hamstrings tiredness/soreness after massage has me intrigued. This might come from kneeling even though it feels comfortable in the moment. Something for me to inquire about and pay attention to in practice to find out where the tired/sore hamstings are coming from.

Everything in this module was received with delight. Really. My client said I could just stay there and work on his back all day! And, these moves were easy on my wrists. Small rapid palm circles on the far side of the spine, the rapidly rocking hands back and forth on the far side of the spine across the erectors is fun when I get into a fluid rhythm. The movement feels enjoyable for me and the client was happy 🙂 

The offset wiggle -- being careful not to overstretch the skin -- has a delightful feel and rhythm for client and therapist alike.

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Tehroma Lask
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April 22, 2022 - 6:17 am
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Complete Thai Massage Module 25 -  Prone Back 2

As I felt my client's back, I noticed the erectors on the left side were tighter than the right. The same was true of his left hip and glutes. When I asked if he noticed this too, he said yes. So, I spent a little more time on this side when I leaned on the erector muscles on the far side of his back and pushed away from my body. 

My client has a big back so I could really lean into the trapezius muscle. Same here as the last module - this back work was a big hit. 

Working the lower back with elbows in the grooves on the far side of the spine, lower back, this is new and a great addition for working on release in the lower back area. 

I felt less coordinated with the knee rocking back and forth on the back than I did on the glute. Knee in the glutes felt easier, maybe because there is more cushion to lean into. More practice here or maybe I discover that using forearms and elbows works well for me on my client's back. I love having so many (new!) options to choose from when working with my clients and continuing to grow as a therapist.

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Tehroma Lask
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April 22, 2022 - 6:19 am
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Complete Thai Massage Module 26 -  Prone Back 3

As I mentioned earlier, these new techniques and reminders to avoid doing alot of sustained thumb work, as well as butterflies are uplifting to my spirits because the pain in my wrists was feeling disheartening. 

Here, I am really focusing on working the back with the forearms -- leaning in with my bodyweight and moving with breath -- on the near side of the spine and leaning into the scapula with (soft the part) of my forearm. This back work on my client with a big back, again, got rave reviews. I also remember that I need to practice on a variety of clients -- and do! -- to see how different ways of working with them varies from client to client. 

After compression,I like to gently smooth out my client's clothing with long smooth hand movements and in doing so, offer an integrative way of transitioning from one area of the body to another. Sort of like rocking. It's relaxing for the client and for me.

Really, I found with this module and the last that taking time to feel my client's back and leaning in with the forearm on each side of the spine, being creative and conscious with my movement gave good results. Back work, clients love it! Release tension, increase blood circulation and oxygen flow...plus, my client later reported having slept deeply that night. 

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Shama Kern
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April 22, 2022 - 7:35 am
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I am so happy to hear that your back work was a hit with your client!

"After compression, I like to gently smooth out my client's clothing with long smooth hand movements and in doing so, offer an integrative way of transitioning from one area of the body to another. Sort of like rocking. It's relaxing for the client and for me."  -  Excellent idea!! Smile

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Tehroma Lask
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April 22, 2022 - 4:32 pm
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Thank you, Shama! I am so happy to have all these new moves to offer my clients in back work Laugh

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Tehroma Lask
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April 24, 2022 - 11:31 pm
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Complete Thai Massage Module 27 -  Prone Upper Back

My experience with working the upper back is exactly as you say, "No one gets tired of it!" 

I've used circling the trapezius with my finger tips (between shoulder blades and neck), kneading the trapezius (grab the muscle and roll it back), palm shoulders on the shoulder blades both in Thai Massage sessions and in my yoga classes (in class, these are nice assists/additions in child's pose towards the end of a class). The only one that gets tired is me 🙂 My hands do get to a point where they say, enough. Clients and students love it.

This new move of lifting and loosening the shoulder blade is a great addition to my practice. It reminds me of when my acupuncturist works on my upper back -- upper back and shoulders are my area that need constant maintence in yoga, hot tub with jets/massage are nice too and bodywork --- before the needles and then after the needles. This move reminds me of a needle-less similar result to acupuncture. Very cool. I have clients who have space for me to dig in there gently and others not so much. It's like you say, their shoulder blades feel glued to my back (I know this feeling in my own back).

The shoulder and upper back stretch reminded me of the spinal twist in one of the earlier modules (only face up in the other version). This is so helpful for increasing mobility in the upper body, spine and shoulder for the client. The interlace of my fingers to stablize their shoulder and lean back feels good for me, like I'm doing something helpful for my client.

I've used the gentle version of cobra most, as you mention. The second and third less often, always reminding myself to gently pull up and then back so I don't crunch/over extend my client's lower back.

Rocking, percussion, relaxing after stretching or just warming up the muscles as an option are great reminders that I keep in mind now during my treatments. I love the art of transition and the latter remind me of just that: art in transition, integration and time for the client's body and energy field to ground work happening with them in a session.

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Tehroma Lask
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April 24, 2022 - 11:48 pm
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Complete Thai Massage Module 28 -  Prone Summary

I feel more confident to offer more work with my clients now in prone. Most of my sessions up to this course were supine, side and very little prone or seated. Now that I have so many wonderful options for back work, I definitely feel more comfortable with my clients in prone position because I have so much to offer them that feels good! Before this course, the main back work I had to offer in prone was the elephant walk which rendered my wrists tired and my clients/volunteers saying they didn't feel very comfortable with that much pressure into the mat (even with a pillow under their chest). These new upper body moves have my clients happy to be face down because the back work feels relaxing and does not put as much pressure on them nor does it work my wrists too much. Thank you! Happy therapist, happy client. It goes both ways 🙂

Your constant reminders to design our own treatments depending on each client's needs is ingrained in my brain. I also feel like I have this extra permission to stay longer in an area if it feels right instead of working in an area for a time and then moving on if I feel like repeating a move for a longer length of time because it is feeling beneficial for my client and feels right for the session.

Flow, grace in movement, listening with my hands, moving with my whole body and with breath. Remembering that some sessions might call for just warm up and rocking and don't even have to have stretching -- this is so valuable to hear because it opens up the sessions to become more and more tailered to the individual and the moment to offer the client the best, most relaxing and healing experience possible. 

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Shama Kern
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April 25, 2022 - 2:32 am
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Your enthusiasm is infectious - if I weren't infected with the Thai Massage bug already! Smile Your clients and students are lucky to have you.

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Tehroma Lask
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April 26, 2022 - 6:29 am
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Thank you for your inspiration, encouragement and support!!! 

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April 30, 2022 - 1:20 am
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Complete Thai Massage Module 29 -  Side Position 1

In my most recent session with a client, most of the hour was in side laying pose. Both sides. I like your pillow suggestion for under the client's upper leg. I also often use a rectangular firm bolster (like the ones I use for restorative yoga) to support my client's inner knee, leg and foot. This brings the leg up and parallel with the floor. Makes it accessible for me to work the outer leg from either side of the client's body (back or front). I've found it helpful -- like you mention -- for really flexible clients to keep them from sliding away. I've found this helpful with less flexible clients to aid their comfort so their outer hip can relax and stretch less while they are in this position. I also like to use a soft pillow to support their upper arm. Looks kind of like how some people sleep which might explain when clients snore Wink

I was able to do the knee walk back and forth while elephant walking the inner leg. The knee walk was new (and fun!) and helpful for moving back and forth. Even though I am really trying to use my hands less to relieve my wrists, I realize that I favor using my hands for feel, connection with my client and because I sometimes pause and offer some reiki when it feels appropriate for a session. Using different body parts and self care are part of the dance and art that I am working on mastering. Lots to do and a long ways to go before mastering, however, honing my skills and refining my craft as an artist is a natural for me so this mindset -- thank you for the constant reminders to make this our art! -- wholeheartedly works for me in Thai Massage practice with my clients.

Sitting on the inner thigh -- 1,2,3,2,1 -- felt easy enough. I was able to slowly move down and back up the leg. I asked my client if he felt anything in his leg and he said, "I don't know". Sometimes when a move is new, I've found that clients can be unsure of how to answer. So, I let that be and move on to keep the energy moving. 

Two of my favorite learnings and take aways (there are many!!!) from this trainings are: circling (small or big) and rocking. Big hits with my clients. Rolling down the forearm on the side of the hip has always felt like a natural fit. Like the space between the hip and thigh bone was made for a forearm to roll around in there and release tension, move energy and help increase mobility in the hips. Percussion is also a favorite (mine and client's).

The inner thigh adductor and hip stretch is challenging and will take time and more body types to practice on. I remember seeing a picture of this one a few years ago and wanting to learn how to do this! 

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April 30, 2022 - 1:39 am
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Complete Thai Massage Module 30 -  Side Position 2

For back work on the side body, kneeling works until my knees get tired and then I can modify to sitting cross legged. Kneeling gives me a better leverage and opportunity to lean in yet sitting cross legged is effective when needed for my body to maintain comfort during a session. Thumb walking is a big hit. My client says I could do this: Forever, lol. Elephant walking feels effective in releasing those long muscles that run on each side of the spine. I just have to be mindful of the position of my wrists. When my body needs a rest or change in position or my client has a big back, I also like the option of sitting perpendicular to my client with my legs extended and using my heels to walk up and down the erector muscles. 

This spinal twist was gentler than ones I had used previously on one particular client -- I don't use the stronger versions on him since I started your training -- this one was nice and he felt relaxed with this gentle variation a a little stretch in his upper pectoralis area during the gentle twist. The rocking motion, push-pull, is a fun addition to my practice. I played with this movement (push-pull) on the client's inner leg too. The rocking motion is relaxing for both client and therapist alike.

The hip flexor, quadriceps and lower back stretch is challenging and I will need to pratice this one on a variety of body types to get it to feel fluid and beneficial. If and when it feels like a good fit for a client and our session.

Part of my inner dialogue now is: This is my art. I have been a visual artist most (all) of my life. Whether the art is painting, designing or writing, there has been an outward expression of an inward feeling. I have always admired dancers and and musicians. This -- Thai Massage -- feels like a dance with fluid movement from the hara, with breath and grace being the ongoing practice as I work with my clients to support their health and wellbeing. Experiecing the healing arts as my art feels transformative for the way I have expressed art in my life. I feel deeply intrigued by this change in perspective and feel. In awe, actually. 

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Shama Kern
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April 30, 2022 - 7:43 am
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"I also often use a rectangular firm bolster (like the ones I use for restorative yoga) to support my client's inner knee, leg and foot. This brings the leg up and parallel with the floor. Makes it accessible for me to work the outer leg from either side of the client's body (back or front)."  -  This is definitely a good modification for easy access in the side position. Pillows can come in handy in many ways and can make it possible to work on someone who could not be worked on without a pillow.

"I realize that I favor using my hands for feel, connection with my client..."  -  Certainly that's the best way to do it. Nothing beats the hands for feeling and sensation.

Your last paragraph about art is written art in itself - I can see you have excellent writing skills as well.

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Tehroma Lask
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May 8, 2022 - 8:34 pm
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Complete Thai Massage Module 31 -  Side Position 3

As you mention, side positions offer great access for shoulder work. 

Shoulder circling has been a big part of my work with clients but I always wondered about how to stablize their arm. I've often let their arm rest on a pillow so it isn't hanging or flopping around too much, but now I have this new way of stabilizing their arm: by laying it alongside their body and blocking it with my elbow. Simple and genius. Thank you! Makes for a calmer experience to isolate the movement in the client's shoulder without the distraction of their arm and hand moving in front of them too.

Finger tips massaging the trapezius and other hand on shoulder circles (or alternating) is well received by my clients with the comment of, This feels good! Shoulder circling with build-in (pec) stretch, the same response. 

The movement of pressing my inner knee with body weight into my elbow and hand leaning into the client's trapezius with my upper hand and rotating their shoulder back with my lower hand is a good fit as it feels like I can really get my body behind the movement which takes pressure off my hands. Effective for client and therapist alike. Dance like fluid movement.

Something interesting happened in my last session with a client. Before I began, I paused longer than usual as I wasn't sure where to start. I did end up starting with the feet. It was simply a different experience than many past treatments where I would automatically start with her feet. I was working with my acupuncturist who was one of the first client's I worked with when I got my first trainings in 2017. There was a part of me that wanted to just do what has often worked well and instead this time, I felt this opening to pause longer and work a little differently. Afterwards, she commented on how profound the work felt on her hips. Her shoulders and upper back loosed up a lot too!

There is a quote by Sharon Salzberg that has been inspiring a lot of my work and life lately, "Life is like an ever-shifting kaleidescope, one small change and all patterns alter." I see and feel this with Thai Massage too in combination with this training and working with clients these days. Every small change in how I begin a session or how I work with a client alters the entire experience in some way, any amount. 

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May 8, 2022 - 8:46 pm
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Complete Thai Massage Module 32 -  Side Position 4

Working on the shoulders, getting in between the scapula and the spine and massaging with compression the lats, this is work I enjoy and see very beneficial. My body position with the client is comfortable, accessible and I can get behind my work with my body weight and breath.

Releasing the scapula with forward-backward movent plus, I like to use circles with my upper hand while the lower hand/thumb presses between the scapula and the client's spine. Good for releasing and for me to feel how the area moves, before and after this technique. I have also noticed that the lower area of the scapula is easiest to access in this move so as I get higher on their back with my lower hand, I move more into trapezius massage and back to shoulder circles. While I don't have long nails, I do have some nails so I have to be mindful not to poke my clients while workin on them. 

The lats massage with the client's arm secured above their head gets great reviews. The side body is easy to overlook in daily life so I like to get in there and compress, stretch and focus on creating more space for the rib cage to expand with the lungs as I imagine the body being oxygenated from the inside out with the client's increasing capacity to breathe: vitality and life force energy moving throughout their entire being.

When the scapula is tight, the rocking movement offered here (and reminder of rocking for relaxation) is a really nice inclusion in treatment. Either on its own or after the stretching to integrate the work and relax for a moment with the client before moving on in the session. 

The sandwich rocking on the shoulders with rigid movement up and down is also a great addition to my practice. Dynamic and relaxing for my client. Fun for me.

While I learn new moves and try them out, I am growing in ways to work with my client and also in my own body awareness -- self-care and continually learning how to conserve my energy in a session. Especially as temperatures rise and it gets warmer for me as I move yet my client is being moved around and their body temperature is lower than mine. All part of the dance in a session. Self-care while caring for the client. Keeping us both as comfortable as possible throughout our time together so the session will be as deeply beneficial as possible for the client and therapist alike.

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Tehroma Lask
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May 8, 2022 - 9:50 pm
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Complete Thai Massage Module 33 -  Sitting Position 1

I relate and appreciate your mention of sitting not being very comfortable for many people and how you rarely use it in a session. I rarely use the sitting position in my sessions and have wondered if I should try to use it more but again, I realize it isn't very comfortable for many and I want my clients to feel as relaxed and supported as possible. I use the sitting position for flexible (yogi) clients and when a massage is longer than one hour (in some 90 minute sessions). A longer sessions allows time to transition back to lying down for the head, neck and face massage (I end this way too and when it feels right with a little rose oil for the neck massage). Again, I rarely use the sitting position for the same reasons. And I now I feel more okay about not using it so much. I did try it several times with my husband and we learned it doesn't work well for less flexible people and especially those with a bit of a belly. He was a good sport and I am grateful to have had that chance to learn with him in a session that it wasn't a good fit and he still comes to me for massage 🙂

The soft pillow between my knee and a client's back when there is not much muscle is a great addition. So simple and so effective! 

Kneading the trapezius area, squeeze and pull up is again, a favorite for clients, family and friends --- also when they are sitting in a chair and asking for a little massage off the mat 😉

The trapezius area rocking, offset rocking feels natural for me. Leaning in with body weight and breath and leaning back with less pressure. 

Squeeze the neck with one hand, supporting the top of the client's head gently with the other. I have a memory of my mother doing this for my father when I was a kid and he would get bad headaches. Squeeze the neck and slide up. Does anyone ever get tired of this? Doesn't seem like it. Yes, oil for dry skin. I keep rose oil in my space for this kind of work. I also have almond oil for clients who prefer less scent. And sometimes, no oil is needed.

The backbend, so far, I haven't had a client flexible enough to enjoy this one. I've gently tried it a few times and so far, it's too much in any varation. A more flexible client and also, it would make a nice inclusion in a yoga class for partner poses, but only with experienced yogis and plenty of time to move through this one with ease and no rush to keep everyone comfy and safe. 

The gentle spinal twist offered in your course is really nice, especially with the slow movement. Thank you for the reminder of gentle transitions, moving the client's hands to their legs and sliding my hands up their arms to transition and maintain body contact. I feel like my transitions are often smooth and at the same time can use continued refinement for a smoothe, gentle, transition that feels continually supportive and connected with the client. In every session, I learn something new and feel more deeply connected with the practice and my clients. 

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Shama Kern
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May 9, 2022 - 6:54 am
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You are being creative, intuitive, adaptable, flexible in your approach - what can I say - it's all the right stuff!

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Tehroma Lask
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May 10, 2022 - 12:30 am
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Thank you, Shama! 

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May 18, 2022 - 3:13 am
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Complete Thai Massage Module 34 -  Sitting Position 2

The back stretch has offered a variety of experiences. I have a client with kyphotic spine tendency but has been able to maintain pretty good posture due to many years of yoga. Her father's kyphotic spine ended up fused in the upper thoracic spine, so she is very diligent about maintaining spinal mobility to prevent complications with age. She loved this stretch and asked if I could stay there all day 🙂 So, whenever I see her for a treatment, I offer the back stretch. I have to be very careful with my balance, as you mention. 

With another client who has very large breasts -- I've only seen her once and she bought a gift certificate for her daughter after the session -- I noticed the rounding of the spine and her comment about the heaviness of the front of her body. She has flexible hips and can sit with ease so I offered her this stretch. She commented on my knee in her back, on the right side, being a bit uncomfortable and I noticed that the roundedness in her spine was more prominant on the right side, so I did my best to minimize pressure on the right side of her back. 

I've tried the back stretch with my husband who does not sit cross legged with ease, so I offered a bolster to sit on to lift him up higher and the stretch actually lifted him off the bolster! And he is a burly guy! It was too much for him so I've left this one out of our sessions. Still, he is a very good sport for letting my try this with him. 

The forearm work therapy was well received on the shoulders and neck of my tired teenager. Nice release for the neck and trapezius. Very relaxing was the feedback I received. 

The shoulder stretch, as you mention, is a strong one so I tried a variation where I am standing and the side of my leg supports my clients back. With self-care, I can bend and take my hands interlaced under my client's arm and gently lift and lean back for a gentle shoulder stretch. The comment was: This feels good, I could never do this for myself and this would make for a good assist in a yoga class. 

As you mention and I've noticed this too: sitting isn't comfortable or available or a good fit for some sessions (or many). I end every session in a savasana position for my clients and work on their neck and head. If rose oil feels like a good fit, then a neck massage with rose oil. More often than not, I end with scalp massage and reiki for deep relaxation and healing. Even when a client is pretty chatty and likes to interact, I can usually get some quiet time for them and the session by working on their head to end the session.

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