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Lesson 23-1: Understanding Pain

A 1999 national pain survey found that approximately 50 million Americans live with chronic pain caused by accidents or disease. An additional 25 million suffer acute pain resulting from surgery or an accident. Two-thirds of the people surveyed had been living with pain for more than five years.1 Researchers in 2000 found that 36 million […]

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Lesson 23-0: Introduction

In your massage practice, regardless of the setting (e.g., clinic, spa, cruise ship, home office), you will encounter clients with pathologies, many of which cause chronic pain. Some clients seek massage purely as a luxury, while others are looking to massage to help them manage their conditions. In any case, you must have a strong

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Lesson 22-3: Understanding Common Musculoskeletal Injuries

Musculoskeletal injuries can be categorized in numerous ways. This topic explores injuries based on occurrence patterns such as acute traumatic injuries, overexertion injuries, and overuse injuries. Musculoskeletal injuries are also categorized by structure as muscle, tendon, joint, bone, or nerve injuries.  Note that the conditions described here are injuries and not diseases like rheumatoid arthritis,

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Lesson 22-2: The Inflammatory Response and Massage Treatment

As discussed earlier, tissue failure and injury result when tissue is loaded beyond its mechanical strength or repeatedly loaded without sufficient time for rest and recovery. To repair the damage done to tissue, the body rapidly reacts to any injury with a series of specific vascular, chemical, and cellular events referred to as the inflammatory

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Lesson 22-1: Factors in Musculoskeletal Injury

Musculoskeletal injury involves damage to muscles, tendons, ligaments, joints, nerves, blood vessels, or other related soft-tissue structures that causes discomfort, pain, or loss of function. This section examines factors that contribute to musculoskeletal injury, including tissue loads, the forces that act on soft-tissue structures, how forces might overload tissue leading to injury, and risks that

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Lesson 22-0: Introduction

In simple terms, injury is tissue damage. This chapter focuses on damage involving muscle tissue, connective tissue, veins, arteries, and nervous tissue caused by physical trauma. Use the slider below to get an overview of each lesson.  Several related topics in other chapters support and round out this discussion. This chapter, together with Chapters 19

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Lesson 21-2: Neuromuscular Therapy

Neuromuscular therapy (NMT) is a form of bodywork that aims to locate, treat, and prevent chronic pain associated with myofascial trigger points. Many healthcare professionals, including massage therapists, athletic coaches, physical therapists, chiropractors, osteopaths, nurses, dentists, and occupational therapists, use techniques derived from NMT.  This section briefly discusses the origins of NMT, explains the basics

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Lesson 21-1: Proprioceptive Techniques

Several bodywork systems (e.g., proprioceptive neuromuscular facilitation, muscle energy technique, and others) have been developed based on the idea that proprioceptors like Golgi tendon organs and muscle spindles can be manipulated to reset muscle tone and resting length to improve muscular balance and function. In some cases, techniques strengthen weakened muscles and help to facilitate

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Lesson 21-0: Introduction

It is safe to say that every person, at some point in their life, has suffered from muscles that feel tight and cause stiffness and soreness that lead to a decrease in freedom of movement. This chapter looks at a number of techniques that address short, tight, sore muscle tissue and the interplay of neurological

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