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Hypersensitivity and Involuntary Spasms??

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I am completely baffled when it comes to this client's reaction on the table when he comes in. I have worked with him a handful of times and everytime it is the same thing.

#1: Complete hypersensitivity in hamstrings. Unable to work on them without putting him into spasms. Only providing light work now. However, even when I am working on his back, his legs and feet are constantly moving. He reviews 'you must be hitting some nerves there'. Now I know that I'm not grinding on his nervous system through his spine to cause such strong convulsions, but are these referral patterns?? Does he really have some nerve damage?

#2: He seems to also have extreme hypersensitivity in his scapular areas (areas of most stress on him). When working with MILD pressure, his breath rate increases, and becomes deeper.

Now, any one of these things would not be so strange, but the combination of these issues makes for a very interesting and challenging massage session. Although he enjoys his sessions completely, I feel that I'm making very little progress due to his hypersensitivity. (i'm assuming he's hypersensitive, but I don't know.)

Has anyone ever worked with clients like this? Between his hamstrings spasming on the table, his comments about 'hitting nerves' and the erratic deep breathing, I'm at a loss. He is not my typical client but I would like to provide him with my typically great results! :)
 


I've seen something like this in clients who have something weird going on neurologically. If this client has a "flat" affect, quirky personal habits, is fussy about the feel of clothes of the sheets, or responds unusually to pain, I'd suspect some kind of sensory integration issue. If that is the case, firm broad strokes can really settle the nervous system down. As if you were firmly petting a dog, with long, repetitive, moderately slow strokes. Broad static compression might be nice. Also a very heavy blanket (or multiple blankets) can be very calming, provided they don't get too hot.

If someone starts breathing faster or flinching when I work very gently on a tense area and it doesn't seem like I could possibly be hurting them, I usually suspect that on some level they are afraid I'm going to hurt them. In that case it is important not to do deeper work without warning them and preparing the area for it. Or maybe the deeper work isn't what the person needs. If someone is tense and flinchy, gentle work can sometimes release the tension more effectively than deep work.

There are two Trager techniques that can be really good for this sort of thing. They are a little hard to explain but I'll give it a try.

Rhythmic rocking - Put your hands on the body part in an encompassing way and make a good connection to the tissue. Moving from your center, push the tissue away from you to rock the body slightly. Maintain a connection to the tissue - you aren't letting go of them. Let the body rebound back into you and push again, establishing a rhythm that syncs with that natural speed of rebound.

Accepting weight - Look at whatever movement the tension is doing, firmly support the relevant body part, and hold it just a tiny bit further in that direction. (This works best if the person can be positioned so the tension is at least partially acting against gravity.) You are communicating to the tissue "I see the job you are doing. It is clearly an important job. Why don't you let me take over that job for a little bit?" Ask them to let you have the full weight of that body part. Gently moving the body part up and down can help them feel the weight of the limb and release it. When they release some of that weight to you, you can gently move the body part in the opposite direction from the tension. This will often give a very dramatic release, especially when the tension is emotionally or stress related.

-- Joshua
 


Wow, that is really helpful...... I understand the first Trager technique pretty well.... I already incorporate that effect into my sessions. The accepting weight, I'm not sure I will be able to try this one but it is worth a shot.

I am amazed at how well you may have described this client by saying 'flat', with quirky habits. That is so true. It is also true that the first broad strokes are most preferred.... I guess I will stick with that!

Thank you so much, Joshua..... I will remember this 'client profile' if I ever see it again.
 


Something else that you might find pretty helpful might be some really gentle passive stretches. When your Cl. is supine, pick up his leg and support it on your shoulder. Encourage him to keep his leg limp and heavy and slowly walk forward, lifting the leg towards a 90 degree angle. You may have to use your hands to keep his knee straight, that way the stretch targets his hamstrings, and maybe even his lower back. When he says he feels a comfortable stretch, hold the leg up and have him take some slow, deep breaths for 10-15 seconds, then slowly put it down.
Then, take the same leg and bend it at the knee, cross it over the other leg and plant the foot next to the other knee. Push the knee of the leg your working on medially, bringing it over the hip while holding the ASIS down with your other hand, spreading the ITB and eventually bringing the glutes into the stretch. Again, just wait for a comfortable, easy stretch and just hold it for 10-15 seconds.
Then (I swear this is the last part!) let go of the ASIS and let the him follow the stretch, and reach under the opposite shoulder, or just grab the forearm before it meets the elbow, and pull the client across the table while still pushing the knee in the other direction, like you were "wringing out the back". This can be a bit challenging if he is stiff or just plain holding himself, but the mild stretch can really open up the erecters and release tension.
Then just repeat on the other side. Overall, it takes five or so minutes. I do this to cl's with low back and hip pain frequently and it is almost always very effective.

Hope that helps. :)
 


oooh! I would love to try this... I think some modifications might be necessary as the size ratio between myself and this client is rather large. Do you have any suggestions that would help me (as a smaller person) do that stretch?

Thanks,
 
stretches

Wow thanks josh. I use that stretch also but i always hold down the shoulder to do the wringing but im going to try the forarm :D
 


With larger clients, you might have to prompt them initially to lift their leg up, but once it's on your shoulder, they should be able to relax it without hurting you. In fact, sometimes this is easier with larger Cl's, because fat weighs less than muscle.
 
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    ๐ŸŒธ We have 7 hot brown girls today ๐ŸŒธ ASHA, MONIKA, RAVEN, AMANDA, DELILAH, PRIYA, SANA, EVA ๐ŸŒธ 2588 Birchmount ๐ŸŒธ 2 Invergordon ๐ŸŒธ 647-702-8800 ๐ŸŒธ Please visit for a great erotic massage
  31. Sparkling Spa:
    โšก๏ธ๐ŸŒŸSPARKLING SPAโšก๏ธ๐ŸŒŸ โœ…50 Lockridge Ave Unit 8โœ… ๐Ÿ‘ŒMarkham, ON L3R 8X4๐Ÿ‘Œ โ˜Ž๏ธ(905) 604-8186 Spa Land Lineโ˜Ž๏ธ โ˜Ž๏ธ(437) 446-6688 NEW Spa Cell Phoneโ˜Ž๏ธ (West of Warden & 16th Ave) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅSUPERSTAR SERVICE QUEENS AVAILABLE AT SPARKLING SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅSEXY NEW YOUNG GIRLS ALWAYS WORKING - Todayโ€™s Schedule isโ€ฆ๐Ÿ”ฅJAV MODEL CHANEL AND SEX QUEEN ZOE
  32. bnwellness_wilson:
    Blue Nile Wellness Center, we have young 4 beautiful girls are working today , sweet new girl Amy and pretty GFE Ella, cute open mind Lina and friendly Coco are providing deep tissue and sensual massage, pls call 416-3985777 book appointment and walk in always welcome, back entrance and parking available, 350 Wilson Ave North York
  33. Peony Garden Spa:
    ๐ŸŒธ2 GIRLS AVAILABLE ๐ŸŒธ EMILY: A CURVY PETITE THAI GIRL THAT IS VERY FRIENDLY AND SPEAKS FLUENT ENGLISH, VERY OPEN WHEN IT COMES TO SERVICE ๐ŸŒธ YOYO: A YOUNG SLIM REAL SCHOOL GIRL THAT IS NEW TO THE BUSINESS, SPEAKS FLUENT ENGLISH AND VERY FRIENDLY TO TALK TO ๐ŸŒธ PEONY GARDEN SPA ๐ŸŒธ 3477 KENNEDY ROAD UNIT 4 ๐ŸŒธ (416) 335-6093 ๐ŸŒธ
  34. Sunrise Health Centre:
    Amy & Michelle are in Today! Call/Text: (647) 325-8086 ๐Ÿ’ฆ We have Hot & Sexy Girls Every Day. They all do Extra Services & are Very Open-Minded ~ Drop In Anytime - Walk-Ins Are Always Welcome! Unit 27, 10 East Wilmot Street, Richmond Hill
  35. HolidaySpa:
    Wednesday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธKelly & Kiki. Kelly is slim and attractive with very slight curves, a nice bum, and rockinโ€™ services. Kiki is very attractive, young, about 5โ€™4โ€ and 110 Lbs., slim with a banging body. Kiki is very popular for her great attitude and services.
  36. ForeverWarden:
    Wednesday at ๐Ÿซฆโค๏ธ๐Ÿ”ด๐ŸŸฅโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Bella & Sasa. Bella is around 5โ€™3โ€ with a thin to medium build, C Cups, and a pleasing personality. She can offer dfk, bbbj and cfs as well as a good massage experience. Sasa is a slim & sweet Korean lady, about 5โ€™4โ€ with C Cups.
  37. New Oriental Health Centre:
    Vivian & Happy are here today๐Ÿ’„~๐Ÿ“žCall ๐Ÿ“ฒ Text: (647) 381-2688 ๐Ÿ’„ Make Your Day Incredibly Delicious ๐Ÿ‘ Our girls provide lots of service options & are Extremely Open-Minded ๐Ÿค— We're Open 9am - 2am everyday! Drop in to Unit 26, 10 East Wilmot Street, Richmond Hill.
  38. Bellagio Wellness &Spa:
    ๐Ÿ’—๐Ÿ’—๐Ÿ’— โ„๐”ธโ„™โ„™๐• ๐•„๐”ธโ„โ„‚โ„ ๐Ÿ’—๐Ÿ’—๐Ÿ’—๐ŸŒŸ๐ŸŒŸ๐ŸŒŸ MARCH 27th , ๐“ฆ๐“”๐““๐“๐“”๐“ข๐““๐“๐“จ ๐ŸŒŸ๐ŸŒŸ๐ŸŒŸ โ˜Ž๏ธ (905) 707-6866 ๐Ÿ•™๐ŸŒŸ๐ŸŒŸ๐ŸŒŸOpen 10:30-10:00๐Ÿ—บ#33-160 East Beaver Creek ๐Ÿ—บ 7 Rms ๐Ÿ›๐ŸŒŸ๐ŸŒŸ๐ŸŒŸTable Shower(TS)+Massage 2hr $120*,TS & massage 1hr $90, ๐ŸŒŸ๐ŸŒŸ๐ŸŒŸ$40/50/60 for 30/45/60min ๐ŸŒŸ๐ŸŒŸ๐ŸŒŸAttendants: We have 7๏ธโƒฃ today ๐Ÿ€๐Ÿ€๐Ÿ€ ๐ŸŒน๐Ÿ†• LILIAN ๐ŸŒน๐Ÿ†• CHERRY ๐ŸŒน CECELIA ๐ŸŒน๐Ÿ†• SUNNY ๐ŸŒน๐Ÿ†• SOPHIE ๐ŸŒน ๐ŸŒนERICA ๐ŸŒน LUCY ๐Ÿ€๐Ÿ€๐Ÿ€ NEWSFLASH ๐Ÿ€๐Ÿ€๐Ÿ€ ๐Ÿ†• LILIAN & ๐Ÿ†• SOPHIE & ERICA & ๐Ÿ†• SUNNY & CECELIA & ๐Ÿ†• CHERRY โ€˜ s BACK ๐Ÿ€๐Ÿ€๐Ÿ€ TODAY ๐Ÿ€๐Ÿ€
  39. hiyamickey:
    6 young sexy girls working @ 3555 14th Ave unit #7 Markham, โ˜Ž๏ธ๏ผš905-470-8082
  40. Lulu1980:
    Good afternoon guys๐Ÿ˜˜ Today we have Jessica and Samantha and Jessica here for you๐ŸŒน๐ŸŒน๐ŸŒน, awesome table shower with body slide super enjoyable๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜๐Ÿ˜5124 Dundas St W Etobicoke โ˜Ž๏ธ 416-817-3366
  41. Sparkling Spa:
    โšก๏ธ๐ŸŒŸSPARKLING SPAโšก๏ธ๐ŸŒŸ โœ…50 Lockridge Ave Unit 8โœ… ๐Ÿ‘ŒMarkham, ON L3R 8X4๐Ÿ‘Œ โ˜Ž๏ธ(905) 604-8186 Spa Land Lineโ˜Ž๏ธ โ˜Ž๏ธ(437) 446-6688 NEW Spa Cell Phoneโ˜Ž๏ธ (West of Warden & 16th Ave) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅSUPERSTAR SERVICE QUEEN ZOE NOW AVAILABLE AT SPARKLING SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅSEXY NEW YOUNG GIRLS ALWAYS WORKING - Todayโ€™s Schedule isโ€ฆBLASIAN ALIYAH & SEX GODDESS ZOE
  42. Red Rose Spa:
    ๐ŸŒธ We have 7 hot brown girls today ๐ŸŒธ MAY, ASHA, MALIYA, SANA, AMANDA, PRIYA, ANAYA, KIRAN ๐ŸŒธ 2588 Birchmount ๐ŸŒธ 2 Invergordon ๐ŸŒธ 647-702-8800 ๐ŸŒธ Please visit for a great erotic massage
  43. SpringGreen.:
    Today we have 5 girls on Tuesday: New polish girl gigi ๐Ÿ’‹๐Ÿ’‹Salina- Eurasian beauty and breast lovers delight with nice rear with fun Mika - Japanese beauty who is wild and a fan favorite with exceptional service Candy - a sweet treat who enjoys her cream filled lollipop treats buny...
  44. bnwellness_wilson:
    Blue Nile Wellness Center, we have young 4 beautiful girls are working today , sweet new girl Amy and pretty GFE Ella, cute open mind Lina and friendly Coco are providing deep tissue and sensual massage, pls call 416-3985777 book appointment and walk in always welcome, back entrance and parking available, 350 Wilson Ave North York
  45. Moneylee:
    All season wellness center : Young girl Big-breasted big Big boobs big butts Cindy , Young girl big breasted beautiful buttocks charming temperament big boobs Lulu,Student big boobs buttocks Vicky, Enchanting sexy petite deep massageSherry ,๐Ÿ  address: #5-30 Rambler dr Brampton ,Ontario L6W 1E2โ˜Ž๏ธ4376655510 ๐Ÿ‘„๐Ÿ‘„๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘…๐Ÿ‘…
  46. Moneylee:
    full season wellness center: NewYoung girl big breasted beautiful buttocks charming temperament Mimi , Young girl big boobs beautiful face deep massage Bobo ,Young beautiful face sexy body and good deep massage star ,Young girl Big breasted saucy naughty Ella,Enchanting sexy petite deep massage Mary. ๐Ÿ  2560 Shepard ave Mississauga unit 1 โ˜Ž๏ธ 4379857899 ๐Ÿ‘„๐Ÿ‘„๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘…๐Ÿ‘…
  47. Peony Garden Spa:
    ๐ŸŒธ3 GIRLS AVAILABLE TODAY ๐ŸŒธ NEW GIRL SELINA: A TALL SLENDER YOUNG ASIAN GIRL, VERY NICE ASSETS AND VERY SERVICE ORIENTED WHILE ALSO ABLE TO PROVIDE AN RMT LIKE MASSAGE ๐ŸŒธ DAISY: A PETITE CURVY ASIAN GIRL THAT IS VERY FRIENDLY AND NOT TIP HUNGRY ๐ŸŒธ JENNY: A TALL AND SLIM KOREAN GIRL THAT IS A TOTAL SERVICE QUEEN ๐ŸŒธ PEONY GARDEN SPA ๐ŸŒธ 3477 KENNEDY ROAD UNIT 4 ๐ŸŒธ (416) 335-6093 ๐ŸŒธ
  48. Annie Spa:
    ๐ŸŽ‰๐Ÿ’ANNIE SPA๐ŸŽ‰๐Ÿ’ โœ…7-1001 SANDHURST CIRCLEโœ… ๐Ÿ‘ŒSCARBOROUGH ON M1V 1Z6๐Ÿ‘Œ โ˜Ž๏ธ(416) 291-8879โ˜Ž๏ธ (FINCH & MCCOWAN) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅ๐Ÿ”ฅ ๐Ÿ”ฅGORGEOUS NEW YOUNG ASIAN GIRLS - TODAYโ€™s ROSTER INCLUDES: ๐Ÿ”ฅ Summer๐Ÿ˜˜, a very feminine woman, very sexy, affable and nice looking woman. Professional RMT Massage and provides great massages and incredible service. Must try the service of summer. Angel ๐Ÿ’• Very beautiful girl from Taiwan, very curvy, young and sexy
  49. Endless Joy Spa:
    โœจโœจโœจโœจโœจ[GRAND OPENING]โœจโœจโœจโœจโœจ ๐Ÿ’žEndless Joy Spa๐Ÿ’ž ๐ŸŽ‡ (155 East Beaver Creek Rd Unit #8, Richmond Hill) 416-731-8565๐ŸŽ‡Young Sexy Chinese Jessica, Slim Chinese Lisa
  50. HolidaySpa:
    Tuesday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธ: Eva & Helen. Eva is young, slim, innocent & demure looks, but donโ€™t let her innocent looks deceive. She can massage & service very well. Helen is a sweet and very lovable Asian beauty with just enough curves to tease you, and an attitude to please you.
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