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length of partially cooked pasta or a slender worm under the skin Most professional masseuses
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describe muscles with multiple trigger points as having a crunchy or spongy quality
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Muscles with trigger points are also easy to identify because they are tender to the touch
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In contrast healthy muscles dont elicit a pain response under pressure Tenderness should be
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your operative diagnostic criterion Concentrate your efforts on any tender mass you find
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Apply pressure dig and release Use your knuckle fingertip the heel of your palm or elbow to
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get in as deep as possible to break down the scar tissue and fibrous adhesions The tip side or
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first knuckle of the thumb can be particularly useful You want to compress tender muscles all
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over your body
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You can use a tool to avoid straining your hands or to apply pressure more easily to hard
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toreach areas Pictured below are the implements that use to perform compression on
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myself You can find an eyebolt in any hardware store and the other tools can be found easily
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online if not at your local sporting goods store Aside from my own hands the Index Knobber
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shown at the far right of the picture below is my tool of choice
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PROGRAM PEACE Self Care Exercises to Reprogram Your Mind and Body
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Illustration Tools for compression A Thera Cane B Backknobber C Baseballs attached with drilled holes
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and metal screws D Spiked massage ball E Foam therapy ball F Softballs G Squash ball H Tennis ball Yoga
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Therapy Balls in sack J Three sizes of eyebolts x x x K Knobble L Jacknobber
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M Index Knobber You can also place tools on the floor such as a hard water bottle rolling pin racquetball
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barbell pipe or wooden dowel and push your body into them
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The benefits of compression have to do with muscles need for microbreaks which we have
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discussed previously The muscles that feel tender when subjected to deep compression have not
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had the breaks they need to remain healthy Compression gives them a muchneeded respite
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reestablishing blood flow and permitting full regeneration The muscle may feel warm afterward
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as fresh blood rushes to areas that are normally neglected To send fresh blood into an area you
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first need to squeeze existing blood out by performing something called ischemic compression
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It is helpful to visualize the effects As you massage imagine that you are pressing into
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pale pink tissue that has lost most of its blood supply Envision the muscle turning white as you
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compress it and the remaining blood is squeezed out Then as you release imagine fresh red
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blood flooding into the area Imagine that this redness dissipates in a few seconds but that the
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muscle stays more brightly colored than it was before Of course all of that is quite literally
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happening Compression creates the cellular events necessary to express the genes required to
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build new blood vessels This renewed blood supply brings the muscle back to life Below is an
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overview of the steps involved in the Program Peace compression routine
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Compression Protocol
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Breathe Use the tenets of diaphragmatic breathing throughout your massage practice
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This will help ensure that your muscles remain relaxed even during discomfort If
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compression becomes particularly painful take a deep breath in then breathe out
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slowly through pursed lips to extend your exhalation
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Pressure Find a muscle that is tender when compressed Press firmly on the muscle
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with the tip of a finger knuckle or tool for between five and seconds On most areas
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of the body you can apply between five and pounds of pressure To gauge this
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imagine a dumbbell of a given weight resting on top Use less pressure on more painful
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or delicate areas Release reposition centimeters or millimeters away and repeat
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Movement Some practitioners recommend sliding a finger thumb or tool down the
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length of the muscle They use deep firm strokes that move in the direction of the
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muscle fibers Others recommend stroking across the muscle repeatedly like strumming
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a guitar string Try to develop skill at both Either way you want to pin the skin down
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and slide it over the muscle rather than slide your fingers over the skin You can also
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simply press into an area of tenderness rather than stroke it If can find a taught
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Chapter Release Tense Muscle with Massage
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sore band of muscle will often nestle my knuckle in on one side of it and press
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rhythmically for minutes at a time
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Intensity On a scale of one to ten aim for a tolerable pain level of six or seven
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Light massage at a pain level of two or three can also be beneficial but will take much
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longer to have an effect At a six or a seven the pain you feel should be mixed with
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pleasure It should hurt good but should not be enough to make you squirm brace
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or breathe shallowly
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Attention Once you release the muscle pay attention to how its level of bracing has
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diminished You may feel insecure or exposed now that you are no longer bracing
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Note the automatic tendency to either resume bracing or breathe shallowly Resist both
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urges continuing to breathe deeply while keeping the area relaxed This will encourage
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the muscle to reset to a lower level of tone
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Follow up The next day if the muscle is bruised or hurts when contracted it is a sign
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that you pushed too hard However if it is slightly sore to the touch then you made
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substantial progress This soreness should disappear with just a few minutes of
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additional massage After the soreness subsides wait a few hours for it to come back
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and compress it again with the same degree of force Repeat this process until the
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muscle no longer hurts to compress Depending on the muscles size and the severity of
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the tension this could take days weeks or months
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Percuss Your Tender Tense Muscles
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The steady consistent pressure of compression therapy can be complemented by percussive
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massage Percussive here means hitting or striking Many professional masseuses
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routinely use slapping beating and pummeling which are all examples of percussive massage
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This approach is similar to the tapotement technique in Swedish massage and certain shiatsu
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regimens It was documented to have been used in ancient Japan when children massaged their
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elders after long days bending over in the rice fields Because the childrens fingers were not
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strong enough to perform a kneading motion they balled up their hands and struck the sore
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muscles with their fists The Japanese term mago no te was used to describe this type of
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massage which translates to grandchilds hands The protocol below details a related method
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that Ill refer to as percussion
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Percussion Protocol
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Use a knuckle fist palm heel baseball or softball to repeatedly strike dormant
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achy muscle For even deeper muscle work use a tool like the Index Knobber to strike
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Use force and speed similar to what would be appropriate for conventional
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clappingapplause Strike the muscle firmly and repetitively like a sewing machine or a
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woodpecker Strike at a rate of roughly three to five times per second rising one to
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three inches above the skin between strikes
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Concentrate this pummeling action on a tender area of muscle just an inch or two in
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diameter for to seconds
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PROGRAM PEACE Self Care Exercises to Reprogram Your Mind and Body
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percuss my neck shoulders back arms legs knees and ankles firmly all over with
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objects ranging from baseballs to knucklesized tools weekly recommend percussing your
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entire body with a hard implement If you dont have any of the tools below dont hesitate to
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start just using your knuckles or palm heel Using percussion is one of the fastest and least
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painful ways to erode trigger points and reanimate dormant muscle
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