Nervous System Pathologies: Part 2

**This video is for teaching purposes only. Please consult a doctor for proper diagnosis. Massage therapist, stay within your scope of practice. ►REFERENCE BOOK USED Massage Therapy: Principles and Practice 6th Edition: https://amzn.to/38iNlBq ►PDF of DESCRIPTIONS BELOW W/ PART 1 https://tinyurl.com/Nervous-Pathos ►TIME STAMPS 0:00 Introduction 0:33 Migraine Headaches These are recurring headaches that range from severe to incapacitating. Triggers factors may be hunger, carbohydrates, rich foods, chocolate, alcohol, loud noises, bright lights, hormonal changes, stress, and atmospheric changes. Sometimes the pain is accompanied by nausea. Massage is usually postponed until migraine subsides. When you work on your client, you might need to have very low lighting, cool room, or no sound. Make sure to address the suboccipital muscles since these are known as the ghost headache muscles. Include the scalp, Trapezius, SCM, Splenius Capitis, and Rhomboids. Massage improves sleep quality and reduces frequency. 3:39 Multiple Sclerosis (AKA) MS is a progressive degenerative & demyelination of the neurons of the brain, spinal cord & cranial nerves. Always make sure your client is comfortable and assess their condition each time they come in for a massage. Massages improves balance, walking speed, pain reduction, reduces stress, and anxiety. 5:33 Parkinson's Disease is a progressive neurodegenerative syndrome producing abnormal movements. Neurons deteriorate in the midbrain. These neurons produce dopamine a neurotransmitter involved in emotions, mood and motivation. If your client has a deep brain stimulator, avoid massaging the site. Massage will increase daily activities such as walking, balance, better sleeping patterns, and reducing stress, and anxiety. 7:02 Sciatica is inflammation of the sciatic nerve. Pain usually originates in the lower back or hip radiating down to one side of the posterior thigh and leg. Sciatica can be caused by bulging or herniated disk, spinal stenosis (narrowing of the spinal canal), bone spurs, trauma, poor posture, tumors, and Piriformis compression. It is important to stay within your scope of practice when working a client that may come in self diagnosing sciatica. If your client has a very difficult time walking and getting on the massage table, you might want to postpone the massage until they are more comfortable. Make sure you prop them up with pillows & bolsters where needed for their comfort. They might not be able to lay down supine for long periods of time. Adjust massage pressure to their level of comfort on that day. Usually a 3, 4 out of 10. Make sure to work all the deep hip rotators specially the Piriformis muscle, all 3 glute muscles and 6 deep hip rotators, Quadratus Lumborum, and low back related muscles. You can check for Piriformis Syndrome prior to starting the massage. Massage will improve trunk mobility, flexibility, increases levels of serotonin, and dopamine, indicating improved mood, less pain, and decreases anxiety. 10:49 Seizure Disorders are explosive episodes of uncontrolled and excessive electrical activity in the brain. Results in a sudden change in behavior & level of consciousness. Always make sure to find out triggers for your client so that you may accommodate. Avoid using Aromatherapy. Massage therapy will reduce anxiety, depression, improve sleep patterns, and mood. 12:13 Thoracic Outlet Syndrome is caused by compression of nerves in the brachial plexus alone or with subclavian and vein. These structures are called the neurovascular bundle. It refers to the area between the 1st rib and clavicle. Poor posture, trauma, anatomic defects, and heavy purses may cause thoracic outlet syndrome. Massage is very helpful when addressing the scalenes, SCM, the pectoralis minor (known as a nerve entraper). Make sure to use bolsters or pillows to accommodate your clients comfort. Sideline position is preferred when accompanied by severe pain. Myofascial release techniques, trigger point, Neuromuscular, Medical massage are very helpful in improving and releasing thoracic syndrome. 13:58 Trigeminal Neuralgia is a neurologic conditions characterized by excruciating pain along the path of the trigeminal nerve number V. All 3 branches of the nerve may be affected. Attack may be spontaneous or triggered by mechanical stimulation such as shaving, brushing teeth, chewing, speaking, drinking or eating. During severe attacks it is best to postpone massage. Client may not be able to lay prone so accommodations must be taken to make your client comfortable. Side line position may be preferred. Massage is contraindicated during flare ups. Massage will help reduce stress and anxiety and help sleep patterns. ► FOLLOW ME Instagram: https://www.instagram.com/massagetherapeutics915/ Facebook: https://www.facebook.com/Massage-Therapeutics-915-109032217151052/ #massagetherapy #pathology #nervoussystem