It’s not just to be nosy…

Magnifying glass with colored papers

… or, Why I’m asking you all those Health Questions.

Before your first massage at my office, I’m going to need some information from you about your medical history. I’ve got a questionnaire that will ask about what medications you take and medical conditions you have, and various questions about your health history.

So why is this? Am I being nosy? Why do I need to know such detailed, personal information that you may only otherwise share with your doctor?

While it may seem like a hassle or invasion of privacy to fill out an intake form, there’s a great reason I want to know so much about your health! Knowing your medical history not only protects you from potential injury during your massage, but it also means I can better personalize your massage to your needs. This ensures that when you leave the massage table, you feel better than ever.

What is a contraindication, and what does it have to do with my massage?

Every so often, it turns out that for some people with specific health situations, massage could potentially be harmful. This is referred to as a contraindication, and there are two different classifications of those for massage therapy.

  • Relative Contraindication: Relative contraindication means that caution should be used when performing a certain procedure. In the world of massage therapy, this means that a client can generally receive their massage. But I will need to modify my techniques and particulars of the session (like positioning, pressure, &/or products used) to stay safe & effective.

Some conditions just mean that we should avoid massage to a particular area of the body (such as a broken bone). These are local contraindications.

  • Absolute Contraindication: Absolute contraindication is the term used when massage could cause harm, and should not be applied at all. This is pretty rare, but it happens.

Here are some examples of conditions I’ve seen with clients, which can be contraindications for massage therapy:

  • Varicose veins
  • Undiagnosed lumps or bumps
  • High-risk pregnancy
  • Bruising, cuts, abrasions, and even sunburns
  • Psoriasis
  • High blood pressure
  • Cancer (I specialize in oncology massage, and in many cases can work with you)
  • Osteoporosis
  • Heart problems
  • Epilepsy

Fear not: Not all of the above listed medical conditions rule out massage for you.

In fact, for some of these conditions, massage can have major soothing effects.

However, I will need to give you specific care. This is one of the main reasons it’s vital to share information with me about your medical history.

Also, colds, the flu, skin infections, or the presence of a fever are all reasons to wait to get a massage until you are feeling better. Read more about my cancellation policy here.

“Why do you need to know what medications I am taking?”

There are some medications that have an effect on your body’s ability to heal and process correctly and I need to be aware of what you’re taking so I can make adjustments.

For example, firm pressure in a massage could be dangerous if you are taking blood thinners. Or, if you’ve been on corticosteroids for a long time, you may have low bone density or thin skin as a result.

If you have been affected by cancer, we will discuss your side effects and make modifications for the treatments you’ve been receiving.

Again, in almost all cases, we can make adjustments to keep your massage safe and effective for you. The key is to keep me fully informed.

In a nutshell, even if you think a detail may be irrelevant, it’s smart to complete my intake form entirely & honestly. That helps me create the best and safest massage, just for you.

Oh, by the way… don’t be concerned if it takes a few minutes at your first appointment to go over the details of your health history. I’ll probably have some followup questions to ask, and you can in turn ask me any questions that you have.

But, since I’m an independent business and not a franchise, this consultation time doesn’t take away from your massage time on the table. Your 60-minute massage should still be a 60-minute massage. That’s my intention… to make your session the best that it can be for you!

Gift-giving & a Massage Newbie (part 1)

gift box with blue ribbon

Letters, we get letters… (well, these days it’s mostly text messages and emails, y’know.)

Here’s one of the questions clients frequently ask about purchasing someone a gift certificate:

“How do I know what kind of massage would be good for my dad? He’s always telling me that his back hurts, and he gets migraine headaches, but he’s never gotten a massage before.

I keep telling him that he needs to come in and see you, and his birthday is next week. So what kind of gift certificate would be best to get for him?”

Of course, everyone’s needs are different, but here are some suggestions I would make for a client who hasn’t experienced a massage yet…

Start with a Swedish massage.

Swedish is intended to be relaxing, to help you deal with stress and (for newbies) will be a good introduction to receiving massage therapy.

In most cases, I would lean toward booking a 60-minute session, rather than 30 minutes. The reason I say that is because 30 minutes can go by pretty quickly when you’re on the table!

If you’re new to receiving massage therapy, 60 minutes can give you a more complete picture. It’s a good way to find out what areas of your body you might want to receive some focus on, during your next massage appointment.

Anyone who comes in to my massage office, will feel like they can relax and take their time. Since I’m a one-person, independent business, nobody will feel as if they are rushed-in and rushed-out. I want to give all my clients personalized attention and listen to their needs.

Create your own “Spa Package” or “Local Adventure”

Massage gift certificates are great for any & all holidays, special occasions, and milestones. And they’re also special when you combine a massage gift certificate with something else to create your own unique “package.”

How about a massage session and a themed gift basket from one of our local gourmet food shops?

Or, a massage session that includes a unique aromatherapy blend, along with flowers, chocolates, maybe a gift card for a favorite restaurant…

Or, pair a massage gift with a visit to one of our local attractions. Have you ever gone indoor skydiving down at the beach? (I got to do that last year… it’s a lot of fun…)

Or what about climbing or ziplining on the ropes course down by the aquarium. Or for the runner in your family, what about a massage gift certificate combined with an entry to their next race?

I hope these ideas help you out with your gift-giving.

Of course, you can choose a gift certificate for any of the massage services that I offer. Or you can just purchase a gift for any specific dollar amount instead, and let the recipient decide what they want.

My gift certificates say “best used by…(a date a few months in the future)” just to encourage the giftee to come in and use them.

Did you know that you can purchase gift certificates online, 24-7? Yep, it’s true! Check out my instant gift certificates on this page.

“Are you certified in Oncology Massage?”

Therapist performing massage on client's lower left leg on table

Good question. Short answer is, I’m Licensed by the state board (which is the board of nursing in VA… we don’t have our own dedicated Massage Board at this time.)

Society for Oncology Massage logoI’m a member of the Society for Oncology Massage (s4om.org) and have taken classes to learn about safely adapting massage therapy for clients who are dealing with cancer. And the learning never ends 🙂

At this time, we don’t have a specific certification for Oncology Massage Therapy (OMT). A therapist who has taken the advanced training, can join S4OM and be connected with like-minded therapists across the country.

There sure are a plethora of classes that I want to enroll in to learn more about OMT. New perspectives to listen to. Webinars to watch. And new insights to gain about clients and what they are going through, and the best ways to help. Plus sacred cows to question. It was formerly believed that someone who has cancer, could not have a massage. Thankfully, we have learned that this isn’t true.

(Along with my underlying healing-process. Cancer diagnosis hands you a new normal, and I’m still working on what that really means in my own life, too.)

I’m excited to be able to offer OMT and to be given the tools to adapt massage therapy so that it’s safe and beneficial. And we need more therapists to take OMT training courses, so that fewer people will be turned away from getting a massage. Maybe someday the S4OM will create a Certification for our specialty. We’ll see…

What Should I Expect When I Come In for a Massage?

Exterior of building where Quiet Strength Massage Therapy is found.

Sometimes when I meet somebody and tell them I’m a massage therapist, they tell me they have been meaning to get a massage.

They mention tension in their shoulders, or they feel stressed out because of their job, or they have pain in their back that never seems to go away. Oftentimes, they had a massage before… but it’s been a long time ago.

Or they tell me that their overbooked schedule makes it difficult to fit some self-care into their calendar. And many people that I’ve talked to, are just nervous about coming in for a massage, because they aren’t sure what it is like. And they’re not sure whether or not a massage will help them. Or whether they’ll like it.

Don’t hesitate to ask me any questions that you have about massage therapy, or if you’re wondering whether bodywork can help you.

Over the years, I’ve worked with lots of clients who never had a massage before…and the vast majority really feel better after they try it!

Because I’m a small business with just one client at a time, I can offer you a relaxing atmosphere that won’t feel like “rush ’em in, & rush ’em out.”

Red alarm clock with grass backgroundFor your first appointment, try to arrive 10 minutes before your scheduled time. That gives you time to sit down, relax, and fill out a form (your contact information, some questions about your medical history, and what you want me to help you with).

My intake form is pretty thorough, but that’s important… so that I can adapt your massage to any medical issues that you might have (past or present).

It’s in your best interests to let me know your health history. I’m not just being nosy, but I want to work in a manner that is safe & beneficial for every client.

Overall, therapeutic massage is safe, but there are lots of health conditions that affect the way that I should work. So yeah, I ask questions, but it’s in your best interests.

As we go over your information questionnaire, please tell me if there are areas that you would like me to focus more time on during your massage.

Most of the time, when clients are new to massage therapy, I’d suggest working on all these areas: your scalp, face, neck, shoulders, arms, legs, feet, and back. But if there is something you want me to leave out, that is completely your decision. Some people are too ticklish to enjoy work on their feet, for example. No problem. Let me know and I will respect your preference. It’s YOUR massage!

Of course, when a client comes in with a particular problem that they want me to spend all or most of their massage time on, that’s fine too.

After we have talked about your goals and preferences, I will show you the massage room and step out so you can get ready.

My table is comfortable and has some thick padding on it with an adjustable warmer to help you relax. It’s up to you whether you remove clothing… most people do, because it makes it easier to work on your muscles. But again, this is your choice.

You then will get under the sheet & blanket and I will knock on the door to see if you are ready before I come back in the room. (Note: Draping with the sheet, blanket, &/or towels, is required for all massages at all times. I am a professional Massage Therapist licensed with the Virginia Board of Nursing, & that is the law.)

Usually I use organic or pesticide-free jojoba for massages. Jojoba is a non-allergenic ester that is close to your skin’s natural oils. If you want aromatherapy oils added, the oils I use are organic. But I won’t use scented oils without permission. I know that many people are sensitive to perfumes & scents! Nope, no “surprise” odors used on your skin that you were not expecting!

I have a towel warmer in the massage room, and normally incorporate some nice cozy towels during a session. But if you are sensitive to heat, just let me know.

If you have booked an hour massage with me, normally that means you get an hour of actual massage time on the table. As an independent business owner, I’m adamant that an hour massage should be an hour massage. (Many of the massage franchises or spas give you a “50-minute hour” and then rush you out the door. Not here.)

One of the most important things I can say about your massage is this: Please speak up and let me know at the time, if there is anything I can change in order to make you more comfortable.

If there is too much pressure, or if there isn’t enough pressure; if you’d like different music; if you’d like another blanket, etc. Please tell me right away, so that your session is what you wanted.

Normally, I do not talk very much during your massage, except to check in with you and get feedback. I don’t want clients to feel like they need to carry on a conversation. It’s your time to relax and enjoy. If you would like to talk, of course you can. But don’t feel like you have to.

When your session is over, I’ll leave the room. I don’t want clients to feel rushed after their massage! Please let me know how you feel and if you have any questions. Sometimes it helps clients to drink some water and stretch a bit after their session.

I want to help you meet your goals for getting massage therapy, whether you mostly want to relax & destress, or you have particular “issues with your tissues.” So please keep me informed about how I can help your massage be what you want it to be!