FSMTA Massage Message Magazine Vol 31 No 2

A Publication of the Florida State Massage Therapy Association MASSAGE MESSAGE May/June 2016 Vol. 31, No. 2Welcome to the 2016 Florida Massage Convention & Trade ShowA MINION WAYS TO DO MASSAGE Special Section: Presenters Session Highlights

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MASSAGEFlorida State Massage Therapy Association A Publication of the Florida State Massage Therapy Association MESSAGEMAY/JUNE 2016 MASSAGEC O N T E NVol. 31 No. 2 MESSAGE May/June 2016 Vol. 31, No. 2 Welcome to the 2016 Florida Massage Convention & Trade Show A MINION WAYS TO DO MASSAGE Special Section: Presenters Session Highlights TS State & Association News Pg 5 State President’s Message By Leiah Carr, LMT Pg 29 Chapter Calendars9 2016 Massage Convention Highlights18 Pg 9 2016 Massage Convention & Trade Show Presenter Session Highlights Pg 10 Cranial/Structural Releases for Headaches By Don McCann, MA, LMT, LMHC, CSETT Pg 11 CranioSacral Therapy: Listen While You Work By Carrie Fisher, BS, LMT, CST Pg 12 Are You Treating Your Patients Right? By Jack Ryan, Class Presented by Kerry D’Ambrogio Pg 14 Visceral Manipulation: How It Can Help Your Clients By Mariann Sisco, PT, CST-D Pg 16 Healing from the Core: A Journey Home ot Ourselves By Suzanne Scurlock-Durana, CST-D, CMT Pg 18 Integrated Manual Therapy & Orthopedic Massage Training By James Waslaski, LMT, CPT, AA Pg 22 The Future of Massage Therapy in the USA By Antoine Chevalier, PhD, MPP, LMT, ND22 MAY/JUNE 2016 • MASSAGE MESSAGE 3

FSMTABoard of DirectorsEXECUTIVE OFFICERS Leiah Carr Terry Lowder State President State Treasurer 904-477-2277 • [email protected] 239-948-3009 • [email protected] Debbie Sieber Krystal Haworth State 1st Vice President State Secretary 863-640-3346 • [email protected] 386-898-2107 • [email protected] John Romano State 2nd Vice President Ralph Russ954-654-6427 • [email protected] Immediate Past President 863-318-8210 • [email protected] PRESIDENTS Big Bend Chapter: vacant Keys Chapter: Mary Ann Nelson • [email protected] Brevard Chapter: Charlene Taylor • [email protected] North Central Florida Chapter: Bruce Gonseth• [email protected] Broward Chapter: Marcia Chaves Tyndall • [email protected] Central Florida Chapter: Crystal Howard • [email protected] Palm Beach Chapter: Lesli Lopez • [email protected] Sarasota/Manatee Chapter: Eddie Hooper • [email protected] Dade Chapter: Renee Scioville • [email protected] Southwest Flor ida Chapter: Sydney Sheaffer • [email protected] Emerald Coast Chapter: James Fritschle • [email protected] Sugar Dunes Chapter: Chester Cyrus • [email protected] First Coast Chapter: Neal Finkelstein • [email protected] Suwannee Valley Chapter: Michael Bates • [email protected]/Volusia Chapter: Greg Neely • [email protected] or [email protected] Tampa Bay Chapter: Joyce Prahasky • [email protected] Gulf Coast Chapter: Marion Padgett • [email protected] Treasure Coast Chapter: Ross Hoffman • [email protected] Heart of Florida Chapter: Ian McIntosh • [email protected] COMMITTEE CHAIRS Bylaws: Pat Donahue • [email protected] Legislative: Alex Spassoff • [email protected] Standards: Mary Koontz • [email protected] COMMITTEE CHAIRS Awards: Krystal Haworth Massage Message Magazine: Joyce Prahasky • [email protected] Membership: Lesli Lopez • [email protected] BOMT Liaison: Alex Spassoff MTAW: John Romano (State 2nd Vice President) Ethics: Pat Donahue Professional Relations-Social Media: Joyce Inderkum • [email protected] Historian: Ralph Russ (State Immediate Past President) Sports Massage: Diane Forrester • [email protected] Insurance Relations: Vivian Mahoney • [email protected] State Store: Adrien Morell • [email protected] Legislative Awareness Days: Krystal Haworth (State Secretary)Liability Insurance Liaison: Ron Stephens • [email protected] Convention/Technology: Greg Neely (Flagler/Volusia Chapter President)FSMTA OFFICE & STAFF CORPORATE OFFICE: Angela Capo, Finance Administrator • [email protected] Lynn Rogo, Marketing Administrator • [email protected] Douglas Avenue, Ste 104 • Altamonte Spr ings, FL 32714 Lynn Rogo, Membership Administrator • [email protected] 407-786-3307 • 877-FSMTA 4 U (877-376-8248) Fax: 877-224-2392 email: [email protected] • www.fsmta.org www.myfsmta.org Editorial Statement Massage Message is published online bi-monthly by the Florida State Massage Therapy Association, Inc., a not-for-profit organization. We reserve the right to edit, accept or reject any material submitted for publication. Advertising appearing in this publication does not imply endorsement of products or services by the FSMTA. Contributors to Massage Message are solely responsible for the statements they make in this magazine. Contents of submissions do not reflect the opinion of the FSMTA. Should the Massage Message choose to publish a submission, the editor reserves all rights to edit content and placement. All submitted articles will be considered but the editor and FSMTA do not guarantee they will be printed. Articles should be educational in nature, designed to be informative and related to the massage profession. Articles should be no longer than 1,500 words and may be edited for content. Massage Message now accepts LETTERS TO THE EDITOR. Please include your name, address, phone and e-mail. Only your name will appear with the letter. By submitting, you authorize Massage Message to print the letter. The editorial staff may edit the letter for content and space restrictions. Submit all articles and letters to: Massage Message, FSMTA, 978 Douglas Avenue, Ste 104, Altamonte Springs, FL 32714 or e-mail: [email protected] MASSAGE MESSAGE • MAY/JUNE 2016

Message from AssocSiattaitoen&Newsthe President Did you know that FSMTA can learn more at the FSMTA Convention website: www.myfsmta. has continued to enhance org To obtain your member convention registration rate you will and improve your profes- need to login and register through your membership portal at www. sional membership, providing fsmta.org . even greater value? While many new features have been As you may know the FSMTA bylaws have a two term limit for added we are still finding that the Executive Committee Officers. I have reached the term limit as many members are not aware your State President. I have served as your elected State President of these numerous improve- for two terms and a total of 4 years. Prior to being elected as State ments. President I served as the elected Chapter President to the First Coast Chapter for 6 years. It has been a tremendous honor to We have recently com- serve the members of FSMTA and to give back to the professional pleted an extensive project to field I am so passionate about. During my Presidency we have improve our membership da- rebuilt and strengthened the internal structures of FSMTA from the tabase. This allows for greater ground up. With each improvement and aspect completed it was security features, increased accomplished with several key goals in mind: reduce operational management tools, and im- cost, integrate technology, and bring even greater value to the provements to the member- members we serve. Looking back I am pleased to have worked to ship portal. I encourage you accomplish so much over the years to improve the association that to visit the state website and serves so many. As transition plans move forward for the change login to your membership ac- in leadership, I am confident that FSMTA is poised and positioned count to activate and explore for tremendous growth and sustainability long into the future. Withthis new area. You will need your email address and password. If the recent approval by the membership to allow for the formation ofyou don’t recall your password you can easily reset with the new Chapters outside of Florida the opportunity to continue to unite thesystem. In the membership portal you will be able to print your profession is even greater. FSMTA has always served as a leadermembership card, membership certificate, access the summary in our industry which others have and continue to look to as a busi-book of benefits, link to the business success center, review and ness model. With the operational foundation streamlined and im-connect to the numerous discount programs and much more. A tre- proved, the addition of superior management tools developed andmendous amount of work has gone into creating this area and the in place, as well as the abundance of new membership tools andmany benefits your professional membership now provides. Take a benefits established the FSMTA is in a strong position going intomoment to make sure you are getting the most out of your FSMTA the future. As an organization we have weathered the recent eramembership by visiting this area of the association website: www. of economic storms that had a negative impact on our professionfsmta.org and emerged stronger. FSMTA provided a new option to members In the member portal you can also activate your free member by being the first to offer a monthly membership payment option.website. Many members have already accessed this area and are This has helped those who are still dealing with the impact of thetaking advantage of the cost savings of promoting their business. recession on their business and finances. We have reduced ourMake sure you also activate your listing on the massage thera- cost in every area of operations which has allowed the membershippist locator. Since this area has been redesigned you will need to price to remain the same, while adding new features and manyactivate your listing to have it appear on the separate website de- expanded benefits to bring even greater value to you!signed for the public to locate you. Members are no longer limitedto selecting only 3 types of services you provide on the therapist As I look to the future and the next chapter of my professionallocator. The list of selections is extensive, but does require you to journey, I feel excited for the future of FSMTA. I have dedicated atake the steps to select those that you provide in your business. decade of volunteer service to FSMTA, the latest being four years At this time of year one of key areas the association staff in a key leadership role as FSMTA’s President to ensure that theand volunteer Board members focus on is the Annual Massage FSMTA is there long into the future to continue to promote, protectTherapy Convention. Do you know that FSMTA provides the larg- and unite our massage therapy profession. I am very proud of theest selection of educational courses of all massage therapy con- work and the improvements that the Executive Board and I haveventions? Do you know that the FSMTA also host the largest mas- accomplished during my time as your State President to improvesage therapy trade show in the world? If you haven’t attended the the association for all members. Our membership base is made upconvention or trade show before, mark your calendar to experience of countless outstanding and dedicated professionals who improvethis amazing event and member benefit. The location is central for the quality of life for people daily. You can be proud to be a part ofall traveling in from the state, nation and those taking international the massage therapy profession, and a member of a remarkableflights. We have attendees who travel from across the globe to organization that unites, represents and has severed the massagelearn from the leaders in the massage therapy field. This year your therapy profession for 77 years!Convention Committee has selected an outstanding list of educa-tional presenters for you to select from to expand your skills. You Wishing you continued success! Leiah MAY/JUNE 2016 • MASSAGE MESSAGE 5

Quality • Comfort & FSMTA style Pick your PERFECT Professional image! Order online today  store.myfsmta.org to SHOP!6 MASSAGE MESSAGE • MAY/JUNE 2016

Come Learn, TShtearStuPcrcoegsrsafmulNetwork, Have Fun at the Florida Massage Convention and Trade Show AND Get Lots of Products, Prizes and Knowledge!A minion ways to do massage: Tips to Kick Start a Successful Massage PracticeMeet the THURSDAY, JUNE 23, 2016 FSMTA Minion Caribe Royale All Suites Hotel who will and Convention Centerbe on site 10:00 am – 3:30 pm to meetand greet! 9:00 am: Doors Open Noon - 1:30 pm: Exhibit Hall Grand Opening Tradeshow Hall Tour and lunch on your own Admission: $10.00 Sign up online: myfsmta.org First 300 to sign up will receive a goodie bag worth $50 And all will have a Chance to Win Thousands $$$ in Prizes A minion costume contest: Wear your minion gear to win prizes! Open to students/instructors and LMTs licensed one year or less. AGENDA SPONSORED BY:Successful Start Panel from FSMTA Massage Florida State Massage Therapy Association,Therapist who have been in the Massage Business Massage Warehouse and Performance Health®for over Twenty years: Mike McGillicuddy,David Kent, John Romano and Elisa DiFalco Event MC: Kray Kibler - CEO of Massage Warehouse and Lynda Solien-Wolfe, LMT - VP of Massage & SpaHear why the FSMTA is your source for success at Performance Healthwith Executive State President Leiah CarrMeet the 2016 Student Scholar WinnerQ and A with Lydia Nixon, Chair of theFlorida Board of Massage Therapy andDebra Persinger, Executive Director of the FSMTBMini workshop on How to Wow Your Customersfor Life with Felicia BrownSpecial appearance by the Prize Fairy, Angie Patrick And much, much, more…

Pisces Pro Massage & Spa Products will be at the FSMTA show in Florida. TMheasDsaoglpehCinhaIiIr™ We have a large selection of Spa and Massage essentialsTRholeliPnogrtSatboolel such as warming blankets, salt lamps, massage stones, instructional DVD's, Musical CD's, Biotone and so much more! Ask about our Student Packages! See you at the show!The Dolphin Stretch™ The NMeawssWagaevTeaIbI™le Lite Himalayan Salt Products The Pacifica Salon/Massage Combo*All frames come in a choice of almond or black Pisces Productions Massage & Spa Products Follow  us  on  Facebook  and Twitter  for  all  the  latest  updates 380 A Morris Street ~ Sebastopol, CA 95472 707 829 1496 • 800 822 5333 • [email protected] Shop 24/7 online at www.piscespro.com8 MASSAGE MESSAGE • MAY/JUNE 2016

FSMTA 2016Massage Convention &Trade Show Presenter Session Highlights A Minion Ways to Do Massage June 23-26, 2016Caribe Royale All Suites Hotel and Convention Center Orlando, FloridaMinions is a trademark Minions or all loikfeUinmivaegressalaSretucdoiopsyrLigichetsnsbeedlobnygiUngnivtoertshaelirSrteusdpioesctLiviceeonwsinnMegrA,sYL./LJCUN. AE l2l 0r1ig6ht•s MASSAGE MESSAGE 9 and copyright reserved.

FSMTA 2016 Massage Convention & Trade Show Presenter Session HighlightsCranial/Structural Releases forHeadachesBy Don McCann, MA, LMT, LMHC, CSETTIf you are looking for a way to effectively treat your clients’ the cranial motion of the occiput and the temporal bones. headaches the Cranial/Structural Therapy for Effective This will also facilitate the pumping of the Glymphatic Treatment of Headaches, a 16 CE Certification course at system, the principle waste removal system of the brain that the 2016 FSMTA Convention, is a great opportunity for you! pumps cerebral spinal fluid under pressure.In this hands-on workshop you will gain an understanding ofthe cranial connection to the causes of headache pain, and An imbalance of the temporal bone rhythm will createyou will learn Cranial/Structural techniques that can release headaches and vertigo on the side that is restricted causingeven some of the most severe and chronic headaches. the imbalance. This will not only cause a congestionSeven major causes of headaches, their cranial connection, of cerebral spinal fluid around the temporal lobe but alsoand their cranial correction will be taught. If you have not cause compression on cranial nerves, most importantly thebeen integrating Cranial/Structural therapy with soft tissue trigeminal nerves and trigeminal ganglion. This leads totherapy when treating your clients’ headaches you have severe headaches and facial pain. Releasing the restrictionspossibly been missing the most important factors. of the temporal bones and synchronizing their rhythm will restore range of motion that will allow congestion of cerebral The structural soft tissue connection of the neck to the spinal fluid to pump out reducing pressure, waste products,cranium will be the first treatment taught. Most tension and inflammatory toxins. In addition it will release softheadaches are because of tension and congestion in the soft tissue restrictions that compress on the trigeminal nerve andtissue in the tops of the shoulders and the back of the neck. ganglion relieving pain and inflammation. This also helpsThis tension also causes a structural imbalance that can run relieve pressure and inflammation associated with Bell’sfrom the neck and shoulders all the way to the pelvis. The palsy.release of this tension and the freeing of the cranial motionestablish homeostasis and the release of tension related Many TMJ headaches are also related to an imbalanceheadache pain. These releases will include acupressure of the rocking of the temporal bones and compression ofpoints, trigger points, atlas/occipital release, stretching the the trigeminal nerves especially when there has beenentire dura, and pumping the cranium via the occiput. grinding of the teeth (bruxism). Releasing the restrictions of the temporal bones and bringing them back into balanced The C1 connection to the foramen magnum will then be rhythm directly affects the nerves associated with TMJ. Inexamined as it puts pressure on the brain stem and locks the addition mobilizing the temporal-zygoma relationship bringsocciput, a cause of many major headaches. Headaches from further balance to the TMJ. This will be integrated with thea jamming here are very often chronic and misdiagnosed mobilization of the maxilla which brings a more completeas severe migraines. When this area is mobilized clients mobilization and integration to the imbalances of the temporalhave reported even some of the most severe headaches mandibular joint to help relieve TMJ related headaches.gone in five minutes, and once this area remains mobile thisheadache pattern can disappear. It is not at all uncommon Occular migraines, one sided headaches behind thefor this area to become jammed for clients who have had eye, and full one-sided headaches can all be the result offalls or whiplash injuries. Cranial/Structural soft tissue a jamming of the palatine bones. A jammed palatine bonemobilizations will be taught for C1 to release the pressure on also relates to eye strains and difficulty focusing the eyes.the brain stem and further free up restrictions on the occiput A Cranial/Structural technique that mobilizes the palatinesand cranial nerves. With these corrections even the most in relationship to the eye socket will take pressure off thechronic and severe C1 related headaches are effectively optic nerve and reduce pressure in the eye. Additionallytreated. mobilizing the palatines in relationship to the ethmoid, vomer, and maxilla will address many other stresses on The one sided OM (occipital/mastoid) suture headaches the facial nerves and bring balance and integration with thewill then be examined and its relationship not only to the facial bones and the cranial motion.cranial motion but also to the compression on cranial nervesreviewed. An OM suture soft tissue release will be taught A restricted cranial motion often results in a buildupwith special emphasis on restoring the cranial motion of the of cerebral spinal fluid and pressure within the craniumocciput and the temporal bone. Once released a restricted and brain. This is often the cause of severe headachesOM suture will no longer compress cranial nerves or restrict Continued on page 1810 MASSAGE MESSAGE • MAY/JUNE 2016

FSMTA 2016 Massage Convention & Trade Show UPLEDGER Presenter Session HighlightsCranioSacral Therapy: Listen While PURPELSEENDTGEERRYou WorkBy Carrie Fisher, BS, LMT, CST A client comes to me complaining of right-sided low back pain. Going through the listening stations, I find that the CSRAmong the basics of any practice, regardless of the at her thighs isn’t moving well on the right side. discipline, is the use of a client intake form to learn who your client is, from their health history to their current At the ASIS, there is lack of movement on the left complaint. side. This means that something is going on between the For CranioSacral Therapy practitioners, that means thighs and the hips that need to be addressed. Moving tolistening not just with our ears to what the client has to the ribcage, I feel the amplitude is very shallow on both thetell us, but also with our hands to listen to what the body right and left. I continue with the rest of the listening stationshas to reveal about its condition. Oftentimes, the two sets gathering information.of information are quite different. The source of pain ordysfunction actually may be far removed from where the At this point, a pattern is becoming apparent, and Isymptoms are being experienced. must ascertain which is most significant. Determining that it is the pelvic diaphragm, I perform a diaphragm release.Craniosacral rhythm provides a gauge to This is done by placing one hand at L5-S1 and the sacrumthe body’s health and the other hand just above the pubic bone on the lower abdomen. Applying very little pressure, 5 grams or less, my Everything that happens to us in our lifetime is recorded hands soften into the tissues, and the tissues start showingin the cells of our body, be it physical, emotional or spiritual. the story of where the tightness is. I follow the tissues untilWith trauma or injury, depending on the nature and severity, they stop me from moving on. This is where a restriction isthe body will develop compensatory patterns. Over time, located.however, the body loses its ability to adapt and thesepatterns begin manifesting as pain and dysfunction, and not At that point I hold the position and wait for signs ofnecessarily in the area of original injury. With CranioSacral tissue release. Signs of tissue release can be heat, pulsing,Therapy we can monitor the rhythm through key “listening movement or sighing by the person on the table. Any changestations” to discern where those patterns are. From there in the tissue is a sign of release. There can be several layersthe process begins to uncover what is causing the pain and of release or just one in that particular area after which thedisease of today. body will reveal where to go next and the process begins again. I can then reevaluate the listening stations to see CranioSacral Therapy developer, Dr. John E. Upledger’s what has changed.hypothesis is that the craniosacral rhythm emanates fromthe production and reabsorption of cerebrospinal fluid deep This same approach easily can be integrated withininside our brain, and this rhythm translates throughout the the context of a massage therapy session at the beginning,entire body. Dr. Upledger discovered the craniosacral rhythm middle and/or end with wonderful results.(CSR) during a neck surgery. Though much more subtlethan the respiratory and cardiovascular rhythms, this rhythm The fact is, when clients come to us for help, they willhas a distinct symmetry, quality, amplitude and rate- 6 to 12 tell us where they hurt, what they think is wrong with them,cycles per minute. By gauging how the rhythm translates and/or what medical doctors have told them. As we askthrough each of these areas, trained practitioners are able questions, they’ll answer the best they can, but sometimesto detect and release restrictions in the craniosacral system they simply don’t remember everything that has happened tousing only a light touch. them or are not in touch with the root cause. They get used to what’s going on in their bodies that they forget injuries orListening stations help pinpoint restrictions traumas that occurred years ago, or they simply don’t see As a CranioSacral Therapist, when I place my hands on the connection with what’s going on now.a client, I am going to specific listening stations to evaluate By accessing the craniosacral rhythm through theSQAR: symmetry, quality, amplitude and rate. These include listening stations, we can find the truth directly from thethe heels, the dorsums of the feet, the anterior thighs, the body’s tissues. It can be quite an “aha” moment for the clientanterior superior iliac spines (ASIS), the ribs, the shoulders as long-held tensions and restrictions are released, and asand the cranial vault. Where the craniosacral rhythm has repressed or ignored issues are dealt with.motion or lack thereof determines treatment. So while the client intake form is and always will be a Let me give you an example. vital component of client care, so is learning how to listen to and assimilate the information the body itself has to tell you. MAY/JUNE 2016 • MASSAGE MESSAGE 11

FSMTA 2016 Massage Convention & Trade Show UPLEDGER Presenter Session HighlightsAre You Treating PURPELSEENDTGEERRYour Patients Right?By Jack Ryan, For class taught by Kerry D’AmbrogioHave you ever had a patient that comes back treatment evaluation techniques and critical thinking to discover the after treatment with the same complaint? You do underlying cause of a person’s dysfunction your treatment a good job when the patient is in for a treatment, approach will be more successful. We use the acronym and they feel great when they leave. But the same A.R.T.S. for evaluating the body. symptoms return before the next appointment withyou. You have to work on the same tight muscles, treat the TBB Uses A.R.T.S. to Evaluatesame trigger points and release the same tight fascia. If A. - stands for Asymmetry or postural distortion. Areyou don’t see progress within two to three treatments, theproblem may be you are using a technique and not doing a there any postural distortions that are giving us a clue to thetreatment! cause of person’s pain? If a body is not opposing gravity effectively it will put a stress on the muscular and fascial We are introduced to a lot of techniques in massage systems. So a high shoulder or a rotated hip can be clues toschool. Many CE courses teach techniques in greater the underlying dysfunction a person is experiencing.detail. But what is the difference between a technique anda treatment? R. - stands for Range of Motion. Total Body Balancing teaches you a thorough but quick evaluation of all the joints A technique is a procedure to complete a task. A in the body. The initial evaluation procedure evaluates thetechnique follows a predetermined protocol. A treatment, extremities, the spine, the ribs and the hip joints. During theon the other hand, implies you have applied therapeutic TBB treatment you are evaluating each area for barriers orprinciples and investigated the nature of the dysfunction in restriction as you treat. So you get real time feedback to theorder to determine the appropriate procedures to use for that changes that you are making with your treatment.individual to achieve the goal of medical rehabilitation. T. - refers to Tension Tests. Healthy tissue feels soft, It sounds more complicated than it is. But if you are supple and has a springy end feel. If the sensation is harddoing massage for more than just relaxation, you need to and restrictive, this is an indication that somatic dysfunctionemploy the principles of a treatment and not just use the one is present. You know when you work on your patients whator two techniques that you like the best. the quality of their tissues are just by putting your hands on them. In the seminar you will learn more specific tension Total Body Balancing (TBB) is a series of seminars tests to be more precise with your evaluation.developed by Dr. Kerry D’Ambrogio. Under the tutelage ofDr. John Wernham in England, Dr. D’Ambrogio learned the Continued on page 13osteopathic principles that lead to his development of TotalBody Balancing. As well as being an osteopathic physician,Dr. D’Ambrogio is a physical therapist, a doctor of Orientalmedicine and an acupuncture physician. He teaches over20 different courses on manual therapy all over the world,while maintaining a clinic in Sarasota, Florida. Total Body Balancing is based on the osteopathicphilosophy that every part of the body is interconnected andinterrelated. So you can’t just treat individual parts of thebody, where the pain is or only one system at a time. TotalBody Balancing uses critical thinking, anatomy, physiologyand therapeutic principles to address multiple systems of thebody. When you work with the muscles are you consciousof how that affects the other systems of the body? Whetheryou know it or not your massage will affect other systems byjust working with the skin and muscles. That is why it is important to start and end each Total Bodytreatment with evaluation. When you use a combination of12 MASSAGE MESSAGE • MAY/JUNE 2016

FSMTA 2016 Massage Convention & Trade Show UPLEDGER Presenter Session HighlightsAre You Treating Your PatientsRight?Continued from page 12 Finally, S stands for Special Tests. The quick, yet Leg Vectoringconcise evaluation taught within Total Body Balancing We also use rocking and pumping techniques to releaseutilizes orthopedic testing to confirm previous findings. Thesefindings paint a picture of the overall pattern of tension and fascial tension, encourage lymphatic flow and releasebody armoring that is representative of the stress that the muscles. These techniques are also designed to releasepatient is carrying, be that physical, mental, emotional, or a tension and restrictions in the hips, spine, craniosacralcombination of all three. system and visceral systems. The Total Body Balancing template not only allows us to work with multiple systems The combination of the results of these evaluation simultaneously, but it also gives us a foundation into whichtechniques will help formulate your treatment plan by we can incorporate more specific techniques. So if you haveunderstanding the nature of the dysfunction. We talk about neuromuscular, myofascial, craniosacral or other training,the Total Body Lesion in looking at the patients’ dysfunction. you can incorporate those techniques into a Total BodyThe Total Body Lesion is the sum of the patient’s dysfunctions treatment.of their mind, body and spirit at a given moment in time.These Total Body Lesions are an accumulation of every We use the phrase “Global, Local, Focal” in the TBBcar accident, sports injury, other injuries, falls, surgery, treatment philosophy. By starting “Globally” and treatingrepetitive motions and stress. This holistic approach to the body holistically, you get a complete appreciation forevaluating the body will give you a better understanding of the dysfunctions you are facing. Then as you peel the layerthe interconnectedness of the systems of the body. away, like peeling an onion layer by layer, you treat more locally. And finally, after the primary lesions are releasedBenefits of Evaluation you can focus on the remaining minor dysfunctions and fine The additional benefits of a thorough evaluation are tune your patient for optimal health.threefold. You show your patient what is normal and in If you want to learn some new skills to help your patientstheir case what their limitations are in each area. You build heal faster with results that last, we would love to see you atthe patients trust in your expertise and credibility. Most the introduction to Total Body Balancing class at the FSMTAimportantly, you build their confidence in your ability to help state convention this year.them achieve their goals. Another benefit of doing an assessment is it will giveyou quantitative measurements of progress before and aftereach treatment. Your treatment plan will follow the body’schanges, not follow a preset protocol, thereby addressingthe patient’s actual needs. Total Body Balancing uses a 5 phase treatment template.In as little as 20 minutes, you can integrate the whole bodyusing gentle rhythmical oscillation techniques. Oscillationis an inherent motion in the body, and it works to balancethe sympathetic and parasympathetic nervous system whileincreasing circulation of arterial, venous and lymphatic flow.The calming of the nervous system aids in decreasing painand improving mental and emotional outlook. Jack Ryan, LMT, is the owner of the Soar Point Massage Clinic in Sarasota FL. He is a teaching assistant and instructor for the D’Ambrogio Institute. Jack lectures and teaches on the topics of Total Body Balancing, Muscle Balancing, Joint Balancing and pain-free foam roller techniques. His practice is based on pain relief and rehabilitation. MAY/JUNE 2016 • MASSAGE MESSAGE 13

FSMTA 2016 Massage Convention & Trade Show UPLEDGER Presenter Session HighlightsVisceral Manipulation: PURPELSEENDTGEERRHow It Can Help Your ClientsBy Mariann Sisco, PT, CST-DHave you ever wondered why some of your clients additional slips into the disc itself. Increased tension in the return with the same sore and tight muscles, the psoas can rotate the vertebra and cause increased tightness same postural dysfunction and the same pain? Have in the paraspinal musculature. If not addressed successfully, you noticed only temporary improvements in your chronic low-back and/or hip pain and dysfunction can client’s situation? What if the muscular dysfunction develop.you work so diligently with is merely the result of a deeperissue? How can you evaluate for possible organ involvement Treatment typically involves stretching and deep-tissuein your client’s problem? massage to the psoas. This is often painful because of the overlying nerves. However, it is not uncommon for clients to Visceral Manipulation (VM) is an innovative and rapidly return with the same tightness and sensitivity. Why can’t thegrowing therapeutic treatment modality that addresses tight psoas problem successfully resolve?visceral involvement in common musculoskeletal problemsas well as innate problems within the viscera. Utilizing gentle This is where working with the kidney can help your“listening” skills with the hands, the practitioner locates the client to feel better. A portion of the kidney, with its respectiveprimary organ contributing to the dysfunction during their fascia, rests on top of the psoas and its fascia. These layersconsultation with you. Then, specifically placed, gentle can become adhered and create the tension in the psoas. Byforces are applied to the organ in question. These forces virtue of its attachments, the psoas can cause misalignmentbegin to unravel fascial components throughout the body to of the vertebrae and hip joint. This tension pattern canimprove posture, range of motion, strength and function, as even translate into the knee from the malalignment of thewell as to decrease pain. femur on the tibia. Over time, this can create knee pain and dysfunction—all from a kidney “glued” onto the psoas Although the results are often immediate and sometimes muscle!astonishing, VM has a solid anatomical basis whose resultsare emerging in evidence-based medicine. Physicians from An added bonus for your client and for your hard-workingthe Mayo Clinic and other cutting-edge centers, which help hands is that Visceral Manipulation techniques are verypatients solve the seemingly irresolvable symptoms, seek gentle. They derive their effectiveness from very delicate andout therapists who practice Visceral Manipulation to help specifically applied forces. Treatment of the kidney can helptheir patients. to correct pelvic obliquities, improve posture, and increase hip and spinal range of motion. A healthy organ has mobility, not only within its fasciabut in relationship to the organs surrounding it. Each organ Thoracic kyphosis/lung and pericardialhas an axis upon which it moves. When the axis is disrupted, ligamentsmovement is no longer optimal. This abnormal movementeventually translates through the fascia onto other organs As practitioners in Florida you are accustomed to theand the musculoskeletal structures, creating restrictions. rounded spine and adaptive forward head position that accompanies this posture in the senior citizens in your Organ-specific fascial mobilization is another way of area. These individuals eventually find their way into yourdescribing Visceral Manipulation. It helps to restore more client base because of the pain and dysfunction that thisnormal movement and to alleviate faulty tension lines malalignment produces in the body.within the fascial system. If your client continues to exhibitsymptoms despite your application of normally effective Let us first examine the relationship the lungs have withmethods, chances are an organ(s) is the cause of the the thoracic spine. The lungs have two layers of pleura: thedysfunction. visceral pleura, which lines the lung itself, and the parietal pleura, which attaches to the inner surface of the ribs.Psoas/kidney relationship As a massage therapist, you are well-acquainted A serous fluid lies between the two layers. When an inflammatory process, such as bronchitis or pneumonia,with complaints of low-back pain from clients. One of the attacks the lungs, it can affect these layers by adheringstructures that is examined in such cases is the length of them to each other. This in turn alters the axis around whichthe psoas muscle. This is because of its attachment onto thebodies of the lumbar vertebrae, the transverse processes and Continued on page 1514 MASSAGE MESSAGE • MAY/JUNE 2016

FSMTA 2016 Massage Convention & Trade Show UPLEDGER Presenter Session HighlightsVisceral Manipulation: How It Can HelpYour ClientsContinued from page 14the lung moves normally. The tension that is created by this mediastinal wall formed by the lung onto the rest of the tube.adhesion translates to the ribs, which then articulate with Tightness in the mediastinum or in the pericardial ligamentsthe thoracic vertebrae at three joints. The costotransverse results in a kyphotic posture. This is often accompanied byand two costovertebral joints receive the forces via the ribs increased tension in the cervical pleural ligaments, thusfrom the lung. This then causes the thoracic spine to rotate bringing the head further forward.and starts to bring the spine forward. This rotation tightensthe paraspinal muscle on one side and overstretches the The cost of prolonged misalignment and posturalopposing side. dysfunction is great. Structures become compressed and unable to efficiently perform their function. For example, Among massage therapists, the inclination is to work on blood flow to and from the heart can become less efficientthe affected musculature. However, once again, because if fascial tensions are contracted against an artery or vein.these muscles are “witnesses” to the deeper restriction at This then affects the organ or other structures serviced bythe lung, results will be temporary at best. The application of that particular artery or vein.VM as a therapeutic intervention allows you to work at theorigin of the problem and to have your massage be more Compression also affects the nervous system. The braineffective. relies on proprioceptive feedback to modulate movement and balance. When a forward head is superimposed on a In addition, the superior lung or pleural dome has three kyphotic thoracic spine, the nervous system also must adaptligaments attaching into it from the cervical spine. Depending within its boney container. This can alter how the messageson the restrictive pattern, they can bring the head forward or are received and then acted upon by the structures withincontribute to a chronic positional rotation of the neck, despite the brain. Uncoordinated movements and falls can occur assoft-tissue work and stretching exercises. Once again, a result.working the organ, in this case the lung, in relationship tospecific aspects of the affected cervical segments will yield In other words, we are connected in multiple ways froma long-lasting result. head to toe. Our “listening hands” can respond to the innate wisdom of the body and help it out of its predicament. In Also closely related to the lung are the pericardial the words of Visceral Manipulation developer Jean-Pierreligaments because of their shared contributions to the Barral: “You do more than you know.”mediastinal compartment. The mediastinum is boundlaterally by the medial pleura of the lungs. The floor is formed Visceral Manipulation is so rewarding because it is suchby the respiratory diaphragm with fascial layers in front of an effective modality. As a massage therapist, you are well-the thoracic spine and behind the sternum. positioned to provide this therapeutic intervention. Often, at the first sign of “muscle strain,” many people consult you In essence, the mediastinum is a fascial tube in the first prior to an office visit with their physician. At the othercenter of the chest. This tube contains the esophagus, end of the spectrum, those who have been through medicaltrachea, thoracic duct, lymph nodes and the vagus and protocols to no avail begin to seek your services in an effortphrenic nerves. The mediastinal compartment also to solve their chronic pain and dysfunction.contains the aorta, superior vena cava and the heart withits pericardial sac. The pericardial sac surrounding the heart Having skills to listen to specific restrictions produced byis suspended in the fascial tube by ligaments attaching to the organs allows you to be even more effective in meetingthe inner surface of the sternum and the anterior vertebral your original intention of becoming a massage therapist,bodies of thoracic vertebra 1-4. They are referred to as the which is to help someone feel better.superior/inferior sternopericardial and vertebropericardialligaments, respectively. When these ligaments are too tight MAY/JUNE 2016 • MASSAGE MESSAGE 15they can round the thoracic spine to which they attach andcollapse the anterior chest wall by virtue of their connectionto the sternum. As the movement of the lung is altered by theaforementioned adhesions between the pleural layers,abnormal tensional forces can translate from the medial

FSMTA 2016 Massage Convention & Trade Show UPLEDGER Presenter Session HighlightsHealing from the Core: PURPELSEENDTGEERRA Journey Home to OurselvesBy Suzanne Scurlock-Durana, CST-D, CMTFor nearly 30 years, I have taught and practiced skills and Lucas’ long-term client, Frank, comes in for his regular techniques designed to help people live their lives from session two weeks after his son was killed in a drunk- driving a more embodied, steady, energized place, in a world accident. As the hands-on session gets underway, Frank’s that is increasingly challenging. This body of knowledge eyes fill up as his grief quietly surfaces. Sensing Frank’s– concepts and practices – is now a full curriculum called anguish, Lucas imagines what it would be like to lose hisHealing From the Core, which teaches people—therapists own son. He feels his heart clutch, then quickly tampsin particular—how to be more fully present at all times both down the feeling so he can be there for his client. Frank,professionally and personally. sensing Lucas’ discomfort, stops crying and sinks back into a shutdown place. The rest of the session is uncomfortable Living and successfully practicing bodywork in today’s for both of them. After the session, they avoid eye contact—world places many energy demands on us. As therapists we and Frank leaves, feeling he can never let his guard downstrive to maintain strong, healthy therapeutic relationships with Lucas again.in our work. As human beings we also seek to have moredepth and connection in our personal lives. Yet burnout is So, what is it that these stories have inoften the outcome if we do not first hold a healing space for common?ourselves. They represent common dilemmas faced by bodyworkers Consider the following cases. in today’s massage-therapy world. I first became aware Jim comes home from a full day at the spa after doing of these types of problems in 1983, as a new massage-a number of back-to-back massages. He started the day school graduate, and my understanding has deepenedtired, didn’t take time for lunch, and forgot to pay attention during my 27 years teaching CranioSacral Therapy andto his body dynamics while working. When he gets home SomatoEmotional Release for the Upledger Institute. In myhe collapses on the sofa, his back aching, too exhausted role as colleague, teacher and mentor, I’ve seen these andto make something healthy to eat. He spends the evening similar scenarios play out again and again, both in my workmindlessly watching TV and munching on junk food. He with new practitioners and in my consultations with advancedwakes up the next morning even more exhausted than he bodyworkers who long ago mastered their manual skills.was the night before and wonders why he dreads going to ajob he used to love. It’s become increasingly clear to me that the outcome Dorothy, a CranioSacral therapist, starts the day feeling of any given therapeutic bodywork session is significantlywell, but after working on Tyrone, a client with severe, influenced by the therapist’s ability to hold a strong, healingchronic pain from whiplash, she notices that her own neck is presence. This unspoken, unseen connection betweenaching and that her range of motion is reduced—problems therapist and client occurs in every therapeutic bodyworkshe didn’t have before the session. It takes her many hours session. Making the most of this connection means learningto release the aching and stop thinking about the awful how to remain grounded, connected and fully present in thesituation Tyrone is facing in his life. face of whatever comes up. Mariana is a deep-tissue bodyworker whose client, Lisa,has made only sporadic progress dealing with ongoing hip- This can be daunting, emotional work. It means beingand-knee pain resulting from a skiing accident. Mariana empathetic without taking on the client’s pain. It meansfinds her sessions with Lisa running long because she wants facilitating a healing process without inadvertently violatingLisa to be pain-free at the end of every session. Despite the client’s boundaries or losing your own. In short, it meansyears of training and experience treating similar problems, learning how to be in touch with and nurturing of yourself,Mariana worries that Lisa’s lack of progress is due to her so that your presence can catalyze and nurture the healingown failings as a practitioner. She wears herself out doing process of others.more and more with less and less confidence, and begins todread seeing Lisa’s name on her schedule. The very thought Continued on page 17of working on her makes Mariana tired.16 MASSAGE MESSAGE • MAY/JUNE 2016

FSMTA 2016 Massage Convention & Trade Show UPLEDGER Presenter Session HighlightsHealing from the Core: A Journey Hometo OurselvesContinued from page 16The importance of “putting your own oxygen client’s internal pace of relaxation and healing. It becomesmask on first” less and less likely that you will push them or miss important cues from them. This enables clients to trust their own To be therapeutically effective as a bodyworker, your healing processes and more fully release places that areenergetic bank account needs to stay in the black. Yet I’d tight and restricted. Deeper release means more profoundsay that eight out of 10 bodyworkers give their energy away healing, a positive outcome for both of you.as soon as they get it, because they love helping people.And in their enthusiasm to help, they fall into the habit of Learning to embody a steady, strong therapeuticpaying attention to other people’s needs before their own. presence significantly increases your ability to feel what’s going on with your clients. This energetic connection In the short run, you can get away with that. But becomes a palpable, rich resource for you, a reliable sourcewhen you continue to give from a depleted core, without of information that can help guide your work, moment byreplenishing yourself, burnout is sure to follow. In order to moment, appreciably increasing your effectiveness.maintain a steady, healing presence for your clients, youneed to recognize when your reserves are low and develop Developing greater therapeutic presence is also ahealthy ways to nourish yourself. potent antidote to burnout. As you learn to nourish yourself with healthy resources, you won’t get depleted when you That’s where a paradigm shift comes in. Rather than hold a healing space for another. You will no longer pickputting your clients’ needs first, you need to initially focus on up the pain, grief or toxic feelings that are often releasedyour own self-care. Learning to build and maintain your own in the healing process, because there’s no place for themstore of healthy inner resources has to become your first to be absorbed—it would be like trying to put more waterpriority. It’s much like oxygen masks on airplanes. As flight into a glass that’s already full. So instead of unconsciouslyattendants always remind us, “You have to make sure your absorbing the pain your clients may be discharging, you walkown mask is securely fastened before helping the person away from sessions feeling energized, intact and whole.beside you.” Finally, your confidence in yourself as a healing Healing From the Core teaches you the steps to putting presence will increase as you embody these skills in youron your own oxygen mask first. Let’s take a moment to look practice. Bodywork practitioners who apply the principlesmore fully at the reasons why developing a stronger, more of holding a strong therapeutic presence develop a deepstable therapeutic presence is essential to you and your trust in their feelings, skills, intuition and wisdom. Practicingclients. the principles of therapeutic presence takes patience and ongoing commitment, but it is well worth the effort. OurBenefits of presence work is richest when we can be in each moment with our Developing a reliable therapeutic presence is one of clients, in a space of caring and compassion that enables us to receive as well as give to them in every session. As anthe greatest gifts you can give yourself and your clients. added bonus, the ability to become a container for someoneThe benefits to both parties in the healing partnership are else’s healing brings us into a deeper state of grace andprofound and wide-ranging. resonance. Everyone receives from this equation. In this paradigm, to give is indeed to receive. When you are more grounded and present, clients canrelax more quickly. It is easier to let go of tension and softenin the presence of someone who is energetically full andsteady. Clients feel that their deeper needs are being sensedand taken into account, whether they are consciously awareof this or not. They feel it when you meet them with yourtouch, connecting to their tissue fully, and this creates thesafety and permission necessary for deep relaxation andhealing. As you become more aware of what nurtures and feedsyou in a healthy way, you will become more stable andgrounded, and will be more able to accurately honor your MAY/JUNE 2016 • MASSAGE MESSAGE 17

FSMTA 2016 Massage Convention & Trade Show Presenter Session HighlightsIntegrated Manual Therapy &Orthopedic Massage TrainingBy James Waslaski, LMT, CPT, AAIntegrated Manual Therapy and Orthopedic Massage is the art multimedia presentation format utilizing 2 screens in so much more than just a single massage therapy mo- every presentation. Up to date research, and current clini- dality. Specializing in just one modality or manual thera- cal studies will be referenced in every presentation to make py discipline limits your ability to treat multifaceted mus- sure participants are getting accurate up to date information. culoskeletal pain conditions. Integrated Manual Therapy Seminar participants include LMTs. PTs, Athletic Trainers,begins with performing detailed orthopedic assessment and Chiropractors, Osteopaths, Physicians, Nurses, Charteredpostural evaluations. This groundwork provides vital criti- Physiotherapists, and other health care professional sharingcal thinking and clinical reasoning skills that will allow the their diversified manual therapy knowledge for the best inter-therapist to match the most appropriate modality or manual est of the clients we serve.therapy discipline to the exact underlying pathology of eachspecific clinical condition. This article will elaborate on the topics that will be cov- ered at the 2016 FSMTA Conference. However, it is also Based on the client history and detailed assessment, a great explanation of how we teach all other parts of thetherapists will blend multiple modalities and disciplines such body. The highlight of these particular presentations will beas Myofascial Release, Orthopedic Massage, NMT, Postur- to share the capsular work critical to treating complicatedology, Myoskeletal Alignment, Anatomy Trains Knowledge, shoulder and low back conditions. As I travel the worldScar Tissue Mobilization, Joint Capsule Release , Joint Mo- teaching manual therapists in every discipline, I realize thatbilization Techniques, Stretching Tight Facilitated Muscle understanding capsular patterns is the weakest link in theGroups, and Activating and Strengthening Weak, Inhibited manual therapy world. Therapists will be looking inside theMuscle Groups. This total structural and postural based pro- body to thoroughly understand how these capsular patternsgram will bring the musculoskeletal system back into bal- form, and learn the most effective treatment plans to re-ance for pain free living and performance enhancement. It solve these complicated patterns.will also treat the cause of pain patterns rather that simplytreating the resultant clinical symptoms. Following each The following images can only be found in fresh dissec-treatment, the client will be given specific corrective exercis- tions, because the interosseous adhesions that form withines based on the initial assessment to maintain the outcomes joint capsules will be eaten away when cadavers are pre-of each treatment session. served using formaldehyde. Since therapists vary in their learning abilities, each That is one of the reasons clinical studies and scientificseminar presentation brilliantly blends auditory, kinesthetic, research is lagging behind the hypothesis of this amazingand visual learning styles to assure every participant can work for releasing capsular patterns in shoulders and hips.comprehend each and every technique. Participants will lit- The words “Frozen Shoulder” and “Frozen Hips” are noterally be looking inside the human body with our state of correct in describing these clinical conditions, as there isCranial/Structural Releases for HeadachesContinued from page 10and congestion migraines. A Cranial/Structural technique Having these Cranial/Structural tools for the treatmentto facilitate the pumping of the cerebral spinal fluid via of your clients’ headaches is going to dramatically increasethe Glymphatic system not only relieves the pressure of your effectiveness in getting your clients out of pain. We area buildup of cerebral spinal fluid, the cause of congestion looking forward to seeing you in this 16 CE certification classheadaches, but also helps flush out inflammation and toxins at the 2016 FSMTA Convention.from disease, drugs, chemo, and heavy metals, the causeof many headaches.18 MASSAGE MESSAGE • MAY/JUNE 2016

FSMTA 2016 Massage Convention & Trade Show Presenter Session HighlightsIntegrated Manual Therapy & OrthopedicMassage TrainingContinued from page 18not a thermodynamic relationship in either of these adhe- resolving the capsular patterns, as mentioned earlier n thissive patterns. article, most manual therapy techniques will not be success- ful in eliminating the cause of chronic back and hip pain. In the Integrated Manual Therapy Class for Complicat- We will also be addressing the treatment of correcting sacraled Shoulder Conditions, participants will learn how to evalu- torsion patterns, and restoring normal muscle firing patternsate and release complicated capsular patterns in a single of the low back to resolve complicated SI joint pain. Thissession. They will also learn to assess and correct condi- is the incredible Myoskeletal Alignment work I learned fromtions such as shoulder impingement, thoracic outlet, rotator my dear friend Dr. Erik Dalton. We will also be addressingcuff injuries, bicipital tendon strains, scapular dysfunction his ascending syndrome patterns to teach therapist that thepatterns, fixated 1st and 2nd rib problems, and thoroughly back pain can be coming from an over-pronating foot that as-understand how to correct ‘Upper Crossed Syndrome” pat- cends into the low back, spine and neck. Therapist will alsoterns so common in in most of our clients, especially over- learn why it is critical to be doing “Pain Free” Iliopsoas work,head athletes. especially in patients with pre-existing conditions such as spondylolisthesis, bulging discs, ruptured discs, and chronic Therapists will also be given the research that proves SI joint pain. Again you will be looking into the human bodythat cross fiber friction does not re-align the scar tissue in to understand the underlying pathology of each clinical con-strains and sprains. It is the movement and concentric and dition throughout the entire presentation.eccentric forces after frictioning that re-aligns the scar tissue.Therapists will also be given the tools to treat multiple nerve Continued on page 19compressions patterns in the shoulder that so often causethe majority of carpal tunnel symptoms. Corrective exercis- MAY/JUNE 2016 • MASSAGE MESSAGE 19es will be given foreach shoulder con-dition, after treat-ment, to prevent theclinical conditionsfrom returning. In the Integrat-ed Manual Therapyfor Low Back andHip Condition class,therapists will learnhow to assess andtreat a wide varietyof clinical condi-tions. I personallythink the most im-portant informationthat will be taughtis understandingthe role of capsu-lar patterns insidethe hip, that playa vital role in al-most every chronicand complicatedlow back and hipcondition. Without

FSMTA 2016 Massage Convention & Trade Show Presenter Session HighlightsIntegrated Manual Therapy & OrthopedicMassage TrainingContinued from page 19 Clinical conditions covered in the low back seminar tendinitis and tendinosis. Participants will clearly understandwill include understanding causes for bulging and ruptured why cross fiber friction does nor re-align scar tissue and whydiscs, SI joint pain, Sciatica, Sacral Torsion Patterns and people should not be doing 6 minutes of deep cross fiber fric-how to address ascending syndromes that cause low back tion to treat strained fibers of the elbow. I was sad to see thatpain. We will also be briefly talking about the amazing Pos- some schools are still telling their students to do 6 minutes ofturology work of Paul St. John and Randy Clark and the role deep cross fiber friction and that cross fiber friction re-alignsof a hemi-pelvis or leg length discrepancies causing unre- scar tissue. We will share research from Cook and Kahn onsolved back pain problems. In addition we will be discussing tendinosis dating back to 1990 that will convince therapiststhe scar tissue research of Susan Chapelle, from Canada, to stop using old schoolthat allowed me to go from a total hip replacement to teach- techniques that caning a hands on class to 80 therapists without pain meds, or actually cause nervea walker or cane only 8 days after surgery. This protocol will damage to the elbow.address early scar tissue mobilization, pre-surgical cupping Conditions covered intechniques, and pre and post surgical lymphatic drainage this class will be Car-techniques that will revolutionize post surgical joint replace- pal Tunnel Sindrome,ment rehabilitation. Pronator Teres Syn- drome, De Quervain’s The other presentation at the FSMTA Conference will Tenosynovitis. Medialbe Integrated Manual Therapy and Orthopedic Massage Epicondylosis (Golfer’sor Complicated Elbow, Forearm, Wrist & Hand Conditions. Elbow), Lateral Epicon-Again research will shed a light on the difference between dylosis (Tennis Elbow), Fixated Radial and Ulnar Head patterns, Carpal Bone Fixations, Depuytren’s Contrac- ture, Trigger Finger, and progressive Joint Arthritis. Once again we will take a look in- side the human body to better understand the pathology of each clini- cal condition through- out the seminar. Through doing a detailed client history and good ortho- pedic assessment, therapists will be better at clinical rea- soning. In about 1996 I attended a class taught by Whitney Lowe, where he stated “Through good orthopedic assess- ment and clinical reasoning, manual therapists must learn to match the most appropriate modality, or manual therapy technique, to the exact underlying pathology of each spe- cific clinical condition.” That one statement made me realize I needed to become an expert in Orthopedic Assessment, and that information had one of the greatest influences on my career.20 MASSAGE MESSAGE • MAY/JUNE 2016

FSMTA 2016 Massage Convention & Trade Show Presenter Session HighlightsIntegrated Manual Therapy & Orthopedic Massage TrainingContinued from page 20 James Waslaski is an Author & International Lecturer who teaches approximately 40 seminars per year around the globe. In 1990, I was fortunate to have started my career by He’s served as AMTA Sports Massage Chair and FSMTA Profes-choosing and attending a great massage school, Sun- sional Relations Chair. He’s developed 8 Orthopedic Massage andcoast School of Massage in Tampa, Florida. As a student, Sports Injury DVDs, and authored manuals on Advanced Orthope-I was exposed early in my career to the amazing work of dic Massage and Client Self -Care. His new book: Clinical Mas-industry leaders like Benny Vaughn and Mike McGillicuddy sage Therapy: A Structural Approach to Pain Management, was(Sports Massage); Aaron Mattes (Active Isolated Stretch- published by Pearson Education in 2011. James is a Certified Per-ing); George Kousaleous (Core Myofascial Therapy); and sonal Trainer with NASM. He presents at state, national and inter-Paul St. John (Neuromuscular Therapy). I have attended national massage, chiropractic, and osteopathic conventions, in-the FSMTA Conference in Florida every year since 1990 cluding keynote addresses at the FSMTA, World of Wellness, New(26 Consecutive Years) to build on the great work of those England Regional Conference, the World Massage Festival, andamazing mentors and teachers. I now have the blessing Australian National Massage Conventions. His audience includesand opportunity to share the integrated manual therapy massage and physical therapists, as well as athletic trainers, chi-techniques from so many great teachers and mentors in my ropractors, osteopaths, nurses and physicians. James receivedseminars throughout the world. As I teach each year at Os- the 1999 FSMTA International Achievement Award, and was in-teopathic Conferences, Chiropractic Conferences, Athletic ducted into the 2008 Massage Therapy Hall of Fame. James wasTraining Conferences, Physical Therapy Conferences, The awarded Massage Therapist of The Year in 2012 at the CanadianCollege of Sports Medicine, and places Like The Olympic Massage Conference. He was also nominated and awarded by hisTraining Center in Australia I realize that so may different peers and colleagues the designation of Teacher of The Year 2015manual therapists have influenced the work I feel blessed to at the World Massage Festival.share. Now I just want to “pay it forward” to facilitate healingthroughout the world. MAY/JUNE 2016 • MASSAGE MESSAGE 21

FSMTA 2016 Massage Convention & Trade Show Presenter Session HighlightsThe Future of Massage Therapy in the USABy Antoine Chevalier, PhD, Consultant, MPP, LMT, ND (candidate), Author, International LecturerIn 2012, according to the Medical Expenditure Panel Sur- productivity estimates, ranges from $560 to $635 billion. All vey (MEPS), about 134 million adults in the United States estimates are in 2010 dollars. were affected by chronic pain, including joint pain or ar- thritis. For those who suffer pain, it limits their functional The annual cost of pain was greater than the annual costs in 2010 dollars of heart disease ($309 billion), cancer ($243status and adversely impacts their quality of life. Pain is billion), diabetes ($188 billion), and nearly 30 percent highercostly to the nation because it often times requires medical than the combined cost of cancer and diabetes.treatment.  Pain also complicates medical care for other ail- Persistent pain impacts 100 million adults and costs fromments, and it hinders a patient›s ability to work and function $560 to $635 billion annually. Based on statistics publishedin society.   by the National Institutes of Health (NIH), the costs of persis-The annual national economic cost associated with chron- tent pain exceed the economic costs of the six most costlyic pain is estimated to be $580–645 billion. Pain is a uniquely major diagnoses—cardiovascular diseases ($309 billion);individual and subjective experience that depends on a vari- neoplasms ($243 billion); injury and poisoning ($205 billion);ety of biological, psychological, and social factors, and differ- endocrine, nutritional, and metabolic diseases ($127 billion);ent population groups experience pain differentially. For many digestive system diseases ($112 billion); and respiratory sys-patients, treatment of pain is inadequate not just because of tem diseases ($112 billion) (National Heart, Lung, and Blooduncertain diagnoses and societal stigma, but also because Institute, 2011) (I have converted these costs into 2010 dol-of shortcomings in the availability of effective treatments and lars). These cost-of-condition estimates differ from our cost-inadequate patient and clinician knowledge about the best of-pain estimate. NIH combined personal health care costsways to manage pain. Some answers will come from exciting reported in the MEPS and the costs of premature death duenew research opportunities, but changes in the care system to these conditions; however, the NIH estimates do not in-also will be needed in order for patients’ pain journeys to be clude lost productivity. I do not consider the costs of prema-shorter and more successfully resolved. In my view, address- ture death due to pain because pain is not considered a directing the nation’s enormous burden of pain will require a cultural cause of death as are heart disease, cancer, and stoke. Thetransformation in the way pain is understood, assessed, and American Diabetes Association reported that in 2007, diabe- treated. It is up to tes cost $174 billion, including $116 billion in excess medical us, Licensed Mas- expenditures and $58 billion in reduced productivity (ADA, sage Therapists, to 2008). (This is equivalent to $188 billion in 2010 U.S. dollars.) believe in our abili- Unlike these diagnosed conditions, pain affects a much larger ties, and have con- number of people, by a factor of about four compared with fidence to claim a heart disease and diabetes and a factor of nine compared leading role within with cancer. Thus, the per-person cost of pain is lower than the community of that of the other conditions, but the total cost of pain is higher. health practitioners in charge of helping The cost of pain patients in pain. It is Pain is the number-one cause of adult disability in the time for our commu- United States and affects one in three people or about 100 nity to step up and million Americans. According to an omnibus survey of 1,000 raise the bar with Americans conducted for the Partners for Understanding new educational Pain, 34 percent of respondents said they currently live with products and un- ongoing pain. In spite of its pervasiveness, few physiciansderstand what the Patient Protection and Affordable Care Act receive more than a few hours of formal training on pain man-can offer. agement.The total incremental cost of health care due to pain Pain is a major economic issue. According to the Nationalranged from $261 to $300 billion per year. The value of lost Institute for Occupational Safety and Health, pain costs $100productivity is based on three estimates: days of work missed billion annually in lost workdays, medical expenses, and other(ranging from $11.6 to $12.7 billion), hours of work lost (from benefit costs. Skyrocketing health care costs leave some, es-$95.2 to $96.5 billion), and lower wages (from $190.6 to pecially senior citizens, minorities, and the urban and rural$226.3 billion). Thus, the total financial cost of pain to society, poor, unable to get treatment that can help them manage theirwhich combines the health care cost estimates and the three pain.22 MASSAGE MESSAGE • MAY/JUNE 2016

FSMTA 2016 Massage Convention & Trade Show Presenter Session HighlightsThe Future of Massage Therapy in the USAContinued from page 22 Pain is a major social issue. Long-term, unmanaged pain throughout the touch therapy field and I am delighted to becan cause people to withdraw from family and friends and part of it.leave them unable to care for children, hold steady jobs, andat times even face a personal future. Pain has an impact on I offer new programs such as: Microcurrent Point Stim-the fabric of society well beyond the individual, affecting his or ulation (MPS) coupled with Myofascial Release; MPS andher spouse or partner, children, family, and community. Muscle Energy; MPS and Counterstrain; MPS and Facilitated Positional Release; MPS and the Still technique; MPS and Pain is multifactorial and should be dealt with in a multi- Articulatory/ Thrusting Techniques; MPS and Cranio Sacraldisciplinary approach. Techniques; and MPS and inhibition of neuromusculoskel- etal structures techniques.  Raising the bar: new educational material On October 31st, 2015, I-Hsien Sherwood wrote this for USA Today: “In 15 years of my practice, MPS is by Licensed Massage Therapists in the US enjoy a wide far the safest, the most simple, the most effective, and thescope of practice, from Reiki, acupressure using the acu- most efficient way to get people out of chronic pain cycles’,puncture meridians to the principles of myofascial release, says Antoine Chevalier, a massage therapist and sustainabil-integrated neuromusculoskeletal techniques, and Microcur- ity coach.” MPS is the new step of empowerment for massagerent Point Stimulation (MPS).  therapists. Whatever you are doing right now, by adding MPS to your practice, you achieve better and faster results for your Massage Therapists are naturally multidisciplinary and patients, saving your hands, and increasing your income. Youshould lead the fight against chronic pain. Due to their ex- efficiently achieve better patient outcomes.tensive understanding of different types of healing modalities,from energy healing to osteopathic manipulations and elec-  tro acupuncture, we are able to communicate and coordinate Obamacare and Massage Therapywith Reiki healers, Physical Therapists, Nurses, Acupunctur-ists, and Chiropractors.  The other direction in which Massage Therapists in the US can be empowered, is by fully understanding what Obam- Fortunately, today we are blessed with many fine teach- acare can do for us. Just as the 1964 Civil Rights laws guar-ers, learning institutions, publications, and associations fully anteed that Rosa Parks would no longer have to sit in thecommitted to raising the level of expertise among massage back of the bus, the controversial Patient Protection and Af-therapists worldwide. Recent scientific testing advances are fordable Care Act, euphemistically known as Obamacare, willsparking new ideas and innovative therapeutic approaches guarantee a person’s right as a patient to have the freedom toand are currently being integrated into many pain manage- choose where s/he sits on the medical bus.  ment teaching protocols. The majority of these are aimed atassessing and treating soft-tissue pain, increasing flexibility, Massage Therapy has been welcomed by both patientsimproving posture, and non-force spinal realignment. and insurers in this era of evidence-based healthcare that has repeatedly shown the safety, popularity, as well as the clinical- The constant evolution of the massage and bodywork effectiveness of this brand of “hands-on” care, effectively andfield is finally paying off in regards to the management of efficiently providing safe pain relief.acute and chronic pain syndromes, as witnessed by severalnewly released studies in major medical journals. Touch ther- It will also save a lot of money. Musculoskeletal disordersapy seems to be meeting the challenge imposed by a seden- alone currently affect 44.6 million Americans and cost our so-tary, flexion-dominant society living in a highly overstimulated ciety an estimated $267.2 billion every year.environment. Many other alternative health modalities arealso helping alter the medial model of health without the help Since the early 1990s, research has shown that the medi-of expensive double-blind studies to prove their effectiveness. cal treatments for low back pain were expensive and inappro- priate for the majority of cases. In fact, the Dartmouth Institute Nikolai Bogduk’s famous quote, “In God we trust; all oth- of Health Policy suggested 30-40% of spinal fusion surgeriesers bring data” may prove unnecessary if somatic therapists were unnecessary.continue to provide strong subjective evidence showing thatwe are, indeed, helping people in pain. Manual therapy should Moreover, a prominent orthopedist admitted that backbe the first line of defense in the battle with non-pathologic surgery “has been accused of leaving more tragic humanmusculoskeletal pain disorders, and that is precisely what I wreckage in its wake than any other operation in history.” Aam passionately teaching: advanced myofascial release and notable medical journalist minced no words when he recentlyintegrated neuromusculoskeletal techniques coupled with Mi- stated, “Spinal medicine [drugs, shots, surgery] in the US is acrocurrent Point Stimulation. Enthusiasm is rapidly spreading poster child for inefficient spine care.” Continued on page 24 MAY/JUNE 2016 • MASSAGE MESSAGE 23

FSMTA 2016 Massage Convention & Trade Show Presenter Session HighlightsThe Future of Massage Therapy in the USAContinued from page 23Today research studies cannot be clearer that massagetherapy and manual therapy stand at the top of spinal treat-ments as Anthony Rosner, PhD, testified before The Instituteof Medicine: “Today, we can argue that Chiropractic Care andManual Therapy, at least for back pain, appears to have vault-ed from last to first place as a treatment option.”After decades of unwarranted medical defamation, thischange in attitude highlights decades of controversial medicalspine treatments consisting of narcotic drugs, epidural steroidinjections, and spine fusion surgery that have all come underincreasing criticism.Despite this evidence-based research that shows Man-ual Therapy’s superiority for the majority of back pain cases,long-established medical associations that have dominatedthis market still resist the inclusion of massage therapy.However, this impediment may prove to be inconsequen-tial considering Section 2706 of Obamacare, the so-calledprovider “Non-Discrimination in Health Care” clause that willapply to all insurance programs.Section 2706 is healthcare reform’s most significant in-clusiveness measure for chiropractors, naturopaths, acu-puncturists, massage therapists, and licensed midwives, po-tentially opening consumer choice to millions of Americans.Fundamentally, Section 2706 prevents plans from arbi-trarily excluding the participation and coverage of categoriesof non-MD providers in their health plans when this participa-tion is within their scope of practice and licensure.What can we conclude now about the role of massagetherapy in Obamacare? Certainly the evidence-based cost-effectiveness trend will continue to support the inclusionof massage therapy and Section 2706 will protect mas-sage therapists and their patients from unwieldy restric-tions that we’ve seen in the past. REFERENCES• Bigos  et al. US Dept. of Health and Human Services, • The BACKPage editorial vol. 27, No. 11, November 2012.Public Health Service, Agency for Health Care Policy and • Testimony before  The  Institute of Medicine: CommitteeResearch, Clinical Practice Guideline, Number 14: “Acute on Use of CAM by the American Public on Feb. 27, 2013.Low Back Problems in Adults” AHCPR Publication No. • Michael  Kranish,  “Senators Seek Coverage  for Alterna-95-0642, (December 2010). tive Therapies,” Boston Globe, July 24, 2009.• “New Study Demonstrates A Three-Fold Increase In Life- • Letter to the Honorable Kathleen  Sebelius  from KeithThreatening Complications With Complex Surgery”, The Overland, DC, President of the American ChiropracticBACKLETTER, 25/6 (June 2010):66. Association, October 19, 2012.• Elliott Fisher, MD, on the CBS Evening News, “Attacking • I-Hsien Sherwood,  “MPS: the future of pain manage-Rising Health Costs,” June 9, 2006. ment”, USA Today, October 31st, 2015.• G Waddell and OB Allan,  “A Historical Perspective  onLow Back Pain and Disability, “Acta Orthop Scand 60(suppl 234), (2009).24 MASSAGE MESSAGE • MAY/JUNE 2016

Elite_FSMT-Ad.pdf 2 4/4/2016 9:28:34 AM healthmy thanks you. Happy clients. Happy career. It all starts here.massage.elitecme.com Bring new skills to the table. Visit us at Booth #710SCIATICA? BACK/HIP/LEG PAIN?Online Earn Your Live Massage CEs on a Trip to Iceland & Germany! December 6th – December 15th 2016 18 CEs in Hydrotherapy, 3 CEs in Ethics, 9 CEs in Languages View the Northern Lights, German Christmas Markets, & Castles Enter on Our Website for a Chance to Win a $600 Trip Discount! Learn Modern Hydrotherapy Techniques Through Our “Healing Hydrotherapy Series Lessons 1-9” Overseas or Here in the United States US Massage CE Class Dates & Locations with Mary-Rachel Clark: Kingsland, GA: August 30th: HHS Lessons 1 & 2 (12 CEs) Atlanta, GA: September 7th & October 12th: HHS Lessons 1 & 2 (12 CEs) Hot Springs, NC: October 17th: Professional Ethics for MTs (3 CEs) Hot Springs, NC: October 17th – 18th: HHS Lessons 3 & 4 (12 CEs) Hot Springs, NC: October 19th: HHS Lessons 1 & 2 (12 CEs) Visit our Website or Call for More Class Dates & Locations! Harvest Field Institute of Learning NCBTMB #799, FL/GA Provider #50-17267 1-800-991-3764| [email protected] www.livemassageceus.com MAY/JUNE 2016 • MASSAGE MESSAGE 25

Florida State Massage Therapy Association, Inc. 978 Douglas Ave, Ste 104 • Altamonte Springs, FL 32714 Toll Free: 877.376.8248 • Ph: 407.786.3307 • Toll Free Fax: 877-224-2392 [email protected] • www.fsmta.orgMembership Join this successful, energetic Benefits association of remarkable members!• Optional Professional, For over 70 years the FSMTA has served as Florida’s state professional association Property & Casualty for Massage Therapy. FSMTA membership leads the nation in accomplishments for Insurance the massage profession. Incorporated on June 15, 1939, FSMTA is a not-for-profit• Group Health Insurance Florida Corporation. Options FSMTA is administered by an Executive Board of Directors of LMTs consisting of five• Continuing Education Executive Officers elected by the membership and every Chapter President. The Programs Executive Board Quarterly Meetings are open to membership and the Annual• Legislative Consultants in Membership Meeting is held at the Convention. Tallahassee Monitoring The Chapters are local branches of the FSMTA through which members have a Legislation to Protect Your direct voice in the direction, goals and decision making. The Chapters are admin- Right to Practice istered by a Chapter Board of Directors of LMTs consisting of five Chapter Officers• Subscription to Massage elected by the Chapter membership. The Chapters hold regular, local Member- Message Magazine ship and Board meetings. There are currently 19 FSMTA Chapters in Florida.• Subscription to Local Chapter Newsletter Join FSMTA online at www.fsmta.org• Annual Convention with Membership Discounts FSMTA Legislative Program• FSMTA Sports Massage Team Legislative Issues affect the entire Massage Therapy Profession! Support from• Local Chapter Meetings every LMT, Student, and Associate Member empowers the profession.• Professional Affiliation & Networking Our Major Accomplishments (With your support the list will grow)• Promotional Products • Legal designation changed from the Masseur/Masseuse to Licensed Massage• Community Service Therapist (LMT). Opportunities• Representation at the • Legislative consultants in Tallahassee reviewing all legislation affecting the Massage Therapy practice and actively promoting the profession. Board of Massage Meetings • Changing the terminology in the definition of massage from manipulation of• Use of Logo & All Official “Superficial Tissue” to “SOFT TISSUE.” Publications • Changing Insurance Law enabled LMTs to bill health insurance for Rx services• Organized Grass Roots (a national precedent). Legislative Campaign • Maintaining exemption from Florida sales tax on services for all massage• Membership Certificate, therapy services. • Exemption from the 1988 Dietetics Act, enabling LMTs to continue providing Card & Logo Slicks• Member-only section on nutritional products. • Retaining massage therapy license law during F.S. 480 Sunset Reviews. www.fsmta.org including • Successful grassroots program with a united voice in protecting professional Therapist Locator rights. • Annual Legislative Awareness Days at the Capitol. Only YOU can protect your profession and your right to practice. Support the FSMTA Legislative Program. Contribute the equivalent of “just one” treatment per year. Do it today — for your future!26 MASSAGE MESSAGE • MAY/JUNE 2016

Florida State Massage Therapy Association, Inc. 978 Douglas Avenue, Suite 104 ~ Altamonte Springs, FL 32714Toll Free: 877-376-8248 ~ 407-786-3307 ~ Fax 877-224-2392-Email: [email protected] ~ Web: www.fsmta.org MEMBERSHIP APPLICATIONLast Name: ________________________________________First Name:______________________________________MI:______Business Name: ________________________________________________ Date of Birth: Month______ Day______ Year______Mailing Address: ____________________________________________________________________________________________City________________________________________ State________ Zip code__________________ Work HomePhone _________________________________ Cell Work HomeEmail _______________________________________________ Referred by ___________________________________________ Chapter Membership Membership Categories, Types & DuesBased on geographic location-Please select only one Chapter Category: select oneaffiliation you want to belong to from the following: Florida National International Big Bend (Tallahassee area) Brevard Membership Type: select one Broward Central Florida Massage Therapy Student Enrolled Dade Emerald Coast Florida Licensed Massage Therapist- MA#_______________ First Coast (Jacksonville area) Flagler/Volusia National Massage Practitioner Gulf Coast (Panama City area) Heart of Florida (Polk County-Lakeland area) Associate Member (Non-LMT) Keys Associate Massage School North Central Florida (Ocala area) Palm Beach School Name _____________________________________ Sarasota/Manatee School Website ___________________________________ Southwest (Ft. Myers area) Associate Business Member Sugar Dunes Suwannee Valley (Gainesville area) Business Website __________________________________ Tampa Bay Treasure Coast (Vero Beach area) DUES: select one Member-at-Large (State/National/International) Student $50.00 Monthly $14.95 Annual $125.00 *Monthly-12 installments Legislative Contribution (Optional) The FSMTA Legislative Program promotes our profession and works to protect our rights and scope of practice. Please show your professional sfourptphoertybeyarcoorntmriobruet.ing the equivalent of “just one”$m__a_ss_a_g_e_s_e_ss_io_n___ Processing Fee $15.00 TOTAL AMOUNT ENCLOSED $______________NOTICE: To activate your Membership Benefits and to obtain your Membership Card and Certificate login to members.fsmta.org/benefitsMembership dues and legislative contributions are NON-REFUNDABLE. Dues are deductible by members as an ordinary and necessary businessexpense. In accordance with Section 6033(e)(2)(A) of the Internal Revenue code, members of the FSMTA are hereby notified that an estimated10% of your FSMTA dues will be allocated to lobbying, political activities, and our legislative program and therefore are not deductible as abusiness expense.AGREEMENT: By signing this application you agree to actively support the FSMTA's Mission and the Massage Therapy Profession. You furtheragree to abide by the organizations Constitution, Bylaws, Polices, Procedures, Ethics, Professional Code of Conduct, applicable State Statutes,Florida State Statutes 480, 456 and Rules 64B7, and all applicable federal, state, local laws and regulations.Select and Complete Payment Type: ____ Check/Money Order made payable to FSMTA ____VISA ____MasterCard ____Discover ____ American ExpressCredit Card #________________________________________ Expiration Date: ________________________________________Name On Card:______________________________________ Billing Zip Code:______________3-4 Digit Security Code:_______I hereby authorize FSMTA to charge the above amount to my credit/debit card as checked above. If I have selected the monthlymembership plan, I hereby authorize FSMTA to charge 12 installments of $14.95 monthly.Signature:________________________________________________________ For FSMTA Office Use Only: Check/Auth#_______________ Database_______________ Autobill_______________ MAY/JUNE 2016 • MASSAGE MESSAGE 27

FSMTA Professional Liability Insurance Program FSMTA’s exclusive package is offered through the American Massage Council Purchasing Group CONTACT DATAFull Name (First, Middle, Last) Establishment Name (if applicable)Office or Mailing Address (include Suite #) City State ZipOffice Phone Alternate Phone (Home, Cell, etc.) Fax EmailFL Massage License # Massage School Attended License Current?  Yes  No Date Completed Issue Date PROFESSIONAL INFORMATION (FOR QUESTIONS 1 THROUGH 8: IF YOU ANSWER YES, PROVIDE FULL DETAILS ON A SEPARATE SHEET)1. Has any malpractice allegation ever been asserted against you or your associates, or has there been any event or  Yes  No indication suggesting a claim may be made or that your care might have been deficient or caused harm? 2. Has any board, agency, association, or insurer investigated or taken any action involving you or your license / certification? Yes No3. Have you ever had liability insurance refused, declined, canceled, or accepted on special terms?  Yes  No4. Have you ever used any drug or substance that interfered with your ability to perform Massage Therapist duties?  Yes  No5. Have you ever been charged with or convicted of any violation of the law other than a minor traffic offense?  Yes  No6. Do you: do colonic irrigations, treat cancer, epilepsy, practice obstetrics, or make a differential diagnosis?  Yes  No7. List any other health designation you hold (D.C., L.Ac, etc.) ____________Are you separately covered for malpractice?  Yes  No8. Are you providing any Massage service that was not a part of your massage school training program?  Yes  No9. Do you use hot stones on your clients? (if Yes, a hot stone addendum and an additional $25 is required)  Yes  No10. List any entity you want covered as an additional insured-include address: COVERAGE OPTIONS SIGN THEN FAX OR MAIL APPLICATIONSelect your policy limit (includes both Professional & Premises liability I hereby apply for coverage. If provided, charge my credit card for the amountcoverage), along with any coverage options you need, then select the indicated. I hereby declare that the above statements are true, and I have notpayment option that suits you. misstated or suppressed any facts. I agree and understand that my policy is issued in reliance upon such statements, that such statements are deemed $2,000,000 / $4,000,000 @ $154 = material, that untrue statements could void my insurance and that this $1,000,000 / $3,000,000 @ $115 = declaration shall be a basis of, and form a part of my policy. I understand that $1,000,000 / $1,000,000 @ $ 99 = this is a Claims Made policy which will only cover claims made during the General Liability @ $ 49 = policy period arising out of the rendering, or of failure to render, professional Additional Insured @ $10 = services subsequent to the retroactive date. I understand that if the policy @ $110 = terminates for any reason, there is no coverage for claims reported after the Business Personal Property termination date (even though the injury occurred while the policy was in force), unless Extended Coverage is purchased within 30 days after($10,000 Limit - Lloyd’s of London Policy – Incl. Tax) termination. I understand that there is no guarantee that coverage will be renewed. I understand that, if coverage is granted, I shall have the duty to TOTAL DUE: report in writing, within 48 hours, or as soon as practicable, any incidents reasonably likely to involve this insurance, including oral or written patient complaints, threats, or filings of lawsuits. PAYMENT OPTIONS SIGN: DATE: Check  MasterCard  Visa  Discover  AMEX REMIT TO: ALLIED PROFESSIONALS RISK PURCHASING GROUP 1100 Town & Country Road, Suite 1400Card #: Expires: Orange, CA 928683 or 4 Digit Security Code Billing Zip Code:Phone – 714-836-3364 • Fax – 714-571-1863 • Email - [email protected] • Website - www.fsmta.org

ChapterCalendarsBig Bend Chapter - contact Gulf Coast Chapter or Suwannee Valley Chapter to attend theirmeeting location until notified change of meeting address.Brevard Chapter - contact Charlene Taylor, [email protected], 321-633-7475.Meetings are held on the second Tuesday of every month on a location rotation betweenCocoa and Melbourne. Always from 6 - 9 pm with 2 CEs. Dessert and coffee will be provided.Please visit our web site www.fsmtabrevard.org to get exact locations and directions. Join usnow on Facebook - FSMTA Brevard Chapter.Broward Chapter - contact Marcia Chaves Tyndall, [email protected], 305-753-8463. Meetings held first Tuesday of each month at Imperial Point Medical Center in Ft.Lauderdale from 7 - 10 pm.Central Florida Chapter - contact Crystal Howard, [email protected], 407-415- Palm Beach Chapter - contact Lesli Lopez, [email protected], 561-319-1814.5540. Meetings held the third Monday of each month at Marks Street Senior Recreation Meetings held third Thursday of the month, 6:45 pm - 9:15 pm, at Forest Hills CommunityComplex, 99 East Marks Street, Orlando, 32803. Doors open at 5:00 pm. Announcements at High School, 6901 Parker Ave., West Palm Beach, FL (January - November). Map located on6:30 pm. Presentation of 2 CEs is 6:45 pm-8:45 pm. Check details for each meeting at www. website: www.pbfsmta.com.fsmta-cfl.com . Like us on facebook: FSMTA Central Florida Chapter!Dade Chapter - contact Renee Scioville, [email protected], 786-230-6313. Chaptermeetings are held the second Wednesday of each month at Educating Hands, 3883Biscayne Blvd., Miami. Meetings begin at 6:30 pm.Emerald Coast Chapter - contact James Fritschle, [email protected], 850-485-0552. Sarasota/Manatee Chapter - contact Eddie Hooper, [email protected], 941-356-Meetings are held at The Fortis Institute, 4081 East Olive Rd, Ste B, Pensacola, FL, on the 7160. Meetings held third Wednesday of each month. Visit our website www.fsmtasarasota.second Monday each month, 6 - 9 pm. Check schedule at www.ecfsmta.org. org for meeting time and location, as well as other important information.First Coast Chapter - contact Neal Finkelstein, [email protected], 904-525-2413. Meetings Southwest FLORIDA Chapter - contact Sydney Sheaffer, [email protected] held at Specialty Hospital Jacksonville, 4901 Richard St, Jacksonville, FL 32207, the third com. Meetings are held the first Tuesday of each month at 6 pm at Bass Pro Shops,Thursday of the month, 6:45 pm. Check schedule at www.firstcoast.myfsmta.org. GulfCoast Town Center. Visit our website at www.fsmtasw.org.Flagler/Volusia Chapter - contact Greg Neely, [email protected], 386-631-8311. Sugar Dunes Chapter - contact Chester Cyrus, [email protected], 850-225-0737.Chapter meetings are held the second Wednesday of each month, 6 - 8:30 pm at Keiser Sugar Dunes Chapter meetings had not been changed yet. Our Destin meetings will be atUniversity Auditorium, 1800 Business Park Blvd, Daytona Beach. www.fsmtafv.org. Soothing Arts Healing Therapies School of Massage & Skin Care at 12605 Emerald Coast PkwyGulf Coast Chapter - contact Marion Padgett, [email protected], 850-774-0675. #2, Miramar Beach, FL 32550, and Beachside School of Massage and Beauty at 362 BealMeetings held second Wednesday of each month at Harbour Village Executive Center, 6-9 Pkwy NE, Fort Walton Beach, FL 32548.pm, 3001 W. 10th Street, Unit 101A, Panama City, FL 32401. Suwannee Valley Chapter - contact Michael Bates, [email protected], 352-214-Heart of Florida Chapter - contact Ian McIntosh, [email protected], 863-797- 2598. Meetings are held the second Tuesday of each month at Haven Hospice of Gainesville,6107. Meetings are held the third Tuesday of the month at 6:30 pm, no meetings in July 4200 NW 90th Blvd, Gainesville, FL 32606, 6:00 pm.& December. Locations change monthly, check website for locations/presenters/topics. Tampa Bay Chapter - contact Joyce Prahasky, [email protected], 813-787-6399.Meeting information can be found at www.heartofflorida-fsmta.org. Meetings held third Thursday of each month, 7:30 pm - 9:30 pm, social networking, 7 pm -Keys Chapter - contact Mary Ann Nelson, [email protected], 305-509-0672. Business Meeting and CEs, see website for location details.Meetings are held quarterly and rotate locations throughout the Keys. Meeting times/ Please visit www.fsmta-tampabay.org for directions, dates and CE classes.locations will be posted in the chapter newsletter that is emailed the 15th of the month. Treasure Coast Chapter - contact Ross Hoffman, [email protected], 772-359-3608.North Central Florida Chapter - contact Bruce Gonseth, [email protected], 352- Meetings held third Wednesday of each month at Indian River State College Main Campus.362-9469. Meetings held third Monday of each month at 6:30 pm with CE presenters on www.treasurecoastfsmta.org.most nights starting at 7 pm at Marion Baptist Association, 1520 NE 14th St, Ocala, FL 34470. Schedules subject to change without notice.Visit our website at www.fsmta-ncf.org. Join us on Facebook. MAY/JUNE 2016 • MASSAGE MESSAGE 29

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Branch Out — with Upledger CranioSacral Therapy “Great experience. As a massage instructor and having been the director of a massage school, I appreciated how well all aspects of this workshop CS2 SER came together - admin and curriculum.”CS ADV1 - Natalie K., LMT CranioSacral Therapy 1 (CS1) Miami, FL (Spanish) July 21 - 24, ’16 Sarasota, FL August 18 - 21, ’16 Palm Beach, FL November 3 - 6, ’16 Orlando, FL December 1 - 4, ’16 John Matthew Upledger, CEO CranioSacral Therapy 2 (CS2) and John E. Upledger, DO, OMM, Palm Beach, FL October 27 - 30, ’16 developer of CranioSacral Therapy BioAquatic Exploration: CS1 (BAEC) Jean-Pierre Barral Freeport, BAH August 23 - 26, ’16 DO, MRO(F), RPTVisceral Manipu CranioSacral Therapy Additional dates and locations at: Developer 800-233-5880 | Upledger.com Kerry D’Ambrogio DOM, AP, PT, DO-MTP NMAA Branch Out — Take your skills to the next level Developer with Visceral & Neural Manipulation Stop by NM VM “It was career altering and amazing. I had no idea Booth #500 at what to expect with this work but I didn’t expect this FSMTA ’16 for lation level of improvement of change within myself.” Special Offers! - Karen W., LMT Visceral Manipulation: Organ-Specific Fascial Mobilization; Abdomen 1 (VM1) Palm Beach, FL June 23 - 26, ’16 Tampa Bay, FL December 1 - 4, ’16 Neuromeningeal Manipulation: An Integrative Approach to Trauma (NM1) Palm Beach, FL October 7 -9, ’16 TBB Additional dates and locations at: MB 866-522-7725 | Barralinstitute.com Branch Out —FBTotal Body Balancing Perfectly Balance your skills with an integrative approach to manual therapy JB Total Body Balancing: Advanced Integration 1 (TBBA1) Palm Beach, FL December 1 - 4, ’16 “I came away with a much better understanding of how and why to Total Body Balancing 2-3 Review (TBB23R) do a full body assessment, which Palm Beach, FL August 4 - 7, ’16 has given me the confidence to know that I can now better serve NEW OFFER: Inquire About DVD Home Study my clients/patients.” & Core-Pak Special Pricing. - Catherine H., LMP Additional dates and locations at: 866-311-9204 | DAmbrogioInstitute.com S$1T0AR0TPETRRAMIONNINTGH Ask about our Core-Pak Training & Certification Package