“Pump and Dump” Another Toxin Myth

About those Toxins again…

Not long ago I heard a coworker say that he instructed a lactating client to “pump and dump” following her massage in case any of the “toxins released during the massage” may have contaminated her milk supply.

This was the first time I had ever heard this toxin myth taken to such an extent. I did not try to explain to my coworker that there are no toxins released during massage, mostly due to the fact that people believe what they were taught in their massage schools as fact and often become defensive if you tell them it is not true and unfortunately it is repeated in almost every massage book ever written therefor it must be true, even if it is not.

Thankfully there are a few well known massage authors out there like Laura Allen who are trying to bring some sense and science back to the massage field and dispel some of these myths, but it will take some time before the massage schools get the memo and stop teaching this to their students.

So I searched the web to see how common this new twist on the myth has gotten

These are a few of the posts about this subject that I found in various breast feeding forums from the web:

“She said I should dump the next two pump sessions because of all the toxins that come out after a massage. I barely produce enough for my lo and dumping anything makes me sad. Is this really necessary?”

“I got a 90 minute massage tonight. The massage therapist said that since I was breastfeeding, and she was massaging my lymph nodes, I should pump and dump at least for the next 12 hours, but 24 hours ideally. She said this is because the toxins now floating around my body can go into the breastmilk and cause DD to feel sick, not to mention I shouldn’t feed my baby BM with toxins in it.”

“Is it safe?? I’m getting my first massage today and I’m still breastfeeding. Just read that it could be dangerous because of the toxins that get released from your body and go into your breasts/milk — is this true? I’ve never heard of this. I will breastfeed right before my appointment but I’m I safe to breastfeed right after?”

“The masseuse informed me that I will have to drink a ton of water and dump at least 6 ounces from each breast until the toxins are removed. I Googled this to find that there is literally no research to back this up and that I CAN nurse her after all or pump and be able to use it. Does anyone have experience with this?”

“I had a massage today and the massage therapist told me to pump and dump for the next 24 hours because of the “toxins” that she released while massaging me. 24 HOURS??? Are you kidding? That’s over 40oz of breastmilk down the drain if it’s true. Does any one know for sure or know how I can find out? I would be bummed BIG TIME if I had to dump all the breastmilk down the drain. I will do it if I have to but a want a “second opinion”!”

I do not even know where to begin, other than to first apologize to these ladies for the misguided information they have been given, and especially to the one who was already struggling to produce enough milk to feed her infant.

I repeat NO Toxins are released by massage

None, zero, zip, zilch, nada! The only exception is that deep tissue massage might release some myoglobin which is not toxic but can become toxic if it builds up in the kidneys in large amounts, which is the real reason you should drink water after a massage.

I know that we all learned this toxin myth in massage school and many still believe it because they have not been educated otherwise,   this myth is harmful not only to our industry but clearly it is causing undo stress to these nursing mothers and may prevent other nursing mothers from getting massage treatments out of fear of these non existent toxins.

Lets spread the word, help educate other therapist and our clients that massage is safe for nursing mothers and their new born babies and that there is no need for them to sacrifice their precious milk over a silly myth about mystery toxins.

Yours in Health and Wellness,

Kristeen Anne Smart (formerly Kish)

CAMTC Certified Massage Therapist

 

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Migraine Journey Part 3: Update Feeling A Bit Better!

February was a challenge

The weather was unusual for Southern California, a lot of rain and overcast skies that often cause me a lot of light sensitivity and headaches.

My last entry detailed many of the ongoing days of struggle with the migraines and it was a bit chaotic but I decided to leave the entry exactly as it is because that is how my mind was working at the time.

I have been on the 100 mgs of Topamax for over a month now and using CBD oil daily along with Turmeric with Black Pepper and some Vitamin D (since I already know I am low on that) and drinking water.

I am trying to manage my migraines using as little over the counter or prescription pain relivers as possible due to the potential for rebound or over use headaches, this is a very real problem for many migraine sufferers.

Rebound or Overuse Headaches

Medication Overuse Headache

Medication overuse headaches have previously been termed “rebound headaches,” or drug-inducedheadache and medication misuse headaches. Medication overuse headaches are experienced more than 15 days a month for at least three months and have developed or markedly worsened during medication overuse.
And that brings us to the conundrum of the doctor saying “take this pill as soon as you feel the migraine coming on for full effectiveness.” If I were to take something every time I feel a migraine coming on I would run the risk of over use because there is not a day that goes by that my head is not threatening to turn on me, sometimes I can convince it to stay calm and work with me, but all it takes is a flash of light or a can of Axe deodorant spray and its on and popping!

I Promised You An Update….

So, I didn’t think the MRI would show up with anything strange, but you never know, so to rule things out before proceeding with treatment options it was best to have a look in there. Everything appears normal.

And since I have tried several Triptan’s I can be referred for the next treatment option after I try one more (because they have to say I at least gave them all a try) and then we can try Botox. The Doctor says many of his patients have good results with the Botox treatment.

As for March and my headaches, so far Zero ocular migraines and I have only turned to medication (not including the daily Topamax) three times this month, I have been able to manage it with the CBD oil most of the time… or, maybe the migraines have lessened due to the daily Topamax? That is very possible.

What Has Worsened? Photophobia! Oh Joy!

I am blessed to work in a dim lit environment, right? Well that has its disadvantages too! Coming out of the dim lighting and into the brighter hallway and then looking onto the computer screens for information on my next client can be painfully blinding, but not only that I have developed a new and even more entertaining migraine side effect, PHOTOPHOBIA!

I was fully aware that the light sensitivity and the way the headlights of oncoming cars and even the street lights and stop lights flare and hurt my eyes was a form of photophobia but now I have gotten to a point where the cell phone and computer screen are also painfully bright to me as well.

Walking down the hallway at work after coming out of a dark room I am now seeing the trim boards move like waves as I walk past them and returning to the dim lit room I now see not one but two massage tables briefly. I am able to adjust to the lighting in a few minutes with some time to focus but I feel as if I am becoming a vampire, suddenly preferring to come out of the building once the sun has completely set.

So, my obvious next step will be to see an optometrist, which is something I had been putting off since the migraines tend to effect my vision and it can change from day to day based on the migraine attacks. I will look into that this coming week.

In a Nut Shell

What seems to be working, the CBD oil and the Topamax, what does not seem to be working for me, the Triptans seem to help with the headaches about 50% of the time but really make me feel terrible, muscle pain and weakness and just an overall feeling that I do not like at all.

Another simple thing that I found on migraine forums is that in the UK the first line of treatment is 900 to 1,000mg of Aspirin taken with a Sugar Cola (sugar, not fructose corn syrup, so something like a Jones Soda or a Mexican Coke) and I have tried that twice now and both times it has stopped a migraine in its tracks.

I have since looked up the studies on Aspirin for migraines and there have been several peer reviewed studies where they compared 900 to 1,000 mgs of Aspirin to the Triptans and Placebo and found the Aspirin to be as effective as the Triptans, my Neurologist disagrees with that but the many studies shows this to be the case.

Last night I tried another in the Triptan family, within 30 minutes I felt my body get weak, I began to feel sick to my stomach, the pain in my head did not go away, in fact it got worse. I took some CBD oil and went to bed. I felt better this morning, but if the pain continues today I will simply use the Aspirin because I do need to function at work, I do not need to have my muscles effected by a my migraine medication.

I do hope that something along the way here may be of help to someone else that may be going through this or even to my daughter who is struggling with the migraines along with me. It turns out that there is indeed a genetic component to the condition and it unfortunately effects more women than men.

Most migraine studies have been largely conducted on men in the past but that trend is changing and I look forward to more research studies being done on women and more specifically on the hormonal triggers as that is often a very common trigger for many women.

Yours Always, In Health and Wellness!

Kristeen Anne Smart (formerly Kish)

CAMTC Certified Massage Therapist

 

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Migraine Journey Part 2 Its Been A Long February

Today I am Feeling a lot Better

It has taken me several days and a lot of trial and error to get to this point. Rewind to Tuesday’s last blog post, I went in for my brain scan with a migraine hiding behind my sunglasses.

The scan went well, I managed to hold still the entire time, they got my message about being unable to lay on my back without support under my knees and had everything ready when I got there.  The entire procedure only took about 15 minutes once they got my head and shoulders stabilized in whatever contraption they use to make sure you do not move around while they do the imaging.

The process was made more bearable by some head phones playing  old school 80s radio, I would have preferred  relaxing meditative instrumentals or ocean waves but some Phil Collins was not a bad way to set my mind at ease.

When the procedure was done I decided to head to the pharmacy to see if they had ever heard back on the dosage for the Maxalt for the migraine pain, they called the doctor again.

So I waited, in the corner hidden behind my sunglasses until someone at the pharmacy started suggesting to me that perhaps I should try contacting the doctor myself, he continued talking to me while my head was pounding and all I wanted to do was just get some Extra Strength Excedrin, some chocolate, and go to nice dark quiet place, so I did just that and left.

Later that afternoon the pharmacy texted that my med was ready, head was still pounding so I sent my daughter to pick it up for me, an hour after taking that I was still in pain, that evening I took two more Extra Strength Excedrin. The following morning I took another Maxalt and went to work suffering in pain.

At work I asked the manager on duty to put me down for a wellness massage as soon as possible, she not only did that she helped clear my schedule and get me off the clock so that I could go rest because by that time I was experiencing vertigo and nausea as well as the excruciating head pain.

The Massage focus was on head, neck, shoulders and back, a lot of neck and scalp specific work and believe me the muscles of the scalp were painful to the touch, especially the temporalis muscles and I was definitely feeling those areas of tension throughout the evening after the massage.

The pain continued though and by the next day I had given up on the meds aside from the daily preventative Topamax and changed course and started taking large amounts of Turmeric, Vitamin D3, B6, B12, Magnesium, and lots of water along with hemp CBD oil by the dropper as needed all day long.

By the following day I was able to use far less of it, I can still feel that I am not fully out of the woods yet, the pain is sill subtly throbbing in there, but the CBD seems to be making life far more bearable right now, so much so that I was able to pick up another shift at work today to make up for clearing my shift the other day.

Anyhow, This was just a quick update while the events of this week are still all to fresh in my mind… and a little timeline of events in case I forget them later:

Feb 7 met the neuro had visual migraine that evening

Feb 9 had migraine (have had pressure by right orbital bone since last visual migraine)

Feb 18 had irritability, sound and light sensitivity (I knew it was coming)

Feb19 woke with the migraine was MRI day, finally got the Maxalt (did Excedrin twice that day as well)

Feb 20 ouch still going Tried Maxalt again and Excedrin, got massage, most painful night ever! sound sensitive, light sensitive.

Feb 21 gave up on the Maxalt and Excedrin and used CBD and supplements, started feeling a little better, still dizzy.

Feb 22 still doing CBD and supplements, still mild headache, a bit off balance, some visual difficulty, light sensitive.

Feb 23 good morning Firday… how do I feel right now? my eye has been doing that twitching thing for so long that I totally forgot to mention it, its almost become such a daily thing that its not even a thing, so there is that, my eyelid has been twitching for the better part of this month, thank goodness no one seems to have noticed little lefty winky… I feel drained, there is still a feeling as if someone has a finger over the orbital bone by my right eye and there is a slight pain throbbing on the left side of my head. I also feel like there is a veil over my head, cant describe it better than that really.

I feel much better than I have all week and that is saying a lot, but I am not leaving for work without my CBD oil and I have ordered more, I am now realizing why I waited so long to seek treatment for my migraines, because I have done this in the past with similar results, what I was seeking this time is treatment options, not simply more pills. I will continue to update you if I do find out anything that works, so far CBD helps.

(Editing to add the events of the weekend)

Feb 24 Sunday evening at work the head pain continued mildly, growing in intensity with any activity, I was able to keep it under control with some deep breathing and closing my eyes whenever possible but I was still having visual disturbances in the form of tracers and seeing movement in the corners of my eyes.

It is now Monday Feb 25th and I have a new Dr P product being delivered today that I am excited to give a try later, a combination of CBD and Hops for anti-inflammatory properties, believe me at this point I am willing to give anything a try.

As for how I am feeling today, I feel like crap, this has been going on too long, my stomach aches, my head aches, it hurts to look at my cell phone, my computer, the outside world where the beautiful sun is shining, any white paper, any website with a dark background and yellow font, and website with a white background and black font, and that’s pretty much every website lol! Sound hurts, especially high pitched sounds like flutes or children’s squeals.

My vision is not terribly out of focus today, at least for the moment, it honesty changes from moment to moment. There is a constant pressure in my head, it gets more bearable if I sit totally still and do nothing at all, meditation or sleeping is preferable to anything else at this point. Bending down to pick something up makes it worse, movement, exercise, any exertion of energy seems to aggravate the headache, so its just best to be still and calm.

People have been asking me about the results of my brain scan, I do not have any answers because my next neuro appointment is not until the end of next month, its very difficult to get in to see the neurologist, which is why it is very difficult for migraine sufferers to find someone who specializes in this condition, there are very few and they are fully booked out for several weeks in advance. I will keep you posted as I find anything out!

In case you are wondering, the CBD I am currently using is Dr P’s Dark Chocolate Mint CBD Oil

Dr. P’s Dark Chocolate Mint CBD Oil

I trust both Barefut’s products and Dr P’s products so it was an easy choice for me, full spectrum, co2 extracted, no solvent, pure CBD.

Yours in Health and Wellness,

Kristeen Anne Smart (formerly Kristeen Anne Kish)

CAMTC Certified Massage Therapist

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Migraine Journey Part 1

One Week In Treatment

Lets start with the fact that I usually avoid doctors like the plague, yes I do, they terrify me more than going to the dentist and that’s saying a lot, but the migraines have increased in frequency.

As you may know I treat people with migraines and headaches in my massage practices all the time, there are a few tricks I have learned a long the way, but it is very difficult to practice on myself because I cant lay still on the table and work on myself, not for lack of trying.

So I made an appointment to see a Neurologist because if I am going to see a doctor I would prefer it be the correct doctor for the problem at hand.

The First Visit

Filled out the paperwork, met the tall elderly gentleman who is my new doctor, I thought to myself “good, he is older” I prefer an older doctor as they have been around and have seen many conditions and know that not everyone will respond the same to treatments.

He did some basic nerve tests, poked me with a pin, my nerves are all working well, which is a very good thing given my history with my back surgery over 13 years ago, and then he suggests a brain scan just to rule out any possible damage or other conditions and wrote me a script for medications.

Two prescriptions, one for a preventative, a generic form of Topomax and Maxalt, trouble was he didn’t put down a dosage on the prescription for the Maxalt so the pharmacy was unable to fill the Maxalt prescription so I was only able to fill the preventative.

That evening I went into a full blown visual migraine, I call it a visual migraine but they call it a “migraine with aura.” I find it funny they call that thing an “aura” as to me the term aura sounds so peaceful, what I see is anything but peaceful, it is sharp and jagged, a visual and sensory assault that wipes me out.

They put in a call to his office for clarification on the other prescription but to this day no return call has been made about the other medication. I have been taking the preventative for just over one week, as I am writing this today I have had one migraine with aura the evening I filled the prescription, one regular migraine two days following, and one at this moment.

I will bet you are wondering how it is that I am typing this right now with a migraine, well, because I can still see, and because I took some CBD oil which seems to be taking the edge off for the moment and I want to take a moment to share this with you because today is important.

Today I Go For A Brain Scan

This afternoon I go for a brain scan in Huntington Beach, I am actually glad that I am experiencing the migraine today because I would prefer that my brain be doing whatever it is that it does when they do the scan so that whatever is happening will be evident, if it be some sort of swelling or pressure or whatever it may be.

This is why I am actually considering todays migraine to be a bit timely. Maybe we can get some answers? Maybe this isn’t just hormones, or environmental triggers, or some hidden allergic reaction to something I ate or was exposed to, maybe it has nothing to do with the lighting on the computer monitor, or the sunlight, or driving without sunglasses.

I will keep you posted if I learn anything new on this journey or anything new about migraine treatments, what works, what doesn’t, what helps me, what doesn’t help me… and by the way, so far at 100 milligrams of generic Topamax at just over one week I am still having migraines.

Yours in Health and Wellness,

Kristeen Smart (Formerly Kish)

CAMTC Certified Massage Therapist

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Wolrd Massage Festival 2018

I just returned from the World Massage Festival 2018 in Las Vegas

WMF 2018 resized

I arrived on Monday afternoon for check in

As always ABMP was there with welcoming gifts for everyone.

There were vendors from the United States, Canada, and Triniadad.

The vendors hall featured products from Young Living, CBD products, Crystals, Far infrared Saunas, Biomat technology, The amazing Body Cushioning System, Acupuncture, Cranio Sacral and Cupping courses and products, as well as various representatives from several massage organizations.

Cryoderm was there displaying their newest product Magnesium Calming Cream, which became a favorite of the Oncology Massage Instructor Christine Courtney and she was pleased to use it in our class due to its soothing glide and texture.

Cryoderm is still my favorite go to topical analgesic so I am including a link to their site here for you: Cryoderm Products

I also had the pleasure of meeting with representative of the massage organization FSMTA which started as a Florida organization but has branched out nationally. I enjoyed listening to the work they have been doing in helping with protecting our industry from laws that may inhibit our practice or put an undo burden upon our industry and was very interested in their continuing education programs. I will definitely be taking a closer look into their organization and sharing it with others who may benefit from what they have to offer: https://www.fsmta.org/

Oh, I absolutely must mention my repeated trips to the vending hall to visit Cupping Canada! I purchased their Negative Ion Cupping set and then returned the next day to buy another set of soft silicone cups, I had to laugh when they apologized for needing to charge me for Nevada State Sales tax, gotta love Canada! They also had other products of interest, you really should check them out for yourself: https://cuppingcanada.com/

On Monday night we had our first ever “Parade of Flags”

Featuring flags from Trinidad/Tobago, Australia, Brasil, England, Canada, Puerto Rico, Czech Republic, Arizona, Arkansas, Calif, CO, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa. Kansas , Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, Nevada, North Carolina, Ohio, Oklahoma, PA, RI, SC, Tennessee, Texas,  Utah, Washington State, Wisconsin, and WV!

The Following day my feet were hurting so badly that I rushed back to the vending hall to purchase myself some insoles from VOXXLIFE of Ontario Canada: VOXXLIFE

The insoles provided instant relief from my sore feet and from the plantar fasciitis of my right foot, I was very impressed and it honestly made the long walks to and from the convention hall the rest of the week seem like a stroll through the park!

There were daily drawings for prizes, scholarships, and even cash giveaways at 12:30 in the vending hall every afternoon.

Classes Started on Tuesday!

I will admit that it is very difficult to choose a class for the World Massage Festivals because they have so many amazing instructors and modalities to choose from!

This year due to the many people I know whos lives have been touched by cancer I chose to take Oncology Massage as my main focus.

Christine Courtney, the instructor, is a world acclaimed instructor and practitioner of Holistic Therapies who teaches world wide and is the owner of OBUS School of Healing Therapies in Ireland: http://obus.ie/

For the two day class we were instructed on contraindications, areas to avoid, the effects of radiation and chemotherapy on the body, and the care and treatment of cancer patients and survivors of cancer.

Christine also taught us a soothing reflexology treatment that her students us in her clinic in Ireland that stimulates the vagus nerve, pituitary gland, and heart chakra.

oncology cert resized

 

Thursday was our last day of classes

For my last day of the classes I decided to take Russian Sports Massage Pre and Post Event with Olge Bouimer, Director of Advanced Studies at Southern California Health Institute: http://www.owellnessglobal.com/

Russian Sports Massage has been something that I have been curious about for many years now and I was pleased to see this class being offered this year! The reason Russian Sports Massage caught my attention is because it utilizes not only the various basics we were taught in school such tapotement and petrissage but it also incorporates vibration techniques which can travel deeper into muscle tissue.

Olge brings some humor, personal experience and stories from his experience as an athlete, and some scientific approaches to the nervous system and the different effects massage and specifically sports massage can have on the body.

The class was fast paced, fun, and gave us many new tricks to add to our daily routines as well as instructing us on the different uses for various strokes and modalities for pre vs post event massages.

The link above contains his many amazing instructional DVDs available for purchase as well as a schedule of classes that he teaches.

russian sports cert resized

Thursday evening I finally stepped out of the Hotel to explore Vegas!

My massage partner and I went on a brief but exciting venture into Vegas.

We went to the Stratosphere first

stratosphere

I had a margarita in the bar and was blown away by the city lights before us, pictures cannot do it justice!

vegas city lights

We then went to the observation deck and saw the city below us, the winds were intense so we decided it was best to return safely inside.

We then went to the Bellagio just in time for the final Fountain Show featuring the Star Spangled Banner.

Bellagio Fountains

It was a beautiful ending to a long fun filled week at the World Massage Festival in Vegas!

Check out next years festival!

Next Years class schedule is already posted, classes fill up fast!

World Massage Festival in North Carolina 2018 http://worldmassagefestival.com/2019/

 

Yours in Health and Wellness

Kristeen Smart Kish CAMTC Certified Massage Therapist

 

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The Polaris Report vs the FSMTB Report on Human Trafficking

Human Trafficking and Illicit Massage Businesses

A few months ago the Federation of State Massage Therapy Boards (FSBM)  put out a task force report on Human Trafficking in illicit massage establishments (IM’s for short), however, there was some controversy within the massage community that some of their proposed solutions included regulations that would impact legitimate massage establishments.

You can read their full report here: https://www.fsmtb.org/media/1606/httf-report-final-web.pdf

The proposed suggestions that concerned various massage agencies include the following statements:

Evaluate the possibilities of a uniform, national accrediting body for massage therapy schools and programs.

Create a work group to study the efficacy of massage establishment regulation and serve as an informational resource for state boards on this subject.

Continue to develop its Massage Therapy Licensing Database (MTLD).

Amend the Model Practice Act to include a representative with a background in human trafficking to the composition of member boards.

Regularly report as much information as possible to the FSMTB Massage Therapy Licensing Database (MTLD) and query MTLD for every applicant and licensee as frequently as necessary for regulatory purposes.

Advocate to ensure its state school oversight mechanism includes programmatic or specialized approval review and a capacity to conduct follow up audits on the performance of massage therapy and/or massage and bodywork schools to ensure each school is meeting standards.

Encourage or require training of their massage board members and staff, in human trafficking, and familiarize themselves with human trafficking initiatives within their jurisdiction, state and federal laws, any current legislation on human trafficking, and other available resources.

Discuss the possibility of implementing massage establishment regulation, after the recommended Federation work group studying the efficacy of massage establishment regulations issues a report.

As you can see the FSMTB’s suggestions contain enacting changes to massage education and regulation in the hopes of stopping a problem that has absolutely nothing to do with legitimate massage establishments and could place an unintended burden upon our industry.

The Associated Body work and Massage Professional and The American Massage Therapy Association responded…

A link to the full response: ABMP & AMTA Response to FSMTB’s Report

The FSMTB is straying far from its mission in this report. It ignores readily available data from law enforcement and implies, wrongly in our opinion, that the massage therapy profession is responsible for ending human trafficking. AMTA and ABMP oppose the premise of the report. We reject both the misinformation it conveys and its perceptions about the responsibilities of the massage therapy profession.

Polaris, “A leader in the global fight to eradicate modern slavery” has issued its full report…

You can read the full report here: Human Trafficking in Illicit Massage Business

I encourage you to read the full report to get a better understanding of how wide spread this issue is and how the problem with human trafficking does not simply begin and end with the massage establishments but include an entire network  of organized deception and cohesion.

The following is a brief summary of the solutions proposed by Polaris (please read the full report for details on these suggestions.)

SOLUTION: Require transparency in business registration

Supporting Effective, Survivor-Centered Law Enforcement

Adopt an organized-crime approach, shift to increasing pressure on buyers by doing demand stings

Build networks of anti-trafficking law enforcement, code enforcement, and prosecutorial professionals

Closing Loopholes In The Commercial Real Estate Industry

Landlords can take responsibility to ensure human trafficking is not happening on their rental properties, and cities can leverage nuisance abatement laws to address those who do not.

Ending Online Practices That Legitimize Illicit Massage Businesses

Online review and “deal” sites should screen for IMBs

Shifting the Media Narrative to Increase Public Understanding, Decrease Public Tolerance

Media outlets must create policies to protect potential victims, and law enforcement must carefully frame press releases

Working Together to Ensure Victims Receive Robust, Culturally-Competent Services

Nationwide safety net: Key pieces of this coalition safety net include: • Culturally humble, trauma-informed interpreters• Attorneys• Job training

Polaris offers a more inclusive solution

Instead of focusing only on how the massage establishment can enact changes to help regulate IM’s by putting further regulations on the massage industry alone Polaris offers solutions that offer a focus ranging from public awareness, business compliance, a shifting of the media focus, as well as victim support and job training.

There is so much more that I would like to discuss about the Polaris report. Once again I highly encourage you to read the full report.

 

Yours in Health and Wellness,

Kristeen Smart aka Kristeen Kish
CAMTC Certified Massage Therapist

 

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What is Firm Swedish?

The other night at work an Esthetician asked me “What is Firm Swedish?”

One of my massage therapist coworkers was in the break room with us at the time and turned to hear my response…

I began to try and explain that it is a Swedish Massage with a firmer pressure, then I said “ok, realistically it is a gentle  Deep Tissue because Deep Tissues by definition is accessing the deeper layers of the muscles instead of just the superficial ones and I have no idea why we even bother muddying the waters with all the various terms we use.”

My coworkers eyes widened and she said “You are right, Swedish is gentle and relaxing, its not supposed to be firm pressure.”

Firm Swedish is for people wanting more of a Deep Tissue therapeutic effect without the pain or discomfort often associated with Deep Tissue massage

In all honestly there is not a lot of difference between the stokes, moves, and methods that I would use during a Firm Swedish Massage and the ones that I would use for someone asking for Deep Tissue.

In fact many of the Firm Swedish massages that I do end up being Deep Tissue work and some of the Deep Tissue work that I do ends up being more of a Firm Swedish depending on the need and tolerance level of my client.

Pressure is subjective!

We then discussed how all these words “Firm” “Deep” “Light” and “Medium”  are all subjective and vary widely  from not only the clients but the therapists as well.

One client’s idea of medium pressure is another client’s idea of deep, some say light when they really want medium, and some say light when they want feather light pressure.

My idea of light may be too light for some or too heavy handed for others, each persons perception of pressure is different and each therapists idea of pressure is different.

I find its easier if the client says something like “I want results but I don’t want to be put in pain” or “really go to town on those shoulders” or “please no elbows” to give me a better idea of what it is they are seeking. Communication is always the key to getting the massage experience that you desire.

Deep Tissue Massage Does not have to be painful!

If you search the internet about Deep Tissue massage you will find that page after page all state “Deep Tissue does not have to be painful to be effective.”

Unfortunately many people believe in the “no pain no gain” concept, this includes many Massage Therapists.

The idea that you have to tolerate a painful session because “you really need this” is not correct. If you are wincing, flinching, or tensing up then your muscles are not going to be able to relax and it may be counter productive to the goal of getting your muscles to loosen up.

Of course there will be people who will argue that point and say that the muscles will feel better after two or three days because of the painful deep pressure, that too is valid in the fact that eventually the muscle will tire and weaken and the result will be less tension due to the muscle exhaustion.

That being said there have been cases of injuries from Deep Tissue massage, there is a point where too much is too much. There is  also a condition called Rhabdomyolysis or Rhabdo for short that can result from muscle crush injuries.

Muscles store myoglobin, when too much myoglobin is released into the body it can become toxic when it reaches the kidneys. This is one of the main reasons why you should drink plenty of water following a massage to help flush that away.

Release of Myoglobin from massage has been found in a study to reduce the pain and discomfort of myofascial pain syndromes with surprisingly positive results:

https://www.ncbi.nlm.nih.gov/pubmed/3462906

A positive correlation was found between the degree of muscle tension and pain, and the increase in plasma myoglobin concentration. After repeated massage treatment a gradual decline in the increase in plasma myoglobin concentration could be demonstrated parallel to a reduction in the muscle tension and pain.

So  there is definitely benefit to getting Deep Tissue massage for people with muscle pain, the same can be said for Firm Swedish which is simply another form of Deep Tissue therapy.

We can honestly only go so deep

There are times when we get a client who wants the deepest, hardest, and most painful massage that we can possibly give them.

For whatever reason that client feels the need to have it hurt, whether it is because they believe it will be more effective or because they cannot quite feel how much pressure is actually being given I am not sure.

When a client is clearly seeking a sensation of pain we do our best to try and use pressure points to provide them the sensation they seek without causing damage to the muscles  tissues and bony structure, however, there are times when we simply cannot go any harder or any deeper.

In closing, to sum things up…

Firm Swedish is simply a more gentle form of Deep Tissue Massage. Deep Tissue Massage does not have to be painful to be effective.  Areas that are more tense may be a bit painful but it should be a “good hurt” and not a “bad hurt” or overly painful experience.

Whatever it is you are seeking from your massage experience it is best to communicate your needs, concerns, and areas that you want to address as well as areas that are more sensitive to you so that we can offer you the massage experience and effect that you are seeking.

Yours in Health and Wellness,

Kristeen Smart aka Kristeen Kish

CAMTC Certified Massage Therapist

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Regarding the Massage Envy Allegations

The recent news about Massage Envy has shaken the entire industry

As Massage Therapists we go through extensive background checks and are required to take ethics courses to prevent misconduct in the work place.

We have worked hard to over come the stereo types and educate others about the dangers of elicit Massage Parlors and Human Trafficking and to set ourselves apart from that element.

The recent news about the allegations at Massage Envy and the way that those allegations were handled leaves the entire industry, not just the chain spas, with another obstacle to over come.

First and foremost I want to say , if you are sexually assaulted during a massage MAKE SOME NOISE!

I understand you are laying naked under the covers and feeling vulnerable, find your voice!

Yell “STOP!” or “GET OUT OF MY ROOM NOW!” Or even simply “HELP!” The walls are thin enough that the clients and therapist in the next rooms will hear you and I for one would politely excuse myself from the client I am working on to come to your assistance as would many other therapists.

Always remember that you are not alone and if you are being victimized forget about being quiet and polite, make some noise!

What changes need to be made in our industry to ensure client safety?

With all the stringent background checks, licensing requirements, and ethics training  one might ask how this even occurs at all, and that is a question that I have been asking myself over the past few days.

What I have come to realize is that a background check only assures you that the individual has not been caught and convicted of committing any crimes, that does not mean that they have not committed any and gotten away with it.

Which leaves us with WHY? Why have these incidents gone unreported or under reported? Why were these individuals simply fired and allowed to move on to other locations with an active license?

We can do better and protect other clients by making sure that these situation get fully reported and investigated.

Predators exist in all walks of life

We have all heard of Ministers, Doctors, and Nurses sexually assaulting parishioners and patients.

I once worked in an Assisted Living facility that had to deal with a predatory Nursing Assistant who was stealing patients jewelry, credit cards, and even their identities and I was horrified to see the lengths the company would go to protect itself, not the patient. The thought that that Nursing Assistant might still have a valid license to continue preying upon the elderly haunts me to this day.

This is exactly where the problem lies, if these predators go unreported and are quietly removed from their jobs they simply move on to another location where they can continue to victimize others until one day someone, somewhere will finally get up the courage to call the police and start an investigation.

Sexual assaults are even more complicated

Most sexual assaults go unreported by the victims. That means that the ones we are actually hearing about now are only the tip of the iceberg.

Victims of sexual assault are less likely to report right away because their initial response is to get away, which is why many of those who did complain called the company days or even weeks later to report the incidents and did not do so at the time the assault occurred.

A victim of sexual assault is dealing with many thoughts and emotions, feelings of being violated, guilt or shame for not yelling or making a scene, fear, and shock.

The fact that many of these victims were not taken seriously because they waited to make their complaint is concerning to me, victims of sexual assault often times need to get up the courage to even talk about it. All allegations of abuse no matter how long the victim took to come forward need to be taken seriously.

Another thing that complicates such allegations in this industry is that some allegations of sexual misconduct are in some cases simple misunderstandings such as the client not knowing that a glute massage is not a sexual act but a therapeutic treatment for low back pain. In that situation a therapist may find themselves being accused of sexual misconduct when nothing sexual was intended at all. That being said a therapist should always get a clients consent before working in areas such as the glutes or upper pectoral muscles.

What has prompted me to write about this today?

Yesterday at one of my places of employment all male staff members were pulled aside for a meeting which consisted of mostly telling them to be more conservative in everything that they do, from draping procedures to therapeutic services.

Later I spoke with the owner about this and asked her:

“Is every receptionist trained in how to handle such allegations, what to do, who to call, and when to call the police? Because this isn’t just about the men knowing what not to do, its about all of the staff knowing what to do should such a situation occur.”

Do we even have a protocol in place to deal with these kinds of allegations? If not, why not? All massage establishments should have a clear protocol in place when such a complaint is made and depending on the severity of the complaint when to involve the police.

It is the matter in which the allegations against Massage Envy were handled that is the most serious issue, such as why were the predators not reported to the police or the state boards? Why were they allowed to continue preying on other women? Why do some of these predators still have active licenses to perform massage services?

What needs to happen to protect our clients?

Retraining the male staff members is not only unnecessary but discriminatory. We ALL took the ethics classes, we ALL were fully background checked, and we ALL know right from wrong. This has nothing to do with the sexual orientation of the therapist, a predator is a predator and they need to be weeded out of our industry through the proper channels and brought to justice.

I am all for a nationwide protocol and reporting system, that being said I am also aware that there are people who might make reports out of retaliation or spite that may be unfounded, so each case should be taken case by case.

Every company should have a protocol in place with specific instructions on who to contact in the company, such as the manager on duty or owners, and when to contact the police. This should also apply to cases where the therapist is the victim of a sexual assault, that too goes sadly unreported as well.

Reporting to the state boards

The following link will give you information of the various massage boards by state, most states have their own licensing board that you can contact to look up someones license or make a complaint about a therapist. https://www.abmp.com/practitioners/state-requirements

In Closing…

As a Massage Therapist who is also a survivor of sexual abuse I take this situation very seriously and very personally. I look forward to an open dialog with my peers about how to prevent future sexual assaults in the massage industry.

Yours in Health and Wellness,

Kristeen Anne Smart aka Kristeen Anne Kish

CAMTC Certified Massage Therapist

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Looking Forward to The World Massage Festival 2018

World Massage Festival 2018

The 2018 World Massage Festival will be held in Las Vegas at the Rio All-Suites Hotel and Casino.

World Massage Festival 2018

For those who have never attended a World Massage Festival, this is an opportunity to learn new skills and modalities from some of the biggest names in the field.

The festival includes up to 24 hours of hands on continued education in a number of specialties including Oncology, Geriatric Massage, Bamboo Fusion, Orthopedic Massage, and Native American Energy Work, and man many more .

Their Mission Statement:

To honor those who built the bridges for our profession,
to educate the general public about massage, to educate therapists
about different types of massage and to have fun.

Reasons why you should attend…

A chance to network with Massage Therapists from around the world and learn from some of the leaders in the industry at a remarkably low cost.  No organizational memberships needed! You do not have to be a member of any massage organizations to attend and you are welcome to bring a guest for the festivities.

The “Early Bird Special” before Dec 31st is only $350 and can be made in four payments, after that the cost is only $400. Most of these courses if taken alone can cost more than cost for this entire festival.

There will be drawings for various prizes including a Trip to Hawaii and a 2018 Kia Rio as well as scholarships for upcoming World Massage Festivals.

Vendors will be there displaying all of the tools of the trade and some that you may have never seen or heard of before. The vending hall is a plethora of amazing items and service!

Classes fill up fast!

To ensure that you get into the classes of your choice you need to sign up as early as possible because the classes do fill up fast. You can take up to 24 hours of continued education, however, some of the class schedules conflict with one another so choose the one that you want the most and work other classes into the schedule around it.

This year I was inspired by several of my clients to take an Oncology Massage course and that is what I have chosen this year for my focus class.

The course will be taught by Christine Courtney who owns and operates her own massage school in Ireland and teaches internationally in several countries.

That class will be all day for the first two days of the festival which left me one last day to decide on another course.

I chose for my last day of the event a Pre and Post Event Russian Sports Massage class with Oleg Bouimer, who has worked with NHL, NFL, and NBA athletes.  I have been curious about Russian Sports Massage for a while now and I am excited for the opportunity to learn this modality.

Choosing your course is not easy as there are many wonderful course and modalities to choose from!

So many classes to choose from including: Hands free Ashiatsu, Activated Isolated Stretching, Lomi Lomi, Manchurian Acupressure, Thai Reflexology, Ethics, and various Sports Massage Modalities.

With so much to choose from it is difficult to choose between them, but you cannot go wrong with any of the choices, so even if you cannot get into your favorite class because it is full there are so many amazing classes to attend!

Yours in Health and Wellness,

Kristeen Anne Smart aka Kristeen Anne Kish

CAMTC Certified Massage Therapist

 

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A Little About Myself… Setting the Record Straight

Who is Kristeen Smart? aka Kristeen Kish aka Kristeen Narlock?

Hello, some of you already know me and know many things about me and about my life and have followed my journey from Nursing Assistant to Massage Therapist.

Due to an ongoing cyber stalking and harassment situation I feel the need to share a bit more about myself and state for the record my qualifications and address the lies that have been posted publicly about me.

I grew up in a small town in Washington State

I was born in a Naval Hospital and grew up not far from the Navy Base in a small town on the Bay over looking the mothball fleet of ships in the Puget Sound.

My birth name is Kristeen Anne Smart.

I am a beach bum at heart and spending hours searching the shores for trinkets and treasures of shells and rocks was my passion from an early age.

At a young age I was a member of the Medical Explorers Post on base where I was first introduced to health care and medicine as well as instructed in the use of CPR and First Aid.

As an adult my passion for helping others led me to become a Nursing Assistant in 1992 in Washington State, 1993 in the state of Wisconsin, and 1998 in the state of Oregon until the year 2012 when I allowed my license to expire after moving to California to peruse my career as a Massage Therapist.

Names I held licenses under as a Nursing Assistant  were Kristeen Anne Narlock (1st husbands last name) in the states of Washington and Wisconsin and in the state of Oregon Kristeen Anne Narlock until my second marriage when I became Kristeen Anne Kish. In 2017 I legally resumed the use of my maiden name Kristeen Anne Smart following my divorce.

During those years I worked in Nursing Homes, Assisted Living Facilities, a Group Home for Children with Developmental Disabilities, An Independent Living Apartment for Quadriplegics, a Senior Day Center, and Home Health Care.

Over the years I have had extensive background checks and have been fingerprinted, licensed and bonded in several states. I am currently on live scan.

I held Nurse Delegations as a Medication Aide in two Assisted Living Facilities, one Day Center, a Group Home, one Independent Living Apartment, and Home Health from the year 2000 until I left the state of Oregon in October of 2011.

My delegations included medication administration, medical records and documentation, diabetic testing and injections, epotin injections, wound care, catheter care including insertion and removal, bowel care, trach care and suction, and tube feedings.

My licenses and certifications are as follows:

1992 and 1993 Nursing Assistant Registered Washington State

1993 to 1999 Certified Nursing Assistant State of Wisconsin

1998 to 2012 Certified Nursing Assistant State of Oregon

2010 to 2012 Certified Chiropractic Assistant State of Oregon

2010 to 2012 Licensed Massage Therapists State of Oregon

2012 to Current California Certified Massage Therapist

My Stalker claims that I am unlicensed and uninsured, as you can see I am licensed and all of this can be verified. I have also maintained professional liability insurance since becoming a Massage Therapist with no lapse in coverage since graduating college in February 2010.

In 2009 I made the decision to go to school for Massage Therapy

In many of my jobs as a Nursing Assistant I worked in co-operation with Physical and Occupational Therapy departments where I was trained in Range of Motion Therapies and Ambulation to assist in recovery.

I enjoyed that aspect of helping others so much that I decided to peruse a career in Massage Therapy. It has always been my goal to remain in a field of health and wellness where I can continue to help others.

From 2010 to 2012 I held three licenses in the state of Oregon, Certified Nursing Assistant, Certified Chiropractic Assistant, and Licensed Massage Therapist.

From 2012 to current I have held and maintained Massage Therapy Certification through the California Massage Therapy Council in good standing.

In my many years in the field of Massage Therapy I have had the opportunity to work with people suffering from chronic pain disorders, skeletal defect, auto accidents, and work related injuries.

To me there is no greater satisfaction than helping others and the experiences that I have had both as a Nursing Assistant and as a Massage Therapist have been priceless to me.

As for the allegations being posted about me online…

First one must consider the source, a spiteful woman who poses as an “activist” online and has nothing but time on her hands.

My stalker has a history or court actions revolving around her ongoing stalking and harassing of people whom she has met on social media and has a list of victims of her harassment in several states across this nation and far more who have not come forward.

She once publicly announced on a talk radio show that she was being “stalked and harassed by 20 woman on facebook” when in reality she was the one who was stalking and harassing at least 20 women on facebook. I have court documents supporting this.

I have already faced this person and her wild accusations in a court of law and proved by “preponderance of the evidence” (as stated by the judge) that her allegations have absolutely no merit, yet she continues over a year later to make her accusations.

She claims that I lied about being CPR and AED certified

In the state of California it is not required of a Massage Therapist to obtain nor maintain their CPR certification, I do it because I want to and because it leaves open the possibility of working at other jobs that may require it.

In the state of Oregon it is a requirement for massage therapists, and while working in Oregon I always maintained my CPR/AED/ and First Aid certifications.

Recently an opportunity to take not only the CPR and AED certification but also First Aid literally fell into my lap through a city program for disaster readiness at a remarkable price, and it just happened to be on one of my rare days off! How could I possibly let that pass me by? So once again I am CPR/AED/First Aid Certified.

She claims I lied about my credentials

Now this one is seriously grasping at straws! In 2016 my cyber stalker found a listing online that erroneously listed my qualifications as a “nurse and nurse practitioner” (see link below.) This content was compiled without my knowledge or approval and had images and information obtained from my linkedin profile.

I have never professed to be either a Nurse or a Nurse Practitioner either online or in person and have always been honest about my credentials, licenses, certifications and professional delegations, once again all of my licenses can be verified by the issuing states.

40 Licensed Massage Therapists in Santa Ana, CA Directory

As you can see from the others listed there many have strangely exceptional credentials including Lawyers, Chiropractors, and Investment Bankers. Apparently we have some highly over qualified Massage Therapists in the area! All joking aside that listing is from a Radaris based search engine that takes information from your Linkedin profile and compiles it into a listing that you have absolutely no knowledge of or control over.

Not to mention the simple fact that no one in their right mind would be searching for a “Nurse” or “Nurse Practitioner” on a list of MASSAGE THERAPISTS, just stating the obvious here!

The listing about me stated my credentials as:

Massage Therapist Wellness and Fitness Licensed Massage Therapist Massage Therapy Nurse Nurse Practitioner Independent Contractor Contractor Independent Business Owners

Once again, just to be clear, this content was not created nor sanctioned by me in any way.

This woman then contacted my employer repeatedly in emails and via telephone claiming that I was advertising myself as a Nurse and Nurse Practitioner based on that listing and demanding that they fire me and threatening them with complaints to the better business bureau. They did not fire me so she then followed up with several phone calls harassing the company. This is exactly why I no longer state where I work anywhere online.

I contacted Radaris to have the listing removed. The profile in the listing has been removed at my request but the preview remains, they do not or will not remove the preview but they did as I requested and removed the profile in the link. Click on it and you can see for yourself the big bold words that read “NOT FOUND.”

Since then she has used this as her sole basis for all of her claims that I am passing myself off as a Nurse and Nurse Practitioner and she also claims that my participation in a Q&A site online called Quara is “practicing medicine without a license.”

Quoras Terms of Service CLEARLY state the following:

Content posted by Medical Contributors is not intended to be medical advice or instructions for medical diagnosis or treatment, and no physician-patient relationship is, or is intended to be, created by Content provided by Medical Contributors.

I hope that this clears up any misinformation being spread about me the internet. If you have any questions feel free to contact me!

Yours in Health and Wellness,

Kristeen Anne Smart aka Kristeen Kish

CMATC Certified Massage Therapist

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