Your abdomen is your friend.

The abdomen isn’t merely a container for most of the body’s internal organs; it is also contains emotions. Have you ever received terrible news and had the feeling that your heart has plummeted into the pit of your stomach? I have.

Some of us experience tension mostly as headaches while others of us deal with stomach problems connected with daily stress. Body stress actually begins in infancy. Many babies experience abdominal distress on a regular basis (often linked to colic,) and children get tummyaches when they are stressed out about school or friends. As we get older, we usually fall into one of two categories: headache people and stomachache people.

Sure, we might all get both every once in a while, but one type of discomfort is definitely prevalent. While I feel fortunate to be able to say I’ve never had a migraine headache, I can’t say the same about excruciating stomach pain. Most of my stomach troubles came at a time when I was being treated for Generalized Anxiety Disorder (GAD). Not surprisingly, a study published in “Alimentary Pharmacology & Therapeutics” found a direct association between GAD and Irritable Bowel Syndrome (IBS).

Emotions are indeed very physical. It’s the reason why getting a massage doesn’t just feel good physically, but also allows us to leave the table feeling like life is completely worthwhile. The best part is that, while massage does help reduce physical ailments, its benefits are multiplied because a healed mind contributes to a healed body.

I’m disappointed that massage therapists don’t spend much time working in the abdominal region. I currently have one client on whom I perform regular weekly abdominal massage, and the treatment is truly a mind-body experience for both of us.

If you get a lot of stomachaches, I encourage you to ask your massage therapist to focus on your abdomen for at least a few minutes every session. Because the abdomen can be so closely connected with emotional reservations, receiving a massage in that area can feel a little more intimate or even invasive in the beginning. Over time, however, you will get used to having someone else apply healing touch in that area, which I believe will allow you to release some of what is causing the discomfort.

I also encourage you try some basic abdominal massage techniques on yourself:

1. Lie flat on your back with a thick pillow just below your knees.

2. Rub your palms together until you feel heat radiating from your hands.

3. Let your hands rest side by side and palm-down just below your navel. Feel the steady rise and fall of your abdomen as you take slow, deep breaths. Focus on every breath, allowing your body to relax under the warm weight of your hands.

4. Using the full surface of both palms, massage your abdomen in clockwise circles to follow the natural digestive pathway in your colon. Start with small circles directly around the navel, gradually working your way out toward the edges of your torso. Let your hands work in a flowing motion by alternately stroking with one as you lift the other.

5. Let your massage last as long as your body is receptive to it, but try to work for at least 10 minutes to start with.

Tips:

• You can massage your abdomen through thin clothing, but working directly on your skin with a warming massage oil is a more effective way to induce physical and emotional relaxation.
• Check out this video if you want to see some advanced techniques.

Warning:

Abdominal massage is contraindicated for anyone:

• In the first trimester of pregnancy
• Actively undergoing chemotherapy
• Experiencing a flare-up of IBS or Crohn’s Disease
• Recently recovering from abdominal surgery
• With an abdominal aneurysm
• With cirrhosis of the liver
• With angina pectoris
• With an active infection or cancer in the abdominal region

Massage minutes go by faster than the rest.

If you’ve ever been to a spa or any other place where massage therapy is offered, you probably know that massage therapists provide treatments for assorted lengths of time. Three typical massage lengths are 30 minutes, 60 minutes, and 90 minutes.

The most common massage in a spa environment is a 60-minute massage. As a massage therapist at a chiropractic office, I’d say I give about an equal amount of 30-minute and 60-minute massages. I give occasional 90-minute massages and have only given a single two-hour massage.

Which should you choose? The one that’s best for you depends on what you expect to get out of your massage.

30-minute Massage

• What it is:A 30-minute massage is a great maintenance massage for one area of the body. (Most of my 30-minute clients enjoy my combination shoulder, low-back, neck, and scalp massage.) It can also offer you a quick breather in the midst of a stressful day. Another major “pro” of a 30-minute massage is that it’s usually pretty cheap.

• What it isn’t: 30 minutes isn’t the intended length of time for a full body massage; it simply isn’t enough time to adequately address all areas of the body. If I were to break down a general full body massage into 30 minutes, I wouldn’t have enough time to do extra work on any of the muscles after I warmed them up.

60-Minute Massage

• What it is: 60 minutes is enough time to fit in a relaxing full body massage. An hour gives me time to warm up muscles pay a little extra special attention to problem areas. A 60-minute massage will be more expensive than a 30-minute massage, but many massage therapist offices and spas won’t actually double the cost for double the time. Generally, you’ll get more massage for your buck if you choose a longer massage. (For example, if a chiropractic office charged $40 for 30 minutes, it might charge $65 for 60 minutes.)

• What it isn’t: Some clients don’t feel that 60 minutes is quite enough time for them to be on the table when they want a well-rounded treatment. As a therapist, I agree. I can give a full-body massage in 60 minutes but I still feel rushed. For example, sometimes I’ll have already worked on a person’s back for 20 minutes but then run across a problem area right before I go onto the next body part. I have no choice but to tell my client something like, “I can continue to work on this spot and not work on your arms and legs, or I can just continue on

90-minute+ Massage

• What it is: 90 minutes is blissful. It’s enough time for me to slow down, ignore the clock a bit, and listen closely to what a client’s body is telling me. It’s also enough time for me to try out new massage techniques. Some of my clients say, “Once you try a 90-minute massage, you will never want to go back to shorter ones.” A 90-minute massage is naturally more expensive than your other options, but it also is usually cheapest per minute. I couldn’t say whether you should get a 30-minute massage every two weeks or one 90-minute massage every six weeks; that really depends on how often your body needs maintenance.

• What it isn’t: A 90-minute massage isn’t for people who have trouble lying in one position for extended periods of time. It also isn’t a frequent treatment option for people who are on a tight budget. However, I urge you to try it once to decide whether it suits you.

Some take their coffee black; I take my tea green.

I love green tea. It’s a wonder brew, full of antioxidants that can hunt down free radicals in the body. Research increasingly shows that including green tea in your daily diet can help protect your body against cancer, arthritis, cardiovascular problems, high cholesterol, infection, and a weak immune system. Now you may be able to reap even more benefits of green tea by doing more than drinking a plain cup of it.

Here are some other fun ways to enjoy it:

Boost Your Daily Cup – According to a study at Purdue University, adding citrus juice or vitamin C to your daily brew of green tea can help green tea’s antioxidants stay in your body longer after digestion. So use either some citrus juice (lime is a quite tasty addition) or add some vitamin C to your tea and your body may reap more benefits.

Make a Green Tea Acne Treatment – Green tea acne treatments have become increasingly popular because they contain ingredients known to detoxify, reduce inflammation, swelling, and clear oil build-up. Treatments can be purchased or made at home. To make your own green tea acne treatment, boil some green tea, allow it to cool, and mix it with an egg white. Apply the treatment to a freshly washed face, wait for the mask to dry and harden on your face, and rinse it off with warm water. You can also skip the full green tea acne treatment concoction and apply a warm and wet green tea bag to the areas of your face affected by acne. I can’t personally vouch for it since I haven”t tried it yet. However, green tea in itself is quite mild and shouldn’t do you any harm.

Use Green Tea Shampoo – Most brands of green tea shampoo are quite gentle on the scalp and hair. They are full of antioxidants and vitamins, and they are known to strengthen and thicken hair as well as help repair damaged and dry hair. Brands such as June Jacobs Green Tea and Cucumber Conditioning Shampoo are helpful with hair that has been treated with dye and other chemicals.

Other Green Tea Products – The list of green tea products increases as green tea’s health benefits become well-known. If you’re curious, try some green tea ice cream, green tea toothpaste, green tea dessert bars, green tea-infused chocolates and caramels, and maybe even some green tea mints.

If you know of any other good ones, let me know.

Caution: After you get your first massage, you may be addicted for life.

Caution: After you get your first massage, you may be addicted for life.

So you’ve never gotten a massage.

Well, there has to be a first time for everything! Many clients come to me for their first massage, not exactly sure what to expect. They have an idea of what a professional massage should be like based upon some combination of what their friends tell them and what they see in the movies.

Trust your friends more than you trust the silver screen. I’ve got to say that movies provide an interesting depiction of massage therapy. While some representations are accurate, others are wildly different from the real experience. For example, most of my clients don’t look like supermodels. Secondly, not every client chooses to dress down to nothing. Finally—and most importantly—my massages are always purely platonic.

The truth is: the massage experience is different for everybody, but you should never feel uncomfortable when you are on the table. Every good massage therapist should know that and make sure that you feel at ease throughout the whole experience. However, I have to add that most massage therapists aren’t mind readers; you need to be able to feel comfortable asking questions and voicing your concerns whenever they come up.

Just to ease your mind a little in advance, I’ll lay out some common questions/concerns about a first massage and briefly respond to each.

1. I have a medical condition. Is it OK for me to get a massage? Many people with medical conditions find relief from their symptoms when they receive massage regularly. However, certain conditions are contraindicated. Some conditions, like rashes, may only be contraindicated locally (or directly on the site of the condition,) while others are more serious. Talk to your doctor before you get a massage. Once your doctor gives you the thumbs up, make sure your massage therapist knows about your condition.

2. When should I show up for my first massage? Most therapists prefer that regular clients show up at least 10 minutes early, but you should show up at least 20 minutes early for your first massage. You will need to fill out an intake form and have plenty of time to use the restroom, etc. Not all clients are aware that their massage time usually starts when they are left alone in the room to get on the table. If you show up early and are on the table by your slated start time, you generally will get a longer massage.

3. Do I have to take off all of my clothes? (Even my underwear?) You don’t have to take off all your clothes if you feel uncomfortable removing all of your clothes. In fact, some massage modalities don’t require you to take off any clothes. However, if you are experiencing low back or hip pain and you are going to receive anything like a Swedish or Deep Tissue massage, your therapist will be able to access more muscles if you remove all of your clothes. Know that even if you are fully unclothed, your therapist will only remove the sheet from one small area at a time as he or she works on it.

4. How often should I talk during the massage? Some massage clients find that they are able to unwind more if they get to know their therapist a little bit in advance. Others find talking completely unnecessary. Massage therapists are used to having talkers and non-talkers. However, your therapist should check in with you periodically to make sure you are comfortable and to inform you if/when you need to change your position on the table.

5. Is massage painful? It shouldn’t be painful for you. Your therapist will work to your pressure tolerance and ask you how you feel: don’t lie if you’re not enjoying the massage. The only person you’re hurting is yourself. If you’ve decided to get a massage in order to relieve some pain, you may experience some discomfort when your therapist does condition-specific work. Even then, your therapist should check in with you to make sure he or she is working within your threshold.

6. What happens if I accidentally get aroused? Sometimes things like that happen even when you don’t have sexual thoughts running through your head. All good therapists should know that and not think anything of it. However, if you begin to act based on any of those sensations (e.g. you touch your therapist or make insinuating comments,) your massage therapist reserves the right to—and very well should—end the massage right there and refuse to give you massages in the future.

7. What if I feel so relaxed that I end up falling asleep? Great! I encourage my clients to fall asleep. I especially find that clients who don’t get much sleep at home are able to fall quickly asleep during a massage. Most sleeping clients’ bodies are so relaxed that I am able to make more progress than I would be able to if they were tensing their muscles the whole time. Also, don’t worry about snoring. Therapists hear that all the time.

8. What should I do after my massage? Stay relaxed! Take deep breaths and be mindful of your body for the rest of the day. After the post-massage sleepy, trance-like state wears off, you should feel well-rested and maybe even have a heightened sense of clarity for the rest of the day. Also, don’t forget to drink lots of water. Water is a great natural way to flush toxins (natural metabolic byproducts that come to the surface during a massage) out of your system. I once didn’t hydrate properly after I got a massage and I didn’t feel so great a few hours later.

9. Should I leave a tip? Just as you would tip a hairdresser or server, leave your therapist gratuity if you think she deserves one. Since I work in a chiropractic office where not all clients realize they’re even allowed to tip, I’m very grateful for any tips I receive. Be aware that therapists who work at spas only earn a small fraction (~20-30%) of what the massage cost, and therapists who work for other therapists or chiropractors typically only receive about 40% to half of what the massage cost.

Do you have any other questions? Send me a note on my contact page and I’ll get back to you as soon as I can.

Simplify your life.

Have you ever had one of those days? You know, the kind of day where all of your thoughts are jumbled into thousands of half-digested pieces and you’re not exactly sure how your keys ended up in the refrigerator? It’s easy to get caught up in a lot of physical and emotional clutter. It’s important for all of us–especially those of us who exchange energy with others so often–to simplify our lives and regroup. Some simple steps can make for a simpler life.

Breathe – Did you know that forcing yourself to take deep breaths actually alters your physiology? It’s true. Deep breathing decreases the body’s oxygen consumption, decreases the heart rate, and decreases blood pressure. Healthy body, healthy mind. So before you run out the door, shove a bagel in your mouth and rush to your next appointment, please don’t forget to take deep breaths. Make slower movements while you do it. It’s the most simple, healthy gift you can offer yourself.

Clean the Clutter - Simplify your life by simplifying your home.  Imagine how your stress and anxiety levels would fare if you could quickly find the things you actually need without having to sift through all the other stuff. Seriously consider when you last wore that red sweater. If it’s been longer than six months, put it into a large plastic bag with other clothing that’s going to charity. Giving to the needy can also make you feel good about yourself and reduce your anxiety and stress levels.

Use One Car - Share a car with your spouse (i.e. get rid of your second and third car) and take turns riding your bike, or take turns using public transportation. You’ll have fewer bills to worry about, you’ll be getting more exercise (or you’ll at least be enjoying more reading time if you’re taking the bus,) and you’ll be helping out the environment.

Unplug - These days, it’s really easy to get caught up in, “No, it’s my turn to use the television!” and, “They’re testing more missiles overseas?” and “Oh, great, Mom’s nagging me over the phone again.”  Unplug for at least one day every week. Try going a few weeks without reading all the bad news in the paper and focus on some other hobbies. For example, find ways to enjoy yourself in the great outdoors. Walk barefoot in the grass. Appreciate your mere existence. (And don’t forget to take those deep breaths!)

Own Your Time - Reserve 30 minutes to an hour each day and make it “you” time. Taking the time to reflect and consider other ways you can simplify your life will reduce a lot of anxiety and stress. If you simply can’t find any extra time, practice mindful meditation during daily tasks (such as cooking and bathing.) You will feel more relaxed when you begin to feel like your life belongs to you.

Give the gift of massage this season.

If you’re having trouble finding the perfect Christmas gift for your friends and relatives this year, may I make a recommendation? Get them a massage.

I know, I know. It’s a bit predictable for a licensed massage therapist with a massage therapy blog to recommend massage as a present, but who could possibly be better equipped to make a case for it? It would be a sin for me not to say something on its behalf.

Massage is easily transportable. You don’t have to assemble, ship, or wrap up a massage gift certificate. Simply put the certificate in an envelope or gift card holder and slide it into your mom’s stocking or send it to your cousin eight states away.

Massage can be for anyone. Even your dad, who says he already has everything, can enjoy a massage for Christmas. It certainly won’t be another gag gift to pile into his den. Even your great aunt could benefit from massage. If an older relative is wary about getting a massage for the first time, you can also buy a massage for yourself and offer to take her out for a spa day. Once she finally goes she’ll be hooked.

Massage is a great way to say thank-you. This year, skip out on the gift baskets or extra tips for your child’s teacher, the mailman, and your hairdresser. A massage gift certificate is more personal and it will go a long way for people who endure stressful days to make your life better.

Massage can also be a great group gift. Talk to your superiors at work to arrange (and pay) for a corporate massage therapist to come to your office. After your coworkers get a seated massage, they will go back to work feeling a little less stressed out—and a little more thankful for you—in the midst of the workplace holiday mayhem.

Massage can fit many budgets. You can opt to splurge on a 90-minute hot stone massage for your best friend or get a 30-minute pick-me-up for the members of your immediate family. I also mentioned in a previous post that many cheap massage deals are out there. If you want to buy in bulk, consider getting all of your family members (even your least favorite ones) certificates for a 10-minute chair massage at a massage station in your local mall. If you decide to hand out gift certificates before Christmas Day, you will give them a good excuse to take a little rejuvenating break from their holiday shopping.

Massage can be free. When I was a little kid, I used to give my mom the gift of “coupons” for things like free hugs and house vacuuming. It sounds a little silly, but if someone gave me a home-made coupon for an eight minute back massage, (example here) I definitely wouldn’t laugh or complain. Would you? I urge you to try it out if you’re strapped for cash. An added bonus: picking up the new skill could make you everyone’s favorite friend/relative in the very near future.

A Cookie Monster is better than no "helper" pillow.

“STOP SLEEPING ON YOUR STOMACH!”

That’s the advice I get from Dr. G, my chiropractor. The way I sleep—twisting, turning, arms flailing about, teddy bear flung half-way across the bed, neck contorted—isn’t good for my body. I know this to be true not just because Dr. G said so, but also because I’m sore when I wake up. The problem is that I find it difficult to convince my sleeping self to stay in perfect form all night long. My sleeping self wants to do what my sleeping self finds to be the most comfortable at any given point. Do you and your sleeping self have the same problem?

Fortunately, the guidelines of ache-free sleeping don’t have to be as rigid as a super firm mattress. There’s just one thing you need to bear in mind. I’ll call it The Rule of Sleep. The Rule is: Regardless of what position(s) you sleep in, do what you can to help your spine maintain its natural curve throughout your whole sleep cycle.

Combine the rule of sleep with a moderately firm mattress, a good neck pillow, and a “helper” body pillow, and you will feel less achey in the morning.

Here are some basic “helper” pillow tips:

If you’re primarily a back sleeper: Placing a “helper” pillow under your knees will help you maintain that natural curve in your lower back. You may add a little rolled towel around your waist (or directly under the small of your back) to have some extra support if it feels comfortable. Always make sure your neck is supported with a pillow, but don’t pile up pillows under your shoulders.

If you’re primarily a side sleeper: Enlist your “helper” pillow to rest between your knees. It will help open up your hips. I personally prefer to sleep with a body-length “helper” pillow because it’s like having an extra-squishy sleeping partner to rest my head on. If you sleep mostly on your side, avoid sleeping with your knees drawn completely to your chest.

If you’re primarily a stomach sleeper: You may get some criticism from your chiropractor for sleeping on your stomach because it can be hard on your neck and your back. However, you’re not out of luck if it’s your default sleep position. Place your “helper” pillow under your pelvis and lower abdominal area (your hips.) When it comes to using a neck pillow, use one that doesn’t feel like it’s causing your neck to strain too much. Look for a “stomach sleeper” pillow at stores such as Bed Bath & Beyond.

And that’s it! If you’re like me and you flop about, do your best to adjust your pillow placement accordingly. You may not be in perfect form all night, but you should feel a vast improvement in the way you feel when you wake up.

Prenatal massage therapy can help improve your pregnancy.

When you’re pregnant, you deserve a massage.

Your baby is growing at such a rapid pace that your body must quickly change to accommodate him. Since most of your new weight is going to the front of your body, your pelvis pulls forward and adds extra strain to your back, shoulder, and neck muscles. All this added tension is enough of a reason for you to get a weekly massage when you’re pregnant. But then there are the mood swings, the nerve pain, the breast tenderness… the list goes on.

Massage therapists trained in the prenatal massage modality employ techniques that were designed especially for the needs of pregnant women. Plus, a massage table can be set up just for your body. If you can’t find a therapist with a special pregnancy table or a pregnancy pad, you can get a prenatal massage while you lie on your side and hug a pillow. (Pregnant friends have told me that just being able to lie face-down on a pregnancy table was worth what they paid for the massage.)

If everything I’ve mentioned up to this point hasn’t convinced you to get a prenatal massage, consider the following:

1. Prenatal massage therapy can reduce your stress levels and improve your mood. A study conducted by the University of Miami studied the effects of a twice-weekly 20 minute massage on pregnant women. The results were promising. Researchers found that the pregnant women’s stress hormones were lowered and their mood states were improved.
2. Prenatal massage therapy can improve your pregnancy experience and improve your baby’s health. The University of Miami study showed that women who received massages also noticed a dramatic decrease in body pain as a result of the hormone regulation. Moreover, the quality of their sleep was improved and their risk of having any pregnancy-related complications was reduced.

With that in mind, massage isn’t just a luxury when you’re pregnant. If you don’t care about getting a massage for your own health, get one on your baby’s behalf.

Tips:

• Mention prenatal massage gift certificates on your baby shower wish list.
• Join your partner in learning some prenatal massage techniques to save some money.
• Click here to find a massage therapist who specializes in prenatal massage.

Warning:

• Talk to your OB/GYN before you schedule your first massage treatment. Some pre-existing pregnancy complications are contraindications for prenatal massage.