The Energetics of Making Baby

This is an addendum to my previous post about Fertility Massage.

Keeping that bun in its oven is harder than most people think!

Chinese medicine teaches that in order for a woman to conceive and maintain a pregnancy, a combination of organs need to work in harmony. Any weakness in either one or all of these organs makes baby making all that much harder, if not impossible. However, unlike the fertility treatments of the Western medical world, the Eastern approach is much more cost effective, easily accessed and non-invasive. One of these approaches is the acupressure massage known as Shiatsu, which is performed by yours truly and a host of massage therapists in this hemisphere of the world.

Much like acupuncture, acupressure massage addresses specific points along meridians that form pathways of energy or Qi (Chi). These pathways correspond to twelve vital organs in the body, as defined by Chinese medicine. The organs, represented by their meridians, serve a particular physiological and spiritual function. Any state of disease or imbalance can be explained by either an excess or a deficiency. In order to understand how Shiatsu can help with fertility and beyond, here is a brief overview of the energetics of making baby.

One word – JING. This is your life force; the Qi that you have stored up from birth given to you by both parents. The organ responsible for storing this prenatal energy reserve is the Kidney. As we age, our JING begins to deplete naturally, but those who live hard and abuse their bodies deplete it faster. In general, any lifestyle or chronic condition that taxes your body, depletes your life force. When a person dies, the Chinese say it is because their JING has run out. Hence, when a woman has a depleted or weak JING, there is simply not enough to provide for the prenatal Qi necessary to conceive a baby. If she is able to conceive, JING is necessary to consolidate the pregnancy; therefore, the fertilized egg would have trouble planting itself in place.

Speaking of baby staying in place, the womb-home needs to be in tip top shape and position in order for the fetus to develop and grow those 9 months. The organ that is responsible for holding things in their proper form is the Spleen. The additional role of this organ, according to Chinese medicine, is to create blood. The walls of the womb are a dense network of bloody tissue (i.e. the placenta) which both cushions the fetus and feeds it by way of the umbilical chord. If the Spleen is weak, the womb and food source will be compromised making a miscarriage all that more likely.

While the baby develops physically, it is necessary for it to also do so spiritually. The baby’s consciousness comes from the Heart, the organ responsible for housing the spiritual soul. The Chinese believe that the soul comes into the body on the 81st day of life, which would be around the tail end of the 1st trimester. If we take Judeo-Christian debate out of this, essentially the first trimester is almost like a trial period; make it out of that third month and your risk of miscarriage drops significantly. I found that most women I know were reluctant to announce their pregnancies until they were out of their 1st trimester, so as not to “jinx” them. This mentality is rooted in medical fact. Miscarriage is the most common type of pregnancy loss, according to the American College of Obstetricians and Gynecologists (ACOG) with most occurring within the first 13 weeks of pregnancy. (http://www.americanpregnancy.org)

Lastly, pregnancy can be very stressful on the body. Not only does blood and nourishment need to flow freely to the developing baby, but the musculo-skeletal system of the mother needs to be able to adapt to its growth. The Liver is the organ the Chinese say governs the muscles and sinews of the body. It regulates the flow of blood/Qi to wherever it is needed, as it is needed. The ever changing state that is pregnancy demands a lot of the Liver. Therefore, this organ needs to be kept strong. A difficult pregnancy (i.e. limited mobility, muscular insufficiency, structural deformities, etc.) and even more difficult delivery are usually associated with weakness in the Liver.

Unlike other forms of massage, Shiatsu is performed with the client clothed in comfortable attire that does not restrict movement. The work can occur on either a mat or a table, depending on the client’s comfort and needs. The main goal is to tonify or strengthen the above organs involved in conception, maintenance of pregnancy and the health of the mother. Should you have a history of infertility and/or chronic miscarriage, the Spleen and Kidney would be the main focus of treatment. Their pathways of energy run along the lower limbs. So does that of the Liver. To tonify, the therapist would likely employ slow, deep and broad pressure to these points along with various stretches to unblock any stuck energy. Of course, each session would be customized to the client based on a detailed assessment and re-evaluation post treatment. The price range for a Shiatsu session varies depending on where you live, but expect that most will be priced between $65 and $120 US for a 60 min session. If this seems like a lot, know that many practitioners provide packages at a discounted rate or sometimes even sliding scale. In addition, many schools of acupuncture and massage have student clinics where treatment is offered at a heavily discounted rate. There is an application process involved and sometimes there can be a waiting list, but once you are accepted into the clinic, the quality of treatment is held to a super high standard. Students have to keep detailed records and write treatment plans, all the while consulting with supervisors on client cases. This option is a great learning experience for them and a cost effective opportunity for you.

 

 

 

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Trigger Points – the baggage our muscles hide!

Is this your back?

If the above image gives you the impression that a group of assassins  are ready to fire on you, stay with that feeling.  No one is immune. They hide in your muscles and sinews waiting for something or someone to activate them. Some gather in groups while others migrate to new territory, but more often than not they refer their pain elsewhere to trick you. They are trigger points.

A trigger point is defined as a hyper irritable spot within a taut band of skeletal muscle that elicits pain locally when compressed, but can also refer it elsewhere or be accompanied by muscle spasm. When touched, these spots can feel like hard nodules ( i.e. the “knots” we so often refer to in our backs and other body parts). It was Dr. Janet Travel, physician to the late president John F. Kennedy, that first came up with the term when she noticed that these points of pain tended to happen in predictable patterns that could be mapped out on the body. Her maps can be found in the 2 Volume book she wrote with David G. Simons, “Myofascial Pain and Dysfunction: The Trigger Point Manual.”

How do you know if you have one or more of these bad boys lurking in your tissues? There are a few characteristic symptoms which include sensitivity to pressure in a muscle, stiffness accompanied sometimes with a pulling sensation emanating from a particular point in the muscle, pain that refers from the point compressed to another area of the body and pain that has a dull, aching or burning quality to it.  Other symptoms sometimes experienced are various autonomic phenomena like dizziness, sweating and fever as well as headaches, numbness, loss of range of motion and dysfunction of the muscle involved. While the cause of trigger points remains a much disputed medical topic, it is safe to say that they most commonly occur when muscles are chronically overloaded, as in the case with occupational and exercise overuse, injury and poor posture. Also, chilling of a muscle (i.e. catching a draft or having an air-conditioner blow on you) and the position in which you sleep can also create these points. Sometimes these points are even triggered by emotional and stress related events.

Any qualified massage therapist (ME!) possesses the skills needed to deactivate these points and treat the surrounding tissues. In my opinion, your first course of action should be massage therapy. Thereafter, if the points do not resolve within a few treatment sessions, you should be referred to a chiropractor, osteopath or physical therapist, all of whom employ more aggressive treatment measures. The protocol used to address trigger points via massage is a combination of sustained compression of the point followed by cross fiber friction and deep strokes in the direction of the muscle fibers to clear out metabolic wastes and encourage the flow of blood into the affected area. I am a huge fan of a myofascial technique known as skin rolling. It literally involves me picking up your skin and rolling it along different angles between my fingers, almost like cookie dough. This is an important diagnostic tool for me to find these stuck points, especially if a client is unsure of the location of their discomfort. The sustained compression of these points temporarily stops the pain signal coming from the brain and the flow of blood to the area, so that when it is released, blood literally floods the point and washes wastes away. The first compression is always the worst because the pain level will be greatest then. It is super important to breathe through the 8-10 second count, as the point is held. On a scale of 1 to 10, the pain/discomfort should be around an 8. With each subsequent sustained compression (about 4 in total) the pain level will dissipate while the force of compression stays about the same. During these compressions, many clients will break into a sweat or become hyperemic (flushed) in the area of the trigger point. Sometimes there are twitches in the muscle or surrounding tissues near the point being worked on. Even stranger, the point can move while I am compressing and I literally have to chase it through its migratory path until I shut it down. Once the compressions are finished, the point is rubbed vigorously in a cross fiber pattern between 1 to 5 minutes and then all the fibers of the muscle get treated to a nice and slow, deep rub down. I like to then apply a bit of heat in the form of a heated dry towel (no more than 10-15 mins on) or a topical irritant like Tiger Balm.

Best case scenario, trigger points will get resolved in one intense session, but more often than not, multiple sessions are needed to deactivate years of evil. It’s extremely important to assess what is going on or has happened in your life, both physically and emotionally that, although your brain might have dismissed, your muscles and tissues beg you to notice. This awareness will help you focus your attention back onto yourself and deal with the baggage at hand because trust me, your muscles have better, more productive things to do than carry the weight of the world in their nooks and crannies.

Additional reference available at:

http://en.wikipedia.org/wiki/Trigger_point

NOTE **Read personal trainer, running coach and kayak instructor, Jeanne Andrus’s post about her experience with Trigger Points. I think it to be a helpful read:

Trigger Points