This is a popular question posited to me by many a new and regular client. You can never be fully honest for obvious reasons. You don’t want to seem tired and overworked, even if you are, because now the client is thinking they will get a shitty massage or feel guilty that they are number (insert double digit) of the day. If I am in the spa setting, I usually make a joke and say that I am “strong like bull” in a mock Eastern European accent and tell them not to worry. If I am in a clinical setting, I distract them back to the matter at hand – their condition, thus dismissing the question altogether. If they bring it up again, I then tell them these clinical massages are shorter and more focused, so don’t worry about me. Let’s focus on you!
Truthfully, there is a magic number of massages a therapist can perform consecutively before burn out happens. Of course, this number is different for all of us. I weight train and exercise at least three times a week; therefore I am “strong like bull.” Despite this strength and stamina, I know that if I do 5.5 hours of consecutive massage, I am at my body’s limit for the day. I learned this from the rare times I had done 7 or even 8 hours of consecutive massages. The next day, I could barely make my hands into fists coupled with the ache in my forearms and shoulders. Now, for those of you who may say, “You work a 6 hour shift? That’s so part time.” Let me take a moment here and define what consecutive means in this context. These massages are occurring literally back to back. Once the one client is off the table, there are between 5 to 7 minutes to get the room changed over, grab a sip of water, then run to get the next guest without looking like you ran to get them. This is usually what happens in a spa setting, as the booking is done to maximize profitability; not to consider the physical demands made on the therapist. So, you see how 5.5 hours of continuous physical work plus the added cardio of running up and down stairs for guest pick up, drop off and supplies is enough of a full work day for me. You cannot compare it to a 9-5 p.m. desk job, which exhausts many in a different manner (i.e. from holding their bodies in poor sedentary posture and mentally focusing on a screen with few breaks).
I recall working an event where another therapist boasted at the amount of clients they could take on in a day. Observing their body mechanics, I assessed that within a few years this therapist would surely burn out. Chronic Tendonitis is a common occurrence in any profession that requires repetitive movements over long periods of time. Taking breaks to stretch, hydrate and regroup mentally and physically allow this career to last beyond the statistical death knell of 3-5 years. I’m not ashamed or scared to say NO when asked to go above and beyond my limit at this 3 year mark of my professional career. After all, I want to be able to straddle both physical worlds – the demands of my fitness regimen with those of my profession. I feel blessed that I know what my magic number feels like, as it makes me a better practitioner for my current and future clients. As for the rest of my fellow LMT’s, may yours pop up sooner than later.
I can’t tell you how many times, when discussing “trouble spots” with a client they refer to their cellulitis. What they mean to say is their cellulite, but the term they choose has nothing to do with the aesthetic appearance of their wobbly bits (see image above). It is understandable that for some women, the look of cellulite can feel like a serious medical condition. With summer unexpectedly here, they become acutely aware of their “imperfections” and panic; rushing to the spa for any firming, toning and detoxifying treatments available in the hopes that they can bare their flesh without fierce judgements. Cellulite doesn’t happen overnight, though. We are all born with a certain amount of fat cells that are distributed throughout our bodies according to our genetics. As we enter puberty, hormonal fluctuations affect our metabolism and shifts the distribution of the fat underneath our skin. The same thing occurs as we age and enter into menopause. In 80 to 90% of women, some level of cellulite will be visible; however the following factors greatly influence its widespread formation. Take notes:
Poor circulation and lymphatic drainage
The tissues in your body need to be fed and then flushed of the by products and toxins left behind after the fact. However, if you have a genetic or pathological insufficiency, the “toilet water” sits and festers, causing the breakdown of the matrix that holds the fat cells in their proper place. Since it all has to get flushed up and out, the areas most affected are the extremities. Exactly where you don’t want to see the cellulite.
Increased levels of stress hormones in the blood
We all know a high stress lifestyle can take a toll on our health, but it also has an affect on our fat distribution and connective tissue. Cortisol and catecholamines are stress hormones release by the adrenal glands as part of our “fight-or-flight” sympathetic nervous response. The body instinctively slows its metabolism and increases its “padding” of fat as it reacts to survive. The presence of the hormones over long periods of time can start to break down connective tissue, which as mentioned above, creates the matrix that holds the fat cells at bay. Once the matrix is damaged, the fat cells push up against the lower layers of skin, which is the puckered look that we all recognize as cellulite. The slowed metabolism also causes weight gain, which swells the size of the fat cells, making them pucker up even more.
Weight fluctuations occur as a result of physiological and hormonal changes. Step on the scale in the morning and again at night, and you could see your number rise or fall by 5-8 lbs. This is normal. Patterns of weight loss and gain over long periods of time of more than 20 lbs, damages the elasticity of the skin and connective tissue matrix. Out pops the cellulite.
Remember how we are all born with a certain number of fat cells? This procedure removes them from specific areas of the body also referred to as “re-contouring.” Once the fat cells are gone, they are gone. However, should the individual gain weight, the fat cells that are left redistribute the bulk in places the individual never had before. This is why the best candidates for liposuction are those who lead an active lifestyle and have a consistently clean diet.
And speaking of active lifestyles and clean diets, let’s segue into how one can address cellulite. Certain treatments and topical applications can produce visible results if the person remains consistent with modifications to their diet and exercise. Here are some of the one’s I can vouch for in my professional and personal practice. Still taking notes, I hope :-).
Dry Brushing – One of my favorites is dry brushing. The practice consists of lightly brushing the surface of the skin in long upward strokes, starting at the lower limbs and moving upwards toward the heart. The brush bristles should be made of natural fibers and the brush itself easy to grip in order to properly handle it. Not only will you exfoliate the top layer of skin, but the increased blood flow to the capillary networks renews and tightens the skin’s surface. The movement towards the heart promotes proper circulation and flushing of the tissues via the lymphatic system. Done daily, it’s a great way to diminish the dimples.
Caffeine, topically applied – As a little girl in Greece, every female relative young and old swore by their CLARINScellulite cream and slathered in liberally in all corners and crevices of their bodies. What many creams geared toward cellulite contain is caffeine and what they do is act as a diuretic for the tissues, flushing out excess fluid and helping to tighten the surface of the skin. The cellulite puckers less; happy times on the beach. What I have seen work best is an application of caffeinated cream prior to a workout. The combination of an exercise induced sweat and that of the caffeine is like a one-two punch, firming and flushing. Also, since tissue repair happens during sleep, an application at night can be effective as well.
Get your sweat on and build muscle – Recall how earlier we talked about people having a predisposed amount of fat cells that are distributed under the deepest level of skin in different ways dependent on genetics, hormones and age. These factors are sort of written in stone; however what you can control is how much a fat cell can swell. Therefore, the amount of lean muscle you build will reduce the size of the fat cells and help spike your metabolism, as muscle requires more calories than fat for maintenance. Reducing your overall body fat % will counter the factors you cannot control. A wonderful little exercise known as the Bulgarian Split Squat can do a whole lot to diminish the look of the dimples that many women have directly under their gluteal fold. At least, that’s what I have found within my own workouts. A tiny addendum to this bit on exercise is to make sure you are hydrating properly to flush your system out while also maintaining a balanced diet that is specific to your activity level and overall bodily needs. Consulting a registered dietician or certified nutritionist for advice is a great way to make sure you are eating right for you, cellulite or not.
It is also important to keep in mind that within that 80-90% of women who have cellulite are the fashion models, actresses and popular girls we gush(ed) over and/or envy. It’s a fact of physiological life that we can address to a certain extent, but inevitably must come to accept. Be good to your body through all its transformations and transitions and hopefully, it will be good to you.
I have been feeling a familiar pulling sensation in my coracobrachialis (a lovely muscle found in the region of your bicep that feels kinda hard and ropey at times). This was exactly what I felt before I developed that horrendous tendinitis 2 years ago that had me altering not only my workouts, but the way I massaged so that I could actually have a livelihood.
The below post by Eirik Førlie, owner and coach at Forlie Sports Performance Gym, sheds some light on “rest days” of which I definitely do not take enough of. My body is trying to tell me something and Eirik is making me feel like it’s safe to listen.