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View Full Version : Bodybuilders - the most annoying massage clients on earth?



James Boelter
02-13-2004, 03:45 PM
I really don't mean that. The client in question was followed by a cool, casual fellow who was very laid back and pleasant, and only needed to lose about 10 lbs to win a 'Body For Life' contest, and he was a pleasure to work on and with...so I guess I really mean 'bad bodybuilders'.

We get a fair number of weight lifters, body builders and PL types at our school, as there is a Gold's Gym only 8 blocks away. I've been working with an obsessive/compulsive type who obviously hits the iron in a big way (no one ever looked like this unless they spent a lot of time on the Iron Pile). He comes once a week, sore and aching, and looking for a student intern to relieve some of the soreness. I always get the call, since I am the biggest and heaviest student in the school at this time and am infamous for the amount of penetration and pressure I can generate using my bodyweight, breathing, and bony fingertips (I have virtually no fleshy 'pads' where most people have them).

So this guy comes in, lies down, and the table creaks and sags as he settles on it; since he hurts all over and everywhere, the question is always priorities, and we usually spend most of the time on his legs and glutes. I enjoy a good challenge, and an excuse to deviate from the typical 'by the numbers' cookie cutter massages we normally perform (it's a good, well-conceived and well-structured routine, but after 6 months, well, change is good) so I can practice deep tissue and sports massage techniques I've seen in Art Higgs' and Benny Vaughn's videos. So everything is cool. Elbows and forearms and knuckles and cross-friction and snow-plowing the tissues...it's actually somewhat easier than performing a typical Swedish massage routine (I still suck at petrissage on the back, for instance).

So here's the kicker - a while back, the client started complaining of pain and ache in and around his inguinal crease (what the Chinese would call the 'kwa'), and starts pestering me to spend all my time on that area. I do work on the area some, of course, but I can't work too hard or too deeply due to all the ligaments, lymph nodes, nerve plexis and blood vessels down there; I try to explain to him that a) too much of a good thing is not necessarily a good thing and b) I need to loosen up the all of his lower body or else he will go right back to hurting as soon as he starts walking again and c) his real problem is that he is stiffer than a plank and hard as a brick - I can't get his heel within 3 feet of his butt during a passive quad stretch, and his psoas are probably in spasm.

It's like talking to a wall.

And this time he told me
"I know my body and I know what I need. Please do as I request and really dig into that area HARD, as hard as you can, and I will be fine!"

Dude, if you knew your body, you'd know that the problem is rarely where the pain is...bodywork is not a band-aid! If you knew your body, you'd at least perform relaxation and stretching drills to loosen the area up a bit and let the trigger areas get some fresh blood in there. If you knew your body, and what you need, you'd know that the muscles around there need to balance out and have some 'give' to them. I can't 'fix' you if you just go right back to what you were doing wrong and do it some more.

This is the third 1 hour session where we've gone around and around about this. I've about had it. Am I justified in asking for someone else to waste their time on him??

JasonE
02-13-2004, 04:12 PM
Have you asked him why he persists in injuring his connective tissues and exacerbating an apparent nutritional deficit?

I've known chiropractors and massage therapists that told patients to make some specific changes to their diets and/or workouts, as it was becoming potentially hazardous to give them the treatments they expected. If the changes were not made (and it would be readily apparent if they had been), they would no longer treat that patient until the conditions had been met.

You are not practicing just massage technique, but bedside manner and professionalism. If, as a professional, you feel it is unwise to pursue the method of treatment demanded by the patient, then don't do it.

You have every right to refuse to give any treatment which you feel is not in the best interest of your patient's health. Except for Mr. Know-It-All, no one will fault you for putting his wellbeing ahead of his expectations.

Since you are in your clinical practice stage, see if one of the Master Massage Therapists or Instructors would be willing to assist you the next time this person comes in. Discuss the situation with them so they know what to expect. I am sure they can give you some suggestions about how to handle the situation, because there is no doubt they've also had a few like him before.

bob_stra
02-13-2004, 05:50 PM
> He comes once a week, sore and aching, and looking for a student
> intern to relieve some of the soreness. I always get the call, since I am > the biggest and heaviest student in the school at this time and am
> infamous for the amount of penetration and pressure I can generate
> using my bodyweight, breathing, and bony fingertips (I have virtually
> no fleshy 'pads' where most people have them).

Listen to me. Be very, VERY careful. Take care of your ownself first. Because in no time flat you will get to be know as the "big strong deep tissue guy". Nothing wrecks a therapist faster than having to do Deep Tissue day in day out. Ask me how I know ;-)

I hope they told you the alarming statistic that 90% of therapists quit within 5yrs, most due to injury.

/ community safety message ends /

> It's like talking to a wall.
> And this time he told me
> "I know my body and I know what I need. Please do as I request and > really dig into that area HARD, as hard as you can, and I will be fine!"

Congrats. You're at the vital juncture in your massage career.

If you keep doing what they "want" you to do, you're going to become unhappy. Very shortly thereafter you will get frustrated in being relegated to a working like a "mechanic." And then you'll quit.

Believe me on this. I'm not telling you out of spite or to scare you. I have seen this happen AND had it happen.

You must work in a manner that engages your mind / who you are. Let the clientele arrange themselves around *you*. This guy sounds like he's making you miserable.

So you have three options.

(1)
The old dictum - "Do something they want. Then do something they need" really applies here. He wants deep tissue there? Fine. Give him a little. Then work on his psoas.

(2)

Talk to him. Educate him. Explain to him.

(3)
Send him on his way


> I can't 'fix' you if you just go right back to what you were doing wrong > and do it some more.

Yep. That's what I'm talkin' 'bout ;-( Frustrating, innit?

> This is the third 1 hour session where we've gone around and around
> about this. I've about had it. Am I justified in asking for someone else > to waste their time on him??

Well sir, you'll have to decide if there's anyone who might be a better mesh for this client.

If you sent him to me, I'd kill ya ;-)

I dunno man, I can see it as being very frustrating AND a good chance to grow.

Go with your gut.

James Boelter
02-14-2004, 12:26 AM
Bob, I appreciate the warning about the wear and tear that can be caused by too much 'deep tissue' work. It bothers me a bit that my teacher hasn't talked more about this - but the man is a "machine" and can work like a stevedore all day at the age of 60, so maybe it hasn't occurred to him.

Before I ever started school I picked up Art Riggs' book 'Deep Tissue Massage' and ran into that scary statistic you mentioned. Or as he put it, 'Just Say No To Thumbs!'. So I am being very careful to do more with less, to work on 'melting' into the muscle tissue instead of just using more force, and to use all the tools at my disposal. And I work very diligently at keeping my hands strong and supple (including WW exercises for the wrists, elbows and hands, Bao-Ding balls, and chi kung energy drills, along with the practice of 'cooking' my hands in ginger on a regular basis). That's part of the appeal of CST/Clubbells and kettlebell lifting - they seem to give me a resilience and recovery rate for this work that I never got from lifting weights in the gym.

And I get plenty of nice little old ladies who just want a nice, relaxing massage without getting mauled :)

Anyway, appreciate the advice and perspective gentlemen, thanks much.

bob_stra
02-14-2004, 02:02 AM
> Bob, I appreciate the warning about the wear and tear that can be
> caused by too much 'deep tissue' work.

My pleasure. Don't do what I did - I had RSI for abt 10 months from using the old thumbs. By a damn Knobbler is you like triggerpoint therapy.

Actually, on the feet, you can take use a toothbrush handle. Cut the brush part off. Then, holding the remainder between the web of your index finger and thumb, use it as you would your hands. Advantage - can apply all of your body weight without stressing those tiny joints. Great for trigger point of transverse friction massage on the feet.

Be warned. This is *extremely* deep pressure.

> It bothers me a bit that my teacher hasn't talked more about this

Yeah. My guy was the same. Bastard ;-)

> Before I ever started school I picked up Art Riggs' book 'Deep Tissue
> Massage' and ran into that scary statistic you mentioned. Or as he put > it, 'Just Say No To Thumbs!'.

Damn. I could have used that book ;-(


> And I get plenty of nice little old ladies who just want a nice, relaxing
> massage without getting mauled :)

Well, dunno about the worst patients, but skinny 19yr old female models are BY far the best. Assuming you can keep your mind on the job ;-)

The most compliant patients are those that make a living with their body. Builders. plumbers, laborers - after initial hesitation - usually take advice on board. The "fitness" crowd is tougher. IMHE.