Napier City Massage Therapy
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When was the last time you slept like a baby? 

19/11/2012

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How do you sleep? Do you put your head on the pillow, and go out like a light, only waking 8 hours later feeling refreshed and energised? Or do you climb in to bed, dreading the night ahead, knowing it’s probably going to take hours of tossing and turning to get to sleep, or you will wake sometime in the early hours and not be able to drop back to sleep?

There are a lot of reasons for sleep disturbance, including stress, noise, medical conditions; such as sleep apnoea (a condition that effects breathing), chemical inbalances within the body, such as hormonal fluctuations that occur with menopause or the menstral cycle, caffeine intake during the day and certain medications.  Depression and anxiety are also major contributors to poor sleep habits, indeed an inability to stay asleep may be the only sign of depression.

Poor sleep quality doesn’t just leave you feeling a bit tired, as this diagram shows. 



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Tips for a better nights sleep 

Firstly, you may need to consider some lifestyle changes.

  • Try to keep a regular routine for going to bed and getting up in the morning. 
  • Avoid caffeine 4-6 hours before bed time.  This may be in the form of coffee, soft drinks like coke, black tea, energy drinks, some fat burning supplements and even chocolate! 
  • Get regular exercise, especially in the afternoon.  But try to avoid strenuous exercise 2 hours before bed time, as this can actually wake you up.  
  • Use caution around napping.  Power naps – 10-20min naps – are said to improve alertness, but extending past this means it is more likely that you will drop in REM sleep, a deeper state of sleep, that can be harder to wake up from, leaving you feeling groggy, until you try to go to bed, at which time you feel more alert, and can’t get off to sleep! 
  • Some foods, such as spicy, sugary or heavy meals, can also make sleeping restfully difficult.  
  • Drinking alcohol may help you to fall off to sleep, but the quality of the sleep is poor, and as the alcohol levels in the blood wear off, the effect can actually wake you up. 

Next, check out your sleep environment


  • A comfortable bed and bedding is a must; getting tangled in sheets, or being too hot or cold won’t help you to sleep well. 
  • A cool, rather than cold, bedroom offers the best conditions for sleep.
  • Try to eliminate all light, and distracting noises
  • Don’t use your bed as an office, workroom or TV room; save your bed for sleep and intimacy only – your mind and body will come to recognise bed as somewhere to relax and sleep, rather than staying awake and working. 

Getting ready to go to bed

  • Follow a pre-sleep ritual, such as reading or sitting quietly, even a warm bath. 
  • Practice relaxation techniques before bed; for example yoga, breathing techniques or progressive muscle relaxation.  Napier City Massage has CD’s available with relaxation and breathing exercises.  Just ask me ! 
  • Don’t let your worries into the bedroom; it may be practical to reserve a “worry time” earlier in the evening, where you try to process these before attempting to sleep.  See the separate box below for instructions on a really simple and effective distraction technique. 
  • Get comfortable. 
  • Don’t force it! If you can’t fall asleep within 20-30 mins, get up and go into another room, do a non-stimulating activity, such as reading, for about 20 mins, or until you feel sleepy. 
  • You may like to have a LIGHT snack before bed; warm milk and bananas both contain amino acids that help the body to sleep. But avoid sugary or salty snacks!   


It may be necessary to look at your diet; are you deficient in some minerals or vitamins that are upsetting your balance?  For instance, most NZ'ers are deficient in magnesium, a mineral critical in a number of the body's major functions, including relaxation of the muscles. 

Talk to your doctor or health provider if you think this may be an issue for you. A nutritionist, such as Alison Cowell of Healthy Eating is another good source of information. 


A doctor may offer you conventional medicine to be used in the short term, such as sleeping pills, sedatives or antidepressants. 
DISTRACTION TECHNIQUE
This is my favourite method for getting to sleep when my mind is racing and I can't relax, or I wake up in the middle of the night and lie there tossing and turning... 

Firstly, lie comfortably. Although it's not my preferred sleeping position, I find lying flat on my back, with my arms either at my side, or resting on my tummy, is the best for this exercise.  

Now, take a gentle breath in through the nose, and feel the air filling up your belly.   As you breath out slowly, let your belly sink away.  

Now choose a category, such as countries, or cities, plants, animals, fruit and veg are all favourites of mine. 

On your next in breath, say the letter A to yourself, and on the out breath say a word for your category that starts with A.  And continue this through the alphabet.  

Yes, you are concentrating, but you are physically making your body relax as you breath in and out, and you are distracting your mind from thinking about the things that are racing around in your head.  If you get stuck on a letter, don't stress about it, just move on the the next letter.  You may only get halfway through before you're ready to nod off or it may take more than 1 run through the alphabet, and more than 1 category, especially if you're quite agitated, but give it the time, and it is really effective. 
Finally, I have CD's with relaxation exercises that you can listen to as you actively relax before bedtime, or if you are stressed during the day. The CD's cost $10. 
Ask me for a copy. 
Other alternative therapies, such as acupuncture, naturopathy, massage and homeopathy may all be able to help; and I'm reluctant to recommend one over the other - we are all different, and it can be a matter of finding the right method that suits you. 
Homeopathy is one such alternative therapy. This information was given to me by Heidi Back of Thrive Homeopathy. 
"Homeopathy is a safe, effective and non- toxic form of natural medicine which has been successfully used worldwide for 200 years.  It can treat acute and chronic conditions by looking at the cause of your illness and your reaction to it. If you no longer want to only manage, suppress or ignore what is holding you back from living your life fully, then consider homeopathy. The selected remedy is individual to each person. There is no one size fits all but everyone; baby, child, teen or adult will benefit. Do you suffer from anxiety, depression, migraines, sleep disorders ? These are just some complaints homeopathy can help with."

Consult me, Heidi Beck your local Homeopath & Bach Flower Practitioner, 1 Lambton Rd, Hospital Hill, Napier. I offer free initial 15 minute consults if you are in doubt of how and if homeopathy can help you.

Call 021 33 52 33 or email [email protected]  before Christmas to get your initial consult at the reduced cost of $50. You have nothing to lose and everything to gain.

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Breath in, breath out... What's so complicated about that?

26/6/2012

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Do you ever feel like this? 

Breathing, it’s something we do all day every day, and don’t usually give much thought to.  But breathing incorrectly can cause or contribute to problems such as headaches, anxiety, pneumonia, panic attacks and asthma.  

In our busy lives, we can get in to some bad patterns, such as bad posture, poor diet, and not getting enough exercise.  Over time, these become habit.  Breathing is no different; it's something we do without much conscious thought, so it’s very easy to get in to bad habits. 

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The main muscle for breathing is the diaphragm; it separates the chest from the abdomen, and when activated, it presses into the abdomen, changing the air pressure within the chest.  This draws air into the lungs, particularly into the lower lungs.  It’s from the lower lungs that we get most of the oxygen the body needs to function healthily.  

There are other muscles that can also be recruited for breathing, these include the intercostals, which are muscles in between the ribs and help to expand and contract the chest, and a group of neck muscles, including the scalenes group and SCM, which work when we have a sudden intake of air, such as gasping, or rapid shallow breathing if something frightens us or we're in pain. 

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The problem that so many people have, is that they lose the knack for breathing from the abdomen, or belly breathing, and breath from the top of the chest instead, recruiting the neck muscles that should only support breathing rather than the main movers.  Because breathing this way is inefficient, they struggle to get enough oxygen and their body breathes more rapidly in an attempt to compensate.  

This is known as hyperventilation syndrome, and it's more common than you think. It can cause headaches and neck pain, increased tension and can even make pain and anxiety worse, not to mention contributing to a range of lung disorders. 

This is something I see a lot in my practise; clients with headaches, muscle tension or chronic pain.  They breath from the top of the chest, which means they are not getting enough oxygen, their muscles aren't given a chance to relax and the nervous system is getting pretty confused and a bit fed up trying to figure out what it's meant to be doing, so it fires off all sorts of signals which only add to the discomfort. 

When this happens, I will massage all the relevant neck muscles to get them to release and stop firing off pain signals, and recommend diaphragmatic breathing exercises, which teach the body to breath from the abdomen.  It takes a lot of practice, and can feel a bit strange, because you may be breaking the habit of a life time.  

The easiest way to test if you are a belly breather or a chest breather is to place one hand on your breastbone and another on your belly, just below the belly button. Taking a few breaths, notice which hand rises and falls, or in what order they move.  If you are belly breathing, your bottom hand should move, while your top hand should barely move.  If your top hand is moving, try pushing your belly out when you go to breath in - it'll give the muscles a better idea of what they are meant to be doing.   

Below is a link to a very well written and easy to follow diaphragmatic breathing exercise.  For best results, try to allocate 10 minutes every day to practice this. It does take practice, but you should feel some differences in your body, your sleep quality, and stress levels quite quickly.  

http://www.cchs.net/health/health-info/docs/2400/2409.asp?index=9445

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Why you should get your massage bliss, especially if you are pregnant!

17/11/2011

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Checkout this list of seven important benefits of pregnancy massage.  
You'll probably realise that only 1 or 2 of them are actually exclusive to pregnancy! 
 
No. 1: Pregnancy Massage enhances the health of you and your baby

Massage has been shown to assist the body in many ways.  These include relieving muscle aches; balancing hormone levels, particularly by lowering stress hormones; improving circulation,  brings more nutrients and oxygen to your cells, which means it’s also bringing them to your baby, nourishing both of you.   

No. 2: Pregnancy massage eases pregnancy discomforts

Massage can soothe back and shoulder pain, pains in the lower back and hips, including sciatica, and comfort sore aching legs and feet.  It can also maintain your flexibility and mobility. 

No. 3: Pregnancy massage can reduce swelling

By improving circulation, massage can also ease oedema, that achey swelling that comes with fluid retention. 

No. 4: Pregnancy massage can decrease stress levels

Pregnancy comes with disrupted sleep, hormonal fluctuations, and thoughts about changes in your life, which can all be very stressful.  Stress is normal and, at times, healthy and necessary, but should also be balanced with relaxation.  When we relax, our stress levels of the stress hormone cortisol drop, and the body has time to undertake necessary functions such as digestion, kidney function and growth.  Regular massage can provide an opportunity to achieve this state of relaxation.  Remember, if you’re relaxed, so is your baby!

No. 5: Pregnancy massage improves sleep quality and reduces depression

As you become more comfortable, you will also become more relaxed.  Both of these factors will help you to sleep better, and studies have shown that massage also helps alleviate the symptoms of depression in pregnant and post-natal women.

No. 6: Pregnancy massage will improve your energy levels

By reducing discomfort, improving sleep quality and increasing relaxation, massage reduces your feelings of fatigue and gives you more energy to focus on yourself and the young life growing inside of you

No. 7: Prepares you for labour and birth

Approaching the day you give birth, having maintained your flexibility, mobility and lower stress levels with massage, you’ll not only have better energy levels throughout your labour, but you will have also be more aware of where you hold tension. This means that you’ll be better equipped to release this tension during labour. 

A recent study also showed that receiving massage from 36 weeks onward will help raise your levels oxytocin, the “mothering hormone”, which your body releases during labour and breast feeding (the mothering hormone).  It’s said that higher levels of oxytocin will also speed up labour and reduce complications both before and after birth. 

And finally, if bubby is pointing the wrong way, your midwife might recommend getting on your hands and knees and scrubbing the floor, as this position helps your baby to turn the right way round.  Using the body support cushion that allows you to lie on your front, means that you will be in this optimal position, without having to scrub the floors; much nicer! 


To book in for a pregnancy massage, using this body support, give Amanda a call on 06 8336162.  
If you would like to buy a gift voucher for someone you know who would love a massage, 
you can do so online, by going to www.napiermassage.co.nz/pricing. 




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Oncology Massage - Bringing Touch to People Experiencing Cancer

22/8/2011

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Massage can loosely be defined as any form of systematic touch, and oncology massage is the adaptation of this touch to meet the needs of a person with cancer or a history of cancer.  In some fields, the term lotioning is used to describe this form of therapeutic touch, to confer the degree of pressure used, and allay concerns about discomfort.  

Oncology massage looks specifically at how the recipient feels on the day: where are they up to in their treatment, are they having any problems lying down, are there any IV access points, wounds or tumours to factor in to their position in a chair or on a bed or massage table.  


Excitingly, research is showing that oncology massage does improve the quality of life for the person receiving massage.  They experience improved relaxation and sleep quality, reduced pain, anxiety and nausea, and higher energy levels.  There have any been studies that show massage prior to and after radiation or chemotherapy can make the treatment more effective, whilst reducing side effects.

When I work with a client who has cancer, I will do a comprehensive medical history check before getting the client into a comfortable position.  The massage is generally gentler and slower than a standard therapeutic massage, with the goal being to bring about a deep sense of relaxation.  Sometimes, if the client has received massage prior to their diagnosis, they may ask for deeper work, but this is something I will progress into over several sessions, as the pressures their body is currently under may make their response to massage quite different than usual, and the intent is to improve the way the feel.  

When the body is deeply relaxed, the parasympathetic nervous system is switched on, and will over ride the sympathetic nervous system.  In layman's terms, the sympathetic nervous system is the "fight or flight" nervous system. It's switched on when we have to work, or, more dramatically, feel as if we are in danger.  

The sympathetic nervous system diverts the body's resources, including blood flow into the heart and muscles to prepare the body to work, fight or run.  In so doing, areas of the body that aren't required at that instant are deprived of blood flow, which means they are also deprived of oxygen and nutrients.  The digestive system, including the gut and kidneys, and the body's repair functions slow down until the body switches back into the parasympathetic state, also known as "rest and digest".  

Now, if you can imagine how a person with cancer will be feeling emotionally, you'll appreciate that they won't often be out of a sympathetic state.  By giving a slow, comforting massage, I'm able to bring about a state of relaxation reasonably quickly, at which time my clients feel comforted, warm, relaxed and at ease, while their body takes time to heal and digest nutrients;  stress hormones reduce, reducing pain responses. 

What's more, for a short time, they are receiving kind, unconditional touch that isn't a medical exam; there are no needles, awkward positions to get into for an xray or scan, no blood pressure cuffs or thermometers, no poking and prodding and no pity, just gentle, compassionate touch. 

In the past, many people have felt that massage may spread cancer as it improves circulation. This is simply not true.  Yes, Massage does improve blood and lymph circulation, but so does a walk around the block, which most oncologists will recommend as part of at home management! So, massage for cancer is safe, but it is important that your therapist has an understanding of cancer and cancer treatments, in order to understand possible complications and adapt the treatment accordingly.  I have completed Module 1 of Oncology Massage Training, and will be completing Module 2 by the end of October, on top of my Diploma in Massage and Clinical Sport Therapy.  Furthermore, I have also had experience with cancer and treatment for it through someone very close to me, which all give me a good strong basis of knowledge, experience, empathy and compassion. 
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So please give generously when you see a collector this Friday, although I give me time and services free of charge, there are still costs associated with running a clinic like this, and other fantastic services that the Hawkes Bay Cancer Society give to our community.  

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HEADACHES - Pill pop no more!!

19/7/2011

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There are a lot of types of headaches, including migraines, cluster headaches, tension headaches, headaches caused by an infection or virus or other medical causes.

In my clinic, if you present with a headache, I will ask you questions to rule out any causes apart from tension.  These questions will ask things like:

  • Where does your headache hurt?
  • When and how often do you get them, and what do you associate with your headache?
  • Are you under a lot of stress at the moment?
  • Have you been feeling unwell?
  • Are there any other symptoms or sensations that you are experiencing?
  • Have you been doing any repetitive activities lately, if so what?
  • Are you sleeping well, or have you changed the way or position in which you sleep?
  • What helps or aggravates your headache?
  • Do you take pain relief, and is it effective?
The answers I get to these types of questions may give me enough information to formulate a treatment plan, or lead me on to other questions. It may be necessary for me to refer you on if I feel that the cause of your headache is beyond scope of my practice.

Most commonly, I see headaches caused by tension in the neck and/or shoulders which causes pain to refer into the head.  It's often simply a matter of releasing these muscles by gentle massage, compression, stretching and calming strokes to the neck and shoulders.  Often I will target specific muscles, based on the location of you pain. This is often referred to as trigger point therapy, where I will identify a referral pattern, seek out the trigger point that causes it, then activate the trigger point until it calms down and releases. The results are usually pretty instant, and the feedback I get is very appreciative!

The common trigger points I treat are in the SCM (sternocleidomastoid is such a mouthful!), the trapezius and the occipitals and sub occipitals.  Check out the diagrams below to see what I mean about a few of these. 

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SCM's are commonly put under pressure when we are in a head forward posture; such as when we are driving, sitting and squinting at a computer screen or sleeping on a pillow that's too high.  The red shaded areas show where the pain may refer to. 

As it attaches into the top of the sternum, this muscle is also associated with shallow or chest breathing, which we tend to do more when we are anxious or stressed. 



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The traps refers to one large kite-shaped muscle called trapezius that extends from the spine from near the bottom of the ribcage up to the base of the neck, and out to the edge of the shoulders.  It has many actions, depending on which portion on the muscle is activated.  In terms of headaches, it's usually the upper portion that pulls the shoulders up toward the ears where the headache causing trigger point is located, such as when we are hunching our shoulders against the cold, or carrying a heavy bag. 


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Trigger points in the occipitals and suboccipitals at that base of the neck and back of the head cause headaches in the side of the head.  They get squashed up when we have our head looking upwards.  This often goes hand in hand with the head forward posture typical of SCM's headaches, as in order to look level at the horizon, a forward head then has to look upwards in order to not be looking at the toes! (The SCM's are also under strain in this position, so you often get the double whammy!



In conjunction with treating these muscles, I will also try to suggest some small lifestyle adjustments you can make to prevent the headaches recurring.  This may include breathing or relaxation exercises, looking at your carseat position or work station set up, stretches and exercises to strengthen the neck to support your head. 

So with this information, you should be a pill popper no more – my own flatmate has always used ibuprofen for her regular tension headaches, but has been very pleasantly surprised how quickly and effectively some gentle massage techniques can offer her far better relief than the pills can! 


So what can you do? 

You probably need to strengthen your core abdominal muscles (not your 6 pack!), and your neck muscles, which isn't too difficult, in fact I can show you how! 
Checking in with an osteopath or chiropractor for a spinal check may also be a good place to start, along with a few massages to release tension and trigger points causing pain.  Feel free to give me a call on 833 6162 to discuss your options.  
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First Post!

19/7/2011

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Start blogging by creating a new post. You can edit or delete me by clicking under the comments. You can also customize your sidebar by dragging in elements from the top bar.
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    Amanda runs Napier City Massage Therapy, and is a qualified Neuromuscular Therapist, specialising in neck and head pain, massage for stress and tension, pregnancy massage and oncology massage. 

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