{"id":2187,"date":"2019-11-27T09:21:52","date_gmt":"2019-11-26T22:21:52","guid":{"rendered":"http:\/\/blog.amt.org.au\/?p=2187"},"modified":"2019-11-27T09:22:04","modified_gmt":"2019-11-26T22:22:04","slug":"the-opposite-of-hurt","status":"publish","type":"post","link":"https:\/\/blog.amt.org.au\/index.php\/2019\/11\/27\/the-opposite-of-hurt\/","title":{"rendered":"The Opposite of Hurt"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>By Sharon\nLivingstone<\/strong><\/h2>\n\n\n\n<p>\u201cI want to show you\na photo that\u2019ll make you laugh,\u201d said my niece, Katherine with a grin. Then she\nfrowned. \u201cActually, it\u2019ll probably make you angry.\u201d<\/p>\n\n\n\n<p>We were at a family gathering enjoying refreshments. It was probably just as well Katherine couldn\u2019t find the photo that day because when I eventually saw it, I was indeed quite cross.<\/p>\n\n\n\n<p>Katherine has\nterminal colorectal cancer and before her cancer diagnosis had only sought out\nmassage for a treat.<\/p>\n\n\n\n<p>&#8220;<em>I would generally only get massages for special occasions and they would be aromatherapy relaxation ones at a salon place. I would also find deal websites and use vouchers. It felt like a novelty.<\/em>&#8220;<\/p>\n\n\n\n<p>Pain accompanied\nthe cancer and Katherine turned to massage for help.<\/p>\n\n\n\n<p>&#8220;<em>I was feeling a bit sore in my side and wanted to alleviate some of that pain as well as get some relaxation that generally goes hand in hand with massage.<\/em>&#8220;<\/p>\n\n\n\n<p>Katherine booked in with a local therapist she hadn\u2019t seen before and discussed her requirements, including informing them of her cancer. A not-so-great massage experience followed.<\/p>\n\n\n\n<p>&#8220;<em>I don&#8217;t feel that the therapist listened to me. When I said it was too hard, he said that I was tight and needed the pressure and that it may hurt a bit today but over time it will feel much better. My body sort of jolted (the only way to describe it) when he went over certain bits and it was painful and he just kept going over it again and again. It was overall a painful experience that left me physically bruised and more sore than when I walked in.<\/em>&#8220;<\/p>\n\n\n\n<p>The subsequent significant bruising was photographed and later sent to her not-laughing-but-cross aunty.<\/p>\n\n\n\n<p>&#8220;<em>I was very disappointed, and it made me reluctant to see other massage therapists for a long time.<\/em>&#8220;<\/p>\n\n\n\n<p>About a month after\nthat family gathering, Katherine told me that one of the drugs used in her\nchemotherapy treatment had caused some nerve damage, which led to a \u201cnumb,\ntight and tingling\u201d sensation in her hands and feet, and it was bothering her.\nShe asked if I knew anything that could help.<\/p>\n\n\n\n<p>I treat neuropathic pain and parasthesia in clients with Multiple Sclerosis and had been asked a similar question by my brother when he was undergoing chemotherapy, so I\u2019d already done a bit of research on treatment for people with chemotherapy-induced peripheral neuropathy (CIPN). A lot of the research and systematic reviews are relatively recent and although they\u2019re positive, they aren\u2019t conclusive that massage is effective in relieving CIPN. As usual &#8220;more research is required&#8221;. I passed on the information about massage to Katherine.<\/p>\n\n\n\n<p>Katherine isn\u2019t located near me, and it wouldn\u2019t have been\nappropriate for me to treat her anyway. However, I know AMT member, Sam\nMcCracken, who works nearby to her, and a trusted colleague recommended another\nlocal therapist. I approached them both, outlining Katherine\u2019s terminal cancer\ndiagnosis and her current issue.<\/p>\n\n\n\n<p>The therapist I didn\u2019t know came back requesting permission\nfrom Katherine\u2019s treating doctor before treatment could commence.<\/p>\n\n\n\n<p>I wanted to scream. Well, I did scream. What hadn\u2019t I\nexplained well enough? That I was a massage therapist? That Katherine\u2019s cancer\nwasn\u2019t curable?<\/p>\n\n\n\n<p>The response I received from Sam was a simple, \u201cYes, I can\nhelp her.\u201d<\/p>\n\n\n\n<p>It\u2019s difficult to know whether my spidey senses had been triggered or if I simply trusted Sam. Although I gave Katherine the details for both, I pushed her in the direction of Sam, and she booked in with him. After the treatment, Katherine sent me a text message, \u201c<em>He was fantastic. Very informative and lovely. I came out feeling very relaxed and (my) right hand already doesn\u2019t feel as stiff.<\/em>\u201d <\/p>\n\n\n\n<p>And that was all I knew until 4 months later when I visited a\ndeteriorating Katherine and asked how her neuropathic pain was. She told me it\nwas gone and that she\u2019d continued to see Sam roughly fortnightly.<\/p>\n\n\n\n<p>Something Katherine mentioned that day stuck with me.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><em>I like that that hour is just for me.<\/em><\/p><\/blockquote>\n\n\n\n<p>Katherine later told me that she liked having her massage booking\nwith Sam after she\u2019d dropped her kid off at daycare and while her husband was at\nwork. It provided her with time where she could focus on herself and her own\nneeds. It reminded me that a massage is more than what the massage therapist\ndoes with their hands.<\/p>\n\n\n\n<p>For Katherine, this shift from a \u201cnovelty\u201d massage to a\nremedial one opened her eyes to the magic of massage. What sort of terrible\naunty am I that I hadn\u2019t made sure she already knew how wonderful a massage\ncould be? But how fabulous to hear her rave about her treatments.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignright size-medium\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"199\" height=\"300\" src=\"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/11\/pink-3744081_640.jpg?resize=199%2C300&#038;ssl=1\" alt=\"\" class=\"wp-image-2200\" srcset=\"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/11\/pink-3744081_640.jpg?resize=199%2C300&amp;ssl=1 199w, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/11\/pink-3744081_640.jpg?resize=300%2C452&amp;ssl=1 300w, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/11\/pink-3744081_640.jpg?w=425&amp;ssl=1 425w\" sizes=\"auto, (max-width: 199px) 100vw, 199px\" \/><\/figure><\/div>\n\n\n\n<p>&#8220;<em>I like that I don&#8217;t tell Sam what\/how I&#8217;m feeling at the start of the appointment. He does a thorough examination of my body and tells me what he had found. I then discuss the similarities, which are usually 100% accurate. Then I feel like he&#8217;s not just agreeing with me about my symptoms. I feel he listens to me and makes allowances and changes when I need it. He is flexible in his treatment methods.<\/em><\/p>\n\n\n\n<p>&#8220;<em>Sam explains why he is doing a certain technique; why he is doing it helps me better understand my body and how it all works. He always asks about the amount of pressure he is using and adjusts accordingly. I love how the body is so interconnected \u2013 Sam could be massaging a certain area in my armpit, for example, and I can feel instant effects down my leg; it&#8217;s fascinating.<\/em>&#8220;<\/p>\n\n\n\n<p>Katherine explained the benefits she experienced from her\nmassages:<\/p>\n\n\n\n<p>&#8220;<em>Apart from relaxation, calm and time to myself, I felt amazing relief from neuropathy in both my hands and feet. I would instantly feel my hands less tingly and achey and after a few consistent appointments, the relief was amazing and doing everyday tasks like opening jars and writing became a lot easier again.<\/em>&#8220;<\/p>\n\n\n\n<p>Those treatments ceased when Katherine\u2019s pain increased after\nthe chemotherapy stopped being effective and was discontinued, and she could no\nlonger lie comfortably on her stomach. She missed the massages and the\n\u201cKatherine time\u201d they gave her but felt that her massage receiving days were\nover.<\/p>\n\n\n\n<p>Knowing I can\u2019t \u201cfix\u201d Katherine\u2019s cancer is disempowering. I\nfeel pretty useless when it comes to practical help. I don\u2019t live nearby so I\ncan\u2019t pop over to entertain her kid or make a mountain of food to put in the\nfreezer or drive her to appointments, or even help with grocery shopping. But I\ncan investigate. I contacted Sam again to explain the dilemma and asked if he\nhad a solution, such as a massage chair. Part of the issue was that Katherine\nwasn\u2019t comfortable in a side-lying position either because it gave her the\nsensation that her internal organs were \u2018sloshing about\u2019.<\/p>\n\n\n\n<p>Sam was quick to say that he\u2019d work with Katherine to find\ncomfortable positions for her during his treatments. I updated Katherine and\nshe gleefully re-booked with Sam.<\/p>\n\n\n\n<p>&#8220;<em>Because of the cancer and certain pressure points and intolerances, Sam makes sure I&#8217;m comfortable by using a range of different techniques. He uses the massage chair for my back because I can&#8217;t lie on my stomach. He also uses the massage table face up for the remainder of the appointment and uses pillows to support my legs, a heated table blanket in winter and air-conditioning in summer. <\/em><\/p>\n\n\n\n<p><em>&#8220;Also, how he explains things, what he does in terms of the pressure used and any other things I like about my treatments.<\/em>&#8220;<\/p>\n\n\n\n<p>Sam can\u2019t \u201cfix\u201d\nKatherine\u2019s cancer either. What he has done is provide Katherine with\nappropriate care, professionalism and respect. Sam hasn\u2019t shown Katherine pity\nor removed her humanity. It would be simple to lump anyone in the palliative\nphase of cancer into a basket labelled \u201cPoor Thing\u201d and treat them in a generic\nmanner that ignores the human behind the cancer diagnosis. <\/p>\n\n\n\n<p><strong><em>\u201cRelaxed,\ncalm, listened to, informed.\u201d<\/em><\/strong><\/p>\n\n\n\n<p>That\u2019s how\nKatherine described how Sam\u2019s treatments make her feel.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignleft size-medium is-resized\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/11\/gerbera-1543163_640.jpg?resize=136%2C203&#038;ssl=1\" alt=\"\" class=\"wp-image-2201\" width=\"136\" height=\"203\" srcset=\"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/11\/gerbera-1543163_640.jpg?resize=201%2C300&amp;ssl=1 201w, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/11\/gerbera-1543163_640.jpg?resize=300%2C449&amp;ssl=1 300w, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/11\/gerbera-1543163_640.jpg?w=428&amp;ssl=1 428w\" sizes=\"auto, (max-width: 136px) 100vw, 136px\" \/><\/figure><\/div>\n\n\n\n<p>I didn\u2019t know\nwhether Sam had specific oncology massage training when I recommended him (he\ndoesn\u2019t). But I knew enough about Sam to know that he is a client-centred\ntherapist with an evidence-based treatment philosophy. I knew that Sam would\ntreat Katherine, not her cancer. I knew that Sam would listen to Katherine and\nexplain his treatment clearly.<\/p>\n\n\n\n<p>I asked Katherine\nwhat she\u2019d say to other cancer patients seeking massage.<\/p>\n\n\n\n<p>&#8220;<em>Good massage therapists will be very flexible and will accommodate you and your particular needs. Ask for a range of techniques, including massage chair if that will make you more comfortable. <\/em><\/p>\n\n\n\n<p><em>&#8220;It is important to find somewhere you know the therapist is qualified and don&#8217;t be afraid to ask them to show it to you. You can get so many benefits from massage if it is done correctly and for me, the results I achieved with neuropathy in even such a short time was quite remarkable.<\/em>&#8220;<\/p>\n\n\n\n<p>Her advice for\nmassage therapists was simple:<\/p>\n\n\n\n<p>&#8220;<em>Make sure patients know there are a lot of different techniques and options available to make them feel more comfortable; like knowing they don&#8217;t have to lie down, and that there are pillows and chairs available.<\/em>&#8220;<\/p>\n\n\n\n<p>Oh, and:<\/p>\n\n\n\n<p><em>&#8220;Also I forgot: being able to book online for my appointment is a great feature.<\/em>&#8220;<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>What does Sam McCracken\nhave to say?<\/strong><\/h4>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignleft size-medium is-resized\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/05\/Sam.McCracken.jpg?resize=151%2C178&#038;ssl=1\" alt=\"\" class=\"wp-image-1644\" width=\"151\" height=\"178\" srcset=\"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/05\/Sam.McCracken.jpg?resize=255%2C300&amp;ssl=1 255w, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/05\/Sam.McCracken.jpg?resize=768%2C903&amp;ssl=1 768w, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/05\/Sam.McCracken.jpg?resize=871%2C1024&amp;ssl=1 871w, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/05\/Sam.McCracken.jpg?resize=750%2C882&amp;ssl=1 750w, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/05\/Sam.McCracken.jpg?resize=300%2C353&amp;ssl=1 300w, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/05\/Sam.McCracken.jpg?w=1440&amp;ssl=1 1440w\" sizes=\"auto, (max-width: 151px) 100vw, 151px\" \/><\/figure><\/div>\n\n\n\n<p>\u201cMy first meeting with Katherine started with the same\ngreeting I give everyone. I opened the door, smiled and said \u2018Hi, I\u2019m Sam\u2019. I\nguided her to the treatment room and again proceeded as usual in asking \u2018so\nhow\u2019s life\u2019. I suddenly became very self-aware that the first question I always\nask people could have been highly inappropriate in this instance. While my\nself-awareness grew in anticipation of her response, she replied \u2018life is good\u2019.\n<\/p>\n\n\n\n<p>&#8220;Like many cancer patients I have worked with, Katherine didn&#8217;t want me to change, she didn&#8217;t want me walking on eggshells around her, she seemed comfortable with a business as usual approach. It allowed us to be anchored in the normal. A safe well-trodden path.&#8221;<\/p>\n\n\n\n<blockquote class=\"wp-block-quote has-text-align-right is-layout-flow wp-block-quote-is-layout-flow\"><p><strong>\u201cDon\u2019t hurt people and consider the role of the nervous system\u201d<\/strong><\/p><cite>Diane Jacobs<\/cite><\/blockquote>\n\n\n\n<p>&#8220;We can inadvertently hurt people simply by not ensuring their comfort.<\/p>\n\n\n\n<p>&#8220;It is important to establish a line of communication that lets people feel at ease in asking for a more comfortable position or an extra pillow. Let them feel that nothing is too much trouble. <\/p>\n\n\n\n<p>&#8220;All things that can be varied should be on offer. Light, sound, temperature and pressure can all have an impact on the nervous system.&#8221;<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><strong><em>\u201cAlways strive for the opposite of hurt.\u201d<\/em><\/strong><\/p><\/blockquote>\n\n\n\n<p>&#8220;Ideally, if a person feels comfortable with you, they will tell you what they need, you won\u2019t need to make a fuss or continuously ask them.<\/p>\n\n\n\n<p>&#8220;It is important to never lose sight of the fact that we can never play out of tune with primary carers who orchestrate their care. I always ask about their GP and Oncologist and the type of care they are receiving. Always have a discussion about their pain meds and be mindful that they will often be drowsy, nauseous or constipated. Peripheral neuropathy is also a common side effect of cancer meds.\u201d<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>The Final Word<\/strong><\/h4>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignright size-medium is-resized\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/11\/20190331_194931.jpg?resize=175%2C191&#038;ssl=1\" alt=\"\" class=\"wp-image-2191\" width=\"175\" height=\"191\" srcset=\"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/11\/20190331_194931.jpg?resize=275%2C300&amp;ssl=1 275w, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/11\/20190331_194931.jpg?resize=940%2C1024&amp;ssl=1 940w, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/11\/20190331_194931.jpg?resize=768%2C837&amp;ssl=1 768w, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/11\/20190331_194931.jpg?resize=1410%2C1536&amp;ssl=1 1410w, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/11\/20190331_194931.jpg?resize=750%2C817&amp;ssl=1 750w, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/11\/20190331_194931.jpg?resize=300%2C327&amp;ssl=1 300w, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/11\/20190331_194931.jpg?w=1560&amp;ssl=1 1560w\" sizes=\"auto, (max-width: 175px) 100vw, 175px\" \/><figcaption>Katherine<\/figcaption><\/figure><\/div>\n\n\n\n<p>The author acknowledges the assistance of both Katherine and Sam in writing this article. Two weeks after providing her contribution, Katherine died peacefully at home. Her aunty is really sad but also grateful that massage helped her, even if it couldn\u2019t save her.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Further Reading<\/strong><\/h4>\n\n\n\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29735874\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"Effectiveness of Non-Pharmacologic Interventions in Chemotherapy Induced Peripheral Neuropathy: A Systematic Review and Meta-Analysis, Oh, Kim (opens in a new tab)\">Effectiveness of Non-Pharmacologic Interventions in Chemotherapy Induced Peripheral Neuropathy: A Systematic Review and Meta-Analysis, Oh, Kim<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21766161\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"Case report of a patient with chemotherapy-induced peripheral neuropathy treated with manual therapy (massage), Cunningham et al  (opens in a new tab)\">Case report of a patient with chemotherapy-induced peripheral neuropathy treated with manual therapy (massage), Cunningham et al <\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/ascopubs.org\/doi\/abs\/10.1200\/jco.2016.34.26_suppl.193\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"Effectiveness of massage therapy (MT) as a treatment strategy and preventive modality for chemotherapy-induced peripheral neuropathy (CIPN) symptoms, Menendez et al (opens in a new tab)\">Effectiveness of massage therapy (MT) as a treatment strategy and preventive modality for chemotherapy-induced peripheral neuropathy (CIPN) symptoms, Menendez et al<\/a><\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>About the Author<\/strong><\/h4>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignleft size-medium is-resized\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2017\/11\/Sharon.jpg?resize=173%2C184&#038;ssl=1\" alt=\"\" class=\"wp-image-286\" width=\"173\" height=\"184\" srcset=\"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2017\/11\/Sharon.jpg?resize=282%2C300&amp;ssl=1 282w, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2017\/11\/Sharon.jpg?resize=300%2C319&amp;ssl=1 300w, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2017\/11\/Sharon.jpg?w=545&amp;ssl=1 545w\" sizes=\"auto, (max-width: 173px) 100vw, 173px\" \/><\/figure><\/div>\n\n\n\n<p><em>Sharon Livingstone is a massage therapist in\nSydney, NSW. A love of sport drew her to the industry but discovering job satisfaction\ncame from helping people live with less pain keeps her in it. Sharon is a\nwriter, keen bushwalker and frustrated traveller who is also a coffee snob.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>How easy is it to read &#8220;cancer&#8221; scribbled on an intake form, assemble our cancer knowledge and treat accordingly? But what about the person on the end of that diagnosis? What role do they have in treatment?<\/p>\n","protected":false},"author":1,"featured_media":2189,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[110],"tags":[353,274,104,525,62],"class_list":["post-2187","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clinical-practice","tag-cancer","tag-client-centred-treatment","tag-massage","tag-oncology-massage","tag-sharon-livingstone"],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/11\/kat3.jpg?fit=640%2C422&ssl=1","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack-related-posts":[{"id":515,"url":"https:\/\/blog.amt.org.au\/index.php\/2018\/02\/07\/a-massage-therapists-journey-through-a-career-crisis\/","url_meta":{"origin":2187,"position":0},"title":"A Massage Therapist\u2019s Journey Through A Career Crisis","author":"admin","date":"07\/02\/2018","format":false,"excerpt":"What happens when all your long-held beliefs about massage and your place within the massage industry get blown out of the water? Do you quit? Do you continue spreading outdated info? Or do you dust yourself off, open your mind to new theories and science? 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