Contents Section One: Foundations of Haase Myotherapy® ....................................................................................6 Haase Myotherapy® Philosophy ............................................................................................................................... 6 Treating Cancer Patients.......................................................................................................................................... 10 Section Two: Technique ...........................................................................................................................12 Body Mechanics – Ensuring Your Professional Future ....................................................................................... 13 Golfer’s Elbow ........................................................................................................................................................... 20 Tennis Elbow ............................................................................................................................................................. 21 Carpal Tunnel Treatment ........................................................................................................................................ 22 de Quervain’s Tenosynovitis/Tendonitis (Insertion Syndrome) ........................................................................ 25 Triceps Tendonitis .................................................................................................................................................... 26 Deltoid Tendonitis .................................................................................................................................................... 27 Subacromial Bursitis ................................................................................................................................................ 28 Supraspinatus Tendonitis (aka Painful Arc Syndrome) ........................................................................................ 29 Bicipital Tendonitis .................................................................................................................................................. 31 Subscapularis & Frozen Shoulder........................................................................................................................... 32 Head, Neck, & Whiplash Treatment ...................................................................................................................... 34 Military Neck (Cervical Hypokyphosis) ..............................................................................................................34 Head, Neck, & Whiplash Treatment ...................................................................................................................... 35 Seated Head & Neck ................................................................................................................................................. 36 Supine Head, Neck, & Whiplash Treatment ......................................................................................................... 40 Migraine Headaches................................................................................................................................................. 42 Thoracic Outlet Syndrome ...................................................................................................................................... 43 Augmentation Exacerbation of Thoracic Outlet Syndrome ............................................................................... 46 Treatment of Temporomandibular Joint Dysfunction (TMJD) ......................................................................... 50 Erector Spinae Release ............................................................................................................................................. 51 Rectus Abdominis Treatment ................................................................................................................................. 52 Intercostals & Diaphragm Release: Increasing Oxygen Capacity ...................................................................... 54 Low Back/Psoas Release .......................................................................................................................................... 56 Piriformis Syndrome / False Sciatica ..................................................................................................................... 59 Gluteus Medius & Minimus .................................................................................................................................... 61 Pelvic Decompression .............................................................................................................................................. 63 Upper Leg & Knee Treatments ............................................................................................................................... 66 Lower Leg & Foot Treatments ................................................................................................................................ 73 Working with Scar Tissue ........................................................................................................................................ 78 Self-Stretching Techniques ...................................................................................................................................... 80 Recommended Resources ....................................................................................................................................... 87 Treating Cancer Patients • Bones weaken from treatment • Bones REALLY weaken if cancer is in them • Inquire about blood clots What is it? Cancer consists of a collection of related diseases. In all cancer types, a number of the body’s cells begin to divide without stopping and spread, entering sur- rounding tissues. Cancer can get its start in nearly anywhere in the human body’s systems or tissues. Human cells nor- mally grow and divide, forming new cells. As cells age or become damaged, they die off and are replaced by new cells. When the orderly process breaks down and the abnormal, damaged cells don’t die but replicate at a rapid pace, the growths are called tumors. When those tumors spread into or invade nearby tissues, the cancer is considered malignant. How Does Cancer Massage Differ From Regular Massage? • Avoid tattoo / radiation sites • Techniques tailored to frailty of tissues, including • No creams or oils muscle, skin, and bone • Be prepared with adequate bolsters • Part of a medical health care team • Be prepared with moisture barriers • Adaptive / ever-changing treatment plan • Caution around colostomy bags • Environment is unusual and hostile • Pulmonary embolism is contraindicated • Profound impact of massage on patients • Bowel obstructions: stay clear! • Expect the unexpected • Deep leg thrombosis: no legs / feet Massaging Cancer Patients: • Stay clear of weeping lesions What You Need To Know… • Do not dabble in lymphatic work unless you are trained in this area • Low platelet count (<50K) = bruising – do not mas- sage • DO NOT suggest medication/dietary changes • Low white blood cell count (<1k) = weakened im- • Realize that bone degradation lasts years mune system: ask doctor • Lymph vessels DO NOT regenerate • Don’t massage directly on/over a tumor • Elevate edema when bolstering • Avoid metastatic sites (e.g.: axillary) • Do not recommend herbs • Don’t treat if you are sick Research shows some herbs can interfere with • Wear mask / gloves if needed ÂÂ liver function • Be aware that patients will miss appointments • Be aware of wide mood swings • Avoid deep tissue (even if requested) • Be clear before treatment starts as to how long the massage / treatment will last • Avoid biopsy sites for a week or so • Resist pleads for deep tissue • Allow even more time for bone marrow aspirations • Pain medications block normal feedback • No work in surgery sites for 4-6 weeks 10 ©2018 Haase & Associates, Inc., Haase Myotherapy® Seminars - www.haasemyotherapy.com ©2018 Haase & Associates, Inc., Haase Myotherapy® Seminars - www.haasemyotherapy.com 11 Golfer’s Elbow What Is It? main tendon, the common flexor tendon, attaching to the me- dial epicondyle of the humerus. Overuse puts strain on the ten- Golfer’s elbow is actually medial epicondylitis, or inflamma- don causing inflammation and/or scar tissue. tion of the medial epicondyle and surrounding tissues. The muscles involved in Symptoms medial epicondylitis primar- ily include the pronator teres Stiffness and/or sharp pain in the elbow and wrist. Dimin- and the flexor carpi radialis. ished strength of hands and wrists. Tingling of the fingers. Golfer’s Elbow usually results from repetitive use. Indications Swinging a golf club or a Weak shoulder and wrist muscles, pain under active resis- baseball bat can often be the tive movement during elbow flexion. cause of originating pain. It can also originate from chop- Contraindications ping wood with an ax, chain Tendon ruptures and muscle tears require extra precau- saw work, carrying a heavy tion. If severe or persistent joint pain occurs accompanied by suitcase, throwing a javelin redness, swelling or loss of joint function, do not treat without and hand tool use. further medical attention. Beware of inflammation disorders Most of the wrist flexors join together and attach to one like Rheumatoid Arthritis and Gout. Golfer’s Elbow