NW Advanced Medical Massage LLC

Guaranteed Pain Relief Therapy

              I am so confident of pain relief results, that if you undergo pain therapy with me, and do not perceive significant improvment by the end of the session, there will be no charge for the session.

Ocean Shores Washington

Chronic Pain &

Massage Therapy Clinic

Most non-disease related pain originates in soft tissue; either muscle or fascia. Orthopedic bodywork is a process. Pain free Range of Motion (ROM) is assessed first. The assessment reveals the most likely cause of your pain. Understanding the cause is the first step in choosing the correct therapy technique. Does your pain come from a joint capsule adhesion (frozen shoulder or hip), a minor muscle strain, or either a hypotensive or hypertensive muscle (locked long or over stretched, or locked short and tight).

Rather than drugging a symptom, or surgically cutting a nerve, or fusing a joint, Orthopedic Bodywork addresses the actual cause. The result is almost instantaneous symptom relief. This is neither “woo woo”, magical, or some form of exotic “snake oil”. A skilled orthopedic body worker can consistently relieve a class I or II muscle strain, a frozen shoulder or hip, or muscular adhesion. In fact, if you are seeing me for pain, the pain relief I help you achieve is so consistent, I won’t charge you for the session unless you decide that you feel major symptom relief.

Many of the symptoms that respond to orthopedic assessment and correction include:

  • Migraine Headache (some, not all)

  • TMJ

  • Neck Pain (can’t turn your head)

  • Neck & Shoulder Tension / Pain

  • Shoulder / Deltoid / Biceps Pain

  • Mid Back Pain

  • Lumbar Pain

  • Sacrum Pain

  • Sciatica

  • Hip Pain

  • Knee Pain

  • Shin Splints

  • Plantar Fasciitis

  • Bunions

My professional experience indicates four primary sources for pain:

 1. Muscle and fascia – Most pain which persists for more than a few days comes from muscles, tendons, ligaments and fascia. Myo-fascial pain is astonishingly easy to resolve using Orthopedic body work (clinical massage). There are several specific, standard, assessment tests which accurately identify the cause of most pain. Specific treatment depends on correct assessment.

2. Acute injury – an accident, fall, or other trauma. In general, wait till the acute stage has passed before seeking any form of body work. Inflammation, signified by redness, heat, or swelling is an absolute  contraindication, at least at or near the site of inflammation, for any type of bodywork.

3. Disease – Orthopedic bodywork (clinical massage) will not eliminate pain symptoms caused by cancer, or other disease. However, bodywork often relieves some of the factors contributing to pain. There is insufficient evidence to determine whether massage therapy has an effect on a cancer metastasizing.

4. Mental state – Stress, both good and bad, dramatically affects our pain perception. Peer reviewed research proves that feeling happy, loved or nurtured decreases pain. Disliking your job, boss, or relationship status, or feeling unfairly treated by the system, and many other factors can increase pain. Orthopedic body work may, or may not, help.

  • Orthopedic bodywork (clinical massage) is very effective in treating pain resulting from auto accidents or other Personal Injury (PIP) claims. Accurate pain assessment is fundamental to competent clinical massage / auto accident treatment. You MUST have a referral from a doctor or chiropractor before auto accident, or PIP insurance will cover massage therapy treatment. Although I no longer accept provider health insurance such as Premera, First Choice etc. I do accept auto accident therapy / PIP insurance claims.

  • In addition to addressing pain symptoms, orthopedic body work creates a tangible feeling of relaxation, health and well-being. Many of my clients schedule periodic “tune-ups”. Their goal is to address subtle myo-fascial imbalances before they turn into a real pain (pun intended). Besides, they simply feel really good, for several days, after one of my orthopedic bodywork focused therapy sessions.

  • A highly skilled orthopedic body worker can almost always dramatically reduce or eliminate pain during a single session. On several different occasions, I have watched James Waslaski (both a skilled practitioner and educator), return full range of pain-free motion to a frozen shoulder in a matter of minutes. Although I am pretty good, I am not as skilled as James. Sometimes need a little more time, or even a second therapy session to get optimal results.

  • If you do not feel significant symptom relief after this type of orthopedic body work, please see a doctor. The source of your pain is probably not soft tissue. You will probably benefit from seeing a doctor or chiropractor.  If neither orthopedic bodywork or chiropractic treatment resolves your pain you most likely will benefit by having a doctor screen  for disease, a hidden acute injury, or an exacerbating mental stress.

Almost all myo-fascial (soft tissue) pain is a result of:

1. Hypertensive muscles – the muscle is in a state of continuous contraction. In other words the tone of a specific muscle is higher than the other muscles.

2. Hypotensive muscles – a muscle stretched long, and therefore weak and inhibited. A hypotensive muscle is actually turned off. When a muscle contracts, a reflex arc turns off the opposing muscle group. For example, when the biceps bends the arm at the elbow, the triceps is inhibited (turned off).

3. Class I or class II muscle strain. If a client can consistently place one finger on the same spot during a resisted muscle contraction I assume and treat for a muscle strain. A muscle strain is actually scar tissue. Under a microscope, the strained tissue looks something like a fiberglass mat, or felted wool. Fibrin fibers are laid down in a random pattern. The muscle strain protocol instantly aligns all of those random fibers with the muscle fibers. The relief is dramatic. In moments, the client goes from a perceived 7 to 9 pain, down to a perceived 0 to 2  pain. It is so dramatic, some clients actually go into denial and believe the pain must not have been as debilitating as they thought. Psychologists call this cognitive dissonance. Denial happens most often if they have spent a lot of time, or money, trying to find relief. I have lost track of how many times I have heard the statement, “I have been to several doctors, and spent hundreds (maybe thousands) of dollars. It can’t be that simple!” Although changing, many pain therapists neither recognize, or acknowledge the relationship between pain fascia tension vectors throughout the body. Fortunately, medical and anatomy paradigms are starting to change. Bio-tensegrity is an emerging paradigm gaining an increasing number of adherents.

4. Joint capsule adhesion’s (i.e. frozen shoulder).

Oddly, both hypertensive and hypotensive muscles feel tight. Both to you, and your therapist. Many massage therapists are not trained to recognize the difference. For example, many massage clients state “I am holding tension in the back of my neck and upper shoulders”. Most often, the therapist starts this client face down and spends a significant amount of session time massaging the upper back and shoulders. This feels really good. IT ACTUALLY MAKES THE SYMPTOM WORSE. Once the feel good hormones, triggered by the massage wear off, the weak, inhibited, stretched too long, muscle is now stretched even longer and is therefore more weak, more inhibited and more grumpy.

I am semi retired. I work from my home. I do not have a receptionist or use an on-line scheduling program. Please call me at 360 370 5040 to schedule your treatment session. I am often willing to work during early evening, or on weekends. Please feel free to call if you have special scheduling needs.