Treating Plantar Fasciaitis

In this post we are going to talk about an orthopedic massage treatment for Plantars fascitis. Before we get down to the nitty gritty, however I want to discuss the pathology on the whole.

Plantar fasciitis has been previously classified as an inflammatory condition, hence the 'itis' at the end of the name. The literal translation of the medical language is foot part inflammation. Recent studies have concluded that its not really an inflammatory condition at all. Its is very important to understand however in treating this condition, that while it is not an inflammatory condition itself, there may be inflammation present especially post exercise or you may cause inflammation by working on it. Not being classified as an inflammatory condition does not exclude it from inflammation.

Clinically in my experience with sports massage, it has turned into a bit of a blanket term meaning pain in the bottom of the foot. The classic presentation is specifically pain in the AM after the tissue has contracted over night, however I have frequently had people come in with diagnosis from physicians where pain is during exercise or after only. If you are treating plantar fascia you also need to be aware of the risk of heel spurs and their contraindications.

People who have started training programs, had a recent weight gain, are pregnant, work standing all day, are logging a lot of miles, and who have inflammatory conditions are all at risk for Plantar fasciitis. Plantar fasciittis is one of the most common foot complaints.  Technically what is happening is the plantar fascia is being over stretched or over taxed for a number of reasons and is tearing at the most delicate part of the connective tissue in the leg, the plantar fascia. Tears can be small and irritating or in the worst case scenario, a full rupture. You can find out more about plantar fascia in my brief description here.

For the purposes of this treatment we will be treating as if we have performed a full body treatment with the focus on the lower leg. In progressive treatments I would then do a full body with the focus on the leg above the knee as well, and then a full body with the focus on treating plantar fascia at the hip...etc. Plantar fascia is rarely a foot problem, however it has been my experience that patients get the most initial relief from treating the lower leg, so that is where we will start.

Start your client in prone and with general Swedish massage. When ever possible I try to mix in as much general treatment as possible so that the client can benefit from the systemic benefits of massage as well as the focused ones. As you work towards the legs be aware of what you are touching, feel for anything that seems tighter or ropy-ier than it should be. Use this extended Swedish time as a palpitation exploration and add it to your full assessment. You are always going to start on the side with less pain so you can have a comparison of that persons 'normal' to dysfunction. Between each larger technique, I always return to Swedish massage to assess and sooth the tissue.

Once you have reached the lower leg warm the tissue with Swedish work.  After the tissue has been warmed, then move to deeper work such as trigger point and deep tissue on the whole of the lower leg structures. At this point, move to passive active release moving laterally to medially via anatomical structures. Starting at the peroneus muscles, anchor into the tissue with a thumb/finger/elbow at the origin and move the structure through its range of motion. Work down the whole length of the muscle doing this passive active release. (in some cases I would do this for gastrox and solus as well but usually I progress to straight active release)

Now that the client knows the motion of the peroneals, I as them to take the motion over on their own. As they evert/invert I again work my way down the length of the muscle, stopping of course for any thing that causes too much pain or discomfort. All motions and pressure are to remain within clients comfort level. After working the peroneals, then move onto the gastrox and solus active releases in the same manner. Start at the proximal attachment and move distally towards the Achilles. You can access deep into the muscle bellies from the sides and from the center of the tissue. Here is a video to help understand the process. Its important to note that at some points of the ROM in the active release there may be discomfort. That is fine, the client is in control of the motion and ask them to move slowly and carefully expressing that you will not increase the pressure.

 Using active release as the massage allows greater muscle pumping properties to the tissue, helps approximate muscle length and through conscious movement helps the client be more aware of movement patterns. It also puts the client in control of work that could be quite sensitive otherwise.

After the active release has been performed, and the client can move through the range of motion pain free, I move on to stretching. Using a number of different kinds of stretches is very helpful in when treating plantar fasciitis because each muscle presents its own challenges. For both gastrox and solus I use a pnf version of stretching. I stretch them separately, by putting them into their lengthened position and having the client resist the stretch for the count of 10, and then repeat that cycle until the desired length is achieved. For both tibialis posterior and the peroneal muscles I do the same, although much more delicately. You of course to do this must know exactly what the action of the muscle is.

S curve bowing of the achilles

After the active stretching I move on to stretching the tissue manually with fascia work and bowing. Sometimes because a client has a bone structure that prevents full ROM this is the most effective way across the board, however the calves on the whole are very strong muscles, my strength can never compare to theirs so using the clients own power is always safer and more effective generally as a means of tissue movement, which is why I perform both active release and fascia work. For this I manually pull the bulk of the muscles away from the bone, by anchoring the ankle and pulling the tissue towards or away from me in long steady movements. Sometimes it can be helpful to do this through a hot wet towel. In fascia work this would be a form of bowing. At the achilles I can bow laterally, medially or both in an s curve.

Once the calf work is completed I work around the heel, you can work around the heel with your fingertips encouraging the tissue towards the site of the pain. In school I learned then to do deep work on the plantar fascia at the site of pain, but have since abandoned that technique as too painful and too risky to the tissue. Clients would literally sweat on the table as you put the foot into flexion and dug away at the tissue. Instead I recommend this technique which is a variation of the work with the foot in flexion but far less painful.

Drop the foot off the table in prone so that the toes hang off . The heel will be just about level with the edge of the table. Stand so that you are facing the end of the table and the clients feet. Squat down or kneel so that you are  not using strength, but body mechanics and grasp the heel firmly with both hands and with medium pressure pull the foot into flexion and drag the tissue down. It is important to note I am not rubbing the surface of the skin but, letting the skin move me towards the toes.

After all of these steps are completed I would close with Swedish massage working my way back up the leg and moving onto the next side. Once that side is completed I would ask the client to turn over and work the anterior lower leg muscles in the same fashion, following the same protocol, of Swedish, active and stretching.  In my clinic we would also follow this up with a supportive taping for that plantar fascia.

For many people the initial treatment will bring considerable relief if the diagnosis is correct, however the condition is not 'fixed'. It is very important to continue maintenance, change behavior, and seek help in the form of strengthening. Any time the body lays down splinting or pulls tight in this manner its usually looking for extra support and you have to ask yourself 'why?'.  Giving your client a home care plan that works for them is also very important. Most people get stuck with plantar fascia issues because they are treating the plantar aspect rather than the problem, and only taking preventive measures, such as wearing a night sock. Full treatment constitutes a change in behavior, strengthening, manual therapy and a good home care program.

For more information on sports massage or orthopedic massage you can visit us at
315 Madison Ave. Room 2200
NY, NY 10017

Orthopedic Massage Therapy Treatment for Bursitis.

So this weekend as the cold temperatures finally broke, I decided to hit the pavement for a run and enjoy the beautiful weather. The only problem is I actually hit the pavement.  Two miles from home, I tripped over a grate, and pitched forward. Failing to get my hands up in time, I landed square on my knee cap. Technically it would be the medial base of my patella, which slammed the apex into the patellar  tendon and underlying bursa with tremendous force. It was excruciating. Over the following few days, I have had pain on quads contraction, swelling around and below the patella, and low back pain due to the gait change. Given my current condition, I thought I would take this time to do some bursitis treatment and review.

A Bursa is a fluid filled sac that is often found in the body that buffers surfaces that might otherwise cause too much friction, thus damaging the body as one structure passes over the other. They are usually found in joints, where a tendonous attachment has to pass over a bony prominence.  The knee has many bursa, due to its complexity, as does the hip at the greater trochanter and ishial tuberosities, and the Achilles at the point of attachment to the heel etc. Almost anywhere you find a bony prominence and tendons you will find a bursa. To visualize how it works it is something like this.

In a clinical setting, bursitis can often be confused with tendinitis, and they are actually pretty similar. Tendinitis is the inflammation of the tendon sheath, which is a similar structure to the bursa.  But rather than being just under the tendon, a tendon sheath wraps around the whole structure to provide a similar function.

Both tendinitis and bursitis can be caused by over use, which means that the ‘sac’ has become inflamed.  Bursitis however is often characterized by an impact to the overlying structure, the trauma of which causes swelling and inflammation.  In some cases antibiotics or anti-inflamitories might be used, depending on the severity of the case.

In clinical evaluation, clients will have pain on movement, the muscles around the area may be splinted, and heat and tenderness might be but are not necessarily present.  In cases such as the knee, the bursa can sometimes be seen as it puffs out around the patella.  However, if the bursa is under many layers of muscle, such as at the greater trochanter, it might not be, so it is often misdiagnosed.  Taking a good subjective client history can help to determine what you are really dealing with, as it can inform you to activities that would point one way or the other. Did your client recently fall? Is he/she an athlete that uses a repeated motion?

Following that up with your objective ROM,  and muscle testing, will further confirm your analysis.  Active resisted testing of the suspect structure is extremely helpful. Tendinitis usually has a pain response that is constant on active resisted exercises such as “speed tests”, and while bursitis also reports pain on active resisted, the pain increases with contraction as the structure continues to contract over the bursa. It’s necessary to be clear that the pain is where the bursa is located, not in the joint or referral. It’s also relevant  to use a pain scale to chart the pain increasing with contraction.

Once you have assessed that you do have a case of bursitis, rather than joint pain or tendinitis, treatment through massage is extremely helpful.  For the purposes of this treatment we will look at bursitis of the knee in sub-acute and then add on a few chronic suggestions.

Like all other orthopedic  treatments, bursitis of the knee begins with your assessment of the primary injury and also the compensatory ones. In this case the low back is irritated by the antalgic gait (a form of stride shortening due to pain). We are going to work general to specific, starting on the opposite side of the injury. That means I am starting on the back in prone position or the low back first (depending on your time constraints) and on the low back side that is not in pain.  In order to perform this safely without aggravating the bursa further while the client lies face down, you would pillow the affected knee so that it does not make hard contact with the table.  I usually use a pillow under the hips with multiple leg bolsters.  After treating the low back with massage, trigger point and whatever else was in your general treatment plan, you would move next to the posterior aspect of the unaffected leg, which has likely been overworked to compensate for the leg with the bursitis.  Next you would move to the posterior aspect of the, affected leg, paying special attention to the structures that cross the knee. Hamstrings, gastrox, and ITB are all suspect to have pain and dysfunction because they, like the patellar tendon, cross the knee and are either getting too much movement, or too little, while the body protects that bursa.

At this point you would have your client move carefully to the supine position, once again pillowing them for comfort. Next you would want to treat the front of the unaffected leg in the same way you normally would. For the affected leg, you will want to work toward the bursa using general massage techniques. Be careful not to apply too much pressure to structures that could compress the bursa, such as quads (and ITB by torquing the knee). Gentle stroking techniques and techniques such as cupping can be used up and around the knee to encourage fluid movement. The tissue will warm quickly and the increased circulation should aid in lymph movement provided you are gentle.

I would then recommend moving on to other techniques while applying ice.  Rather than put the ice directly across the tendon, which will cause muscle contraction, I will have prepared an ice ring made from a towel that will sit over the knee cap, making minimal contact with the muscle and maximum contact with the bursa.  (Here is where the treatment would diverge if the bursitis was chronic and not inflamed, but sticky with scar tissue)

While the bursa and surrounding tissue ice for a few minutes, I will shift my focus from gentle stroking, to trying to lengthen the structures that cross the knee, without compressing the bursa. I might choose gentle fascia work of those structures, being careful to move towards the patella, or deeper sentimental work. The goal here is to ease compression of the bursa in order to lessen the irritation. Because the client is favoring the leg, it’s likely not moving as much, which in turn will cause a contraction of the tissue. It is then our job to act as an external muscle pump and mimic the body’s normal functions, to ease the tension.

 I would finish by removing the ice ring, and once again moving to gentle stroking techniques towards the knee to re-warm the tissue and flush it. Always moving from general to specific to general again.

In my clinic we also tape supportively with fascia movement tape, so we would do a taping that looks something like this to help with drainage. 

NOTE:If the client was in chronic and the bursa was adhered, instead of ice I would use gentle fascia work around the patella as well as patellar mobilizations to access the tissue under the patella,  stretching and more aggressive lengthening  techniques, but the essential treatment would be the same.

The treatment for bursitis is very easy,  provided you understand the underlying pathology and have a plan to organize your treatment properly.  Clients often get diagnosed by chiropractors and practitioners who are not familiar with soft tissue problems. so do not take anything for granted in your interviews. Good luck!

For more information please see Body Mechanics Orthopedic Massage

Biceps Tendonits- A clear view

Technology is fantastic (when it works) I recently invested in some to allow me to talk to clients in a clearer way. Since I have it at my finger tips, quite literally, I thought that I would take the time to explain Biceps Tendinitis from an Orthopedic point of view. We will go over both the anatomy of the injury and a basic treatment principles.

Biceps tendinitis is an equal opportunity injury. By that I mean that you will find it in mothers lifting heavy babies, factory workers, athletes such as tennis players, massage therapists, and even office workers reaching for heavy books on their desks. Across the board what connects all these things is the repeated over loading of the biceps tendon,  irritation of the synovial membrane encasing it, and irritation of the transverse humeral ligament.  Clients with biceps tendinitis will report pain at the bicipital groove, point tenerness at the same location, pains or aches into the arm and shoulder, and often have hard rope-y muscles around the area. The speeds test should be used to confirm your assessment. 

In treating biceps tendinitis its essential to understand the anatomy fully, because although the suffix "itis" tells you that it is an inflammatory condition, the anatomy of the shoulder lends special complications to the treatment. By fully understanding the anatomy, you can quite effectively treat.

Let's take a look at what is so special about the shoulder anatomy for the biceps. Here are images that will help you understand what makes this different than your normal "itis" treatment. The first view is a highlighted isolation shot of the biceps tendon and attached muscle. As the muscle turns to tendon you can see it travel up into the bicipital groove, passing below the transverse humeral ligament and into the shoulder where it attaches at the supra-glenoid tubrical. The second image is what is really interesting. That same anatomy shot from above gives you a clear idea that this is not just about swelling from overloading, but also about space and angles. If that tendon becomes so inflamed that it cannot in fact pass easily through the "tunnel" formed by the anatomy, it will friction along it, which in turn creates more inflammation. There are 3 factors at play here which can be directly effected by massage, the width of the tendon passing through (is it irritated?), the health of the ligament (is it swollen from repeated impact and abuse) and the angle at which the tendon passes through the "tunnel" (which can effect both the tendons inflammation and the ligaments) Your intake should help you decide what the aggravating factors are, and there by the main problem, which might be 1 or all of the contributing factors.  

You will want to determine if the client is in acute, sub-acute or chronic before the treatment. Treatments in the early stages can be used to help speed healing, and re-educate clients about alignment, but it is the later stages that can be used to correct problems. For this the injury must be in chronic. Someone who has had the injury for a length of time but has reoccurring flairs is considered chronic as well. 

During treatment you will want to pillow the shoulders into the correct anatomical position, relive any trigger points, use active release to strip out the muscle and activate the muscle pump to restore circulation. When you begin to work the biceps tendon, I recommend ending the process with a biceps stretch. I usually do this by hanging the arm off the table and using gentle pnf techniques which will lower the pain response to the tender tissue at the anterior of the shoulder. The goal here is a nice long lean biceps tendon, that fits well through the anatomical structures. For this particular type of "itis" treatment sometimes I recommend the use of ice, not because there is inflammation present, but because as a side effect ice causes contraction. Imagine trying to thread a needle with a fuzzy thread? almost impossible, but if we get that thread wet, it is  a lot easier. Be careful however to ice only at the point where the transverse ligament is, as ice can contract the entire length of the muscle the long way, causing other complications and frictions against the bone. Over aggressive use of ice or inappropriate use of ice can cause just as many problems as what you are treating. 

In many other "itis" treatments you will want to use heat rather than ice in the chronic stages (which sounds counter intuitive), but again knowing the anatomy is essential. If a structure is shortened in chronic, and rubbing across a bone, contracting the structure would be in no way beneficial, and would in fact cause more damage. 

After the treatment take the time to explain to your client how to align their shoulder during their aggravating tasks for the least possible irritation. Many relapses can be avoided by simple client education. 

The biceps tendinitis is VERY treatable through massage and has a high success rate because for most people, letting the arm rest is less of a problem than say, resting the achilles.  Provided you understand what is really going on to create the problem in the first place, this should be a staple go to 'success' in your massage practice. 

For more information please see NYC sports massage
by Beret Kirkeby

Running Hot and Cold before your Marathon. The power of a contrast bath.

I get asked a lot by athletes 'What can I do to recover faster' or 'What can I do before a race if I am sore'. I almost always bring up contrasts baths. And that almost always that leads them to say 'What is that?'

If I think back to the time of where I first knew of contrast baths, it really brings up images of 80's sports movies where athletes are dunked in big steel tubs of ice, or institutional baths. They are ugly steel contraptions set awkwardly in corners of locker rooms. In today's utterly perfect, slick, performance world I can't remember seeing them anywhere. Instead, we eat a vitamin-filled gummy, or wear cool colored tape for our recoveries; however, the contrast bath should not be over looked. It is a huge tool in recovery, and if you are running with an injury you should not be running with, it might be a game changer.

A contrast bath is a simple rehab tool anyone can use that helps decrease inflammation, decrease pain, decrease swelling, and potentially increase mobility. The bather, moves from a tub of warm water, to a tub of cold water and back for a cycle of 30 minutes. The back and fourth temperature changes from warm to cold, cause your circulatory system to repeatedly vaso-constrict and vaso-dilate. That "squeeze - release" action moves the fluid through your body at an expedited rate....as IF you were exercising but without the actual risk of exercising. 

We all know our blood moves through our body by the hearts pumping mechanism, but it does not move the blood by its power alone. Your muscle movement provides a very strong secondary pump that facilitates fluid movement throughout your body. For example, some of you might have noticed that your legs swell up a bit from lack of  movement when you are on an airplane. 

Plunging your whole body from hot to cold, or part of your body, can mimic the normal muscle movement, and be a very effective way of moving things along, especially if you are too close to race time to risk a massage, or cannot access treatment. In most cities there are bathhouses that have alternating cold hot dips that athletes can utilize for full-body plunges. You can also put one together at home with the use of buckets and thermometers. The bucket version is best for ankles and arms, or you can do a hot/cold compress for harder to reach areas. 

Before we get to the nitty-gritty of the recipe, I should like to add that it‘s very important to check with your doctor if you have any questions about if this is right for you. Anyone with circulatory problems, Reynaud’s, decreased feelings in their limbs or compromised skin should not be doing a contrast bath because it puts you at risk.

Here is the recipe for your contrast bath (if you are at home you will need a thermometer)

30 minute cycle repeating hot/cold and always ending on the hot

3-4 min hot water (100F)

1 min cold water (60F)

Have fun running hot and cold! For more information http://www.bodymechanicsnyc.com/
by Beret Kirkeby

It is running season, how about a little foot pain??

It's every runner's nightmare:  waking up one morning and feeling a stabbing pain on the bottom of the foot near the heel. Plantar fasciitis affects around 2 million Americans a year, and it's not just limited to runners. Anyone who is bearing extra weight on their feet, who has body-structure problems, is over-training, is pregnant, or has compounding injuries could be at risk. 

If you search the internet you will find loads of boots  and strange supportive gear that help you deal with plantar fasciitis after it appears. Doctors might prescribe pain killers, anti-inflammatories or cortisone injections to help you deal with the pain.  All these things are geared strictly to managing the problem. They are a mere band aid in for something that many people find literally debilitating.  

The plantar fascia is located on the bottom of the foot. It stretches from the heel to the ball of the foot, supporting the muscular arch above as well as interlocking bones. Technically, plantar fasciitis is billed as an inflammatory condition, however it's not that the body is randomly creating inflammation---rather, the inflammation is being created at the heel in order to try and repair the micro tearing that is occurring there, In truth, the problem is actually over-stress or tearing of the delicate foot fascia. and the inflammation is just a symptom. 

So here is the skinny. Understanding this problem for your body is key. The tissue on the bottom of the foot is very delicate when you compare it to the things it's being asked to do. The plantar fascia is not an isolated tissue, it is one small part of a long chain of tissue that runs from the top of the back of your body, down to the tip of your toes.  Picture this tissue as something like how, when you tie a rope around a box, it helps stabilize the box wrapping the whole way around If for some reason the rope were to get shorter, things would become uncomfortable for the box....there would be less and less space until finally the tension would be so great that most likely the rope would begin to fray at one of the corners (just like your heel) in order to create more length. That is exactly what is happening to your foot. The rope is tearing at its weakest point. When you have injuries that thicken the tissue and make it less contractile, or add extra stress to the "rope",  it is at risk for damage. 

By the same token, slackening the 'rope' can take pressure off the weaker tissues. Adding length to your

visual of the 'rope'

hamstrings and calves takes pressure off the bottom of the foot. Treating plantar fascia issues is a two-fold process. You must examine what caused the flair in the first place. Is it too much tension? A structural defect? Training?  Extra weight? Or is it another muscle pulling it tight?  The second step is to create less pressure on that plantar fascia by lengthening the tissue on the posterior chain, which will decrease the inflammatory reaction from the micro tearing. Professionals in sports medicine, physical therapy, massage and orthopedics can help you with the various parts of this painful problem to get you back on track, but I have also seen a good number of people help themselves once they truly understand the problem. A good foam roller and a trigger point ball are always a good investment for preventative care if you know you are prone to this malady. Once this is done and the cycle is broken, it is essential you give it time to heal...after all time heals all wounds.  If you are experiencing problems that are diagnosed or that do not resolve, it is very important to visit your primary care physician. 
For more info visit http://www.bodymechanicsnyc.com/
or see our sports massage program in NYC
By Beret Kirkeby

The key to less injuries is prevention. Information for athletes and Sports Masssage

 We all know the primary work of the circulatory system is to push your blood around your body.   But the other job of the circulatory system is to deliver essential nutrients to your body tissues and to work in conjunction with your lymph system to remove waste products.  So how does that all work?  Your blood is pumped by your heart;  it moves through your body, and when your heart rate goes up due to stress, activity, or receiving a massage, it moves at an even faster rate, with more pressure.  Your lymph system, on the other hand, is completely independent of your heart and works on muscle pumping  to move fluid and broken cells through the tiny collection vessels in your body.  When you move your body more, and your body is warmer, the rate of movement and collection goes up.  But that is in a perfect world.  What happens when you are trying to push blood through the blood vessels and lymph through the collection vessels when you have been in heavy training?  When you are tight and sore?  Essentially you have a bottle neck--there are too many cars on the highway, and not enough space to get through.  No matter how hard you push, which nutrients you eat,  how hard you train, or  how much you move--unless there is enough space within the tissue to get that stuff there, you will  be more prone to injury and fatigue. To compound matters, when you are injured, it is going to take longer to heal.

Tissue often changes by means of inflammation.  In some cases this is not a problem, but too much inflammation is bad.  Inflammation is a generalized first response to injury, and signals the body to lay down non-functional layers of tissue in order to support the body structure. Your body’s response to any kind of unknown stress is to stabilize. It is very important to understand that  your body sees training as a form of stress and your body’s response to that stress is to lay down thicker tracts of tissue through  an inflammatory process.  Those tracts are less functional than the original ones and will thicken along the fascia trains already in existence, reducing fluid flow, which robs your body of the things it needs to make you a top performer.  Thicker trains means more compression, more inflammation, and  less movement of fluid, and that means more injury, slower healing and less performance. 

By icing any areas  where unusual heat or soreness are present (thus limiting the amount of inflammation you endure while exercising), you can help your body defend against excessive inflammatory processes.  Some people are also more prone to inflammation than others and might also benefit from a low inflammation diet, which is a way of eating that limits or reduces your reaction to inflammation.  Compression socks, and KT/or Rock tape can also be helpful by limiting swelling and/or encouraging lymph flow in order to minimize damage in an event.  Any area that is prone to shock, friction, load bearing or overuse is at risk. Take steps to give yourself the best chance to heal by learning to stretch and realign these areas appropriately prior to exercising. The best medicine is prevention. It is far easier and far cheaper to limit inflammation than to require extensive treatment to correct a problem in full flair…and perhaps even risk missing the big event entirely.

For More information  on Sports Massage and how you can prevent your own injury's you can visit me at www.bodymechnaicsnyc.com or book a treatment. If you are interested in learning more on the topic of how your body works, how to prevent injury, increase your recovery times and get relief for FREE,  I am speaking at Jack Rabbit sports this month at Self-Massage Clinic here is the info:

Jack rabbit sports 14th st. Sept. 18, 2013 -7pm  Curious how to expedite recovery, increase performance, and decrease risk of injury? Body Mechanics NYC joins us to host a self-massage clinic at Jack Rabbit Sports 42 west 14th st. (between 5th and 6th). You'll learn which recovery tools work best for certain aggravations and how to use each properly. And by addressing discomfort immediately and effectively, you'll increase your chances of crossing the finish line injury-free.
 for more info on sports massage in NYC please check out our website

Hi and welcome to my site! I included a blog on my site because I get a lot of questions from clients and friends about the work I do. I thought that I might as well post the answers publicly so that everyone can read them. I will cover a wide range of topics about massage, sports massage, pregnancy massage, injury recovery, my own personal training, yoga and the things generally relating to my practice. If you have any questions please feel free to ask. You can write to info@bodymechanicsnyc.com

for more info please see Massage in NYC