Massage Tutorial: Carpal tunnel syndrome (myofascial release)

Тәжірибелік нұсқаулар және стиль

My new book is out! It's called Massage Is Weird: massagesloth.com/book/
Got clients with tingling/numbness in the first few digits? We're probably dealing with compression of the median nerve. Even if they've had a formal diagnosis of carpal tunnel syndrome, this broad myofascial work should be gentle enough to apply to most clients.
My main piece of advice is to avoid focusing too much on the wrist. If there is nerve impingement and inflammation there, it's not going to be too happy about deep friction. Instead, see about calming down the wrist and finger flexors. If you can defuse that bomb, sometimes the wrist will follow.
While you're at it, work with the neck, shoulder, and hand. Follow the median nerve all the way up and down, warming and soothing the tissue.
As with all neurological problems, keep track of your client's symptoms, and back off if any particular strategies seem to be aggravating the tingling/numbness. Remember that it took your client many years to get into this situation, so it may take a number of sessions!
Let me know what you think!
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Пікірлер: 97

  • @Anddrew914
    @Anddrew9142 жыл бұрын

    It's 3:40 am and my pregnant wife can't sleep because carpal tunnel is making her hands hurt. I was able to look up this video and provide a bit of comfort and relief to her until we can get to a proper therapist. Thank you!

  • @ContessyMadame_Messy

    @ContessyMadame_Messy

    9 ай бұрын

    Once it's to a point where it's waking you up at night, it's past, massage at this point. You need a steroid shot to relieve the pain. This massage is good for mild or moderate symptoms.

  • @sweetbeep

    @sweetbeep

    5 ай бұрын

    ​@@ContessyMadame_Messy..I don't agree

  • @empressstaceyjackson5375

    @empressstaceyjackson5375

    4 ай бұрын

    Massage therapy can make it so you can avoid surgery and steroids, (save time and money)You just have to go consistently for massage until pain goes or until pregnancy is completely.

  • @realdaakuu1843

    @realdaakuu1843

    2 ай бұрын

    Is it possible to get rid of carpal tunnel syndrome with this kind of massages. It's been 2 years I'm suffering from this.

  • @realdaakuu1843

    @realdaakuu1843

    2 ай бұрын

    ​@@empressstaceyjackson5375is it possible to get rid of carpal tunnel syndrome completely with these kind of massage. It's been two years for me

  • @shawningram6349
    @shawningram63497 жыл бұрын

    Your videos are making me a better therapist! Thanks Ian! I owe you!

  • @MassageSloth

    @MassageSloth

    6 жыл бұрын

    Glad to help, and thanks!

  • @humaneleaguelancPA
    @humaneleaguelancPA2 жыл бұрын

    Excellent Ian, I have a client coming in today with carpal tunnel, I've learned so much, thank you!!

  • @singram
    @singram4 жыл бұрын

    Ian, please, please, please write a book. You're always so helpful, enthusiastic and inspiring! Thanks for helping shape and inform my massage practice!

  • @tiffanyhill1840
    @tiffanyhill18406 жыл бұрын

    I need a massage from you! Anytime I’m feeling like I need some inspiration to get out of a “burn out” stage I come to your channel! Thank you so much for your dedication to helping other Massage therapist like myself!

  • @singram

    @singram

    4 жыл бұрын

    Ironically I've always wanted to GIVE Ian a massage. Just because whatever feedback he gave would be gold!

  • @taymac4706
    @taymac470610 ай бұрын

    Seeing that hand massage effected me more than anything i ever watched , i need this !!!!!! My own whole body reflexes when you hit some points

  • @1940restorod
    @1940restorod Жыл бұрын

    I was considering carpal tunnel surgery and was very close to getting it scheduled UNTIL I learned about the success of myofascial Therapy and saw this video. I get a tingling feeling in my hands towards the end of my half mile swim so I’ve always thought that it originated in my shoulder, I think you just confirm that that is a strong possibility. Thank you.

  • @sweetbeep

    @sweetbeep

    5 ай бұрын

    Update?

  • @ThomasBricker
    @ThomasBricker9 ай бұрын

    Well done Ian! Very well explained and demonstrated. I will try some of these massages. Thanks for presenting this to us folks with painful fingers! We appreciate you.

  • @tearsofjoyforallthispain
    @tearsofjoyforallthispain5 ай бұрын

    Thank you so much for this. My husband was diagnosed as having "carpal tunnel", so we found your video. Turns out he actually has TOS, the subclavian artery has some compression when he lifts his arms, but they think it's neurogenic TOS . We shall see, because they've just been ignoring him as he's loosing the muscle in his hands. Your video helped so much and pointed us in the right direction. The massage techniques help a bit.

  • @user-yt8zr8qh8s
    @user-yt8zr8qh8s8 жыл бұрын

    One of my coworkers last week if I knew how to massage anyone with carpal tunnel. I was about to start my next session but I told her I saw this video and recommended she watch it too before her client came in later that day. I asked afterwards if she watched it and if it helped...needless to say it was yes on both. So as always thank you Ian Harvey 😊

  • @MassageSloth

    @MassageSloth

    8 жыл бұрын

    +Rachel Smith Thanks for passing that along, Rachel! Glad it helped :)

  • @melfarinas1900

    @melfarinas1900

    7 жыл бұрын

    how often should a person with carpal tunnel syndrome have a treatment like this?

  • @user-yt8zr8qh8s

    @user-yt8zr8qh8s

    7 жыл бұрын

    +Mel Farinas One of the biggest factors concerning the time it takes for clients to find relief revolves around the time they’ve spent suffering from the symptoms. The longer a person goes without treatment, the longer it takes for them to recover. So with that being said the number of sessions a client needs to find relief will vary and will depend on how severe the problem is.(Cautionary Note: relief does not mean complete resolution of symptoms) Most agree, however, that clients should see some relief after the first session and sometimes it takes three to five sessions to get long-term results, sometimes more and sometimes less. Hope this answers your question.

  • @melfarinas1900

    @melfarinas1900

    7 жыл бұрын

    +Rachel Smith thank you so much..

  • @jessicagonzalez8257
    @jessicagonzalez8257 Жыл бұрын

    Doing a this massage at 12:34 AM in the morning it was a good massage 6-6-23.

  • @eme7209
    @eme72092 жыл бұрын

    Thank you Ian! Everytime I watch your videos I'm motivated to be a better therapist

  • @branandubh
    @branandubh4 жыл бұрын

    Very good video. I really appreciate the more global and holistic approach that considers the state of the nervous system, which is always implicated in pain conditions.

  • @Carol-wo3jo
    @Carol-wo3jo4 ай бұрын

    I just did it on myself the best I could. I thought the video was very complete.

  • @evadecoro9023
    @evadecoro90235 жыл бұрын

    Thanks for all your videos! So much to learn, and you do such a fantastic job explaining everything just right :)

  • @danadepreter7124
    @danadepreter71244 жыл бұрын

    I really appreciated this video. I watched a couple others before I hand but none of them really describe what they were doing with their hand you were very descriptive in the video and it actually was very helpful and teaching me what it is that I need to do to fix the problems in my sweethearts are at least help thank you.

  • @robinkimbrelwiggs583
    @robinkimbrelwiggs5833 жыл бұрын

    Great protocol. Thank you!

  • @TigerAceSullivan
    @TigerAceSullivan Жыл бұрын

    thank you for making this video, and going over more aspects to the median nerve than just that carpal tunnel section of the wrist. ive been having issues with compression of that nerve further up towards my shoulder (combination of side sleeping and a new job that puts strain on that area), and it was difficult to find any info about it that wasnt focused specifically on the carpal tunnel.

  • @johnshake2859
    @johnshake28594 жыл бұрын

    That "Hi" in the beginning is so wholesome.

  • @mickhaikmateen9106
    @mickhaikmateen91062 жыл бұрын

    Excellent! Thank you sir.

  • @johnbaxter9446
    @johnbaxter94462 жыл бұрын

    Thanks very much! I am trying to assist a very dear friend. Your help is so very valuable to us.

  • @gilbertocortes9337
    @gilbertocortes93377 жыл бұрын

    thanks I'm gonna try

  • @janedizon9298
    @janedizon92983 жыл бұрын

    Very helpful!

  • @Strawberry143x
    @Strawberry143x3 жыл бұрын

    Really good video 😊👍✨️

  • @roamsy
    @roamsy8 жыл бұрын

    Really love your videos man! I learned S.I. and find your videos a great help to expanding my practice and knowledge!

  • @vgpriceless
    @vgpriceless9 жыл бұрын

    Thks again for your quality sharing. I will be incorporating all these techniques into my Sloth Bag!!! I'm thinking that when doing CTS TX only, I think I'll have the client(s) more over slightly on the table to the none TX side, giving me more space on the TX side to lay forearm down to work comfortably on those flexors.

  • @MassageSloth

    @MassageSloth

    9 жыл бұрын

    Velma Gause-Price, CMT Good heavens... I've never thought of having them scoot over to give me more table space. You, Velma, are a genius. Thanks for the great comments!

  • @vgpriceless

    @vgpriceless

    9 жыл бұрын

    Lol, you're very funny and you're very welcome! Continue to keep of these great tutorial please

  • @neelampanjwani88
    @neelampanjwani882 жыл бұрын

    Excellent

  • @CvDaTruth111
    @CvDaTruth1118 жыл бұрын

    you are fulfilling your lifepurpose

  • @larisanichitus560
    @larisanichitus5602 жыл бұрын

    Ian, please how many sessios must be done ? Thank you so much, you did a great job.

  • @wonapeaceful9698
    @wonapeaceful96989 жыл бұрын

    really good thank you doctor

  • @MassageSloth

    @MassageSloth

    9 жыл бұрын

    Wona Peaceful I'm no doctor, but thank you!

  • @wonapeaceful9698

    @wonapeaceful9698

    9 жыл бұрын

    oh! sorry. Physio or Chiro? you have good knowledge of anatomy n pathology.

  • @MassageSloth

    @MassageSloth

    9 жыл бұрын

    Wona Peaceful Just a humble massage therapist :) Thanks for the kind words!

  • @NicholasHolman1
    @NicholasHolman13 жыл бұрын

    first video of yours i’ve seen but this shit’s 100% gonna get me through school lmao

  • @dreasmom2789
    @dreasmom27896 жыл бұрын

    I hope I hear back from you. What can a person do for themselves to massage these areas? Maybe nothing but I hope something can be done I can't afford a masseuse.

  • @T1gress
    @T1gress2 жыл бұрын

    hi is there any way to do even a modified version of this on ones self or only through a therapist.. ps have you heard of myofascial release covered by insurance or not really . thanks. I had carpal tunnel in my left so let them clear it when i had ulner nerve release since was a lready being cut. its back a wee bit but right hand has gotten bad. trying to find a doc who takes insurance i have and plus is into alternative therapies before i let them cut the right.. so down the rabbits hole.. ive seen a few people saying this can help and hold off the need for surgery .. so might be worth trying. thanks

  • @saritaylor3648
    @saritaylor36482 жыл бұрын

    His voice puts me in a relaxing state

  • @Sunshine-ci6rf
    @Sunshine-ci6rf3 жыл бұрын

    You got a good belly laugh from the "I did this in 3 separate takes"

  • @huntzingeriris6885
    @huntzingeriris68856 жыл бұрын

    I would lové to find a therapist like you In Paris to treat my bilatéral cubital syndrom with soft and deep massage

  • @anhminh5461
    @anhminh54612 жыл бұрын

    Kỹ thuật này là chuẩn /nếu cân chỉnh thêm các đốt sống cổ C4+C5+C6+C7 nữa thì tốt hơn 👍👍👍. This technology is very good /if we can to neck alignment in C4+C5+C6+C7 and nerves irritation area V-2 :C4 to C7-oke. Writing from Thủ Đức hcm city viet nam. 🇻🇳

  • @saveahamilton3354
    @saveahamilton33549 жыл бұрын

    Hi Ian Harvey, Can you please put up a short video teaching all the hand techniques you use like open fist and that other c cup grasp I have seen in you're videos. Anyways cheers!

  • @saveahamilton3354

    @saveahamilton3354

    9 жыл бұрын

    BTW you're anatomy is fabulous! I never knew myofascia technique was so bomb, haha! I love it. I went to massage school with a lady that went to Dr Barnes courses and stuff, i loved getting massages from her

  • @MassageSloth

    @MassageSloth

    9 жыл бұрын

    joseph lee Hi Joseph! I'll definitely have one on open fist use soon. I like the idea of a video on different petrissage style (pincer grip, "duck" grip, thumbless, etc), so thanks for that! Thanks for the kind words as well. Let me know if there's anything else you'd like to see moving forward!

  • @bancywambui7653
    @bancywambui76532 жыл бұрын

    Hi Ian, great work! How can one get in touch with you

  • @gerlyvlogs
    @gerlyvlogs10 ай бұрын

    i’m doing it by myself 😢 been dealing with tingling and numbness for more than a month

  • @bigpeople80099
    @bigpeople800997 жыл бұрын

    The amount you use your thumbs is impressive, if it were me I'd feel an ache from hyperextension

  • @MassageSloth

    @MassageSloth

    7 жыл бұрын

    I'm actually using them a bit much in this video! I plan to have another one soon with other ways of working with the client's forearm without relying on your digits. Listen to your fatigue, and try to switch tools before it sets in.

  • @bigpeople80099

    @bigpeople80099

    7 жыл бұрын

    Massage Sloth, Always switch forms! Thanks for the advice man!

  • @4lynneterry
    @4lynneterry10 ай бұрын

    Can carpal tunnel be triggered by shoulder surgery?

  • @leahtaylor3762
    @leahtaylor37626 жыл бұрын

    Hello! New subscriber here. Would love to see a video on Cubital Tunnel Syndrome. Please let me know if you already have one and I missed it...

  • @MassageSloth

    @MassageSloth

    6 жыл бұрын

    I don't, but I'll add that one to the list. Thanks for the suggestion!

  • @LindyKing
    @LindyKing9 жыл бұрын

    Ian - I have a client who had surgery on left and right for carpal tunnel syndrome. He is having pain/numbness/tingling on his right (dominant) forearm/wrist, has a thick scar at the surgical site, hypertonic muscles (think body builder) and is a carpenter. Finally he is consulting his surgeon but it has been nearly 3 months since the surgery and is coming to me for pain relief. I'm incorporating info from this video, arms, thoracic outlet trying to help him. Any more thoughts on what I can do?

  • @MassageSloth

    @MassageSloth

    9 жыл бұрын

    Lindy King Hi Lindy, it sounds like you have the right idea! Incorporating the entire arm, shoulder girdle, and neck may help. With a client like this (frequent weight lifting and physical activity) it may be worthwhile to explore deeper pressures and more direct work than you would usually use. Definitely set the arm down and use fists for some of the work rather than just thumbs, and try having him take his wrists through a range of motion (or just opening and closing the fist) as you travel along the flexors and extensors. If he has PT exercises, encourage him to do them daily; if he doesn't, some simple wrist and shoulder stretches would not be a bad idea. Good luck, let me know how it goes!

  • @austinmalexander8474

    @austinmalexander8474

    8 жыл бұрын

    +Lindy King Here's how to cure carpal tunnel ==> www.endcarpaltunnel.tumblr.com

  • @brendagaddy9827
    @brendagaddy98278 ай бұрын

    Do you have a video on release the levator scapula?

  • @MassageSloth

    @MassageSloth

    7 ай бұрын

    I do! kzread.info/dash/bejne/f4WgsteAesfThZc.html

  • @LPSDave
    @LPSDave9 жыл бұрын

    I have a client with some heavy scar tissue build up around the median nerve around the clavicle and front of the shoulder joint. would these techniques help to break up some of that tissue? We've been working together for about a year now and I feel like I've hit kind of a wall in her improvement.

  • @MassageSloth

    @MassageSloth

    9 жыл бұрын

    LPSDave It's certainly worth a shot. Track her closely, make sure that you're within her pain tolerance, and try some slow drawing of the tissues at that myofascial angle. Combine with the cradled arm rocking (check my frozen shoulder video for more on that) and see if that helps further. All of that said, you may have reached a true plateau in the amount that massage can help with her condition. Definitely keep working (there will be many other benefits, even if median nerve function remains impaired), but she may need something more aggressive than we can offer (physical therapy, etc). Let me know if you have any follow-up questions!

  • @sweetbeep

    @sweetbeep

    5 ай бұрын

    ​@@MassageSlothwhat kind of physical therapy would help her? What other things would help?

  • @veganreikiangel
    @veganreikiangel5 жыл бұрын

    I'm also a massage therapist...I gave a similar massage to someone with carpal tunnel recently. Unfortunately it didn't help and they felt it made their symptoms worse. The only difference was I worked with them prone with arms hanging off the side of the table. The only thing I can think of, was that they're impingement must have been on the inside of the shoulder where it was pressing on the table. Thoughts?

  • @MassageSloth

    @MassageSloth

    5 жыл бұрын

    You might be onto something with the positioning. When I hear about exacerbation of symptoms following massage, positioning is usually high on my list of suspects. It may have also been a bit too much too soon, either in terms of duration, intensity, or both. If you work with this client again, I'd suggest broadening the scope of the massage, working more with their shoulder, neck, and upper arm, as well as the forearm. You may want to avoid direct work with the wrist, instead focusing on the wrist flexors in the forearm and the intrinsic muscles in the hand. Best of luck!

  • @veganreikiangel

    @veganreikiangel

    5 жыл бұрын

    @@MassageSloth I did work with the neck and shoulders for 20 minutes before I even touched the arm. The client actually wanted more pressure which I felt was contraindicated. you're pregnant right about the direct hand work though, and positioning

  • @sweetbeep

    @sweetbeep

    5 ай бұрын

    ​@@MassageSlothwhy even massage the muscles in the hand? That is not the source of the problem

  • @elenapoiana5737
    @elenapoiana57373 жыл бұрын

    Thank you.

  • @dominiquegarrison8998
    @dominiquegarrison89986 жыл бұрын

    What lotion do you use?

  • @singram

    @singram

    4 жыл бұрын

    Almost all videos of his I've watched he seems to favor jojoba oil. A very small amount of course.

  • @quenniediwa297
    @quenniediwa2977 жыл бұрын

    after trying it. my left hand numbs :( and swollen :( maybe wrong way of doing it

  • @MassageSloth

    @MassageSloth

    7 жыл бұрын

    If you're experiencing discomfort or negative side effects, definitely discontinue. I advise getting a medical evaluation. Best of luck!

  • @quenniediwa297

    @quenniediwa297

    7 жыл бұрын

    thanks, Doctor !

  • @empressstaceyjackson5375
    @empressstaceyjackson53754 ай бұрын

    Tunnel of Guyon.

  • @greatmindsthinkalike1378
    @greatmindsthinkalike13786 жыл бұрын

    What about pain and tightness near the inside if the elbow how would you work that out?

  • @MassageSloth

    @MassageSloth

    6 жыл бұрын

    I plan to have a video on that soon! It's actually similar to what I have in this video: Slow work with the muscles on the anterior forearm, along with some gentle wrist movement as I iron the wrist flexors out. That pain at the medial epicondyle tends to be a symptom rather than a point that needs to be "worked out," so I mostly work with the muscles that attach there.

  • @user-sb8os7fd9d
    @user-sb8os7fd9d4 ай бұрын

    هل ممكن ترجمه للفيديو عربي

  • @MassageSloth

    @MassageSloth

    4 ай бұрын

    قم بتشغيل الترجمة، ثم ابحث عن خيار "الترجمة التلقائية" الذي يظهر. سوف أقوم بعمل أفضل مما أستطيع! إذا كان يقوم بعمل سيئ، واسمحوا لي أن أعرف.

  • @mmmckenzie8652
    @mmmckenzie86526 жыл бұрын

    hi ,will this help both hands that feel like sandpaper/vinal,somewhat burning feel, its ALL fingers NO WRIST PAIN, when I touch clothes,paper,make bed gets more acute, dont have diabetes or thyroid or iron problem ( im 49 ,maybe pre menopausal stuff),happend after i hauled water in basement , this was 8 months ago,still in discomfort really hard to deal with,no doctors help,dont want surgery Im thinking this could help,I do notice when midback is massged I do feel some let up but its 24/7 it doesnt go away,no wrist pain-thanks for video

  • @MassageSloth

    @MassageSloth

    6 жыл бұрын

    Hi MM, my main advice would be to keep up with your doctor's visits, and to see if you can get a referral to physical therapy (or to an occupational therapist who specializes in wrists/hands). Massage can be a good adjunct, but a personalized regimen of stretching and strengthening from a PT could address the cause. Best of luck!

  • @juliegunter7752
    @juliegunter775211 ай бұрын

    Half this video it’s at the wrong camera angle and you can’t see the technique he’s explaining!

  • @jengildz9104
    @jengildz91046 жыл бұрын

    Can I please be your guinea pig

  • @armandobevard2
    @armandobevard25 жыл бұрын

    why is she naked ??? surgery?? or u just wondering?

  • @jessicaelam2

    @jessicaelam2

    5 жыл бұрын

    She isn't naked she is properly draped for massage. Most people do get their massages in this manner.

  • @steelofcrom
    @steelofcrom2 жыл бұрын

    Get to it nerdo

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