Great Smokies Medical Center of Asheville

Advanced Clinical Massage

Origins
Most of the aches and pains of adults are the result not of injuries, but of the long-term effects of distortions in posture or alignment that have their origins in childhood or adolescence.

If the posture or body alignment of a child or teenager is periodically examined and corrected throughout the growing years, that child will be far less likely to experience what we have come to think of as the customary aches and pains of middle and old age. The short-term benefits include the child looking better, feeling better, and being less likely to suffer muscle injuries.

Balance
Structural balancing seeks to free the soft tissues so that the body can align itself comfortably and efficiently with gravity, to help one both feel and look better in the present, and to prevent the aches and pains that typically present problems as one grows older. Although structural balancing would ideally begin in childhood or adolescence, it can be effective later in adulthood as well.

Observation
The client’s biomechanical function is observed from front, back, and sides, taking note of irregularities in the movements of the legs, feet, arches, knees, hips, shoulders, and arms. The client is studied sitting and standing with arms held straight in front, straight up, and out to the sides to see how the body structure compensates for each of these shifts in balance. Balance is observed with the client standing on each foot with eyes open and closed, as is the positioning of the feet and knees in standing. The client is observed while sitting, with special attention to the positioning of the pelvis, sacrum, shoulders, cervical spine and head. A plumb line is used to help define structural imbalances.

Consultation
Structural balancing is focused on the whole body, and the responses of the whole body to the work must be observed. The client will be draped with sheets and positioned with pillows to facilitate therapy. Patients may wear under garments during examination and treatment. The one-hour sessions are usually not more frequent than twice a week (to give the tissues time to respond to the work), and not less frequent than once every 10 to 14 days (to keep from reestablishing old patterns). Generally six to eight sessions will be required for children and eight to twelve sessions for an adult, although this may vary with the types of problems encountered. Treatment may include localized pressure to interrupt neuromuscular bad habits, stretching, and homework assignments. Referrals for chiropractic, radiology, and dental assessments may be made.

Commitment
Before committing to structural balancing therapy, the evaluation findings and the reasons for treatment are discussed, in addition to answering any questions or concerns the client may have. Commitment of the therapist and client to the treatment plan is essential. Biomechanical structural balancing and bodywork is not simply done to the client, but is an ongoing process in which the client actively participates.

Lazlo’s Rules of Good Posture:

  • Everything is connected.
  • Anything can cause anything.
  • Bones go where muscles put them. Bones stay where muscles keep them.
  • When you sit: put your tail behind you and sit on your sit bones.
  • When you stand: let your head pull and hold your body up.
  • Listen to your body when it tells you something is wrong.
  • Posture yourself in life by being as kind to yourself as you are to others.

Advanced Clinical Massage Therapy has benefited the following:

  • ADD/ADHD
  • Autism
  • Bulging Discs
  • Carpal Tunnel Syndrome
  • Chronic Low Back Pain
  • Cystocele
  • Effects of Trauma, Including Birth Trauma
  • Endometriosis
  • Fibromyalgia
  • Frozen Shoulder
  • Hammertoe
  • Headaches
  • Overall Health
  • Incontinence
  • Infertility
  • Knee Pain
  • Lazy Eye
  • Leg Pain, Athletic Performance
  • Nerve Impingement
  • Muscle Spasms
  • Pain Syndromes
  • Adjustment of Post-Surgical Joint Prosthesis
  • Pregnancy
  • Prolapsed Uterus
  • Neck Pain
  • Limitations from Scars
  • Sciatica
  • Scoliosis
  • Sports Injuries
  • Tendonitis
  • Tennis Elbow
  • Tinnitus
  • Symptoms Caused by Structural Misalignment

Lazlo Paule, L.M.B.T., has trained extensively in:

  • Therapeutic Touch (Hanna Kroger and Jenice Blitzer)
  • Quantum Touch (John Kennedy)
  • Cranio-Sacral Therapy (Upledger Institute)
  • Neuromuscular Therapy (Paul St. John)
  • Myoskeletal Alignment Techniques (Erik Dalton, Ph.D.)
  • Active Isolated Stretching (Aaron Mattes)
  • Manual and Assisted Lymphatic Massage
  • Frequency Specific Microcurrent (Carolyn McMakin)
  • Thai Massage (Margie Meshew, C.T.M.T.)
  • Applied Kinesiology (Arleen Green, B.S., L.M.T. )
  • Visceral Manipulation (Upledger Institute—Jean Pierre Barrall, D.O.)

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