Massage In A Time of COVID: Week 7

Posted on August 24, 2020February 26, 2023 by Tricia Griffith

Holy $#*! It’s August

Welcome to massage in a time of COVID week 7. As it works out for most of these newsletters, I started this one has a one month update. Then, life got in the way and it’s now something more like a month and a half-ish update. Things are still going okay, everyone coming in has been fantastic about wearing masks and being patient and understanding. I range anywhere from “This is good, we got this!” to “OH MY GOD WHAT AM I DOING?!” but as Dory says “Just keep swimming!”

I’ve settled into the cleaning and disinfection routine pretty well. It takes about 20 minutes to get everything wiped down. Then, it needs to air dry for 10 minutes or so before I put linens back on the table in preparation for the next appointment. I found I have to set an alarm reminder or I might forget to put the sheets on!

A few things that have been tweaked as time progresses:

massage COVID week 7
COVID exposure reminder

I now have a card with a date range to give you that reminds you to contact me if you learn about exposure to COVID-19 or test positive.
MassageBook should automatically send you a request to update your intake form the day before your appointment. I’m double-checking that you’ve updated that instead of emailing or texting a check-in.
Please wait 14 days to schedule if you have traveled out of the state.
Please wait 14 days to schedule if you have had visitors from out of state that you haven’t been able to socially distance from.
There’s a written policy for COVID-19 exposure on my website.

University of Maine Students Returning to Orono:

If you are a regular client, but just returning to Orono for classes, please wait 2-3 weeks before scheduling a massage.
Regular clients employed at the university: I’ve talked to many of you about exposure risks, testing, etc. I trust you to be aware of your risks, and I believe most of you are getting tested regularly. Just let me know how things are going.

Meanwhile, I’ve opened up the schedule through October. Just keep in mind that there’s always a chance we may have to cancel your appointment if cases in Orono increase too much or (God I hope not) I get exposed.

Wash your hands, wear a mask, and stay negative, my friends.

Massage in a Time of COVID: Week 2

Posted on July 20, 2020February 26, 2023 by Tricia Griffith

This past week, I saw 15 massage clients. That may have been a few too many appointments during COVID times – because I was pretty much dead by the end of the week. Mostly because Thursday and Friday both had four appointments each. By the time you spend half an hour cleaning and resetting the room after each one, it makes for a very. long. day. Everyone was still awesome and helpful and I truly appreciate that! Most everyone remembered their masks and got their health information filled out ahead of time, which definitely makes life a little easier.

WHAT I LEARNED THIS WEEK

I learned that between “COVID Brain” and generally having to re-learn and change my routine, I’m still kind of scattered and forgetful. It’s equal parts hilarious and embarassing. I’ve messed up a couple of appointment lengths, ending a little too early, which of course I didn’t charge for the part I forgot. The people I messed up with were gracious and understanding.

Since I have to let the disinfectant air dry for 10 minutes, my most frequent thing is forgetting to go back in and put the sheets on the table. I *mostly* catch that before you arrive, but a couple of you had to watch me put the sheets on (insert facepalm here). I’ve started setting a reminder alarm so I’ll get them on BEFORE your appointment.

Did you know there is an art form to disinfecting a yoga ball? You do now! Hold it between your feet, spray and wipe one hemisphere. Rotate and repeat on the second hemisphere! Or chase it across the room, a less efficient option.

THINGS I AM CHANGING A LITTLE

INTAKE PROCESS: I now have a second laminated form that I go over with you when you arrive. I’m asking the same COVID-19 symptoms & exposure questions plus a few that are screening you for potential clotting risks. The good news is, it seems like clots are potentially less of a risk for those who have had mild to moderate cases of COVID-19, so some of my anxiety around that is lessened a little.

HEALTH INTAKE FORM: Everyone will need to go in and review/update their intake form on MassageBook prior to each appointment. If you’re coming in weekly and we’ve been in contact, then we can do it bi-weekly. Other than that, I want to keep an ongoing track of any health changes and also make sure you’re looking at the COVID-19 policies each time.

30 MINUTE MASSAGES: I’ve decided to stop offering 30-minute massages for the time being. It takes at least a half an hour to clean, disinfect and reset the room between appointments, and I feel like a half-hour of massage followed by 30-40 minutes of cleaning and prep just doesn’t make sense at this time. If you have a gift certificate for a 30-minute massage or study break, you can apply it towards an hour massage. If you’re truly in pain and can’t afford an hour, contact me and we’ll talk.

SCHEDULE YOUR MASSAGE TODAY!

I have opened up online booking for all existing clients (this means if you have been in within the last year) through the end of August. I encourage you to book online. It’s still the fastest way to get your appointment. Playing text/email/message tag takes forever, more so now than before.

Meanwhile, wash your hands & stay negative!

THANK YOU AGAIN!

Massage in a Time of COVID: Week 1

Posted on July 12, 2020February 26, 2023 by Tricia Griffith

How The First Week Went

This past week, I saw 8 massage appointments. It was mostly friends and a couple of people who had something like a million appointments canceled over the duration of the shutdown. (I may be exaggerating a tad). I want to THANK BIG TIME everyone who came in!

It was inspiring! People filled out the requested health forms without complaint, arrived wearing a mask, and let me check their temp with my no-touch thermometer on arrival. Some of you were so intent on being helpful, you tried hard to touch as few things as possible while you were there. You hand sanitized and kept your mask on for your massage, and I am so, so, grateful. It really helped make a stressful, scary time much more manageable.

WHAT I LEARNED THIS WEEK

I learned that yeah, for the time being, I’m going to need to leave the one hour space between appointments. It takes me 20-30 minutes to wipe everything down, let it air dry, and then get set up for the next appointment.

I learned/realized that one of the disinfectants I bought is a cleaner AND disinfectant, so I can save a little time using that. At the end of the day, I may use the separate cleaner and disinfectant just to give everything a good scrub and then let it air out until the next day.

I also learned that having people just request appointments was a big pain in the butt. So, you can schedule online like normal now!

THINGS I AM CHANGING A LITTLE

After my first day of trying to use the new Hands Heal EHR to take the appointment notes, I realized I hated it. So, literally the only thing it was doing for me was the fancy COVID-19 screening form. Nevermind that, then.

I’ve gone in and updated the intake form on MassageBook, it does have some symptoms screening questions, and I have added some information on the waiver page reminding you of policies and risks. I will be asking everyone to update that form before every appointment, even if you’re coming in more than once a month.

Today I’m working on a more thorough screening process for when you arrive for your appointment. I’ll be making a second laminated form to the one that I use for taking your notes that will be specific to COVID-19. There are some risk factors that are really hard to predict, particularly clotting risks. (Even if you don’t think you’ve had COVID) So, I’ll be asking you some specific questions to hopefully rule out those risks. I think I will probably also write a specific blog post about it if I can distill it down into bite-size morsels.

SCHEDULE YOUR MASSAGE TODAY!

I have opened up online booking for all existing clients. Right now the schedule is open through the first two weeks in August. I encourage you to book online. It’s honestly the fastest way to get your appointment. Playing text/email/message tag takes forever, more so now than before.

Be sure to review the COVID-19 Policies and High-Risk Client Policy before scheduling. As always, if you have any questions, feel free to contact me.

Meanwhile, wash your hands & stay negative!

THANK YOU AGAIN!

Massage Changes in a Time of Changes

Posted on June 20, 2020February 26, 2023 by Tricia Griffith

COVID-19
massage changes
wellness
health

Okay friends. We’re getting serious now, and I need you to know some things. Massage in the age of COVID-19 is not going to be the same as it was before we closed, changes are afoot. Things are going to be pretty different, and probably a pain in everyone’s butt.

But here’s the thing… I’m adjusting my mindset to think about these changes as adding to the existing culture of care at Birch Tree Wellness. This is about taking care of you. It’s about doing what I can to help you with your pain and stress, PLUS having you arrive healthy and leave healthier.

There Are No Guarantees

In lieu of a cure, vaccine, or other intervention for COVID-19, there is no way right now to reopen a massage practice without changes & protocols to protect all of us. Until that changes, there is no guarantee that that we will come away from our interactions unscathed. As I write this, COVID-19 cases in Orono & Old Town are estimated at 1-5 probable/confirmed cases. In Bangor, 43 probable/confirmed cases. In Penobscot County, 101 confirmed, 2 deaths. We’ve been pretty lucky so far, but it’s far from over.

What I’ve Been up to Recently

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My previous newsletters/posts have been mostly about the supplies that I’ve been putting together in order to provide a safer massage experience. But let me tell you, that was just the tip of the iceberg. I’ve climbed out of my gardening cocoon and really started diving into all of the information out there.

I have taken two online continuing education courses outlining all that is entailed in creating a safer (note: not SAFE, just SAFER) massage practice. To give you an idea of what we’re working with here, here are some of the main sources I am referencing. I’ve also been reading numerous articles & books.

PPP: Protocols & Procedures in Progress

Information overload, right? Tell me about it! In a nutshell, this is what I’m doing to ensure your safety (and my own) while continuing to deliver the pain & stress relief you need. What I’m asking of all of you is to remember, I’m not doing it to be a pain in your ass.

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We’re all in this together. I love you all, and I will be beyond heartbroken if any one of you contracts COVID-19 as a result of your visit to my office. So, please… brace yourselves for a new norm for a time. It’s not forever, it’s just for now. Here are a few of the protocols I’m working to put in place:

Before Your Appointment

Update your online health intake form
Health check in 3-7 days before your appointment
Health check in 24-48 hours before your appointment
Wait in your car or outside until 5-10 minutes before your appointment

At the Office

Mandatory face masks worn for the entire time you’re in the office
Hand sanitizer will be made available for use upon arrival and any time you need it during your appointment
COVID-19 symptom screen upon arrival for appointment
- If you have ANY symptoms, or your temperature is over 100.4°, we will need to reschedule your appointment
Signed informed consent about the risks associated with COVID-19

On My End

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I will be wearing a mask during your entire appointment
Daily self-screening. I will have a white board posted with:
- My morning & afternoon temperature
- If I have any COVID-19 symptoms (even if it’s *just an allergy cough)
- How many people I have been in contact with, in the last 5-7 days
Protocols for what to do if I or a client have been exposed to or tested positive for COVID-19
Closing protocol in the event of COVID-19 exposure
Cleaning checklist for after every appointment

I’m pretty sure there’s more, but I think you get the idea! As the new policies are written, you’ll find them on my Policies Page. I know you’re probably freaking out about the face masks. There’s a way I can set up my face cradle so that you don’t have to wear the face mask when you’re face down. BUT you need to wear it the rest of the time. Also, yes, I will be using a touchless thermometer to check your temperature. Keep that in mind if you’re biking, walking, or running to the office.

I Repeat: We’re All In This Together

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I know this is a lot of stuff. That’s why I wanted to get it out now, while I work on my end to make it all happen. On your end, it’s mostly just being patient with me, being willing to jump through a few hoops, and being willing to keep that mask on. Be honest with me about your health and your risk of exposure to COVID-19.

I also need you to weigh the risks for yourself before you schedule. Watch the numbers of cases in our community. Think about your own health risk or the risks to those you are caring for. As I said in the beginning, there are no guarantees, we can just do the best we can to try to be safe, and maybe get a little massage in the process.

I still don’t have a firm date that I’ll begin scheduling appointments. I’ll be starting with many of you I had to cancel over the last several months. Stay tuned for more details, information, and to get an idea of what the appointment schedule will be like. Feel free to contact me if you have any questions.

Stay safe. Wash your hands. Be good.

Massage & COVID-19

Posted on March 12, 2020February 26, 2023 by Tricia Griffith

UPDATE 4/3/2020: This post was originally written on 3/12/2020, before COVID-19 had really even gotten a foothold in Maine. At a later date it’ll be updated to reflect general sanitation practices. At this time, my office is closed at least until the end of April, 2020.

I’ve been chatting with my massage clients in recent days about concerns around both the influenza virus and COVID-19. I’m always concerned and careful about sharing germs, particularly in flu season. I see clients of varying ages and health levels and I want to keep all of us healthy.

Hygiene and sanitation are of huge importance to a massage therapist regardless of what bugs are going around. Besides cold and flu season, there are plenty of reasons to make sure we’re not sharing germs or pathogens. Here are some of the preventive measures I take in my office:

Basic Sanitation Practices

Using a fresh set of sheets for each client, laundered in hot water.
Wiping down the table, face cradle, and other surfaces with disinfecting spray between each appointment.
Washing my hands before and after every massage, with hot water & soap, for at least one minute.
Using a hand towel or paper towel to open and close doors before and after washing.
Avoiding touching my face with my bare hands during your massage.
Sanitizing my hands halfway through your massage.
If I’m not feeling well, I will ALWAYS contact you and let you know.

This is how I operate even when there isn’t a pandemic concern. Given the concerns about COVID-19, I have begun instituting a few upgrades to wellness and prevention here in my office. These primarily involve things I’m doing here at the office, but I also need your help.

New Things Happening Here:

Avoiding face massage unless you have a particle issue you want to address (TMJD, headaches, etc).
Periodically disinfecting door knobs and other surfaces in the office with a food grade disinfectant.
Diffusing an essential oil blend that promotes immunity (I will turn it off if I know someone is coming in with asthma or other sensitivities).
Working on providing extra hand sanitizer for clients (thank you, panic buyers).

What You Can Do:

Health and sanitation are a two way street (maybe more like a busy intersection, but you get the idea). Here are some things you can do to help:

Use common sense and a little caution. If you’re not feeling well, I’m not going to charge you for rescheduling your appointment.
DO NOT come in for a massage if you have the flu, a cold, or God forbid, COVID-19.
For more information, check out the post “Should I Cancel My Massage If I Am Sick?“
If you come in actively sick, I’m going to ask you to go home, to protect both myself and your fellow clients.
Wash your hands before you come into the office. (Check out this article that explains the effectiveness of hand washing!)

Massage is Proactive, Too

A potential public health crisis is causing stress for us all. Remember, getting a massage is actually a proactive step you can take right now to boost your immune system, relieve stress, and help you sleep.

Wellness Starts at Home

Meanwhile, you know the drill: wash your hands, eat your vegetables, drink plenty of water and get enough sleep. Stay tuned for updates on how you can boost your immune system and stay healthy.

Take care of yourself and be well. ~Tricia

How Often Should I Get a Massage?

Posted on June 19, 2019February 26, 2023 by Tricia Griffith

For most people, three things factor into planning how often you get a massage: your life, your goals for massage, and your budget.

What’s My Life Schedule Like?

Your life schedule is a pretty big planning factor. How easy is it for you to take time out of your life to schedule an appointment? I try to provide a variety of times of day for appointment availability to help with that. This includes Sunday afternoons, and a bit later in the evening on Monday and Tuesday.

Many people find planning ahead helpful. If we know you want to try bi-weekly appointments, we can schedule several out ahead of time. This makes it easier to get the time slot you want. Then, you can put it into your planner and schedule the rest of your life around it!

Why Am I Getting a Massage?

On average, most people seem to find monthly sessions great for maintenance and stress relief. If you’re dealing with significant physical issues, it’s not a bad idea to try coming in more frequently. This helps get things settled into more of a maintenance level.

Weekly sessions are fantastic for really working at problem areas. With therapeutic massage, we’re trying get your body out of the holding pattern creating the muscle pain. Coming in weekly helps us catch that holding pattern before it starts to seize up again. Eventually, we remind your muscles of what it feels like to be neutral and relaxed.

Can’t decide how long of an appointment to schedule? See the post “How Long of a Massage Appointment Should I Schedule?” for some insight on the various appointment lengths.

Bi-weekly and monthly appointments for managing muscle pain and tension work fairly well, too. This is especially true if you’re willing to work on whatever is causing the problem at home between appointments. Here are some things to keep in mind:

Notice how you sit at your computer
Pay attention to how you walk or stand
Incorporate stretching or range of motion exercises into your day

What’s My Budget Like?

Budget is probably the biggest factor in the frequency of massage appointments. Weekly sounds great, but I totally understand if buying gas for your car or feeding your kids takes precedence. Here are some ideas for budgeting for massage:

Schedule 30 minute weekly or bi-weekly appointments.
Prepay for a series of massages when you have extra money.
Put $5, $10, or $20 into your account at my office every payday.

Feel free to contact me to discuss your massage needs, or talk to me at your next appointment. We can work out a plan that fits your life and your budget.

When Is Massage NOT a Good Idea?

Posted on July 13, 2018February 26, 2023 by Tricia Griffith

There is no doubt that massage is wonderful. It has many positive health and wellness benefits. It’s relaxing, it feels great when you’re feeling not so great. There is also no doubt that people sometimes overlook/underestimate the risks of massage in certain situations.

What Makes A Massage Risky?

The main culprit that can make massage a contraindication is its effects on the circulatory system. Pick a spot on your arm or hand where you can maybe see some good veins. Rub your hand down your arm towards that vein with about the pressure your massage therapist does. You’ll probably notice that it stands out more as you push; this is because you’re pushing the blood through that vein at a higher rate than normal.

During a massage, muscle is not the only thing getting pushed around. Massage includes moving the blood around in your veins, the fluids in your lymphatic system, and the other various hormones and chemicals floating around in your body.

What does this all mean?

It means that if a person’s veins or circulatory system are compromised, massage may be a bad idea. We need to know if your bones are brittle or you have joint replacements. Tell us if you have immune system problems, or you have herniated discs or spinal issues. Illness such as the flu, infections, and disease with serious complications are a red flag when it comes to massage.

But My Health Issues Are Private!

I realize that it can feel awkward to share your health information with someone other than your doctor. Especially if it’s someone you don’t know very well. It’s important to realize that while massage may seem like a pretty safe therapy, there really are cases where it can do more harm than good. Rest assured that I follow health information privacy guidance, and do not share your health information with anyone. The online form is HIPAA compliant, and I keep your paper intake forms locked up when unattended.

Get Your Doc Involved

If you are under a doctor’s care, I will likely ask that you receive a written recommendation for massage. I like to make sure that they understand that massage is increasing circulation and lymph flow. Doctors don’t always remember that massage is not purely about relaxation. I may ask you to talk to your cardiologist, endocrinologist, obstetrician, or other specialist you may be working with.

It’s All About You

It may seem awkward or annoying to have to answer these questions and communicate between your various health care providers. However, it’s ultimately all about keeping you safe and healthy, as well as relaxed and pain free. If your doctor does not recommend massage, there are other options that may help you. This includes Reiki therapy, which does not physically manipulate the muscles or circulatory system

As with any wellness regimen, it’s important that all of your healthcare providers work together to ensure that you are receiving safe, effective care. If you have any concerns about privacy or your health issues related to massage, you can always contact me to discuss them!

Be Well,
Tricia

Should I Talk During a Massage?

Posted on December 30, 2017February 26, 2023 by Tricia Griffith

Your time in my office is all about you, so if you’d like to talk go right ahead. It’s important to remember, however, that this is a time for you to relax and enjoy the experience. While I don’t discourage talking, I do encourage you to relax. Just let your mind float free and enter a state of massage bliss.

In many instances, people who are nervous may start off talking to ease their anxiety, and as the massage progresses, enter quiet states of relaxation. For others, it may be the only time you feel you have to get things off your mind, and if you need to vent, I’m okay with that!

The important thing to know is that there are times when you need to speak up. If I’m doing anything to make you uncomfortable or painful, you should let me know immediately. You should also let me know if you get too warm or too cold, if the room is too bright, or if I need to change the pressure (lighter or deeper). If something is not working for you during your massage – speak up! It’s all about you!
Be Well,
Tricia

How Long of a Massage Appointment Should I Schedule?

Posted on August 12, 2017February 26, 2023 by Tricia Griffith

If you have never scheduled a massage appointment before, looking at a full menu of options might be intimidating. Or, maybe you’ve just always had “a massage” and didn’t really consider the benefits beyond relaxation. Here are some descriptions of the types of massage I offer and how long a session you might schedule:

Chair Massage

You may have seen this type of massage at any assortment of locations, from offices to sports events. A specially designed chair allows you to sit relaxed and fully clothed, leaning forward into a cushioned face cradle.

From that position, the massage therapist can work on your back, shoulders, arms, hands, neck and head. Sometimes, it’s possible to turn and face the other way in the chair for work on legs and feet.

How Long Should I Schedule?

At this time, I primarily offer chair massage at events. In those cases, most chair massages average around 5 to 10 minutes. Even just a few minutes can be helpful in improving circulation, loosening stiff muscles, and relieving pain.

5 Minutes: Great for a quick pick-me-up. Helps relieve work related shoulder and neck tension. We can focus on one problem area, like sore shoulders. Also helpful for an achy upper back, or even just forearms and hands.
10 Minutes: You may be surprised at how much better a 10 minute massage can make you feel! Great for working on shoulders, neck and upper back, or the entire back down into the low back area.
15-20 Minutes: This length is for doing some deeper work on shoulders and the entire back. However, for significant issues, I do prefer to use a massage table.
20+ Minutes: At this length, I prefer working on the table. I have better access to your neck & shoulders. Plus laying on the table is more relaxing.

Relaxation Massage Appointment

benefits of massage, Swedish massage, relaxation massage

For a relaxation massage, I use the long, flowing, and soothing strokes of Swedish massage. I adjust the pressure of the strokes to your comfort. When you just want to relax and let go, this is the massage for you.

We don’t focus on a specific problem area, nor poke and prod at “knots” or tight spots. At most, I may adjust the timing of the massage to spend more time on tired feet or achy shoulders. But, nothing too intense. This massage is just about relaxing, reducing stress, and improving your outlook on life.

How Long Should I Schedule?

30 Minutes: It is possible to leave a 30 minute massage feeling relaxed and refreshed. However, given the shorter appointment length, I recommend focusing the massage on the upper body. That way, we aren’t just speeding through your massage to get to all the parts.
60 Minutes: This is an average length relaxation massage. We have time to get the full body from head to toes. Plus, you can really sink in to the relaxation.
90-120 Minutes: A long massage session allows for deep relaxation and restorative rest. One hour of massage has similar benefits as three hours of restorative rest. So, with a longer massage, you’re getting the benefits of a nice, long nap. In addition, I have time to really slow down those slow, soothing Swedish massage strokes. This allows you the full benefit of their positive effects on your nervous system.

Therapeutic Massage Appointment

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With this type of massage, while we’re not completely ignoring relaxation, we’re focused on it less. There’s a bit more time spent on tight muscles and sore spots. We may talk a bit more about what I’m finding. I might include stretches for your arms or legs, or ask you to move a body part against resistance. This massage is about improving your mobility, releasing tension and relieving pain.

How Long Should I Schedule?

30 Minutes: Ideally, we’re just working on one specific area for 30 minutes.
60 Minutes: In an hour, we can get most of a full body massage. However, I do like to take doing some stretching, range of motion and deep tissue work on problem areas. If this is the case, we should consider focusing the therapeutic work to a particular problem area.
90-120 Minutes: In 90 minutes, we can get in full body massage and have time for stretching, etc. Two hours is perfect for doing some nice, slow, detailed work on all problem areas. This includes hip and arm stretches, deep work on particular problem muscles, and some finishing soothing Swedish massage to relax and relieve pain.

What if I’m Still Confused?

If you’re still not sure, you can always contact me to talk about what’s going on. We can plan a long first session with shorter follow ups, or a series of short sessions. I’m pretty flexible when it comes to working with you, your schedule, and your budget. Together, we’ll get you sorted out.