I share this frustration too. I do the whole talking thing about how they didn't get this way overnight and cannot expect results overnight, etc. I talk about some realistic goals and expectations. I also talk about the importance of incorporating other things into their routine to help things move forward faster. I suggest stretching and change of daily activities, etc. It works some of the time, but most of the clients who have had the problem for years do seem to expect instant results, even though I have told them they will NOT be getting long last instant results after 1 or 2 sessions. We all have those clients who only call us when they are in crisis of some sort and I'm always telling them that if they would just change a few things and come for massage regularly that they would cut down the likelihood of being in this horrible discomfort. But, we live in a fast food world and they seem to be in that mentality.I had a discussion with my old massage instructor about this when I ran into him. He said that I can only be responsible for what happens in my office for the hour. It is up to me to explain things as best I can, do good massage work and then it's up to the client to decide what they will do with that information. Of course, if they do decide to follow my advice, then it's $$$ in my pocket as well as the tremendous satisfaction that comes with helping someone. I have to learn to do the best I can and not feel responsible for the client's choices. Have you ever been to Weight Watchers and had the leader obsess over why you're not losing weight? Does your dentist lose sleep at night because he cleans your teeth every 6 months and you aren't flossing and brushing as diligently as you should? No, he doesn't. The hygienist doesn't either. Your teeth are cleaned, cavities filled advice given how to improve your routine for better health and then they don't think about it. If you come back 3 years later complaining of cavities, they just clean your teeth, fill the cavities, advise you of a good dental routine and don't think about you again. Bottom line is we can't be responsible for our client's choices. I have to learn not to take things personally when my clients don't choose to follow my advice.