Please help -- client tomorrow - cervical spine fused

Turkey Man

Member
Joined
Jan 13, 2010
Messages
59
Reaction score
1
Points
8
Hi there,

I'm having a first-time client tomorrow who has Rheumatoid Arthritis in her neck and spinal fusion from C1-C7 with 0 degrees ROM. I've read up on the condition, and have formulated a bit of a game plan in my head, but I would love some tips/no-no's/additional input.

Has anybody ever encountered this? What procedure would you use?

Thanks in advance.
 
please help client tomorrow cervical spine fused

Well, take the time to read over the intake form. Start your charting carefully noting what they are coming for, relaxation, pain relief, leg work,etc. Ask client how they feel it's most comfortable for them to be on table. They have lived in this body so they may have some definite don'ts. Make sure you chart how client requests to be /or not be in certain positions. If you get any bad vibes at all, it might be in your best interest to refer the client elsewhere. I usually allow the client to tell me how they can lay on the table and work from there, always checking in frequently, letting them know it's always OK to stop the massage to change position etc. I tell them I never want them gritting their teeth hoping the massage will be over soon. That only makes their muscles more tense and their experience, a bad one. If I feel I cannot safely do what they want, I'll tell them. Probably not much help, but without metting/knowing client for first time assessment, this is the best advice I can give. :D
 


I have a client who has a rod in her neck from her occiput down through her c-spine. She also has no cervical ROM. I was nervous working with her at first, but I asked a lot of questions and she was happy to tell me what worked best for her. After a few sessions, we found that side-lying position works well for her. Her neck is under much less strain in that position, and it allows me to work on the levator scap, which she needs. Good luck!
 


Thanks for the replies, guys.

I have met this woman before. She's fairly healthy aside from the RA and the cervical spine. She does yoga, keeps herself moving. She's told me about her experiences with previous therapists, and that she can lay prone and supine.

Mostly, I'm worried that I'm going to inadvertantly move her too much and hurt her. Should I be worried about arm rotations/stretches -- will it hurt her neck? Mainly I plan to focus on all the surrounding neck and shoulder muscles (obviously ;) ) for the neck portion, and she also wants pec work done, so I want to be able to stretch her arm over her head and get in there.

Mainly, I guess I'm just nervous. I know her personally, so I definitely feel more invested than usual in helping her, if that makes sense. I should probably just suck it up, feel confident in my abilities, and rely on her responses throughout the massage, right?
 
please help client tomorrow cervical spine fused

Hi I think you'll be just fine if you take it very slow!! Many people have limited ROM esp. in raising arms overhead and it helps to remember we, as CMT's do ROM to client's comfort level, not beyond to a level we think they should go to. That is PT's area. If ROM gradually gets better with each session, big pat on back to you for respecting & honouring your client's tissues. If you know her well, sit down and tell her up front what your plan is: I usually tell clients who present with this type of bodywork: My first session is an assessment of many things, how you relax under touch, how your muscles/fascia respond/relax, your trust in me, your ability to communicate with me during session, where the restrictions lay, etc. People are usually happy to know these things.Good luck! :D
 
Shoutbox
  1. Double_Tree:
    💢4271 Sheppard Avenue east 💯💞💋💥💋💖📞📞
  2. luckywellness:
    Lucky Wellness Center 4379721888 295 Eglinton Ave E,Unit 7,Mississauga We had two girls working today, Yoyo and Mimi, both of them are young, beautiful, sexy and cute. They work very hard and seriously. The deep massage and relaxation massage are very good!
  3. Lulu1980:
    Phoenix Blossom Spa 🌹🌹🌹2 girls 🔥🔥🔥5124 Dundas St W Etobicoke☎️416-817-3366👍 Table Shower Sea Salt Bath Body Scrub😘 Japanese girl Nina ❤️ Natural Big Boobs 38 DD 😘Pink Mini Nipples Hot body slide, super enjoyable😘😘😘😘 very provocative service😘😘😘, professional super Luna deep tissue massage, has therapeutic effect to loosen bones and relieve muscle pressure and will bring you unexpected service effects, she will bring you a little surprise😍😍😍😍❤️You are welcome to make an appoint
  4. DareDevil:
    Blackpink Wellness ♥️♥️90 Marycroft Ave. Unit #2, Vaughan, 🍭🍬ON L4L 5Y1 (647) 395-3188. BEAUTIFUL AND SEXY GIRLS TODAY: Superstar Lisa, Sexy Monica, RMT Rose and Beautiful Tiffany on duty🌹.
  5. DareDevil:
    ARIA WELLNESS ♥️♥️ADDRESS: 360 HWY 7, UNIT #6, RICHMOND HILL,647-222-5683 ♥️♥️(PHONES CALL ONLY, NO TEXT'N AVAILABLE) ♥️TODAY'S Schedule!♥️ Loaded lineup with Beautiful Girls : Sexy Faye, Magical Mia and Work out🏋🚴💪 Babe Amy! SPECIAL PROMO 30 MINS 2 GIRLS ONLY $70 🌹🌹**TODAY'S PICKS OF THE DAY IS 🍭🍬MIA AND AMY🍬
  6. EMSpa_schedule:
    Tomorrow's sneak peek: On Sunday May 18, 2025, our attendants will be Vicky 🥰, Ada ️, Cici 🤩, Lucy 😘 and Ivy 😘. Call us at ☎️(905) 479-6668☎️ to book!
  7. wonderspa:
    wonderspa: 🌺welcome to wonder spa☎️416-5000-800,L6a4H8,. 4young beautiful girls working everyday(open long weekend),Ensuit shower available 🍅,new friendly nice girl CiCi,providing oil deep tissue to relax massage and nice body slide,back work.more experience ,🍅nice Vietnamese Amy is very good looking,big breasted sweet smile,open maid,everything she can provide,really popular girl,must try🔥
  8. SL East Spa:
    💆‍♀💖Sexy Saturday💖 Ultimate destination for Asian massages🎉 Two fab spots: Richmond Hill & Oakville✨ Your passport to paradise with 10 enchanting girls fr China, HK, Japan & Korea — Cici, Yoyo, Amber, Juliet, GFE Eva,Echo,🆕Julia, Lucy, Akino & Jenny🎁🍁 Ring us 📞647-695-6354 or text us 📱647-578-8169✨ 160 East Beaver Cr., Unit 12, RichmondHill 💰Where Eastern charm meets Western comfort - Your Black Friday Bliss is Here!🙌
  9. Spa in Markham:
    ⚜️ Golden Flower Spa (Unionville) 📍 8380 Kennedy Rd, Unit C6, Unionville, ON 📞 905-258-0777 / 416-688-6886 💋 Hot bodiesskilled handselite service 🔥 Classy, seductive & fully satisfying 📅 Schedule: bit.ly/flowers_schedule 🔗 Booking: bit.ly/bookinggoldenlove
  10. BlueXado Therapy & Spa:
    🐍 BlueXado Spa (Vaughan) 📍 1102 Centre St, Unit 6, Vaughan, ON 📞 416-357-9797 / 416-678-8668 💦 Clothes offmind off – just relax 🌀 Young beauties, deep care, unique vibe 📅 Schedule: bit.ly/flowers_schedule 🔗 Booking: bit.ly/bookingbluexadolove
  11. FLOWER Spa – PINK | Scarborough | TORONTO:
    🦩 Pink Flower Spa (Scarborough) 📍 3300 McNicoll Ave, Unit A8, Scarborough, ON 📞 416-299-5515 / 416-817-3839 💗 Sweet, gentle, feminine touch you'll love 🌸 Soft hands, beautiful smiles, total care 📅 Schedule: bit.ly/flowers_schedule 🔗 Booking: bit.ly/bookingpinklove
  12. Nu spring spa888:
    💖💖💖sexy hot busty Singapore 🌹 Indian 🌹🌹korean girls🌹🌹working 💗💗at markham ☎️416-669-8508❤️❤️❤️
  13. Golden Sunshine Spa:
    ✨Click on our Username and FOLLOW US for updates and special services ! ✅ Click Here Today🌸Candy🌸Melissa🌸Xuka🌸Amber🌸Monika Call us ☎ 905 - 265 - 2158☎️ Your ultimate service awaits! ✨
  14. EMSpa_schedule:
    🔥Ready for a fantastic time?🔥 Today (Saturday), our amazing attendants are Vicky 🥳, Lucy 😘, Ivy 🤗, Opal 🤗 and Sophie 😍. Call us at ☎️ (905) 479-6668 ☎️ to book your favourite and head on over to 7665 Kennedy Road, Unit 4, Markham!
  15. wilson holistic centre:
    new girl works at 💋535 Evans Ave today 💕💕💕☎️☎️416-531-6969☎️☎️
  16. Lilyspa1:
    Lily Spa : ❤️❤️ SuSu ( Asian )Slim , 😍😍Porn Service 🩷🩷Bella 22, Latino French, 36 DDD and 🍑🍑ASS, 💋💋Mimi 24, Asian mixed White , very open-Minded , 😈bbbj , DFk 🔥Duo 🔥,☎️ 6475318288
  17. Soul Relax Spa:
    ✨ Looking for a relaxing escape? ✅ Click Here Meet🌸Vivian🌸Valentina🌸AnnaCall us today for the best treatment and service experience. Click on our Username and FOLLOW US for updates ! Call now ☎ 289 - 298 - 5662☎️ Your ultimate relaxation awaits! ✨
  18. Lulu1980:
    Phoenix Blossom Spa 🌹🌹🌹 Three girls every day 🔥🔥🔥 5124 Dundas West Street, Etobicoke ☎️ 416-817-3366 👍 New❗️New girl Angela ,so young Petite and pretty😋 open service 😜😜 Sexy girl Suki deep massage 😘😘😘😘 Hot and sexy body very provocative service 😍😍😍😍❤️ You are welcome to make an appointment at any time or walk in directly through the back door. We have ample parking spaces available
  19. Red Rose Spa:
    🌸 We have 5 hot brown girls today 🌸 AMMU, JANVI, MONIKA, SASHA, JOEY, BELA, MIMI, SALMA 🌸 2588 Birchmount 🌸 2 Invergordon 🌸 647-702-8800 🌸 Please visit for a great erotic massage
  20. ForeverWarden:
    Saturday at 🫦❤️🔴🟥♾️𝓕𝓞𝓡𝓔𝓥𝓔𝓡 𝓢𝓟𝓐♾️🟥🔴❤️🫦 2190 Warden Ave, Unit 201, Scarborough 𝟰𝟭𝟲-𝟴𝟬𝟬-𝟳𝟴𝟴𝟳: Sara, Tracy & Cindy. Sara is young & slim with nice C Cups, trim waist, sexy bum and long hair. She is vary friendly uses her assets well. Tracy is an incredibly cute & pretty Japanese/Taiwanese mixed spinner, about 5’1” and 100 lbs. She is very popular for her exotic massage & services.
  21. HolidaySpa:
    Saturday at 🌴😎🌅𝓗𝓸𝓵𝓲𝓭𝓪𝔂 𝓢𝓹𝓪🌅😎🌴3517 Kennedy Rd, Unit 4, Scarborough ☎️𝟰𝟯𝟳-𝟮𝟰𝟳-𝟭𝟭𝟵𝟵☎️: AMY & MAGGIE. AMY is an attractive young lady with larger breasts and a nice bottom. She has outstanding oral skills, and is very popular. Don’t miss out on her special skills! Maggie is sweet, slim and very talented. 🌴😎🌅HOLIDAY SPA🌅😎🌴 3517 Kennedy Rd, Unit 4 (Kennedy Rd & Steeles Ave E)
  22. SugarLoveSpa:
    Saturday at ❤️💙 💜⎝𝗦𝗨𝗚𝗔𝗥 𝗟𝗢𝗩𝗘 𝗦𝗣𝗔⎠💖💗💘: CHRISTINA, LUNA, SARA & TIFFANY. 1270 Finch Ave W (at Keele St), Unit 18. North York. CHRISTINA is Spanish, C Cups, 5'3", tall & nice curves, very open minded. LUNA is a slim, VERY PETITE and capable Vietnamese beauty, nice natural 34C Cups. Luna can do everything. SARA is a beautiful Thai lady with C Cups, 160 Cms and 50 Kgs
  23. wilson holistic centre:
    💕💕Beautiful Korean girl working at 382 Wilson Ave 💕💕☎️☎️416-840-0071❤️❤️
  24. wonderspa:
    🌺welcome to wonder spa☎️416-5000-800,L6a4H8,. 4young beautiful girls working everyday(open long weekend),Ensuit shower available 🍅,new friendly nice girl CiCi,providing oil deep tissue to relax massage and nice body slide,back work.more experience ,🍅nice Vietnamese Amy is very good looking,big breasted sweet smile,open maid,everything she can provide,really popular girl,must try🔥
  25. SpringGreen.:
    The weeked is here .New spanish tina💋💋Bunny miya,angel and tina are available today.These busty attractive girls provide a high level of service with a smile. call and text message ask questions thanks 💋💋647-891-0699 call and text quentions thanks 💋💋
  26. bnwellness_wilson:
    We have 4 young girls are working today, young sweet Michelle 25’s with curve body open mind and young cute Kitty 26’s with curve body open mind, young flirty Yoyo with 36DD curve body open mind 30’s and nice GFE Lina are providing deep tissue massage, pls call 4163985777 book appointment and walk in always welcome,back entrance and parking available, 350 Wilson Ave North York
  27. Annie Spa:
    🎉🍒ANNIE SPA🎉🍒 ✅7-1001 SANDHURST CIRCLE✅ 👌SCARBOROUGH ON M1V 1Z6👌 ☎️ (647) 891-9688☎️ ☎️ (416) 291-8879☎️ (FINCH & MCCOWAN) OPEN 9:30am to 9pm MONDAY to SUNDAY 🔥✅NEW MANAGEMENT💯NEW GIRLS🔥🔥 🔥GORGEOUS NEW YOUNG ASIAN GIRLS - TODAY’s ROSTER INCLUDES: 🔥 Judy😘🔥Our new Asian massage girl Judy is a vision of refined sensuality, with a graceful figure and smooth, flawless skin that radiates warmth and allure. Her striking black hair frames her delicate features, and her poised
  28. Lulu_Villa_Spa:
    Mia new Vietnamese sweetheart girl with amazing personality Yuki Sweet Singaporean Girl Bella She is Mexican Gorgeous face Elena Vietnamese girl Cici Cute Vietnamese Girl ☎️647- 446-0886
  29. Lulu1980:
    Phoenix Blossom Spa 🌹🌹🌹 Three girls every day 🔥🔥🔥 5124 Dundas West Street, Etobicoke ☎️ 416-817-3366 👍 New❗️New girl Angela ,so young Petite and pretty😋 open service 😜😜 Sexy girl Suki deep massage 😘😘😘😘 Hot and sexy body very provocative service 😍😍😍😍❤️ You are welcome to make an appointment at any time or walk in directly through the back door. We have ample parking spaces available
  30. DareDevil:
    Blackpink Wellness ♥️♥️90 Marycroft Ave. Unit #2, Vaughan, 🍭🍬ON L4L 5Y1 (647) 395-3188. BEAUTIFUL AND SEXY GIRLS TODAY: 🌹New Indian Girl, New Girl Lila, RMT Rose and Beautiful Tiffany on duty🌹.
  31. DareDevil:
    ARIA WELLNESS ♥️♥️ADDRESS: 360 HWY 7, UNIT #6, RICHMOND HILL,647-222-5683 ♥️♥️(PHONES CALL ONLY, NO TEXT'N AVAILABLE) ♥️TODAY'S Schedule!♥️ Loaded lineup with Beautiful Girls : Sexy Faye, Magical Mia and Work out🏋🚴💪 Babe Amy! SPECIAL PROMO 30 MINS 2 GIRLS ONLY $70 🌹🌹**TODAY'S PICKS OF THE DAY IS 🍭🍬MIA AND AMY🍬
  32. luckywellness:
    Lucky Wellness Center 4379721888 295 Eglinton Ave E,Unit 7,Mississauga We have two girls working today. Water and Mia. Water is young, beautiful, sexy and fluent in English. She also knows how to give massages. Mia is tall, plump, especially sexy, and has excellent massage skills. She works hard and has many repeat customers. If you are stressed out at work and exhausted, you might as well make an appointment with them!
  33. EMSpa_schedule:
    Tomorrow's sneak peek: On Saturday May 17, 2025, our attendants will be Vicky 🤩, Lucy 💖, Ivy 😍, Opal 🥰 and Sophie ️. Call us at ☎️(905) 479-6668☎️ to book!
  34. wilson holistic centre:
    💕💕Beautiful Korean girl Anna working at 382 Wilson Ave 💕💕☎️☎️416-840-0071❤️❤️
  35. Lilyspa1:
    Lily Spa : 💰💰100 hh all in💰💰 ❤️❤️ SuSu ( Asian )Slim , 😍😍Porn Service 🩷🩷Elena 22, Latino French, 36 DDD and 🍑🍑ASS, 💋💋Mimi 24, Asian mixed White , very open-Minded , 😈bbbj , DFk 🔥Duo 🔥,☎️ 6475318288
  36. SugarLoveSpa:
    hi today have ella bobo kelly tifany come baby to enjoy with all service available ... Sugar Love spa☎️☎️ (437) 365-2688📲☎️
  37. Lulu1980:
    Phoenix Blossom Spa 🌹🌹🌹 Three girls every day 🔥🔥🔥 5124 Dundas West Street, Etobicoke ☎️ 416-817-3366 👍 New❗️New girl Angela ,so young Petite and pretty😋 open service 😜😜 Sweet girl Luna deep massage 😘😘😘😘 Hot and sexy body very provocative service 😍😍😍😍❤️ You are welcome to make an appointment at any time or walk in directly through the back door. We have ample parking spaces available
  38. Nu spring spa888:
    ❤️❤️❤️sexy hot Filipino 🌸Korean 🌸 Singapore girl working at💓💓 Nu spring spa ☎️416-669-8508❤️❤️❤️
  39. SL East Spa:
    💆‍♀💖HAPPY Friday!!!💖 Ultimate destination for Asian massages🎉 Two fab spots: SL Richmond Hill & SL West Oakville ✨ Your passport to paradise with 10 enchanting girls fr China, HK, Japan & Korea — 🆕36D Flora, Cindy, Cici, Eva, Coco, JPN Yui, Happy, Cindy, Jasmine & Aaliyah — pamper yourself🎁🍁 Ring us 📞647-695-6354 or text us 📱647-578-8169✨ 160 East Beaver Cr., Unit 12, RichmondHill 💰Where Eastern charm meets Western comfort - your bliss
  40. wilson holistic centre:
    💕💕Beautiful Korean girl working at 382 Wilson Ave 💕💕☎️☎️416-840-0071❤️❤️
  41. Lilyspa1:
    Lily Spa : 💰💰100 hh all in💰💰 ❤️❤️ SuSu ( Asian )Slim , 😍😍Porn Service 🩷🩷Elena 22, Latino French, 36 DDD and 🍑🍑ASS, 💋💋Mimi 24, Asian mixed White , very open-Minded , 😈bbbj , DFk 🔥Duo 🔥,☎️ 6475318288
  42. wonderspa:
    🌺welcome to wonder spa☎️416-5000-800,L6a4H8,open10 to10(open holiday),Ensuit shower available 🍅beautiful young Jessica deep tissue to relax massage back walk,hot stone🍅long hair vietname Amy is very good looking,slim body ,open maid, everything she can provide 🌹beautiful sexy face ,big boob Joey ,amazing touch,,really popular girl ,you can get very comfortable warm time🔥🔥
  43. Bencook:
    We have 6 beautiful girl youngest Students Hellen sky jojo mia Angela yumi please call 647 718 6182
  44. AliceSpa:
    FRIDAY at 𝗔𝗟𝗜𝗖𝗘 𝗦𝗣𝗔, 4915 Steeles Ave. E, Scarborough 𝟰𝟭𝟲-𝟮𝟵𝟴-𝟬𝟴𝟵𝟴. 3 ladies waiting for you. Two Very Hot ladies (Qiqi & Summer) have returned to Alice spa today. Open 10am to 9pm: CLOUDIA (10am-9pm): is Vietnamese, young, petite 5'2" & 96 Lbs, B Cup, best rim deep bbbj cim. $40 Room Fee + $80 (incl bbbj & fs). +$20 for rim/cim. Excellent open minded services. SUGAR (1pm-9pm):
  45. Soul Relax Spa:
    ✨ Looking for a relaxing escape? ✅ Click Here Meet🌸Kim🌸Tina🌸SamiCall us today for the best treatment and service experience. Click on our Username and FOLLOW US for updates ! Call now ☎ 289 - 298 - 5662☎️ Your ultimate relaxation awaits! ✨
  46. SpringGreen.:
    Today we have 5 girls :💋💋 New girl Hitti very young💋💋Lisa- Tanned Spanish beauty with large melons and a fun booty too minica- exotic goddess with a gymnasts body and corresponding flexibility Jennifer- Exotic beauty with... Call and text 647 891 0699 ask questions Thanks💋💋
  47. Spa in Markham:
  48. BlueXado Therapy & Spa:
  49. FLOWER Spa – PINK | Scarborough | TORONTO:
  50. Jenny’s Spa:
    🎉🍒JENNY’S SPA🎉🍒 ✅5170 DUNDAS STREET WEST✅ 👌ETOBICOKE ONTARIO M9A 1C4👌 ☎️( 647-893-5196)☎️Call or Text ☎️( 437-888-3759)☎️Call Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY 🔥✅GRAND OPENING💯NEW GIRLS EVERYDAY🔥EXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNY’S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS🔥💯😘🔥❤️👌 🔥TWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY🔥 💯REAL PICTURES OF ATTENDANTS💯 🔥💋Limited Time Special Promotion🔥💋 ✅💦30 Minutes Nude Mass
Back
Top