Daily Maestroism

DM #402

Thursday, June 29th, 2017

DM #402: Well, when you put it that way. ?
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Just a little follow-up to last night’s DM about causing bruising when treating someone. Doesn’t matter if you’re using your hands, a tool, a ball, a foam roller, or cups, bruising is not better, better is better.
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While we absolutely do NOT know nearly everything about fascia, we do know that the majority of it is pretty damn strong, and as such, you’re likely not breaking apart robust scar tissue when you do manual/tool/cupping work. From a mechanical perspective, cupping can be a great way to provide decompression to that area, improve fascial glide, and change/improve the fluid dynamics of the tissue being treated.
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If you leave a cup (or vacuum cleaner hose) in a single area for long enough, the pressure will cause capillaries to break and blood to be let out. Not sure why we think this is a good thing or that it means you’re suddenly going to move better. You passed that therapeutic benefit quite a few minutes ago and have now simply injured that tissue. So, yes, that person may report feeling better, but you could have produced the same result without all that bruising. Stop using your patient’s skin as billboards and badges of honor.
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Do I use cupping in my practice? Absolutely. Do I move them around while noting areas that get red faster than others? You better believe it. And then I proceed accordingly. Remember, bruising is not better. Better is better.
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Dropping this one hella late tonight because I got caught up playing guitar. I can’t feel the fingertips on my left hand. Please send help.
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