Hands On HealthCare 

Massage • Manual Therapy • Spa Services   

  Best Rated And Reviewed Local Medical Massage and Day Spa Located In Commack, Long Island

Explore the world of Medical and Therapeutic Massage! Understand why Hands On is "The Physician's Choice!" Learn about types, techniques and all the do's and don'ts. And of cause, pricing! Click the links below!

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The JOHN F. BARNES MYOFASCIAL RELEASE APPROACH®

TRIGGER POINT THERAPY

TRIGGER POINT THERAPY AND MUSCLE PAIN AND TIGHTNESS
Ever wonder what can be done to help headaches, neck stiffness, carpal tunnel type symptoms, frozen shoulder, back pain, low back stiffness, shin splints?
Trigger points are accumulations of waste products around a nerve receptor.  Trigger points form in muscles which have been overused or injured due to an accident or surgery.  They can present themselves as sharp pain, dull ache, tingling, pins and needles, etc.
Active trigger points are those which cause discomfort. Latent trigger points wait silently in the muscle for a future stress to activate them.  It is common to attribute this discomfort to other conditions, instead of our tight muscles which harbor trigger points.
Trigger points are not visible with traditional medical testing such as MRI or X-ray. When trigger points are not treated, they will create satellite trigger points in the affected area. For instance, a trigger point in the trapezius may cause a trigger point to appear in the temple. The trigger point in the temple then may cause a trigger point to appear in the jaw. And, voilà! - a case of TMJ.
Trigger point massage is not a relaxing, "fluff and buff" technique. It requires the participation of the client to communicate the presence and intensity of pain and discomfort. The therapist and client work together as a team to maximize the effectiveness of the treatment.
It is common to find great improvement after one treatment. Repeated treatment may be necessary for those with chronic trigger points.  If you have any questions regarding Trigger Point Therapy or Massage Therapy, please contact Marla Kaplan- Pelle, LMT, Director Hands On HealthCare Massage Therapy, P.C., 208 & 210 Commack Road,  Commack 631-462-HAND (4263)
TRIGGER POINT THERAPY AND MUSCLE PAIN AND TIGHTNESS
Ever wonder what can be done to help headaches, neck stiffness, carpal tunnel type symptoms, frozen shoulder, back pain, low back stiffness, shin splints? 
Trigger points are accumulations of waste products around a nerve receptor.  Trigger points form in muscles which have been overused or injured due to an accident or surgery.  They can present themselves as sharp pain, dull ache, tingling, pins and needles, etc.
Active trigger points are those which cause discomfort. Latent trigger points wait silently in the muscle for a future stress to activate them.  It is common to attribute this discomfort to other conditions, instead of our tight muscles which harbor trigger points.
Trigger points are not visible with traditional medical testing such as MRI or X-ray. When trigger points are not treated, they will create satellite trigger points in the affected area. For instance, a trigger point in the trapezius may cause a trigger point to appear in the temple. The trigger point in the temple then may cause a trigger point to appear in the jaw. And, voilà! - a case of TMJ.
Trigger point massage is not a relaxing, "fluff and buff" technique. It requires the participation of the client to communicate the presence and intensity of pain and discomfort. The therapist and client work together as a team to maximize the effectiveness of the treatment. 
It is common to find great improvement after one treatment. Repeated treatment may be necessary for those with chronic trigger points.  If you have any questions regarding Trigger Point Therapy or Massage Therapy, please contact Marla Kaplan- Pelle, LMT, Director Hands On HealthCare Massage Therapy, P.C., 208 & 210 Commack Road,  Commack 631-462-HAND (4263)

SINUSITIS 

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Got Allergies? Got Pain?
Consider An Advanced Medical Massage Technique, Manual Lymph Drainage
 
Manual Lymph Drainage (MLD) is an excellent therapy for assisting the body to collect and move lymphatic fluid. It most often addresses edema (swelling caused by fluid retention). This very light and rhythmical massage is used to clear congestion. MLD techniques can make an enormous difference to one's health and well-being.
 
The medical profession is primarily interested in MLD due to its ability to help manage problems of lymphedema. This condition manifests as severe swelling of a limb, or parts of the torso, which can cause discomfort and inconvenience to the sufferer. It is most notorious as the treatment following lymph node removal after breast cancer surgery.
 
MLD techniques address the tiny lymph collectors just under the skin, the intricate network of lymphatic vessels are stimulated gently to transport the lymph efficiently along the appropriate pathways. The lymph is cleansed by the clusters of nodes it meets along the way and the clean lymph eventually rejoins the bloodstream via the large veins in the cervical area. This can be done with the patient fully clothed or not.
 
Allergies, Sinusitis, Migraines, Chronic Headaches, TMJ, More
 
Allergies such as hay fever, reactions to pollen, mold spores or other foreign body invaders will often cause the body's immune system to go into high gear as it over reacts. The result is irritation and inflammation of the sinuses. MLD techniques can often relieve or ease these symptoms and remove the congestive material from around the facial area.
Edema of the mucus membranes and an impaired immune system can cause chronic sinus congestion and sinusitis. These conditions respond well to MLD because it has the effect of reducing the edema of the membranes while also boosting the immune system.
A migraine attack characteristically has sudden onset pain, which becomes unbearably sharp and is usually accompanied by nausea and even vomiting. It can be triggered by many factors. In the disease picture, the physical processes that occur result in edema accumulating around the blood vessels in the head and neck area, therefore MLD techniques are often very effective in treating migraines, and for the same reasons, chronic headaches.
TMJ Disorders can be brought on by a variety of reasons and have a variety of symptoms. MLD techniques will not correct the problem, however the swelling caused by these disorders can often be reduced by MLD techniques and that alone, can be a welcome relief to those that suffer with TMJD.
MLD has also been successful in treating acne, strains and sprains, healing of flesh wounds, pain from chronic conditions such as arthritis, symptoms of chronic fatigue syndrome, constipation and much more. Clients who undertake a series of MLD treatments notice a dramatic improvement in their condition and additionally will usually find new energy, a feeling of lightness and improved skin texture. Additionally, because of the light, rhythmical strokes, the nervous system is calmed down and this lowers blood pressure, counters stress and improves sleep patterns.
As always, please seek medical advice....
 
Marla Kaplan-Pelle, Licensed Massage Therapist, Certified Lymphedema Therapist, Owner of
Hands On HealthCare Massage Therapy and Wellness Day Spa, A Recommended Community Provider For Memorial Sloan-Kettering Cancer Center

CARPAL TUNNEL SYNDROME

Do you suffer with numbness, pain, and or tingling, in the hand or thumb, index, middle and half the ring finger? Do you use your hands repetitively or forcefully? Do you repetitively bend your wrist, have arthritis, especially the rheumatoid type, thyroid gland imbalance or hormonal changes associated with menopause and pregnancy? If so, you may have Carpal Tunnel Syndrome.

There is a group of small bones that make up your wrist and the base of your hand called "carpals." To allow nerves and tendons to pass through to your fingers, there is a tunnel through these bones called the "carpal tunnel." Through this tunnel pass nine tendons and a bundle of nerve fibers called the "median nerve." There is limited room in this tunnel, and if anything happens to cause swelling of any of the tissues, the median nerve will be compressed, at first causing irritation, then over time causing actual nerve damage. 

Many other conditions can have symptoms that are similar to those of Carpal Tunnel Syndrome but are treated differently. Therefore the first step to correct treatment is an exam by an experienced physician to determine the correct diagnosis.
Massage therapy is often used to treat CTS. It will focus on relieving pressure on the median nerve while increasing circulation. Furthermore, a person must be retrained in proper hand posture and biomechanical stress reduction to prevent exacerbation of the problem. Medical massage therapy is uniquely positioned to offer this therapy without the side effects of medications, local injections, or surgery.

HEADACHES

 

Many headaches are caused by trigger points in the neck and head.

We have had many clients tell us what causes their headaches: sinuses, food, coffee, odors, hunger, lack of sleep -- the list goes on. But, how do these irritants cause headaches. That is, what actually mediates the pain, or makes a link between the causal factor and the pain itself. Obviously there is still much information missing. But very often, the pain itself comes from trigger points in the neck and head. And pain from trigger points in the neck and head can often be relieved.

There are three categories of headache people (oversimplifying): severe headache people, ordinary headache people, and no headache people:

No headache people may have very tight, even painful, muscles in their necks, but they seldom if ever get headaches.

Ordinary headache people are people who get a headache now and then --  which is seldom severe enough to interfere significantly with work or activities, and which usually responds to over-the-counter pain relievers.

Severe headache people suffer tremendously. Not only do they suffer from the pain of the headaches, which is often disabling, but they suffer from loss of work, loss of the pleasure of leisure activities, and sometimes  difficulty dealing with the impatience of others who don't understand what they're going through.

Medical authorities have studied and categorized severe headaches, from Cluster headaches to Migraine headaches. Massage therapy can often elevate or relieve a wide variety of headaches -- even migraines,  We suggest that, in addition to whatever regimen a patient's physician may prescribe, massage therapy (particularly along the lines of neuromuscular or trigger point work, ) is well worth a try. And it is risk-free!

Soft-tissue pain can mimic the symptoms of many disorders, and can also contribute to pain from other causes. We recommend that people NOT ENGAGE IN SELF-DIAGNOSIS! 

DEFINING THE DIFFERENCE BETWEEN MEDICAL AND THERAPEUTIC MASSAGE

 
Very often there can be a fine line between medical and therapeutic massage therapy. For instance, general discomfort in an area usually responds very well to a therapeutic session. If pain or discomfort was due to a tight, over stimulated muscle, you can expect to feel better after the session. Often it is a terrific jumpstart to getting better. However, very often, the muscle and soft tissue need to be re-educated. This will enable them to get and stay better. An example would be a short, contracted muscle being re-taught to stay properly lengthened, thereby allowing proper blood flow, nerve innervations, full range of motion and a decrease in pain or discomfort. Medical geared massage incorporates many of the same techniques as therapeutic massage, along with more advanced modalities. The goal of medical techniques is to produce permanent changes or in some cases, such as paraplegia, to maintain the health of the tissue. We measure the results of medical massage by noting a reduction of pain or discomfort for longer periods of time between sessions. Below you will find a general guideline outlining the major differences between medical and therapeutic massage. However, I strongly recommend asking the advice of your therapist or if you have any reason to believe that medically geared massage would be more beneficial to you than therapeutic massage, please don’t hesitate to arrange for a consultation. A consultation will consist of reviewing your medical history, a hands-on evaluation and a determination as to whether we believe that medical geared massage sessions would be in your best interest. We do not charge for consultations.

Medical Massage Therapy Session

Therapeutic Massage Therapy Session

-Treats the muscles, *fascia and **Trigger Points -Treats the muscles, may affect *fascia and
-Addresses shortened and over- lengthened **Trigger Points
muscles -Addresses shortened muscles
-Sedates or stimulates muscles -Sedates muscles and the mind
-Specific, focused work, based on a treatment plan -Most often incorporates a full body session
-Feedback from the client during the session is -Feedback is welcome, but not usually necessary
customary -Feels Great!
-Often, sessions can produce some temporary
discomfort
30-45 minute sessions. 30-60-90 minute sessions
Each session will generally last longer and longer. The length of results will vary
Most often for: Most often for:

Pain, CT Syndrome, TMJ, Sciatica, Herniated Discs, Scoliosis, Migraines, Muscle Spasms, M.S., Whiplash, Injuries, Chronic muscle tightness/tension, etc.

Stress, Discomfort, Insomnia, Depression, Fatigue, High Blood Pressure, Muscle tightness/tension, Asthma, etc
 
*Fascia is a tough connective tissue that spreads throughout the body in a three-dimensional web from head to foot. Much like a highly fluid, elastic body stocking, it functions without interruption. Fascia comes together at the end of muscles to become tendons, which attach to bones. It has been estimated that if every structure of the body except the fascia were removed, the body would retain its shape. A malfunction of one of the body’s systems due to trauma, poor posture, or inflammation can cause a binding, impinging or adhering of the fascia either to itself or to another body structure such as a muscle, bone or organ. This results in an abnormal pressure on any or all of the body’s components. Binding and restrictions in one area will affect other parts and areas of the body, similar to pulling on one end of a sweater, another area will be affected. The treatment used to treat myofascial restrictions is referred to as Myofascial Release.

** Trigger points are accumulations of waste products around a nerve receptor. Trigger points form in muscles and/or fascia, which has been overused or injured. They can present themselves as sharp pain, dull ache, tingling, pins and needles, etc. Active trigger points are those, which cause discomfort. Latent trigger points wait silently in the muscle for a future stress to activate them. It is common to attribute this discomfort to other conditions. The treatment used to treat trigger points is referred to as Trigger Point Therapy.

SCIATICA

Though there can be multiple reasons for sciatica pain, very often, it is caused by the piriformis muscle. The sciatic nerve innervates the back of the leg, runs under, over, or through the piriformis muscle. Often, tightness or entrapment in the piriformis can cause sciatica, which it can cause intense pain in the low back, buttocks, all the way down the back of the leg into the foot. This is commonly referred to as piriformis syndrome and can be a pain in the buttocks!  Often people do not stand with their weight evenly distributed between the two legs. Almost everyone tends to stand with the weight shifted to one leg or the other. And that means, piriformis, which outwardly rotates the hip, is working overtime. Driving, especially long distances, can aggravate this condition. One of the worst things you can do to a muscle is to leave it in a shortened position for a long period of time, Most people tend to drive with their knees apart, thus keeping the hips outwardly rotated. That's one reason so many people experience low back or leg pain after long driving. Therefore, stop frequently, even if only to walk once around the car. Keeping your wallet out of your back pocket will also eliminate undo pressure on the sciatic nerve, especially when sitting. Massage Therapy can often eliminate the pain associated with Piriformis Syndrome. The muscles may need to be  re-educated and the associated trigger points addressed. This information is provided for informational purposes only and is not intended as medical advice. Always obtain qualified medical advice from your medical doctor before undergoing any treatment and for a proper diagnosis. DO NOT SELF DIAGNOSE! 

5 ESSENTIAL TIPS OF BREATHING AND STRETCHING

FIVE ESSENTIAL TIPS FOR BREATHING AND STRETCHING

 

1. Most important: When stretching, do not hold your breath.  Breathe deeply and slowly, in rhythm with your movements.

2. While stretching, focus on relaxing your entire body.  Pay attention to the areas that remain tense.

3. If you want to go deeper into a stretch, breathe and relax into it.  Don’t force it.

4. If a stretch hurts, don’t do it.  In other words:  “If pain, no gain.”

5. In a hurry?  Do one or two stretches fully rather than rushing through many.

Back to school brings with it the anticipation of all those school reports and of course, sitting in front of a computer TYPING.  Take a brake and S T R E T C H your arms and hands with these KEYBOARD CALISTHENICS:

 

Do stretches with your hands and wrists as often as possible. 

Improvise- be creative!

With hands in a prayer position, move in all directions and stretch.

Squeeze fists tight.

Stretch fingers wide.

Interlace fingers and rotate hands.

Invent stretches that feel good.

Make it a habit:  Constantly stretch your hands and wrists.

MANAGING YOUR MUSCLES WITH DIAPHRAGMATIC BREATHING

Conscious, diaphragmatic breathing is like a massage for your internal organs! You may find it difficult to follow these instructions and be tempted to breathe into your chest. Have patience. Unfortunately, most adults no longer “belly breathe.”  If you are fortunate to have an infant or young child you can observe, you will see, that we start out belly breathing and then I guess…. life gets in the way.

To begin-

Relax your shoulders and when possible, Breathe in through your nose and Breathe out through your mouth.

Imagine that there is a balloon in your stomach

    

  Inhale– fill up the balloon in your belly.

  Exhale– deflate the balloon.

Start out very slowly and only try a few breaths at a time, but practice a few times a day. Breathing will change naturally as a result of structural manipulation. Have patience, take your time and enjoy the enhanced feeling of well being through conscious, diaphragmatic breathing.

GUIDELINES FOR EARLY DETECTION OF CANCER

 

American Cancer Society Guidelines for the Early Detection of Cancer

The American Cancer Society recommends these screening guidelines for most adults.

 

Breast cancer

    • Yearly mammograms are recommended starting at age 40 and continuing for as long as a woman is in good health
    • Clinical breast exam (CBE) about every 3 years for women in their 20s and 30s and every year for women 40 and over
    • Women should know how their breasts normally look and feel and report any breast change promptly to their health care provider. Breast self-exam (BSE) is an option for women starting in their 20s.

The American Cancer Society recommends that some women -- because of their family history, a genetic tendency, or certain other factors -- be screened with MRI in addition to mammograms. (The number of women who fall into this category is small: less than 2% of all the women in the US.) Talk with your doctor about your history and whether you should have additional tests at an earlier age. For more information, call the American Cancer Society and ask for our document, Breast Cancer: Early Detection.

 

Colorectal cancer and polyps

Beginning at age 50, both men and women should follow one of these testing schedules:

Tests that find polyps and cancer

    • Flexible sigmoidoscopy every 5 years*, or
    • Colonoscopy every 10 years, or
    • Double-contrast barium enema every 5 years*, or
  • CT colonography (virtual colonoscopy) every 5 years*

    Tests that primarily find cancer

  • Yearly fecal occult blood test (gFOBT)**, or

  • Yearly fecal immunochemical test (FIT) every year**, or

  • Stool DNA test (sDNA), interval uncertain**

    * If the test is positive, a colonoscopy should be done.

    ** The multiple stool take-home test should be used. One test done by the doctor in the office is not adequate for testing. A colonoscopy should be done if the test is positive.

    The tests that are designed to find both early cancer and polyps are preferred if these tests are available to you and you are willing to have one of these more invasive tests. Talk to your doctor about which test is best for you.

    The American Cancer Society recommends that some people be screened using a different schedule because of their personal history or family history. Talk with your doctor about your history and what colorectal cancer screening schedule is best for you. For more information on colorectal cancer screening, please call the American Cancer Society and ask for our document, Colorectal Cancer: Early Detection.

     

    Cervical cancer

    • All women should begin cervical cancer screening about 3 years after they begin having vaginal intercourse, but no later than 21 years old. Screening should be done every year with the regular Pap test or every 2 years using the newer liquid-based Pap test.
    • Beginning at age 30, women who have had 3 normal Pap test results in a row may get screened every 2 to 3 years. Women older than 30 may also get screened every 3 years with either the conventional or liquid-based Pap test, plus the human papilloma virus (HPV) test.
    • Women 70 years of age or older who have had 3 or more normal Pap tests in a row and no abnormal Pap test results in the last 10 years may choose to stop having Pap tests.
    • Women who have had a total hysterectomy (removal of the uterus and cervix) may also choose to stop having Pap tests, unless the surgery was done as a treatment for cervical cancer or pre-cancer. Women who have had a hysterectomy without removal of the cervix should continue to have Pap tests.

Some women -- because of their history -- may need to have a different screening schedule for cervical cancer. Please see our document, Cervical Cancer: Prevention and Early Detection for more information.

 

Endometrial (uterine) cancer

The American Cancer Society recommends that at the time of menopause, all women should be informed about the risks and symptoms of endometrial cancer. Women should report any unexpected bleeding or spotting to their doctors.

Some women -- because of their history -- may need to consider having a yearly endometrial biopsy. Please talk with your doctor about your history.

 

Prostate cancer

The American Cancer Society recommends that men make an informed decision with their doctor about whether to be tested for prostate cancer. Research has not yet proven that the potential benefits of testing outweigh the harms of testing and treatment. The American Cancer Society believes that men should not be tested without learning about what we know and don’t know about the risks and possible benefits of testing and treatment.

Starting at age 50, talk to your doctor about the pros and cons of testing so you can decide if testing is the right choice for you. If you are African American or have a father or brother who had prostate cancer before age 65, you should have this talk with your doctor starting at age 45. If you decide to be tested, you should have the PSA blood test with or without a rectal exam. How often you are tested will depend on your PSA level. For more information, please see our document, Prostate Cancer: Early Detection.

 

Skin exams

Most skin cancers can be found early with skin exams. Both regular exams by your doctor and checking your own skin frequently can help find cancers early, when they are easier to treat.

 

Get your skin checked by your doctor

As part of a routine cancer-related checkup, your doctor should check your skin carefully. They should be willing to discuss any concerns you might have about this exam.

 

How to check your own skin

It's important to check your own skin, preferably once a month. A self-exam is best done in a well-lit room in front of a full-length mirror. You can use a hand-held mirror to look at areas that are hard to see. A spouse or close friend or family member may be able to help you with these exams, especially for those hard-to-see areas like your back or scalp.

 

 Cancer-related check-up

For people aged 20 or older having periodic health exams, a cancer-related check-up should include health counseling and, depending on a person's age and gender, exams for cancers of the thyroid, oral cavity, skin, lymph nodes, testes, and ovaries, as well as for some non-malignant (non-cancerous) diseases.

 

Take control of your health and reduce your cancer risk.

    • Stay away from tobacco.
    • Stay at a healthy weight.
    • Get moving with regular physical activity.
    • Eat healthy with plenty of fruits and vegetables.
    • Limit how much alcohol you drink (if you drink at all).
    • Protect your skin.
    • Know yourself, your family history, and your risks.
    • Have regular check-ups and cancer screening tests.
    • For information on how to reduce your cancer risk and other questions about cancer, please call us anytime, day or night, at 1-800-227-2345 or visit us online at www.cancer.org

References

American Cancer Society. Cancer Facts & Figures 2011. Atlanta, Ga: American Cancer Society; 2011.

Levin B, Lieberman DA, McFarland, et al. Screening and Surveillance for the Early Detection of Colorectal Cancer and Adenomatous Polyps, 2008: A Joint Guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. CA Cancer J Clin. 2008;58.

Saslow D, Boetes C, Burke W, et al for the American Cancer Society Breast Cancer Advisory Group. American Cancer Society guidelines for breast screening with MRI as an adjunct to mammography. CA Cancer J Clin. 2007;57:75-89.

Smith RA, Cokkinides V, Eyre HJ. American Cancer Society guidelines for the early detection of cancer, 2006. CA Cancer J Clin. 2006;56:11-25.

Smith, RA, Cokkinides V, Brawley OW. Cancer screening in the United States, 2008: A review of current American Cancer Society guidelines and cancer screening issues. 2008. CA Cancer J Clin. 2008;58:161-179.

Last Medical Review: 02/25/2010
Last Revised: 06/23/2011

SELF CARE TIPS FOR BREAST HEALTH

One in eight women will find themselves in the grasp of breast cancer during their lifetime. Early detection  greatly increases the odds of surviving cancer. Many believe that toxins are the local beginnings of cancerous tissue. When these toxins are unable to exit the body properly, the possibility of cancer increases. Although almost any gentle massage technique will be beneficial, these four particular techniques should be part of your personal regimen.

1) Use your fingers to gently smooth away from the nipple. These movements travel from the nipple and directly away using no more pressure than what you would apply to your eyelid. 

2) Gently massage the breast with a kneading-like motion, using lifting and pressing movements.

3) Slowly and carefully use your hands to twist the breast in a clockwise and counter clockwise direction, being careful not to put too much tension on the breast. 

4) Use both hands to apply several, moderate pressure, compressions to move out veinous fluids.

More explicit instructions along with diagrams are available at the office.

 

https://www.myofascialrelease.com/downloads/articles/TheMissingLinkInYourTreatment.pdf