Our Blog

Words on Wellness

When to Treat Injuries with Thai Massage

In this blog video post, I share my story of a recent injury and some important rules to consider when treating clients who present themselves with injuries. I talk about the acronym -RICER and explain why you want to consider this before massaging clients or loved ones and family members.

I was in a considerable amount of pain and could hardly move my neck for about 4 days. The stiffness remained really painful for about 2 weeks so there was an ongoing discussion in my family about how long I should wait to see someone like a massage therapist, chiropractor or an osteopath for help.

Share your stories- whether you are a professional or have been on the receiving end of treatment after an injury and let us know how it went and what you learned. I will also be here to answer any questions in the comments below!


2 responses to “When to Treat Injuries with Thai Massage”

  1. Drew says:

    Hey Shai –

    I just wanted to post this article here: http://stoneathleticmedicine.com/2014/04/rice-the-end-of-an-ice-age/ The fellow who developed the RICE method actually has written a statement of retraction.

    There is actually no strong evidence to support the claim that icing improves healing of soft tissue, and to the contrary much stronger evidence that supports movement as crucial in the acute phases of injury.

    The inflammatory cascade actually isn’t an “all or nothing” phenomenon – your body does actually respond to differing degrees of severity with an appropriately matched degree of inflammation. There are some great resources available that will help describe the inflammatory cascade to you with reference to all the factors and cofactors involved, their roles and their delivery mechanisms.

    This video absolutely has some valuable information in it, but I think it’s worth revisiting/revising a few of those statements.

    I hope you’ve recovered from your pain!

  2. Shai Plonski says:

    Thanks for sharing your thoughts and the link Drew. I know that there are changing opinions regarding RICE and what was once accepted wisdom is now more debated. Even in the article you linked to, the author ends with sharing that ice does have a place in the acute phase, espcially on the first day.

    I would imagine the person who first wrote about RICE had no idea it would be thought of as an absolute method for treating injuries and I would wager to guess that this goes a long way towards why he retracted what he first wrote. And I am in total agreement with an individual approach… the key as far as I’m concerned is to learn to listen to your body and respect the healing process. That is the only universal truth as far as I’m concerned. What works for one person and for one injury is not necessarily going to work the exact same way for the next person with the same injury. Everyone is unique and those are the details. Rest, Ice, Compression, elevation, massage, putting some stress on the injury during the acute phase are all important factors in helping someone to heal and each person and each professional helping to treat an injury should consider all the variables when deciding on a course of treatment. You have to be willing to test it all out and see what works best for you.

    I will never forget when I sprained my ankle so badly that it balooned to nearly twice its size. I had to give massage and teach in the week that followed so I adapted. But also in the midst of using elements of RICE I also used my stances as best I could to put some stress on the ankle when it was time to demo and massage. And I know that using my ankle as soon as possible helped tremendously to speed up the healing and avoid too much build up of scar tissue. Such that when it healed, it was and remains as good as new.

Leave a Reply

Your email address will not be published. Required fields are marked *