Nina Capobianco, a basic knead healing therapies

nurturing bodywork for your well-being

Spotlight

More information on certain topics of interest…

Cancer Support Massage

Since I opened my massage therapy practice 10 years ago, I’ve noticed an increase in cancer among my clients and their friends and family. I received specialized training to practice cancer support massage in 2011 and often people ask me, “What is oncology massage?” and “How is it different from what you normally do?”

What is oncology massage?

An oncology massage therapist is trained to understand the changes that come with cancer. I know how to modify the massage to cause no harm while addressing key areas of relief: emotional (anxiety and depression) or physical (fatigue, nausea and pain).

What is the thought process and major considerations behind administering a cancer support massage? I ask many questions because I want to get a clear picture of where you are in your journey and what to change or add.

For example:

Where are you in treatment?
Have you just been diagnosed and need anxiety relief or are you deep into treatment?

Do you have a tumor site?
Massage is never done on or around the tumor.

What’s your platelet count?
Knowing how thin your blood is will tell me how much pressure I can use safely. I use a 1-5 scale: 1 is extremely light (gentle fascial work and holding), 2 is similar to applying lotion very softly, up to 5 which is deep; affecting muscle tissue, which in my experience I’ve never massaged a person that deeply who is undergoing treatment.

Do you have a device such as a PICC or port-o-cath?
I make a towel ‘nest’ for it so you can lay comfortably prone. Else I will modify your session to side-lying.

Have you had an organ(s) removed?
I can incorporate trigger point work along that organ’s acupressure meridian into the massage. Scar tissue work and/or lymphatic drainage therapy can be helpful.

Have you had a mastectomy?
I won’t apply more than 3 minutes of deeper pressure on that quadrant of your body. Lymphatic work is indicated here because you’ve had lymph nodes removed along with the breast tissue. Lymph is never moved toward an area where nodes have been removed. Instead, I move the lymph along a pathway such that uncompromised areas can process the protein-rich fluid.

Are you receiving chemotherapy?
You should wait the recommended 3 days after receiving chemotherapy before getting a massage treatment so the chemo agent stays in your body long enough to do its job.

What agents are you getting?
I may wear gloves if agents such as Thiotepa and Cyclophosphimide have been administered.

Are you on any steroid medications?
Steroids weaken the surface tension of water which means your skin may be more fragile. I’m mindful of pressure once again and of using certain lotions/oils that could irritate your skin.

Are you at risk for lymphedema?
If you’ve had lymph nodes removed, you are at risk. If your doctor has told you no blood draws or pressure cuffs on a certain limb, I position the limb so it’s supported and not hanging off the table. No deep pressure to the affected limb.

Are you receiving radiation? External beam or internal beam? Implants?
The radiation will make your skin more sensitive so I will avoid the direct beam area. Sometimes, only specific hospital-administered lotions can be used when receiving radiation. If you have implants and they are still active, this is a case by case situation. For instance, if your therapist is pregnant, she could not see you and would need to refer you because you are considered ‘hot’. If they are inactive, no advanced precautions are necessary.

Has there been bone or spine metastasis?
If so, you will experience no jostling during the massage and very light pressure to protect and not compromise fragile bones.

Are you experiencing any side effects like neuropathy?
Light pressure here. Another therapist told me she is seeing success with using THC-infused oils to alleviate neuropathy pain.

What is my perspective as a Cancer Support Massage Therapist?

In the last 10 years, I’ve seen more people using complementary therapies, such as massage, and traditional healthcare providers realizing the positive impact of oncology massage. Most palliative care providers are already aware because they have the experience of working alongside us.

I see adults and children and would like to call your attention to a non-profit organization called Lucy’s Love Bus (lucyslovebus.org). If you know of a family who has a child with cancer, please tell them about this valuable resource.

Closing Thoughts

In the next newsletter, I will discuss what manual lymphatic drainage is and how it can be used for many conditions besides lymphedema such as migraines and auto immune diseases.

Massage therapy is an investment in your well-being, not just blood circulation/cortisol reduction/endorphin release, etc.  I’ve witnessed its benefits go much deeper than what studies can prove. I’m delighted to take you on your personal journey with the oldest form of healing we know, healing touch.
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Addiction Recovery Support

September is Recovery Month so I’m dedicating this newsletter to a brief overview of how massage therapy can be used in the recovery process.

I’ve been working with this population since June 2015 with patients at a recovery center in both their detox and residential programs. I offer massage at my private office to support life long recovery.

I use different non-talk bodywork therapies to decrease pain and agitation, release beta-endorphins, and improve sleep.

Stages – withdrawal, detox and abstinence

A medical detox is prescribed for heavy users who would experience the most acute withdrawal symptoms.

If you are experiencing withdrawal, I focus on bringing awareness back to your body and emotionally attaching you to your body again with soothing massage that doesn’t ask the body to do anything (unlike a deep, rigorous massage). Addiction at heart is about self-soothing and massage therapy creates a pathway to bring the emotions back to the body where pain often is.

From what I’ve learned, when one abandons their addiction, their ‘self’ separates into pieces.
Maureen Schwer, NMD sums this up: “The spirit is who we really are. Our mind is our thinking brain, and our body houses this. If you’re an addict, you often have to ignore your body, because you are, in essence, hurting your ‘house’.”  This is why bringing you back into your body is so important – it’s one of the first steps towards mindful action and self awareness so that when you are no longer physically addicted, you’ve practiced being with your self and feeling your body again mindfully.

Relaxation massage and lymphatic drainage massage are good treatment options at this stage because the brain is looking for that fix to be soothed and comforted.  When we feel safe, we can remain aware and open and mindful.

Additionally, it’s necessary to have a break from the interactive talk therapies that are part of any recovery program. Rather than being asked to do something once more or think of yourself and your addiction once again, the massage is a time-out for you to connect all that therapy on a non-talk, cellular level and gain insights. The peace and clarity can then be taken back to the treatment program to deepen the therapy with the many clinicians, counselors, etc.

Detox

If you are no longer feeling strong withdrawal symptoms, I can use a deeper massage on your soft tissues to assist the ongoing detox process. (Certain types of meds that are used to offset withdrawal symptoms might prevent receiving bodywork until a few days after they are first given – in similar thought to why oncology massage is not indicated within the first two days after chemo; there is a potential to move the med through the system faster when it needs to stay in the system.)

Deep tissue massage, trigger point therapy and very often fascial release therapy are very good at this stage because they flush your system.  Also, one of the biggest benefits of massage is the change in hormone levels that can be measured after a massage session: dopamine and serotonin increase while cortisol, a stress hormone, decreases (by as much as 33%).

Since stress hormones weaken the immune system and cause us to experience pain more acutely, the session at this stage additionally acts as a bridge to help break the pain cycle.  The massage generates endorphins release while moving out cortisol.  This brain chemistry shift has been proven to reduce agitation, anxiety, and lessen sleep problems (if you’re in a recovery program, you aren’t in the comfort of your own bed and often have a roommate(s).)

Maintaining

After dedicated help, receiving integrated bodywork therapies can be an important coping resource. The emotional, physical and situational stressors of everyday life can easily make a former user want to escape again. Massage should be a complementary therapy to any recovery program to assist abstinence.

You can find help for yourself or a loved one by contacting The New England Recovery Center. https://www.newenglandtreatmentcenter.com/resources/drug-rehab-faq/