Last winter, she came to me with troubling news. They had found a spot of cancer in her breast. She wanted to take a trip overseas before her surgery. We worked on her neck, shoulder, and hip so that she could enjoy her travel. The process moved along and, last July, she had a double mastectomy with reconstruction.
She called me weeks after the surgery. Her shoulder was bothering her and she needed some help. I referred her to therapists who specialized in post-reconstruction massage for breast cancer survivors. I told her that she should see one of those for lymphatic work. That approach can be magical in the restoration of movement and relief of pain. She started working with a group that specialized in those bodywork therapies.
She appeared on my schedule in the beginning of October. Her shoulder was in bad shape. The physical therapists and massage therapists seemed to be helping with lymphedema but couldn’t get her shoulder working.
So, I did what I always do. I asked lots of questions. I needed to understand the playing field and create a successful plan.
She had a TRAM-flap procedure. I’m not a reconstruction specialist but I’m fairly familiar with these. Carl Hartramph devoleped the procedure. I worked with Hartramph’s daughter back in the late 80s. My mother, who lost her battle with cancer in 99, had this procedure in the mid-90s. Also, in the late 90s, I did myofascial work with women who had pain and discomfort after reconstruction. We talked about the specifics of Annie’s procedure and did a little research on the web.
Then, I did my usual trigger point assessment. When and how does it bother you? All the time. OK. When is it the worst? What happens when you do this? How far can you move that before you have pain? Where is that pain? Got it.
By the end of the session, she and I were very pleased with her progress. She could lift her elbow above her shoulder and reach back toward a throwing position. It was not perfect. There were still significant problems but she could do a lot more with her arm. We both had big smiles.
She came back to see me a couple of weeks later. Her physical therapist and massage therapist were surprised at the progress in her shoulder. They asked her what I had done. The usual responses are: I don’t know. He pushes on things. He works on my head a lot. It isn’t really “massage.” Sometimes it’s a little tender. I’m better when he’s finished. You should probably just look at his website.
Again, I tested and pushed on things while we talked about our kids for about an hour and a half. She got up and had more range of motion and, again, a big smile.
Her shoulder is improving nicely. She has grandkids to hold. She has suitcases to carry. She has bourbon to drink. She has flowers that need to be planted. She is doing more than surviving. She is getting back her quality of life.
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Tony Preston has a practice in Atlanta, Georgia, where he sees clients. He has written materials and instructed classes since the mid-90s. This includes anatomy, trigger points, cranial, and neuromuscular.
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