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June 2010

Harmonized Sales Tax

To my clients,

On July 1 2010, the Ontario government will be implementing the new Harmonized Sales Tax (HST). Designed to harmonize the previously separate federal and provincial sales tax into a single 13% HST, the new policy now also extends to cover, and tax, a wide range of services previously exempt. Unfortunately, since massage therapy is one of a few health care services in Ontario that is subjected to Federal GST, it will now be affected by the new HST. Massage therapy services will now be taxed at the significant rate of 13%. While the Registered Massage Therapists’ Association of Ontario (RMTAO) is working towards establishing an exemption with the Canadian Government, this increased cost must unfortunately, and unwillingly, be accommodated for within pricing of services. While previously my fees were set to in accordance with a 5% GST tax, they must now reflect the increase to 13%. As of July 1 2010, my fees will be:

  • 15 minutes (clothed)      $ 25.00
  • 30 minutes                      $ 48.00
  • 45 minutes                      $ 63.00
  • 60 minutes                      $ 80.00
  • 90 minutes                      $ 130.00

I hope this change will not affect the professional relationship I have established with all of my patients in my role as a massage therapist.

Sincerely yours,

A. Lukenda R.M.T.

 
November 2009

10 Years

This past September I had the joy of celebrating 10 years of active practice at my clinic, Healthy Touch Massage Therapy. My clinic has grown and matured a lot over the years, as the multitude of different, and reoccurring patients, has added a certain degree of maturity and personality to my practice. Just as all new businesses start off a little slow and rocky, mine was no different. That first year was full of questions of sustainability, getting new patients, and keeping the ones I had. With a lot of dedication, hard work, and persistence through the good times, and more importantly the bad, things eventually worked out perfectly, and I couldn’t be happier with the current state of things. I’ve had the pleasure of working with such a diverse group of patients, each with a story to tell, and an ache to complain about. Over the 10 years, over 1000 patients have received treatment from me with an overwhelming amount returning for multiple sessions. I have even had the pleasure of developing relationships with patients such that I still treat some of the very first patients that walked through my doors 10 years ago.

My 10 years were not achieved alone and I have a lot of people to thank. First of all, I would like to thank Dr. Michele Zigrovic, for welcoming me into her clinic, where I established my own and remain to this day. She has been a source of constant support and advice, which has been highly influential on me and my clinic. My thanks go out also to all the highly trained and supportive family physicians at the Credit Valley Medical Arts Centre for recognizing my ability and referring their patients to receive treatment from me. Most importantly, I would like to extend my deepest and most sincere thanks to all of my patients, old and new alike, who have made my clinic what it is today. To those who have been coming for 10 years, and to those who have been coming for 10 months, my sincerest gratitude is extended to all of you. My wife and children are also deserving of appreciation, for all of their support in me and my clinic.

Thank you everyone.



 
May 2009

Office Ergonomics

I’m often surprised by the large number of clients who come in complaining about odd pains or soreness who work in office settings, who think that their pains are not work related. While the work itself may not be too physically exhaustive, the repeated motions and limited nature of the motions can often lead to discomfort, fatigue, eyestrain and repetitive strain injury. I’ll be releasing a series of articles based on proper office ergonomics focusing on various subjects. To start, here are a few tips related to adjusting and using an ergonomic chair.

Having an ergonomic chair is not enough, it must also be adjusted ergonomically specifically to your body:

  • The height of the chair should be such that your knees are slightly lower than your hips and your feet are flat on the floor
  • If you ever feel your feet going numb you may be decreasing blood circulation by keeping your calves at an angle less than 90 degrees to your thighs, most likely because you’re resting your feet on the chair base.
  • The back height of the chair should be adjusted to support the lumbar region of the spine (the part that curves inward). Similar to when you’re standing, the natural curves in your back should be maintained when sitting.
  • Do not twist in your chair. Instead, remain upright and swivel the seat to the desired location. This prevents awkward twisting motions in the neck and upper back.
  • At the workstation, the chair should be adjusted to accommodate the work surface. For example, if an individual "hunches" or raises the shoulders in order to work at a desk or keyboard, the chair height should be raised, even it means that a footrest is required.



 
January 2009

Snow Shoveling Tips

A Few Tips for Safe Snow Shoveling

Warm Up. Before tackling any strenuous activity take the time to warm up with some overall conditioning, such as a 10-15 minute walk, followed by some simple stretching. Warming up can be performed from the comfort of your own home or garage. When stretching, emphasis should be placed on the quadriceps, hamstrings, and especially the lower back.

Pick the Right Shovel. Lightweight pusher-style shovels should be used, as these shovels have angled handles allowing for safer back positions when pushing. Aluminum shovels may bend or deform after heavy use while plastic ones may crack over time. A plastic shovel lined with metal at its edge is often the best choice as it is light and can chip away at ice. If your shovel is metal, or has a metal tip, spraying it with Teflon helps prevent snow from sticking to it.


Shovel a Little, A Lot, Rather Than A Lot, A Little. Being aware of the weather conditions can also lead to safer shoveling. If there is a prediction for a large amount of snowfall, over several days even, frequent shoveling will allow you to move smaller amounts of snow at once quickly. This is a safer alternative to shoveling a large amount of snow at once, over a longer period of time, as your back will be exposed to less stress.

Be Aware of Your Shoveling Technique. Always push the snow to the side rather than throwing it. That way you avoid lifting heavy shovelfuls of snow, and sudden twisting or turning movements which may put stress on your back, potentially injuring it. If you do have to lift a shovelful of snow, bend your knees and use your legs and arms muscles to do the pushing and lifting, while keeping your back straight. If your back begins to feel like its rounding, empty the shovel and lift a smaller amount.

Take a Break. If you feel tired or short of breath, stop and take a rest. Shake out your arms and legs. If you feel any chest pain or back pain stop shoveling immediately. If you obtain back pain that is severe or that persists longer than a day after shoveling, see a massage therapist or your doctor. If you develop severe chest pain, seek the attention of a medical professional immediately.

Other Tips for Maintaining a Healthy Back:
- Exercise regularly
- Follow a healthy diet
- Maintain good posture
- Stretch your spine before and after sports
- Don’t overload your backpack or shoulder bad
- Stretch your legs and back after each hour of sitting
- Never cradle the phone between your neck and shoulder
- Sleep on your back or side, not on your stomach
- Invest in a good chair, pillow and mattress
- Have regular treatments from a registered massage therapist



October 2008:

October Event 1

INJURY PREVENTION FOR RUNNERS

How to cope with aches and frustration before a race

I have always been a large supporter of recreational athletics since my younger days playing soccer and hiking, and have spent almost every winter of my life skiing. I still ski, but almost 10 years ago I began running a bit more seriously and have not looked back since. Having now completed a marathon, a handful of half-marathons and the Around the Bay 30 km Road Race on a few occasions, I consider myself an experienced runner. I have begun sharing my running with my family now and trying to get them more involved with the sport. Just this past month my wife, daughter, brother in law and I all participated in the 10km Terry Fox Run held at Confederation Park in Stoney Creek. My deep interest in running has also tied in with my massage work experience as I am constantly thinking of some massage techniques and methods, which could be used to help my running. The following is an interesting excerpt I found in the October issue of Runner’s World Magazine that I would like to share with my fellow runners:

How many times have you had some mysterious pain show up in the days before a big event? You do not have time to see your Massage Therapist. Self-massage can help relieve any pre race discomfort while helping you to relax. Tennis balls and foam rollers provide static pressure, one of the safest and most effective self-massage methods. Static pressure allows muscles to loosen up while temporarily interrupting circulation so that a rush of new, clean blood flows in once tension is released. Keep pressure for 10 to 30 seconds, be gentle, and remember that less pressure is often more useful. Here are a few techniques for common runner trouble spots.

October Event 2
October Event 3

FOOT MASSAGE: Stand with a tennis ball under the arch of your foot. Sink your weight unto the ball. Hold, and then take your weight off the ball. Repeat the motion, moving the ball along the length of the arch.

GLUTE MASSAGE: Lying on your side, place a tennis ball under the soft tissue in your hip. Sink into the ball. Hold, take your weight off the ball, and repeat several times, nmoving the ball farther behind you each time. As you work your way into the glute muscles, turn your body so that you’re now face up.

QUAD MASSAGE: Resting ib your forearms, place a foam roller under one thigh and allow your weight to shift into it. Slowly roll forward and backward by pushing and pulling with your arms.

HAMSTRING MASSAGE: With a foam roller under the back of one thigh, shift some of your weight from your arms to your legs. Roll so that the roller goes up and down the back of your legs. Foam rollers can relax tight, tense muscles safely the day before a race.


June 2008:

News   News

Hello, and welcome to my newly created website for the Healthy Touch Massage Therapy Clinic!

In this News section you will find periodic updates of new information regarding clinic operations, myself, as well as any massage relevant information I may come across as interesting. Many of the articles to be posted will have a specific target in mind, such as sport related injuries, pregnancy issues, as well as work related injuries. I’ll also be posting some preventative articles, explaining how to prevent certain muscular ailments in the workplace or home setting including shoveling the snow, or even working in the office. All of the articles will also be written in an easily understood form, leaving out much of the medical jargon often come across in medical writings.

History of Massage

For our first news update I’ve decided to provide a little bit of history on massage therapy as a whole.

MASSAGE: the word massage is through to be derived from several different sources. The Latin root massa and Greek roots massein or masso mean to touch, handle, squeeze, or to knead. The French verb masser also means to knead. The Arabic root mass or mass’h and the Sanskrit root makeh translate to “press softly.”

Animal behavior indicates through the application of pressure, rubbing, or licking that massage is used somewhat instinctively to either relieve pain or respond to injury. Massage probably began when cave dwellers rubbed their bruises. Massage is one of the most natural and instinctive means of relieving pain and discomfort. When a person has sore, aching muscles, abdominal pains, or a bruise or wound, it is an instinctive impulse to touch and rub that part of the body to obtain relief.

Touch as a method of healing appears to have developed from multiple cultural origins. Therapeutic massage has strong roots in Chinese folk medicine. It has many aspects in common with other healing traditions, such as Indian herbal medicine and Persian medicine. It is believed that the art if massage was first mentioned in writing about 2000 B.C., and has been written extensively in books since about 500 B.C. Egyptian, Persian, and Japanese historic medical literature are full of references to massage. Hippocrates advocated massage and gymnastic exercise. Asclepiades, another eminent Greek Physician, relied exclusively on massage.

Throughout history, many different systems and supporting theories for the management of musculoskeletal pain and dysfunction have come and gone scientific research has changed the philosophy of massage theory. Current ongoing research will continue to define the physical effects of therapeutic massage application. The scientific thinking of the days has provided the validation for massage. The endurance of massage throughout the years has been amazing. Current trends seem to suggest the increasing popularity of massage and body related therapies used for stress reduction, and chronic musculoskeletal problems.

Massage has been considered an important part of manual medicine. Manual medicine has always been a part of the art of medicine and consists of the use of the hands in treatment in injury and disease. Its therapeutic value is gained from changes in soft tissue and structure, as opposed to surgery and pharmaceuticals. Massage can be considered a part of manual medicine and throughout history has stood independently to promote health. Manual medicine has grown today to become the foundation for osteopathy, chiropractic, and physical therapy.

Obtained from: Fritz, Sandy. Mosby’s Fundamentals of Therapeutic Massage. Mosby Lifeline, St. Louis, 1995.