endo friends

After a particularly tender appointment with a client who experiences complex-chronic illness, I was moved to start a semi-regular gathering for my clients, friends and community members who experience complex chronic pelvic pain. And then my friend Becky reached out with a very similar idea. Together, we are creating a gathering for folks experiencing pelvic pain and endometriosis.

Some of you may know about my experience with endometriosis and my rocky maneuvering of the symptoms for the last 20+ years. You may also know of my 16+ years of work and learning as a somatic bodyworker and 30+ years of training as a vocalist and performer. In the past decade I have met more and more people with endometriosis, and have even helped them discover their diganosis and subsequent care. I hope that my combined skill set, along with my Becky's, and the collective experience in the group, will be a deep well of resource, in a path that can often feel desolate.

This gathering will be a space for those of us experiencing the challenges navigating the ups and downs of unexpected flare-ups, a space for somatic check-ins, resource sharing and space to share feelings and experiences of living in a body that is having a hard time finding ease and balance. Maybe we can find it together, even if for a moment, once a month.

We hope to collaboratively attempt a somatic awareness practice through breathwork, visualizations, movement, sound and writing, and in future gatherings, we hope to bring in guest bodyworkers and somatic practitioners to share their talents.

Our first meeting is Saturday, January 24th at 3pm in SE Portland. Reach out for more info: deepgroundmassage@gmail.com

sensing sensations

I have had a lot of clients wonder if they could ever get enough bodywork that they would no longer have any tension. How many times a week would it take?

I think this inquiry begs a few clarifications. I’m not talking about Pain. I want to distinguish between the discomfort of tension in the body and chronic pain or other neurological disorders. Pain due to tension is an expected signal from the body to the brain that it’s uncomfortable. Chronic pain is when these signals aren’t functioning as expected, in a constant feedback loop of discomfort that typically gets worse as the pain-signal lingers. Discomfort might be interpreted as painful, and the spectrum of interpretation within these very subjective words is vast. This discomfort causes temporary pain, and how we compare this acute pain from chronic pain is how long we endure it, and what ADL’s (activities of daily living) it impedes.

So, back to imagining a body beyond it’s tension. What is your baseline? It is a sticky question because our memory can be inaccurate, and our bodies are dynamic, meaning they are ever-changing, adapting in real time to the actions and stressors of our day-to-day. Often these adaptations can lead us away from alignment, or balance, which can lead to weakness from patterns of imbalance in repetitive motions. Another sticky question, is weakness perceived as pain?

March updates

My colleagues at Laurelhurst Family Clinic and I have received both doses of the Covid-19 vaccine!

However, none of my personal or in-practice protocols and procedures will change -mask wearing, and hand washing remains a vital part of our lives, and will be necessary for some time to come. The vaccine is another way to protect ourselves from experiencing a severe case and reduce the strain on hospitals. There is currently promising data about the effectiveness of the vaccine in preventing community spread, but I am erring on the side of caution. Until we reach herd immunity (a currently unknown percentage), or have more information and data, we should continue being vigilant about hygiene, personal space and mask wearing.

And here are some Covid-19 vaccine resources I'd like to share:

• This great interview by Ira Flatow on Science Friday: How Did A Vaccine Get Developed In Less Than A Year (1/15/21) 
• CDC: Understanding Covid-19 mRNA Vaccines
• CDC: How Vaccines Work
• Local information on when you are eligible and how to schedule a vaccination appointment:  https://govstatus.egov.com/OR-OHA-COVID-19 and https://all4oregon.org

insurance questions

At Deep Ground Massage + Bodywork, we call your insurance provider to verify benefits. As so much of this practice focuses on education, we want to share with you the questions we ask when we call to verify benefits and illuminate what these components of your insurance benefit mean (find a glossary after the break).

Before billing can take place client eligibility must clarified. It is your responsibility to be informed of your coverage, copay/coinsurance, and deductible.

Date Benefits Verified:

Name of Representative with whom you spoke:

Is Massage Therapy covered with this plan?

Is Physical Therapy covered with this plan?

Is the Provider (Stephanie Lavon Trotter) In-Network?

Are there Out-of-Network benefits?

Does this benefit required first meeting the deductible?

Deductible Amount for the Year:

      Remaining Amount of Deductible:

Is a referral required?

        If so, by what type of practitioner?

Is a preauthorization required?

        If so, by what company? Please provide their contact information.

What is the Copayment/Coinsurance?

Is there a yearly maximum for this benefit?

How many visits are authorized per year?

How many visits are records as of today?

Is 97140 covered?

Is 97140 applied to the deductible?

Is 97124 covered?

Is 97124 applied to the deductible?

understanding the carpal tunnel

What is the carpal tunnel? Many clients have wrist pain here, but aren't quite sure what the structure looks like, or the pathology of Carpal Tunnel Syndrome.

carpal bones: scaphoid, lunate, triquetral, pisiform, trapezium, trapezoid, capitate, hamate

The carpal tunnel is comprised of the 8 carpal bones (bones of the wrist) the transverse carpal ligament and the flexor retinaculum (a fibrous sheath of tissue that covers the joint to offer it more integrity). The median nerve and tendons of the muscles of the fingers and palm pass through the carpal tunnel. When the tendons are inflamed from over-use or repetitive use, they swell under the carpal tunnel, pressing on the median nerve.

I often recommend icing or an ice bath for the wrist and hands. And, stretching:

If it becomes a prolonged and severely aggravated complaint, your primary care provider might offer these treatment suggestions:

Cortisone (steroid) shot: This is an injection of the steroid -cortisone- into the joint space. It aims to reduce the chronic inflammation, beginning anew a healing process for these chronic injuries. Recovery with this treatment can be felt immediately to a week or so, and the effects can be felt for months to even years -especially when the source of aggravation is removed or amended.

Physical Therapy: A PT can provide many manual treatments, and often help to address the daily habits that might be aggravating this particular injury. By stretching. strengthening, and either avoiding or altering certain activities, pain can be reduced and recovery can occur.

Surgery: Surgery for carpal tunnel syndrome is a minor surgery, where a small incision is made in the transverse carpal ligament, which alleviates the pressure on the median nerve. The incision is then stitched back up. There is often a very small scar from the incision which, as almost all scar tissue, improves with massage to decrease the buildup of fibrous tissue. You may feel relief immediately, or within a few weeks or months. Recovery time from the surgery will take a few weeks before you can return to regular, rigorous use of your affected wrist.