深层组织按摩 deep tissue massage & 激发点按摩 trigger point massage

06/11/2025

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05/11/2025

A female customer wanted a 45-minute body massage, complaining of pain in her right mid-back. While warming her up, I noticed that the muscles along her spine were somewhat tight, but relatively evenly distributed. However, her lumbar spine showed excessive lordosis, and her buttocks were protruding, likely due to tightness in her iliopsoas muscles.
During the massage, I first massaged her stiff shoulder joints to relax them. When I tried to massage and relax the muscles in her right mid-back, this area became even stiffer. After the 45 minutes, she said her mid-back felt a little more relaxed. I told her that if the back pain returned in a couple of days, it meant the mid-back muscles weren't the root cause of the pain; it was likely that the muscles in the front of her body were tight, causing the muscles in the back to continuously resist and remain contracted. Intrigued by my analysis, she requested an additional 15 minutes, focusing on relaxing the muscles in the front of her body.
I first massaged and relaxed her re**us femoris, tensor fasciae latae, and then her iliopsoas. When I pressed on the iliopsoas, the customer felt a particularly strong soreness in her mid-back and said, "Yes! Yes! That's it. I never thought my back pain would be caused by it." After massaging the iliopsoas, I helped her relax her abdominal muscles to achieve a better muscle balance. After the massage, the female customer excitedly got out of bed and did multi-angle waist stretching exercises, looking very satisfied. In addition to the principle of front-to-back balance, when the iliopsoas is too tight, it can cause pain in the groin, front of the thighs, and ge****ls, and the pain can also extend from both sides of the lumbar spine to below the scapula. This is another reason why I think the iliopsoas may be the root cause of the problem.

05/11/2025

一位女顾客要做是45 分钟的身体按摩，说是中背右侧疼痛。我帮她做热身的时候，发现她脊椎两侧的肌肉虽然有点紧绷，但还算平均，倒是腰椎处弧度呈过份下凹(lordosis) ，臀部翘起，估计她的髂腰肌 Iliopsoas 紧绷。
按摩过程中，我先帮她按摩放松僵硬的肩关节，当我尝试按摩放松她中背右侧的肌肉时，这部位却在按摩下变得越加僵硬，45 分钟结束，她说感觉中背有松一点，我告诉她，若过两天，背部的酸痛又回来，就说明中背的肌肉不是酸痛的根源，有可能是身体前侧的肌肉紧绷，导致后侧的肌肉持续作出持对抗，所以维持在收缩的状态。听我这么分析，她带着求证的心态，要求再按 15 分钟，专注放松身体前侧的肌肉。
我先帮她按摩放松 re**us femoris,tensor fasciae latae,然后是髂腰肌 iliopsoas。当按到髂腰肌的时候，顾客感觉中背的酸痛感特别强烈，说 :"对!对!就是它了。我从没想过我的背痛会是它造成的。"按摩好髂腰肌，我帮她放松腹肌，以取得更理想的肌肉平衡。按摩结束，女顾客兴奋地下床，做出多角度的腰部伸展运动，一脸满足。除了前后平衡的原理，其实当 iliopsoas 过份紧绷时，除了会导致鼠溪、大腿前侧，私处疼痛，疼痛还会从腰椎两侧，延伸到肩胛骨下方，这也就是我认为髂腰肌有可能是问题根源的另一个原因。

02/11/2025

30/10/2025

Today, a muscular guy who works out came in for a massage. He said he was in a rush and could only get half an hour. As usual, I asked him what kind of stiffness or pain he had. He said to just focus on his shoulders and scapulae. I thought to myself that if he had scapular pain, my massage would have to cover his erector spinae, so I suggested that half an hour would be enough to cover his mid-back. But he said half an hour was too short and that I couldn't possibly do it. In fact, most massage therapists would tell him that half an hour is too short and that the massage should be extended to an hour. So I wasn't surprised that he thought that way.
I confirmed his pain symptoms with him again, and he impatiently told me that it was soreness in the front of his shoulder and "rhomboid" muscles, as if to say, "You know more about muscles than I do, a gym enthusiast?" Since I had confirmed that he didn't have scapular pain, I told him my solution: my massage would cover his neck, shoulders, upper back, scapulae, latissimus dorsi, upper arms, and chest. He agreed.
I felt that my massage techniques didn't quite meet his expectations during the half-hour massage, but I was still very grateful for his cooperation, which allowed me to complete my work. When I checked the results, I saw surprise and disbelief on the customer's face. He moved his shoulders and arms, excitedly thanking me. I playfully asked him if his rhomboid still hurt. He said it was much better. As he passed by me on his way to pay at the counter, he thanked me again.

30/10/2025

今天有个玩健身的大只佬来按摩，说自己赶时间，只能做半个小时。我循例问他有什么僵硬或疼痛的问题，他说你就集中按我的肩膀和肩胛骨就行了。我心想他若是肩胛骨痛，那我的按摩必须覆盖他的 erector spinae 才行，于是建议说半个小时的按摩足够覆盖他的中背，但他说半个小时太短，认为我根本做不到。事实上，一般按摩师都会告诉他，半个小时太短，必须将按摩延长到一个小时。所以他会这么认为，我并不觉得意外。
我再次跟他确认他的疼痛症状，他不耐烦的告诉我，是肩膀前面和 "rhomboid" 酸痛，似乎在表达:"你比我玩健身的更懂肌肉？"既然已经确定了他不是肩胛骨疼痛，我就告诉他我的解决方案，我的按摩会覆盖他的颈项、肩膀、上背、肩胛骨、背阔肌、上臂，以及是胸部，他同意了。
我感觉在这半个小时的按摩中，我的按摩方式并不符合他的预期，但还是非常感谢他的配合，让我完成了我的工作。验收成果的时候，我从顾客的脸上看到了惊喜和一副难以置信的表情，他活动他的肩膀和手臂，兴奋的对我道谢。我则调皮的问他，rhomboid 还痛吗？他说好很多了。在去柜台付款，经过我的身边时，他又一次对我说了谢谢。

28/10/2025

Today I witnessed a chaotic situation in the physical therapy world. A Chinese medicine practitioner, suffering from hand pain, went to a massage parlor to be treated by a charlatan who himself had whole body pain, but claimed to be even better than Chinese medicine practitioners. During the treatment, the Chinese medicine practitioner kept praising the charlatan, who knew nothing about massage, for his skills. This scene made me wonder, was there just one charlatan? Or two charlatans? 😂

28/10/2025

今天亲眼目睹了一个理疗界的乱象，一个中医师因为手痛，去给按摩店里一个自己从头痛到脚，却自称比中医师还厉害的神棍治疗，过程中，中医师一直夸完全不懂按摩的神棍厉害，这一幕不禁令人怀疑，究竟眼前的是一个神棍？还是两个神棍？

27/07/2025

26/07/2025

26/07/2025

A young man, Mr. D, walked into a massage parlor and said that he had pain behind his knees and hoped that massage could solve his troubles. So the boss recommended him to have an hour-long body massage, and he agreed with hope.
MR.O, who was responsible for massaging Mr. D, introduced himself to Mr. D as a great therapist who was proficient in Chinese medicine. MR.O pretended to ask about Mr. D's health, checked Mr. D's knees, and promised that he could solve Mr. D's pain. Seeing that MR.O looked confident, Mr. D thought he had come to the right place.
During the one-hour massage, MR.O was very good at talking, saying more than he did. Mr. D's condition did not improve at all after massaging. MR.O kept brainwashing Mr. D and asked him to admit that the pain had been solved. However, it was ineffective, and Mr. D looked embarrassed. Seeing that the hour was about to end, MR.O could only make a desperate move and used his elbow to press the back of Mr. D's knees roughly and vigorously. Mr. D was in so much pain that he gritted his teeth and endured it. Any physiotherapist who has taken basic courses knows that the joints are very fragile. Pressing hard can easily damage blood vessels, lymph nodes and nerves. It is forbidden to press hard, not to mention MR.O's rough and strong elbow pressing. MR.O claims to be proficient in Chinese medicine techniques. How could he not know even this most basic entry-level knowledge?
In the cases shared in the past, I mentioned that if customers want to seek Chinese medicine treatment, I would strongly recommend customers to go to Chinese medicine hospitals or Chinese medicine clinics recognized by the government. After all, there is a big difference between a butcher who slaughters thousands of pigs every day and a doctor who only performs surgery once a week. How can a qualified Chinese medicine practitioner wrong himself and make a living in a massage parlor? Unless he has made very serious mistakes in the past treatment process, if so, will you still put your health in his hands?
In the pictures I attached, you will find that there is more than one muscle that causes pain in the back of the knee. However, when massaging and relaxing these muscles, we will not press the knee crease hard, or to be more precise, we don’t need to massage that area at all.

26/07/2025

一位年轻男子D先生走进按摩店，说自己的膝盖后侧疼痛，希望按摩可以解决他的烦恼，于是，老板推荐他做一个小时的身体按摩，他抱着希望同意了。
负责帮D先生按摩的 MR.O 向D先生介绍说，自己是很棒的治疗师，精通中医手法。MR.O装模作样的询问D先生的健康状况，检查D先生的膝盖，并保证可以解决D先生的疼痛烦恼。见MR.O一副胸有成竹的样子，D先生心想自己来对地方了。
在一个小时的按摩过程中，MR.O嘴上功夫了得，说的比做的还多，按来按去也不见D先生的情况有丝毫好转，MR.O 一直帮D先生洗脑，要他承认疼痛已经解决，可是，无效就是无效，D先生一脸为难。眼见一个小时即将结束，MR.O只能孤注一掷，用手肘粗暴大力的按压D先生的膝盖后侧，D先生痛到咬牙死忍。但凡上过基本课程的理疗师都知道，关节转折处是是非常脆弱的，大力按压容易伤及血管、淋巴和神经线，是禁止大力按压的，更何况是MR.O粗暴大力的手肘按压？MR.O自称精通中医手法，怎可能连这最基本的入门知识都不知道呢？
在以往所分享的个案中，我曾提到，顾客若要寻求中医治疗，我会强烈建议顾客去中医院或受政府承认的中医诊所，毕竟日屠万🐷和一个星期才操作一次手术的医生，是有很大区别的，合格的中医师怎会委屈自己，在按摩店谋生呢？除非他曾在过去的治疗过程中，犯下非常严重的错误，若是这样，你还会将自己的健康，交在他的手上吗？
在我附上的图片中，你会发现，会导致膝盖后侧疼痛的肌肉不止一个，然而，按摩放松这些肌肉的时候，我们是不会去大力按压膝盖皱褶，又或者正确的说，我们根本没必要按摩该处。