26/03/2026
Yesterday, we held our monthly staff training session. This time, the focus was on the fundamental concepts of biomechanics, along with how to effectively release scar tissue. In addition, we reviewed the correct use of vibration therapy equipment and how to properly handle patient interactions when they arrive.
We provide this type of training when new Thai staff join our clinic, but we believe that continuous review and repeated training are essential for improving service quality. During the session, we revisited how to greet and assist patients when they first enter the clinic, how to explain clothing changes, and how to clearly communicate what treatments will be performed.
From a manual therapy perspective, we also studied the importance of improving mobility in the upper thoracic spine. Even when the patient’s pain is in the neck, shoulders, or lower back, it is crucial to address movement in the upper thoracic region. The thoracic spine is meant to be a mobile joint, and when its mobility is reduced, it can contribute to symptoms in both the neck and lower back.
On the other hand, the neck and lower back are areas that require stability. When this stability is compromised, it increases the risk of acute lower back pain (such as a “locked back”) or neck strain (such as waking up with a stiff neck).
Some people may have experienced developing lower back pain a few days after receiving a massage. This can happen when the lower back is over-treated and becomes too mobile, leading to instability and resulting in pain. Similarly, excessive massage or movement of the neck can cause instability, making it more prone to strain.
Therefore, it is important not to focus only on the area where the patient feels pain. Instead, we must assess the balance of the entire body and determine which joints need improved mobility, and then provide appropriate treatment accordingly