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pregnancy massage

A back massage helps with muscular complaints and tension, for example lumbar or back pain and tension in the shoulder area, caused by the changed posture. Of course, it is never the case that all complaints are gone with the massage, but for example lumbar pain, shoulder and neck pain or sciatic pain can bring about a lot of relief. 

In the case of water deposits, you can also work with lymph tapes. 

These actually offer mini lymphatic drainage around the clock. The tapes stay on the skin for five to seven days and are a great help. The symptoms have not gone away, but there is a clear improvement. However, women who have vein problems or who are at risk of thrombosis must wear support stockings; the lymph tapes are not suitable for them. 

Image by Katherine Hanlon

In dry cupping, heated glasses are placed on the hardened or generally affected areas. During cooling, a negative pressure is created that sucks the skin. Alternatively, the negative pressure can also be created by sucking out the air. The suction dilates the vessels, the blood supply to the skin increases and bleeding into the tissue can occur ("bruises"). The cupping heads then remain on the affected area for a maximum of 15 minutes.

During the cupping massage, the skin is oiled beforehand and the cupping glasses are moved over the entire surface. The oil ensures that the glass can be moved back and forth easily. The cupping massage cannot be compared to a conventional massage. It is very uncomfortable and therefore only lasts a few minutes.


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traditional thai massage

The traditional Thai massage (TTM) is a system of  Massage techniques used in  Thailand  under the Thai name Nuat Phaen Boran ( Thai  นวดแผนโบราณ), which literally translates to "ancient massage". In Western Europe it is also called Thai yoga massage. The Thai massage consists of passive, dem  yoga  derived stretching positions and stretching movements, joint mobilization and pressure point massages. It can therefore be simplified as a combination of (passive) yoga and  acupressure  be summarized.

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In a classic massage, pressure and tension are exerted on the muscles and their surrounding tissue. The effect takes place directly locally by stretching and relaxing muscles and stimulating blood circulation and cell metabolism. This relieves pain in the affected area.

classic massage

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There are two known types of elbow pain;

Tennis elbow, technically epicondylitis radialis humeri, can be felt on the outer (lateral) thumb side of the elbow. The golfer's elbow (epicondylitis ulnaris humeri) on the inner (medial) side of the little finger.

It is an acquired, painful condition of irritation of the tendon attachments of muscles in the forearm. Both of these conditions often result from repetitive movements associated with limited shoulder mobility and stability. Other possible triggers are:

  • one-sided stress (e.g. when using the keyboard/mouse, sport climbing )

  • Poor posture at work, when doing housework and gardening or in your free time

  • incorrect technique in racquet sports 

  • Lying on your side (using your bent arm as a headrest)


Symptoms can include;

  • Pain in the elbow, initially only under load, in an advanced stage also at rest

  • Burning of the muscle attachments on the inside or outside of the elbow

  • power loss


The sternocleidomastoid muscle (SCM) is a paired muscle in the superficial layers of the side of the neck. It is one of the largest and most superficial muscles of the neck. The main actions of the muscle are rotation of the head to the opposite side and flexion of the neck. The muscle tends to be overactive in many people we see. It is usually hired to stabilize the neck/head when we adopt bad postures and positions (front head posture). It is also an accessory respiratory muscle, so poor breathing patterns and habits will cause this muscle to become overworked throughout the day and develop too much tension and trigger points.


The SCM trigger points can cause a variety of symptoms, including headaches and facial pain, balance problems, blurred vision, ear and sinus discomfort, and other body-wide symptoms. You can also initiate trigger points in the TMJ muscles. In addition, the muscle can cause biomechanical problems in the cervical spine. It's the only muscle that causes such widespread problems!

Difference between dry needling and acupuncture
Difference between dry needling and acupuncture
Difference between dry needling and acupuncture
Difference between dry needling and acupuncture
Difference between dry needling and acupuncture
Difference between dry needling and acupuncture
Difference between dry needling and acupuncture
Difference between dry needling and acupuncture
Difference between dry needling and acupuncture

ear candling treatment

tennis elbow / epicondylitis

tennis elbow


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ear candling treatment

Do you know how to use ear candles?Ear candles are hollow tubes about 20 to 30 cm long made of woven cotton or linen that are saturated with various essences. There are three phases when an ear candle burns down: During the first phase, a negative pressure is created and the air column inside the ear candle begins to vibrate. This massages the eardrum. In the further course, during the so-called warm phase, there is a pleasant feeling of warmth in the ear. The blood circulation and the body's own defenses are stimulated. During the third phase, the chimney phase, excess pressure builds up in the ear: clogged pores open, skin breathing improves and waste products and secretions are transported into the interior of the candle. In all three phases, the pressure conditions in the head are also regulated, which should lead to better coordination of the two halves of the brain. The treatment is then extended with a relaxing head and neck massage.

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If you have frequent headaches, problems opening your mouth and chewing, or cracking noises in your jaw joint, you may be suffering from what is known as craniomandibular dysfunction.

The term is made up of "cranium" = skull and "mandible" = lower jaw and means diseases that are related to the jaw joint and the chewing muscles. This disease is quite common in our culture. Interestingly, 80 percent of the patients are female. The disease usually occurs between the ages of 20 and 40. The disease, known in technical terms as craniomandibular dysfunction (CMD), is neither malignant nor dangerous.

However, these complaints are often associated with considerable local pain in the masticatory organ and lead to a significant impairment of the quality of life if they are not treated successfully in good time.

At the same time, the interactions with other parts of the body can cause a variety of symptoms, ranging from neck pain to tinnitus and dizziness to back pain.

CMD Craniomandibular Dysfunction

Image by Toa Heftiba

"What is the difference between acupuncture and dry needling?"

I often get this question from patients in the context of trigger point treatment.


In the traditional form of since the second century ago

The acupuncture practiced in China and Japan at the turn of the century is based on a "life energy of the body" (Qi), which circulates on defined pathways or meridians and is said to have a controlling influence on all bodily functions. A disturbed flow of energy is said to cause diseases and the disturbance in the flow of Qi is to be corrected by stitches in acupuncture points lying on the meridians.

Dry needling

Dry needling has only been practiced in Switzerland since 1996 and systematically introduced among specialist staff. With dry needling, the trigger points are punctured under hygienic conditions with thin, sterile disposable needles. The puncture through the skin is barely noticeable. If you hit the trigger point, the hard tension cord in which the trigger point is located briefly but violently contracts. This triggering of the so-called local twitch response can be perceived as unpleasant, but is a must in intramuscular stimulation (IMS).


Acupuncture therapy works with meridians/energy channels, the needles are placed in selected acupuncture points that are intended to reactivate the energy flow in the meridians.

In dry needling therapy, trigger points are directly influenced. With dry needling, a muscle twitch should be triggered, which, on the other hand, does not usually happen with acupuncture.

Dry needling therapy is only offered by physiotherapists and doctors with appropriate training and is carried out as part of a physiotherapy prescription.

I can recommend the following physiotherapists for dry needling:

Tropical Leaves
trigger points

Trained therapist hands can feel them;  Trigger points, formerly also called myogelosis. These are hypersensitive spots in a palpably tight bundle of muscle fibers. When active, trigger points can cause pain with movement and even at rest. A typical characteristic of trigger points is that they radiate pain to other areas or only locally. For example, trigger points in the lateral buttock muscles can cause pain throughout the leg.
Active trigger points are very common. A study of American Air Force recruits found that over fifty percent of those examined suffered from it. The origin of the problem is usually constantly tense muscles, for example at computer workstations, or when constant movements are performed. Active trigger points are also often found in athletes. There they can either be caused by a sudden overload of the muscle or by an insufficient regeneration phase.
Many experts and researchers around the world are now convinced that acute trigger points that are not treated are a common reason for chronic pain in the musculoskeletal system, such as back pain.

Various medical theories about acute trigger pointsThe medical explanation for trigger points is that individual muscle fibers contract excessively. This process is probably caused by an excessive release of the neurotransmitter acetylcholine at the motor endplate. There are also other theories for these contractions. For example, that the autonomic nervous system exerts increased activity on the muscle. This has been proven with the help of various studies. People who live with increased stress for a long time are more likely to have trigger points.
Whatever the reason for the small tense muscle fibers, the fact is that the tension squeezes the fine blood vessels, which leads to reduced blood flow and a lack of supply to the muscle. This produces substances in the muscle that activate the pain sensors in the muscle - the muscle, or more precisely the trigger point, begins to hurt and radiate.
If trigger points do not disappear over a long period of time, neighboring muscle fibers or even muscles are affected and the pain spreads. The good news is that trigger points can be treated well, often even years later. However, if the points persist for a longer period of time, you have to reckon with a longer treatment time.

Image by Joyce McCown

Clinical anatomy of the musculoskeletal system

In this course, the clinical anatomy of the musculoskeletal system is taught using the latest findings from 'Evidence-Based Medicine (EBM) on human specimens. The relevance of these findings for the treatment of pain and dysfunction in the arm, leg, pelvis and spine is discussed. Prof. Vleeming has specialized in the treatment of patients with chronic complaints and shows his practical concept and treatment techniques in this course. 

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The aim of a medical massage is always to relieve existing pain or illness. Accordingly, painful areas are treated preferentially on the massage table, and "feeling good" is achieved by loosening the adhesions and hardening.

Medical massage

The head turner muscle