RMT Matters (Spring 2014) by David DeWitt

SPRING 2014 VOL 7 ISSUE 2

M AT T E R S M A SSAG E TH E R A PIST S’ A SSOC IATIO N O F B RITISH CO LU M BIA

SPOKES PEOPLE

MOUNTAIN BIKERS TURN TO REGISTERED MASSAGE THERAPY BEFORE & AFTER HITTING THE TRAILS PRO & REC MOUNTAIN BIKERS STAND TO GAIN NUMEROUS BENEFITS FROM RMT | 5 PMC SUCCESS: RECAP INCLUDES FEEDBACK AND PHOTOS | 4 & 7

LEGAL MATTERS: RMT EVIDENCE IN BODILY INJURY LITIGATION | 13

TO THE RESCUE: Q&A WITH VICTORIA RMT JAMIE JOHNSTON | 15

CONTENTS | SPRING 2014 MASSAGE THERAPISTS’ ASSOCIATION OF BRITISH COLUMBIA

PRESIDENT’S MESSAGE 4 MTABC NEWS 18 CLASSIFIEDS 18 RMT Matters is published three times a year for Registered Massage Therapists (RMTs). This publication intends to provide a voice for B.C. RMTs and to act as a source for the latest research plus a vehicle for the general population to understand and respect the valuable work of RMTs. Funding is provided by the MTABC and advertising revenue. Editor in Chief Noa Glouberman nglouberman@biv.com Managing Editor David DeWitt 604-873-4467 | dave@massagetherapy.bc.ca Sales Victoria Chapman 604-741-4189 | vchapman@biv.com

COVER STORY SPOKES PEOPLE

RMT benefits bikers

Project Administrative Assistant Michelle Myers 604-608-5122 | mmyers@biv.com Design Randy Pearsall, Soraya Romao Editorial Contributors Michael Desrochers, Lisa DeVita, Anders Lau, Don Solomon, David Wallin Cover Image Grant Bruce / Highshot Adventure Photography www.highshot.org

Editorial Board Bodhi Haraldsson, Brenda Locke, Joseph Lattanzio, Michael Reoch

PMC SUCCESS

The 2014 Pain Management Conference, March 28-29, was a show-stopping success

Copyright © 2014 by BIV Media Group. No part of this publication may be duplicated or reproduced in any manner without the prior written permission of the publisher. All efforts have been made to ensure the accuracy of information in this publication; however, the publisher accepts no responsibility for errors or omissions.

LEGAL MATTERS

David Wallin of Whitelaw Twining on RMT evidence in bodily injury cases

BIV Media Group 102 East 4th Avenue Vancouver, B.C. V5T 1G2 Tel: 604-688-2398 | Fax: 604-688-1963 www.biv.com Massage Therapists’ Association of BC Suite 180-1200 West 73rd Avenue Vancouver, B.C. V6P 6G5 Tel: 604-873-4467 | Fax: 604-873-6211 Toll-free: 1-888-413-4467 mta@massagetherapy.bc.ca www.massagetherapy.bc.ca

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TO THE RESCUE

Q&A with RMT, sports therapist and volunteer firefighter Jamie Johnston RMT MATTERS SPRING 2014 | 3

PRESIDENT’S MESSAGE

A NEW CHAPTER BEGINS

ow. What a great time for me t o st ar t my ter m as president of the Massage Therapists’ Association of British C o l u m b i a ( M TA B C ). We’ve just completed a highly successful and important conference – the 2014 Pain Management Conference (PMC) – and, for me, my role in shaping healthy outcomes and educating patients has never been clearer. Just as our patients need us to better their

outcomes and B.C. needs a strong registered massage therapy (RMT) profession to supplement health-care options, our own association needs the work of many people to better serve you, the practitioners. All RMTs attending PMC 2014 walked away with a well-stocked tool kit and enhanced knowledge after listening to experts discussing the bio-psychosocial aspect of pain. All RMTs attending the conference did so because they recognized the importance of the clinician/ patient relationship and its constantly growing and changing nature. Perhaps more importantly, RMTs I have talked to are now recognizing that they must

think critically and act sensibly, taking responsibility for questioning the status quo, being open to new ideas, techniques and perspectives and always asking themselves, “Is this the best thing for my patient right now?” I am personally thankful to those who made this conference possible: Harriet Hall, Bodhi Haraldsson and Brenda Locke, as well as Cindy Lemaire, conference producer. And remember, it’s not only OK to question your existing beliefs and assumptions in your work, it’s your duty, to both your profession and your patients. RMT – Joseph Lattanzio, president, MTABC

Pain 2014

PAIN MANAGEMENT CONFERENCE FEEDBACK

CONFERENCE Presented by:

Judging from the feedback we received, PMC 2014 was a big hit! For a complete recap of the conference, turn to page 7.

MTABC

“As a science-minded RMT, PMC 2014 appealed to me. I knew the knowledge shared would benefit my practice, but the variety of topics and insights from each speaker were EVEN more impactful than I anticipated. Here are a few key points I took away from the conference: • language and vocabulary can make the difference between encouraging and dismissive impressions for pain patients; • body language, therapeutic approach and clinical environment can influence patient expectations for improvement even more than hands-on techniques; • repetitive exercises that show distinct improvement in technique/strength are crucial to recovery; and • the most important patient outcome is the ability to participate in that patient’s preferred activities. All treatment plans should be made with that in mind. The insights from this conference have changed the way I interact with my patients; my demeanour, language and therapeutic goals have shifted toward helping patients improve their quality of life beyond an MSAK approach.” – Anders Lau, RMT, Performax Health Group, Burnaby “PMC 2014 was an excellent testament to the MTABC’s focus on putting our profession at the forefront of the paramedical health community. The topics were relevant, cutting edge and evidence informed, with real-world applications. The RMT panel discussion was of particular value, highlighting the variability of approaches. Neil Pearson covered an area that drove home a concept: each patient has his/her own story around pain. We, the clinicians, need to help reframe the stories so patients can change their thought patterns around the issue, which isn’t necessarily physical. The conference provided three key takeaways: 1. Don’t catastrophise the pain around the concept of tissue damage or other physiological rationals. Take down your anatomy posters and models! They are unhelpful and, in many cases, detrimental to the patient experience; 2. P ain is not in the tissue it is in the mind. Tissue damage is not the whole story in the pain cycle. John Sarno started this message back in the 1970s; and 3. It really doesn’t matter what manual technique you use or what you want to call it, the bottom line is just try to create change in the tissue. The only downside to the conference was that more RMTs didn’t get to hear the message.” – Michael Desrochers, RMT, painPRO Therapeutics, Vancouver

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COVER STORY

SPOKES PEOPLE Spring means mountainbiking season and when the time comes to hit the trails, registered massage therapy provides a wealth of benefits to amateur and professional bikers alike

BY LISA DEVITA

If the soggy weather isn’t indication enough, the sudden stream of cyclists on muddy trails around B.C. provides plenty of proof that spring has finally sprung. As winter releases its grip on this part of the world, mountain bikers are eagerly taking advantage of the longer, lighter days and gentler temperatures that allow them to enjoy their sport to the fullest. But the recent upward popularity of mountain biking – which is usually done off-road and, often, over rough terrain – brings with it an increased need for registered massage therapy. That’s something RMT Erin Reid of Fortius Sport & Health in Burnaby knows all about. Specializing in sports therapy, Reid has worked with amateur and pro bikers around the world, including B.C.’s staple of enthusiasts. She cites recovery and regeneration as two of the best benefits offered by registered massage therapy to cyclists of all skill levels and abilities. Since the sport demands such strenuous outputs from both the lower and upper body (think pedalling, climbing and gaining speed, not to mention all the dips and bumps encountered on an uneven trail that require a mountain biker’s muscles to be “on” at all times), a holistic approach usually works best. “It’s about looking at the body as a whole,” she explained. “For example, when dealing with an ankle

issue, don’t just look at the ankle, look at the knee, look at the hip; look at the tracking from one section to the other, making sure to work … both sides of the body. It’s important … that you don’t forget an area.” Another expert on the subject is RMT Mike Charuk, who practises in the cycle-heavy Sea-to-Sky corridor and also happens to be a member of the National Track Cycling Team as well as head coach for Team Squamish – an intense training program designed to develop competitive cross-country mountain bikers. Though Charuk says RMT provides many benefits to pro bikers, he stresses a distinct difference between the type of therapy needed during the off-season, which is devoted to training, and during the racing season. “In the off-season we’re working on getting the athlete as vertical as we can,” he explained. “A lot of fascia connective tissue work, getting them in good form, good posture. That work is a little bit heavy to do with races on the weekend. During the racing season it’s lighter, more recovery technique massages. Seldom do we venture in and be totally rehabilitative – unless there’s an injury or something specific. Getting people moving as best as they can into their training season is our goal. I think that is the biggest benefit to including RMT with your training program.” One of the brightest stars to come out of Team Squamish under Charuk’s coaching is Quinn Moberg – a lifelong Squamish resident who first entered the sport of mountain biking in elementary school. “Mountain biking is pretty huge in Squamish, everyone does it,” Moberg said. “It was just kind of the thing to do and then, from there … it turned into something more serious for me.” With numerous podium finishes and two bronze medals from the 2013 Canada Summer Games, it’s safe to say the 20-year-old’s professional career is quickly gaining traction. Thanks to help and guidance from his coach, he is now focused on “working harder than ever to find improvements and success in the sport.” With an aim to compete in the 2020 Tokyo Olympic Games for Canada, Moberg’s rigorous daily training regime includes weightlifting, intense bike exercises and recovery spins. He says that there’s an inevitable strain

Getting people moving as best as they can into their training season is our goal. I think that is the biggest benefit to including RMT with your training program – Mike Charuk RMT and head coach, Team Squamish

RMT MATTERS SPRING 2014 | 5

COVER | MOUNTAIN BIKERS BENEFIT FROM RMT

Team Squamish and Rocky Mountain Bicycles Factory Team mountain biker Quinn Moberg says that his sport causes inevitable strain on his body – and that’s where the multi-faceted value of registered massage therapy comes in | PHOTOGRAPH BY GRANT BRUCE / HIGHSHOT ADVENTURE PHOTOGRAPHY WWW.HIGHSHOT.ORG

on his body – and that’s where the multi-faceted value of registered massage therapy comes in. “It’s relaxing,” he said of RMT. “Racing is a pretty taxing sport. It’s a full-body workout. I think what happens in massage is very positive – the flushing out of toxins and also the release. I’m very tight and I get that release through registered massage therapy.”

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For Moberg, the frequency and type of RMT often depends on his racing style and schedule. As a cross-country mountain biker, he competes in both marathon and Olympic distance races, the former consisting of longer, more gruelling distances than the latter. “I try to get massages once a week during training or if I’m doing a one-day race,” he explained. “If there is oppor tunity, then more, but at least once a week. In the weeks when there’s multiple races I find it helps me get prepared for the next race quicker.” In addition to practical mobility techniques, Moberg has been on the receiving end of myofascial release and Rolfing – therapeutic approaches that he says have tremendous healing properties, even if they aren’t always the most pleasant treatments to endure. “Sometimes it’s painful, sometimes it’s good,” he laughed. As for injuries, Moberg has been fortunate in avoiding doing any serious damage to his body thus far. His hip flexors, however, are often tight due to the positioning and motion that is inherent with off-road biking. Charuk says there’s also risk of knee issues, and Moberg remains cautiously aware of the propensity for such a career-ending accident. “I’ve been pretty lucky, I haven’t had any knee pulls,” he said, adding, “but you can argue that RMT has prevented that in many ways.” Regular registered massage therapy can help maintain optimal muscle strength, increase tissue hydration, break up adhesions and improve circulation – all part of keeping the body in top form. registered massage therapy can also help riders recover more quickly after a race, even if no obvious injuries occurred. As for the most common injury a mountain biker faces? Reid points to concussions as well as injuries to arms and hands, and notes that it often depends on the sort of fall that occurs. In most cases, however, maintaining mobility and flexibility prior to hitting the trail is key and, when it comes to recovery, it’s often about going

back to the basics and that holistic, whole-health approach. “It involves treating the symptoms, such as headaches, nausea,” she explained. “Opening up those pat hw ays t hrough t heir neck while working with the client’s doctor or other practitioner to learn what they are doing to help as well … looking at not forgetting an area. The communication part is important.” RMT, Reid stresses, should be seen as one of many tools that works in combination with other modalities. Advocating an integrated approach to recovery and regeneration, both she and Charuk promote a balanced regime in order to achieve the most positive overall outcome for mountain bikers. “Whether it’s athletes or average, recreational people, they are seeing multiple practitioners now, chiropractors and physiotherapists primarily,” Reid said. “I don’t think anyone is too onedimensional anymore. It’s about finding that balance.” It also often depends on access to health services and a biker’s personal budget. “Registered massage therapy is one tool out there that works in combination with a health-care team,” Charuk reiterated. “Everything is an investment as an athlete and you have to decide what you should do. Should you budget for massage therapy or organic food or yoga classes? For one athlete more massages could be appropriate [while] another athlete might benefit from eating better. And this can change throughout their career as well. As a coach I use all the different aspects and modalities out there and assemble as wide and broad a health-care team as I can for my athletes. “There’s a blend between massage therapy and coaching,” he added. “When you’re working with massage clients, quite often it’s like coaching them anyway. You’re giving them advice in nutrition, exercise, recovery and prevention. That’s the same things I do with coaching.” RMT

CONFERENCE COVERAGE

Pain 2014 CONFERENCE Presented by:

MTABC

PMC SUCCESS The 2014 Pain Management Conference (PMC), March 28-29 at the Delta Vancouver Airport Hotel, was a stunning success

BY DON SOLOMON

hat a unique opportunity the Pain Management Conference 2014 turned out to be. The conference, co-presented by the MTABC and Pain BC, stated objectives to “improve your pain knowledge, improve your practice” were met and, perhaps, exceeded. The three keynote addresses where both informative and thought provoking while the other speakers over the two days introduced a wide variety of views and approaches to treating people living with this most complicated condition. From mindfulness meditation to psychological interaction, management models, motivational interviewing techniques and postural exercise awareness, the know-

ledge conduit flowed but did not overwhelm. To ease the effects this avalanche of information many of the presenters went to great lengths to present not only a solid body of knowledge but also very informative and often humorous slide presentations. Keynote Neil Pearson talked about the pain story. Right from the first interaction with a patient, what we say and do has an immediate impact on how this person will react. Pearson went on to talk about how there must be an exchange of ideas moving toward an opportunity to help the person grow new experiences, which would be arrived at through becoming educated (gaining knowledge) about the complexities of his or her individual experience of pain (the patient’s story) and own kinesthetic experiences. Diane Jacobs’ presentation was an account of her ex-

Don Solomon, RMT, Oceanwalk Massage Therapy

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CONFERENCE | PMC 2014 Pain is a very complex subject and this conference helped bring new research and perspectives on pain management and the RMT role right to our door – Lisa Cohen, RMT, Dominelli Massage Therapy & Wellness, Coquitlam

periences in her clinic, walking through how she interacts with her patients and begins the task of helping each client redefine his or her relationship with pain. Jacobs suggested an interesting approach that includes some specific language plus simple, hand-drawn graphics she herself uses to help her patients understand the various factors at play in the pain story. The panel discussion that closed out day one presented the audience with a unique opportunity to witness an off-script discussion on the individual management models each of the panellists would employ when presented with a test case. Mark Finch demonstrated his unique case-management taxonomy while Susan Chapelle talked about the need for all participants, both as clinicians and researchers, to “move outside their silos of comfort and try to not become stuck in just one model or doctrine of thought.” Chapelle went on to suggest that, when ever possible, “start with a question and work backward.” Michael Hamms’ humorous and informative presentation on his unique image studies using 3-D modelling was a welcome break from the barrage of heavy scientific information that preceded him and Jennifer McVicar shared a deeply personal account of her journey with pain. Last to present on Michael Roach’s expertly conducted panel was Violet Reynolds, whose account of the use of postural awareness through movement was

attendance Certificates of t at PMC ou ed nd ha were

most interesting. Day 2 started with a bang. Jan Dommerholt’s presentation was a fantastic mix of humorous slides and detailed research into the condition

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CONFERENCE | PMC 2014 inadequately named “trigger points.” As it turns out, the model that Simmons and Travel had presented in the past was simply a construct to try to encapsulate the knowledge of the time into an easily communicable idea. But, time moves on, and research evidence changes our knowledge, leading to those constructs’ disintegration and the formation of new models. Dommerholt spoke at length about Ron Melzack’s “neuromatrix model,” which acknowledges the powerfully contributing effect of peripteral pain generators on central sensitization. One conference attendee remarked that it was a pleasure to hear a presenter speak with such a complete command, both historically and currently, of the pain question. Up next was Matt Graham, whose area of expertise is in motivational interviewing – the careful choice of response throughout the clinical-infraction process. Todd Hargrove then picked up the mantel of humour started by Hamm on the first day, making a very energetic presentation on his experiences using Moshe Feldenkrais’ system of movement awareness and its effect on pain modulation. Daniel Gouws spoke at length about his experiences with WorkSafeBC and the need to help get patients back into their normal life patterns a soon as possible. He demonstrated evidence that patients who returned to work sooner had a markedly smaller chance of develop-

ing chronic pain syndrome. The last event of the conference was a completely unscripted panel discussion between Pearson, Jacob and Dommerholt, in which they were asked to answer the following question: What three key points should attendees take and utilize in their practices immediately? Pe a r so n’s re s p o n se : focus on improving your “language” in terms of how you phr ase your questions and how you interact with your patient’s narrative. He also These luck y RM Ts won free, six suggested that we seek -month subscr SOAP Vault at iptions to the 2014 Pain Ma nagement “commonalities” in the Conference various pain presentations and set “clearly defined goals” against which patents can measure their success. Jacobs talked about the importance of the skin and it’s effect on the central nervous system, the import-

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CONFERENCE | PMC 2014

PMC pa rticipa nts take a brea k between presentations intently Jacobs listens ecting: Diane 14 Pain 20 e th at Keynotes conn n lt’s presentatio ho er m m Do n to Ja Conference Ma nagement

ance of pain-free movement to help re-establish a trusting nervous system and, lastly, about

“boundary setting” to help contain patient expectations. Lastly, Dommerholt commented on the need to stay open to new ideas, stressing, “Don’t limit yourself, everything is possible.” His suggestions including being systematic but not dogmatic and to keep current with the research, because “so much is changing so fast.” The discussion ended with a wonderful Q&A session that had the three panellists answer questions from each of their respective positions. All in all, PMC 2014 was a wonderful mix of knowledge, wisdom and humour. We hope to see more of these fantastic learning opportunities develop in the future. Congratulations to the organizers for a job well done. Our thanks. RMT Don Solomon is an RMT with Oceanwalk Massage Therapy in West Vancouver. Visit www.oceanwalkphysio.com.

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LEGAL MATTERS

RMT EVIDENCE IN BODILY INJURY LITIGATION

BY DAVID WALLIN

n most bodily injury cases (other than perhaps the threshold issue of legal liability and the underlying cause for the injured party’s injuries) the most significant issue that legal counsel will need to address in the litigation is the fundamental issue of the nature and extent of the plaintiff’s injuries/disability and the injured plaintiff’s corresponding right to compensation for such injuries. Treating professionals such as Registered Massage Therapists can fill an important role as an expert in such legal proceedings. This role can greatly assist the court in better understanding such important matters as the nature and extent of the injured plaintiff’s injuries and the need for any further corresponding rehabilitative treatment recommendations that may be beneficial to the injured plaintiff. Factual witness versus expert witness

In B.C. there are typically two legally distinct but potentially overlapping roles that a treating professional such as a Registered Massage Therapist may have in legal proceedings. The first role is that of a “factual witness,” and the second is that of an “expert witness.” The line between the two can overlap and, at times, be confusing, but which role the clinician is assuming is an important matter to ascertain, as different and important formal requirements can come into play in the litigation depending on what role the is being fulfilled. The factual witness will generally testify in relation to the treatment progress of the plaintiff. Evidence in this

context is generally presented in relation to when the patient was treated, what the patient’s objective symptoms and subjective complaints may have been during the course of treatment and how the patient responded to the treatment provided. Usually, the clinical records of the patient will be available to the clinician to assist in relation to presenting evidence in relation to the treatment provided. As a factual witness, you are not required to prepare a written report for litigation purposes. However, any treating or progress reports prepared in relation to your treatment of the patient will become part of the patient’s treatment record and may be produced in the litigation as any other relevant clinical record. As a factual witness you are also not permitted to venture out and provide discreet opinion evidence at trial in relation to such matters as injury diagnosis, functional capacity/impairment, treatment or rehabilitative needs, or injury prognosis. As an expert witness, to the extent that you are qualified by your qualifications to provide such expert opinions, you are permitted to provide expert-opinion evidence in relation to injury diagnosis, functional capacity/impairment, treatment or rehabilitative needs, or injury prognosis. One of the most significant issues surrounding the nature of what role you are fulfilling relates to certain, formal legal requirements that must be met under the Supreme Court Civil Rules when you seek to tender an expert report as an expert witness.

David Wallin, director, Whitelaw Twining Law

The factual witness will generally testify in relation to the treatment progress of the plaintiff

Burden of proof in civil proceedings

What if I am asked to provide an expert opinion in an

RMT MATTERS SPRING 2014 | 13

LEGAL | RMT EVIDENCE

area that I am qualified and capable of opining upon, but I cannot be absolutely certain that I am correct? The intersection between science and law often results in a number of misconceptions. Perhaps the most frequently misunderstood issue for treatment professionals that have not yet had an opportunity to become involved in the litigation process is the fact that the civil courts (the courts that decide bodily injury matters) do not require a strict or precise determination before such an opinion can be used for court purposes. In this respect, it is important to understand the different burden of proof that must be established within the context of civil proceedings, as compared with the burden of proof that must be established in criminal proceedings. The so-called “civil burden of proof” requires that the injured party establish his or her case on a “balance of probabilities.” This “civil” threshold in the burden of proof can be

compared with the “criminal” burden of proof, which presumes the innocence of the accused and requires the Crown to establish the accused’s guilt “beyond a reasonable doubt.” Generally speaking, to successfully prove a matter on a balance of probabilities simply requires the injured party to persuade the court on the basis of the evidence presented at trial that it is “more likely than not” that a particular fact has been proven, or a specific injury has been sustained, or a particular outcome has (or will) “likely” occur. This civil burden does not require scientific certainty; it simply requires evidence to be presented that exceeds a theoretical threshold of likelihood of as little as 50.1% or better. Accordingly, provided the expert holds the view that on a balance of probabilities his/her opinion is the correct opinion, he/she may opine on such matters and the court may put reliance on such an opinion, provided the court agrees with the expert’s opinion.

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• Techniques used are not physically demanding • Earn a higher income per treatment • Advanced cutting edge techniques • Program qualifies for Student Loan Support

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Why RMT evidence?

The nature and extent of the evidence that will be required to be presented in a particular case and at any particular trial will vary significantly depending upon the nature, scope and severity of the injuries sustained by the injured party. Although the court setting may be unfamiliar and intimidating to many treatment professionals, the subject matter is not. Regardless of what role the treatment professional is assuming in the litigation process, the evidence that a skilled treating professional can offer can be of great assistance in the court coming to a well-reasoned and well-supported conclusion in deciding such important matters. RMT David Wallin is a director at Whitelaw Twining Law Corp. in Vancouver and chair of Whitelaw Twining’s ICBC Injury Claims Group. Reach him by phone at 604-891-7211 or email at dwallin@ wt.ca. Visit www.wtinjury.com.

RMT Q&A

TO THE RESCUE RMT, sports therapist and volunteer firefighter Jamie Johnston tells us how he manages to do it all

BY NOA GLOUBERMAN

amie Johnston is a busy man. A registered massage therapist at Renew Massage Therapy and Acupuncture in Victoria with a main focus on deep- and soft-tissue release, muscle energy technique (MET), trigger point-type therapy and some fascial work, he’s also a supervisor in the student clinic at the West Coast College of Massage Therapy’s (WCCMT) Victoria campus. But that’s not all. Besides volunteering as a sports therapist with the Victoria Grizzlies Junior Hockey Club, Johnston is a proud volunteer firefighter – a passion that, last year, allowed him a once-in-a-lifetime opportunity to travel to Peru to help train local firefighters in emergency response techniques. RMT: You clearly have many interests – what fuelled your decision to become an RMT?

JJ: I’d been working as an industrial first-aid attendant in a sawmill for six years when it closed. I decided to go back to school and learn how to do something that would allow me more career stability. I wanted to work in health care so I did some aptitude testing to see what types of jobs would come up. Massage was one of the results. I never would have considered it if I hadn’t done that testing. But it sounded interesting, so I enrolled in a weekend course at WCCMT and signed up for school that September. RMT: Was there also a tie-in between your first-aid work and RMT? JJ: Yes, definitely. At the mill I was responsible for any first-aid issues that occurred for anywhere between 100 and 150 workers. My colleagues and I were also leaders on the mill’s emergency response team. When I decided to go back to school, a friend of mine who is an RMT wrote

RMT Jamie Johnston is also a volunteer firefighter

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Q&A | JAMIE JOHNSTON RMT: Speaking of athletes, what is working with the Victoria Grizzlies like? JJ: I still work with the team at home games and in a preand post-event treatment capacity. This year I actually added one day a week where I was at the rink treating the players. We saw a variety of injuries among the players this year. Hockey players tend to end up with groin injuries and hip-flexor issues because they are constantly hunched over in a flexed position and have tight glutes from pushing off on their skates. There is also a nearguarantee of some whiplash and shoulder injuries from hits and checks from behind during games. It all adds up to many benefits in terms of RMT for hockey players. RMT: Tell us about your experience as a volunteer firefighter.

As it turns out, firefighters can gain many benefits from registered massage therapy, just like athletes

a reference letter for me, which I had to submit with my application. My friend wrote that my first-aid knowledge would help make me a good RMT – and that turned out to be true. Today, my work as a first responder gives me the confidence to deal with any kind of emergency that could occur in a clinical setting or out in the field working as a sports therapist – and vice versa. Being an RMT makes me a better first responder, since I picked up a wealth of anatomical knowledge through my schooling. That’s changed how I deal with injuries, because I have a deeper and better understanding of what’s actually going on in the body. RMT: One technique you specialize in as an RMT is the Graston technique – what is that? JJ: Graston is a form of instrument-assisted soft-tissue mobilization that uses a a set of six stainless-steel tools used to massage and treat fascial restrictions and scar tissue. Before taking the Graston course last year, I didn’t realize that, as an RMT, you can also use these tools as a way of assessing tissues. I absolutely love it, because there are a lot of things I can do with the tools that I can’t do with my hands. I frequently use this technique with athletes, and find it quite effective.

JJ: I first started volunteering in Campbell River in 2002. I was already doing first aid and emergency response at the mill, and a few buddies told me to check out the opportunity. I met with the fire department and decided to join up. I haven’t looked back since. The camaraderie within the department, helping the community as well as the experiences I’ve gained along the way (more on that later) have made it an awesome experience. And, as it turns out, firefighters can gain many benefits from registered massage therapy, just like athletes. In fact, the job of a firefighter results in major impacts on the body. It’s hard work and constantly changing – even the gear adds an extra 50 pounds of weight as we’re working. Physical stress on the body, heat stress and working for extended periods of time in intense conditions can take a real toll. Putting all of those factors together, it’s easy to see the stress that can be placed on firefighters, and RMT can have a positive impact on people with physically demanding jobs such as this, and there’s been a lot of research done on what RMT can do for delayed onset muscle soreness, or DOMS. Most firefighters have a good routine of regular workouts to stay in shape for the demands of their job. Having RMT involved in that routine of heavy work plus regular workouts can go a long way to improving performance and keeping the body in good shape for the next call. However, one thing that doesn’t get highlighted enough,

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Q&A | JAMIE JOHNSTON in my opinion, is how registered massage therapy can help on the mental side of health. Every firefighter has access to critical incident stress management (CISM) professionals to help them deal with some of the serious traumatic events they may witness or experience at the scene of an emergency. There’s also an added layer for volunteer firefighters – we may need to respond to a major incident at 3 a.m. and then have to turn around and go to our regular day jobs a few hours later. This does not leave adequate time to completely decompress after the emergency. I really think that incorporating RMT into the CISM side of things would go a long way in helping to mitigate with some of the traumatic events that are dealt with by any emergency responder, whether fire, police or ambulance.

countries to train firefighters and also collects used equipment from departments across Canada as donations. I got involved with FWB when my fire chief and one of our captains applied to train firefighters in Peru. I decided to join them, and all three of us travelled there last April. That entire country depends on a strictly volunteer fire department – including Lima, with 8.5 million people. Our goal was to share our knowledge on topics that would help improve their emergency response skills. As one of the first-responder and first-aid instructors for our department, I volunteered to teach those topics in Peru. I also taught a couple of courses about rehab on the fire scene and ladder deployment, and helped out with various other courses including auto extrication and fire investigation.

RMT: Tell us about your trip to Peru. JJ: Firefighters Without Borders (FWB) is a charitable organization that helps emergency service organizations in countries with a demonstrated need. The goal is to provide a helping hand to firefighters in these countries so they can deliver a better level of emergency service to their communities. FWB travels to different

RMT: Did you work as an RMT come into play during your time in Peru? JJ: Unfortunately, I didn’t get into how RMT could help them, but that would have been good to include in the rehab courses. However, I can say that the knowledge and experience I’ve gained from my work as an RMT definitely

helped in teaching the rehab course in Peru. Being able to explain (through a translator) how much water and rest could help the volunteer firefighters’ stamina on a fire scene was really helpful – especially when I was asked if Red Bull would be better to use than water! RMT: It sounds like an incredible journey. How can our readers learn more about you, your work and your volunteer experiences? JJ: I am in the midst of getting a blog up and running. It’s meant to be a resource for improving the perception of our industry and helping to ensure the success of RMTs. I am developing it in association with www.theptdc.com. Most of what I will be blogging about will pertain to first-aid and first-responder topics and relating those to clinical and sports settings in order to give RMTs more confidence in their ability to dealing with emergency situations that may occur with their patients. I’m hoping to have this set up by the time this article is published, and I invite anyone who is interested to visit www.themtdc.com (or check out my Facebook page at facebook.com/themtdc.com). Twitter users can find me at @Jamie_MTDC. RMT

E-mail : robert@massageessentials.ca

RMT MATTERS SPRING 2014 | 17

MTABC NEWS Meet our latest Layar contest winner!

Access Pain Management Conference recordings online All MTABC members have 10% off all of the online courses that are available at TouchU.ca. Now, the MTABC has partnered with TouchU.ca to provide all the plenar y presentations of the 2014 Pain Management Conference online as recorded courses at TouchU.ca. Plus, as a registrant for the conference weekend, you are granted free access to all the

recorded courses that are being created. Each course will have the audio recording of the presentation interwoven with the PowerPoint as a video recording. You will also have access to the study handout of the PowerPoint slides as a PDF. As well, each course will have a multiple-choice quiz and downloadable certificate of learning. RMT

CLASSIFIED | SPRING 2014

ANATOMY & YOGASANA I & II:

For course and instructor details and registration information visit www.thesadhanacentre.com leigh@thesadhanacentre.com Leigh at 902-273-9642

M AT T E R S M A SSAG E TH E R A PIST S’ A SSOC IATIO N O F B RITISH CO LU M BIA

Massage Therapists’ Association of British Columbia

If you have a product, service or course to advertise call Victoria Chapman at:

1-604-741-4189 vchapman@biv.com

18 | RMT MATTERS SPRING 2014

Massage Therapists’ Association of British Columbia

MTABC CEC Courses 2014 Registration at MTABC 604-873-4467 or mta@massagetherapy.bc.ca. Or mail to MTABC 180-1200 West 73rd Ave., Vancouver, B.C., V6P 6G5. Provide name, phone and email. Cancellation within three (3) weeks of a course results in 20% penalty; within two (2) weeks, 40%; and within five (5) days or “no shows,” no refund. All prices in Canadian dollars. Fascia: Its Structure & Function – the Pelvis with Mark Finch, RMT 14 PE/A2 Credits Holiday Inn: 711 W. Broadway, Vancouver June 7-8, 2014 Sat. & Sun. 9 a.m. to 5 p.m. Fascia: Its Structure & Function – the Shoulder with Mark Finch, RMT 14 PE/A2 Credits Holiday Inn: 711 W. Broadway, Vancouver Sept. 13-14, 2014 Sat. & Sun. 9 a.m. to 5 p.m. Fascia: Its Structure & Function – the Spine with Mark Finch, RMT 14 PE/A2 Credits Holiday Inn: 711 W. Broadway, Vancouver Oct. 25-26, 2014 Sat. & Sun. 9 a.m. to 5 p.m. Prices: All Mark Finch Prices: MTA One Month Early $322 Regular $350 Non-MTA One Month Early $450 Regular $495

in upcoming issues of RMT Matters magazine. RMT

ADVERTISMENT ONLY. NO ENDORSEMENT BY THE MTABC INTENDED OR IMPLIED.

Mechanical Reduction of Pressure in Nerves - General with Dr. David DeCamillis, D.C. (14 PE/A2 Credits) New Westminster Sept. 27-28, 2014, Sat. & Sun., 9 a.m.-5 p.m.

Maui Retreat: Jan. 11th to 18th Cuba Retreat: Feb 15th to 22nd, 2015 CEU Approved Learn and earn credit while studying remex via the yoga body. Program combines applied anatomy, assessment, yoga practice and research into yoga therapy for the treatment of pain conditions. You will be able to apply what you learn directly in your massage therapy client care and yoga practice. Combine 24 direct study hours with vacation time. Fabulous vegetarian meals and seven night’s accommodation included. You will be doing plenty of yoga. Previous yoga experience an asset but not essential. Leigh Milne RMT, E-RYT500 is an experienced RMT, Iyengar certified yoga instructor and educator.

Congratulations to our latest Layar contest winner, Colleen Pritchard, an RMT at Achieve Health in Victoria, who has been practising in the massage therapy field since 2006. Pritchard supplied the correct answer (superG) to our question: What race did Anastasia Skr yabina compete in during the 2010 Winter Olympic Games in Whistler? The prize: a $100 Visa card from the MTABC! Watch for new contests

Mechanical Reduction of Pressure in Nerves for Bones/Joints/Cartilage with David DeCamillis, D.C. 14 PE/A2 Credits New Westminster Oct. 25-26, 2014 Sat. & Sun. 9 a.m. to 5 p.m. All Dr. DeCamillis Prices: MTA One Month Early $322 Regular $350 Non-MTA One Month Early $450 Regular $495 Ann Sleeper’s Courses (for more courses see www.annsleeper.com): Treating Legs and Arms for Back Pain 13 PE/A2 Credits Holiday Inn: 711 W. Broadway, Vancouver May 3-4, 2014 Sat. & Sun. 9 a.m. to 5 p.m. Prices: MTA One Month Early $322 Regular $350 Non-MTA One Month Early $450 Regular $495 Introduction to Osteopathic Techniques 11 PE/A2 Credits Holiday Inn: 711 W. Broadway, Vancouver Oct. 18-19, 2014 Sat. & Sun. 9 a.m. to 5 p.m. Prices: MTA One Month Early $275 Regular $300 Non-MTA One Month Early $385 Regular $425

Anatomy Trains with Sherri Iwaschuk, RMT, KMI 14 PE/A2 Credits Holiday Inn: 711 W. Broadway, Vancouver May 31-June 1, 2014 Sat. & Sun. 9 a.m. to 5 p.m. Sept. 27-28, 2014 Sat. & Sun. 9 a.m. to 5 p.m. All Sherri Iwaschuk Prices: MTA One Month Early $322 Regular $350 Non-MTA One Month Early $450 Regular $495 Functional Fascial taping with Ron Alexander, RMT 14 PE/A2 Credits Holiday Inn: 711 W. Broadway, Vancouver May 31-June 1, 2014 Sat. & Sun. 9 a.m. to 5 p.m. Prices: MTA One Month Early $322 Regular $350 Non-MTA One Month Early $450 Regular $495 Visceral Manipulation for the RMT Presented by Heather Gittens (Inglis), RMT, and Natale Rao, RMT 14 PE/A2 Credits WCCMT New Westminster, 613 Columbia St. VM1: May 24-25, 2014 Sat. & Sun. 9 a.m. to 5 p.m. VM2: Sept. 20-21, 2014 Sat. & Sun. 9 a.m. to 5 p.m. Prices: MTA One Month Early $400 Regular $440 Non-MTA One Month Early $560 Regular $616 For more course details, visit www.massagetherapy.bc.ca

CLASSIFIED | SPRING 2014

ADVERTISMENT ONLY. NO ENDORSEMENT BY THE MTABC INTENDED OR IMPLIED.

Dr. VODDEr MLD COUrSES All levels in Victoria, BC

ONE DAY WONDERS with

Heather Gittens RMT.

October/November 2014 April/May 2015

Sunday - Sept. 28, 2014: CST - The Sphenoid Gateway Sunday - Oct. 5, 2014: VM - Digestion

Continuing EduCation on LinE 2 hours per course for 2 CEU’s Courses are $50 (incl g.S.t). Easy and efficient way to accrue your CEU’s. ~ no traveling, no time away from work ~ www.cepd.ca • email info@cepd.ca for details

Systemic Deep Tissue Therapy® Workshops (also known as SDTT)

(Systemic Deep Tissue Therapy® should not be confused with high pressure treatments)

riginated and developed by Armand Ayaltin DNM, RHT, RMT, and taught by him since the late 1980’s. It consists of its own O scientifically-based philosophy, therapist-friendly assessment and

treatment. To reduce burn-out, body and hand postures are ergonomically designed. Therapy takes its cue directly from the assessment. This innovative procedure is designed to minimize the mental and physical stress of the Tx room. In these Workshops we will teach: • Philosophy and background • How to treat the underlying cause of pain, often realizing quick and lasting results • How to Structurally Realign the body by collapsing the compensatorymatrix, using specific SDTT techniques at the physical and energetic levels which are: • recognizing the compensatory-matrix • engaging the SNS • manipulating the Fascial-muscle-joint systems • therapeutic intent • treating the relevant meridians • stimulating the patient’s quantum field of healing If as a Therapist, gaining self-confidence, self-sufficiency and effectiveness with reduced chances of self-injury is important, taking these workshops and adopting the Systemic Deep Tissue Therapy® is for you. Testimonials: “Thank you so much for this amazing workshop. It will change my life!” W.M. RMT. “This course surpassed my expectations...” B.C. RMT. “Thank goodness there is a way to read the body and respond to its core needs.” J.W. RMT. “Great coverage of biomechanics and application. I like these instructors, cool guys” J.L. RMT. “With 16 years of massage therapy experience I was still expecting to learn something new–those expectations were exceedingly met. The assessment approach alone was enough of a refreshing perspective–with the addition of completely new hands on techniques, this course was thoroughly worth my time and would recommend it to any seasoned therapist. Excellent course, nothing but praise for these innovative and effective techniques that match a thoroughly progressive treatment philosophy, this is truly Massage THERAPY!” Brad Dow RMT. Autumn 2014: Introductory: September 6-7, Cost $399. Intermediate: September 27-28, Cost: $399 Winter 2015: Introductory: January 31-Feb 1, 2015, Cost: $399 Intermediate: March 7-8, 2015, Cost: $399 For more info and to register, phone: 604.984.2611 • web: systemicdeeptissuetherapycenter.com

Update your skill level and/or review material in a new and integrative format. Visceral Manipulation & CST focused One Day Courses for the busy RMT.

WWW.VODDErSCHOOL.COM

6.5 Credits Each, $125 + tax. Max group of 12. 13+ years teaching experience Contact 778-574-1174 or info@bodhitreewellness.ca

800-522-9862

Simply TMJ with Robert Hackwood

October 4th & 5th 14 CEC, $400 plus GST DynamicTherapies.com

The complete schedule of Ann Sleeper classes can only be found at www.annsleeper. com. Muscle Energy, Introduction to Osteopathic Technique, and Treating Legs and Arms courses are offered in Vancouver and Victoria. These classes or review sessions can also be organized privately for 2-5 people at her home in central Vancouver. E-mail Ann at sleeplow@telus.net or call or text 604-671-9172.

BMM: The Shoulder Complex June 21/22 BMM: The Lumbo-Sacral Region July 12/13 (Victoria, BC) BMM: The Cervical Region October 18/19 All courses are $400 + GST - 14 credits held @ WCCMT Sat/Sun 9:30-5:30. July course in Victoria $440 + GST

Space is filling fast! To register now for Spring or Fall workshops, please contact:

Heather at 778-574-1174 info@bodhitreewellness.ca Natale at 250-838-9884 fascialnatale@gmail.com

RMT MATTERS SPRING 2014 | 19

efficient solution for your patients

Manual Practice Osteopathic studies “Osteopathy is a natural medicine which restores function to the organism by treating the causes of pain and imbalance…” Philippe Druelle, D.O.

éopathiques

Osteopathy provides the necessary therapeutic reasoning skills and manual treatment CEO Collège d’Étudesresults. approaches to achieve optimal Ostéopathiques

Osteopathy views the body as a whole. Osteopathic manual CEO treatment focuses on detecting areas of restrictions at any Collège d’Études Ostéopathiques des Ostéopathiques tissue level. Osteopathy functions by assisting the body’s Montréal – natural healing ability, allowing restricted areas to regain as much of their former mobility as the body will comfortably allow. The College offers complete training including myofascial, visceral, cranial techniques, specific osteoarticular adjustments and clinical methodology. Courses are geared towards guided palpation and practice in order for practionners to be able to integrate their new knowledge to the treatment of patients. The educational program is designed with busy health-care practitioners in mind. The 6 yearly seminars are held over weekends to minimize time lost from current employment, with a low instructor/student ratio.

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College of Osteopathic Studies

Canadian College of Osteopathy — CCO Collège d’Études Ostéopathiques — CEO

For information / registration 1-800-263-2816 | info@ceo.qc.com | www.ceo.qc.com