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Massage Exam, License and Certification Information by State

Massage Therapy Terminology & Glossary

 



Z

 

 
Info Link
Z-ZZ
 
Zaleplon (Rx)
Brand name; Sonata. Generic name; Zaleplon. Classified as a Sedative hypnotic. it is used for sedation for insomnia. It is also used during pregnancy to depress the Central Nervous system (CNS) causing drowsiness. Is meant for a short-term treatment of insomnia. Clients who take Sonata may experience abdominal pain, dry mouth, and chest pain. It is best to use deep tissue treatment work with caution.
Zen Shiatsu
This technique focuses on the use of meridian lines rather than on specific points. This form does not adhere to fixed sequence or set of methods that are applied to all. It utilizes appropriate methods for the unique pattern of each individual.  
Zeo-
Boil  
Zinco-
Pertaining to or containing the element zinc  
Zo/o
Animal life  
Zoloft (Rx)
Brand name; Zoloft. Generic name; Sertraline hydrochloride. Classified as a Selective serotonin reuptake inhibitor (SSRI). It relieves depression and is used for treatment of Post Traumatic Stress Disorder (PTSD), Fibromyalgia, and Neuropathy. It works to affect chemicals in the brain that may become unbalanced. Clients who take Zoloft may experience insomnia, abdominal pain, constipation, diarrhea, and sexual dysfunction. It is best to use abdominal massage to help relieve constipation, and keep client awake.
Zolpidem tartrate (Rx)
Brand name; Ambien. Generic name; Zolpidem tartrate. Classified as a Sedative hypnotic and is used for sedation for insomnia. It initiates sleep quickly (within 15 minutes) and has a short half-life of 2-3 hours. It is not meant to maintain sleep unless delivered in Ambien CR (Controlled-Release) form. Is meant for a short-term treatment of insomnia. Clients who take Ambien may have abdominal pain, dry mouth, nausea, or vomiting. It is best to use deep tissue treatment work with caution, and ask about positioning during treatment.
Zon-
Girdle; belt  
Zone of injury
The area of potentially damaged soft tissue, adjacent nerves, and blood vessels surrounding an injury to a bone or a joint.  
Zovirax (Rx)
Brand name; Zovirax. Generic name; Acyclovir. Classified as an Antiviral. It kills specific viruses used in the treatment of Bell's palsy. It works by slowing the growth and spread of herpes virus in the body, it is not a cure, it only lessens the symptoms of the infection. Clients who take Zovirax may experience hypotension, headache, or dry mouth. It is best to offer water, adjust positioning when needed, and help client on/off the table.
Zyg/o
Union; junction; pair; yoke; tied together  
Zygomas
The quadrangular bones of the cheek, articulating with the frontal bone, the maxillae, the zygomatic processes of the temporal bone, and the great wings of the sphenoid bone.  
Zygote
The fertilized ovum; produced by union of two gametes.  
Zym/o
Enzyme; ferment  
-Zyme
Enzyme  
 

 

References used on our site:

Rattray, Fiona and Linda Ludwig. Clinical Massage Therapy: Understanding, Assessing and Treating Over 70 Conditions. Ontario: Talus, Inc., 2000.

Biel, Andrew. Trail Guide to the Body. (3rd edition). Boulder: Books of Discovery, 2005. & (4th edition) Boulder: Books of Discovery, 2010.

Marieb, Elaine. Essentials of Human Anatomy & Physiology (2nd edition). San Francisco: Benjamin Cummings, 2006

Thompson, Diana L. Hands Heal: Communication, Documentation, and Insurance Billing for Manual Therapists (3rd Edition). Philadelphia: Lippincott, Williams and Wilkins, 2002.

Frye, Barbara. Body Mechanics for Manual Therapists: A Functional Approach to Self-Care (2nd edition). Stanwood: Frytag Publishing, 2004.

Fritz, Sandy. Mosby’s Fundamentals of Therapeutic Massage. (3rd edition). St. Louis: Mosby/Elsevier, 2004.

Fritz, Sandy and James M. Grosenbach. Mosby’s Essential Sciences for Therapeutic Massage: Anatomy, Physiology, Biomechanics and Pathology. (2nd edition). St. Louis: Mosby/Elsevier, 2004.

Premkumar, Kalyani. Pathology A to Z: A Handbook for Massage Therapists. (2nd edition). Baltimore: Lippincott, Williams and Wilkins, 2000.

Sharkey, John. The Concise Book of Neuromuscular Therapy: A Trigger Point Manual. Berkeley: Lotus Publishing, 2008.

Thompson, Clem W. and Floyd, R.T. Manual of Structural Kinesiology (15th edition). Mankato: McGraw Hill, 2004.

Zumr, Zdenek LAc. Introduction to Oriental Medicine through Charts and Graphs. The Missing Charts Manual (2nd Edition). Oregon Lithoprint Inc., 2005.

McIntosh, Nina. The Educated Heart: Professional Boundaries for Massage Therapists and Bodyworkers. (3rd edition). Baltimore: Lippincott, Williams and Wilkins, 2011.

Benjamin, Ben E. Ph.D and Cherie Sohnen-Moe. The Ethics of Touch. (2nd edition). Tucson: Sohnen-Moe Associates, Inc., 2014.

Series Editor: Andrew N. Pollak, MD, FAAOS. Emergency: Care and Transportation of the Sick and Injured. (10th edition). Jones and Bartlett Publishers, 2011.

 

Online References used on our site:

Medical Dictionary / Glossary: http://www.medindia.net/glossary/Medical-dictionary.asp

Drugs.com: http://www.drugs.com/

WebMD.com: http://www.webmd.com/

GlobalRPh. com: www.globalrph.com

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Medical Prescription (Rx) Overview

This list is not all encompassing. It is comprised of the most utilized medications in conjunction with clients of Therapeutic Massage. Information was gathered from WebMD.com & Drugs.com. Please be aware that side-effects and responses to Medications are not always a given. Make sure to properly interview clients for each massage to maintain the highest level of understanding on how best to help. Do not assume they have all side-effects, or that they need your assistance with said side-effects. While it is imperative that we know of these possibilities, it is best to review before each massage and clearly understand the client's reasons for the visit. A Therapist's ability to listen and adjust the therapy plan when needed, insures safety and favorable outcomes for all parties involved. If changes in medication or pathology occur during the course of a client's massage treatment, the Massage Therapist must have the client update the intake forms to reflect those changes. A signature and date of change must be included under the original signature, or a new intake form with updated information added to their file.

 

BRAND NAME(S)
GENERIC NAME
CLASSIFICATION
TREATMENT (Tx) USE
Rx DESIGN
POSSIBLE SIDE-EFFECTS
CONTRAINDICATIONS, CAUTIONS, OR MASSAGE Tx ADVICE
Advil or Motrin
Ibuprofen

Nonsteroidal Anti-inflammatory Drug (NSAID)

It reduces fever, is an anti-inflammatory, and an analgesic used for treatment of whiplash, transmandibular joint dysfunction (TMJD), sprains and strains, scoliosis, sciatica, plantar fasciitis, osteoarthritis, neuropathy, muscle spasm, multiple sclerosis, hyperkyphosis, migraine headache, fibromyalgia, delayed-onset muscle soreness, carpal tunnel syndrome, and bursitis It works by reducing hormones that cause inflammation and pain in the body Upset stomach, ringing in the ears, or headache It is best to use deep massage with caution and be aware of decreased pain perception
Aleve, Anaprox, Naprelan, and Naprosyn Naproxen Nonsteroidal Anti-inflammatory Drug (NSAID) Anti-inflammatory, analgesic, fever reducer used for treatment of whiplash, tendinosis, bursitis, neuropathy, ankylosing spondylosis, osteoarthritis, migraine headache, carpal tunnel syndrome, fibromyalgia, and delayed-onset muscle soreness It works by reducing hormones that cause inflammation and pain Headache, ringing in the ears, and upset stomach It is best to use deep massage with caution and be aware of decreased pain perception
Allegra Fexofenadine hydrochloride Antihistamine It relieves seasonal allergy symptoms, used for treatment of seasonal allergies It works by reducing the effects of histamine, a natural chemical that the body releases to tackle allergens by producing sneezing, watery eyes, and runny nose Fatigue or drowsiness It is best to not position prone, and help client on/off table if needed
Ambien Zolpidem tartrate Sedative hypnotic It is used for sedation for insomnia It initiates sleep quickly (within 15 minutes) and has a short half-life of 2-3 hours. It is not meant to maintain sleep unless delivered in Ambien CR (Controlled-Release) form. Is meant for a short-term treatment of insomnia Abdominal pain, dry mouth, nausea, or vomiting It is best to use deep tissue treatment work with caution, and ask about positioning during treatment
Anacin, Feverall, Panadol, and Tylenol Acetaminophen Nonopioid pain reliever Reduces fever and is a mild analgesic used in the treatment of Degenerative Disc Disease (DDD), frozen shoulder, migraine headache, tension headache, fibromyalgia, rheumatoid arthritis, sprains and strains, tendinosis, and transmandibular joint dysfunction (TMJD) It works by elevating the body's overall pain threshold so you feel less pain. It also eliminates excess heat for fever reducing Liver damage from prolonged use It is best to use deep massage with caution and be aware of decreased pain perception
Apo-Ami Triptyline or Endep Amitriptyline hydrochloride Tricyclic antidepressant It relieves depression and is used in the treatment of stress, fibromyalgia, chronic fatigue syndrome, and neuropathy It works by affecting the balance of neurotransmitters such as serotonin (natural occurring substance) in the brain Drowsiness, dry mouth, or constipation It is best to help the client on/off table, abdominal massage may help relieve constipation, and make sure the client is alert before driving home.
Apokyn Apomorphine hydrochloride Non-ergoline dopamine agonist It reduces symptoms of Parkinson's disease used in the treatment of Parkinson's disease It works by helping to restore the balance of dopamine (natural occurring substance) in the brain Drowsiness, yawning, flushing, nausea, or vomiting It is best to help the client on/off table, use deep tissue techniques with caution, and make sure the client is alert before driving home
Astrin, Empirin, or Ecotrin Aspirin Salicylate and a nonsteroidal anti-inflammatory drug (NSAID) It is an analgesic, anti-inflammatory, antithrombotic and fever reducer and is used in the treatment of stroke, rheumatoid arthritis, ankylosing spondylosis, or tension headaches It works by reducing substances in the body (prostaglandins) that cause pain, fever, and inflammation Upset stomach and increased bruising It is best to use caution with deep massage techniques and be aware of the client's decreased pain perception
Atarax Hydroxyzine embonate Antihistamine, sedative, and antispasmodic It promotes calmness and reduces nausea or vomiting. It is used for the treatment of stress and allergies It works by blocking histamine Drowsiness or dry mouth It is best to use deep tissue techniques with caution, and offer water
Ativan Lorazepam Benzodiazepine anxiolytic, sedative, and hypnotic It relieves anxiety, promotes calmness, and sleep, it is used for treatment of stress It works by enhancing the effects of GABA (Gamma-Aminobutyric Acid) a natural chemical made in the brain that blocks brain signals (neurotransmissions) restlessness, drowsiness, and dry mouth It is best to use deep tissue massage techniques with caution. Offer a calming environment and water
Avonex or Rebif Interferon Beta-1A, recombinant Antiviral, Antiproliferative, and immunomodulator It reduces symptoms of Multiple Sclerosis and is used for the treatment of Multiple Sclerosis (MS) It works by using the protein Interferon (not a cure) to help decrease balance problems, weakness, numbness, and slow the disease Liver problems, depression, and flu-like symptoms It is best to never perform deep treatment work, use caution around injection site, and never massage the day of, or day after injection
Azulfidine Sulfasalazine Anti-inflammatory It relieves gastrointestinal tract inflammation and is used for treatment of Rheumatoid arthritis It works to reduce irritation and swelling in the large intestine Depression, headache, abdominal pain, nausea, and vomiting It is best to use deep tissue techniques with caution, and alter position when needed
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BRAND NAME(S)
GENERIC NAME
CLASSIFICATION
TREATMENT (Tx) USE
Rx DESIGN
POSSIBLE SIDE-EFFECTS
CONTRAINDICATIONS, CAUTIONS, OR MASSAGE Tx ADVICE
Betaseron Interferon Beta-1B, recombinant Antiviral, immunomodulator It decreases Multiple Sclerosis exacerbations and is used for treatment of Multiple Sclerosis (MS) It works by decreasing the number of attacks of weakness and slow the worsening of the disease with the protein interferon Anxiety, flu-like symptoms, depression, hemorrhage, or dizziness It is best to never perform deep treatment work. Use caution around injection site, never massage the day of, or day after injection. Help client on/off table if needed
Celebrex Celecoxib Nonsteroidal Anti-inflammatory Drug (NSAID) It relieves signs and symptoms of osteoarthritis and Rheumatoid arthritis in the treatment of Degenerative disc disease (DDD), Frozen shoulder, and Rheumatoid arthritis It works by reducing hormones that cause inflammation and pain in the body Dizziness or upset stomach It is best to use deep massage techniques with caution. Be aware of client's decreased pain perception, and help client on/off the table
Cogentin Benztropine mesylate Antiparkinson It increases physical mobility in Parkinson's patients in the treatment of Parkinson's disease It works by blocking acetylcholine (ACh) which is the neurotransmitter at neuromuscular junctions and at a variety of sites within the central nervous system (CNS) Cardiac complications, confusion, incoherence, dry mouth, or constipation It is best for a reminder call to be placed for treatment. Abdominal massage might relieve constipation
Compazine Prochlorperazine Antipsychotic, Antiemetic, and anxiolytic It relieves signs and symptoms of psychosis, reduces anxiety, and relieves nausea and vomiting. Is also used for treatment of Migraine headache, and headaches It works by changing the actions of chemicals in your brain Constipation and dry mouth It is best to offer water. Abdominal massage may help with constipation
Comtan Entacapone Antiparkinson It controls signs and symptoms of Parkinson's disease used for treatment of Parkinson's disease It works by COMT enzymes (Catechol-O-methyltransferase O=oxygen) inactivating catecholamine neurotransmitters such as dopamine, epinephrine, and norepinephrine allowing other Rx to work properly Anxiety, depression, abdominal pain, constipation, or diarrhea It is best to perform abdominal massage to help relieve constipation. Offer a calming environment and positive reinforcement in actions and words
Coumadin Warfarin sodium Anticoagulant It is used for reducing the blood's ability to clot with post stroke and post cardiac events. It is used to prevent thrombosis and thromboembolism formation and migration It decreases the body's ability to form blood clots by blocking the formation of vitamin K–dependent clotting factors. Vitamin K is needed to make clotting factors and prevent bleeding Cramps, anorexia, headache, or mouth sores It is best to consult the client's primary care provider before massage. Deep tissue techniques are contraindicated and ask about cardiac implants
Cymbalta Duloxetine Selective Serotonin and Norepinephrine Reuptake Inhibitor (SSNRI) and Antidepressant It relieves general anxiety disorders and depression in the treatment of major depressive and general anxiety disorders, and neuropathy It works by affecting chemicals in the brain that may become unbalanced and cause depression Slow reaction time, dulled thinking, mild nausea, dry mouth, gas, or constipation It is best to place a reminder call the day before the appointment if needed. Offer water and be patient during the intake interview. Abdominal massage may help relieve constipation
Depakote Divalproex sodium Antiseizure medication It helps in the treatment of acute manic episodes of bipolar disorder or seizure disorders in the treatment of Posttraumatic Stress Disorder (PTSD) It works by affecting chemicals in the body that may be involved in causing seizures Drowsiness, nausea, or vomiting It is best not to use percussive treatment work. Always remain calm. Help the client on/off the table, and create a plan for seizures
Effexor Venlafaxine hydrochloride SSNRI or Selective Serotonin and Norepinephrine Reuptake Inhibitor and is classified as an Antidepressant Used for treatment of Stress, major depression disorder (MDD), generalized anxiety disorder (GAD), panic disorders, and social phobia It effects the chemicals in the brain that may become unbalanced and cause depression Increased blood pressure, agitation, constipation, nausea, and weakness It is best to use caution with stimulating techniques, and abdominal massage may relieve constipation
Enbrel Etanercept Antirheumatic It relieves signs and symptoms of Rheumatoid arthritis used for treatment of Rheumatoid arthritis It works by controlling the body's defensive response by blocking the action of TNF (Tumor Necrosis Factor a cytokine involved with inflammation) used by the immune system Abdominal pain, dizziness, or headache It is best to elevate the head and help client on/off the table, if needed
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BRAND NAME(S)
GENERIC NAME
CLASSIFICATION
TREATMENT (Tx) USE
Rx DESIGN
POSSIBLE SIDE-EFFECTS
CONTRAINDICATIONS, CAUTIONS, OR MASSAGE Tx ADVICE
Flexeril Cyclobenzaprine hydrochloride Skeletal muscle relaxant It relieves muscle spasm in the treatment of Degenerative disc disease (DDD), Fibromyalgia, and muscle spasm It works by blocking nerve impulses (or pain sensations) that are trying to be sent to the brain Tachycardia, drowsiness, dry mouth, or constipation It is best to use deep tissue massage techniques with caution. Abdominal massage might relieve constipation. Offer water during session and help the client on/off the table
Fuzeon Enfuvirtide Anti-HIV and Antiviral It controls symptoms of HIV infection used for treatment of HIV/AIDS It works by decreasing the amount of HIV in the body so the immune system can work better Peripheral neuropathy, depression, bruising, abdominal pain, constipation, or diarrhea Deep tissue techniques are contraindicated. Gentle abdominal massage may help relieve constipation. Perform neuropathy protocol and be supportive in actions and words
Gabitril Tiagabine hydrochloride Anticonvulsant It prevents partial seizures and is used for treatment of Post Traumatic Stress Disorder (PTSD) It is believed to affect the neurotransmitters in the brain that slow down communication between nerves Dizziness, drowsiness, language problems, and abdominal pain It is best to avoid prone position depending on comfort, help client on/off the table, and speak slowly
Imitrex Sumatriptan succinate Antimigraine It relieves acute migraine pain and is used for treatment of Migraine headaches It activates specific receptor subtypes in the cranial arteries and veins acting as an agonist to reduce vascular inflammation Cardiovascular abnormalities, drowsiness, and abdominal discomfort It is best to avoid prone position depending on comfort, and help client on/off the table
Lexapro Escitalopram oxalate Selective Serotonin Reuptake Inhibitor (SSRI) and Antidepressant It relieves depression and anxiety and is used for treatment of Stress It works by helping to restore the balance of serotonin in the brain Cardiac complications, abdominal pain, abnormal dreams, dizziness, migraine, sedation, heartburn, indigestion, and gas It is best not to let the client fall asleep. Position for gastric distress. Alter positioning and help client on/off the table if needed
Lioresal Baclofen Skeletal muscle relaxant It relieves muscle spasm in the treatment of Cerebral palsy It works by helping to relax the muscles Constipation or drowsiness It is best to note that deep tissue techniques are contraindicated. Abdominal massage might relieve constipation
Lyrica Pregabalin Anticonvulsant It decreases neuropathic pain and is used for treatment of Fibromyalgia, and neuropathy It works by calming the damaged or overactive nerves that cause pain Dizziness, blurred vision, drowsiness, and easy bruising It is best to perform light treatment work, help client on/off the table, and elevate head when needed
Migranal Dihydroergotamine mesylate Cranial vasoconstrictor It reduces symptoms of migraine and cluster headaches in the treatment of Migraine headache It works by narrowing the blood vessels in the brain Anxiety, sweating, abdominal pain, nausea, or vomiting It is best to adjust for temperature needs, and create a calming environment
Neupro Rotigotine Dopamine agonist It reduces symptoms of early stage Parkinson's Disease and is used for treatment of Parkinson's Disease It works by helping to restore the balance of dopamine in the brain Fatigue, joint pain, dry mouth, and constipation It is best to not massage around patch. Abdominal massage may help relieve constipation
Neurontin Gabapentin Anticonvulsant It prevents and treats partial seizures, and relieves neuralgia. Is also used for treatment of Chronic fatigue syndrome and neuropathy It works by affecting chemicals and nerves in the body that are involved in the causing of seizures Amnesia, dry mouth, dizziness, nausea, and constipation It is best to place a reminder call the day before the appointment. Abdominal massage my help relieve constipation, help client on/off the table if needed
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BRAND NAME(S)
GENERIC NAME
CLASSIFICATION
TREATMENT (Tx) USE
Rx DESIGN
POSSIBLE SIDE-EFFECTS
CONTRAINDICATIONS, CAUTIONS, OR MASSAGE Tx ADVICE
Orencia Abatacept Immunosuppressant Rheumatoid arthritis It works by weakening your immune system and decreasing inflammation Dizziness, headache, or mild pain at injection site It is best to use caution around injection site
OxyContin Oxycodone hydrochloride Opioid analgesic It reduces moderate to severe pain used for treatment of Degenerative Disc Disease (DDD), and other degenerative conditions It works as a controlled-release opioid agonist (increasing analgesic effects) pain reliever Sedation, dry mouth, constipation, nausea, and vomiting It is best to use deep massage with caution and be aware of decreased pain perception. Abdominal massage may help relieve constipation. Offer water and help client on/off table when needed. Ensure client's alertness for the drive home
Paxil Paroxetine hydrochloride Selective Serotonin Reuptake Inhibitor (SSRI) It is an Antidepressant, relieves obsessive-compulsive behaviors, and is used for treatment of Fibromyalgia, neuropathy, and Post Traumatic Stress Disorder (PTSD) It works by effecting chemicals in the brain that may become unbalanced Abdominal pain, insomnia, nausea, constipation, diarrhea, and sexual dysfunction It is best to perform an abdominal massage to help relieve constipation, keep client awake to avoid disrupting sleep patterns
Plaquenil Hydroxychloroquine sulfate Antimalarial and Anti-inflammatory It reduces inflammation and is used for treatment of Rheumatoid arthritis (auto-immune disease) No explanation as to how it works Irritability, fatigue, anorexia, and abdominal cramps It is best to be patient with mood swings
Prozac Fluoxetine hydrochloride Selective Serotonin Reuptake Inhibitor (SSRI) It relieves obsessive-compulsive behaviors, and is an antidepressant used for treatment of Fibromyalgia and Post Traumatic Stress Disorder (PTSD) It works by affecting chemicals in the brain that become unbalanced Insomnia, abdominal pain, nausea, constipation, and diarrhea It is best to use abdominal massage to help constipation. Help client on/off the table, and do not let client fall asleep (may disrupt sleep patterns)
Relpax Eletriptan hydrobromide Antimigraine It relieves migraine headache symptoms used for the treatment of Migraine headaches It works by narrowing blood vessels around the brain and reducing substances in the body that can trigger migraine symptoms such as headache pain, nausea, sensitivity to light and sound Palpitations, dizziness, flushing, or abdominal pain It is best to create a calming environment, help client on/off the table, and alter positioning when needed
Requip Ropinirole hydrochloride Antiparkinson It increases physical mobility in Parkinson's patients and is used for treatment of Parkinson's Disease It acts like dopamine (neurotransmitter in the brain), and a systemic chemical messenger Cardiac complications, difficulty breathing, fatigue, weakness, impotence, and hallucinations It is best to help the client on/off the table, adjust positioning for breathing difficulties, and be careful awakening if client falls asleep because abruptness may disorient them
Sinemet Carbidopa and Levodopa Antiparkinson It improves voluntary movement in the treatment of Cerebral palsy and Parkinson's disease It works when the body and brain transform the Levodopa into a substance that helps to decrease tremors and other symptoms of Parkinson's disease. Carbidopa helps Levodopa to reach the brain Cardiac irregularities, involuntary grimacing, dry mouth, or constipation It is best to offer water. Abdominal massage might relieve constipation
Sinequan Doxepin hydrochloride Tricyclic Antidepressant It relieves depression and anxiety in the treatment of Fibromyalgia It is not known how it works Tachycardia, drowsiness, dry mouth, or constipation It is best to offer water, adjust positioning when needed, and help client on/off the table
Sonata Zaleplon Sedative hypnotic It is used for sedation for insomnia It is also used during pregnancy to depress the Central Nervous system (CNS) causing drowsiness. Is meant for a short-term treatment of insomnia Abdominal pain, dry mouth, and chest pain It is best to use deep tissue treatment work with caution
Tofranil-PM Imipramine hydrochloride Tricyclic Antidepressant It relieves depression and is used for treatment of depression and neuropathy It works by restoring balance to the neurotransmitters in the brain Cardiac complications, confusion, dry mouth, drowsiness, and constipation An abdominal massage may help relieve constipation. Offer water, be patient, and help client on/off table if needed
Tylenol #3 Acetaminophen and Codeine Narcotic Relieves moderate to severe pain and is used in the treatment of Migraine headaches It works by changing how your body feels in response to pain Headache, drowsiness, dizziness, dry mouth, nausea, or vomiting It is best to offer water, adjust positioning when needed, and help client on/off the table
Ultram Tramadol hydrochloride Synthetic analgesic (painkillers) It relieves moderate to moderately severe pain and is used for treatment of Degenerative Disc Disease (DDD) or Fibromyalgia It helps the brain to change how your body responds to pain Sedation, nausea, and constipation It is best to use deep treatment work with caution. Abdominal massage may relieve constipation. Help client on/off the table when needed
Valium Diazepam Benzodiazepine anxiolytic, skeletal muscle relaxant, anticonvulsant, and sedative It promotes calmness and reduces muscle spasm, anxiety, and seizures in the treatment of Cerebral palsy, and Chronic fatigue syndrome It works by enhancing the effects of GABA (Gamma-Aminobutyric Acid) a natural chemical made in the brain that blocks brain signals (neurotransmissions) Bradycardia, physical or psychological dependence, drowsiness, nausea, or vomiting Deep tissue techniques are contraindicated, abdominal massage may help relieve constipation. Help client on/off table, and check client's alertness for a safe drive home
Zoloft Sertraline hydrochloride Selective serotonin reuptake inhibitor (SSRI) It relieves depression and is used for treatment of Post Traumatic Stress Disorder (PTSD), Fibromyalgia, and Neuropathy It works to affect chemicals in the brain that may become unbalanced Insomnia, abdominal pain, constipation, diarrhea, and sexual dysfunction It is best to use abdominal massage to help relieve constipation, and keep client awake
Zovirax Acyclovir Antiviral It kills specific viruses used in the treatment of Bell's palsy It works by slowing the growth and spread of herpes virus in the body, it is not a cure, it only lessens the symptoms of the infection

Hypotension, headache, or dry mouth

It is best to offer water, adjust positioning when needed, and help client on/off the table
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BRAND NAME(S)
GENERIC NAME
CLASSIFICATION
TREATMENT (Tx) USE
Rx DESIGN
POSSIBLE SIDE-EFFECTS
CONTRAINDICATIONS, CAUTIONS, OR MASSAGE Tx ADVICE

 

 

MUSCLE INnervation

MUSCLE INnervation or Myotomes are Central Nervous System (CNS) Motor Nerves for the Peripheral Nervous System (PNS) that signal muscles to contract. If a motor nerve is pinched or damaged, the INnervated muscle will show signs of weakness or atrophy. To asses a client properly, it is useful to know the Myotome INnervation and Dermatome Zones. My/o= Muscle & Dermat/o = Skin. A Dermatone Zone is a cutaneous (skin) section supplied by a single spinal nerve. If a Spinal Nerve of the Central Nervous System (CNS) is pinched or damaged, the corresponing Dermatone zone can be described as having zinging, numbness, tingling, cold, hot, dead, just waking up, or no feeling at all. This is not a complete list of all muscles and nerves, however it is a comprehensive list of the most assessed muscles and nerves by Massage Therapists.

HEAD * NECK * FACE LEG & FOOT
  C1 - C7 LONGUS COLLI   TIBIAL L4 - S1 POPLITEUS * TIBIALIS POSTERIOR * FLEXOR DIGITORUM BREVIS * ABductor HALLUCIS * FLEXOR HALLUCIS BREVIS * LUMBRICALS (1ST TOE)
C1 -C4 LONGUS CAPITIS TIBIAL L4 - S2 LUMBRICALS (2ND - 4TH TOES)
C1 - C3 STERNOHYOID * STERNOTHYROID * OMOHYOID TIBIAL L5 - S2 SOLEUS * FLEXOR DIGITORUM LONGUS * FLEXOR HALLUCIS LONGUS
C1 & C2 THYROHYOID * GENIOHYOID TIBIAL S1 & S2 GASTROCNEMIUS * ABductor DIGITI MINIMI  * ADductor HALLUCIS * FLEXOR DIGITI MINIMI BREVIS * QUADRATUS PLANTAE * PLANTAR INTEROSSEI * DORSAL INTEROSSEI
C3 -C8 SCALENES PERONEAL L4 - S1 EXTENSOR DIGITORUM LONGUS
TRIGEMINAL (V) MASSETER * TEMPORALIS * MEDIAL & LATERAL PTERYGOID * MYLOHYOID * DIGASTRIC (ANT. BELLY) SUPERFICIAL PERONEAL L4- S1 PERONEUS LONGUS & BREVIS
FACIAL (VII) OCCIPITOFRONTALIS * PLATYSMA * STYLOHYOID * DIGASTRIC (POST. BELLY) DEEP PERONEAL L4 - S1 TIBIALIS ANTERIOR * EXTENSOR HALLUCIS LONGUS * EXTENSOR DIGITORUM BREVIS * EXTENSOR HALLUCIS BREVIS
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SHOULDER * ARM FOREARM & HAND
  CRANIAL NERVE (XI) TRAPEZIUS   MUSCULOCUTANEOUS C5 & C6 BRACHIALIS

VENTRAL RAMUS C2 - C4

TRAPEZIUS RADIAL C5 & C6 BRACHIORADIALIS
C3 & C4 LEVATOR SCAPULA RADIAL C5 - C7 SUPINATOR
AXILLARY C5 & C6 DELTOID * TERES MINOR RADIAL C5 - C8 EXTENSOR CARPI RADIALIS LONGUS
DORSAL SCAPULAR C4 & C5 RHOMBOIDS * LEVATOR SCAPULA RADIAL C6 - C8 EXTENSOR CARPI RADIALIS BREVIS * EXTENSOR CARPI ULNARIS * EXTENSOR DIGITORUM * EXTENSOR INDICIS * Abductor POLLICIS LONGUS * EXTENSOR POLLICIS LONGUS & BREVIS
SUPRASCAPULAR C4 - C6 SUPRASPINATUS * INFRASPINATUS RADIAL C7 & C8 ANCONEUS
UPPER & LOWER SUBSCAPULAR C5 - C7 SUBSCAPULARIS MEDIAN C6 & C7 PRONATOR TERES
LOWER SUBSCAPULAR C5 - C7 TERES MINOR MEDIAN C6 - C8 FLEXOR CARPI RADIALIS
LONG THORACIC C5 - C8 SERRATUS ANTERIOR MEDIAN C6 - T1 PALMARIS LONGUS * FLEXOR POLLICIS LONGUS * Abductor POLLICIS BREVIS * FLEXOR POLLICIS BREVIS (SUPERFICIAL HEAD) * OPPONENS POLLICIS * LUMBRICALS (2ND & 3RD FINGER)
THORACODORSAL C6 - C8 LATISSIMUS DORSI MEDIAN C7 - T1 FLEXOR DIGITORUM SUPERFICIALIS * FLEXOR DIGITORUM PROFUNDUS (2ND & 3RD FINGER) * PRONATOR QUADRATUS
SUBCLAVIAN C5 & C6 SUBCLAVIUS ULNAR C7 - T1 FLEXOR CARPI ULNARIS * FLEXOR DIGITORUM PROFUNDUS (4TH & 5TH FINGERS) * LUMBRICALS (4TH & 5TH FINGERS) * Abductor DIGITI MINIMI * FLEXOR DIGITI MINIMI BREVIS * OPPONENS DIGITI MINIMI
LATERAL PECTORAL C5 - C7 PECTORALIS MAJOR ULNAR C8 & T1 FLEXOR POLLICIS BREVIS * ADductor POLLICIS * PALMAR INTEROSSEI * DORSAL INTEROSSEI
LATERAL & MEDIAL PECTORAL C6 - T1 PECTORALIS MAJOR & MINOR    
MUSCULOCUTANEOUS C5 & C6 BICEPS BRACHII    
MUSCULOCUTANEOUS C6 & C7 CORACOBRACHIALIS    
RADIAL C6 - T1 TRICEPS BRACHII    
Page Top  
SPINE & THORAX PELVIS & THIGH
  SUBOCCIPITAL RECTUS CAPITIS POSTERIOR MAJOR & MINOR * OBLIQUE CAPITIS SUPERIOR & INFERIOR   LUMBAR PLEXUS L1- L4 PSOAS MAJOR
SPINAL ERECTOR SPINAE GROUP * MULTIFIDI * ROTATORES * INTERTRANSVERSARII * INTERSPINALIS SUPERIOR GLUTEAL L4 - S1 GLUTEUS MEDIUS & MINIMUS * TENSOR FASCIAE LATAE * ILIOTIBIAL TRACT
CERVICAL SEMISPINALIS CAPITIS * SPLENIUS CAPITIS & CERVICIS INFERIOR GLUTEAL L5 - S2 GLUTEUS MAXIMUS
THORACIC INTERCOSTALS OBTURATOR L2 - L4 PECTINEUS * GRACILIS * ADductor MAGNUS, LONGUS & BREVIS
T1 - T4 SERRATUS POSTERIOR SUPERIOR OBTURATOR L3 & L4 OBTURATOR EXTERNUS
T5 -T12 RECTUS ABDOMINIS * EXTERNAL OBLIQUE SACRAL PLEXUS L4 - S2 QUADRATUS FEMORIS * GEMELLUS INFERIOR
T7 - L1 INTERNAL OBLIQUE * TRANSVERSE ABDOMINIS SACRAL PLEXUS L5 - S2 PIRIFORMIS * OBTURATOR INTERNUS * GEMELLUS SUPERIOR
T9 - T12 SERRATUS POSTERIOR INFERIOR SCIATIC L4 -S1 ADductor MAGNUS
PHRENIC C3 -C5 DIAPHRAGM SCIATIC -     TIBIAL BRANCH L5 - S3 BICEPS FEMORIS (LONG HEAD)
LUMBAR PLEXUS T12 - L3 QUADRATUS LUMBORUM SCIATIC - PERONEAL BRANCH L5 - S2 BICEPS FEMORIS (SHORT HEAD)
VENTRAL RAMI RECTUS ABDOMINIS * INTERNAL OBLIQUE SCIATIC -     TIBIAL BRANCH L4 - S2 SEMITENDINOSUS * SEMIMEMBRANOSUS
ILIOHYPOGASTRIC & ILIOINGUINAL INTERNAL OBLIQUE * TRANSVERSE ABDOMINIS FEMORAL L1- L4 ILIACUS
    FEMORAL L2 - L4 SARTORIUS
Page Top Biel, Andrew. Trail Guide to the Body. (4th edition)

 

 

 

SPINAL COLUMN STRUCTUER POSSIBLE EFFECTS OR CONDITIONS
C1
EYES * LACRIMAL GLAND HEADACHES * INSOMNIA * HIGH BLOOD PRESSURE * MIGRAINES * CHRONIC FATIGUE * DIZZINESS
C2
PAROTID GLAND * SCALP SINUSITIS * EAR ACHES * PAIN AROUND THE EYES * VISION PROBLEMS * HEARING PROBLEMS
C3
NEURALGIA * PIMPLES * ECZEMA
C4
HEY FEVER * RUNNY NOSE * HEARING LOSS * ADENOIDS
C5
VOCAL CORDS * NECK GLANDS * PHARYNX SORE THROAT * LARYNGITIS * HOARSENESS
C6
TONSILS STIFF NECK * ARM PAIN * TONSILITIS * PERSISTANT COUGH
C7
THYROID GLAND * SHOULDER BURSA * ELBOWS BURSITIS * COLDS * THYROID CONDITIONS
T1
ESOPHAGUS * TRACHEA ARM & HAND PAIN * DIFFICULTY BREATHING * SHORTNESS OF BREATH * ASTHMA
T2
HEART * CORONARY ARTERIES HEART CONDITIONS * CHEST CONDITIONS
T3
LUNGS * BRONCHIAL TUBES * PLEURA BRONCHITIS * PLEURISY * PNEUMONIA * CONGESTION
T4
GALLBLADDER GALLBLADDER CONDITIONS * JAUNDICE * SHINGLES
T5
LIVER * SOLAR PLEXUS * CIRCULATION LIVER CONDITIONS * BLOOD PRESSURE CONDITIONS * POOR CIRCULATION
T6
STOMACH INDIGESTION * HEARTBURN * DYSPEPSIA
T7
PANCREAS * DUODENUM ULCERS * GASTRITIS
T8
SPLEEN LOWER RESISTANCE
T9
ADRENAL GLANDS ALLERGIES * CHRONIC FATIGUE
T10
KIDNEYS KIDNEY PROBLEMS * HARDENING OF ARTERIES * FATIGUE * NEPHRITIS
T11
KIDNEYS * URETERS SKIN CONDITIONS * ECZEMA * PIMPLES
T12
SMALL INTESTINES * LYMPH CIRCULATION RHEUMATISM * GAS PAINS
L1
LARGE INTESTINES * INGUINAL RINGS COLITIS * DIARRHEA * HERNIA
L2
APPENDIX CRAMPS* VARICOSE VEINS * LEG PAIN
L3
SEX ORGANS * UTERUS * BLADDER MENSTRUAL PAINS * IRREGULAR PERIODS * MISCARRIAGES * IMPOTENCY * KNEE PAIN
L4
PROSTATE GLAND BACK PAIN * DIFFICULTY, PAINFUL OR FREQUENT URINATION
L5
LARGE INTESTINE BACK PAIN * LEG PAIN * CONSTIPATION
SACRUM
HIP BONES SACROILIAC CONDITIONS * BACK PAIN * HIP PAIN
COCCYX
RECTUM * ANUS HEMORRHOIDS * TAIL BONE PAIN
 
   
   

 

     

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