Mar 24, 2026

A client asks for a specific technique on their face. They have a bad reaction. Then they say they didn’t want work in that area anyway, and by the way, they had a skull fracture four years ago. Now they’re leaving because they feel a migraine coming on.

The therapist is left wondering what just happened.

In this...

Feb 24, 2026

A school administrator and massage therapist wants guidance on how to respond to a student who is reluctant to work with clinic clients who report a history of herpes. Is this a significant risk for massage therapists?

The reality is that anyone with a history of herpes simplex can shed the virus intermittently, even...

Jan 27, 2026

Ruth is learning, writing, and teaching about thyroid disease in lots of different places, so IHACW is coming along for the ride.

Hypothyroidism: the thyroid gland doesn’t produce enough of the right hormones to stimulate healthy metabolism—a person has a hard time turning fuel (that’s oxygen and food) into...

Dec 9, 2025

A client has a very traumatic experience with their kidney transplant surgery in 2017. Ever since, they have lived with chronic, intractable neck and head pain that doesn’t respond to any treatment they’ve tried so far. A recent CT scan reveals some calcium deposits inside the cranium but - is that the cause? Can...

Nov 4, 2025

A simple question turned into a deep dive, and I learned a ton along the way! A client has an implanted vagus nerve stimulator. Now what?

In this episode of I Have a Client Who . . ., Ruth explore's how vagus nerve stimulators work, why they’re used, and the precautions massage therapists should consider. Plus, we...