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Oct 1, 2021

A massage therapist notices some changes in the texture of their client’s tissues. When they ask about it, the client replies, “Oh! Those are my pellets!”


It turns out he has had testosterone pellets inserted into the tissues of his hip. What kinds of massage therapy accommodations are necessary in this situation? Tune in to find out!


YouTube of implantation procedure:





Anatomy Trains:   


Books of Discovery:   


Host Bio:        


Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist’s Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP’s partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner’s books are available at And more information about her is available at                  


Recent Articles by Ruth:      


“Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33,


“Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32,    



“Critical Thinking,” Massage & Bodywork magazine, May/June 2021, page 54,      



Check out ABMP’s Pocket Pathology:           





BioTE FAQ (no date) FMC Clinics. Available at: 

How effective are testosterone pellets: Side effects and benefits (2018). Available at: 


Lv, W. et al. (2016) ‘Low Testosterone Level and Risk of Alzheimer’s Disease in the Elderly Men: a Systematic Review and Meta-Analysis’, Molecular Neurobiology, 53(4), pp. 2679–2684. doi:10.1007/s12035-015-9315-y.


Pelleted Hormone Therapy—More Risks, Questionable Benefits, Warn Experts (no date) EndocrineWeb. 


‘Post-Pellet Insertion Instructions | Peoria IL | Couri Center’ (2020), 30 January. Available at: 


Testopel (Testosterone Pellets): Uses, Dosage, Side Effects, Interactions, Warning (no date) RxList. Available at: 


Testosterone Pellets. (2021) Healthline. Available at: 


Testosterone Treatment, A Risky Bet? | Cognitive Vitality | Alzheimer’s Drug Discovery Foundation (no date). Available at: 


Wahjoepramono, E. J. et al. (2016) ‘The Effects of Testosterone Supplementation on Cognitive Functioning in Older Men’, CNS & Neurological Disorders Drug Targets, 15(3), pp. 337–343. doi:10.2174/1871527315666151110125704.


About our sponsors:


Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function.