Apr 22, 2025

A 70-year-old client fills in an online intake form, saying she has myasthenia gravis, hypertension, and hypothyroidism. She only takes Synthroid, and says her hypothyroidism and hypertension are well controlled. She has low back pain and muscle soreness.

At first glance, this seems fairly simple. MG does not appear to...

Mar 25, 2025

A contributor sent me several descriptions of people dealing with the aftermath of Lyme disease, hoping for some answers to the questions this mysterious condition brings up. Sorry, no answers here—just more questions. Chronic Lyme disease, post-treatment Lyme disease syndrome, Long Lyme… whatever you call it,...

Feb 25, 2025

For his 40th birthday, a man is treating himself to his very first massage. His health history includes a few noteworthy details, one of which is a condition neither his massage therapist nor I had ever encountered before: hereditary spherocytosis. Are there any potential concerns? Possibly.

Resources: 

Hereditary...

Jan 28, 2025

For nearly 30 years, Rob Kelly has taught anatomy, physiology, pathology, lymphatic work, and orthopedic massage. Recently, Kelly reached out to “I Have a Client Who . . .” host Ruth Werner to share his observations on how easy it is to misunderstand how the body works and how these stories we tell ourselves can...

Dec 10, 2024

A client with Marfan’s syndrome, a connective tissue disorder with dysfunctional collagen, has had multiple surgeries for a traumatic accident, and their scar tissue is restricting their ease of movement. Their massage therapist is concerned about how best to help them regain function.

When I have questions about...