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Aug 11, 2023

A client reports having Ramsay Hunt syndrome (RHS)—a version of shingles that affects the facial nerve. Her massage therapist can’t find any useful information to help guide their decisions. But they were able to establish that it isn’t contagious, so they pulled on their gloves and got to work.

Listen to this episode of I Have a Client Who . . . with host Ruth Werner to find out what happened, and why you might be seeing more about massage and RHS soon.




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:       


“Working with Invisible Pain,” Massage & Bodywork magazine, November/December 2022, page 36,


“Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35,

“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,    





Pocket Pathology:


Crouch, A.E. et al. (2023) ‘Ramsay Hunt Syndrome’, in StatPearls. Treasure Island (FL): StatPearls Publishing. Available at: (Accessed: 18 July 2023).


Facial Synkinesis | Otolaryngology | Loyola Medicine (no date). Available at: (Accessed: 18 July 2023). (no date) The Geniculate Ganglion: Taste, Tears, and Facial Expression, Verywell Health. Available at: (Accessed: 18 July 2023).


Massage Therapy Foundation Case Report Hub: