Know your limits.

Pain.
One thing that only you know how it feels.
Since everyone has a different pain tolerance how do we know when it's something to have a therapist work on or something to go to the doctor for?

I had to deal with this question myself this morning. I woke up out of a really deep sleep to a pain so sharp in my shoulder I couldn't stay still, at 7 in the morning. So through this blinding pain I had to follow my typical steps for dealing with minor pain and discerning which specialist to go to when the pain is too much; Massage Therapist or Doctor.

Step 1: Mind over matter. I tried to suck it up put an ice pack on my whole shoulder and go back to sleep. Every time I laid down the pain gets worse so I move to...

Step 2. Let someone know, or in this case wake up the boyfriend. Sometimes someone can see you more objectively than you can at the moment and be able to tell how much pain your in from body language to help decide what to do next. Thankfully my boyfriend was willing to give his crying girlfriend a massage at 7:30 in the morning when he's a night owl. This helped the pain a little with the aid of homeopathic oil. But I was still begging him to saw my arm off so on to...

Step 3. I ask myself a series of questions:

• Have I felt this pain before? (No)
• Did I do anything yesterday or the past week that could make me sore? (3 hours of massage yesterday, not enough to make me sore)
• How long has it been since I had bodywork? (Acupuncture 2 days ago)
• How urgent is this pain on a scale of 1-10? (At this point I was pacing, so I can easily say a 9)

This morning all the answers added up to an urgent care visit. As a massage therapist I felt a little bit of a sell-out. After bringing up that feeling to my great guy he reassured me that I needed a different approach. That got me started thinking; How many of my clients have this sort of pain? I know that I have a lot of anatomical knowledge and feel like I'm more self aware of what my body feels and why than most, but how do my clients who are of a different field of specialty know where to go. So I figured I would help y'all out with this post.

Here are a few of my guidelines as to who I go to for pain using the above series of questions.

Would I would go to a Massage Therapist if I...

• Previously felt this pain?
• Yes; or No if I know where the pain came from. i.e. working-out, yard word, sleeping "funny".
• Did anything recently that could cause soreness?
• Yes.
• Have gone a while without bodywork?
• Anytime longer than 2 weeks with normal activity, or 1 week with more active than usual.
• Measure the urgency of the pain?
• Anywhere from 1-5; Light to moderate pains

Would I consult my Doctor if I...

• Previously felt this pain?
• No; or Yes if it is more intense or frequent.
• Did anything recently that could cause soreness?
• No.
• Have gone a while without bodywork?
• Less than a week with receiving massage on a regular basis.
• Measure the urgency of the pain?
• 6-10; Intense to extreme pains

Massage is a wonderful tool but some pain may be caused by something deeper and more serious. It is always important to get it checked out by a doctor that has access to x-rays or MRIs. Sharp breathtaking or tear jerking pains can entice you into a doctor's office quickly, but even dull achy pains can be caused by something that muscle work can't diagnose or help.

So here I am, after having a shot in the butt thinking about actually filling that prescription for pain killers, telling you to know your limits. There is always a reason for pain,
 and if the internet just sends you into spiral of hypochondria, it is best to just call your doctor