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Interesting situation...
there are two issues here: first his lower back. Clients have narratives of how the massage should help them. Some narratives are more parallel to our narrative, some are different. This part of our human experience is very interesting. It's how we explain problems and solutions in our bodies. Some people, for example, see pain as punishment from moral 'wrongly doing'. Some see pain as the responsibility of the doctor to get rid of.
In healing, it's the same. Sometimes you need to understand the context of the client in what they believe in healing. One example is 'no pain no gain'. Another one is 'energy is not flowing in my body. Another is ' even minimal pain is damaging my body. Park of our role is to explain to our clients 'what is going on' and do that in a way that integrates their belief is something positive, not to completely change it. It is a negotiation, education, listening and more...

About the consent: it will be interesting to know what was the different between what you thought was agreed and him. for him it might be 'we agree to work only on the lower back'. For you it was 'we agree to work on the back'. You can learn from every feedback, and you will probably learn how to communicate the consent in a better way, but don't start do major changes just from one client. Just noticed what you have learnt and see what comes next with future clients.
Please update with next treatment!

Maria Kindly agree to take your notes Reann. I think you are not that far from each other

I would suggest on the leg to have the 'indirect approach'- apply techniques that do not put a direct pressure on the legs. Those are oscilation, rocking, shaking ect. These are really goof for the lower limbs in such situaiton. you can also apply some stretches....

https://us02web.zoom.us/j/4337705502

Thank you Fabio for the help!!

Hey Pinelopi, I found it. Click
Holistic diploma massage course - massage journal file consultation, report etc..(right hand side of the screen) - after just follow until the download

Sorry Maria, I have missed this. I will answer it in an email.

Spoke again with client, to clarify few finer points......all good for a relaxation massage, if I do the legs I shall keep the strokes very light, but may just focus on neck, back & shoulders......no more than moderate pressure....feel comfortable at this stage with this

Thanks so much Dror.
Yes, I definately need to ask client more questions, will do that.

See my answer here

P.S. Inflammatories ( damn, I hate spelling mistakes)

Also:
Client has history of low blood pressure.

In past month, client admitted to hospital with extreme pressure in left temple area - referred to neurologist - ongoing!