Yes, HSAs and FSAs cover massage and acupuncture

Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can be used to pay for massage and acupuncture treatments, as long as your physician recommends it with a written prescription. At HaLe’, we deeply believe in the effectiveness of our treatments, and are very excited to see bodywork, massage, and acupuncture covered as the health care it is.

To get a written prescription from your medical provider, you will need to talk with them about receiving treatment for a specific medical ailment. Some examples of qualifying issues are: stress, back pain, carpal tunnel syndrome, arthritis, diabetes, hypertension, chronic fatigue, fibromyalgia, anxiety, depression, and chronic pain.  Explain to them that you have an HSA or FSA that you would like to use to pay for bodywork, massage, or acupuncture to address your ailment. If you are already receiving these kinds of treatments, tell your doctor about how much they are helping you and how effective you find them.

To support this conversation, HaLe’ is happy write a letter to bring with you, detailing our suggested treatment plan for that ailment. Your doctor may choose to write the prescription to match that plan or may make adjustments based on their expertise. Either way, the prescription needs to include these 3 pieces of information:

  • Medical necessity: what condition you are treating
  • Frequency: how many sessions per month
  • Duration: how many months

Once you have your prescription, let us know what it says and then file it away with your records in case you are ever asked to back up your expense. You can pay for your sessions at HaLe’ directly with the card or check associated with your health spending account, if you have them. Please note that gratuity is not considered part of the cost and so does not qualify as a qualifying expense. Also, for some people, our classes might also be effective treatments for their ailments, and prescriptions for those could also be appropriate.

At HaLe’, we want you to feel good about what you are doing for your health. These HSA and FSA payment options make our treatments more accessible, which means we can be effective health care for more people, so you can get better and feel good!

How Often Do You Need Self-Care?

Our bodies require regular care in order to thrive and heal, and one of the best ways to make sure we are on top of our self-care is to put it on our schedule instead of trying to fit it in around everything else. As a manual medicine and self-care practice, HaLe’ has experience with what kinds of schedules work best. Here are our recommendations, based on the state of your body:

Acute Pain: 3 classes/wk, bodywork every week

Acute pain is an active, painful flare up or injury. The body needs frequent treatment in order to release secondary tension, stimulate the parasympathetic nervous system, support the lymph system, and generally assist the healing process.

Sub-acute: 1-2 classes/wk, bodywork every 2 weeks

Sub-acute pain falls between acute pain (sudden and awful) and chronic pain (long term, constant/consistent pain). It means that something hurts, but it hasn’t been hurting for a very long time and it isn’t terrible. The body is not in crisis but still in need of support and healing, so regular treatment until it resolves is recommended.

Chronic: Start with 2-3 classes/wk and bodywork every 1-2 weeks, then taper down

Chronic pain is long term pain that is not healing or getting better, and can be anywhere on the spectrum from unbearable to really annoying. Addressing chronic pain involves a combination of treatments to reduce overall pain levels and to treat the root cause of the chronic condition. This usually means coming often at the beginning, and as treatment makes progress at interrupting the pain cycle, tapering off gradually until treatments reach a maintenance level.

Maintenance: 1-2 classes/wk, bodywork every 4 weeks

To maintain a level of general good health and low pain, we recommend a basic self-care schedule. This helps resolve issues before they begin to hurt, reduces baseline stress levels, hydrates the connective tissue (fascia), and promotes a general sense of well-being. People who are very active or athletic may need more frequent self-care maintenance.

The Therapeutic Benefits of Balls and Rollers

Therapy balls and rollers offer many of the benefits of bodywork, but with the accessibility of a self-care practice and classes. Bodywork and massage therapy has a long list of benefits for overall health, pain management, athletic performance, and immune function. Sessions are one on one and highly individualized to each client’s body and what will best support their health.

Not everyone is able to receive bodywork or massage as often as their body needs it, though. A reasonable health maintenance schedule for bodywork is once every 2 or 4 weeks, and busy schedules and finances can make that difficult for everyone to access. That’s where the balls and rollers come in! With a grippy texture and firm (but not hard) to the touch, they can support health in many of the same ways bodywork does.

The ball or roller is able to mimic what the therapist does with their hands and feet, using slow, firm pressure to create length and hydration. They can address pressure points, lengthen fascia, relax muscle tension, and rehydrate tissues. Classes can get anyone started with these tools, as a trained teacher leads students through proper techniques and teaches them what to notice. Each student needs to learn the difference between sensations that create health, and pain that does damage.

Once a student has learned the basics in class, they can begin to integrate balls and rollers into their own self-care practice at home. Self treatments like releasing the IT band after each long run, or addressing pressure points on the hands to relax head and neck tension after a day on the computer, can go a long way to maintaining a daily sense of ease and vitality. This also allows bodywork and massage sessions to become more effective as they can spend more time addressing root causes of discomfort.

At HaLe’, discovering the therapeutic use of balls and rollers was an Aha! moment for us. We had tried for years to figure out a way for clients to continue their treatments off the massage table. Yoga is a great complement to bodywork, but it does not work with the body in the same way. Now we can encourage clients to come to class, learn the techniques, and then use them as often as they need to in order to support and maintain the specialized bodywork they receive on the table.

Boosting the Immune System

Manual Medicine supports deep health in the body, including boosting the immune system. Self care practices like yoga, as well as bodywork, massage, and mindfulness, are all proven to increase immune function.

Bodywork, massage, and self-care practices based on movement specifically promote increased lymph circulation. This supports the removal of pathogens and other waste from the body and helps spread white blood cells throughout the system, where they can respond quickly to immune challenges. This increases a person’s ability to fight infections.

Additionally, all of the manual medicine offerings at HaLe’ are effective for reducing cortisol, which is the hormone produced by high levels of pressure and stress. High levels of cortisol can boost blood pressure and reduce levels of natural killer cells in the immune system. Bringing those levels back down allows the immune system to function without that interference, restoring its effectiveness.

This is the time of year when immune systems can feel especially challenged by the perfect storm of lingering winter viruses and budding pollen allergies. Manual Medicine (literally, medicine you do by hand) provides powerful therapies to help boost and regulate the immune system, keeping it effective against the right kind of challenges.

What Really Works for Back Pain

Back pain is one of the most common reasons people go to the doctor, and there are new guidelines on how to treat it. Researchers analyzed more than 150 studies to understand what really works and what doesn’t. The conclusion: instead of medication, try yoga, massage, or mindfulness.

These guidelines, published by the American College of Physicians on Feb 13, 2017, say to use techniques that speed up the healing process to relax muscles, joints and tendons. This can be done through massage, acupuncture, and spinal manipulation, as well as mind-body therapies like yoga, tai chi, and mindfulness-based stress reduction.

This new recommendation is in alignment with the new CDC & FDA guidelines for the usage of opiods, which are now known to be inappropriate for chronic pain management. It instead recommends trying massage, yoga, and mindfulness first, then NSAIDS like ibuprofen and naproxen to reduce inflammation. Acetaminophen is not recommended, since it does not reduce pain or inflammation.

Low back pain is common, and the way it is currently treated in medical settings is a good example of low value health care: expensive tests and therapies that don’t fix the problem. Moving to more effective treatments for both acute and chronic conditions by recommending yoga, massage, and mindfulness will help reduce suffering in patients and frustration in those who treat them.

At HaLe’, our manual medicine therapists and our self-care class instructors are experienced in treating low back pain. For regular aches and injuries, we recommend you come to class or make an appointment. For more severe conditions, please talk with us so we can guide you to the right treatment plan for your body.

 

Cranium to Sacrum Connections

The connection of our head to our tail dramatically affects our sense of ourselves in our own bodies. When healthy, it supports the function of our nervous system and our ability to move easily through space with coordination and balance.

The head and the tail are the cranium and the sacrum. The sacrum, located at the end of the spine in the pelvis, is important to the proper function of our spine and our ability to know where our body is in space, called proprioception. If our pelvic proprioceptors are not sending information up the spine to the brain, our cranial proprioceptors will compensate, especially in the jaw. Grinding teeth becomes the body’s strategy for regaining some lost balance and coordination, and for moving fluid through the central nervous system.

Going the other way, jaw issues get reflected in the pelvis and jaw tension can cause pelvic tension. Dental surgery, head and jaw injuries, and orthodontia can all have echoing effects on pelvic health, as dysfunction or instability on the one end will cause similar issues on the other end.

There are several techniques to help the head and the tail stay coordinated and healthy. Tension and dysfunction often cause twisting and shortening. This can be released through work that stretches, lengthens, and supports the tissues to help restore them to their healthy functions.

A good place to begin balancing your head with your tail is to come to yoga or other self-care classes. They will help with the stretching and elongating that can be so effective.  Complement your classes with massage and bodywork sessions that will be tailored to exactly where your body is holding tension and directly address your specific dysfunctions. Bringing your cranium and your sacrum into harmony can have a profound effect on your overall health and sense of wellbeing.

What is Fascia?

Fascia is connective tissue made primarily of collagen that connects every part of the body, and often serves as a storage medium for fat and water, and as a passageway for lymph, nerve, and blood vessels. It also surrounds organs, glands, and individual muscles, and suspends the organs within their cavities. It is a complex system that literally connects every part of the body with every other part and can have a profound effect on health.

The full roll of fascia in the body and its relation to health is just now being explored because imaging technology has only recently been able to show us how the living fascia looks and acts. Problems with the fascia happen when it loses its stiffness, becomes too stiff, or isn’t otherwise able to move the way it needs to move. When it is too loose it can lead to organ prolapse, and when it is too tight, it can cause organ dysfunction and muscle pain. Fascia is also probably a crucial part of our ability to sense where our bodies are in space, to sense pain, and to feel internal sensations.

Lengthening and hydrating are the key ways to support the health of our fascia systems. Fascia does not stretch, and so lengthening happens through certain kinds of slow, steady applied pressure. Hydrating is not a matter of drinking liquids, but instead of activating and moving the water and other fluids already stored in the fascia.

At HaLe’, we offer both therapies and classes to support the health of the fascia. Our classes are great generalized treatments, especially our MELT Method and Girls with Balls classes, and so make a wonderful foundation for a strong self-care practice. For more acute or chronic conditions, we offer bodywork and massage to address the fascia in ways only a trained therapist can provide. Our myofascial release and Rolf Therapy offerings work specifically with the fascia to reduce pain and muscular dysfunction, and our Ashiatsu massage therapists use slow, applied foot pressure to very precisely and effectively lengthen and hydrate fascia.

Hygge is another word for WellBeing

Hygge (hoo-gah) is a Danish word that is hard to translate but easy to feel. It is a lifestyle dedicated to coziness in its broadest sense, where you are relaxed and feeling as at-home as possible. It is about being kind to yourself with small, delightful things like warm drinks, candlelight, good company, and comforting food.

At its core, hygge is about self-care. It is about indulging a little so that you are not punishing or denying yourself anything, but being kinder to yourself. Winter is especially the season of hygge, when the dark and the cold send us searching for warmth and light. The word itself is probably related to the English word “hug”, and they both speak of feeling comforted and secure.

HaLe’ is a form of hygge. Attend our classes and come for massage and other therapies in order to cherish yourself through a sometimes difficult season. Self-care of the body mind addresses aches and pains, relieves tension and stress, helps prevent injury, and improves digestion and sleep. In other words, it helps you feel more comfortable in your own skin, bringing that sense of comfort and ease that is hygge.

Managing Pain from Injury, Activity, and Aging

HaLe’ can help you manage your pain. Things like repetitive motion, poor posture, highly active lifestyles, and accidental injuries can cause long or short term pain issues for everyone. We can help.

Injury: Recovering from an injury is sometimes a long and frustrating process. Classes based on mindful movement help you to support your healing process and relieve the tension in the other parts of your body that are compensating while the injury heals. Bodywork and massage therapies can go a little deeper to help reduce inflammation, nourish the injury with blood and nutrients, and reduce pain signals.

Athletic Performance: Highly active lifestyles like running, rock climbing, and kayaking all come with their own sets of challenges. Pushing your body to higher levels of performance and fun requires additional recovery and maintenance in order to prevent serious injury. Classes to support full relaxation, rebalancing, and core strength are a wonderful counterpoint to always being on the go, as they help the body recover and nourish itself. Therapies like massage and cupping therapy improve recovery time and can increase athletic performance.

Aging: Getting older also sees an increase in pain levels as the results of various repetitive motions, posture habits, and old injuries make themselves felt. As the body ages it can become rigid and brittle, and movement classes can do a lot to reinvigorate and reactivate the body. This improves muscle tone, balance, and the ability to get up and down. Small imbalances accumulate into aches and pains, and they can be corrected through awareness and practice in the classes, especially when complemented with massage to address deeper levels of dysfunction at the same time.

Therapies and classes at HaLe’ are designed to increase your sense of wellbeing. All healing is self-healing, and HaLe’ is excited to partner with you in order to help manage pain and create health together.

Where to Begin

Begin with the body. Begin by dropping down into the body, taking a deep breath, and noticing where your body touches the floor. How are your shoulders? Your hips? Where is your breath? Is your breath more in your chest or your belly? Let it deepen. Let your body fill with your breath and notice.

Our bodies are made to move, and so movement can bring us back into a state of balance and health. Classes at HaLe’ are treatments for the body, based on movement. They reconnect us to ourselves, opening up places that are tight, stuck, or full of stress. They lengthen and strengthen and rehydrate tissues, bringing an overall sense of wellbeing.

If you can only do one thing, come to class. Begin with the goal of coming once a week, and more often if you can. Most of our classes will probably work for your body, so choose what fits your schedule and come. Talk with your instructor about how your body is feeling, so they can help adjust the class to your body instead of your body struggling to fit the class.

Support your class practice with our massage and other therapies, especially if you are in pain, very active, or have specific health challenges. A good goal is to receive body care at least once a month, and more often if there is something that needs more attention. We have a wide range of therapies available and they can do a lot to address pain and congestion, improve athletic performance, and restore balance in the body and mind.

Finally, talk to us. Tell us about what is going on with you, what challenges you are addressing, and where you feel stuck. We have an incredible collaborative team of therapists and instructors, so let us be a resource for you as you learn more about self-care and creating health.

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