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Ruth Werner

Ruth Werner

Author, Educator, Artist

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“I Have a Client Who…” Pathology Conversations with Ruth Werner

The ABMP Podcast – Speaking with the Massage & Bodywork Profession

Herpes word written on blocks. Viral diseases, viruses concept

Ep 506 – Genital Herpes: “I Have a Client Who . . .” Pathology Conversations with Ruth Werner

May 20, 2025

Ep 500 – Myasthenia Gravis: “I Have a Client Who . . .” Pathology Conversations with Ruth Werner

April 22, 2025

Ep 494 – Lyme Disease Aftermath: “I Have a Client Who . . .” Pathology Conversations with Ruth Werner

March 25, 2025
3d rendering of spherocyte, it is a red blood cell (RBC) that is spherical in shape, rather than the normal concave disk shape

Ep 488 – Spherocytosis: “I Have a Client Who . . .” Pathology Conversations with Ruth Werner

February 25, 2025

Ep 483 – Language and Teaching: “I Have a Client Who . . .” Pathology Conversations with Ruth Werner

January 28, 2025

Ep 476 – Marfan Syndrome and Scar Tissue—from a scar tissue expert: “I Have a Client Who . . .” Pathology Conversations with Ruth Werner

December 10, 2024

Ep 470 – Pyoderma Gangrenosum: “I Have a Client Who . . .” Pathology Conversations with Ruth Werner

November 5, 2024

Ep 465 – TAVR Surgery: “I Have a Client Who . . .” Pathology Conversations with Ruth Werner

October 8, 2024

Ep 453 – EVAR Failure: “I Have a Client Who . . .” Pathology Conversations with Ruth Werner

August 13, 2024
Close up enterovirus on baby body

EP 448 – HAND, FOOT, AND MOUTH DISEASE: “I HAVE A CLIENT WHO . . .” PATHOLOGY CONVERSATIONS WITH RUTH WERNER

July 16, 2024

EP 442 – EPISATAXIS: “I HAVE A CLIENT WHO . . .” PATHOLOGY CONVERSATIONS WITH RUTH WERNER

June 11, 2024
3D Illustration Concept of Human Respiratory System Lungs Anatomy

EP 436 – PULMONARY FIBROSIS—AN ABERRANT MATRIX: “I HAVE A CLIENT WHO . . .” PATHOLOGY CONVERSATIONS WITH RUTH WERNER

May 15, 2024

EP 430 – FENTANYL PATCHES – ANOTHER LOOK: “I HAVE A CLIENT WHO . . .” PATHOLOGY CONVERSATIONS WITH RUTH WERNER

April 16, 2024

EP 424 – CANCER, CLOTS, AND COVID—A COMPLICATED CLIENT: “I HAVE A CLIENT WHO . . .” PATHOLOGY CONVERSATIONS WITH RUTH WERNER

March 19, 2024

EP 418 – NEUROSTORMING: “I HAVE A CLIENT WHO . . .” PATHOLOGY CONVERSATIONS WITH RUTH WERNER

February 20, 2024

EP 412 – FACTOR FIVE: “I HAVE A CLIENT WHO . . .” PATHOLOGY CONVERSATIONS WITH RUTH WERNER

January 23, 2024

EP 405 – WOLFE-PARKINSON-WHITE SYNDROME, OR HOW TO LOOK STUFF UP: “I HAVE A CLIENT WHO . . .” PATHOLOGY CONVERSATIONS WITH RUTH WERNER

December 15, 2023

EP 401 – FIBROID TUMORS: “I HAVE A CLIENT WHO . . .” PATHOLOGY CONVERSATIONS WITH RUTH WERNER

December 1, 2023

EP 399 – TODD’S PARALYSIS: “I HAVE A CLIENT WHO . . .” PATHOLOGY CONVERSATIONS WITH RUTH WERNER

November 17, 2023

EP 395 – DENGUE FEVER: “I HAVE A CLIENT WHO . . .” PATHOLOGY CONVERSATIONS WITH RUTH WERNER

November 3, 2023
x-ray image of permanent pacemaker implant in chest body , process in blue tone

EP 391 – PACEMAKERS AND MASSAGE: “I HAVE A CLIENT WHO . . .” PATHOLOGY CONVERSATIONS WITH RUTH WERNER

October 20, 2023
IV bags hanging on a stand

EP 386 – IV THERAPY: “I HAVE A CLIENT WHO . . .” PATHOLOGY CONVERSATIONS WITH RUTH WERNER

October 6, 2023

EP 382 – POST COVID MUSCLE PAIN: “I HAVE A CLIENT WHO . . .” PATHOLOGY CONVERSATIONS WITH RUTH WERNER

September 23, 2023
Dialysis Room, equipment, sickness, treatment, medical care, therapy, nursing, ministrations; medication, drugs, New York City

EP 377 – DIALYSIS: “I HAVE A CLIENT WHO . . .” PATHOLOGY CONVERSATIONS WITH RUTH WERNER

September 8, 2023

EP 373 – RINGWORM: THE FUNGUS AMONG US: “I HAVE A CLIENT WHO . . .” PATHOLOGY CONVERSATIONS WITH RUTH WERNER

August 25, 2023
Varicella zoster or chickenpox virus, 3D illustration. A herpes virus which cause chickenpox and shingles

EP 368 – RAMSAY HUNT SYNDROME: “I HAVE A CLIENT WHO . . .” PATHOLOGY CONVERSATIONS WITH RUTH WERNER

August 16, 2023

EP 364 – SICKLE CELL DISEASE: “I HAVE A CLIENT WHO . . .” PATHOLOGY CONVERSATIONS WITH RUTH WERNER

August 16, 2023

EP 359 – MT WITH EDS: “I HAVE A CLIENT WHO . . .” PATHOLOGY CONVERSATIONS WITH RUTH WERNER

July 14, 2023
Pensive young woman wearing blue shirt looking up with hand on chin. Studio shot on grey background.

EP 354 – BODY ODOR: “I HAVE A CLIENT WHO . . .” PATHOLOGY CONVERSATIONS WITH RUTH WERNER

June 16, 2023

EP 349 – POST-SURGERY QUESTIONS: “I HAVE A CLIENT WHO . . .” PATHOLOGY CONVERSATIONS WITH RUTH WERNER

June 2, 2023

EP 346 – SPINAL STENOSIS SURGERY: “I HAVE A CLIENT WHO . . .” PATHOLOGY CONVERSATIONS WITH RUTH WERNER

May 19, 2023

EP 342 – PELVIC PAIN

May 5, 2023

EP 339 – CONFIDENCE

April 21, 2023

EP 335 – TOENAIL FUNGUS

April 7, 2023

EP 333 – SHINGLES REDUX

March 31, 2023
Woman in a burnt orange sweater and jeans sitting on a gray couch with her arms crossed over her abdomen

EP 331 – PELVIC ORGAN PROLAPSE

March 24, 2023
Human Digestive System Anatomy 3D illustration

EP 329 – IBS

March 17, 2023
Anxious Arabic woman feel unhappy thinking at home

EP 326 – EAST PALESTINE

March 10, 2023
Xray image of staghorn calculus

EP 324 – STAGHORN CALCULUS

March 3, 2023

EP 322 – CLIENT WITH CEREBRAL PALSY

February 24, 2023

EP 320: SPRENGEL’S DEFORMITY

February 17, 2023

EP 317: HEMOCHROMATOSIS

February 10, 2023
The woman holds her chest as she experiences a shortness of breath.

EP 315 – ENDOMETRIOSIS WHERE?

February 3, 2023
The woman holds her chest as she experiences a shortness of breath.

EP 313 – SURFER’S EAR

January 27, 2023
A massage therapist holding a right knee up in the air at a 90 degree angle with the therapist's left hand squeezing just above the knee and their right hand supporting the leg under the calf.

EP 311 – ARTHROFIBROSIS

January 20, 2023
Two American football players looking at each other on a beginning of the match.

EP 308 – CTE

January 13, 2023

EP 306 – AGENT ORANGE

January 6, 2023

EP 304 – LYMPH NODES REMOVED WITH REBECCA STURGEON

December 16, 2022

EP 301 – MITOCHONDRIAL MYOPATHY

December 9, 2022

EP 299 – PRADER WILLI SYNDROME

December 2, 2022
Hands with surgical gloves holding a catheter over a surgical field covered in blue cloth

EP 297 – CARDIAC CATHETER COMPLICATIONS

November 18, 2022

Podcast Episodes: 

 

A complete archive of pathology-related podcast episodes featuring Ruth Werner.

EpisodeSeriesDate publishedTitleDescription
Ep. 173 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner11/12/2021Glottic StenosisAfter a lifetime of chronic coughing and throat-clearing, a client is diagnosed with congenital glottic stenosis, and is hoping to have surgery to correct it. Is there a role for massage therapy in this process?

This turns out to be a very relevant question for this moment, as acquired glottic stenosis is a fairly frequent complication of being on a ventilator.

Listen in for more about this unique problem with the larynx, and to hear where and how massage therapy might be helpful.
Ep. 170 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner11/5/2021FIAA mature woman has new hip and groin pain when she picks up and carries her toddler granddaughter. Her doctor diagnoses femoroacetabular impingement, and approves the idea of massage.

Femoroacetabular impingement? What is that? And is massage therapy appropriate?
Ep. 168 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner10/29/21Postsurgical NumbnessA client had three major cardiac surgeries within a month. Now, several weeks later, she still has numbness in her legs. What in the world is going on? And can massage help?

Join me for a search for how cardiac surgery and nerve damage intersect, and hear what happens for this lucky client!
Ep. 165 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner10/22/21Ehlers-Danlos Syndrome: Zebra PatientsI’ve seen several requests for guidance about working with clients who have Ehlers-Danlos syndrome (EDS) lately. This genetic connective tissue disease creates symptoms that look like ordinary musculoskeletal injuries, but they’re not—this is why some doctors call people with EDS their “zebra patients”—as in, these hoofbeats are zebras, not horses.

For this episode I didn’t have a single contributor with a specific client, so I created a fictional person with EDS who would like to receive massage for back and neck pain, and headaches. I present the most important variables, and then we go through a critical thinking process to help set up some clinical decisions.

Will massage therapy fix EDS? No. Can it help? Absolutely yes. Listen on for more.
Ep. 163 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner10/15/21Kidney Transplant + Heart AttacksA client has a history of two heart attacks and a kidney transplant. There’s no way they can safely receive massage, right?

Maybe not.

Join us for a short exploration of the miracles of kidney transplant surgery, the pathophysiology of heart attacks, and the surprising number of options this massage therapist has to offer safe, effective bodywork to this client.
Ep. 160 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner10/8/21MCA SyndromeA client has a panoply of health challenges, but the main one for right now is mast cell activation syndrome. Her whole body is primed to have an allergic reaction—to lotion, to smells, maybe even to touch. Is it possible to create a safe way for her to receive massage?
Ep. 158 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner10/1/21TestopelA massage therapist notices some changes in the texture of their client’s tissues. When they ask about it, the client replies, “Oh! Those are my pellets!”

It turns out he has had testosterone pellets inserted into the tissues of his hip. What kinds of massage therapy accommodations are necessary in this situation? Tune in to find out!
Ep. 155 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner9/24/21DermatillomaniaA client has a skin-picking disorder, and they want to receive massage. Is this really a good idea? How can we make sure they’re safe?
Ep. 153 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner9/17/21Type 1 Diabetes Blood Sugar CrashA client with diabetes has a 100-point blood sugar crash during his massage session. Luckily, the client was prepared and knew what to do. But can massage therapists do anything to avoid this risk? Listen in to find out.
Ep. 150 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner9/10/21Baker’s CystA client with a history of total knee replacement reports a Baker’s cyst. The massage therapist wonders what indications or contraindications are present. But the Baker’s cyst might not be the real issue here.

In this podcast Ruth has a couple of assumptions challenged, which can be fun.
Ep. 148 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner9/03/21Descending Necrotizing Mediastinitis (DNM)A client starts with a sore throat. Now she’s recovering from an infection that required 4 months in the hospital and rehabilitation. She had major surgery, and lost the ends of her fingers and toes in the process. Finally she is home, becoming more active, and wants to receive massage.

How on earth did this happen, and what do we need to know to work safely? It turns out this situation has some eerie links to another issue we hear about every day. Listen in to find out more.
Ep. 145 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner8/27/21Butterfly DiseaseEpidermolysis bullosa (EB): This genetic skin condition is sometimes called butterfly disease, because the skin of affected people is so delicate. So when a client with EB, plus fibromyalgia, plus blood thinner use asks for “very deep work,” what do we do?
Ep. 143 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner8/20/21Cervical DystoniaRuth eavesdrops on a conversation between two massage therapists sharing concerns about clients with cervical dystonia.

Cervical dystonia, also called spasmodic torticollis, is one of more than a dozen types of dystonia, and understanding this condition involves lots of twists and turns. (That’s a joke—tune in to find out why.)
Ep. 140 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner8/13/21T-cell LymphomaT-cell lymphoma is a relatively rare form of cancer that can affect lymph tissues, bones, organs, and the skin. In this episode we’ll look at this condition in two different clients with very different presentations that take us to similar conclusions.
Ep. 138 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner8/6/21Dupuytren’s ContractureA client has Dupuytren’s contracture, a progressive thickening and shrinking of the palmar fascia that causes her pinky finger to be bent all the time. Now it seems to be starting on the other side.

Is massage safe? Can it help slow the progress? What is Dupuytren’s contracture, anyway?
Ep. 135 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner7/30/21Chronic Fatigue Syndrome/Myalgic EncephalomyelopathyChronic fatigue syndrome (CFS), called myalgic encephalomyelopathy (ME) in other countries, is one of my least favorite topics. It is just so slippery, and we understand very little about how it comes about, how to treat it, and how massage therapy might help. We are likely to see more cases of CFS/ME soon, as this symptomatic profile is common in people with long COVID. What is chronic fatigue? And how can massage therapy be helpful? Join me for an exploration of this complex and frustrating topic to get to some possible solutions for a client who lives in pain.
Ep. 133 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner7/23/21Happy Birthday to . . . Us!From appendicitis to vertigo: a quick tour through the first year of I Have a Client Who . . . episodes in alphabetical order. I am so grateful to our listeners and podcast hosts and sponsors who have made all this possible, and I’m looking forward to another great year of I Have a Client Who . . . stories!
Ep. 130 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner7/16/21Substance Use Disorder and Interoception, A Conversation with Dr. Cynthia Price“There’s so much power in the very, very simple things.” Dr. Cynthia Price shares her “I Have a Client Who . . . ” story about a woman under treatment for substance use disorder, who is learning positive things about her body for the first time. It’s a beautiful story that will remind us about why we do this work. Plus, there’s information on how you can work with Dr. Price to do the kind of manual therapy that helps stressed clients find their way to positive awareness.
Ep. 128 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner07/09/21Infected Olecranon BursitisStudent’s elbow? Popeye’s elbow? Whatever you call it, an infected olecranon bursa is no joke. Lots of people have to go through several attempts to treat it, culminating in surgery to remove it. When is massage therapy safe?
Ep. 125 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner7/02/21Kienböck’s DiseaseWhat happens when a bone that forms a major pivot point in the wrist falls apart? A friend of a massage therapist is looking for some self-massage ideas as she recovers from a pioneering surgery on her wrist to repair damage from a rare and painful condition called Kienböck’s disease. Or lunatomalacia. Or avascular necrosis of the lunate. Kienböck’s disease? What is it? And why does it lead to wrist reconstruction surgery? And will massage therapy make this worse?
Ep. 123 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner6/25/21The Complexity of DermatomyositisListen for an exploration of an extraordinarily complex autoimmune disorder with elements of lupus, scleroderma, and muscle inflammation. Includes short tangents on the etymology of the term pathognomonic and CREST syndrome (no, not the toothpaste.) Can massage help? Or is it off the table?
Ep. 120 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner6/18/21Brain Surgery and SpasmsA client had brain surgery and now has severe and painful spasms in their back. Is this a complication of surgery? Is this a precursor to total paralysis? Will massage make it worse? Listen for a brisk review of nervous system function and what happens when parts of the nervous system are injured. Upper or lower motor neurons—it makes a difference!
Ep. 118 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner6/11/21ShinglesIn this episode we do a deep dive into varicella zoster virus and the many confusions about chickenpox, shingles, and a weird invisible form of shingles. Is shingles contagious? Can you get it more than once? Where does the chickenpox vaccine fit? It can be very confusing! Tune in for some useful clarifications.
Ep. 115 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner6/4/21Restless Leg SyndromeA client comes back to the massage table after a long pandemic-related break. Her therapist notices something new: as the client relaxed, her legs began to twitch and jump, and she felt “tingling” on the top of her foot. What is going on, and can massage therapy help?
Ep. 113 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner5/28/21Seizures and Action PlansA client who has never had massage before calls to make an appointment. He has a history of “grand mal” seizures. What does the massage therapist need to know to be safe with this client? We go through a short list of important questions.
Ep. 110 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner5/21/21Obesity PressuresAn obese client wants help with low-back pain, but she can’t take deep pressure. What to do? Ruth might get a little strident in this discussion of weight, health, judgmental language, and hands-on options.
Ep. 108 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner5/14/21RhabdomyolysisA young woman has lots of muscle pain after her soccer game. A great time to receive massage, right? Not this time. Listen in for a case where massage could cause renal damage.
Ep. 105 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner5/7/21Pregnancy SurpriseA pregnant client has pain and numbness in her hands. It is NOT what you think. In this conversation with pregnancy massage expert Carole Osborne, we take a look at a common pregnancy-related complaint, and see how it can offer some surprises!
Ep. 103 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner4/30/21PseudogoutA client wants deep work in his hamstrings, but he has a couple of situations that might make it questionable: Parkinson’s disease and a recent onset of a new condition for him called pseudogout. What is pseudogout, how is it different from traditional gout, and what can this massage therapist do in this complex situation?
Ep. 100 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner4/23/21MRSAA client with a complex health history reveals he has recently been exposed to methicillin-resistant Staphylococcus aureus. During his session, his massage therapist finds lots of little scabs on his body—yikes! Good news: this is not nearly so scary as it seems. The hygienic practices we already use provide us with good protection from MRSA colonization, but that needs to happen on purpose, and not by accident. Also, you might want to keep some gloves and masks around.
Ep. 98 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner4/16/21Marfan SyndromeA client has Marfan syndrome—what does it mean for him? And what does it mean for massage? Listen in as we review what autosomal dominant means, and we enjoy some new vocabulary: dolichostenomelia (abnormally long, thin limbs) and arachnodactyly (spider-digits). We also learn about the potentially life-threatening complications of this genetic disorder.
Ep. 95 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner4/9/21Eating DisordersThis story is a delicate one. The client has an eating disorder that the massage therapist thinks is pretty advanced, and may be getting worse. This episode dives into some of the serious consequences of eating disorders and the important role massage therapy may play. It may be upsetting for people who struggle with eating disorders, so please consider this a trigger warning.
Ep. 93 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner4/2/21A Failure to Communicate About a Failure of the LiverA client didn’t share an important piece of information—and the therapist didn’t ask. The result: a serious situation that massage could have made much worse. In this episode, we talk about a surprising relationship between bariatric surgery and liver failure—and about the need to ask open-ended, inviting questions that will help us get a clear and full understanding of our clients’ health challenges.
Ep. 90 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner3/26/21Lots o' Clots, Part 2Another episode about DVT and pulmonary embolism—but this one looks really different from last week!

New client says, “I want to make you aware of my pulmonary embolism this week . . . my hospitalist says massage will be OK”
Encouragement to do massage
Encouragement NOT to do massage
What to do??? In the face of contradictory advice, we walk through this decision-making process, discussing the difference between information and permission along the way.
Ep. 88 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner3/19/21Lots o' Clots, Part 1A client with a complicated health history (including cancer and newly adjusted chemotherapy) has a medical emergency: deep vein thrombosis and pulmonary emboli. Now she wants massage. There’s a lot to balance in this decision, which is not as clear-cut as it seems. In this episode, we consider some of the variables about massage for a person with this medical history and find a way to get to a good conclusion.
Ep. 85 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner3/12/21Fem-Pop Follow-upIn episode 77, from February 19, 2021, a client with “critical limb ischemia” wants massage while he awaits corrective surgery for an occluded artery. So, we talked about peripheral artery disease and talked about the risks and reasons to be cautious in this situation. In this follow-up episode, we find the client was in better shape than I thought, and the massage therapist shares her treatment choices and rationales for a really hopeful outcome. This is yet another example of how important it is to treat the person, not the diagnosis.
Ep. 82 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner3/5/21Corticobasal SyndromeA client with corticobasal syndrome wants to improve her range of motion in her right arm. Nothing seems to work so far—sessions with her personal trainer and two massage sessions haven’t made any significant changes. What is corticobasal syndrome? Well, it’s complicated. And what treatment options have the most promise? (You might be surprised.) And most importantly, what is a realistic expectation for this client?
Ep. 79 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner2/26/21Toxic Mold SyndromeA new client calls for a manual lymph drainage session, and they have a diagnosis the massage therapist has never heard of—toxic mold syndrome. Information online about this condition is confusing and inconsistent. What is toxic mold syndrome? Does it even exist? Why is it so controversial? And most of all, what can we do to help this client?
Ep. 77 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner2/19/21Femoral Popliteal BypassA client with a serious circulatory problem—a failed femoral-popliteal bypass, or “fem-pop” surgery—wants a massage while he’s waiting for his next procedure. There’s no data on massage and failed fem-pops at all. What can this massage therapist do? In this episode, we look at fem-pop surgeries and the reasons why a person might need it. Then, we take apart some of the variables that go into making decisions about massage therapy for this client. It’s a critical-thinking exercise with immediate repercussions for this client and his health and comfort.
Ep. 75 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner2/12/21Kidney DonorA contributor has an unusual question: how soon can I work with someone who recently donated a kidney? We have lots of information about massage therapy for people on dialysis, and known cautions for transplant recipients, but we don’t know much about how to help living donors. In this episode, we take a look at what it’s like to give up a kidney and what kinds of accommodations for massage that requires.
Ep. 73 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner2/5/21Pregnant and Hand PainA client is seven months pregnant and has severe pain in both hands and wrists. Is it carpal tunnel? Can massage help? The answers are yes, maybe, AND—watch out for a significant risk.
Ep. 71 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner1/29/21Frozen Shoulder and the Super DrugA client has frozen shoulder: a painful, limiting condition, and she is prescribed a powerful drug (methylprednisolone) to help manage it. When it is appropriate for massage to enter this situation?
Ep. 69 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner1/22/21VertigoA young client has had dizzy spells and neck pain with stiffness for three years. His doctor can’t find anything wrong, and—huzzah!—suggests massage therapy to help. What is the source of his vertigo? Can massage help?
Ep. 67 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner1/15/21Parkinson’s Disease vs Normal Pressure HydrocephalusIn this episode, I explore a condition that is completely new to me, and you get to come along for the ride. A long-time client shows signs of some complicated neurological problems. Is it Parkinson’s? Is it hydrocephalus? Why not both?
Ep. 65 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner1/8/21Eustachian TubesToday we take a deep dive . . . into the ear. We look at a client who had a sinus infection with lingering ear stuffiness. Magically, it resolved with massage! The MT naturally wants to know, “What happened? And can I make it happen again?”
Ep. 60 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner12/25/20AppendicitisA massage therapist gets an early lesson on who is ultimately responsible for making decisions about client safety—hint: it is not always the doctor or the client! Sometimes our clinical decisions should be out of alignment with our client’s health-care providers.
Ep. 58 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner12/18/20Just a Bruise?A client training for a big event takes a fall and bruises his thigh. Now he wonders if foam rolling would help, and he has also convinced himself it’s a serious condition: compartment syndrome. He wants advice from his favorite provider. What’s a massage therapist/personal trainer to do?
Ep. 56 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner12/11/20Olecranon BursitisA myofascial massage therapist develops a work-related injury. No one warned us about this one! In an effort to save his thumbs and wrists, he developed bursitis on his elbow. Listen for what he did to deal with it and preserve his career.
Ep. 54 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner12/4/20ScoliosisA competitive barrel racer has multiple back surgeries for scoliosis. She has spinal fusions and Harrington rods that stabilize and immobilize her spine from her sacrum all the way up to T2. With her massage therapist’s help, she makes a big discovery about her function. Human bodies are amazing!
Ep. 51ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner11/24/20COVID-19 Vaccines: What We KnowOn the heels of the encouraging information from the past two weeks, and information about Pfizer’s and Moderna’s COVID-19 vaccines and their effectiveness, we wanted to check in with our good friend Ruth Werner to get her opinion on a range of topics: the current vaccines in production and the new technology used behind their speedy creation, the potential for long-term effectiveness, virus mutation, and more.
Ep. 50 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner11/20/20Ultrasound EarsIn this episode, I revisit a previous podcast with a surprising outcome, I share a story-within-a-story, and I say some things that are sometimes hard to hear. This “I Have a Client Who ...” has surprises, uncomfortable truths, and a wish for my very own massage therapy super-power: ultrasound ears.
Ep. 48 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner11/13/20Tourette’s SyndromeAn adult client has Tourette’s syndrome with tics that include various jumps and vocalizations. Her massage therapist notices a surprising change with supine neck work and a traditional craniosacral hold. What is Tourette’s syndrome? What are tics? And why might massage therapy have any kind of influence here? This is a mystery that deserves some attention.
Ep. 46 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner11/06/20Pregnancy Pass OutA pregnant client vomits and loses consciousness in the middle of a massage. The therapist shows remarkable presence of mind and everything worked out fine—but what on earth happened? Would it have been possible to predict such a thing? Carole Osborne, author of Pre- and Perinatal Massage Therapy, A Comprehensive Guide to Prenatal, Labor, and Postpartum Practice, took some time to talk me through this so I could bring some true expertise to this discussion.
Ep. 44 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner10/30/20Flu Vaccines and MassageA massage therapist has an opinion about when to work after a client’s flu shot. Her colleague has a different opinion. Who is right, and based on what data? Join me for a discussion of flu shots, appropriate delays (or not) for massage therapy, and intriguing possibilities for future research.
Ep. 42 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner10/23/20Deep Vein ThrombosisTwo clients. Two left legs that are swollen and hot. Two surprising outcomes. We explore deep vein thrombosis, pulmonary embolism, and venous thromboembolism, and even take a quick peek at aortic aneurysm. Lots of long words in this one, and lots of opinions from me.
Ep. 38 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner10/16/20BunionsBunions? Calcifications? Does it make a difference? A massage therapist isn’t sure what’s going on with her client’s foot and wants to know if it even matters. We will unpeel the layers of this situation to revisit bunions, Wolff’s law, osteoarthritis, and more. Come explore this gynglimoarthrodial joint with me—and no, I didn’t make up that word!
Ep. 36ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner10/09/20Psoriatic ArthritisA massage therapist is in a rather severe bike accident, being hit by a vehicle—on purpose. In addition to his other injuries, he develops a sudden onset of episodes of skin lesions and severe joint pain that persists to this day. What in the world is going on here, and what can he do about it? This is an inspiring story of remarkable resilience.
Ep. 34ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner10/02/20Spinal FusionA client has chronic low-back pain, headaches, migraines, and a history of some serious surgeries. We take a close look at one of them: spinal fusion at L4-L5. What is this massage therapist doing now? What might he do in the future? It turns out there are a lot of options!
Ep. 30 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner09/17/20Logorrhea, or Patience and Presence with People with Communication ChallengesThis episode tells the story of a client who is approaching the end of her life. Cancer metastasis to her brain has led to some language difficulties. We will talk a bit about oncology massage therapy, palliative care, CyberKnife surgery, and cerebral shunts. But the main lesson here is about patience and presence with people who have some communication challenges.
Ep. 28 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner09/11/20Can This Relationship Be Saved?In this episode, a client might be disappointed. A therapist is very concerned. And we don’t know what will happen next.

When a “pinched nerve” that has been quiet for six months suddenly creates symptoms in the middle of a massage, what’s a therapist to do? We will talk about what could be going on here (including some fascinating things about nerve-generated pain) and what the best next steps could be.
Ep. 26 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner09/03/20HerniaGuess the pathology: an egg-sized lump in the groin. In this episode of “I Have a Client Who …” a massage therapist describes a client who comes in asking for groin work—to help with a “knot.”
What on earth is going on?
It turns out to be simple, but way, way outside our scope of practice—to label, or to treat.
Inguinal hernias are common injuries in men, because the passage of the spermatic cord into the abdomen creates a structural weak spot at the inguinal ring. When that spot gets stressed and stretched, loops of the small intestine can bulge through. This can be a minor issue, or it can become serious very quickly—and the only permanent solution is surgery.
Ep. 32ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner09/02/20LipedemaIn this episode, a client has lipedema—a painful condition with enlarged fat cells that won’t ever shrink or go away by themselves, and it’s probably going to get worse. It turns out that massage therapy could be helpful with the right kind of education and background. Fortunately, we found a great resource!
Ep. 24 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner08/27/20Patent Foramen OvaleA man has a stroke at age 35. He fully recovers, but is put on a lifelong prescription of anticoagulants. What is going on, and will he ever be able to receive the deep massage he wants?
In this episode of “I Have a Client Who …” we look at a common anomaly called patent foramen ovale. We discuss its connection to cryptogenic stroke (and we even dive into migraine for a hot second). Finally, we talk about some variables that inform the safety of massage therapy for clients taking anticoagulant drugs.
Ep. 22 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner08/21/20Fractured SternumA client who was recently in a motor vehicle accident experienced pain during her massage session, even with lightened pressure. Even though she had been “cleared for massage” by her primary care provider (PCP), it turns out she had no X-rays, and unfortunately she had sustained a fracture to her sternum during the accident. Getting massage “clearance” from a PCP are fighting words for Ruth, because according to her “They don’t know your massage.” Listen as Ruth dives into the complexities of the situation and the nuances of this particular case that make it a fascinating example of an experience that MTs are likely to see in their practices.
Ep. 20 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner08/14/20Undiagnosed Rash: What Do You Think It Is?An older long-time client is on the table, midway through her massage. When the MT undrapes her leg, she finds a string of red blisters from the client’s buttock down the leg. “Oh, yeah, it’s kind of itchy,” says the client. In this episode, we talk about undiagnosed skin lesions, how carefully we need to communicate to clients about them, and take a deeper dive into shingles: what causes it, what the risks are, and whether massage therapists might catch it from clients.
Ep. 18 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner08/07/20Shoulder Injury—Or Is It?The wrong choices can lead to unforeseen repercussions. Listen as pathology expert Ruth Werner shares a story of one of her neighbors who was complaining of seemingly uncomplicated shoulder pain—that turned out not to be shoulder pain.
Ep. 16 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner07/31/20Essential TremorRuth Werner discusses the complex overlap of conditions in a longtime client: already affected by heart disease and diabetes, this client now has developed essential tremor. Is there a safe way to help him, given his medical history? How do we balance all the variables in this situation to offer safe, effective massage? What kinds of work might be most helpful? What, if anything, does the research say? You might be surprised.
Ep. 14 ABMP “I Have a Client Who …” Pathology Conversations with Ruth Werner07/24/20A Stroke Survivor’s PrognosisThis story with a description of stroke, how it affects function, and the role of massage therapy is a complicated situation that also involves ethical boundaries, communication skills, and some ideas for options that practitioners might pursue for their clients with central nervous system injury.
Ep. 3 ABMP - Conversations in Quarantine with Ruth Werner04/28/20Conversations in Quarantine with Ruth WernerRuth Werner, author of A Massage Therapist’s Guide to Pathology, discusses her recent article “What Will It Look Like When We Go Back to Work?” Werner gives an update on COVID research, testing, and weighs the risks vs. benefits of reopening practices.

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