The Neuroendocrine System, Stress, and Massage

In order to improve the quality of their bodywork, most massage therapists focus on learning new techniques to add to their tool belts. But paradoxically, the most important element in successful massage outcomes might not be WHAT techniques you do, but HOW you do them, and WHO you are when you're doing them. In other words, the kind of relatedness you establish with your clients, and your own internal state as you engage with them, may be the most important influencers on the quality and outcome of your work, as well as your clients' overall massage experience. As one psychotherapist said, “Good therapy is 80% who you are and 20% what you do”.

Humans (and all mammals) engage in something called 'limbic resonance', where the internal state of one can deeply influence the internal state of the other, and vice versa. This can happen very rapidly, and often subliminally. To say it another way, others feel and respond to our inner states, and we in turn respond to theirs. We can actually regulate the internal state of another, and they can help regulate us. This is a fundamental and necessary part of human experience, and a huge benefit of massage, whether our clients (and we) know it or not.

In addition, as massage therapists, we are often looked upon as stress-management specialists--our clients are looking for relief from their stresses, and we are not only trying to help them, but are trying to manage our own stresses as well. But what is this thing we call stress? How do we create deep states of calm in ourselves and others? And since stress is not going away, how do we effectively work with it? 

In this class we will explore the nature of stress, some of its paradoxes, and how to skillfully work with them. We will examine the anatomy and physiology of the autonomic nervous system and the hypothalamic-pituitary-adrenal axis of the endocrine system; how those systems upregulate in times of stress, and why. We will investigate the etiology of stress-related diseases and disorders caused by autonomic-neuroendocrine imbalance; they are rampant in our culture. We will then look at how massage can remedy distress and stress disorders, and positively influence health and balance. We will also review some common (and successful) stress management approaches, including yoga, mindfulness-based stress reduction, breathing, counseling, diet, biofeedback, exercise, hydrotherapy, attitude, and loving, supportive relationships. You will learn how to better manage your own stresses, and how to help your clients manage theirs.  

"One of the best non-technique classes I've attended in years. I would recommend it to any therapist looking for information related to our field." - BJ Erkan

"The subject and the way the material was explained was challenging but not overwhelming. Bottom line, a sweet spot class." -Barbara Falorni

“Brian tells stories that are funny, engaging, moving, and illuminating. They gave depth and meaning to everything he taught us today.” -Connie Lunan

“Delightfully simplified, robust, informative, and satisfying!” - William John Poll

Instructor: Brian Utting
CE hours: 8 (NCBTMB-approved for CE credit)
Date and Time: Saturday, April 5th, 10am-7pm
Location: Seattle, WA

Tuition: $160. Take both Saturday and Sunday’s classes for only $305.

Registration: This class is sponsored by the Therapeutic Training Center. 

Click here to register for Saturday’s Neuroendocrine class only, or to register for both days.

Reviewers may take this class at a 25% discount, or $120. You will need to contact Robbin at TTCI to arrange this, since it’s not a website registration option.

ASSESSMENT AND TREATMENT OF THE cervical ligaments

The neck is one of the most common areas of client complaint, injury and dysfunction, and it can be a challenging area to treat effectively. Injured or irritated neck ligaments can be particularly vexing; besides causing deep pain, they can provoke a guarding response in the nearby muscles, causing additional pain, tension, and limitation of movement.

In this class we will explore the deeper terrain of the neck, concentrating on the key ligamentous and related muscular and fascial structures that, when injured, often create chronic neck pain and tension. The cervical ligaments are every bit as important as the muscles, bones, and fascia, but are often overlooked by massage therapists, chiropractors, and physical therapists.

You will learn assessment and palpation skills that will help you to identify the ligamentous structures that need treatment, make sure it is appropriate to do so, and treat the injured structures. A primary focus of this class is to help you refine your accuracy in both palpation and treatment, and to help you develop more confidence, specificity and thoroughness in your neck assessment and treatment. Clients notice the difference right away when they feel you touch the "right spots", and their chronic pain and tension begins to dissolve from the inside out.

"This was one of the most informative classes I've taken in a long time. The material is very useful for my clinical practice." - Sabrina Sargent

"I think more than any other technique or series of movements I've incorporated, this neck work has had the most consistent and specific effects. Every person who has received the work has said they've felt lengthened, their neck felt freed and that they slept very soundly that night, often feeling very relaxed the next couple of days. Thank you!" - Dawn Geula

“This class was ridiculously useful. I will be using these techniques immediately and daily." - Robin Mayberry

Instructor: Brian Utting

Location: Cotati, CA

Date and Time: Saturday, March 22, 2025, 10am-7pm

CE hours: 8 CE hours (NCBTMB-approved for CE credit)

Tuition: $200.

Masking: Masking is recommended but optional, each person can choose to wear a mask or not.

MUSCLE-SPECIFIC DEEP TISSUE TECHNIQUES FOR THE SHOULDER GIRDLE

The shoulders are meant to float freely on the ribcage, held in elegant suspension by 16 muscles, but very often they are restricted, stuck down, and in pain. In the morning, you will learn to effectively liberate some of the major anterior structures of the shoulder girdle (such as the pectoralis minor, subclavius, and subscapularis), and help to give your clients a feeling of ease and freedom in their shoulders that reaches all the way around to their back.

In the afternoon, we will work with the shoulder girdle from the side-lying position. Besides being deeply comforting and relaxing, skilled side-lying work gives you excellent access to the structures of the shoulder. You will learn specific, effective, and potent techniques for releasing the muscles of the shoulder girdle, including the trapezius, rhomboids, latissimus dorsi, serratus anterior, levator scapula, subscapularis, infraspinatus, supraspinatus, pectoralis minor, and the surrounding fascia.

You will also learn some focused, muscle-specific work to release bound up erector spinae and transversospinalis muscles. These muscles are often glued down and are a major source of pain and limitation for our clients. The side-lying position gives you excellent access to some of the smaller muscles of the back (and their fascial wrappings)--muscles that are fundamentally important to our posture, movement, and well-being, but that are often completely missed in a standard massage.

We sometimes think of side-lying work as primarily for pregnant women, but almost all of your clients can benefit from skilled side-lying work in this area, and it feels wonderful.

The day will focus on straightforward, muscle-specific techniques that can be immediately applied in practice. Body mechanics will also be a focus of this class, as well as proper use of fingers and elbows to save wear and tear on joints.

"This was the best CE class I've ever taken." -Tyler Rapke

"I haven't felt this kind of freedom in my shoulders since before massage school! I have definitely been enjoying my wings." -Amy Ross

Instructor: Brian Utting

CE hours: 8 (NCBTMB-approved for CE credit)

Date and Time: Sunday, March 16th, 2025, 10am-7pm

Tuition: $180 for Sunday only. $320 for both Saturday and Sunday.

Reviewer’s Discount: If you have taken this class previously through the Therapeutic Training Center, you may review it at a $45 discount on tuition.  The reviewer's price for this class is $135 (reg. $180). If you are eligible for the reviewer's discount, please call Robbin at 206.853.6875 to register.

This class is sponsored by Therapeutic Training Center.

Click here to register for Sunday. Click here to register for both Saturday and Sunday.

Masking is currently optional unless infection rates go up.

Evaluation and Treatment of Shoulder Injuries

A lot of our clients suffer from chronic rotator cuff injuries that seem to stubbornly persist using conventional massage techniques. Learn precise and specific orthopedic assessments and thumbs-free techniques to identify and successfully treat some of the most common injuries to the subscapularis, supraspinatus, infraspinatus, teres minor, long head of the biceps, and acromioclavicular joint. The class will include a review of rotator cuff anatomy, palpation of the rotator cuff muscles and related structures, and instruction in appropriate treatment massage techniques to treat the soft tissue lesions. You will also receive a detailed 30-page handbook for future reference.

"This shoulder class was the best class and instruction I've ever had." - Deborah Luger

“Great presentation, very informative, and very in-depth”. - Daniel Gauvin

"This is the best Continuing Education workshop I've taken, out of 120+ CE hours." - Julio Otazo

Instructor: Brian Utting

CE hours: 8 (NCBTMB-approved for CE credit)

Date and Time: Saturday, March 15th, 2025, 10am-7pm

Tuition: $180. Take both Saturday and Sunday for only $320.

Reviewer’s Discount: If you have taken this class previously through the Therapeutic Training Center, you may review it at a $45 discount on tuition.  The reviewer's price for this class is $135 (reg. $180). If you are eligible for the reviewer's discount, please call Robbin at 206.853.6875 to register.

This class is sponsored by the Therapeutic Training Center.

Click here to register for Saturday. Click here for Saturday and Sunday.

Masking is optional unless infection rates go up.

ETHICS, SUPERVISION, BOUNDARIES, AND wa STATE LAW

The class will begin with a thorough review of state massage law, and some interesting, important, and occasionally upsetting changes to the law. We will also cover some Washington State massage laws that went into effect in 2022-2024, and discuss some of the issues that are currently under consideration.

After a review of professional ethics, roles, and boundaries, we will take a more personal approach to professional ethics. Ethics is a living subject and is best learned in a live, interactive format. As massage practitioners, we work closely and intimately with our clients, but we often experience isolation and burnout in our own practices. When ethical conflicts, confusions, and challenges inevitably arise, we often feel that we have no place to take them. 

In this peer supervision class, we will explore your current professional issues and dilemmas, whether they be interpersonal, ethical, financial, Covid-related, or other. This is not a hypothetical or 'you should eat your vegetables' approach to ethics, but rather an opportunity to draw support and gain insight from your peers and mentors as you deal with whatever your real ethical issues or conflicts are. The class size will be quite small and intimate, with two instructors and a maximum of eleven students. You will return to your practice refreshed and with a deeper sense of clarity.

“Finally, an ethics class that is substantive, useful and not onerous!! I may never be able to tolerate the alternatives again.” -Darlene Sluder

"My time and money were definitely well spent. I feel like I am a better person as well as a better LMT after taking this class. This ethics class probably was the most important one of my career as we come off of the heights of Covid, but are still not through it.​" - Lindsay Butler

“I didn’t anticipate that I would come to feel in community with 10 strangers so quickly. It’s helpful and humanizing to hear other people’s stories and what they are wrestling with in their practices, and also have the opportunity to sort through some of my own questions with a supportive community.” -Alice Hunting

"Masterfully organized, and complete in subject coverage, handouts, and time management." -Barbara Johnson

"When I registered for this class, I was hoping for a competent ethics class that would offer more than merely an opportunity to satisfy a licensing renewal requirement. What I received was a thoroughly superb presentation which was easily the most beneficial ethics class I have ever taken. I can hardly believe I am looking forward to my next one in two years with Brian and De’Anna." - David Benoff

Instructor: Brian Utting and De’Anna Dean
Ethics CE hours: 7 ethics CE hours, meets (and exceeds) WA state ethics requirement
Tuition: $105

Date and Time: Sunday, March 9th, 10:30am-6pm

Registration: Please note that this class is sold out. A new section will be added this spring.

CTM / Bindegewebsmassage

Please note that the date for this class has changed from Feb 2 to Feb 9.

Bindegewebsmassage, or Connective Tissue Massage (CTM), is a precise and elegant way to work with the body's dermatomes and autonomic reflexes to induce corresponding autonomic changes in specific organs. The technique was developed in Germany by Elizabeth Dicke, and is widely practiced there, although it is less known in the United States. Bindegewebsmassage is quite powerful, although it can appear subtle at first.

Starting with the sacrum, specific cutaneous zones are stroked with a dragging pressure in a precise and orchestrated way that can "trick" the body into responding as if specific organs or organ systems are being massaged. In response, the target organ vasodilates and its smooth muscles tissue relaxes. Bindegewebsmassage is quite effective for treating menstrual cramps, eliminating or reducing symptoms over 90% of the time. It can also be helpful with reducing the symptoms of migraines, asthma, and intestinal cramping. In addition, CTM can subtly affect the fascial layers (especially adhesions in the subcutaneous layer), increasing range of motion and flexibility, and reducing pain or tingling from tightened tissue. Bindegewebsmassage typically has a calming effect, and can be used for general parasympathetic relaxation as well.

A handful of clinical trials have shown CTM-style manipulation has beneficial effects in pain reduction, reduced depression, improved quality-of-life, and moderate short-term increases of beta-endorphins (pain-relieving neurotransmitters). These trials add to anecdotal observations from clinicians that CTM often causes "virtually immediate relief in visceral or myofascial pain as well as general relaxation" (Prendergast & Rommer, 2013).

In this class, you will learn the "basic build-up", which primarily focuses on the sacral and pelvic areas and their corresponding target organs, and the "first followup", which focuses on the lower back and rib cage.

Click here for an article Brian wrote about Bindegewebsmassage for MNZ in New Zealand.

"That the viscero-cutaneous reflex interconnection is reversible, that is to say, that it not only leads from the internal organs to the skin, but vice versa, is a long-established fact. One of the most elegant and fundamental systems, which conforms almost flawlessly to the workings of the segmental reflexes, is connective tissue massage as prescribed by Dicke." - Hans Schliack, MD (German neurologist).

"It's fantastic to have new tools to treat migraines and menstrual pain, and give ease to an often 'stuck' area". - Rachael Brown

Instructor: Brian Utting
CE hours: 8 (NCBTMB-approved for CE credit)
Tuition: $180.

Date and Time: Sunday, February 9th, 10am - 7:00pm.

Registration: This class is sponsored by the Therapeutic Training Center.

Click here to register.

MUSCLE-SPECIFIC DEEP TISSUE TECHNIQUES FOR THE POSTERIOR, LATERAL, AND ANTERIOR NECK

The neck is a strong, vulnerable and complex structure. It is the most movable part of the spine, and yet is strong enough to balance and support an 11-pound head, even with chronically poor posture. Skillful deep tissue work in this area is not about brute force; it's about precision and strategy, informed by knowledge of the anatomical structures. It's rare to find massage therapists who really know how to massage the neck in a precise, specific way—especially around the small muscular attachments to the transverse processes—even though this is often where the muscles are most frayed and/or inflamed.

In the morning you will learn specific techniques for releasing the cervical posterior paraspinal muscles (longissimus, semispinalis capitis, multifidus), suboccipital triangle, levator scapula (especially the cervical attachments), facet joints, splenius capitus and cervicis, posterior, middle, and anterior scalenes, sternocleidomastoid, and masseter.

In the afternoon we will focus on deep muscle-specific techniques for the anterior neck. Many people learned in massage school to avoid this area, but it responds safely and well to skilled and precise touch. We will focus on the scalene, suprahyoid, infrahyoid, and longus capitus and colli groups. This is really helpful work for clients who have been in car accidents, have emotional issues with their necks or throats, or use their voices professionally (e.g., singers).

These are straightforward, muscle-specific techniques that can be immediately applied in practice. The work is well-suited to either treating cervical injuries or improving your spa massage, and will increase your precision, palpatory sensitivity, and effectiveness. Body mechanics will also be a focus of the class as well as proper use of fingers to save wear and tear on joints.

"I honestly learned more in your neck class than any other CE I've taken, and I've been at it almost 13 years." -Tracey Brandt

"I love neck work, and this class took things to the next level.” -Heather Finch

“This class has vastly improved my knowledge, approach, and technique. I am looking forward to immediately applying all this in my practice.” -Jessica Roberts

Instructor: Brian Utting
CE hours: 8 (NCBTMB-approved)
Date and Time: Saturday, February 8th, 2025, 10am-7pm

Tuition: $180.

Reviewers Discount: If you have previously taken this class, you may review it for $126. If you are eligible for the reviewer's discount, please call Robbin at 206.853.6875 to register as the website only offers classes at the regular price.

Registration: This class is sponsored by the Therapeutic Training Center. Click here to register.

Regarding masking: We have moved to a hybrid version of the masking policy—there are different masking requirements for the lecture and non-lecture portions of class.

Lecture: During the opening portion of class and during the two lectures, masking is optional, each person can choose to wear a mask or not.

Masking is required during the non-lecture portion of class when you are doing technique or watching a technique demonstration. Please bring a surgical or N95 mask--choose what works best for you, and consider bringing two masks.

ETHICS, SUPERVISION, BOUNDARIES, AND wa STATE LAW

The class will begin with a thorough review of state massage law, and some interesting, important, and occasionally upsetting changes to the law. We will also cover some Washington State massage laws that went into effect in 2022-2024, and discuss some of the issues that are currently under consideration.

After a review of professional ethics, roles, and boundaries, we will take a more personal approach to professional ethics. Ethics is a living subject and is best learned in a live, interactive format. As massage practitioners, we work closely and intimately with our clients, but we often experience isolation and burnout in our own practices. When ethical conflicts, confusions, and challenges inevitably arise, we often feel that we have no place to take them. 

In this peer supervision class, we will explore your current professional issues and dilemmas, whether they be interpersonal, ethical, financial, Covid-related, or other. This is not a hypothetical or 'you should eat your vegetables' approach to ethics, but rather an opportunity to draw support and gain insight from your peers and mentors as you deal with whatever your real ethical issues or conflicts are. The class size will be quite small and intimate, with two instructors and a maximum of eleven students. You will return to your practice refreshed and with a deeper sense of clarity.

“Finally, an ethics class that is substantive, useful and not onerous!! I may never be able to tolerate the alternatives again.” -Darlene Sluder

"My time and money were definitely well spent. I feel like I am a better person as well as a better LMT after taking this class. This ethics class probably was the most important one of my career as we come off of the heights of Covid, but are still not through it.​" - Lindsay Butler

“I didn’t anticipate that I would come to feel in community with 10 strangers so quickly. It’s helpful and humanizing to hear other people’s stories and what they are wrestling with in their practices, and also have the opportunity to sort through some of my own questions with a supportive community.” -Alice Hunting

"Masterfully organized, and complete in subject coverage, handouts, and time management." -Barbara Johnson

"When I registered for this class, I was hoping for a competent ethics class that would offer more than merely an opportunity to satisfy a licensing renewal requirement. What I received was a thoroughly superb presentation which was easily the most beneficial ethics class I have ever taken. I can hardly believe I am looking forward to my next one in two years with Brian and De’Anna." - David Benoff

Please note that this class is currently sold out. There is a new section of this class on Sunday, March 9th. Click here for details.

Instructor: Brian Utting
Ethics CE hours: 7 ethics CE hours, meets (and exceeds) WA state ethics requirement
Tuition: $105

Date and Time: Sunday, January 19th, 10:30am-6pm

Registration: Please note that payments are non-refundable and non-transferable. You will need to be on either a laptop or a desktop (not a cellphone) with a good internet connection to attend and participate. Students are expected to leave their cameras on and fully participate in class.

Please note that this class is currently sold out. There is a new section of this class on Sunday, March 9th. Click here for details.

ASSESSMENT AND TREATMENT OF THE LUMBAR AND SACRAL LIGAMENTS

The Bureau of Labor Statistics estimates that more than a million American workers suffer back injuries in a year, and that they account for about 20% of total work-related injuries. Back pain can be debilitating for many people, and even when it's just a nuisance, it can significantly impact their fundamental quality of life. Massage can often be a helpful tool in the recovery and rehabilitation process, but, unfortunately, it is also quite common for clients to receive massage that has a minimal impact on the source of their pain and discomfort.

One of the elements commonly missing when working with back injuries is a better understanding of, and ability to specifically palpate, the terrain of the low back and sacrum, particularly connective tissue structures like the various supporting ligaments. These ligaments are every bit as important as the muscles, bones, and fascia, but are often overlooked by massage therapists, chiropractors, and physical therapists.

In this class, you will learn to palpate and treat some of the most commonly injured ligaments in the low back and pelvis, including the iliolumbar, intertransverse, sacroiliac, sacrotuberous, supraspinous, and interspinous ligaments, as well as a few key postural muscles. Clients notice the difference right away when they feel you touch the "right spots", and their chronic pain and tension begins to dissolve from the inside out.

"I found this class extremely informative; it's something my own body needed, and I hadn't been able to pinpoint it." -Sabrina Barrera

"This class was taught by experienced instructors who had really thought through the progression of the class--the content made sense and flowed well, lending itself to really retaining the knowledge." -Meredith Condon

"Brian's teachings are intelligent, precise and effective. After receiving the work yesterday, my back feels more fluid and happy, and during the treatment, I went to that deep place of relaxation where drool happens." -Jen Elden

Instructor: Brian Utting
CE hours: 8 (NCBTMB-approved for CE credit)

Date and Time: Sunday, January 12th, 10am-7pm

Tuition: $180 for Sunday’s Lumbosacral Ligaments class. Take both Saturday’s Torso and Sunday’s Ligaments classes for only $320.

Registration: This class is sponsored by the Therapeutic Training Center.

Reviewers Discount: If you have previously taken this class, you may review it at a 25% discount on tuition. The reviewer's price for this class is $135. If you are eligible for the reviewer's discount, please call Robbin at 206.853.6875 to register as the website only offers classes at the regular price.

To register for Sunday only, click here.

To register for both Saturday’s Torso class, and Sunday’s Low Back Ligaments class, click here.

Regarding masking: We have moved to a hybrid version of the masking policy—there are different masking requirements for the lecture and non-lecture portions of class.

Lecture: During the opening portion of class, and during the two lectures, masking is optional, and each person can choose to wear a mask or not.

Technique: Masking is required during the non-lecture portion of class when you are doing technique or watching a demo. Please bring a surgical mask or N95 mask -- choose what option works best for you, and consider bringing two masks.

MUSCLE-SPECIFIC DEEP TISSUE TECHNIQUES FOR THE TORSO (ILIOPSOAS, DIAPHRAGM, QL AND PARASPINALS)

These muscular structures support the core–they are integral to maintaining balance, structural alignment, ease of breathing, mobility, and the ability to function without lower back pain. In the morning, you will learn specific, potent, and effective Deep Tissue techniques to release the iliopsoas, diaphragm, QL, lower multifidus, and the lumbodorsal fascia. These are straightforward, muscle-specific techniques that can be immediately applied in practice, often with profound results. There will be a concise and insightful anatomy review of these structures with an eye toward the functional relationships between them. We will also focus on correct placement and proper use of fingers, knuckles, and elbows for optimal results.

In the afternoon we will focus on some muscle-specific Deep Tissue techniques for the Paraspinals (erector spinae and transversospinalis) that are different from but complementary to what you learned in massage school or elsewhere. The emphasis will be on releasing and unbinding the erector spinae group, the transversospinalis group, the lumbodorsal fascia, and the quadratus lumborum. These muscle-specific techniques will improve the precision and effectiveness of your back massage, and can be easily integrated to your style of bodywork. Body mechanics will continue to be a focus of the class, as well as proper use of elbows, fingers and knuckles to save wear and tear on joints. Students who have taken this class have reported that they were able to apply the techniques in their practices right away and that their clients loved the results, feeling a newfound sense of freedom and ease in their backs.

“This is one of the most practical classes I’ve ever taken. Brian presented useful information and then taught practical application of this info. He walked us through how to find each muscle–something I have always wished other instructors would do. I left the training with expanded skills and knowledge, which I have been able to use right away with my clients.” - Evelyn Bass

“I absolutely love this work. I can hardly wait to bring it into my practice.” -Hannah LePiane

Instructor: Brian Utting
CE hours: 8 (NCBTMB-approved for CE credit)

Date and Time: Saturday, January 11th, 10am-7pm

Tuition: $180 for Saturday’s DT Torso class. Take both Saturday’s Torso and Sunday’s Low Back Ligaments classes for only $320.

Registration: This class is sponsored by the Therapeutic Training Center.

Reviewers Discount: If you have previously taken this class, you may review it at a 25% discount on tuition. The reviewer's price for this class is $135. If you are eligible for the reviewer's discount, please call Robbin at 206.853.6875 to register as the website only offers classes at the regular price.

To register for Saturday only, click here.

To register for both Saturday’s Torso class, and Sunday’s Low Back Ligaments class, click here.

Regarding masking: We have moved to a hybrid version of the masking policy—there are different masking requirements for the lecture and non-lecture portions of class.

Lecture: During the opening portion of class, and during the two lectures, masking is optional, and each person can choose to wear a mask or not.

Technique: Masking is required during the non-lecture portion of class when you are doing technique or watching a demo. Please bring a surgical mask or N95 mask -- choose what option works best for you, and consider bringing two masks.

Muscle-Specific Deep Tissue Techniques for the Arms and Hands

Our arms and hands are tough, dexterous, and exquisitely sensitive. As massage therapists, they are perhaps our primary vehicle for sensation and communication, and we use them (and sometimes overuse them) intensively. Our clients' hands and arms often take a beating as well, especially with so much computer use in the workplace and at home. For all the work that they do, our hands and forearms seldom get the time or skilled attention that they deserve.

In this class we will focus on specific techniques for releasing the muscles and fascia of the hands, thumbs and forearms; increasing mobility in the corresponding joints; and 'deconstructing' forearm muscles that have become glued together. You will learn some simple but effective ways to make your arm massages more specific, potent, and satisfying--and receive some good (and much-needed) work yourself.

"Great class! The techniques that were given were all useful and specific to healthy hands, wrists, and forearms. I would repeat this one." -Nan Hardt

"This class has not only improved the work I offer my clients, but given me better hand mechanics and bodywork techniques to use on my own hands and forearms, relieving pain and prolonging my career." -Rebecca Albert

"All my little finger joints feel so free, and like they are lined with satin." - Melissa D'Haene

Instructor: Brian Utting
CE Hours: 4.5 (NCBTMB-approved for hands-on CE credit)
Date and Time: Monday, December 30th, 1:30pm-6pm
Tuition: $100 with a $60 non-refundable deposit.

The class will be limited to 9 students.

Assessment and Treatment of the Neck Ligaments

The neck is one of the most common areas of client complaint, injury and dysfunction, and it can be a challenging area to treat effectively. Injured or irritated neck ligaments can be particularly vexing; besides causing deep pain, they can provoke a guarding response in the nearby muscles, causing additional pain, tension, and limitation of movement.

In this class we will explore the deeper terrain of the neck, concentrating on the key ligamentous and related muscular and fascial structures that, when injured, often create chronic neck pain and tension. The cervical ligaments are every bit as important as the muscles, bones, and fascia, but are often overlooked by massage therapists, chiropractors, and physical therapists.

You will learn assessment and palpation skills that will help you to identify the ligamentous structures that need treatment, make sure it is appropriate to do so, and treat the injured structures. A primary focus of this class is to help you refine your accuracy in both palpation and treatment, and to help you develop more confidence, specificity and thoroughness in your neck assessment and treatment. Clients notice the difference right away when they feel you touch the "right spots", and their chronic pain and tension begins to dissolve from the inside out.

(Please note that you’ll likely get more out of this class if you attend the Muscle-Specific Deep Tissue Neck class on Saturday, Dec 7th, 2024. Click here to learn more.)

"This was one of the most informative classes I've taken in a long time. The material is very useful for my clinical practice." - Sabrina Sargent

"I think more than any other technique or series of movements I've incorporated, this neck work has had the most consistent and specific effects. Every person who has received the work has said they've felt lengthened, their neck felt freed and that they slept very soundly that night, often feeling very relaxed the next couple of days. Thank you!" - Dawn Geula

“This class was ridiculously useful. I will be using these techniques immediately and daily." - Robin Mayberry

Instructor: Brian Utting
CE hours: 8 (NCBTMB-approved for CE credit)

Tuition: $180. Take both MSDT for the Neck, and Treatment for Neck Ligaments for only $320.

Reviewers Discount: If you have taken this class previously through the Therapeutic Training Center, you may review it for $126. If you are eligible for the reviewer's discount, please call Robbin at 206.853.6875 to register as the website only offers classes at the regular price.

Registration: This class is sponsored by the Therapeutic Training Center.

To register for Sunday’s Ligament class only, click here.

To register for both Saturday and Sunday click here.

Regarding masking: We have moved to a hybrid version of the masking policy—there are different masking requirements for the lecture and non-lecture portions of class.

Lecture: During the opening portion of class and during the two lectures, masking is optional, and each person can choose to wear a mask or not.

Masking is required during the non-lecture portion of class when you are doing technique or watching a technique demonstration. Please bring a surgical or N95 mask-- choose what works best for you, and consider bringing two masks.

MUSCLE-SPECIFIC DEEP TISSUE TECHNIQUES FOR THE POSTERIOR, LATERAL, AND ANTERIOR NECK

The neck is a strong, vulnerable and complex structure. It is the most movable part of the spine, and yet is strong enough to balance and support an 11-pound head, even with chronically poor posture. Skillful deep tissue work in this area is not about brute force; it's about precision and strategy, informed by knowledge of the anatomical structures. It's rare to find massage therapists who really know how to massage the neck in a precise, specific way—especially around the small muscular attachments to the transverse processes—even though this is often where the muscles are most frayed and/or inflamed.

In the morning you will learn specific techniques for releasing the cervical posterior paraspinal muscles (longissimus, semispinalis capitis, multifidus), suboccipital triangle, levator scapula (especially the cervical attachments), facet joints, splenius capitus and cervicis, posterior, middle, and anterior scalenes, sternocleidomastoid, and masseter.

In the afternoon we will focus on deep muscle-specific techniques for the anterior neck. Many people learned in massage school to avoid this area, but it responds safely and well to skilled and precise touch. We will focus on the scalene, suprahyoid, infrahyoid, and longus capitus and colli groups. This is really helpful work for clients who have been in car accidents, have emotional issues with their necks or throats, or use their voices professionally (e.g., singers).

These are straightforward, muscle-specific techniques that can be immediately applied in practice. The work is well-suited to either treating cervical injuries or improving your spa massage, and will increase your precision, palpatory sensitivity, and effectiveness. Body mechanics will also be a focus of the class as well as proper use of fingers to save wear and tear on joints.

"I honestly learned more in your neck class than any other CE I've taken, and I've been at it almost 13 years." -Tracey Brandt

"I love neck work, and this class took things to the next level.” -Heather Finch

“This class has vastly improved my knowledge, approach, and technique. I am looking forward to immediately applying all this in my practice.” -Jessica Roberts

Instructor: Brian Utting
CE hours: 8 (NCBTMB-approved)
Date and Time: Saturday, December 7th, 2024, 10am-7pm

Tuition: $180. Take both MSDT for the Neck, and Assessment and Treatment of Neck Ligaments for only $320.

Reviewers Discount: If you have previously taken this class, you may review it for $126. If you are eligible for the reviewer's discount, please call Robbin at 206.853.6875 to register as the website only offers classes at the regular price.

Registration: This class is sponsored by the Therapeutic Training Center.

To register for Saturday only, click here.

To register for both Saturday and Sunday’s Neck Ligament class, click here.

Regarding masking: We have moved to a hybrid version of the masking policy—there are different masking requirements for the lecture and non-lecture portions of class.

Lecture: During the opening portion of class and during the two lectures, masking is optional, each person can choose to wear a mask or not.

Masking is required during the non-lecture portion of class when you are doing technique or watching a technique demonstration. Please bring a surgical or N95 mask--choose what works best for you, and consider bringing two masks.

ETHICS, SUPERVISION, BOUNDARIES, AND wa STATE LAW

The class will begin with a thorough review of state massage law, and some interesting, important, and occasionally upsetting changes to the law. We will also cover some Washington State massage laws that went into effect in 2022-2024, and discuss some of the issues that are currently under consideration.

After a review of professional ethics, roles, and boundaries, we will take a more personal approach to professional ethics. Ethics is a living subject and is best learned in a live, interactive format. As massage practitioners, we work closely and intimately with our clients, but we often experience isolation and burnout in our own practices. When ethical conflicts, confusions, and challenges inevitably arise, we often feel that we have no place to take them. 

In this peer supervision class, we will explore your current professional issues and dilemmas, whether they be interpersonal, ethical, financial, Covid-related, or other. This is not a hypothetical or 'you should eat your vegetables' approach to ethics, but rather an opportunity to draw support and gain insight from your peers and mentors as you deal with whatever your real ethical issues or conflicts are. The class size will be quite small and intimate, with two instructors and a maximum of eleven students. You will return to your practice refreshed and with a deeper sense of clarity.

“Finally, an ethics class that is substantive, useful and not onerous!! I may never be able to tolerate the alternatives again.” -Darlene Sluder

"My time and money were definitely well spent. I feel like I am a better person as well as a better LMT after taking this class. This ethics class probably was the most important one of my career as we come off of the heights of Covid, but are still not through it.​" - Lindsay Butler

“I didn’t anticipate that I would come to feel in community with 10 strangers so quickly. It’s helpful and humanizing to hear other people’s stories and what they are wrestling with in their practices, and also have the opportunity to sort through some of my own questions with a supportive community.” -Alice Hunting

"Masterfully organized, and complete in subject coverage, handouts, and time management." -Barbara Johnson

"When I registered for this class, I was hoping for a competent ethics class that would offer more than merely an opportunity to satisfy a licensing renewal requirement. What I received was a thoroughly superb presentation which was easily the most beneficial ethics class I have ever taken. I can hardly believe I am looking forward to my next one in two years with Brian and De’Anna." - David Benoff

Instructor: Brian Utting and Zinnia Su
Ethics CE hours: 7 ethics CE hours, meets (and exceeds) WA state ethics requirement
Tuition: $105

Registration: Please note that payments are non-refundable and non-transferable. You will need to be on either a laptop or a desktop (not a cellphone) with a good internet connection to attend and participate. Students are expected to leave their cameras on and fully participate in class.

MUSCLE-SPECIFIC DEEP TISSUE TECHNIQUES FOR THE LEGS AND HIPS

The legs are often treated by bodyworkers for the least amount of time in a session. Yet they support the upper body and are under tremendous compressive force, whether moving or stationary. When the structures of the feet and legs are functioning properly, they are one of the fundamental anchors of our stability and support. When they’re not, they are a major contributor to foot, knee, hip, and low back issues.

In this class, you will learn specific, potent, and effective Deep Tissue techniques to release the muscles and fascia of the hips, legs and feet. Some of the specific muscle groups you will work with include the deep calf flexors (tibialis posterior, flexor hallucis, flexor digitorum), the anterior compartment (tibialis anterior and extensor digitorum), the quadriceps group, the tensor fascia latae and IT tract, the gluteals, the deep lateral rotators, hamstrings, and adductors. These are simple, straightforward, muscle-specific techniques that can be immediately applied in practice. Body mechanics will also be a focus of the class, as well as proper use of hands, elbows, and forearms to save wear and tear on joints.

Click here to see a short video demonstration of one of the techniques you’ll learn in class.

“So many new, practical techniques to try! All really great stuff.” -Chrisann Rauschenbach

“This was the best adductor work I’ve ever had.” -Crystal Johnson

“This was exactly what I was hoping for – super great, specific work.” -Leah Grossman

“This class had a lot of content, but it was an amazing class, and it was wonderful to receive this work”. -Kirsten Overdijk

Instructor: Brian Utting
CE hours: 8 (NCBTMB-approved for CE credit)

Date and Time: Sunday, November 17th, 10am-7pm

Tuition: $180

Registration: This class is sponsored by the Therapeutic Training Center. Click here to register.

Reviewers Discount: If you have previously taken this class, you may review it at a 30% discount on tuition. The reviewer's price for this class is $126. If you are eligible for the reviewer's discount, please call Robbin at 206.853.6875 to register as the website only offers classes at the regular price.

MUSCLE-SPECIFIC DEEP TISSUE TECHNIQUES FOR THE POSTERIOR, LATERAL, AND ANTERIOR NECK

The neck is a strong, vulnerable and complex structure. It is the most movable part of the spine, and yet is strong enough to balance and support an 11-pound head, even with chronically poor posture. Skillful deep tissue work in this area is not about brute force; it's about precision and strategy, informed by knowledge of the anatomical structures. It's rare to find massage therapists who really know how to massage the neck in a precise, specific way—especially around the small muscular attachments to the transverse processes—even though this is often where the muscles are most frayed and/or inflamed.

In the morning you will learn specific techniques for releasing the cervical posterior paraspinal muscles (longissimus, semispinalis capitis, multifidus), suboccipital triangle, levator scapula (especially the cervical attachments), facet joints, splenius capitus and cervicis, posterior, middle, and anterior scalenes, sternocleidomastoid, and masseter.

In the afternoon we will focus on deep muscle-specific techniques for the anterior neck. Many people learned in massage school to avoid this area, but it responds safely and well to skilled and precise touch. We will focus on the scalene, suprahyoid, infrahyoid, and longus capitus and colli groups. This is really helpful work for clients who have been in car accidents, have emotional issues with their necks or throats, or use their voices professionally (e.g., singers).

These are straightforward, muscle-specific techniques that can be immediately applied in practice. The work is well-suited to either treating cervical injuries or improving your spa massage, and will increase your precision, palpatory sensitivity, and effectiveness. Body mechanics will also be a focus of the class as well as proper use of fingers to save wear and tear on joints.

"I honestly learned more in your neck class than any other CE I've taken, and I've been at it almost 13 years." -Tracey Brandt

"I love neck work, and this class took things to the next level.” -Heather Finch

“This class has vastly improved my knowledge, approach, and technique. I am looking forward to immediately applying all this in my practice.” -Jessica Roberts

Instructor: Brian Utting

Date and Time: November 10th, 2024, 9am-6pm

Location: Pro To Col Sport Systems, San Diego, CA 92117

Tuition: $140 for AMTA members, $200 for non-members. Take both Saturday and Sunday for only $210 (members) or $275 (non-members).

Registration: This class is sponsored by AMTA California. Click here to register.

MUSCLE-SPECIFIC DEEP TISSUE TECHNIQUES FOR THE LEGS AND HIPS

The legs are often treated by bodyworkers for the least amount of time in a session. Yet they support the upper body and are under tremendous compressive force, whether moving or stationary. When the structures of the feet and legs are functioning properly, they are one of the fundamental anchors of our stability and support. When they’re not, they are a major contributor to foot, knee, hip, and low back issues.

In this class, you will learn specific, potent, and effective Deep Tissue techniques to release the muscles and fascia of the hips, legs and feet. Some of the specific muscle groups you will work with include the deep calf flexors (tibialis posterior, flexor hallucis, flexor digitorum), the anterior compartment (tibialis anterior and extensor digitorum), the quadriceps group, the tensor fascia latae and IT tract, the gluteals, the deep lateral rotators, hamstrings, and adductors. These are simple, straightforward, muscle-specific techniques that can be immediately applied in practice. Body mechanics will also be a focus of the class, as well as proper use of hands, elbows, and forearms to save wear and tear on joints.

Click here to see a short video demonstration of one of the techniques you’ll learn in class.

“So many new, practical techniques to try! All really great stuff.” -Chrisann Rauschenbach

“This was the best adductor work I’ve ever had.” -Crystal Johnson

“This was exactly what I was hoping for – super great, specific work.” -Leah Grossman

“This class had a lot of content, but it was an amazing class, and it was wonderful to receive this work”. -Kirsten Overdijk

Instructor: Brian Utting

Date and Time: November 9th, 2024, 9am-6pm

Location: Pro To Col Sport Systems, San Diego, CA 92117

Tuition: $140 for AMTA members, $200 for non-members. Take both Saturday and Sunday for only $210 (members) or $275 (non-members).

Registration: This class is sponsored by AMTA California. Click here to register.

Assessment and Treatment of the Neck Ligaments (Yakima, WA; Currently sold out)

The neck is one of the most common areas of client complaint, injury and dysfunction, and it can be a challenging area to treat effectively. Injured or irritated neck ligaments can be particularly vexing; besides causing deep pain, they can provoke a guarding response in the nearby muscles, causing additional pain, tension, and limitation of movement.

In this class we will explore the deeper terrain of the neck, concentrating on the key ligamentous and related muscular and fascial structures that, when injured, often create chronic neck pain and tension. The cervical ligaments are every bit as important as the muscles, bones, and fascia, but are often overlooked by massage therapists, chiropractors, and physical therapists.

You will learn assessment and palpation skills that will help you to identify the ligamentous structures that need treatment, make sure it is appropriate to do so, and treat the injured structures. A primary focus of this class is to help you refine your accuracy in both palpation and treatment, and to help you develop more confidence, specificity and thoroughness in your neck assessment and treatment. Clients notice the difference right away when they feel you touch the "right spots", and their chronic pain and tension begins to dissolve from the inside out.

"This was one of the most informative classes I've taken in a long time. The material is very useful for my clinical practice." - Sabrina Sargent

"I think more than any other technique or series of movements I've incorporated, this neck work has had the most consistent and specific effects. Every person who has received the work has said they've felt lengthened, their neck felt freed and that they slept very soundly that night, often feeling very relaxed the next couple of days. Thank you!" - Dawn Geula, Ellensburg

“This class was ridiculously useful. I will be using these techniques immediately and daily." - Robin Mayberry, Yakima

Instructor: Brian Utting
CE hours: 8 (NCBTMB-approved for CE credit)

Tuition: $190, with a $90 non-refundable deposit.

Questions: Contact Teresa in Yakima at ‭teresa.cook@live.com, (509) 574-8492‬ or ‭(509) 945-4455‬. Contact Brian in Seattle at info@pnwschool.com.

Please note that this class is sold out. If you’d like to be placed on the waiting list, please contact us at info@pnwschool.com

MUSCLE-SPECIFIC DEEP TISSUE TECHNIQUES FOR THE POSTERIOR, LATERAL, AND ANTERIOR NECK (Sold Out)

The neck is a strong, vulnerable and complex structure. It is the most movable part of the spine, and yet is strong enough to balance and support an 11-pound head, even with chronically poor posture. Skillful deep tissue work in this area is not about brute force; it's about precision and strategy, informed by knowledge of the anatomical structures. It's rare to find massage therapists who really know how to massage the neck in a precise, specific way—especially around the small muscular attachments to the transverse processes—even though this is often where the muscles are most frayed and/or inflamed.

In the morning you will learn specific techniques for releasing the cervical posterior paraspinal muscles (longissimus, semispinalis capitis, multifidus), suboccipital triangle, levator scapula (especially the cervical attachments), facet joints, splenius capitus and cervicis, posterior, middle, and anterior scalenes, sternocleidomastoid, and masseter.

In the afternoon we will focus on deep muscle-specific techniques for the anterior neck. Many people learned in massage school to avoid this area, but it responds safely and well to skilled and precise touch. We will focus on the scalene, suprahyoid, infrahyoid, and longus capitus and colli groups. This is really helpful work for clients who have been in car accidents, have emotional issues with their necks or throats, or use their voices professionally (e.g., singers).

These are straightforward, muscle-specific techniques that can be immediately applied in practice. The work is well-suited to either treating cervical injuries or improving your spa massage, and will increase your precision, palpatory sensitivity, and effectiveness. Body mechanics will also be a focus of the class as well as proper use of fingers to save wear and tear on joints.

"I honestly learned more in your neck class than any other CE I've taken, and I've been at it almost 13 years." -Tracey Brandt

"I love neck work, and this class took things to the next level.” -Heather Finch

“This class has vastly improved my knowledge, approach, and technique. I am looking forward to immediately applying all this in my practice.” -Jessica Roberts

Instructor: Brian Utting
CE hours: 8 (NCBTMB-approved)
Date and Time: Saturday, October 19th, 2024, 10am-7pm

Tuition: $190. $160 for reviewers.

This class is sold out. See you next year, either in Twisp or in Chelan!

Masking is currently recommended at this point. If infection rates continue to climb, masking may become required during the demonstration and exchange portions of the class.

Introduction to Visceral and Abdominal Massage

The viscera are at the very core of our body, and are, along with our nervous system, a primary source of life. They are at the center of our structure, our emotions, our biochemistry, and our life energy. There are over 500 million neurons in the belly (almost 5 times more than in the spinal cord), and our enteric nervous system is a primary source of our intuition and "gut" feelings.

When we are anxious or distressed, our natural instinct is to protect our soft underbelly and "stuff" emotions there, causing multilayered problems throughout the body. The smooth muscles of the gut contract, pulling on the surrounding mesentery and fascia, causing not only gut pain, but back pain. In addition, surgery can create adhesions and multi-directional disruptions in the abdominal fascia and musculature. It is ironic that this vital healing area is often overlooked in massage.

The sensitivity and vulnerability of the belly is precisely why it is so receptive to safe, calming, and nourishing touch. We can soothe the enteric nervous system and the soft underbelly, sending waves of deep relaxation throughout the entire body. We can relax the smooth muscles of the intestines, which reduces pain, improves digestive function, and eases the fascial pull in the back and other areas of the body. We can sometimes separate post-surgical adhesions, creating balance and increased ease of movement at the very core of the body.

In this class you will learn simple and effective abdominal massage techniques that are easy to integrate into your massage practice. You will learn the basic layout of some of the area's major anatomical structures and how to identify, palpate, and treat them. This class will make your abdominal work more comforting, intelligent, and effective. You will be able to help your clients achieve deeper states of relaxation, relieve pain, improve digestive function, and help free up deep structural imbalances.

"I was expecting a belly massage class and walked away with a deep understanding of the abdomen. This class was incredible." - KC Johnston, LMP and Doula

 “It was profound to receive these techniques and feel their power”. - Elias Darling

"I felt comfortable and happy. It was fun!” -Laura Muir

“I’ve been massaging forever, and I feel like I’ve learned so much today that I will definitely use in my practice. Honestly, I will feel like I’m cheating my clients if I leave it out!” -Fryth Rasar

Instructor: Brian Utting
CE hours: 8 CE hours (NCBTMB-approved for CE credit)
Date and Time: Sunday October 13th, 10am-7pm

Tuition: $180. Take both Saturday and Sunday’s classes for only $305.

Registration: This class is sponsored by the Therapeutic Training Center.

Click here to register for Sunday’s Visceral class.

To register for both Saturday’s Neuroendocrine class, and Sunday’s Visceral class, click here.

Regarding masking: We have moved to a hybrid version of the masking policy—there are different masking requirements for the lecture and non-lecture portions of class.

Lecture: During the opening portion of class, and during any lecture, masking is optional; each person can choose to wear a mask or not.

Masking is required during the non-lecture portion of class when you are doing technique or watching a demo. Please bring a surgical or N95 mask-- choose what works best for you, and consider bringing two masks.

The Neuroendocrine System, Stress, and Massage

In order to improve the quality of their bodywork, most massage therapists focus on learning new techniques to add to their tool belts. But paradoxically, the most important element in successful massage outcomes might not be WHAT techniques you do, but HOW you do them, and WHO you are when you're doing them. In other words, the kind of relatedness you establish with your clients, and your own internal state as you engage with them, may be the most important influencers on the quality and outcome of your work, as well as your clients' overall massage experience. As one psychotherapist said, “Good therapy is 80% who you are and 20% what you do”.

Humans (and all mammals) engage in something called 'limbic resonance', where the internal state of one can deeply influence the internal state of the other, and vice versa. This can happen very rapidly, and often subliminally. To say it another way, others feel and respond to our inner states, and we in turn respond to theirs. We can actually regulate the internal state of another, and they can help regulate us. This is a fundamental and necessary part of human experience, and a huge benefit of massage, whether our clients (and we) know it or not.

In addition, as massage therapists, we are often looked upon as stress-management specialists--our clients are looking for relief from their stresses, and we are not only trying to help them, but are trying to manage our own stresses as well. But what is this thing we call stress? How do we create deep states of calm in ourselves and others? And since stress is not going away, how do we effectively work with it? 

In this class we will explore the nature of stress, some of its paradoxes, and how to skillfully work with them. We will examine the anatomy and physiology of the autonomic nervous system and the hypothalamic-pituitary-adrenal axis of the endocrine system; how those systems upregulate in times of stress, and why. We will investigate the etiology of stress-related diseases and disorders caused by autonomic-neuroendocrine imbalance; they are rampant in our culture. We will then look at how massage can remedy distress and stress disorders, and positively influence health and balance. We will also review some common (and successful) stress management approaches, including yoga, mindfulness-based stress reduction, breathing, counseling, diet, biofeedback, exercise, hydrotherapy, attitude, and loving, supportive relationships. You will learn how to better manage your own stresses, and how to help your clients manage theirs.  

"One of the best non-technique classes I've attended in years. I would recommend it to any therapist looking for information related to our field." - BJ Erkan

"The subject and the way the material was explained was challenging but not overwhelming. Bottom line, a sweet spot class." -Barbara Falorni

“Brian tells stories that are funny, engaging, moving, and illuminating. They gave depth and meaning to everything he taught us today.” -Connie Lunan

“Delightfully simplified, robust, informative, and satisfying!” - William John Poll

Instructor: Brian Utting
CE hours: 8 (NCBTMB-approved for CE credit)
Date and Time: Saturday, October 12th, 10am-7pm
Location: Seattle, WA

Tuition: $160. Take both Saturday and Sunday’s classes for only $305.

Registration: This class is sponsored by the Therapeutic Training Center. 

Click here to register for Saturday’s Neuroendocrine class only.

To register for both Saturday’s Neuroendocrine class, and Sunday’s Visceral class, click here.

Masking: Masking is recommended but optional in this class—each person can choose to wear a mask or not.

ETHICS, SUPERVISION, BOUNDARIES, AND STATE LAW

The class will begin with a thorough review of state massage law, and some interesting, important, and occasionally upsetting changes to the law. We will also cover some Washington State massage laws that went into effect in 2022-2024, and discuss some of the issues that are currently under consideration.

After a review of professional ethics, roles, and boundaries, we will take a more personal approach to professional ethics. Ethics is a living subject and is best learned in a live, interactive format. As massage practitioners, we work closely and intimately with our clients, but we often experience isolation and burnout in our own practices. When ethical conflicts, confusions, and challenges inevitably arise, we often feel that we have no place to take them. 

In this peer supervision class, we will explore your current professional issues and dilemmas, whether they be interpersonal, ethical, financial, Covid-related, or other. This is not a hypothetical or 'you should eat your vegetables' approach to ethics, but rather an opportunity to draw support and gain insight from your peers and mentors as you deal with whatever your real ethical issues or conflicts are. The class size will be quite small and intimate, with two instructors and a maximum of eleven students. You will return to your practice refreshed and with a deeper sense of clarity.

“Finally, an ethics class that is substantive, useful and not onerous!! I may never be able to tolerate the alternatives again.” -Darlene Sluder

"My time and money were definitely well spent. I feel like I am a better person as well as a better LMT after taking this class. This ethics class probably was the most important one of my career as we come off of the heights of Covid, but are still not through it.​" - Lindsay Butler

“I didn’t anticipate that I would come to feel in community with 10 strangers so quickly. It’s helpful and humanizing to hear other people’s stories and what they are wrestling with in their practices, and also have the opportunity to sort through some of my own questions with a supportive community.” -Alice Hunting

"Masterfully organized, and complete in subject coverage, handouts, and time management." -Barbara Johnson

"When I registered for this class, I was hoping for a competent ethics class that would offer more than merely an opportunity to satisfy a licensing renewal requirement. What I received was a thoroughly superb presentation which was easily the most beneficial ethics class I have ever taken. I can hardly believe I am looking forward to my next one in two years with Brian and De’Anna." - David Benoff

Instructor: Brian Utting and De’Anna Dean
Ethics CE hours: 7 ethics CE hours, meets (and exceeds) WA state ethics requirement
Tuition: $105

Registration: Please note that payments are non-refundable and non-transferable. You will need to be on either a laptop or a desktop (not a cellphone) with a good internet connection to attend and participate. Students are expected to leave their cameras on and fully participate in class.

CTM / Bindegewebsmassage

Bindegewebsmassage, or Connective Tissue Massage (CTM), is a precise and elegant way to work with the body's dermatomes and autonomic reflexes to induce corresponding autonomic changes in specific organs. The technique was developed in Germany by Elizabeth Dicke, and is widely practiced there, although it is less known in the United States. Bindegewebsmassage is quite powerful, although it can appear subtle at first.

Starting with the sacrum, specific cutaneous zones are stroked with a dragging pressure in a precise and orchestrated way that can "trick" the body into responding as if specific organs or organ systems are being massaged. In response, the target organ vasodilates and its smooth muscles tissue relaxes. Bindegewebsmassage is quite effective for treating menstrual cramps, eliminating or reducing symptoms over 90% of the time. It can also be helpful with reducing the symptoms of migraines, asthma, and intestinal cramping. In addition, CTM can subtly affect the fascial layers (especially adhesions in the subcutaneous layer), increasing range of motion and flexibility, and reducing pain or tingling from tightened tissue. Bindegewebsmassage typically has a calming effect, and can be used for general parasympathetic relaxation as well.

A handful of clinical trials have shown CTM-style manipulation has beneficial effects in pain reduction, reduced depression, improved quality-of-life, and moderate short-term increases of beta-endorphins (pain-relieving neuro-transmitters). These trials add to anecdotal observations from clinicians that CTM often causes "virtually immediate relief in visceral or myofascial pain as well as general relaxation" (Prendergast & Rommer, 2013).

In this class, you will learn the "basic build-up", which primarily focuses on the sacral and pelvic areas and their corresponding target organs, and the "first followup", which focuses on the lower back and rib cage.

Click here for an article Brian wrote about Bindegewebsmassage for MNZ in New Zealand.

"That the viscero-cutaneous reflex interconnection is reversible, that is to say, that it not only leads from the internal organs to the skin, but vice versa, is a long-established fact. One of the most elegant and fundamental systems, which conforms almost flawlessly to the workings of the segmental reflexes, is connective tissue massage as prescribed by Dicke." - Hans Schliack, MD (German neurologist).

"It's fantastic to have new tools to treat migraines and menstrual pain, and give ease to an often 'stuck' area". - Rachael Brown

Instructor: Brian Utting
CE hours: 8 (NCBTMB-approved for CE credit)
Tuition: $180.

Date and Time: Sunday, September 22nd, 10am - 6:30pm.

Registration: This class is sponsored by the Therapeutic Training Center.

Click here to register.

Please note that masking is strongly recommended, as Covid infection rates are up.

ETHICS, SUPERVISION, BOUNDARIES, AND STATE LAW

The class will begin with a thorough review of state massage law, and some interesting, important, and occasionally upsetting changes to the law. We will also cover some Washington State massage laws that went into effect in 2022-2024, and discuss some of the issues that are currently under consideration.

After a review of professional ethics, roles, and boundaries, we will take a more personal approach to professional ethics. Ethics is a living subject and is best learned in a live, interactive format. As massage practitioners, we work closely and intimately with our clients, but we often experience isolation and burnout in our own practices. When ethical conflicts, confusions, and challenges inevitably arise, we often feel that we have no place to take them. 

In this peer supervision class, we will explore your current professional issues and dilemmas, whether they be interpersonal, ethical, financial, Covid-related, or other. This is not a hypothetical or 'you should eat your vegetables' approach to ethics, but rather an opportunity to draw support and gain insight from your peers and mentors as you deal with whatever your real ethical issues or conflicts are. The class size will be quite small and intimate, with two instructors and a maximum of eleven students. You will return to your practice refreshed and with a deeper sense of clarity.

“Finally, an ethics class that is substantive, useful and not onerous!! I may never be able to tolerate the alternatives again.” -Darlene Sluder

"My time and money were definitely well spent. I feel like I am a better person as well as a better LMT after taking this class. This ethics class probably was the most important one of my career as we come off of the heights of Covid, but are still not through it.​" - Lindsay Butler

“I didn’t anticipate that I would come to feel in community with 10 strangers so quickly. It’s helpful and humanizing to hear other people’s stories and what they are wrestling with in their practices, and also have the opportunity to sort through some of my own questions with a supportive community.” -Alice Hunting

"Masterfully organized, and complete in subject coverage, handouts, and time management." -Barbara Johnson

"When I registered for this class, I was hoping for a competent ethics class that would offer more than merely an opportunity to satisfy a licensing renewal requirement. What I received was a thoroughly superb presentation which was easily the most beneficial ethics class I have ever taken. I can hardly believe I am looking forward to my next one in two years with Brian and De’Anna." - David Benoff

Instructor: Brian Utting and Ursula Frank
Ethics CE hours: 7 ethics CE hours, meets (and exceeds) WA state ethics requirement
Tuition: $105

ASSESSMENT AND TREATMENT OF THE LUMBAR AND SACRAL LIGAMENTS

The Bureau of Labor Statistics estimates that more than a million American workers suffer back injuries in a year, and that they account for about 20% of total work-related injuries. Back pain can be debilitating for many people, and even when it's just a nuisance, it can significantly impact their fundamental quality of life. Massage can often be a helpful tool in the recovery and rehabilitation process, but, unfortunately, it is also quite common for clients to receive massage that has a minimal impact on the source of their pain and discomfort.

One of the elements commonly missing when working with back injuries is a better understanding of, and ability to specifically palpate, the terrain of the low back and sacrum, particularly connective tissue structures like the various supporting ligaments. These ligaments are every bit as important as the muscles, bones, and fascia, but are often overlooked by massage therapists, chiropractors, and physical therapists.

In this class, you will learn to palpate and treat some of the most commonly injured ligaments in the low back and pelvis, including the iliolumbar, intertransverse, sacroiliac, sacrotuberous, supraspinous, and interspinous ligaments, as well as a few key postural muscles. Clients notice the difference right away when they feel you touch the "right spots", and their chronic pain and tension begins to dissolve from the inside out.

"I found this class extremely informative; it's something my own body needed, and I hadn't been able to pinpoint it." -Sabrina Barrera, WA

"This class was taught by experienced instructors who had really thought through the progression of the class--the content made sense and flowed well, lending itself to really retaining the knowledge." -Meredith Condon, Alaska

"Brian's teachings are intelligent, precise and effective. After receiving the work yesterday, my back feels more fluid and happy, and during the treatment, I went to that deep place of relaxation where drool happens." -Jen Elden, Montana

Instructor: Brian Utting
CE hours: 8 (NCBTMB-approved for CE credit)

Date and Time: Sunday, September 8th, 10am-7pm

Tuition: $190 for either one-day option if registered by August 20th; $220 thereafter.

$350 for the two-day option if registered by August 20th with a $200 non-refundable deposit; $380 thereafter.

Reviewer’s Discount: If you are a reviewer of either DT Torso and Tx Back Ligaments, you may register for the two-day option for only $300, if registered by August 20th.

MUSCLE-SPECIFIC DEEP TISSUE TECHNIQUES FOR THE TORSO (Iliopsoas, Diaphragm, QL, and Paraspinals)

These muscular structures support the core–they are integral to maintaining balance, structural alignment, ease of breathing, mobility, and the ability to function without lower back pain. In the morning, you will learn specific, potent, and effective Deep Tissue techniques to release the iliopsoas, diaphragm, QL, lower multifidus, and the lumbodorsal fascia. These are straightforward, muscle-specific techniques that can be immediately applied in practice, often with profound results. There will be a concise and insightful anatomy review of these structures with an eye toward the functional relationships between them. We will also focus on correct placement and proper use of fingers, knuckles, and elbows for optimal results.

In the afternoon we will focus on some muscle-specific Deep Tissue techniques for the Paraspinals (erector spinae and transversospinalis) that are different from but complementary to what you learned in massage school or elsewhere. The emphasis will be on releasing and unbinding the erector spinae group, the transversospinalis group, the lumbodorsal fascia, and the quadratus lumborum. These muscle-specific techniques will improve the precision and effectiveness of your back massage, and can be easily integrated to your style of bodywork. Body mechanics will continue to be a focus of the class, as well as proper use of elbows, fingers and knuckles to save wear and tear on joints. Students who have taken this class have reported that they were able to apply the techniques in their practices right away and that their clients loved the results, feeling a newfound sense of freedom and ease in their backs.

“This is one of the most practical classes I’ve ever taken. Brian presented useful information and then taught practical application of this info. He walked us through how to find each muscle–something I have always wished other instructors would do. I left the training with expanded skills and knowledge, which I have been able to use right away with my clients.” - Evelyn Bass, Juneau

“I absolutely love this work. I can hardly wait to bring it into my practice.” -Hannah LePiane, MT

Instructor: Brian Utting
CE hours: 8 (NCBTMB-approved for CE credit)
Date and Time: Saturday, Sept 7th, 2024, 10am-7pm

Tuition: $190 for either one-day option if registered by August 20th; $220 thereafter.

$350 for both days if registered by August 20th with a $200 non-refundable deposit; $380 thereafter.

Reviewer’s Discount: If you are a reviewer of either DT Torso and Tx Back Ligaments, you may register for the two-day option for only $300, if registered by August 20th.

ASSESSMENT AND TREATMENT OF THE LUMBAR AND SACRAL LIGAMENTS

The Bureau of Labor Statistics estimates that more than a million American workers suffer back injuries in a year, and that they account for about 20% of total work-related injuries. Back pain can be debilitating for many people, and even when it's just a nuisance, it can significantly impact their fundamental quality of life. Massage can often be a helpful tool in the recovery and rehabilitation process, but, unfortunately, it is also quite common for clients to receive massage that has a minimal impact on the source of their pain and discomfort.

One of the elements commonly missing when working with back injuries is a better understanding of, and ability to specifically palpate, the terrain of the low back and sacrum, particularly connective tissue structures like the various supporting ligaments. These ligaments are every bit as important as the muscles, bones, and fascia, but are often overlooked by massage therapists, chiropractors, and physical therapists.

In this class, you will learn to palpate and treat some of the most commonly injured ligaments in the low back and pelvis, including the iliolumbar, intertransverse, sacroiliac, sacrotuberous, supraspinous, and interspinous ligaments, as well as a few key postural muscles. "Clients notice the difference right away when they feel you touch the "right spots", and their chronic pain and tension begins to dissolve from the inside out.

"I found this class extremely informative; it's something my own body needed, and I hadn't been able to pinpoint it." -Sabrina Barrera

"This class was taught by experienced instructors who had really thought through the progression of the class--the content made sense and flowed well, lending itself to really retaining the knowledge." -Meredith Condon

"Brian's teachings are intelligent, precise and effective. After receiving the work yesterday, my back feels more fluid and happy, and during the treatment, I went to that deep place of relaxation where drool happens." -Jen Elden

Instructor: Brian Utting
Date and Time: Saturday, August 24, 10am-7pm

CE hours: 8 CE hours (NCBTMB-approved for CE credit)

Tuition: $190, with a $90 non-refundable deposit.

This class will be held in a beautiful outdoor location, rain or shine. Plan on coming prepared for the day’s weather. If the weather is cooler, make sure to bring warm, dry clothing. Masking is optional.

Questions: Contact Leah in Bellingham at 360-510-0335 or clarkleah.lmt@gmail.com. Contact Brian in Seattle at info@pnwschool.com.

Please Note that this class is currently sold out. If you’d like to be placed on the waiting list, contact us at info@pnwschool.com

ETHICS, SUPERVISION, BOUNDARIES, AND STATE LAW

The class will begin with a thorough review of state massage law, and some interesting, important, and occasionally upsetting changes to the law. We will also cover some Washington State massage laws that went into effect in 2022-2024, and discuss some of the issues that are currently under consideration.

After a review of professional ethics, roles, and boundaries, we will take a more personal approach to professional ethics. Ethics is a living subject and is best learned in a live, interactive format. As massage practitioners, we work closely and intimately with our clients, but we often experience isolation and burnout in our own practices. When ethical conflicts, confusions, and challenges inevitably arise, we often feel that we have no place to take them. 

In this peer supervision class, we will explore your current professional issues and dilemmas, whether they be interpersonal, ethical, financial, Covid-related, or other. This is not a hypothetical or 'you should eat your vegetables' approach to ethics, but rather an opportunity to draw support and gain insight from your peers and mentors as you deal with whatever your real ethical issues or conflicts are. The class size will be quite small and intimate, with two instructors and a maximum of eleven students. You will return to your practice refreshed and with a deeper sense of clarity.

“Finally, an ethics class that is substantive, useful and not onerous!! I may never be able to tolerate the alternatives again.” -Darlene Sluder

"My time and money were definitely well spent. I feel like I am a better person as well as a better LMT after taking this class. This ethics class probably was the most important one of my career as we come off of the heights of Covid, but are still not through it.​" - Lindsay Butler

“I didn’t anticipate that I would come to feel in community with 10 strangers so quickly. It’s helpful and humanizing to hear other people’s stories and what they are wrestling with in their practices, and also have the opportunity to sort through some of my own questions with a supportive community.” -Alice Hunting

"Masterfully organized, and complete in subject coverage, handouts, and time management." -Barbara Johnson

"When I registered for this class, I was hoping for a competent ethics class that would offer more than merely an opportunity to satisfy a licensing renewal requirement. What I received was a thoroughly superb presentation which was easily the most beneficial ethics class I have ever taken. I can hardly believe I am looking forward to my next one in two years with Brian and De’Anna." - David Benoff

Instructor: Brian Utting & Zinnia Su
Ethics CE hours: 7 ethics CE hours, meets (and exceeds) WA state ethics requirement
Tuition: $105

MUSCLE-SPECIFIC DEEP TISSUE TECHNIQUES FOR THE SHOULDER GIRDLE

The shoulders are meant to float freely on the ribcage, held in elegant suspension by 16 muscles, but very often they are restricted, stuck down, and in pain. In the morning, you will learn to effectively liberate some of the major anterior structures of the shoulder girdle (such as the pectoralis minor, subclavius, and subscapularis), and help to give your clients a feeling of ease and freedom in their shoulders that reaches all the way around to their back.

In the afternoon, we will work with the shoulder girdle from the side-lying position. Besides being deeply comforting and relaxing, skilled side-lying work gives you excellent access to the structures of the shoulder. You will learn specific, effective, and potent techniques for releasing the muscles of the shoulder girdle, including the trapezius, rhomboids, latissimus dorsi, serratus anterior, levator scapula, subscapularis, infraspinatus, supraspinatus, pectoralis minor, and the surrounding fascia.

You will also learn some focused, muscle-specific work to release bound up erector spinae and transversospinalis muscles. These muscles are often glued down and are a major source of pain and limitation for our clients. The side-lying position gives you excellent access to some of the smaller muscles of the back (and their fascial wrappings)--muscles that are fundamentally important to our posture, movement, and well-being, but that are often completely missed in a standard massage.

We sometimes think of side-lying work as primarily for pregnant women, but almost all of your clients can benefit from skilled side-lying work in this area, and it feels wonderful.

The day will focus on straightforward, muscle-specific techniques that can be immediately applied in practice. Body mechanics will also be a focus of this class, as well as proper use of fingers and elbows to save wear and tear on joints.

"This was the best CE class I've ever taken." -Tyler Rapke

"I haven't felt this kind of freedom in my shoulders since before massage school! I have definitely been enjoying my wings." -Amy Ross

Instructor: Brian Utting
CE hours: 8 (NCBTMB-approved for CE credit)

Date and Time: Sunday, August 11th, 10am-6:30pm

Tuition: $180 for Sunday only. $320 for both Saturday and Sunday.

This class is sponsored by Therapeutic Training Center.

Click here to register for Sunday. Click here to register for both Saturday and Sunday.

Masking is optional.

Evaluation and Treatment of Shoulder Injuries

A lot of our clients suffer from chronic rotator cuff injuries that seem to stubbornly persist using conventional massage techniques. Learn precise and specific orthopedic assessments and thumbs-free techniques to identify and successfully treat some of the most common injuries to the subscapularis, supraspinatus, infraspinatus, teres minor, long head of the biceps, and acromioclavicular joint. The class will include a review of rotator cuff anatomy, palpation of the rotator cuff muscles and related structures, and instruction in appropriate treatment massage techniques to treat the soft tissue lesions. You will also receive a detailed 30-page handbook for future reference.

"This shoulder class was the best class and instruction I've ever had." - Deborah Luger

“Great presentation, very informative, and very in-depth”. - Daniel Gauvin

"This is the best Continuing Education workshop I've taken, out of 120+ CE hours." - Julio Otazo

Instructor: Brian Utting
CE hours: 8 (NCBTMB-approved for CE credit)

Date and Time: Saturday, August 10th, 2024, 10am-7pm

Tuition: $180. Take both Saturday and Sunday for only $320.

This class is sponsored by the Therapeutic Training Center.

Click here to register for Saturday. Click here for Saturday and Sunday.

Masking is optional.