“I have had a few times in practice where I’ve caught a myocardial infarction and called 911, if this has yet to happen to you, be forewarned, it will” – Robert Libbey RMT
I’ll never forget that day walking into the hospital.
He didn’t look like himself and wasn’t acting like himself.
He was too young for this to happen and I was too young to really understand it.
Years later he told me the story about, feeling chest pain at home and thought there was something wrong so he jumped in the car and headed to the hospital.
Halfway there he lost the use of his arms and had to steer with his knees.
My dad was in his thirties and had a heart attack. I use this story whenever I teach a First Aid course. You wouldn’t think an otherwise healthy guy in his 30’s would suffer a heart attack, let alone one with two young boys and a wife at home.
Thankfully he survived but had an issue with his heart a couple years later.
We had to change the way we did things, the way we ate and the way we lived.
He wasn’t sure how to recognize what was happening that day or even acknowledge that it was a heart attack.
How about you?
Could you recognize it if this happened in your clinic, or to one of your family members?
Differentiating Chest Pain In Your Massage Therapy Clinic
I’ve said it before and will continue to harp on it.
As healthcare professionals this is something we really need to be able to pick up on, which isn’t always easy to do.
If someone is having a heart attack, they really don’t want to admit it. Their mortality is staring them in the face at this point and realizing that something major is going on isn’t an easy thing to face, in fact most people will completely deny the possibility they are having a heart attack.
That day my dad didn’t want to admit things might be worse.
It would have been fatal if things has progressed anymore on the drive to the hospital. Thankfully he didn’t drive off the road when he lost the use of his arms.
We need to realize the differences in pain to understand whether someone is having a heart attack, indigestion or if something muscular is going on.
If you are going through your typical assessment before a treatment and your patient is having brief chest pain as a result of bending or breathing deep, it’s probably not a heart attack.
Some even feel that it is, or starts as indigestion. However, if it is a heart attack it will continually get stronger over time.
If someone is having a heart attack I have heard it described as “an elephant sitting on my chest”.
While writing this post, I called my dad to ask what the pain was like. He said:
“It felt like someone drove a sword through my chest, pain down both arms and through to the back, it was ten times worse than having any kind of indigestion”
The pain can range from mild to a description of squeezing, or tightness and constricting to a crushing feeling in the chest.
If one of your patients is having chest pain and it lasts longer than ten minutes, it’s time to get them some help.
Signs And Symptoms For Massage Therapists To Recognize
These are going to be a bit different between women and men.
As my dad mentioned he had pain going down both arms. Generally, it will be in the left arm as well as going up the neck and into the jaw. These signs are pretty much the norm when it comes to men.
With women, they quite often get low back pain. Women can also exhibit some soft signs, which are a little harder to pick up on, but just as important to understand and read because it sometimes goes unrecognized.
Some of these can be stomach pain, flu symptoms and some chest pain that changes with the level of activity. These symptoms are also common in those with diabetes and the older population.
There are a few other signs that usually don’t get talked about much (at least in basic First Aid courses).
Here are a few of the other things that you may see:
While you won’t see this every time, they are all signs that can help you make a decision as to what is happening with someone or how severe their condition is.
Photo by: Alessandro Bonvini
What Massage Therapists Can Do To Help
The first thing we need to do as Robert mentioned is call 911.
When you call 9-1-1 the dispatcher needs some information from you and the calmer you stay, the better!
They need your address and this is the most critical piece of information because if they can’t get that from you, they can’t get help to you.
They will also ask for your return phone number. They need this to be able to call you back and get more information or to help the crews on their way locate you. It is also so that if you need help they can coach you through what you’re doing.
They will also try to get as much information about the patient as they can. Age, sex, physical condition, level of discomfort, pain and surroundings are all critical information for the arriving crew to have before they get there, so they know what they are getting into.
After that call is made, getting the patient into a position that provides them with the most comfort is the best thing we can do for them. Usually, this is going to be in a seated position leaning forward, but just go with whatever position they say is most comfortable.
Now I know most clinics aren’t going to have this on hand, but getting them some aspirin is going to help things out. And it has to be Aspirin, not Tylenol or Ibuprofen…Aspirin.
It works as a blood thinner so it can help relieve tension on the heart as well as help diminish clots.
All too often this goes unrecognized or people don’t want to admit it, so they don’t ask for any help. Unfortunately, this could be fatal as it leads to cardiac arrest and the need for CPR.
The more you can do to recognize and be aware of what’s going on with your patients, the more you’ll be able to help and prevent things from getting to that point. Being able to recognize and differentiate the pain a person is experiencing is key to understanding what’s going on with them. Also knowing that the signs and symptoms can be different between men and women can go a long way to recognizing that there is an emergency happening. And remember, this is the only time it’s okay to ask about erectile dysfunction drugs!
“Heart disease is no laughing matter. After my father suffered a massive heart attack, I realized just how serious heart disease can be” – Cheryl Hines