Remedial Therapy

Marianne Gutierrez is registered with the Complementary & Natural Healthcare Council.

Remedial Therapy aims to assess the muscles causing pain, treats the muscles and nerves with massage techniques and some manipulation and then apply stretches and in some cases exercise.

Other aspects such as Hot and Cold therapy, electrical therapy, strapping and taping and techniques like Soft Tissue Release may also be used.

Marianne also runs a Tone and Stretch Class and works at her own Treatment Room.

The Relax and Stretch routine aims to aid relaxation and reduce painful muscles: Relax and Stretch Routine

For appointments and advice:

Conditions that Marianne has treated in her Treatment Room or as on-site massage or in the patient’s home:

Parkinson’s Disease, a condition with no known cause although some research suggests that petrochemicals are suspected. My treatment programme has supported my patient to better mobility. Supplementing with Magnesium and Q10 may help.

Guillain Barre Syndrome, a condition that causes paralysis of the peripheral nerves generally after a virus or the influenza vaccination.  It is thought to take 2 years to overcome this distressing condition.  Remedial Massage, Stretches and exercise has supported my patient to speedier mobility.

Sciatic Nerve pain, a condition with symptoms of pain in the lower back, pain in the buttock muscle or pain going down the leg to the middle of the hamstring, knee or calf or foot.  In its severest state sciatic pain can cause one leg or both legs to give way. Remedial Massage may help this condition whether it is nerve pressure radiating from the vetebrae of the spine or from muscle pressure radiating from the buttock muscle.  All patients that have come to me with sciatic pain have been helped.

Neck Pain, most people at sometime will suffer with pains in their neck that can cause headaches and a reduction of movement.  Many car accidents with whip lash injuries can be the cause of pain or restricted movements many years since the accident occurred. Remedial Massage can help.

Adhesive Capsulitis (frozen shoulder), this condition comes on suddenly in as much the patient cannot remember doing anything in particular to cause it, and goes away equally as suddenly but only after a reduction of movement of the shoulder capsule for at least 2 years.  Adhesive Capsulitis is diagnosed when all ranges of the movement of the shoulder are reduced.  Treatment usually consists of an injection of steroids to reduce the pain.  Remedial Massage and careful specific stretches may help this condition and can increase the ranges of movement to eventually free the shoulder.

Arthritis.  There are many forms of arthritis but generally fall into one of three things: tight or loose muscles and tendons causing pain, unsuccessful drainage of toxins that are then dumped at the site of old injuries causing deformed joints and lumps and bumps, and rheumatoid arthritis caused mainly by a hormonal imbalance which probable cause is eating bad fats and not consuming enough good fats.  In all cases Remedial Massage and Stretches may help but can only help Rheumatoid Arthritis in between the flare up stages.

Carpal Tunnel Syndrome and/or Repetitive Strain Injuries, Carpal Tunnel Syndrome is felt in the wrists but radiating from tight muscles at the base of the neck and chest restricting nerves.  It is felt when there has been a repetition of movement over a period of time that causes restriction of the flow of fluids through a tight band called the carpal tunnel around the wrist.  When muscles work repetitively over a period of time, they bulk and become shorter and this reduces the spaces in the carpal tunnel.  This reduces the flow of fluids (blood and lymphatic fluids) and swelling can result causing pain.  Remedial Massage may relax and stretch the muscles back to their normal length and helps release the build up of fluid.

Raynaud’s Phenomenon, a condition affecting constriction of blood vessels to the ears, fingers, toes and nose.  It is very early days but my patient with Raynaud’s is finding massage to be beneficial and the attacks have been fewer.

Rotator Cuff Injuries these are the bane of the Therapists life whether that Therapist is a GP, Physio or Remedial Therapist like myself.  However I have found that massage and specific stretches to all the muscles involved in the arm, shoulder and neck will help, plus a little mobilisation as the arm may be subluxed – slightly misaligned.   If the Rotator Cuff is partially torn then massage and very careful stretching techniques may help.  If the Rotator Cuff tear is larger then it is unlikely that anything can help except surgery.  It is in the interest of the individual therefore that in the case of a Rotator Cuff injury that massage, careful stretching techniques and rest and reducing the range of movement while resting is applied which may allow the partial tear to heal.  If surgery is advised then the rest post-operative is about 8 months.

How to Avoid Hip Replacement or Knee surgery, Remedial Massage and specific stretches – your own personal prescription, may help you to avoid hip replacements and knee surgery.   If you don’t fancy the massage, Marianne can take you through a very gentle stretch routine that may help.

A Remedial Massage Treatment Plan consists of:


Assessment of the condition

Remedial Massage including deep tissue work and techniques of the muscles

A gentle mobilisation technique if necessary


A stretch plan is also discussed with specific stretches especially for that patient

Follow-up treatment is discussed.

Most conditions will require at least 3 treatments with the possibility that it may stretch to ten or depending on the condition more than ten.  This is discussed and planned with the patient and worked within their own constraints.

Marianne does not offer a cure in any situation.

However her experience is that Remedial Massage may help.


Shoulder pain

Female, 46 years of age, with limited range of movement to the Left shoulder but not all ranges compromised.  Continual nagging pain at a ratio of 10 most of the time (on the 1 – 10 scale, one being a slight sensation and 10 being agony) radiating from the shoulder capsule, keeping the individual awake at night with pain and restrictions to her work during the day.  On observation the left shoulder was slightly more proud of the other.  I suspected a subluxtion.  Further movements with the arm proved that the triceps, rotator cuff, trapezius and deltoid were affected. I massaged all the back, shoulders and neck muscles.  I also massaged the leg muscles.  This is because a tight Right sartorius and adductor muscles may be causing problems with the Left shoulder. I then used a simple and safe mobilization technique to turn the head of the humerus into the glenhoid process. Hardly anything is felt by the patient at this point. She returned to me the following week reporting that she was out of pain the following day and her shoulder is fine now with just some slight tightness in the deltoid which is not being ignored but being treated with a series of stretches and further massage. If a muscle or joint pain is brought to me as soon as it occurs the rate of recovery may be quicker.

Marianne Gutierrez MFHT, CNHC Remedial Massage, Exercise and Stretches

3 thoughts on “Remedial Therapy

  1. Thankyou for your article on citricidal, i was just about to use it on my athlete’s foot fungal infection. what would you recommend instead please? very grateful of your time and advice. thankyou.

    loving your website!

    julie. 🙂

    • Hi Julie
      If you can tolerate tea-tree, use tea-tree. It can be used undiluted and will sting a little and then the analgesic affect will kick in. Or you can use it in Extra Virgin Olive Oil 5 mls to 2 drops of tea-tree.

      You should test to see if you can tolerate essential oils by putting a tiny drop on the inside of your elbow where the skin is sensitive. Leave for 24 hours. If it itches or causes a rash then do not use tea-tree or the essential oil you are testing. Wash the affected area and cool the rash with aloe vera – everyone should have a plant of this on their windowsill. Snip off the tip of the aloe vera leaf and smear the goo on the sore area. Or just cool the rash with a cool damp cloth until your body heals it. Or get medical advice.

      Whether you use it neat or diluted: Use twice or three times a day for 3 days. It doesn’t appear to do a thing for a day or so and suddenly you find it is all clearing up and should not return.

      I have not had athletes foot for years and years but got an infection about a month ago because I was bare-footed in a friend’s house. It can’t be helped to be honest and this is why I love tea-tree, it clears an infection up and the infection does not return until a new infection take a hold. I found with prescribed creams for athlete’s foot that the condition returned as soon as I stopped using the cream.

      I use extra virgin olive oil as a moisturiser and feel this has some protective benefits to my skin. Soap, shower gels upset the skin’s natural protective barrier, which may be why athlete’s foot gets a hold. Especially in swimming pools where the chemicals in the water destroy the skin’s natural barriers.

      If you can’t tolerate tea-tree then try using colloidal silver but this is expensive and slower to work than tea-tree.

      Thank you Julie for your comment.

      (You should always consult your GP for advice with a medical condition.)

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