The Have Knots LLC

I love this.
Every session starts with a conversation.
Not just "Where does it hurt?"
I want to know how pain is affecting your life. What is it stopping you from doing? Who is it preventing you from being?
Then we get to work.
RAPID is all about delivering the right inputs to the right tissues. Those inputs help activate your body's own healing processes—your endogenous medicine.
The changes can happen surprisingly fast when the nervous system gets the message it's been waiting for.

“Listen to your patient - they are telling you the diagnosis.”

It’s a great quote, but I think therapists should be careful with how we interpret it.

Patients rarely tell us they have impingement. They don’t tell us they have a rotator cuff tear. They don’t tell us they have sciatica.

They tell us they have pain.

They tell us they can’t sleep on their shoulder. They tell us their back locks up when they bend over. They tell us they can’t pick up their grandchild, play golf, or get through their workday.

Understanding the problem is our job.

But improving their pain and function is the reason they came to see us.

Too often we become obsessed with finding the perfect label while the patient is simply asking -“Can you help me hurt less and move better?”

The goal isn’t to treat an MRI. The goal isn’t to treat a diagnosis. The goal is to help the person sitting in front of you.

Never forget that pain, function, and quality of life matter more to patients than the name of their condition.

Listen carefully. They’re telling you what needs to change.

You can wonder if it will work for you, or you can come find out for yourself!

This is different than anything you’ve tried-
RAPID provides results that last and actual improvements you can ReAlLy build upon.

Come, feel the spice, 🌶️ and get your spark back.

Book with me:

www.TheHaveKnotsmassage.com

How does RAPID create fast changes? By identifying threat, using precise sensory input, adding movement, and helping the brain reassess the area. 🧠

My favorite kind of cancellation. 🔥
A client came in with sharp mid and upper back pain. He left feeling great, but we scheduled a follow-up just in case.
Yesterday I got this text:
"You fixed my back. I won't need the appointment this Thursday."
Honestly, I love these cancellations.
In much of the bodywork world, repeat visits are expected. My goal is simple: help people get out of pain and back to living their lives.
When someone cancels because they don't need me anymore, that's a win. 💣

Book with me to feel better! ❤️‍🩹

www.thehaveknotsmassage.com

Repeat after me—Pain Is More Than Just Nerves.

For years and years and years and years...a long time indeed - I have been pushing for the understanding that pain is not only neurological but also immunological too!

In fact there is ALOT of information out there on this topic- yet it seems to be poo-pooed by a lot of therapists and academics.

Please understand-the immune system also plays a huge role in pain. In fact nerves and immune cells are constantly talking to each other — and sometimes that conversation makes pain worse or keeps it hanging around far too long.

When you get hurt, your immune system sends in “first responder” cells. They release chemicals to protect the area and begin healing. Those same chemicals also open blood vessels, bringing more blood — that’s why the area looks red and feels hot.They make blood vessels leaky, so fluid spills into the tissue — that’s the swelling, and they turn nociceptors up, so even light touch or mild heat can hurt.

This is the body’s way of protecting itself, but it also explains why inflamed tissue feels so sensitive.

Of course the process doesn’t stop there. In the spinal cord and brain, helper cells called glia can crank up the volume on pain signals. Sometimes they keep doing this long after the injury is healed, which is one of the main reasons pain can become chronic.

Here’s the interesting part: the immune system can make pain worse or make it better. Some cells turn up inflammation and sensitivity and others act like peacekeepers, releasing calming chemicals that settle things down.

Whether pain fades or lingers depends on which side is winning that tug of war.

This is a two-way street where immune chemicals make nerves more sensitive, and nerves send signals that activate more immune cells.

If nothing interrupts this back-and-forth, the cycle just keeps feeding itself and pain continues.

If pain is both a nerve problem and an immune problem, then treatment has to address both. This means we have to try and block pain-driving chemicals, calm the nervous system’s “pain amplifiers”, and supporting the immune system’s natural peacekeepers.

Now most manual therapies focus mainly on muscles, fascia, or joints — trying to loosen tissue or increase mobility. While those approaches can feel good, they don’t always interrupt the neuroimmune loop that drives pain.

RAPID is different. We use short, intense, and highly targeted inputs at fascial and nerve interfaces. This approach directly engages the nervous system and influences the immune response at the same time. The result? Pain-driving chemicals are dialed down, hypersensitive nerves reset, and immune cells shift toward healing instead of inflammation.

That’s why RAPID often works faster and lasts longer- it’s not just treating tissue, it’s targeting the neuroimmune system where pain truly begins.

Bottom line- pain isn’t just about tight muscles or irritated nerves — it’s about how the nervous and immune systems interact. By calming that loop, we give the body a chance to reset. That’s exactly what RAPID does differently than most therapies — and why clients often feel relief in minutes instead of weeks.

Want to read more? ⬇️

-Lim SY, Kam PCA. "Neuroimmune mechanisms of pain: Basic science and potential therapeutic modulators."
-Ren K and Dubner R. "Interactions between the immune and nervous systems in pain."
-Grace PM, Hutchinson MR, Maier SF, Watkins LR. "Pathological pain and the neuroimmune interface."
-Ji RR, Chamessian A, Zhang Y-Q. "Pain regulation by non-neuronal cells and inflammation."
-Pinho-Ribeiro FA, Verri WA Jr, Chiu IM. "Nociceptor Sensory Neuron-Immune Interactions in Pain and Inflammation."
-Ji RR, Berta T, Nedergaard M. "Glia and pain: Is chronic pain a gliopathy?"
-Baral P, Umans BD, Li L, et al. "Nociceptor immune interactions."
-Calvo M, Dawes JM, Bennett DL. "The role of the immune system in the generation of neuropathic pain."
-Ji R-R, Nackley A, Huh Y, Terrando N, Maixner W. "Neuroinflammation and central sensitization in chronic and widespread pain."
-Chen O, Donnelly CR, Ji RR. "Regulation of pain by neuro-immune interactions between macrophages and nociceptor sensory neurons."

Just a little glimpse into my work with RAPID NeuroFascial Reset ✨
One of the things that makes RAPID different is that we’re not simply chasing tight muscles or “breaking up knots.”
We work with the nervous system’s relationship to pain, tension, guarding, and movement.
Sometimes the changes happen fast.
Honestly, it can surprise people.
This client came in during a serious chronic low back pain flare that had been going on for years.
After session one:
she traveled to Washington DC
walked and stood for hours each day
hauled awkward luggage through airports
and the original pain did not return
What she did feel was normal muscle soreness and awareness in areas that previously felt overwhelmed by pain.
Session two:
✨ low back/hip
✨ surgically repaired knee causing ongoing issues
✨ shoulder pain during chest press

Session three: yet to come will be about cleaning up her shoulder and anything else she’d like me to look or relook at.

Session two’s 48 hour check-in states
“Ran down the stairs today, no problem.”

That is what she needed.
That’s the kind of thing people miss when they’ve been hurting for a long time.
This is Not just pain relief — but getting pieces of your life back.

Not bad for ✌🏻30 minute appointments, right?!
I mean come on! So flipping happy for her👏🏻. And it is the norm in my office, I’d like to be happy for you too!

🔮I’m no fortune teller but it would be wise to book RAPID with me for your pain 🔮

Go to my website
www.thehaveknotsmassage.com

RAPID NeuroFascial Reset never fails to amaze.
So happy to help get my friend out of pain crisis.

I’d love to help you too! ❤️🔥💣

Two sessions. One week apart.
After months of lingering nerve and muscle pain from an overuse injury, Jessi is back to moving freely, feeling strong, and living life without being slowed down — including a 9-hour road trip right after her second session. ❤️
Jessi heard me say on a Saturday that I genuinely felt confident I could help. By Tuesday, she was on my table for RAPID NeuroFascial Reset — and I’m so grateful she trusted me enough to listen to that instinct.
Thank you for sharing your experience, Jessi. Watching people reconnect with movement, strength, and relief is the best part of what I do. ✨
Cheers to feeling like yourself again. 🥂

Thank you so much for the review Kim!

If you’re dealing with pain and discomfort that limits your ability to enjoy what you love/need to do, it would be my pleasure to have the opportunity to help you.

It really doesn’t matter if it’s been years or months or moments that you’ve been hurting RAPID NeuroFascial reset is a game changer.

I’ll put my website in the comments
I hope to help you soon!
Sammy

I remember this like it was yesterday..
This was a beautiful day. One woman came into my office and a different woman left ✨ So so happy that she came to me and that RAPID reinitiated the healing process
beautifully for her!
She said some things about her experience
with pain that really landed on my heart about people in chronically painful experience. It made me realize and appreciate the grace they give those who can’t understand for them.
I left changed from this session too, she RAPIDed my heart ❤️ . Thank you.