This treatment isn't a one-size-fits-all for everyone. Everyone has their own modesty levels and everyone has their own pain limits and treatment styles. It can be more of an art than science at times.
Client A
One of my first clients is a regular. He's a very modest introvert and is uncomfortable with nudity.
We've made some progress in his treatment and have managed to come to a compromise. He keeps his underwear on during the treatment. This is perfectly acceptable and we can still proceed with the treatment.
The compromise is that we still have to do a full on visual and physical examination of the testes and spermatic cords prior to the massage. This is OK with him.
We've fine tailored his treatment and I see him every other week. His condition was pretty severe so he will likely have a lifetime of treatment in front of him and he understands this.
Some clients (and I'm not pointing directly at client A) may also have issues with the size of their member, as do all men. Let them know that if you think they might have an issue with it.
Men some in all shapes and sizes and everyone understands that. Nothing to be ashamed of. It's one of the biggest issues I see with almost every new client.
(Not one of my clients. Used for illustrative purposes)
Client B
A before and after we started:
Client C
Also a fairly significant before and after shot, his condition is different
Another approach we've taken is to manage the amount of masturbation he does through a chastity. He wears a chastity device we are better able to control amount per week he is able to ejaculate. This is necessary for the spermatic cords to heal after treatment, and acts as motivation for his weight loss. (He spends more time away from his laptop now)
Chastity is a tool that I recommend to some of my clients if I don't think they are being honest in self reporting. It's a great way to ensure that they are keeping to their end of not ejaculating directly after their treatment, but also for general health overall.
While masturbating is not unhealthy, it's discouraged if it's done every day when you have symptoms like these. The spermatic cords have to have a rest period to prevent infection and promote healing.. I would set a weekly goal if not every other week, depending on severity.
Chastity is something that cannot be jumped into directly and the client must retain at least one emergency key for obvious reasons.
Some other pointers to keep clients happy
During the treatment itself, restraint is of utmost importance. For one, it's important to have trust with your client. I use a method of control for multiple reasons. One, is while administrating the treatment, we do not want hands getting in the way. The client has to verbally, and not physically, tell you when you have enough.
Not only does this build a relationship where the client can rest comfortably that they can trust you, it helps them relax and take their mind off things. You can start off slow and build up to full restraint once you are both comfortable with the procedure.
Another, unfortunate, reason is that I've literally had guys who started masturbating, one to ejaculation, during treatment. This is not ok.
Some examples of restrains used:
Restraint is not only helpful to restrict movement, but also I restrict vision. I've tended to notice that clients do not get the full treatment if they anticipated the blow. If they see it coming, their natural reaction is to clench up. This can actually amplify the pain receptors and prevent a full dosage of treatment.
Make sure you do not tell the client what you are going to do or what you will be doing next. Make sure to change up the process every time. Make sure the client is ok with the various treatments before you get to this stage though. Some do not like sharp pain (like that of a slap) or blunt pain (like that of a fist).
With a wide variety of tools that are able to be used, the level of restraint is limited with what's available and on hand. The ideal may not always be available, but make sure the client at least has enough of a restraint for the arms and legs and something to block vision that's easy to be removed, at first.
You will notice that you will fall into a routine that you are both comfortable with and you can recommend to your client to get more stable restraints, like leather ankle collars and wrist restraints (never steel restraints directly on the skin as this is not comfortable and potentially dangerous)
Keep it fun.
While, it may not sound like fun, most of my clients actually have a great time and a good chat. Know when to break and know when to push through. It can be hard to pick up on cues at first, but once you build rapport, you can find things that change it up to take their mind off the treatment itself.
One of the things I do with one of my clients is I literally roll 2 dice. The first die selects the type of device to be used, and the second die is used for the number of blows. I never tell them what was selected. I never tell them the number. This works to take their mind off the pain and instead focus on trying to identify what tool is being used. It works really well. Highly recommended.
Keep it imaginative.
You will know, based off the client, what works and what doesn't. Like I stated, it's more of an art, yet we still have to make sure that they are getting the full treatment at the same time. Come up with your own style.
A few clients I have are ok with spanking in lieu to the actual treatment. This is a great tool to ensure treatment. How? Well, if I feel the client is "wussing out" of their treatment, I give them a few lashes/hand spanking/belt/paddle (whatever they are comfortable with and agreed upon before starting).
This is works to shift the pain that they are feeling from their testicles to their buttocks. The buttocks can also take more punishment, so you can dole out more pain and not have to worry as much about risking injury.
I also tailor treatment options. I verify they are adhering to their regimen, whether it be diet (I''ll have them jump on a scale), chastity (verify they key the possess is in a tamper-free box and un-tampered with) or sticking to whatever goals we set on the previous visit.
There are a lot of benefits to this, but it's not for everyone. About half of my clients opt out, but the other half are not only ok with it, they love the benefits and incentives it provides.
What about aftercare?
After you leave, the treatment does not end. As mentioned with abstaining from sex and masturbation for AT LEAST 72 hours after a visit, there are other things that must be done.
Drink plenty of water. The body is healing and needs water to hydrate the cells. Very important.
Vitamin rich food. Whether a pill supplement, or good food, goes a long way. Asian Nettle Tea is also good. Very common in all Asian grocery stores virtually everywhere.
Wear a cotton based underwear. Preferably briefs, rather than boxer-briefs, but definitely not boxers. If jogging or aerobics is on schedule for the next few day, make sure and athletic supporter is worn, or a poly/spandex based athletic underwear like underarmor is worn.
No smoking. Cigarettes are not only unhealthy, in general, they also prevent the body from healing as quickly as it should. Quitting or reducing smoking could be added to the list of objectives to overcome from the "punishment" section above.
Why does my client still suffer after 1st treatment?
This is not a miracle cure. It will make this better, for a while, if done properly. It may take a few visits, or longer. This, in conjunction with a healthy lifestyle, all play roles in long term care. One important thing I find out from other therapists is that they are not meeting the pain threshold or duration. This seems to be the most common mistake. Especially if proper restraint and distraction (using blinders of some fashion to prevent them from anticipating the blow) aren't being used.
Another thing I've seen within my own clients, is that they have a "scared stop" and "pain stop". Sometimes their fear will tell them to stop, instead of the pain threshold. You must still stop, but make sure to question them on if it is pain, or fear. If they are honest with you, you will notice improvement.
Hygiene
This is a no-brainer, but sometimes the uncomfortable conversation has to be brought up. I generally do not like a lot of hair and ask my client to at least trim a little. This makes my job much easier. Make sure your clients are aware of your expectations, at all time.
Local Facility
While 90% of my patients are in-home visits, about 10% come to me. I have a side office that I've converted that allow me to let my patients have full privacy. Since some of my clients are living in full houses, we do not want little Jimmy opening the door mid-treatment, nor do we want them hearing what's going on (hint: a lot of grunting!)
My facility is set up to allow proper restraint and comfort. While I don't prefer this as option A, it's still on the table (no pun intended).
RECORD THE PROGRESS
The end user should keep a tab on their health through this treatment. a logbook should be used, either online or an actual notepad, that chronicles the pain they are feeling, swelling, diet and any other variable through the process.
This is the only way to truly gauge their progress and helps you fine tune your approach.
I also tailor treatment options. I verify they are adhering to their regimen, whether it be diet (I''ll have them jump on a scale), chastity (verify they key the possess is in a tamper-free box and un-tampered with) or sticking to whatever goals we set on the previous visit.
There are a lot of benefits to this, but it's not for everyone. About half of my clients opt out, but the other half are not only ok with it, they love the benefits and incentives it provides.
What about aftercare?
After you leave, the treatment does not end. As mentioned with abstaining from sex and masturbation for AT LEAST 72 hours after a visit, there are other things that must be done.
Drink plenty of water. The body is healing and needs water to hydrate the cells. Very important.
Vitamin rich food. Whether a pill supplement, or good food, goes a long way. Asian Nettle Tea is also good. Very common in all Asian grocery stores virtually everywhere.
Wear a cotton based underwear. Preferably briefs, rather than boxer-briefs, but definitely not boxers. If jogging or aerobics is on schedule for the next few day, make sure and athletic supporter is worn, or a poly/spandex based athletic underwear like underarmor is worn.
No smoking. Cigarettes are not only unhealthy, in general, they also prevent the body from healing as quickly as it should. Quitting or reducing smoking could be added to the list of objectives to overcome from the "punishment" section above.
Why does my client still suffer after 1st treatment?
This is not a miracle cure. It will make this better, for a while, if done properly. It may take a few visits, or longer. This, in conjunction with a healthy lifestyle, all play roles in long term care. One important thing I find out from other therapists is that they are not meeting the pain threshold or duration. This seems to be the most common mistake. Especially if proper restraint and distraction (using blinders of some fashion to prevent them from anticipating the blow) aren't being used.
Another thing I've seen within my own clients, is that they have a "scared stop" and "pain stop". Sometimes their fear will tell them to stop, instead of the pain threshold. You must still stop, but make sure to question them on if it is pain, or fear. If they are honest with you, you will notice improvement.
Hygiene
This is a no-brainer, but sometimes the uncomfortable conversation has to be brought up. I generally do not like a lot of hair and ask my client to at least trim a little. This makes my job much easier. Make sure your clients are aware of your expectations, at all time.
Local Facility
While 90% of my patients are in-home visits, about 10% come to me. I have a side office that I've converted that allow me to let my patients have full privacy. Since some of my clients are living in full houses, we do not want little Jimmy opening the door mid-treatment, nor do we want them hearing what's going on (hint: a lot of grunting!)
My facility is set up to allow proper restraint and comfort. While I don't prefer this as option A, it's still on the table (no pun intended).
RECORD THE PROGRESS
The end user should keep a tab on their health through this treatment. a logbook should be used, either online or an actual notepad, that chronicles the pain they are feeling, swelling, diet and any other variable through the process.
This is the only way to truly gauge their progress and helps you fine tune your approach.