MASSASGE THERAPY VS. CHIROPRACTICTIC THERAPY

If you are anything like me, you probably prefer staying away from providers of conventional Western medicine as much as possible and I cannot say that I blame you. Although I have full medical coverage for that you never know when you might need it time of my life, I have not seen any of my Blue Cross doctors in well over ten years, and I hope to continue not seeing them for the rest of my life. Please do not miss understand me and think that I am some sort of superhuman creature who never gets ill. I do have my weak moments of pain and sniffles just like everyone else, or at least everyone else who takes good care of him or herself. So, when my body seems to need a boost, I visit one of my two favorite practitioners of alternative medicine; my massage therapist or my chiropractor.

I know that it all sounds very simple and straight forward but it is, in fact, somewhat challenging at times, because I do not always know which one of these wonderful professional to seek out. So, I often first opt to visit my chiropractor for a good therapeutic session of adjusting and aligning my skeletal structure and then, as an extra bonus to me and my one and only body, I also make an appointment with my massage therapist for some hefty digging and rubbing. Between the two of them, I come out feeling like a million bucks although my finances are sadly depleted. I figure that we, my body and I, are worth it.

Now, you might ask and rightfully so, What is the difference between a massage therapy and chiropractic therapy? Well, I will be happy to tell you:

* Chiropractic Therapy.
– For the most part, chiropractic therapy focuses on the hard tissues such as the spine and other joints for adjusting and realignment. Chiropractors have some training in massage techniques but that is never their first and foremost priority.
– Chiropractors are authorized to make medical diagnosis, order x-rays or blood works.
– Chiropractors cannot prescribe conventional medications but they can sell supplements or homeopathic remedies.
– Chiropractors do not need medical referrals to perform their work.

* Massage Therapy.
– Massage therapists perform wonderful work on the soft body tissues such as the muscles, tendons and ligaments but they have not been trained nor are they licensed to adjust the spine or any other joints.
– Massage therapists may not legally make medical diagnosis, order x-rays or any blood work.
– Massage therapists are not permitted to dispense medications of Western medicine but they can and do provide or recommend alternative herbal remedies.
– Massage Therapists do not required referrals from anyone to conduct their massage sessions.

A highly acclaimed national non-profit magazine recently conducted a study in which more than 34,000 participants in the United States were asked to rate which alternative treatments worked best for their two biggest health problems for the past two years and the overwhelming majority voted just as I would have; for deep tissue massage therapy and chiropractic therapy in equal measures for such conditions as back pain, osteoarthritis, rheumatoid arthritis, fibromyalgia, respiratory problems, high blood pressure, high cholesterol, depression, insomnia and prostate problems.

Of course, as far as alternative medicine is concerned, one should not discount acupuncture and reflexology for they too are beneficial in their own very special ways.

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DYSFUNCTIONS RESPONDING TO CLINICAL MASSAGE

Occasionally referred to as an orthopedic massage, Clinical massage is an entire array of manipulation techniques designed to assess and then to minister to soft tissue injuries and these may include but are not limited to: massage therapy, trigger point therapy, myofascial release, muscle-energy techniques, craniosacral therapy, deep tissue massage and so on. The Clinical massage therapy is usually based on a physicians prescription and directives as a series of treatment sessions to be performed over a set period of time and at specified frequency as related only to a specific need. In that regard, this therapy is most often performed with a particular and purposeful outcome in mind, and its first and foremost objectives are to relieve pain, to increase the range of motion and to help repair and restore soft tissues such as muscles, tendons and ligaments to their normal and healthy functions.

The first of the doctor-prescribed set of sessions is predominantly devoted to assessment or diagnostics of the clients true condition and with all the data collected an action plan can be formulated:

* By using various levels of palpation or touching of the ailing body part, the massage therapist will pinpoint the exact location as well as determine the levels of pain.

* The range of motion and the strength of the muscles is tested through a sequence of movements such as a passive movement which involves the massage therapist moving the relevant muscle groups while the client is inert; an active movement which involves the clients own movement of the muscles in questions; and the resisted movement which involves the clients movement against a resisting force.

* If clinical data related to previous soft tissue injuries and massage therapy is available, it will be reviewed for comparison to the current situation and the phase of healing will be determined.

* The findings are closely reviewed along with the doctors orders and a customized Clinical massage therapy is drawn up.

Most every condition of the soft tissues can benefit from Clinical massage to some extent, but the following list displays dysfunctions which respond most advantageously to its application:

Myofascial Pain. Pain and physiological dysfunctions are known to begin at specific points within muscles and their connective tissues which are also known as fascia. These are appropriately referred to as trigger points because they tend to set off or trigger reactions at remote locations.

Scientists and researchers have successful recorded comprehensive map systems of myofascial trigger points and they have been able to identify dozens of dysfunctions relating to them. The most common of these are: carpal tunnel syndrome, TMJ dysfunction, PMS, headache, diarrhea, dizziness, cardiac arrhythmia, indigestion, tennis elbow, urinary frequency, sinusitis, deafness and blurred vision.

Fascial Plane Dysfunction. Fascia covers nearly the entire body in large endlessly connected sheets which can be distorted and bound to themselves and nearby tissues when inflicted with injury, misalignment or a chemical imbalance. To promote optimal health, the fascial sheets and the blood vessels and nerves which follow them must be in good conditions.

Neuromuscular Dysfunction. Even the simplest and the tiniest of movements of the body requires armies of nerve impulses to be sent to the muscle which is directly involved, as well as to the adjoining and opposing muscles. And it must all be accomplished with precision of timing and proportions. When the mechanics of any part of these functions break down, muscle fibers or entire muscles lock.

Tonus System Dysfunction. Overused muscles become hypertonic or lose their ability to relax. Consequently, they tighten and cause stress on opposing muscles and on the joints they cross.

Dermatomic Dysfunction. When nerves are pinched anywhere along their path, pain will be delivered to the area they serve.

Spondylogenic Dysfunction. When joints of the spine are impaired or compressed, pain will occur in that specific area.

Stated more simply, people suffering from muscle or joint pains or tightness, muscle fatigue or tension, shooting or spreading pains, allergies or asthma, anxiety or depression, irregularity of the digestive system, arthritis or circulatory problems, sleep disorders, headaches, immune function disorders or stress, they can be helped as their symptoms can be relieved through Clinical massage.

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THE SWEDISH MASSAGE

The Swedish Massage, which was conceived by Henri Peter Ling, a Swedish physiologist at the University of Stockholm, was publically introduced in 1812 as a means of improving blood circulation, of relieving muscle stress and pain, of increasing flexibility and of promoting total relaxation of the body and mind. The Swedish Massage was imported into the United States in the 1850s by Charles and George Taylor, two American brothers practicing medicine in New York who opened the first two Swedish clinics in the New World; the first in Boston, Massachusetts and the second in Washington, D. C. where Ulysses. S. Grant, a famed general during the American Civil War and the 18th President of the United States (1869 1877), allegedly frequented regularly for Swedish Massage treatments.

Since its inception in the early part of the 19th century, the Swedish Massage had become one of the most widely used massage techniques in the Western world and it is the basis for a number of other Western massage therapies which include the Sports Massage, the Deep Tissue Massage and the Aromatherapy. To attain its objectives, the Swedish Massage utilizes seven basic therapeutic movements:

* Effleurage. These are long gliding and soothing strokes which are aimed toward the heart while tracing the natural curves of the body. Massage oils are often used to facilitate smooth movement and to warm the muscles.

* Petrissage. These are movements which use strokes that lift, roll or knead soft body tissues. This process draws blood into the area and helps relax tense muscles and fascia as well as the rest of the body.

* Pinpoint Pressure. These movements are directed toward points that are knotted or hardened and painful to the touch. Pressure is directed to these points in order to break them down and release the muscle.

* Deep Friction. These are very small circular movements which press slightly below the surface of the skin and onto the muscle beneath it. These strokes relax muscles which contracted and tensed due to overuse or as a result of emotional stress at their deeper levels.

* Skin Rolling. This movement involves pinching a fold of skin and moving it forward in a rolling motion. This process lifts skin off its connective tissues to promote better blood circulation for the improvement of skin tone.

* Tapotement. This movement requires rhythmical tapping with cupped hands or with hands set in the karate-chop position. This practice awakens the body into vitality and the tingling sensation of energy and health.

* Finger Brushing. This movement is usually performed at the closing of the Swedish Massage treatment session as fingertips are lightly brushing against the surface of the skin to relax the stimulated muscles while calming the nervous system.

The most outstanding health benefits of the Swedish massage are in:

* Relaxing of tired, tense or overused muscles.
* Improving blood circulation without overburdening the heart.
* Increasing flexibility and widening the range of motion by stretching the bodys soft tissues: muscles, tendons, ligaments, skin, joints and connective tissues.
* Stimulating the nervous system while simultaneously relaxing the nerve endings.
* Decreasing the recovery time of strained muscles by cleansing the tissues of lactic acid and uric acid as well as all other toxins and metabolic wastes.
* Bringing the skin to a healthier and more vibrant appearance of wellness.
* Helping the client achieve a feeling of connectedness and body awareness for maintaining a better posture and stance.
* Alleviating pain and any associated discomfort due to muscle tension, fractures, sprains, sciatica and stiff joints.
* Reducing emotion disstress.

THE SPORTS MASSAGE

Describing it in a nutshell, the Sports Massage is a specialty massage technique that was created and developed with athletes in mind. And as such, the Sports Massage prepares the bodies of professional and amateur sportspersons for their best possible performance before participating in a sport and it then helps their bodies to recover afterwards. However, just because the Sports Massage was designed for those participating in sports, you do not have to be an athlete to reap the benefits from it. After all, athletes are not the only people who get injured and they by no means hold the monopoly on pain.

The Sports Massage is, in effect, one of several forms of the Swedish massage and it promotes an increased circulation of blood and lymph fluids in the body. To break down or dissolve adhesions, which are painful clumps or knots within the muscles, and to widen the range of motion of stiffened joints, trigger point therapy is incorporated as part of the Sports Massage session. There are four different types of Sports Massage therapies and their distinction is made primarily by its time of performance in relations to the athletes sport activity. In other words, it is mainly their timing which makes them different from one another. The four types of Sports Massages are designated as follows:

* Pre-Event Sports Massage. The Pre-Event Sport Massage is a vigorous but shortened massage treatment that lasts anywhere from 15 to 45 minutes and is performed right before the sports event. Its main focus is on those specific parts of the athletes body which will be most intensively involved in the action.

* Post-Event Sports Massage. The Post-Event Sport Massage is performed within an hour or two of the event and its aim is to return bodies to their normal state by helping them recover from the hard work in the shortest time possible.

* Restorative Sports Massage. The Restorative Sports Massage is applied while the athlete is in training and it helps him or her practice harder while, at the same time, decreasing the chances of incurring injuries.

* Rehabilitative Sports Massage. The Rehabilitative Sports Massage is there to pick up the proverbial pieces by treating the injuries which resulted from the exertion of the sport. The foremost objective of Rehabilitative Sports Massage is to relieve pain and to return the body to its former, pre-injury state.

So, whether you are a professional or an amateur athlete or simply a citizen of the world who happens to have a precise problem such as a sore knee from your morning jog around the block or a frozen should because you slept on the wrong side of the bed or a stiff back because you forgot to use your legs when lifting the grocery back and so on, do yourself a favor and see a Sports Massage therapist. And the best way to find one is by getting referrals from reliable sources or by doing some research. The National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) and the American Massage Therapy Association (AMTA) suggests that you ask the following questions when interviewing a potential Sports Massage therapist or any other type of massage therapist, for that matter:

* Did you graduate from a program accredited by the Commission on Massage Therapy Accreditation (COMTA)?
* Are you licensed or registered as a massage therapist in this state?
* Are you certified by the national Certification Board of Therapeutic Massage and Bodywork (NCBTMB)?
* Do you have training in any specific massage modalities?

Beyond all that, you should just relax and enjoy the process while your body is being directed onto the path of healing.

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