Tag: Soft Tissues

MASSSAGE THERAPY

Massage Therapy is just one persuasion from a wide array of other very effective and closely related persuasions such as Acupressure, Body Work, Manipulative Therapy, Manual Lymphatic Drainage, Structural Integration, Alternative Medical Systems, Mind-Body Intervention, Biologically Based Therapy, Energy Therapy, Shiatsu and Tui Na. And all these as a group come under the wide umbrella of alternative medicine and body-based methods. Massage Therapy is a procedure in which various methods are utilized to manipulate soft tissues of the subjects body such as the muscles, tendons, ligaments, skin, joints, connective tissues as well as the lymphatic vessels and organs of the gastrointestinal system.

The primary goal of Massage Therapy is to affect physical, psychological and functional curative changes by performing manipulative functions which involve moving or stationery pressure, structured or unstructured force to strategic points, vibration, stroking, kneading, and so on. On occasion, mechanical devices are used as tools of the trade, but for the most part, Massage Therapy is applied manually with the therapists hands, fingers, elbows, forearms and feet as the subject is fully clothed in a massage chair or partially to totally naked but covered with a towel on a massage table or on a mat on the floor.

Ancient scriptures have attested to the fact that massage therapy dates back into antiquity and it has been a fundamental practice in many different cultures such as the Roman, Greek, Japanese, Chinese, Egyptian, Mesopotamian and Indian. Even Biblical writings from c. 493 BC speak of daily massage with olive oil and myrrh being applied to the wives of Xerxes (Esther, 2:9-12) as part of their daily beauty routine. Hippocrates of Cos, a Greek physician of the fourth century BC who is also considered the father of medicine and after whose teachings the famous Hippocratic Oath was named, wrote that The physician must be experienced in many things, but assuredly in rubbing.

Advancing to more modern times, Massage Therapy gained its popularity in the United States when it was presented by two physicians from New York in the 1800s. Their techniques were an adaptation from the Per Henrik Ling Massage Therapy which was developed in Sweden. With the introduction of new and exciting innovations in medicine during the 1930s and 1940s, the popularity of Massage Therapy waned but was revived again by the athletic community in the 1960s and 1970s. Massage Therapy was provided as a central medical service for the first time in the United States during the 1996 Summer Olympics in Atlanta, Georgia.

Etymologically speaking, the word massage in English comes from a long line of derivatives as follows: the French word massage which means the friction of kneading, which comes from the Arabic word massa which means to touch, feel or handle, which comes from the Latin word massa which means mass or dough. The Greek word for massage is anatripsis and the Latin word is firctio. However, the oldest known origin of the English word massage comes from the Biblical Hebrew word me-sakj which means to anoint with oil.

What we refer to as Massage Therapy today has in the past been merely referred to as Massage. However, the therapy portion of the Massage Therapy came into being only when the illegal prostitution and sexual services in the United States began advertising themselves and their wares as massage. Wanting to distinguish itself, the legitimate massage became Massage Therapy while the illicit continued to be called massage.

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MASSAGE THERAPY AS COMPLIMENTARY ALTERNATIVE MEDICINE

Massage therapy is a broad term that encompasses a wide variety of procedures and methods of pressing, rubbing and manipulating muscles and other soft body tissues such as tendons, ligaments, skin and connective tissues. The main objective of massage therapy is to relax the soft tissues while promoting an increased delivery of blood and oxygen to the areas being massages and, therefore, to decrease tightness and pain. Massage therapy is most often accomplished by utilizing the massage therapists fingers, hands, arms, elbows and/or feet. Occasionally, however, mechanical and electronic devices may be also used.

As a matter of fact, there are more than eighty official types of massage therapy treatments but some of the most widely known are the following:

* The Deep Tissue Massage. This technique uses a combination of strokes and deep finger pressure applied way down under the skin and into the muscles at the painful sites in order to breakup knots and loosen tightness.

* The Trigger Point Massage. This procedure is also known as the Pressure Point Massage and it is more focused on specific myofascial trigger points with a stronger force than the Deep Tissue Massage. The goal here is to dissolve the painful knots that were formed in the muscles as well as to relieve additional symptoms in more remote areas of the body.

* The Swedish Massage. This system utilizes oblong smooth strokes, kneading and friction of the muscles as well as movement of the joints to increase their range of motion and flexibility.

* The Shiatsu Massage. Using altering rhythmic pressure, tapping, squeezing and rubbing along the meridian and on various other parts of the body, the main objective of this Eastern massage therapy is to enhance the flow of a fundamentally important energy called gi. And this energy, in the ancient Chinese medicine is believed to be the life force that regulates a persons spiritual, emotional, mental and physical wellness that is easily affected when subjected to the rival forces of yin and yang.

Whether the four most often practiced massage therapies I mentioned above are used as complimentary alternative medicine (also known as CAM) or any one of the other recognized eighty which are available to a lesser or greater extent, there are important points to be considered:

* No massage therapy should ever be used in place of regular or ongoing medical care.

* Massage therapy should not be the cause or the excuse to postpone visiting a medical professional for existing medical issues.

* The massage therapists schooling and credentials must be verified as well as his or her experience with specific health and medical conditions.
* Any additional complimentary alternative medicine (CAM) such as herbs, supplements, special diets or other treatments which are suggested by the massage therapist must first be reviewed with a medical professional.

* Although the subject of massage therapy (how it works and why) has been studied for many years and continues to be studies, much of it still remains within the realm of a mystery.

* If and when massage therapy is performed by a well training and experienced professional, few risks are involved and the worst of them may be temporary pain or discomfort, bruising, swelling or an allergic reaction to the massage oils. The small number of serious injuries which have been reported were triggered by untrained hands that were not aware that certain medical conditions should not be massaged. It is, therefore, essential to consult a medical professional before undergoing massage therapy, particularly under the following circumstances:

* Deep vein thrombosis
* A bleeding disorder or when taking blood thinners
* Damaged blood vessels
* Weakened bones from osteoporosis, a recent fracture or cancer
* The presence of high body temperature
* Open or healing wounds, tumors, damaged nerves, an infection, a severe inflammation or fragile skin
* Pregnancy
* Heart problems
* Dermatomyositis or any other skin disease
* History of physical abuse

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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 HOT STONE MASSAGE

The Hot Stone massage is a therapeutic massage technique in which a heated stone is held by the massage therapist who uses it to apply the customary and traditional Swedish massage strokes. Because they have the tendency to absorb heat and retain it for extended periods of time, the stones which are used are usual smooth, black volcanic basalt rocks of various sizes and shapes. For the most part, these rocks are heated in water at 120 to 150 degrees Fahrenheit. Native Americans are known to also have used hot stones for medicinal purposes but those were heated by direct fire. This technique of fire-heated stones was restored by Mary Nelson, a native of Tucson, Arizona and she trademarked it as LaStone Therapy.

Primarily due to the effects of the heat from the stones, the Hot Stone massage is profoundly calming and delightfully relaxing as it rapidly releases the tension out of every soft tissue, be it muscle, tendon or ligament, which is included in this treatment while gentle and comforting peace washes over the client almost immediately. The hot stones are used throughout the entire session to massage, to stroke, to press, to manipulate and to knead the clients soft tissues. On occasion, heated stones are laid out to rest at strategic spots along the spine as well as in the palms of the clients hands and between the toes. This maneuver promotes the optimal flow of energy throughout the entire body. As soon as the stones cool down, the massage therapist will replace them with newly heated ones but areas that are inflamed, injured or swollen, will often be treated with cold stones instead of the hot ones.

To derive the most out of the Hot Stone massage therapy, clients are encouraged to:

* Indicate any discomforts such as those which might be created by stones which are too hot, by the massage therapist applying pressure with too much force, by the background music which may be too loud, by the room temperature which could be too hot or too cold and so on.

* Refrain from consuming a heavy meal and to abstain from ingesting any amount of alcohol shortly before the session.

* Arrive in plenty of time to check in and to relax before the treatment.

* Take a sauna, a steam bath or a hot tub before the session as it will relax and soften the muscles for better end results from the entire treatment. If the hot tub was treated with chlorine, the clients are asked to take hot showers in order to rinse off the chemical.

* Remove all their clothing and be assured that they will remain completely covered with a towel. This will give the massage therapist better access and direct contact with the skin.

* Take slow, deep breaths throughout the session as it helps to relax the body and release more toxins.

* To banish irrelevant thoughts from racing through their heads by concentrating on the feel of the therapists movements over their bare skins.

* Get off the massage table after the session very slowly as dizziness may set in otherwise.

* Absorb the full results of the massage treatment by allowing some quiet time in a peaceful place.

* Drink extra water after the massage to flush out and wash away the toxins released during the treatment.

The Hot Stone massage is beneficial in many ways as it promotes deep muscle and soft tissue relaxation, eases stress, releases toxins, alleviates pain, improves circulation and calms the mind. Quite appropriately, therefore, there is an impressive list of ailments which are treated with Hot Stone massages and they are:

* Muscle aches and pains due to over use, injury or stress.
* Back pain caused by injury, poor posture or misuse.
* Multiple Sclerosis (MS).
* Arthritis.
* Fibromyalgia.
* Stress, anxiety, nervousness and depression.
* Insomnia.
* Any number of circulatory problems.

The Hot Stone massage requires specialized training, it involved more preparation time for disinfecting and heating the stones, the session are often somewhat longer than usual and more time is spent cleaning up. As a consequence, the Hot Stone massage tends to be more costly than any other conventional and basic Swedish massage. But it is worth it and you are worthy of it!

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