Tuesday, March 25, 2014

Therapeutic Massage:
Not Just Decadent Anymore

     Therapeutic massage is the intentional and organized manipulation of the tissues in the body using touch and movement. Usually, this is done using hands and elbows but today some massage therapists incorporate mechanical tools as well to facilitate muscle relaxation. For decades, such experiences were seen as luxuries for professional athletes and the rich. Recently, the clinical research has begun to show the benefits of therapeutic massage for pain, aggression, neonatal patients, joint pain, post-traumatic stress disorder, range of motion improvement and more.[i]
·        What does the research say?  Over the past several years, studies made on the effects of massage on various health conditions have skyrocketed. Here are what some of the major studies have shown:
·        Massage can help with chronic back pain. Alternative therapies such as seeing a chiropractor in conjunction with a physical therapist have been shown to dramatically reduce chronic back pain when used in conjunction with therapeutic massage.[ii] Further, a study published in the Annals of Internal Medicine in 2011 found that either structural or relaxation massage can help reduce lower back pain for up to six months.[iii]
·        Massage can relieve symptoms of osteoarthritis: Osteoarthritis is a degeneration of the cartilage and underlying bone in joints such as knee, hip, elbows and thumbs. It is debilitating and painful. An article in the Wall Street Journal states: “Massage is already widely used to treat osteoarthritis, for which other treatments have concerning side effects. A study published in the Archives of Internal Medicine in 2006 showed that full-body Swedish massage greatly improved symptoms of osteoarthritis of the knee. Patients who had massages twice weekly for four weeks and once a week for an additional four weeks had less pain and stiffness and better range of motion than those who didn't get massages. They were also able to walk a 50-foot path more quickly.” [iv]
How Does It Work?:
     Massages should be provided by a certified massage therapist or physical therapist who is trained. The patient usually lies down on a massage table and the therapist provides the massage. There are several types of massage including Swedish, Reflexology, and Deep Tissue. Massage works by kneading and stroking muscles to relax them and uses friction to stimulate soft tissues.  This therapy can increase circulation while breaking up scar tissue between muscle fibers. Usually, massage sessions last about one hour and can be undergone once or twice a week. In some cases, a doctor may recommend more sessions, depending on the patient and the condition they are seeking to treat. A massage therapist and your physician can help you determine what kind of massage is appropriate for you.
What Does Therapeutic Massage Feel Like?
     Therapeutic massage usually feels good though the effects vary with each individual.  Clothing is optional but is often removed from just the area being treated, keeping patients warm, relaxed and comfortable.  A lubricating oil or lotion is used to reduce friction during the massage session. Some people find parts of the massage painful, especially Deep Tissue massage where knots in muscles are manipulated.
     There is little doubt anymore that therapeutic massage is useful for many people with many different conditions. Physical, mental and emotional disorders can be helped and managed with therapeutic massage.






[i] National Center for Complementary and Alternative Medicine (2014) Massage therapy for health purposes: what you need to know. http://nccam.nih.gov/health/massage/massageintroduction.htm
[ii] Filler, Aaron G. (2004) Do You Really Need Back Surgery? A Surgeon’s Guide to Neck and Back Pain and How to Choose Your Treatment. Oxford University Press.

[iii] http://annals.org/article.aspx?articleid=747008
[iv] Peterson, A. (2011). Don’t call it pampering: Massage wants to be a medicine. http://online.wsj.com/news/articles/SB10001424052702304537904577277303049173934

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Monday, March 3, 2014


The Importance of Posture: Mood, flexibility and health
     [i]Our bodies can be seen as a creative act of our inner psyche. People who stand a certain way are perceived to be stronger, more confident and even more capable. Those who tend to slouch are seen in more negative ways, even though they are just as skilled as someone with “good” posture. For many years, people who have back problems have participated in Posture Corrective Exercises (PCE) to reduce pain. Studies have shown that working on improving posture has positive effects in many areas of our lives, not only in back pain relief. Activities like Yoga are becoming more popular because of its emphasis on positioning the body properly. It is one example of posture improvement and its positive effects in our lives.
·        Physical Activity and Body Image:  Stephano et al (2011) found that participating in physical activity where the participant paid close attention to body position and posture had a positive effect on one’s overall body image. This means that people who exercise  in this fashion tend to feel more content about how their body looks and feels, as well as feeling more positive  about how their body is perceived. Body image is a critical part of feeling healthy and happy in our daily lives. Good posture promotes a good body image. There is no doubt that many of us fight the deluge of media images for what a “body” should look like. It is important to remember that there are many ways a healthy body can look. Good posture helps us to be more in touch with how our own body can look its best.
·        [ii] Emotional Lift and Improved Appearance:  Being aware of one’s posture has been shown to provide an increase feeling of happiness and control over one’s life. Poor posture has been compared to holding a bowling ball in front of you for hours and days one end. You can imagine how it changes the body (Krucoff, 2008). The other positive effect of better posture is “instant weight loss”. Yes, it is true that standing properly with shoulders back and head balanced gives the sense that one has lost about 5 pounds. As it is, our bodies do not have the best design as a biped (quadrupeds are more agile and have fewer back issues). There is already much stress on the spine and back muscles. If improving posture can help so many areas, who would not want to focus on this relatively simple task?
·        [iii]Flexibility and Range of Motion:   Posture is also closely linked with stretching. It is not possible to stretch muscles when the body is hunched over or pulled too far forward. Thus people who stretch every day (either before an exercise or as an activity in itself) are improving their posture and range of motion. When muscles are stretched, they maintain flexibility. Remember that muscles do not age, and it is never too late to build strength, range of motion, better posture and flexibility.
     The evidence that good posture has nothing but good effects on our lives is overwhelming. From reducing pain, to making us look thinner, to more flexibility, to more happiness, there is no reason not to focus on having better posture.





[i]  Stefano Scarpa et al., "Does Women's Attitudinal State Body Image Improve after One Session of Posture Correction Exercises?," Social Behavior and Personality: An International Journal39, no. 8 (2011), http://www.questia.com/read/1G1-268602637.
[ii]  Carol Krucoff, "Get out of Your Slump: Proper Posture Can Relieve Pain and Enhance Appearance," The Saturday Evening Post, September-October 2008, 14, http://www.questia.com/read/1G1-184287302.
[iii] It's a STRETCH Warming Up Can Increase Flexibility, Range of Motion," Daily Herald (Arlington Heights, IL), January 9, 2012, http://www.questia.com/read/1G1-276667749.


   

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