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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