Is massage safe when you are pregnant?

Recently scientists have looked at the impact of abdominal massage on people with constipation. Constipation affects twice as many women as men.  Older people are more likely to be affected and in addition taking certain medications e.g. opioids can cause it. A randomised control trail of 204 patients with constipation (from opioid medication), were split into two equal groups.  The intervention group were taught how to administer abdominal massage on themselves, in a clockwise direction over the intestines on the abdominal wall, which they performed twice a day for four weeks after breakfast & dinner. The control group received standard medical care, such as laxatives, suppositories and enemas. Both groups were asked to keep a diary of their bowel movements and to complete three questionnaires, including the Bristol stool scale for evaluating stools and bowel habits, the visual analogue scale, which contains questions about constipation, including severity, straining & pain. Patients in the massage group reported significant improvements in stool consistency, straining during defecation, the feeling of incomplete emptying after defecation and experienced increase bowel movements.  They also reported a reduction in the severity of constipation, pain, straining, gas & fullness in the rectum.  However, the massage had no effect on the stool amount. The researchers concluded that abdominal massage was an effective approach for managing opioid induced constipation.  So if you suffer from constipation consider abdominal massage. Reference https://www.ncbi.nlm.nih.gov/pubmed/31358243

Many clients come to our clinics a few days after vigorous work outs or competing in sporting competition because their legs feel tried or heavy.  These clients often book a sports massage, but is their any scientific evidence to explain what is happening in the body during the treatment? Massage dilates superficial blood vessels and increases the rate of blood flow.  In addition if a deeper pressure is used like in sports or deep tissue massage on a healthy adult it improves the venous return.  Both of these changes to the blood flow represent a potent means to accelerate healing.  For example, it suggests that massage should improve the performance of fatigued muscles.  In addition, Goats asserts that massaged muscle fibres display less spasm, an increased force of contraction and enhanced endurance compared with muscles simply rested.  Which suggests that massage will assist in the improvement of sporting performance where it has been compromised. References Scull CD (1945) Massage - Physiologic Basis.  Archive of Physical Medicine 26: 159-67 Wilkins RW, Halperin MH, Litter J. (1950)  The effects of various physical procedures on circulation in human limbs.  Ann Intern Med 33: 1232-45 Goats GC (1994) Massage - the scientific basis of an ancient art: part 2.  Physiological and therapeutic effects Br J Sp Med 28(3)

I know those of you that have had a muscle cramp or spasm may be fearful of it reoccurring. So I know what to explore some of the contributing factors to muscle cramps. The aim of this is by minimising the contributing factors you will reduce the likely hood of getting muscle cramps. Dehydration Muscle cramps commonly coincide with dehydration. So good hydration before, during and after exercise is important, especially if the exercise exceeds one hour. So how much should you drink? Hydration guidelines are personal but the goal is to prevent excessive weight loss i.e. >2% of body weight. You can weigh yourself before and after exercise to see how much fluid you have lost through sweat. One litre of water weight 2.25 pounds. Depending upon on the amount of exercise, temperature, humidity, body weight and other factors you can loose anywhere from 0.4 to 1.8 litres per hour. A good rule of thumb is to always drink enough fluids so that your urine is clear, pale yellow & copious. Electrolytes Sodium & potassium are the major components of sweat. So anyone who exercises hard for more than four hours in heat such as marathon runners, triathletes, tennis players etc should replace the lost electrolytes. While a lack of sodium and potassium may contribute to muscle cramps, it should be noted that a potassium deficiency is unlikely as your body contains more potassium than even a marathon runner might lose during a hot, sweaty race. However you can rule out this as an issue by eating potassium rich foods such as bananas and oranges on a daily basis.   Replacing the sodium lost during sweaty exercise is vital and this can be done by having an endurance sport drink or a salty snack.