Massage Therapy and Neck Pain

Last time, I discussed the use of Cryotherapy to aid healing, today I would like to discuss the use of heat.  As many of you will know who have had a full body massage treatment with me, I often incorporate hot stones into my treatment.  And some of my readers will have heard me say they should use a wheat bag or cherry stone bag or some other type of hot pack. The simple reason why I do this is that most people I treat have one or more knots. A knot is created when a muscle contracts for a sustained period of time and looses its ability to stretch or relax.  A simple "muscle knot" will deprive an area of blood, oxygen, nutrients and a thyroid hormone called T3.  When a muscle has been deprived of T3 even for a few minutes it will lose its ability to relax, creating the perfect conditions for inflammation and fibrosis (the creation of adhesions).  A reduction in the partial pressure of oxygen (to 55 mm of Hg) due to restriction of blood to an area in that muscle will start the inflammatory process that causes the fibrotic condition (adhesion) to proliferate.  In the hands of a skilled massage practitioner the knot and any adhesions are located and ideally removed but at least reduced.  With the restoration of normal muscle motion, pain is decreased or eliminated, joint motion improves, and normal or near normal activities can be resumed. So heat is often incorporated into a massage treatment treatment because it

1. Increases blood supply to an area of the body
2. It warms up the muscle tissues to allow them to stretch (relax)
3. It reduces muscle spasm

There is an old wives saying, feed a cold and starve a fever, but what does the latest science say? Although eating less when we are ill can sometimes help us to recover faster.  The loss of appetite when we have an infection is a biological "trick" that simply allows bacteria to spread.  Eating nutritious food when we have an infection can reduce its severity and recover time say researchers. Researchers have tracked the health of laboratory mice infected with the Salmonella bacteria and found that natural loss of appetite helped the bacteria spread from the intestines to other tissues.  By comparison, mice fed extra calories lived longer. This discovery could lead to new ways to tackle bacterial infections that don't rely on antibiotics. Reference Rao, Shelia et al, 2017, Pathogen-Mediated Inhibition of Anorexia Promotes Host Survival and Transmission, Cell, Volume 168, Issue 3, 503 - 516

Mindfullness is very trendy right now because it is claimed to help you cope with anxiety and stress and build resilience.  But does it help you if you are depressed?  This is the question that researchers from Northwestern University Feinberg School of Medicine tried to answer in a recent study. During the study, 31 women most of whom had done nothing to help themselves to deal with their depression in the last 12 months, participated in an mindfullness group.  They practicied mindfullness meditation and yoga on average 150 minutes per week.  Before starting the study 45% said they had no experience of mediation and 71% said they had never tried yoga. The primary outcome, depression and secondary outcomes (stress, mindfulness, functioning, well-being and depression stigma) were assessed at start of the study and then again at weeks 8 and 16 weeks .  The depressive symptoms significantly decreased during the study, in addition the stigma of depression increased from the start of the study to 8 weeks and then significantly decreased between 8 to 16 weeks of the study.  A significant decrease in stress and significant increase in mindfulness was found at week 8 and the end of the study when compared to the start of the study.  In addition, the women reported increased sense of well-being including self-acceptance and growth. In conclusion mindfulness medication can reduce levels of depression and stress as much as powerful drugs and psychotherapy do. Reference I E Burnett-Zeigler, M D Satyshur, S Hong, A Yang et al, 2016, Mindfulness based stress reduction adapted for depressed disadvantaged women in an urban Federally Qualified Health Centre, Complementary Therapies in Clinical Practice;  25; 59 - 67 see >> http://www.ctcpjournal.com/article/S1744-3881(16)30072-X/abstract