Heat
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
- Increases blood supply to an area of the body
- It warms up the muscle tissues to allow them to stretch (relax)
- It reduces muscle spasm
and all the above help to release muscle knots and relax tense muscles. So the use of heat helps to create that feeling of “looseness” that most of my clients report after having a massage.
Related Posts

Trigger Points
Often clients sit down to have a massage and are unaware how tight one area of there shoulder or neck is. This is very common and here is why:
- We only notice the worse area of pain - so if our right shoulder is more painful, we have a tendency to assume our left shoulder is OK.
- Trigger Points
- Poor Posture
- Muscle Damage
- Nervous Tension
- Physical Stress
- Psyschological Stress
- Environmental Factors - cold, damp
- Illness
- Lack of rest or sleep
- Poor Diet
- Restricted movement
- Tension headaches
- Referred pain
- Painful movement of a joint or limb
- Maintain good posture
- Manage your stress
- Follow a daily stretching routine
- Acupuncture
- Massage

Anxiety reduction & massage?
I know that I often say that one of the benefits of massage is that it may reduce anxiety. I think most people would agree that being in hospital or undergoing hospital procedures may makes us feel anxious. So I was interested in a recent study that looked at the effectiveness of massage with or without guided imagery (a therapist talking you through a scene to help you relax), prior to cardiac catheterisation. As you can imagine anxiety is very common in patients prior to cardiac catheterisation, which can lead to high blood pressure and increase the amount of sedation necessary to complete the procedure. Fifty five patients opted to receive either a 15-minute massage (31 patients) and a 20 minute guided imagery (24 patients) in a quiet area of the hospital prior to cardiac catheterisation. Self-report anxiety levels, blood pressure and heart rate were evaluated in the research participants as well as matched for comparison to a control group not taking part in the study. The results indicated that massage, with or without guided imagery, produced significant reductions in self-reported anxiety, with the combined intervention having a more pronounced effect. In addition a lower diastolic blood pressure and heart rate were found when compared to the control group. In my experience slow, deep stokes help to reduce anxiety and as a team we often incorporate this into treatments. References Amstrong K, Dixon S, May S, Patricolo GE (2014). Anxiety reduction in patients undergoing cardiac catheterisation, following massage and guided imagery. Complementary Therapies in Clinical Practice 20 (4): 334 - 338.

What is a muscle cramp?
What is a muscle cramp? Normal movement of our bodies involves muscles alternating between contract and relaxation. A muscle that contracts involuntarily and is unable to relax is a spasm; and a forceful and prolonged spasm becomes a cramp. A muscle cramp can last anywhere from a few seconds to up to 15 minutes or occasionally longer. Any muscle can develop a cramp, but the most common site for muscle cramps are the legs, particularly the front of the thighs (quadriceps), back of the thighs (hamstrings) and calf muscles (gastrocnemius & soleus). Unfortunately almost everyone, one estimate is 95% of the population will experience a muscle cramp at some time in their life. Muscle cramps are one of those things that also increases as we get older. Those of you that have already had a muscle cramp will undoubtedly remember the unrelenting pain! Tip: Most muscle cramps can be stopped if the muscle can be stretched. Muscle spasms & cramps are one of the most common complaints that massage therapists deal with.

