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
Headaches Treatment & Prevention – Part 2
After introducing headaches, I then explored the downside of orthodox treatments and how massage can help. Now I want to share with you how other complementary therapies may help. Nutrition We all know that if you suffer from headaches you need to avoid becoming dehydrated. But what can be equally important is to control your blood sugar balanced by avoiding sugars and refined carbohydrates (i.e. anything sweet, fluffy or white!) . Certain food substances – such as histamine, tyramine and phenylethylamine – can trigger headaches or migraines. These foods include cheese, citrius fuits, red wine, chocolate & coffee. There is a time lag between eating these foods and an attack, as the problem arises when the food reaches the liver. Some research has been done on the benefits of Omega (3, 6 & 9) essential fatty acids will help control pain & inflammation for migraine sufferers. [Harel Z, Gascon G, Riggs S et al. Supplementation with omega-3 polyunsaturated fatty acids in the management of recurrent migraines in adolescents. J Adolesc Health 2002 Aug;31(2):154-61. 2002.] Bowen Technique The Bowen Technique is a hands on therapy that is applied using very gentle pressure. The practitioner uses thumbs and fingers on precise points of the body to perform Bowen's unique sets of rolling-type moves which stimulate the muscles and soft tissue of the body. In association with the Migranie Action Assocation some research was carried out into the effectiveness of receiving Bowen Technique treatment to allieviate migraines. All study participants had been diagnosed as migraine sufferers by their GP. 31 out of the 39 study particpants experienced a positive result of either
- Reducation in frequency of migranies
- Reducation in the degree of pain experienced
- Reduction in both the frequency of migraines and the degree of pain experienced
Is deep pressure in a massage ever bad?
One of the first things you learn as a massage therapist is that everyone wants deep pressure in massage. This is because no one wants a light fluffy massage because they feel there will be no benefit and they have wasted both their time and money. The second thing you learn as a massage is that everyone has their own idea what deep pressure is and what would be light pressure for one person is deep pressure for another person. Even if you take one client, the pressure they consider deep on their tight shoulders will be different from their idea of deep pressure on their legs. So there is no fixed concept of what deep pressure is, it varies from client to client, and with the same client it varies treatment to treatment and depending up on the part of their body your are treating. Given all this how do we work out pressure in clinic. First, we base it on our experience, your body type, the tension in the muscle we are working on. But most of all we talk to you about how the pressure feels to you and respect your preferences for pressure. I am sure most of you have heard me talk about good pain. Its based on a phenomenon that I have seen in clinic over the years. This is where someone comes into clinic in pain, we apply pressure and the pain turns into a good pain – because the pressure is a source of relief. For some people this “good pain” just feels right. This good pain is strong but welcome and came sometimes be described as a “sweet ache”. For some clients the good pain, is such a welcome relief that pain doesn’t even seem the right word. A word of warning, I like all my other therapists are only human and sometimes we get it wrong. This can be if we have missed a trigger point that is very sensitive, and we go into deep or the opposite can happen where a muscle locks up and we apply pressure and you as the client can’t feel anything. These situations can also arise due to change with your body i.e. an intense gym session or longer work hours than usual so lots of extra time sitting at your desk. I try to ask all my clients regularly without sounding like its some automated message, do you want the pressure deeper or lighter and if so let me know. I know the other therapists in clinic do this as well. In clinic we always want you to get the most out of your treatment. So please remember we always welcome feedback on pressure throughout your treatment.
