Myofascia – part 1

One of the most common conditions we treat is neck pain which can range from a simple stiff neck, to inability to turn your head to either the right or left. So in this blog post I wanted to discuss the recent scientific research regarding massage therapy for neck pain in people with neck arthritis.

Background

• 1 in 5 people who visit a massage therapist do so because of neck pain
• 28% of people with neck pain due to neck arthritis are likely to book a massage

Until the most recent research the scientific literature on the effects of massage therapy on neck arthritis pain was mixed.  In this study an attempt was made to enhance the effects of weekly massage therapy by having the participants massage themselves daily.

Methods

Forth eight participants from a medical school, suffering from neck arthritis pain, were randomly split into two groups, one that received massage treatments and a wait list control group. The first group received a course of four 30 minutes weekly moderate pressure massages and supplemented this with 15 minute daily self-massage.  The control group started the same course of treatments after four weeks without massages.

The effectiveness of the treatments were measured through self-reports and range of motion assessments, completed after massage treatments on the first and last days of the monthly study period.

Results

The group that received the monthly course of weekly massage treatments, showed significant reductions in pain and improvements in range of motion.  These ROM changes occurred specifically for nodding your head (flexion) and right and left lateral flexion motions.  Between the first and last day of the course of treatments showed on average a 50% decrease in pain during flexion.  Conversely the control group reported increases in pain and reductions in range of movement while waiting for massage treatments.

The study Field T, Diego M, Gonzalez G and Funk C G (2014) Neck arthritis pain is reduced and range of motion is increased by massage therapy, Complementary Therapies in Clinical Practice 20(4): 219 - 223 supports my subjective experience that massage therapy helps reduced neck pain and increase clients range of movement when it has been compromised.

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

For more information on the study see http://www.bowenmigraineresearch.co.uk/

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

What are Trigger Points? Trigger Points are hyper-irritable spots in muscle which are between 2mm - 10mm in diameter that are located frequently located where the nerves join the muscle fibers.  Active trigger points are always tender or painful, and often refer pain, so trigger points in only of the largest shoulder muscles the trapezius often refers pain up the side of the neck.  While latent trigger points are only painful when they are touched.  This is why when I work, sometime you discover areas of your shoulders that you didn't know were painful, these are latent trigger points. Trigger points can be found anywhere in the body but are extremely common in the shoulders. So if latent trigger points are only painful when you touch them, do I need a massage to release them?  The simple answer is yes as they may restrict your range of movement, so you will feel tightness if you try and rotate your shoulders or they can reduce the strength of your muscles, which puts more strain on your joints. What causes trigger points? There are several ideas about what causes trigger points but no agreed theory.  Below is a list of possible causes

• Poor Posture
• Muscle Damage
• Nervous Tension
• Physical Stress
• Psyschological Stress
• Environmental Factors - cold, damp
• Illness
• Lack of rest or sleep
• Poor Diet

What are the symptoms of trigger points?

• Restricted movement
• Tension headaches
• Referred pain
• Painful movement of a joint or limb

How can I prevent trigger points forming?

• Maintain good posture
• Manage your stress
• Follow a daily stretching routine

How can I get rid of my trigger points?

• Acupuncture
• Massage