Reflexology and Pain Management – Part 2

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.    

Following on from part 1 on how to treat unirary tract infections naturally here are more tips. Probiotics In a study of postmenopausal women prone to UTIs, a probiotic supplement containting Lactobacillus rhamnosus GR-1 and Lactobascillus reuteri RC-14 cut the number of recurrences by around 50% over a yea.  The "good guy" bacteria were almost as effective as antibiotics and they had the advantage of not leading to drug resistant bacteria which may happen with antibiotics.  Probiotics also seem to help prevent UTI when use as vaginal suppositories. Ulva Ursi There is evidence to suggest the herby may reduce the duration of a UTI when one strikes.   The German Federal Institue for Drugs and Medical devices approves the herb for treatment of UTIs.  In one clinical trial, supplements containing standardized extracts of uva ursi as well as dandelion root taken for 1 month effectively prevented UTIs over the following year. Vitamin C Vitamin C may help prevent and treat UTIs by acidifying the urine, creating a hostile environment for infection - causing bacteria.  In a study of preganty women, those given daily supplements including 100mg vitamin C experienced significantly fewer UTIs than women given supplements without vitamin C. Reference https://www.ncbi.nlm.nih.gov/pubmed/22782199 https://www.southampton.ac.uk/ctu/news/2018/04/20-atafuti-trial-protocol-publication.page https://www.sciencedirect.com/science/article/pii/S0011393X05802048?via%3Dihub https://www.bmj.com/content/340/bmj.c199 https://www.ncbi.nlm.nih.gov/pubmed/17611821

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)