What causes muscle cramps?

Recently we have treated a few cases of elbow pain. There are two common site for elbow pain, the outside edge of the elbow which is often an indication of tennis elbow or lateral epicondylitis and the inside edge of the elbow which is often an indication of glofer's elbow or medial epicondylitis.   With both of these conditions the pain may radiate up the arm and / or down along the forearm. Both conditions can be caused by precise wrist movements from using a mouse or keyboard.  As the name suggests tennis elbow can be caused by faulty backhand technique when playing tennis.  While golfer's elbow can be caused by poor technique when playing Golf or faulty forehand technique when playing tennis. In addition tennis elbow can be caused by carrying heavy shopping bags as it causes tension in the wrist extensors. Most of the cases we see are caused by long hours using computers.  The first thing we do is try and establish the cause of the pain, which can be tightness or spasm in the muscles of the forearm, neck or shoulders and then treat accordingly.  We can also show you simple stretches to stretch out the muscles of the forearm. What surprised us, and prompted me to write this blog is that they all the clients had just assumed that elbow pain was something that they just had to lived with.  In all the cases we dramatically reduced the pain and in most cases after a few treatments the clients were pain free!  So don't sit their in pain, book a massage.

Having looked at how to describe and classify headaches & migraines in my introduction, I then moved on to look at how massage can help sufferers in part 1. Then in part 2 I looked at how nutrition and Bowen technique could help.  I want to continue to explore the impact of complementary therapies on headaches. Cranio-Sacral Therapy Cranio-sacral therapy is a system of alternative medicine intended to relieve pain and tension by gentle manipulations of the skull regarded as harmonizing with a natural rhythm in the central nervous system. Cranio-sacral therapists suspect the occipito-atlanteal junction at the top of the neck may contribute to the cause of headaches especially migraines.  If the first vertebrae and the occipital condyles at the base of the skull become jammed together or fixed, which effects the vagus nerves, throwing the parasympathetic nervous system into dysfunction.  Cranio-sacral therapists report releasing the occipital condyles nearly always results in the reduction of migraines patterns in clients. Acupuncture Acupuncture is a treatment derived from ancient Chinese medicine in which fine needles are inserted at certain sites in the body for therapeutic or preventative purposes.  There is some scientific evidence acupuncture has a beneficial effect on headaches and migraines (see >> http://www.nhs.uk/Conditions/Acupuncture/Pages/Evidence.aspx)

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.