So how does massage reduce pain? – Part 1

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.

In my previous post I said that the activity you do to chill out doesn't matter it you just need to enjoy it and it absorbs you. So why not consider paying video games, yes video games.  If you ask any gamer, who enjoys playing them and they will tell you it help them relax or de-stress.  I know this may sound unlikey.  However that is scientific research to support the idea that regularly playing video games can help people unwind an dimprove their ability to handle everyday stress. In 2010 Associate Professor Dr. Christopher J. Ferguson of the Texas A&M Public Research Facility demonstrated that both men and women who play violent video games long-term seem to be able to adopt mental skills to handle stress, become less depressed and get less hostile during stressful tasks.  In 2014 reserarchers from University College London  found that people who played video games after work experienced faster recovery from work related stress. While there are a number of video games on the market which are specifically aimed at helping people unwind and manage stress, it seems that almost any form of game playing will do the trick.  Spending half an hour each day on a video console could be be as effective as going to the gym for helping you “chill out” at the end of a busy day. References http://www.christopherjferguson.com/hitman.pdf http://discovery.ucl.ac.uk/1418103/  

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.

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.