How does massage help those in pain?

One of the most common reasons for booking a massage is pain relief, whether its

  • Neck pain
  • Shoulder pain
  • Lower back pain

As a massage therapist to assist clients who are in pain, I reach into my tool kit which includes relieving tension, relaxing muscles and rebalancing your nervous system.  Many clients come back to me because in the past I have assisted them with their pain particularly neck, shoulder or lower back pain.  However it has always been unclear exactly how massage helps clients who are in pain.  

Research has shown that massage works on our pain modulation system as well! Pain modulation refers to the process by which the body alters a pain signal as it is transmitted along the pain pathway – this is why some people might find something painful while others might not.   Massage’s role in pain modulation is not totally agreed upon – some studies have proposed that it’s associated with the way it raises our serotonin and dopamine levels. Others have stated that it’s related to increases in plasma oxytocin and statistical decreases in β-endorphin.

Related Posts

  • Myofascia – part 2

    Last week I explained what myofascia is and how it can become restricted from, for example, poor posture. How to identify Myofascial Restrictions? It is important to acknowledge that it is difficult to diagnose myofascial restrictions as they do not show up on standard tests (x-rays, myelograms, CAT scans, electromyography etc). Massage therapists utilise their palpation skills to find myofascial restrictions. For example fascial drag, this is a very light press & slow technique to allow the therapist to feel the restrictions in the fascia. Who treats Myofascial Restrictions?

    1. Myofascial Release – Originated in the 1940’s. It is a specialised physical and manual therapy used for the effective treatment and rehabilitation of soft tissue and fascial tension and restrictions. John Barns a physical therapist based in the US is one of today’s leading lights in the world of myofascial release.
    2. Rolfing – Dr Ida Rolf, started working with client in the 1930’s and by the 1950’s was teaching her work under the name of Rolfing .   A physical therapy which aims to release stress patterns from the body.   It is normally to require a series of treatment often up to 10.
    3. Massage – massage therapists utilise direct and indirect technique to address Myofascial restrictions.
    With indirect Myofascial techniques you apply pressure and wait of the fascial to release, when you meet restriction you stretch the fascia. With direct Myofascial techniques you drag the fascia to create a Chinese burn sensation.   Hence why in clinic I often rely on the gentler indirect Myofascial techniques even when I know my clients prefer deep pressure.

  • What type of massage is right for me?

    The short answer is...

    • Seated Acupressure Neck & Shoulder massage is a short focused massage to release tension in the Neck & Shoulders
    • Choose Sports massage over deep tissue massage when you go to the gym with a specific sporting goal in mind, i.e. you are going for more than just generally keeping fit. Or you are really focused on your sport including actively taking part in competitions or you are keen to improve your performance or your training is solely focused on your sport and you do not cross train.
    Description of your back Recommended Treatment
    My back feels like concrete? Deep Tissue Massage – the use of hot stones to relax the muscle can be less painful than other deep pressure techniques
    My neck and shoulder are tight and sore from sitting at my desk all day? Seated Acupressure Neck & Shoulder Massage
    You play sports, don’t cross train and have specific trouble spots? Sports Massage 
    You work out religiously at the gym, but don’t always stretch? Sports Massage as it incorporates stretching 
    You are training for a specific sporting event or just completed one? Sports Massage 
    You are inactive or active but just have a bad back? Sports Massage or Deep Tissue Massage
     

  • Is a 15 minute Neck & Shoulder Massage beneficial?

    Fifteen minutes is a very short space of time, so I am often asked by potential clients if they will receive any benefits from such a short massage. Well the good news is that you do receive benefits, and its not just me saying that, or the subjective experience of other clients there is scientific evidence too.

    • In 1996 Shulman, K.R. & Jones, G.E. in the Journal of Applied   Behavioural Science, looked at the effectiveness of chair massage in reducing anxiety in an organisation. An on-site chair massage therapy program was provided to reduce anxiety levels of 18 employees in a downsizing organization. 15 control group s participated in break therapy. Subjects’ stress levels were measured with the State-Trait Anxiety Inventory, which was administered twice during pretest, post-test, and delayed post-test to achieve stable measures. The study concluded that significant reductions in anxiety levels were found for the massage group. 1
    • In 1996 Field, Ironson, Pickens et al. in the International Journal of Neuroscience concluded that chair massage therapy offers benefits in not just alleviating the physiological effects of anxiety, but also in improving mental alertness.2
    • In 1997 Cady et al. in Perceptual & Motor Skills evaluated the effectiveness of a 15 minute chair massage on reducing stress as indicated by blood pressure. 52 employed participants' blood pressures were measured before and after a 15 minute massage at work. Analysis showed a significant reduction in participants' systolic and diastolic blood pressure after receiving the massage. High Blood pressure is associated with anxiety and stress, this study supports the conclusion that chair massage is relaxing and reduces stress. 3
    There is solid scientific evidence of the benefits of a 15 minute seated acupressure massage, so why not book now. References
    1. KR Shulman and GE Jones, 1996, The effectiveness of massage therapy intervention on reducing anxiety in the work place, Journal of Applied Behavioural Science (32), p160 – 173
    2. Field T; lronson G; Scafjdi F; Nawrocki T; Goncalves A; Burman I; Pickens J; Fox N; Schanberg S; Kuhn C, Sep 1996, Massage Therapy Reduces Anxiety and Enhances EEG Pattern of Alertness and Math Computations, The International Journal of Neuroscience, 86 (3-4) p197-205Read More: http://informahealthcare.com/doi/abs/10.3109/00207459608986710
    3. Cady SH and Jones GE, Feb 1997, Massage therapy as a workplace intervention for reduction of stress, Perceptual & Motor Skills, (1) p157- 158Read More: http://www.ncbi.nlm.nih.gov/pubmed/9132704