Does massage help tense muscles or muscle soreness?
A lot of clients visit it us in clinic with tense muscles, which over time can lead to achy muscles and this in turn can then lead to episodes of muscle pain. Muscle tension refers to the condition in which muscles of the body remain semi-contracted for an extended period. Muscle tension is frequently caused by the physiological effects of stress. Massage is well documented to reduce muscle tension (see top two references). In addition what is also known to help are
- hot baths
- yoga
- stretching
Muscle soreness, or to be more precise delayed onset muscle soreness (DOMS) is the stiffness and sometimes pain felt in muscles 24 to 72 hours after exercise, sporting or physical activity. If you are someone that is prone to DOMS reading my previous blog posts may help:
- Introduction to Delayed Onset Muscle Soreness (DOMS)
- Why does delayed onset muscle soreness vary so much?
- How to prevent Delayed Onset Muscle Soreness
- More tips on how to prevent Delayed Onset Muscle Soreness
Many athletes believe that sports massage helps DOMS and there is scientific evidence to supports this. (See bottom 4 references).
References
Longworth JCD. Psychophysiological effects of slow stroke back massage in normotensive females. Advances in Nursing Science. 1982 July: 44 – 66
Valentine KE. Massage in psychological medicine – modern use of an ancient art. New Zealand Journal of Physiotherapy. 1984; 12: 15 – 16
Ernst E. Does post-exercise massage treatment reduce delayed onset muscle soreness? A systematic review. Br J Sports Med 1998; 32(3): 212-4.
Ernst E. Manual therapies for pain control: chiropractic and massage. Clin J Pain 2004; 20(1):8-12.
O’Connor R, Hurley D. The effectiveness of physiotherapeutic interventions in the management of delayed-onset muscle soreness: a systematic review. Phys Ther Rev 2003; 8(4): 177-95.
Wright A, Sluka K. Nonpharmacological treatments for musculoskeletal pain. Clin J Pain 2001; 17(1): 33-46.
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So how does massage help “tired” muscles?
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)

Migraines – part 1
When is a headache not a headache? When its a migraine. Migraine is a complex condition with a wide variety of symptoms. Migraines are the 3rd most common illness in the world! For many people the main feature is a painful headache, but its way more than a headache, migranes are debilitating in a way headaches aren't - migranes are the 7th most disabling illness! While there are no typical symptoms, sufferers can get disturbed vision, sensitivity to light, sound and smells, feeling sick and vomiting. Over the next couple of weeks, I want to explore natural ways what can help migrane sufferers. Butterbur Butterbut is a herbal hay fever remedy which scientific studies show prevents migraines. Pitted against a placebo, a standardised extract of butterbut (Petasites Hybridus) significantly reduced the frequency of migraine attacks, with either no side-effects or just the odd bit of burping. References
Steiner TJ, Stovner LJ, Birbeck GL. Migraine: the seventh disabler. The Journal of Headache and Pain. 2013;14(1):1. doi:10.1186/1129-2377-14-1.Lipton RB, Göbel H, Einhäupl KM, Wilks K, Mauskop A. Petasites hybridus root (butterbur) is an effective preventive treatment for migraine. Neurology. 2004 Dec 28;63(12):2240-4. PubMed PMID: 15623680.

