Optimal Wellness Through Massage - VIDEO

Optimal Wellness Through Massage

An extensive amount of research has been conducted on the effects of massage therapy. Research data has shown that massage produces measurable biological effects and may have an effect on the immune system.[1] While some of this scientific evidence is preliminary it has shown that massage can also help with back pain, neck pain, headaches, extremity pain and may improve quality of life for people with depression, cancer, HIV/AIDS and when utilized appropriately and provided by a trained professional, massage therapy appears to have few risks.[2]

Massage therapy focuses on the muscle and other superficial soft tissues of the body to help alleviate tension, inflammation, and pain via the application of manual hands-on techniques. The goal of massage is to establish and maintain good physical condition and health by normalizing and improving muscle tone, promoting relaxation, stimulating circulation, and producing therapeutic effects on the respiratory and nervous systems.[3]

So what is massage therapy?

Swedish massage utilizes long strokes, kneading, deep circular movements, vibration, and tapping.

Deep tissue massage focuses on certain painful, stiff "trouble spots" in your body and utilizes slow, deliberate strokes that focus pressure the muscles, tendons, or other tissues deep under your skin and provides relief from chronic patterns of tension and injuries such as back sprain.[4]

Structural massage, also known as myofascial release, manipulates the soft tissues within the body using different angles and degrees of physical pressure to stretch and guide fascia to a place of easier movement.[5] Research has shown that this style of massage produces positive effects on pain, anxiety, depression, fatigue, and stiffness in those suffering with fibromyalgia.[6]

Myofascial trigger point therapy is most effectively utilized in the treatment of chronic and acute pain. Postural holding patterns, emotional stresses and work-related muscular usage all contribute to areas of contracted muscle that develop firm nodules or taut bands know as trigger points which most of the time we aren’t even aware of. When pressed, trigger points are painful and are associated with pain elsewhere in the body and without direct intervention to eliminate them will not go away on their own.[7]

So what exactly does medical research say about massage?

Since 2008, the National Center for Complementary and Integrative Health (NCCIH) a division of the U.S. Department of Health & Human Services has taken an active role in not only reviewing the available literature but has also funded clinical trials on massage therapy. This is what they have discovered:

- Massage therapy helped reduce pain, improve function, and decrease the use of anti-inflammatory medication more effectively than usual medical care[8] in people with chronic low-back pain.[9]

- Massage therapy led to statistically significant improvements in neck pain severity, pain-related disability and function, and in one study participants reported a 14% decrease in the use of pain medication.[10] [11]

- A 2012 study found that a 60 minute massage once per week exhibited significant improvements in pain, function, and global response compared with those receiving usual care medical care for osteoarthritis of the knee.[12]

Aside from the research conducted by the NCCIH there have been other studies that have found myofascial therapy to also be an effective form of treatment for conditions such as tension type headache [13] [14] [15] [16], temporomandibular joint (a.k.a. TMJ) pain[17], and chronic shoulder pain.[18]

Chronic muscular restriction can inhibit essential physiologic processes such as blood flow, lymphatic drainage, nerve conduction, and cellular metabolism which can, over time, affect our overall health. The primary reason for the therapeutic effects of massage therapy is that it increases blood flow in small vessels that has been impeded due to muscle tension and that leads to better and faster recovery around the muscle tissue which in turn improves the range of motion, reduces swelling, and has pain-reducing properties.[19] [20]

Dr.Sean Konrad at Life in Motion Chiropractic and Wellness applies a collection of skills when performing therapeutic myofascial treatment, however the type of therapy performed will depend on your needs and physical condition.

Dr. Konrad provides treatment via chair massage, during which myofascial therapy is performed over the clothing in a forward seated position as seen here,

Chair Massage

or on a flexion-distraction therapy table for cases in which a more deep tissue approach is warranted. 

Aside from this he can also apply a range of modalities to supplement this hands-on therapy which include:

Heat or Ice Application

Muscle Stimulation

Hot Stone Massage

Instrument Assisted Soft Tissue Manipulation

Kinesio Tape Application

Here a short summary of Dr. Konrad’s formal training in myofascial techniques:

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[1] Rapaport MH, Schettler P, Bresee C. A preliminary study of the effects of a single session of Swedish massage on hypothalamic-pituitary-adrenal and immune function in normal individuals. (http://www.ncbi.nlm.nih.gov/pubmed/20809811) The Journal of Alternative and Complementary Medicine. 2010; 16(10):1–10.

[2] Field, Tiffany, PhD, Andrea Furlan, MD, Karen Sherman, PhD, Partap Khalsa, DC, and John Killen, MD. "Massage Therapy for Health Purposes." National Center for Complementary and Integrative Health. U.S. National Library of Medicine, 06 Sept. 2016. Web. 21 Sept. 2016.

[3] Fritz, Sandy. "Chapter 2." Mosby's Fundamentals of Therapeutic Massage. 4th ed. St. Louis, MO: Mosby/Elsevier, 2009. 30-33. Print.

[4] Keifer, David, MD. "Massage Therapy Styles and Health Benefits." WebMD. WebMD, 01 Aug. 2016. Web. 21 Sept. 2016.

[5] Konopelky, Karin. "Structural Integration." Massage Therapy 101. Tsavo Media Canada Inc., n.d. Web. 22 Sept. 2016.

[6] Yuan SL, Matsutani LA, Marques, AP. Effectiveness of different styles of massage therapy in fibromyalgia: a systematic review and meta-analysis. Man Ther. 2015;(2):257-264

[7] Finando, Donna. "What Is the Difference Between an Acupoint and a Trigger Point? Part 1." MASSAGE Magazine. Massage Magazine, 08 Dec. 2008. Web. 01 Mar. 2017.

[8] Usual care for low-back pain may include medication, other forms of physical therapy, back exercises, and education.

[9] Cherkin DC, Sherman KJ, Kahn J, et al. A comparison of the effects of 2 types of massage and usual care on chronic low-back pain: a randomized, controlled trial. (http://www.annals.org/content/155/1/1.abstract?aimhp) Annals of Internal Medicine. 2011;

155(1):1–9.

[10] Sherman KJ, Cherkin DC, Hawkes RJ, et al. Randomized trial of therapeutic massage for chronic neck pain. Clinical Journal of Pain. 2009; 25(3):233–238.

[11] Sherman KJ, Cook AJ, Wellman RD, et al. Five-week outcomes from a dosing trial of therapeutic massage for chronic neck pain. (http://www.ncbi.nlm.nih.gov/pubmed/24615306) Annals of Family Medicine. 2014;12(2):112–120.

[12] Perlman AI, Ali A, Njike VY, et al. Massage therapy for osteoarthritis of the knee: a randomized dose finding trial. PLoS One. 2012; 7(2):e30248.

[13] Doraisamy, Magesh Anand, Charles Prem Kumar & Anshul, and Chandran Gnanamuthu. "Chronic Tension Type Headache and the Impact of Myofascial Trigger Point Release in the Short Term Relief of Headache." GJHS Global Journal of Health Science 2.2 (2010): 239-44. Web.

[14] Fernández-De-Las-Peñas, César, and Carol A. Courtney. "Clinical Reasoning for Manual Therapy Management of Tension Type and Cervicogenic Headache." Journal of Manual & Manipulative Therapy 22.1 (2013): 45-51. Web.

[15] Quinn, Christopher, Clint Chandler, and Albert Moraska. "Massage Therapy and Frequency of Chronic Tension Headaches." American Journal of Public Health 92.10 (2002): 1657-661. Print.

[16] Ferna´ndez-de-las-Pen˜ as, Cesar, Maria L. Cuadrado, and Juan A. Pareja. "Myofascial Trigger Points, Neck Mobility, and Forward Head Posture in Episodic Tension-Type Headache." Headache 47 (2007): 662-72. Print.

[17] Miernik, Marta, Mieszko Więckiewicz, Anna Paradowska, and Włodzimierz Więckiewicz. "Massage Therapy in Myofascial TMD Pain Management." Advances in Clinical and Experimental Medicine 21.5 (2012): 681-85. Print.

[18] Bron, Carel, Arthur De Gast, Jan Dommerholt, Boudewijn Stegenga, Michel Wensing, and Rob Oostendorp. "Treatment of Myofascial Trigger Points in Patients with Chronic Shoulder Pain: A Randomized, Controlled Trial." BMC Medicine. BioMed Central Ltd., 24 Jan. 2011. Web. 30 Jan. 2017.

[19] Goats GC: Massage – the scientific basis of an ancient art: part 2. Physiological and therapeutic effects. Br J Sp Med 1994, 28(3), 153–156.

[20] Smith AR Jr.: Manual Therapy: The Historical, Current, and Future Role in the Treatment of Pain. Sci World J 2007, 7, 109–120.

Optimal Wellness Through Chiropractic Care

#ThinkChiropractic

Your spinal column, which consists of 24 bones known as vertebrae and the interlaying discs, protect your most delicate and important system, your central nervous system, and impingements within the joints of your spinal column can contribute to a number of health problems and ailments.

The spinal cord is the first relay site in the transmission of information to the brain regarding a peripheral stimulus that causes pain. Sensory signals are transmitted from the periphery by primary nerve fibers into the dorsal horn of the spinal cord where wide dynamic range neurons are housed. Wide dynamic range neurons are responsive to thermal, chemical, and mechanical sensory input as well as a broad range of intensity of stimulation from the peripheral nerves. They steadily increase their firing rate as the stimulus intensity rises into the very unpleasant range. Therefore adverse stimulation of wide dynamic range neurons can lead to altered body image[1] such as:

• Feeling like your back or neck is “swollen”

• Feeling of “stiffness” despite normal range of motion

• Alteration of the body’s natural ability to maintain good posture in relation to the surrounding environment at rest and during motion

• Headache pain[2]

An effective solution to maintaining optimal wellness is chiropractic care. Chiropractic is like brushing your teeth, it's something you need, just like regular dental hygiene, to maintain the life of your spine, because regular activities, poor posture, chronic sitting, and improper ergonomics can contribute to your spine functioning less than optimally.

Research published in a June 2004[3] and subsequent May 2007[4] edition of the  Journal of Manipulative and Physiological Therapeutics examined the integration of allopathic[5], osteopathic, chiropractic and various forms of alternative and complementary medicine versus conventional strategies alone at a health maintenance organization (HMO) in metropolitan Chicago. The data complied was based on 70,274 member-months[6] over a seven-year period and they found that the integrative care model resulted in:

• 60.2% decrease in-hospital admissions

• 59% decrease in hospital days[7]

• 62% decrease in outpatient surgeries

• 85% decrease in pharmaceutical costs

Subsequently, a National Health Interview Survey was conducted in 2012 which provides the most comprehensive information on the use of complementary health approaches in the United States. National estimates were derived via data collected from 34,525 adults aged 18 and over regarding wellness-related reasons for consumer’s utilization of supplementation, yoga, and spinal manipulation. The results of this survey were published on November 4, 2015 by the  National Center for Complementary and Integrative Health (NCCIH) and they found that:

• Over 50% reported using spinal manipulative therapy (SMT) for wellness

• While over 65% reported using spinal manipulation for treating a specific health condition

Wellness Related Use of CAM

However, the most common responses from those using SMT for general wellness or disease prevention was:

• It improved overall health

• Spinal manipulation “made them feel better.”​

In fact, approximately 40% of those who reported utilizing chiropractic care stated that they experienced reduced stress, better sleep, and/or an easier time coping with health problems after receiving spinal manipulative therapy.

Chiropractic Care Makes People Feel Better

This data substantiates the fact that the traditional medical model of healthcare is beginning to wane. Today’s healthcare consumer is now more focused on the effects that physical and psychological stress has on our bodies and the therapeutic interventions that address the mind-body connection are beginning to receive some much deserved attention as well as implementation. Chiropractors clearly have a greater role in your health and wellness than just treating sore backs. Chiropractic care should be considered an invaluable tool to assist you in not only feeling well, but to also help you maintain an optimal level of wellness.

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[1] Nijs J, et al. “Nociception affects motor output: a review on sensory-motor interaction with focus on clinical implications.” Clin J Pain. 2012;28(2):175-81

[2] Jull, et al. “Cervical musculoskeletal impairment in frequent intermittent headache. Part 1: Subjects with single headaches.” Cephalalgia 2007; 27:793-802

[3] Sarnat, Richard, and James Winterstein. "Clinical and Cost Outcomes of an Integrative Medicine IPA." Journal of Manipulative and Physiological Therapeutics. U.S. National Library of Medicine, June 2004. Web. 08 Feb. 2017.

[4] Sarnat, Richard, James Winterstein, and JA Cambron. "Clinical Utilization and Cost Outcomes from an Integrative Medicine Independent Physician Association: An Additional 3-year Update." Journal of Manipulative and Physiological Therapeutics. U.S. National Library of Medicine, May 2007. Web. 08 Feb. 2017.

[5] This is the principle of mainstream medical practice, as opposed to that of homeopathy.

[6] The number of individuals participating in an insurance plan each month. Member month is calculated by taking the number of individuals enrolled in a plan and multiplying that sum by the number of months in the policy.

[7] The total number of days a patient stays in a hospital after admission to the hospital for a sickness that requires 24-hour nursing care and medication.

Chiropractic Wellness Care

The 2012 National Health Interview Survey provides the most comprehensive information on the use of complementary health approaches in the United States. National estimates were derived via data collected from 34,525 adults aged 18 and over regarding wellness-related reasons for consumer’s utilization of supplementation, yoga, and spinal manipulation. The results of this survey were published on November 4, 2015 by the  National Center for Complementary and Integrative Health (NCCIH) and they found that:

• ·        Over 50% reported using spinal manipulative therapy (SMT) for wellness
• ·   While over 65% reported using spinal manipulation for treating a specific health condition

However, the most common responses from those using SMT for general wellness or disease prevention was:

Chiropractic Care

How Slow Medicine Heals Faster - Wellness.com

A slower holistic approach to speed up healing

Dr. Michael Finkelstein discusses modern medicine's failure to address root causes and how to get more time with your doctor for a slower holistic approach to speed up healing.

You can listen to this podcast here:

http://www.wellness.com/slowmedicine

“Conservative Care First” is more important today than ever in facing our nation’s healthcare challenges

Chiropractic physicians are the highest-rated healthcare practitioners for low-back pain treatments with their patient-centered, whole-person approach that provides greater interaction and communication for appropriate diagnosis and developing more cost-effective treatment planning.

 

October is National Chiropractic Health Month