Therapeutic Massage II

How long will it take to feel better?

This is an often asked question that is not always easy to answer because it is contingent on so many different factors. Firstly younger bodies usually heal faster than older bodies because cell growth and repair happens faster in the young. Secondly the severity and duration of your muscle or joint problem must be taken into account, a muscle that has been repeatedly injured has more internal scarring than a new mild to moderate problem.

During the initial acute phase of treatment you may need to get more than one treatment a week and then as your condition improves your visits will need to be less frequent. The issue of consistency does not just apply to to massage therapists,- acupuncturists, osteopaths, chiropractors and physiotherapists can all achieve better results with regular visits.

It is very easy to forget what it is like to feel “normal”, it is an easy trap to fall into thinking all your aches and pains are the unavoidable consequence of getting older. Obviously a 20 year old  will almost always be fitter and more lithe than a 60 year old, if you have a negative set of expectations about ageing you might think it just is not worth the effort of not even trying massage or maybe you just give up after only one or two treatments.

The next time you see a person with grey hair and wrinkles on their face but they still are fit, agile and upright you are probably looking at someone who did not give up on themselves too soon. Good genetics help but regular attention to body maintenance and exercise usually counts more. Regular effort helps you more than luck alone.

Some therapists are more proactive about showing you preventative and rehabilitative exercises than others. You can get better and faster results through learning  how to help yourself. I have been showing my clients easy and effective ways that they can massage their bodies as well as showing them exercises for a few years now. The clients who follow these instructions require fewer treatments and save themselves money.

Another strategy you might try is to do a massage course and swap massage treatments with your fellow students, it is a nice thing to share with your friends and can encourage you to see more of them.

Some health insurers don’t give you much cover for massage therapy, you may need to shop around and ask them questions about what they are prepared to offer you.

Some facts about therapeutic massage

Most if not all cultures have their own  manual therapies, they vary from soft techniques like myo-fascial release right through to strong deep tissue methods like Rolfing.

To rub a part of your body that is hurting is an instinctual reaction. Most if not all forms of massage aid the circulation of blood through your muscles, muscles should only be rigid if you are using them because your blood transports oxygen and nutrients to your muscle cells which act as fuel for muscle action. Your blood also takes away waste products such as lactic acid  from your muscles after your muscle uses (metabolises) them like a car’s exhaust pipe takes the gases of spent fuel away from it’s engine. Post massage nausea occasionally happens if you have a large toxin build up in your muscles.

In principle it is quite simple and straight forward, when you get a cramp for instance from doing something unusually strenuous you suffer from a build up of metabolites (cellular waste) such as lactic acid. Your venuous (de-oxygenated) blood vessels cannot expel these toxins fast enough from your muscle tissue. Sometimes a mineral shortage in your bloodsteam can upset the normal chemical balance in your blood (homeostasis) which may  cause cramping.

As we get older scar tissue and plaque can also build up in your muscles which can interfere with the circulation of blood through your muscles which can cause discomfort, weakness and stiffness. Lack of appropriate regular exercise, dehydration, poor posture, stress and poor diet can  negatively effect normal muscular activity and sensation. Massage can atleast temporarily give relief to sore muscles from these causes.

A less than ideal introduction to massage might totally put you off going again, maybe they went too hard  or perhaps they went too soft and you found it ineffectual. Sometimes it feels fine at the time but you felt like a car hit you afterwards. I have have massages that fall in all three categories, it has been my experience that the massages that felt good at the time but sore afterwards, a couple of days later freed my movement up very well and was worth having.

Everybody has their own pressure tolerances. Sometimes you might be able to comfortably soak up the pressure in one part of your body but find other places more sensitive. Many (myself included) find their calf muscles much more sensitive to massage. Massage therapists will usually ask you to let them know if it is too hard, (I do with everyone I see) they will be able to work within your tolerances much faster if you do this.

Sometimes it takes a few treatments to get the pressure just right, it is invariably easier to give a good satisfying massage to clients I have worked on numerous times. If it has been a long time since you had a massage or you have never had one before soreness afterwards is more common.

Freeing yourself of muscular pain is great but to restore freedom of movement is even better, it usually takes more visits to the massage therapist to feel like you are moving properly again than it does for the pain to go away. The maintenance of normal movement becomes increasingly important as we age, it gets harder and harder to remain living independently as your body stiffens.

Getting regular therapeutic massage helps keep your body moving and feeling young.

Some facts about acupuncture

Acupuncture has been around for a long time, ateast 5,000 years,  infact the oldest known comprehensive text  on the subject, the Yellow Emporer Classic, clearly indicates that it was already considered old  all that time ago.

The acupuncture points (tsubos) are small areas of skin that have lower skin surface tension and higher electrical conductivity than the rest of your skin around and in between the points, it is an electro-magnetic phenomenon. It is anyone’s guess how this system of knowledge came into being although it is stated in the Yellow Emporer Classic that long ago people could actually see tsubos with the naked eye.

Acupuncture appears to assist circulation and although it is best known for it’s ability to relieve muscular pain it is also effective in treating gynaecological, digestive, respiratory and stress related problems too. More recently IVF clinics have started recommending acupuncture as an adjunct therapy for women trying to conceive and acupuncture is one of the few things that can be offered with confidence to pregnant women suffering morning sickness because of it’s lack of side effects.

Misunderstandings have occurred over the years between practitioners and academics of Traditional Chinese Medicine (TCM) and Western Medicine (WM) partly because of the terminology used. WM is expressed in Ancient Greek and Latin words where TCM is not. TCM uses more figurative language than WM and some Mandarin words do not neatly translate into English (nor Ancient Greek or Latin for that matter) which can also lead to misunderstandings. Both therapies work and are good for different things.

Another area of misunderstanding about acupuncture is that one does not need to believe in it for it to work, it is not a religion (and not in any way related to Voodoo!), acupuncture works just as well on animals as it does on people. The placebo affect is just as likely to work with other therapies (including WM) as it can with acupuncture.

The philosophy behind acupuncture can take some time to learn, there is more to it than knowing how to insert needles where it feels sore, the difference between short courses on acupuncture (certificate) and the longer  courses (degree) mainly is due to how indepth the philosophy is addressed.

This does not mean that a doctor or physio therapist who perhaps has done a short course on acupuncture is going to use it unsafely, it is more a case that a person (such as myself) who specialises in it is more aware of different ways of using acupuncture to treat a wider variety of physical problems.

The use of sterile disposable needles has long been an industry standard which makes infection very rare if not completely non-existent and people having acupuncture for the first time are usually pleasantly surprised that it is not nearly as uncomfortable as they first thought it might be.

Acupuncturists pay low professional insurance premiums, you are at a very low risk of this therapy going wrong. 

Knee Pain II

Just as knee  pain can be caused by uneven muscular tension near the knee, so too can it be caused by muscular tensions in the hip, lower back and feet. This can be particularly deceiving when the feet, hip or lower back are not actually in any pain.

This occurs via the compensation effect, unconsciously your body in it’s attempt to maintain balance and avoid pain changes it’s posture as a reaction to other things going on in your body.

This can happen in a variety of ways, perhaps a past ankle injury that is no longer  painful causes you to develop a change to your stride when you walk, creating added pressure on the soft tissue in your knee. This compensation may occur on either side of your body, from your hip to your toe.

Changes in your work and home activities can change your posture in subtle ways that you may not notice immediately. You may not think you are moving differently to how you always have, but the body seems to remember what happens to it even if “you” cannot. This may result from a change in how you move, sit, stand and even react to stress.

I have known people over the years who have actually had such persistent knee pain and stiffness. Then they have had exploratory arthroscopic surgery that has revealed no likely cause for the discomfort at all. Their knee pain turned out to be of a muscular cause which an arthroscopy is unlike to detect.

A collapsed left foot arch for instance can make your right knee sore because of changed weight displacement.

Golf places unnatural sideway stresses on the knee joint that can progressively damage cartilage and ligaments, good playing techniques help but if you want to keep playing regular therapy and exercise are necessary.

Swimming and aquarobics are good ways to supplement a lack of walking, running or cycling. Doing extra upper body work with weights can burn off some of those spare callories too. If normal weight bearing exercise hurts your knee your whole body will suffer if you give up on exercise.

If your knee cartilage is worn down and you have been informed that you have osteoartritis (OA) nothing will restore the lost cartilage but it will not necessarily become a cause of constant knee pain. Cartilage wears down slowly, from day to day it does not change much.

If your OA affected knee was sore last week but not sore this week it is not because you have grown more cartilage this week, it means there were other factors at work. Stiff muscles can be just the sort of transient factor that can account for intermittent knee pain because muscular tensions change much faster.

Too often people give up on a knee that they are told is incurable, by definition OA has no cure that can make it like new again. Your knee’s symptoms can be managed though and by keeping the muscles supple in your legs. Self Massage and stretching can help your knees stay better for longer. 

 

Knee Pain

When people traumatise a knee through having it bent the wrong way or smacking it up against something hard, it is fairly obvious why you will feel sore afterwards. When your knee starts hurting for no apparent reason and a trip to the doctor and an x-ray still does not explain the cause of the problem it might be a muscular one even if it feels deep inside the joint. This happens because uneven muscular tensions in your upper or lower leg can interfere with how well your leg can bend and weight bear.

If you have a problem knee (whether it is recent or long term) have a good feel of your leg muscles and compare the same locations with even pressure on both legs. Press into the muscles right and left and above and below your sore knee.

Feel along the full length of the muscle. Do you get identical sensations under the same pressure in the same locations? If not you might explain your knee pain, you may need a massage or some acupuncture.

If you have had a knee x-ray and there is evidence that you have some osteo-arthitis (cartilege thinning) but it has not yet worn to the point where you need surgery, there are things that can be done that can slow further deterioration and alleviate your symptoms.

Sometimes stiff leg muscles can make your knee sore, check your knees now, do your thigh and calf muscles feel exactly the same on both of your legs? Some Self Massage over your stiff leg muscles may improve how your knee feels even though your leg muscles dont feel particularly sore.

Sometimes knee pain is brought about by neglect, like through lack of exercise. Sometimes doing things when you are young that do not bother you at the time (like kneeling on cold hard surfaces or playing contact sport) can affect you later on in life. Sometimes our efforts to achieve stronger and better bodies can be a little misguided through poor exercise and sports practises.

Many times I have seen at  gyms  a bunch of guys standing around a leg-press machine all egging each other on to out-do one another, grunting and straining against heavy weights in the heels-to-butt position doing god knows what damage to their knees. Ego can really mess you up.

The practise of strapping dodgy ankles to stop them from twisting can damage your knees. Your ankles are naturally designed to move side to side to help us walk on uneven ground, our knees have no natural sideways movement. When ankles are strapped to prevent side ways movement we force our knees side ways which is a really bad idea.

Stiff knees can stop us doing many common place things like tying shoe laces, pulling weeds from your garden and safely squatting to lift things. Your knees are likely to give you many subtle hints that they are not happy before they really let you down. Fully squatting especially under load is not good for your knee joint.

Self Massage and correct exercise and posture are useful for knee comfort and function.