Massage is an old art. It was known to our ancestors
and was practiced after bathing and exercise to balance and center
the body. They understood that health involves equal development
of the mind and body. In the world we live in, we rarely take time
to allow our bodies to recover from the rigors and pressures of
every day routines. Endless meetings, deadlines and errands can
lead to burnout and illness which will eventually make us ineffective
in our work and home lives. Massage is one way to lessen and relieve
these stresses that dull our minds and weaken our bodies. Massage
is basically touch. Using the palms of the hands, the forearms,
fingertips, elbows and knuckles, the therapist will stroke, push,
pull, knead and tap away tension and muscular pain and stiffness
from your body. Specific types of massage use different strokes
and pressures to achieve the desired effect. Here are descriptions
of the specific strokes themselves:
Effleurage
is a succession of strokes applied either firmly or lightly. Usually
applied in long strokes either toward the heart or away. Any part
of the hand, arm or fingers can be used to apply this stroke. Its
effect is to increase blood flow, relieve fatigue, improve nutrition
to tissues and sooth and sedate the nervous system when applied
lightly.
Petrissage
is a movement in which skin and muscle is squeezed, pinched or rolled
with a firm circular pressure. Kneading, rolling and grasping are
terms that may be used to describe the technique. The effect is
to relieve muscle cramps and spasms, stimulate nerve endings, improve
circulation and prepare tissues for deeper work.
Friction
is done with small, concentrated circular movements in order to
penetrate into the tissues. Pressure here can vary from light to
heavy, but the main effect is to move the tissue under the skin.
This can aid in relieving tense or knotted areas and improving circulation
to areas on the body.
Compression
is the application of pressure with a rhythmic action of the fingers,
palms of the hands, fists or forearm. It can be performed over clothing,
like before a workout to legs or at the office to your shoulders.
It is very versatile depending upon the depth of pressure and tempo
of the stroke. As the others, it also increases circulation, relieves
fatigued muscle and moves the muscle fibers to warm them up.
Direct
Pressure is exactly what it says, the application
of pressure to specific areas with the thumb, fingers, or elbow
to trigger points or tsubos on the body. This helps them to relax
and release to increase comfort. The release of direct pressure
should be slow and gradual to allow the skin and muscle to adjust.
Tapotement
is rapidly striking the body with cupped hands, finger tips, the
heel of the hand or any other part of the hand. It sounds like it
would be uncomfortable, but it really is a great way to finish a
massage when done correctly. The stroke is used for many reasons.
It can relax tissue and sedate the nervous system; it can awaken
the nerves and the muscle and prepare them for work or activity.
It improves blood flow to the tissues and improves the sense of
touch. In hospitals, this stroke is used to aid respiratory patients
in their recovery. Other terms which could be used to describe the
technique are hacking, beating, chopping, or tapping.
Knowing all this...does a massage
sound like a benefit to you? Before you decide, there are things
to consider to make your treatment the best for you...
Things
to Know Before You Go
- Be honest about your medical history and medications.
- Sometimes massage is not a good idea and could hurt you.
- If you are in doubt about any aspect of your health or have
any questions about increasing your circulation, consult a medical
doctor before beginning a massage therapy routine.
- If you're pregnant, there are certain areas that are safer
left alone. Your therapist can explain these areas to you.
It's best NOT to eat before a massage. You could feel ill if you
do.
- It Is best to drink plenty of water before and after your massage.
That's what keeps us all going and it will help improve your circulation
after the massage!
- A shower before your massage is always best. It helps to open
your pores, remove some of the daily pressure and makes the massage
more pleasurable for you and the therapist.
- If you're running late...CALL! Your lateness could impact another
appointment and may cause you to be rescheduled...Your time is
valuable to you.
- You are always in control of the sessions. If there is something
that isn't right, let your therapist know right away so it can
be corrected.
Because massage has grown in popularity. There are many people
seeking advice on their disease and whether massage is a good alternate/complementary
therapy to the conventional treatment they might presently be receiving.
Following
is a list of diseases which can benefit from massage
- Fibromyalgia/Chronic Fatigue Syndrome
- Nausea in Cancer and HIV
- Multiple Sclerosis/Muscular Dystrophy
- Chronic Repetitive Strain Injuries
- Anxiety & Panic Attacks
- Migraine Headache
- Back Pain
- Insomnia
- Premature Infant growth & development
This list may look extensive, but there is research to back up
these claims. Click on the Icons below to link to research information
available for these and other conditions. Of course, this is only
a small list of conditions...There are always exceptions to every
rule and massage is not indicated for all situations...
- Within 48 to 72 hours after any injury
- Anytime there is fever, cold or flu symptoms
- Whenever there is an active skin condition such as shingles,
impetigo, severe acne, open wounds or herpes (cold sore type)
lesions, massage may not be indicated
The
Benefits
- Improves circulation
- Increases oxygenation to muscles
- Relaxes and reduces tension in tired, aching muscles
- Can help reduce the chance of injury Before and After exercise
What to Expect during your first Treatment
Massage sessions usually last an hour, although 30 and 90 minute
treatments are available. The therapist will interview you over
the phone to determine whether massage is indicated for your particular
needs. Once the interview is completed an appointment is scheduled.
Upon arrival to the office, the therapist will ask you to fill
out a history form and ask you to identify the areas you feel tension
and areas you wish no work done. The therapist may touch you to
more accurately identify trouble spots and will then determine the
best massage technique for your particular needs.
Next, the therapist will discuss the plan for the treatment, what
your expectations of the treatment will be and how best to get those
results. They will show you the table and ask you to undress to
your comfort level and recline on the table under a blanket or drape.
For Swedish, Deep Tissue or work on specific problem areas (like
a shoulder or lower back) the therapist will suggest what you should
remove. It is not always necessary to fully undress.
The room should be comfortably lighted, warm and inviting. Music
is generally soft and relaxing. The therapist will leave the room
or close a divider for you to change comfortably. Upon returning
to the room, a pillow or bolster under you knees will be offered
for comfort. If the therapist starts you face down on the table,
a pillow below your abdomen to relieve back stress may be used.
Of course, the use of these items is up to you. If your treatment
is Shiatsu or Reiki, you will remain clothed. It is suggested you
wear loose fitting, comfortable clothing for these treatments. You
will be asked to remove your shoes.
The sequence of the massage will be different for each client
and situation. In general for Swedish relaxation, the face, neck
and upper torso will be massaged with or without cream or oil, (Again,
you can make requests that these not be used.) then the abdomen
may be massaged. For some, this may sound uncomfortable. Issues
of uncovering the belly are common. It is not necessary to show
the therapist your stomach. The work can be done through the drape.
Abdominal massage is very effective for digestion, deepening relaxation
and back problems.
From the abdomen, the arms, legs and feet are massaged. It is important
to remember, ONLY THE AREA BEING MASSAGED IS UNCOVERED. The other
areas should be comfortably draped, warm and relaxed. Passively
stretching and moving the arms, legs and neck through a range of
motion after work is completed on the muscles is common. These range
of motion or passives should be to your comfort level, never painful
or too tight.
Once we complete the front of the body, the therapist will help
you reposition for work on the back. Again, you should remain draped
and comfortable. A bolster or pillow under the ankles and abdomen
if needed for comfort. The back treatment is performed from one
side, then the top of the table then the other for complete coverage
of the musculature. Special attention may be paid to the specific
areas that are identified as especially tense or knotted. The upper
and lower back and hip area are massaged before we move on to the
legs. Sometimes, we may use a heating pad, hydrocolator or ice pack
to your tender spots before or after the massage to improve the
treatment and your comfort.
Some therapists will complete a session with gentle rocking, light
finger strokes, compressions or tapotement (tapping with the hands).
These ending strokes are unique to the situation and the therapist.
Be open to try new things, they will make each session with your
therapist more interesting and can energize or sedate you depending
on the goal you set for your treatment.
This is all about you!
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