Fuel Wellness with a Healthy Lymph System
Cathy Ulrich

Six months after hip replacement surgery, Larry was learning to walk again and life was returning to normal. But one thing still puzzled him. When he stood for any length of time, his left ankle would swell, and when the inflammation was at its worst, his right ankle would also swell.

"I can understand why my left leg is swollen," he says. "But why would my right leg swell? I didn't have surgery there. And why am I getting swelling six months after the surgery? Shouldn't it be better by now?" The answer is that although Larry's surgery had occurred on the opposite side, the right leg would swell when the inflammation became too much for the left side to handle.

Fortunately, lymphatic massage can help address Larry's problems. This special type of bodywork, while very gentle and seemingly superficial, helps to restore function to the lymph system and balance the body.

The Lymph System
Most people are familiar with the body's vessel system that carries blood to and from the tissues, but few understand there is another equally vital system of vessels that removes cell wastes, proteins, excess fluid, viruses, and bacteria. The lymph system picks up fluids and waste products from the spaces between the cells and then filters and cleans them.

Like the roots of a tree, the lymph system starts as tiny vessels--only a single-cell wide--that eventually branch into larger and larger tubes that carry these fluids back to the blood stream. This network of delicate vessels and lymph nodes is the primary structure of the immune system. The lymph nodes act as check points along the pathways of the vessels. They filter the fluid (called lymph) and serve as the home for lymphocytes--little Pac Man-like cells that attack and destroy foreign bacteria and viruses and even abnormal cells, like cancer cells.

When the lymph system works well, we feel healthy and have a strong defense against illness. When it's sluggish or blocked--say after surgery or an injury--we can have swelling, feel tired, and be more susceptible to colds and infections.

Lymphatic Massage
A customized form of bodywork, lymphatic massage may help the lymph system do its job better. By understanding the anatomy and function of this delicate system, your massage therapist can assist your body in clearing sluggish tissues of waste and swelling.

Though lymph vessels are found throughout the body, most of them--about 70 percent--are located just below the skin. These fragile vessels work to pick up fluids between the cell spaces when gentle pressure is applied to them from increased fluid build-up, muscle contractions, or the pressure of a therapist's hands. By using very light pressures in a rhythmic, circular motion, a massage therapist can stimulate the lymph system to work more efficiently and help it move the lymph fluids back to the heart.

Furthermore, by freeing vessel pathways, lymphatic massage can help retrain the lymph system to work better for more long-term health benefits.

Massage therapists versed in lymphatic drainage therapy, an advanced form of lymphatic massage, can identify the rhythm, direction, and quality of the lymphatic flow and remap drainage pathways.

Who Should Get It?
Lymph massage can benefit just about everyone. If you're feeling tired and low on energy, or if you've been sick and feeling like your body is fighting to get back on track, lymph massage would likely serve you well.

In addition, athletes, surgical patients, fibromyaliga and chronic fatigue sufferers, as well as those wanting a fresh look may want to consider lymphatic massage. Here's why.

After a sports injury or surgery, lymph vessels can become overwhelmed with the demand placed on them. When tissues are swollen, deep tissue techniques may actually cause damage to the lymph vessels and surrounding structures. Lymphatic massage is often the treatment of choice, because it helps the body remove proteins and waste products from the affected area and reduce the swelling. This helps reduce pressure on cells and allows them to reproduce faster to heal the body.

Surgical procedures involving lymph node removal--such as breast cancer surgery--can cause limbs to swell. Severe limb swelling needs the attention of a medical team, but in milder cases, lymphatic massage alone may be enough to prevent or even treat the swelling. It's important that your doctor be involved in your care. Let your doctor know you'd like to see a massage therapist and make sure you have medical approval.

Lymph massage can also be part of a care program for fibromyalgia or chronic fatigue syndrome. Because it's so gentle, it is well tolerated by these patients, who are often experiencing sore trigger points throughout the body. And by encouraging lymph flow and removing waste products, this gentle form of bodywork can help restore immune function and improve vitality.

Estheticians are trained in a very specific form of lymphatic massage. When you get a facial, your esthetician will gently massage your face to help improve lymph flow. When lymph is moving freely in the face, you'll have clearer, healthier skin without a buildup of toxins and fluids.

So, if you're feeling a bit sluggish, experiencing mild to moderate swelling, recovering from a sports injury, or interested in optimizing your lymph system for stronger immunity, ask your massage therapist about lymphatic massage. It can have a powerful impact on your body's ability to heal.
Category: Massage
Bodywork as a Key Therapy
Cathy Ulrich
Jane had just been diagnosed with fibromyalgia. She was happy to have a name for the mysterious, traveling pain she had felt for some time, but she was still worried about how to deal with it. She'd done research on the Internet, but the information left her more confused. "There are so many causes and ways to treat it," she said. "I don't know what to do." A friend of Jane's recommended massage as part of her treatment plan. "She said it helped her," Jane said, "so I'm willing to try."

For fibromyalgia sufferers, muscle pain, tightness, and general body discomfort can all too often become a way of life. But what is fibromyalgia, and what can be done to help?

What is Fibromyalgia?
Fibromyalgia, which literally means "connective tissue muscle pain," causes severe tenderness in multiple points throughout the body as well as persistent fatigue, morning stiffness, and non-refreshing sleep. Fibromyalgia is found in about 2 percent of the adult population, and women are five to seven times more likely to have it than men.

Theories about the cause of fibromyalgia include thyroid imbalance, sleep disorders, genetic predisposition, allergies, trauma--especially whiplash injuries--and possibly even viruses. Many who have fibromyalgia syndrome have other conditions as well, including depression, irritable bowel syndrome, chemical sensitivities, intolerance to exercise, restless legs syndrome, extreme sensitivity to cold, and seasonal affective disorder.

Factors At Play
Jay Goldstein, MD, a leading researcher and clinician, identified three common factors in people who are susceptible to fibromyalgia. It's helpful to consider these factors when planning a treatment approach:

1. Biochemical factors, such as hormonal disturbances, allergies, frequent colds and viruses, and nutritional deficiencies.
2. Biomechanical factors, such as congenital deformities (one leg longer than the other or scoliosis, curvature of the spine) or functional conditions (poor posture, overuse syndromes, or poor breathing patterns).
3. Psychosocial factors, like depression, anxiety, or difficulty coping with stress.

Bodywork Can Help
Fibromyalgia is best treated using a multidisciplinary approach, and bodywork can be a key part of healing, recovery, and management. Depending on your specific needs, any or all of the following methods may be helpful.

Swedish Massage
Because stress is such a strong component of fibromyalgia, regular massages for relaxation and stress reduction can be beneficial to your program. Swedish massage is the foundation of training for most massage therapists. Its primary goals are to gently relieve muscle tension, improve circulation, and restore the balance between mind and body.

This whole-body approach is designed to restore postural alignment and ease. Rolfing--and other related forms of bodywork under the umbrella of structural integration--helps to free soft tissue tightness and remove the structural imbalances that create stresses and strains on the body, restoring biomechanical function. Whiplash and other types of neck injuries are commonly seen in fibromyalgia cases. Rolfing aligns the body so the head and neck can rest more easily.

Lymphatic Massage
The lymph system is the body's primary way of eliminating waste at the cellular level. When the lymph system is backed up, tissues can get bogged down and become irritated, inflamed, and swollen. Biochemical disturbances are a key factor in fibromyalgia, so restoring the mechanical function of the lymph system can be important. Lymphatic massage is a specific form of therapy designed to improve circulation, remove waste, and reduce swelling in the tissues. It's often a good way to start a bodywork session.

Neuromuscular Therapy
Trigger points--pivotal body points that hold and release pressure--become small areas of extreme tenderness and tightness for fibromyalgia patients. Neuromuscular therapy is a specific form of bodywork designed to free these trigger points along with the fiber in the surrounding tissues. Neuromuscular therapy encompasses many different techniques, but the system is designed to relieve the tightness in the deep soft tissues and to eliminate trigger points.

Sensitivity to touch varies greatly for fibromyalgia patients. Some people prefer very deep work, while others are sensitive to the lightest pressure. It's important that you establish good communications with your massage therapist so you can explain what feels comfortable to you and what doesn't.

When you're in an acute flare-up, limit your bodywork to more gentle techniques. When you're feeling better, deeper work intended to eliminate trigger points or work on posture may be more appropriate. Partner with your therapist to find the best approach.

You may be sore after a session. A moderate level of soreness can be expected, but should only last about forty-eight hours as your body adapts to the changes. If it lasts longer or is more severe, bodywork may be too aggressive or the session may be too long. Start out slowly, learn what works best for you, and let your therapist increase the time or intensity as you progress.

Fibromyalgia is a soft tissue condition, and bodyworkers are experts at working with soft tissues. By including massage in your care, you can expect to manage and improve your fibromyalgia.
Category: Massage
Migraine headache natural reliefHolding Headaches at Bay
Cathy Ulrich
"Do you get headaches?" I asked Cindy. She had come to see me for massage to address her neck and shoulder pain but hadn't mentioned headaches.

"Well, yes," she said. "I've always had headaches and, now that you mention it, they seem to be worse when my neck hurts." Cindy went on to say she suffered from them as often as 2-3 times a week and typically treated them with ibuprofen.

Like many Americans, Cindy suffers from chronic, frequent headaches. Her neck pain finally prompted her to seek help, but she was so used to the headaches, she thought they were something she simply had to live with. What Cindy didn't understand was that frequent headaches are not normal and, with a little proactive planning, there is something that can be done to manage and even prevent them.

Types of Headaches

Headaches come in many varieties. Following is a short list of the most common types.

Migraines. Migraine headaches occur when the blood vessels in the brain become dilated, usually due to a chemical reaction, such as food allergies or a stress response. They often start with visual disturbances and quickly develop into severe head pain accompanied by nausea, vomiting, dizziness, and sensitivity to light. They're usually felt on one side of the head, but can be on both sides. Migraines are often managed with medications and avoidance of foods known to trigger them, such as red wine, chocolate, aged cheese, and nuts. However, some bodywork techniques can also be effective in easing migraines or decreasing the frequency of these painful headaches.

Tension Headaches. Exaggerated by stress, tension headaches are related to poor posture, jaw problems (such as temporomandibular joint disorder, or TMJ), and neck pain. Many people describe a headache that starts at the base of the skull and then moves in an arc over the ears and behind the eyes. Tension headaches are most often caused or exacerbated by poor posture, work station positions, and body mechanics, creating undue stress on the upper neck muscles.

Mixed Headaches. The term mixed headache is used to describe a tension headache that leads to a migraine. Typically, the tension headache starts first and the chemicals produced from the pain of it create conditions for a migraine to develop. In people with patterns of mixed headaches, the best way to avoid the onset of a migraine is to treat the tension headache.

Bodywork Options

A treatment regimen that includes bodywork, attention to body position, and stress management can help prevent or greatly reduce the frequency of headaches, in turn reducing your reliance on medication and the need to avoid food triggers. There are many different bodywork techniques, each with specific approaches for treating headaches. Following is a short list of techniques often effective in treating recurring headaches.

Swedish Massage.A tension headache, by its very name, implies the presence of stress and tension. Swedish massage, on the other hand, promotes relaxation and relieves muscle tension. When muscles become tight due to stress or poor posture, they eventually adapt a chronically shortened state. Swedish massage teaches the body how to let go of muscle tension and resets muscle tone.

Integrative Bodywork. Rolfing, Hellerwork, Structural Integration, and CORE are examples of the types of bodywork designed to improve posture and structural alignment. A primary cause of chronic headaches is poor posture, which produces tension in the neck and shoulders because the weight of the head is not properly balanced on top of the spine. Integrative bodywork can produce lasting postural change for greater ease of movement. By selectively freeing the soft tissues, integrative bodywork literally can change postural alignment and remove the stresses and strains on the muscles that cause headaches.

Deep Tissue Therapies.
The integrative therapies mentioned above, as well as neuromuscular therapy and myofascial release, use similar techniques to free connective tissue. A chronically tensed muscle tends to maintain that tension, even after the stressful event has passed. Deep tissue techniques free the connective tissue glue, creating a new way for the muscle to function.

Like acupuncture, reflexology works to move energy blockages in the body. By stimulating points on the feet that correspond to organs in the body, reflexologists can promote relaxation, reduce pain, and restore energy flow. Several scientific studies have shown that reflexology is a viable treatment for migraines, in some cases working as well as, or better than, medication--and without the side effects.

Craniosacral Therapy. Craniosacral therapy addresses the inherent, gentle, rhythmic movement of the bones in the skull and their effect on the fluid that surrounds, bathes, and cushions the brain and spinal cord and runs throughout the body. Cranial bones move in miniscule amounts as a response to the production and absorption of cranial fluid. With head trauma, whiplash injury, or even severe stress, cranial bone movement can be compromised, resulting in headaches, dizziness, ringing in the ears, or vision disturbances. This therapy restores the normal movement of the cranial bones and fluid.

By addressing the root of the problem, regularly scheduled bodywork sessions can greatly reduce headaches as well as your need for medication. Remember, headaches are not normal, and you don't have to live with them.
Category: Massage
Helping Children Find Focus
Cathy Ulrich
Imagine lying on a massage table. As your massage therapist sets to work, you feel your body relax. Your muscles soften, your nervous system calms. Now, imagine how you feel when the massage is over--relaxed, alert, calm, and content.

Anyone who has gotten a massage understands the many benefits that it offers. Massage is usually reserved for adults--or sometimes infants--but what about massage for kids and adolescents? If massage helps calm the body and improve alertness, how might it help kids with attention-deficit/hyperactivity disorder (ADHD)? Can children and teenagers who can't sit still benefit from massage?

Understanding ADHD
Attention-deficit/hyperactivity disorder, or ADHD, is rapidly rising as the most common psychiatric diagnostic label for children. Anywhere from 3-7 percent of all school-age children and adolescents may have it, and it is one of the primary causes of behavioral problems in general pediatric settings. Nine boys are diagnosed with ADHD for every girl, but the rate of diagnosis for girls has been rising as well, and girls who are diagnosed have the same level of impairment as boys.

Kids with ADHD show difficulty holding attention and display impulsive behaviors and overactivity levels beyond what might be expected for their age group. They typically show poorer academic performance, have difficulty in social settings, and can't adapt as well emotionally as kids without ADHD. Studies show that a diagnosis of ADHD puts kids at higher risk for delinquent behaviors and substance abuse. Other diagnoses such as learning disabilities, mood disorders, and anxiety disorders are often seen in the same children.

Medical Treatments
Now a household name, the drug Ritalin is the most common medication prescribed for children diagnosed with ADHD. In fact, it's the most common drug prescribed for any childhood disorder. It's been estimated that more than five million school-age children take Ritalin annually.

Known to stimulate areas of the brain associated with attention, arousal, and inhibition, Ritalin seems to help improve ADHD symptoms in about 75 percent of cases, but its effects last only as long as it's taken, and it does produce side-effects. Nervousness, headaches, sleeplessness, and rapid heart rate are sometimes seen with its use, and overdose can produce severe effects such as agitation, hallucinations, high blood pressure, seizures, heart arrhythmias, and psychosis. In addition, studies are only now being conducted on long-term effects.

Ritalin, as well as other psychostimulant drugs, can be effective in improving attention span and modifying behaviors associated with ADHD, but kids need to be monitored carefully for side effects and appropriate dosage.

Massage for ADHD
Two recent studies conducted by the Touch Research Institute at the University of Miami reported that regular massage therapy can be an effective treatment for kids with ADHD. One study found adolescent boys who received ten 15-minute daily massages were observed by their teachers to be more focused in their schoolwork, and they fidgeted less. In addition, the children rated themselves as happier than those who participated in a relaxation therapy program.

Another study involved kids aged 7-18, 20 percent of whom were girls. Each subject received a 20-minute massage twice a week. They showed immediate improvement in their moods and longer-term behavioral improvement in the classroom. They also reported feeling happier and their teachers found them to be more attentive.

In adult studies, massage has been shown to reduce levels of the stress hormone cortisol, helping to mitigate the active fight-or-flight response. Massage also helps improve math computation performance and raises alertness levels, as measured on electroencephalograms (EEGs). Finally, massage decreases depression and increases mental focus. The same effects are seen in children and teenagers with ADHD.

The Details
Incorporating professional massage into your child's routine may help him to develop an age-appropriate ability to focus, a calmer disposition, and even increased confidence. Studies report that two 20-minute massages a week are enough to show significant improvement in ADHD children. Because these kids have trouble staying still for prolonged periods, they better tolerate shorter, more frequent massages.

For massage on children with ADHD, a practitioner generally uses simple, moderate-pressure strokes to the child's head/neck, arms, torso, legs, and back. Dividing time between these areas--say four minutes each--will address the full body and is enough to get the desired effect. Most kids do fine fully clothed.

A comfortable bed, chair, or table in a quiet room is best. For parents seeking skilled bodywork for their kids, chair massage is a great choice, done with the child fully clothed and for about 20-30 minutes at a time.

In addition, supplementing with home massages between professional sessions can also be useful. Talk to your massage therapist about private massage lessons for you. She can teach you simple, effective techniques to use on your child when frequent visits to the massage therapist may not be practical.

By adding massage to your child's routine, you're giving him much needed physical contact and helping to calm his nervous system, which will pay dividends in his ability to do school work, interact with peers and teachers, and be happier in general. And if you're massaging your child yourself, you'll create the opportunity for a stronger emotional bond between the two of you.
Category: Massage
Bodywork Treatment Proves Successful
Cathy Ulrich
It started as a vague feeling of numbness in her thumb and first two fingers, then progressed slowly to a definite tingling that woke her several nights a week. "It's not so bad on weekends when I have a chance to rest my arms, but it's now getting in the way of things I like to do at home," says Marie, who spends long hours during the work week typing at her computer keyboard. "I love to knit and cook, and I've had to curb these activities, as well."

Diagnosed with carpal tunnel syndrome, Marie displayed the classic symptoms: soreness in her forearms, pain in her hands at the end of a long day at the computer, and a feeling of tightness that had spread from hands and wrists all the way to her elbows. And recently, she'd been getting headaches.

Marie has a couple of different options for treating the problem. "My doctor tells me he can operate, but the surgery isn't always successful," she says. "He recommends I try bodywork first."

Because Marie does the same motion in the same way many times a day over a long period of time, she has literally worn out the tissues involved in that motion. This type of injury -- called a repetitive strain injury, or RSI -- creates tiny tears in the fibers of the soft tissues of the body. While they don't immediately cause loss of function, these micro-tears set up conditions for chronic inflammation that will eventually manifest as pain, soreness, tightness, tingling, and burning.

The hand and wrist combination work together as an amazing, mechanical anatomical wonder. Imagine a set of ropes and pulleys that travel from the elbow through the wrist to the finger tips. The muscles reside in the forearm, moving the fingers via long tendons that run through channels in the wrist. The nerves that send and receive sensory and motor information from the brain run alongside the tendons through these same channels.

When bending or straightening a finger, these tendons slide back and forth, just like cables. When continually working at a keyboard and using the same motion in the same position thousands of times a day -- like millions of Americans do -- the cables begin to wear. And just like threads in a rope, some of the collagen fibers will tear. This process progresses until enough fibers are torn that the body develops inflammation in the tendons and sheaths. Swelling ensues, which pinches the nerves, producing the classic symptoms of tingling, swelling, and even loss of grip strength.

The Bigger Picture
The symptoms of carpal tunnel syndrome may reveal an even bigger problem. The nerves that carry sensory and motor information to the hand arise from the spinal cord in the neck, travel under the collar bone, through the armpit and elbow, all the way to the wrist. A nerve can become entrapped at the neck, shoulder, elbow, or wrist, and an impingement in any of these places can have a cumulative effect on the tingling felt in the hands. These entrapments are usually caused by poor postural habits. The soft tissues become shortened around habitual positions of rounded shoulders and forward head from working long hours at the computer and the channels where the nerves travel through the shoulders and arms can close down. Sound familiar?

Can Bodywork Help?
A recent study conducted at The Touch Research Institute at the University of Miami School of Medicine looked at the efficacy of bodywork in treating carpal tunnel syndrome. Researchers found that after the completion of four massage sessions, the participants experienced an improvement in grip strength and a decrease in pain, anxiety, and depression. Participants also showed improvement in specific medical tests used to diagnose carpal tunnel syndrome.

This landmark study verifies what bodyworkers have observed clinically for years: Massage -- and especially deep tissue techniques, such as neuromuscular therapy, Rolfing, and Hellerwork -- can reorganize the connective tissue fibers, break up scar tissue, and reduce or eliminate the cause of inflammation. Soft tissue work helps realign these tiny fibers of the tendons and sheaths, and the body can then heal itself -- and ease or even eliminate carpal tunnel syndrome.

Bodywork to the entire arm, shoulder, and neck will also free soft tissues where hidden tightness can contribute to the problem. Soft tissue inflammation can travel through the continuous connective tissue framework from fingertips to head and even cause headaches -- as was the case with Marie. Massage can restore these tissues to normal function.

Other Considerations
In addition to bodywork, it's important to evaluate postural habits, work station positioning, and movement patterns. When workers become so focused on their work that they forget their bodies, they tend to maintain positions that contribute to the cause. It's important to identify several ways and several positions to accomplish the same thing. Moving the mouse from one side to the other, even during the same day, can help prevent fatigue and tissue failure. Wrist rests and keyboard trays are important, and a regular stretching routine is essential.

Finally, along with exercise and good nutrition, include bodywork as part of your regular health maintenance program. Regular massage reduces connective tissue inflammation and prevents scar tissue from forming. Movement education, such as the Alexander Technique, Feldenkrais Method, structural integration, and Trager Approach can help correct postural issues that also contribute to the problem. Bodywork is a treatment of choice to keep carpal tunnel syndrome from slowing you down.
Category: Massage