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What Massage Can Do For You

What Massage Can Do For You
Beyond Pain Relief, Massage is Valuable for Preventive Care
Karrie Osborn
This article first appeared in the Summer 2013 issue of Body Sense.

Whether it is an aching back, recovery from an injury, a case of carpal tunnel syndrome, or a host of other debilitating physiological conditions, there's no doubt massage and bodywork works to relieve pain. But once your therapist has helped you tackle your pain, do you quit calling? When the pain is gone, are you gone, too?

Massage therapy is highly effective for pain relief, but it is an amazing preventive therapy as well. Massage helps build and maintain a healthy body (and mind), it combats stress, and it works to keep the immune system strong. In short, massage can keep on working for you, even after the pain is gone. 

MASSAGE FOR WELLNESS
If it's been a while since you booked your last massage--because your pain is no longer an issue or your injury is fully rehabbed--you might want to consider massage for preventive care. 

Massage can play an important role in a good health-care regimen. Just as you eat healthily, exercise regularly, and take your vitamins to ward off illness and maintain a fit body, you should consider making frequent massage a part of your wellness lifestyle.

According to Benny Vaughn, a sports massage expert in Fort Worth, Texas, one of the benefits of consistent and regular massage therapy is better flexibility. "This happens because regular and structured touch stimulus enhances the nervous system's sensory and spatial processing capacity," he says. "That is, the person becomes more aware of her body's movement in space and becomes more aware of tightness or pain long before it reaches a critical point of mechanical dysfunction." 

As a preventive measure, frequent massage puts you more in tune with your body. "The consistency of massage therapy over time creates a cumulative stress-reduction effect," Vaughn says. "The person becomes acutely aware of stress within her body long before it can create stress-driven damage."

And the more massage you receive, the more benefits you reap. "Massage therapists know that people who get massage regularly demonstrate greater improvement and notice a reduction in pain and muscular tension, as well as an improvement in posture," says Anne Williams, author of Massage Mastery: From Student to Professional(Lippincott Williams Wilkins, 2012).

"People regularly make a commitment to fitness," Williams says. "People regularly make a commitment to changing their diet. The difference they'd experience if they regularly made a commitment to massage is mind-blowing." 

STRESS IS A KILLER
Stress is more than just a word we throw around to describe the nature of our hectic day. Today, we understand that stress kills.

According to the Benson-Henry Institute for Mind Body Medicine, 60-90 percent of all US medical visits are for stress-related disorders. Chronic pain, headaches, heart disease, hypertension, and ulcers can all be wrought from stress. Many would argue that the best benefit of massage is its ability to reduce the stress in our lives. 

From the perspective of daily living, think about the stress you felt at today's meeting--now it's hiding in your neck. Tomorrow that can turn into stiffness and eventually begin to affect other parts of your body. If you see your massage therapist for your regular session this week, the chances are good you won't reach the tipping point. Think of massage and bodywork as a way to rebalance your body.

Noted researcher Tiffany Field and her colleagues from the Touch Research Institute at the University of Miami School of Medicine report that massage causes positive biological changes when it comes to stress. Through the course of more than 20 studies, these scientists found that massage decreases cortisol (a stress-derived hormone that negatively affects immune function and kills our immune cells) and increases dopamine and serotonin (the neurotransmitters most associated with emotional well-being).

Add to this the research that shows massage can lower your heart rate and decrease your blood pressure, and you have a mighty effective, nonpharmacological, stress-fighting tool that's about as natural as natural can get.

A ONE-HOUR VACATION AND SO MUCH MORE
You may no longer need to rehab that knee or work the scar tissue from your surgery, but don't forget about everything else massage can do for you. Massage is the entire package, helping to heal body, mind, and spirit. Think of it as a one-hour vacation with amazing return on investment.

Whether it be maintaining joint flexibility, managing blood pressure, or enhancing immunity, massage works. From repair to relief and from recovery to relaxation, massage is a magnificent piece of natural medicine you should always have as part of your health-care routine. 

Karrie Osborn is senior editor for Body Sense. Contact her at This email address is being protected from spambots. You need JavaScript enabled to view it..

Back Pain and Massage

Back Pain and Massage
How Bodywork Can Help
Karrie Osborn
Whether it's a pulled muscle from yoga class or an afternoon basketball game, or a long-term pain caused by injury, most of us will come to know the beast that is called back pain. In fact, when it comes to low-back pain specifically, researchers say that 70-85 percent of the population will experience it at some point in their lives. 


Causes of PainExperts say the cause of back pain can be the result of several factors. High on the list is stress. When our body is stressed, we literally begin to pull inward: the shoulders roll forward and move up to the ears, the neck disappears, and the back tightens in the new posture. "It's an armoring effect," says Angie Parris-Raney, a Denver-based massage therapist who specializes in deep-tissue massage and sports therapy. "That protective mode, with the muscles in flex, can even result in visceral problems," she says, where the pain also affects internal organs.

In addition to stress, poor posture, bad ergonomics, lack of exercise, arthritis, osteoporosis, a sedentary lifestyle, overexertion, pregnancy, kidney stones, fibromyalgia, excess weight, and more can contribute to pain.

Geoffrey Bishop, owner of Stay Tuned Therapeutics in Flagstaff, Arizona, says mechanics is the main cause of back pain that he sees in his practice. "It's mechanics, including repetitive use and ignorance about preventative postures, and neglect by employers and employees to provide rest and recovery." The past also plays a part, he says. "Old injuries and traumatic events, left untreated and unresolved, seem to dictate where stress lands in the back as well."



Massage Offers HopeThose who suffer with back pain know there are no easy answers for chasing the pain away. Physical therapy has proven effective for some sufferers, as has chiropractic and acupuncture, but massage therapy is also making a name for itself when it comes to providing relief. In fact, research has shown that massage can be a great friend to the back-pain sufferer.

"Massage therapists have long treated low-back pain safely and effectively," says Les Sweeney, president of Associated Bodywork and Massage Professionals. "They have done so less expensively and less invasively than is possible with other treatments."

In fact, a study by the Group Health Research Institute in Seattle found that massage was more effective at treating low-back pain than medication. Patients who received massage once a week for 10 weeks were more likely to report that their back pain had improved, and improvements were still present six months after the study. Other research from the University of Miami School of Medicine and the Touch Research Institute showed that massage can decrease stress and long-term pain, improve sleep and range of motion, and help lower the incidence of depression and anxiety that often accompanies back pain.

For Parris-Raney's clients, the length of pain relief provided by massage therapy varies depending on the condition they are experiencing. Getting on a regular massage schedule, however, has really helped her clients manage the back pain, she says. When they go past their normally scheduled appointment, "their bodies know it's time to get a massage again." Whether it's just helping clients get through the day, or reminding the stressed-out office worker to breathe, Parris-Raney says massage can play an important part in back pain relief.

Whitney Lowe, owner of Oregon's Orthopedic Massage Education and Research Institute, says the benefits of massage for back pain depend on the primary cause of the pain. "If it is predominantly muscular pain, then massage has a great deal to offer in reducing pain associated with chronic muscle tightness, spasms, myofascial trigger points, or those types of problems. If it's something caused by a joint alignment problem or compression on a nerve, for example, then the role of massage might be somewhat different, such as helping to address the biomechanical dysfunctions, but not really being able to get pressure off the nerve itself."


Massage WorksWhen it comes to back pain, there are a lot of options out there. Ultimately, massage, and its myriad benefits, might be a viable answer. For back pain sufferers, Parris-Raney says massage can work wonders. "Massage can help relax the body, relax the psyche, and improve a client's range of motion and circulation to the affected tissues," she says. Not only can massage help directly with the pain, but it can also make life a little easier, too. "Massage lets you tap into the parasympathetic system," she says, "and tap into all the good hormones that help you sleep better and help you handle stressors along the way." All of that helps in building a healthier back and a happier you.



Benefits of MassageFrom stress relief to skin rejuvenation, the benefits of massage are extensive. When it comes to managing back pain, however, there are some specific benefits touch therapy can offer:

--Improved circulation. With increased circulation comes faster recovery time for sore, overworked muscle tissues.
--Increased release of endorphins. The prevalence of these natural painkillers is boosted every time you have a massage. This can only help in managing pain.
--Improved movement. Range of motion and flexibility both get a boost with massage.
--Increased relaxation. When you relax, your muscles relax, thereby calming the pain.
 

Stop Judging Your Beautiful Self

Massage Fits You (yes, YOU!)
Rebecca Jones
Sol Benson loathed her body. It went beyond mere embarrassment at how "fat" she was. Deeper still was the conviction that her body was unworthy of love, underserving of nurturing.
And it was that alienation from her own body that for years kept Benson, a professional dancer who has waged a lifelong battle with anorexia, from getting massage. "I stayed away because getting a massage was being good to myself," said the 45-year-old Colorado mother of two, whose own mother and brother are massage therapists. "If I'm on a weight loss cycle, it's like 'I don't deserve love, I don't deserve food, I don't deserve to feel good about myself.'"
Benson credits Mary Rose--a Boulder, Colorado, massage therapist who has developed a special style of acupressure for the physically fragile--with understanding her psychological fragility enough to help her turn massage into a tool for healing, rather than a doorway to despair.
It was the tender care from Rose, Benson explains, that helped the process. Her nonjudgmental ways helped Benson maintain balance. If, however, Rose had brought up weight, or in this case, the lack thereof, Benson admits it could have sent her into another purging cycle.
Managing Body Image
Benson's story illustrates just how complex the issues of body image can be in 21st century America and just how valuable bodywork is in mending distorted body image.
Developing a positive body image is about becoming present, grounded, open, aware, and unafraid to find what's at the core and work through it. It's about being mindful, and listening to what your body has to say--a big step on the way to a healthier lifestyle and not necessarily an easy one to take. It requires courage and hard work to learn self-acceptance. And bodywork can play a key role in this endeavor.
With America in the grip of an obesity epidemic--while at the same time holding up waif-like thinness as a cultural ideal--many people are worried about excess pounds and the harsh judgments that accompany them. Embarrassment at the thought of uncovering imperfect bodies for the close contact of a massage or bodywork session drives away untold numbers of potential clients.
The problem isn't limited to issues of weight. Many people avoid massage because of embarrassment about acne, surgical scars, birthmarks they consider unsightly, or some other physical deformity or flaw.
"A really common one is, 'I have such ugly feet,'" Rose says. "I always laugh and say that in 20 years, I haven't seen an ugly foot yet. People just have bad attitudes about their feet. In general, people are so self-judgmental."
Relax, Really
Massage therapists specialize in the human body. They don't judge, rather, they see anatomy.
"This is something that's so prevalent and something we deal with daily," says Jonathan Burt, 27, a Detroit massage therapist and massage instructor. "I can't tell you how often I've heard, 'I have to wait until I get into shape before I come in for a massage.' Clients think they have to be in shape before they can relax." Newsflash: Relaxation is not exclusive to model body types.
Given the increased blood flow that results from massage, as well as the benefits to the lymphatic and other body systems, Burt believes overweight people and others who suffer from limited mobility are the people most likely to benefit from a good massage. That's why he especially treasures his larger clients.
The idea of taking your clothes off for a massage is often more intimidating than the reality. In fact, practitioners make draping an art form, ensuring the client doesn't feel exposed. And by the way, says Burt, you're not the only imperfect body around here. "We all have flaws," says Burt, who gave his first massage at age seven, when his grandmother, a double amputee, asked him to massage her stumps. "Myself, I'm not the American Gladiator. I inform people I have flaws as well, and I'd be more than willing to help them overcome their self-consciousness."
Viewpoint: CompassionWe're all in this together, and your massage therapist is operating from a place of compassion. Your practitioner is there to create and hold a safe space for you. Says Charlie Murdach, 38, a Portsmouth, New Hampshire, massage therapist, "For me, it's meeting the person where that person is and addressing that person in an appropriate and compassionate way."
Murdach, who has been a massage therapist since 1990, says he has yet to meet a potential client that he can't help, regardless of that person's physical condition. He believes this is due to the massage therapist's ability to avoiding forcing anything, but to also being open to the possibility that miracles can happen.
Murdach explains your practitioner's role: "Whatever is going on with that person, whether it's a deformity or some type of disability, I make sure I can step up and hold the waters calm for that person. It doesn't matter if they're missing an arm, or have a deformed hand, the person who is standing there desires to move forward."
Getting a massage can do wonders for body image and help bridge the disconnect between the physical and emotional. A wounded psyche can lead you to believe you don't deserve a massage, this is when you most do! You are worthy--book your massage today.

Massage Multiplied

 Benefits of Massage Improve with Frequency
Karrie Osborn
What kind of massage client are you? Do you make an appointment after someone has given you a massage gift certificate? Do you try to get in every now and then for a stress-relieving tune-up? Or do you see your therapist religiously--once a week, every three weeks, once a month?
While getting a massage--regardless of how often--is incredibly beneficial to your body and mind, getting frequent massage treatments is even more powerful as a healthcare ally.
"People who get massage regularly demonstrate a reduction in pain and muscular tension and an improvement in posture," says Anne Williams, author of Spa Bodywork: A Guide for Massage Therapists (Lippincott Williams and Wilkins, 2006). "People regularly make a commitment to fitness. People regularly make a commitment to changing their diet. The difference they'd experience if they regularly made a commitment to massage is mind-blowing," she says.
Stress Killer
One way in which frequent massage can improve our quality of life is by alleviating stress. Experts say most disease is stress-related, and nothing ages us faster--inside or out--than the effects of stress. As stress-related diseases continue to claim more lives every year, the increasingly deadly role stress plays in modern-day life is painfully clear.
Massage is a great way to take charge and reverse the situation. Mary Beth Braun and Stephanie Simonson, authors of Introduction to Massage Therapy (Lippincott Williams and Wilkins, 2007), explain the benefits of massage therapy in the simplest of terms: "Healing input influences healing output." They note that frequent massage can reduce the accumulation of stress and improve overall health. "The benefits of massage are cumulative," they write. This being the case, it only makes sense that those aches and pains you see your massage therapist for might disappear faster, stay away longer, or even go away altogether with more frequent visits. Stress might never reach those physiologically detrimental levels where the immune system is suppressed or the nervous system is sent into an alarm state if you are able to receive stress-relieving bodywork with some consistency. Not only would your body benefit by regularly unleashing its aches and pains instead of adapting to them, but your mind would have time to wash away the stresses of a life lived in overdrive. Both are critical pieces for living well.
Experts say the body and mind can learn to live more calmly, more efficiently, and more healthfully when frequent massage shows the way. That makes for a healthier whole, allowing us to continue to live life at its fullest, even as we deal with each new stress or challenge.

Preventive Measures
In so many ways, massage is preventive health care. Yes, it can address injuries, scar tissue, and chronic pain, as well as provide relief for cancer patients and reduce hospitalization for premature babies, among many other valuable benefits (go to Massagetherapy.com for more information on the myriad benefits of massage). But when the healthy, and trying-to-be-healthy, among us seek out massage on a regular basis, it helps us live a proactively healthier life.
Since bodywork influences every system in the body, there are enormous possibilities created by increasing the frequency in which you address those systems. It's best to discuss your session goals with your massage therapist and together devise a plan of frequency that meets your needs, while taking into account your therapist's best advice.
Body Awareness
According to Benny Vaughn, sports massage expert and owner of Athletic Therapy Center in Fort Worth, Texas, one of the benefits of consistent and regular massage therapy is better flexibility. "This happens because regular and structured touch stimulus enhances the nervous system's sensory and spatial processing capacity," he says. "That is, the person becomes more aware of their body's movement in space and becomes more aware of tightness or pain long before it reaches a critical point of mechanical dysfunction."
Quite simply, frequent massage puts you more in tune with your body. "The consistency of massage therapy over time creates a cumulative stress reduction effect," Vaughn says. "The person becomes acutely aware of stress within their body long before it can create stress-driven damage."
He says the consistency of receiving regular massage therapy has the potential to create a cumulative wellness effect. "Ultimately when one feels good, our whole being follows suit on all other levels--i.e., decision-making is better, processing life events is better, and being happy is easier when you are not in pain or feeling 'heavy' or 'tight.'"
Williams says she's certain people's lives would be changed if they could schedule massage and bodywork more frequently. "I encourage clients to commit to getting massage once a week for a month and then evaluate the results they get," she says. "I guarantee they will become massage enthusiasts for life."

Massage Can..
--Alleviate low-back pain and increase range of motion.
--Create body self-awareness.
--Improve muscle tone and stimulate their nerve supply.
--Improve elasticity of skin and promote skin rejuvenation.
--Improve sleep and calm the mind.
--Increase endorphin and seratonin production.
--Reduce edema, as well as joint inflammation.
--Release negative holding patterns from previous injuries.
--Stimulate lymph circulation and enhance immunity.

The Power of Touch

The Power of Touch - In a High-tech World, It Pays to Reach Out
Nora Brunner
Physician and holistic health pioneer Rachel Naomi Remen once confessed that as a pediatric intern she was an unrepentant baby kisser, often smooching her little patients as she made her rounds at the hospital. She did this when no one was looking because she sensed her colleagues would frown on her behavior, even though she couldn't think of a single reason not to do it.
The lack of basic human contact in our high-tech medical system reflects a larger social ill that has only recently started to get some attention--touch deprivation. The cultural landscape is puzzling. On the one hand, we are saturated in suggestive messages by the mass media, on the other hand, the caring pediatrician is afraid someone might look askance at her planting a kiss on a baby's forehead. What's wrong with this picture?
Social Norms
Unfortunately, touch has become, well, a touchy subject. Though there's growing scientific evidence that skin-to-skin contact is beneficial to human health, American social norms inhibit this most basic form of human interaction and communication. Despite our supposedly enlightened attitudes, we Americans are among the most touch-deprived people in the world.
"Touch deprivation is a reality in American culture as a whole," writes Reverend Anthony David of Atlanta. "It's not just babies needing to be touched in caring ways, or the sick. It's not just doctors and nurses needing to extend it. It's all of us, needing connection, needing to receive it, needing to give it, with genuine happiness at stake."
Distant, Disconnected
How did we come to deprive ourselves so tragically? According to Texas psychology professor David R. Cross, PhD, there are three reasons Americans don't touch each other more: fear of sexual innuendo, societal and personal disconnection aided by technology, and the fact that the ill effects of non-touching are simply not that obvious and don't receive much attention.
It's no surprise Americans are often afraid physical touching signals romantic interest, which leads to the twin perils of either having our intentions misunderstood or wondering if someone's gesture is an uninvited advance. This ambiguity is more than enough to scare most people from taking someone's arm or patting them on the back.
The potential for the loaded gesture is further complicated by our litigious society in which unwelcome touch can mean, or be interpreted as, dominance, sexual harassment, or exploitation. People in the helping professions are regularly counseled on how to do their jobs without creating even a hint of ambiguity. In one extreme example, counselors at a children's summer camp were given the advice that when kids proactively hugged them, the counselors were to raise both arms over their heads to show they hadn't invited the contact and weren't participating in it. One wonders how the innocent minds of children will interpret this bizarre response to their spontaneous affection.
Another reason for touch phobia, according to Cross, is that we live in a society with far-flung families and declining community connections. Technology plays a significant role in the way we communicate, and it seems we move farther away from face-to-face communication with every new invention. How ironic that the old telephone company jingle that encouraged us to "Reach Out and Touch Someone" gave way to the slew of electronic devices we have today, all ringing and beeping for our attention. While these devices were invented to improve communication, some people wonder if the net effect is lower quality in our exchanges of information.
While there is scientific research showing non-touch is detrimental to health, Cross says those negative effects aren't obvious. The effects of a lack of touch are insidious and long-term and don't amount to a dramatic story for prime time.
"Humans deprived of touch are prone to mental illness, violence, compromised immune systems, and poor self-regulation," Cross says. So serious are the effects of touch deprivation, it's considered by researchers to be worse than physical abuse.
Benefits of TouchStated more positively, science does support the preventive health benefits of touch. For example, Tiffany Field, PhD, founder of the Touch Research Institute, notes that in a study on preterm infants, massaging the babies increased their weight and allowed them to be discharged earlier. Discharging babies earlier from expensive neonatal intensive care units could save the healthcare system $4.7 billion annually.
In other research, scientists at the University of North Carolina found the stress hormone cortisol was reduced with hugging. Cortisol is associated with anger, anxiety, physical tension, and weakened immunity.
Massage therapy has been found useful in reducing symptoms such as anxiety, depression, pain, and stress, and is helpful for those suffering with a variety of illnesses, including anorexia nervosa, arthritis, cancer, fibromyalgia, and stroke. While more research is needed, massage therapy has also been shown to reduce symptoms associated with alcohol withdrawal and smoking cessation, and can strengthen self-esteem, boost the immune system, increase flexibility, and improve sleep.
As a nation, we are still finding our way in terms of increasing our touch quotient, but those who make their way into a massage therapy room are farther along than most.