Massage For Your Health & Pain Relief - Studies & Science You Need To Read
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Table of Contents 3 General Benefits of Massage 4 Important Considerations Before Receiving a Massage 5 Massage Benefits for Back and Sciatic Nerve Pain 7 Massage Benefits for Diabetic Neuropathy 8 Massage Benefits for Cardiovascular Health 9 Massage Benefits for Sleep 10 Massage Benefits for Headaches 11 Massage Benefits for Mental Health 12 Ways to Receive Regular Massage Therapy 14 About Massage Chair Store 15 Endnotes This eBook is intended to serve as a helpful resource that lists and summarizes scientific research on common ailments and associated symptoms that can be addressed through the benefits of massage therapy. It is not intended to be used to diagnose or treat any disease. Be sure to consult with your primary care physician to discuss treatment options and medical care for your condition. 2
It is no secret that massage therapy provides numerous benefits for health and wellness. The earliest evidence of massage therapy dates back over 5,000 years to ancient Egypt and India. Records of massage treatments used in China, Japan, Greece and Rome date back to around 800 BCE. What we think of as modern massage became formalized in the 19th century thanks to Swedish doctor Per Henrik Ling and Dutchman Johan George Mezger. By the 20th century, interest in the practice of massage as a complementary medicine led to the rise of licensing, industry standards and study into its many benefits. In general, you can categorize the major benefits of massage as: • Inducing feelings of relaxation1 • Reducing symptoms of chronic pain2 • Increasing motor function and range of motion3 • Aiding circulation of blood vessels and the lymphatic system4 • Reducing the production of stress hormones5 While everyone can receive benefits from massage therapy, it has specific uses in treatment for pain and alleviating the effects of specific chronic conditions such as sciatic nerve pain, headaches, insomnia and complications from diabetes or heart surgery. We’ve created this eBook as a helpful reference for understanding the benefits of massage in treating chronic conditions. We also include links to the studies that have investigated these benefits and recommended tips for which massage therapies are helpful and effective. 3
Important Considerations Before Receiving a Massage Always consult with your primary care physician when considering any form of therapy for treating chronic conditions. Your personal care practitioner will have a better understanding of your unique condition and is the most informed source for advice about treatment. If you have complications with your blood pressure, have it checked before receiving a massage. A massage is not recommended if you have low blood pressure, especially while on medication. If you take blood thinners you may be more susceptible to bruising when receiving a massage, so try to avoid deep tissue or other intense massage therapies. If you suffer from blood clots, it’s advised to avoid massage therapy, as there’s a higher possibility it could dislodge a clot and lead to a heart attack or pulmonary embolism. If you have diabetes and take insulin, be mindful that massage can induce low blood sugar, which is why it’s wise to have an emergency sugar source on hand. Also, avoid directly massaging or applying pressure to your insulin injection site, any ulcers or healed ulcer sites, and the area around attached devices like continuous glucose monitors (CGMs). You should also avoid eating a heavy meal or drinking alcohol directly before having a massage, as the pressure of the massage can make you uncomfortable. Also try to avoid coffee or other sources of caffeine as they can increase your heart rate or can cause anxiousness. 4
Massage Benefits for Back and Sciatic Nerve Pain Back pain is the leading cause of disability around the world6 and one of the most common reasons people miss work or school. Back pain doesn’t discriminate — it can affect any race, gender or age group, from adolescents to the elderly. It is estimated that 80% of Americans have or will experience back pain in their lives7 and as a result, lower back pain costs Americans at least $50 billion a year in health care costs. If back pain radiates from the lower back down along one leg and also causes numbness, tingling or weakness it might be sciatica, which affects 40% of people worldwide.8 Sciatic nerve pain is triggered when inflammation applies pressure to nerves or sensitive points around the sciatic nerve. This inflammation can arise from poor posture, arthritis, stress, bulging or ruptured discs, osteoporosis and strained or tightened muscles and ligaments. Massage works to alleviate back and sciatic nerve pain by soothing tense muscles and loosening knots, which relieves the pressure on the nerve. Massage also stimulates the release of endorphins to boost feelings of pleasure and can reduce the level of the stress hormone cortisol,9 which helps to provide pain relief and relaxation to aid in recovery. 5
Recommended types of massage to relieve back or sciatic nerve pain: • Deep Tissue Massage: Consisting of slow strokes and deep pressure, this style reaches deep into muscles, tendons and tissue to release tightness and knots. It is the most popular massage method and is often used for treating lower back pain. • Swedish Massage: Using less pressure than deep tissue, Swedish massage stimulates nerve endings in connective tissues to release tension and promote relaxation. • Myofascial Release: This style aims to relieve pain in myofascial tissues, which is the membrane that supports and surrounds muscles. Myofascial release works by stretching trigger points to reduce pain and stiffness in the back and around the sciatic nerve. • Neuromuscular Massage: Similar to trigger point therapy, this technique applies more intense direct pressure to knots and pressure points that hold tension and pain. By directly targeting these areas, muscles in the back relax and pain subsides. 6
Massage Benefits for Diabetic Neuropathy Diabetic neuropathy results from an excessive amount of blood sugar, which damages nerve fibers throughout the body. Roughly 60-70% of diabetics10 have mild to severe damage to motor, sensory and autonomic nerves, resulting in pain and discomfort. Massage therapy is used to help manage diabetes symptoms by improving a patient’s quality of life, serving as an auxiliary way of replacing or reducing drugs in the clinical treatment of adult type 2 diabetes.11 Research has also shown that massage, when used to manage symptoms of diabetes, can significantly increase serum insulin action, which decreases blood glucose levels for type 1 diabetes.12 Foot massage in particular has been found to be effective as a complementary treatment for symptoms of diabetic neuropathy and as a way to normalize blood glucose. Foot massage has helped patients with type 2 diabetes increase their balance and mobility,13 improve their quality of sleep14 and overall reduce the pain associated with peripheral neuropathy. Recommended types of massage to alleviate symptoms of diabetic neuropathy and similar diabetic conditions: • Deep Tissue Massage: The use of slow, intense strokes applies direct pressure into muscles and helps to address the thickening of connective tissue. Though effective, deep tissue massage should be used with care for diabetic patients. • Swedish Massage: As a combination of five basic strokes that concentrate on muscles and connective tissues, Swedish massage applies a lighter amount of pressure to stimulate nerve endings in connective tissues. • Reflexology: By stimulating a system of pressure points on the feet, reflexology works to ease stress and promote relaxation. • Thai Massage: An active form of bodywork that stimulates the body through a sequence of pressure, stretching and rocking movements to increase mobility and induce relaxation. • Shiatsu: A pressure point technique that uses pulses or rhythmic pressure, Shiatsu relieves stress and tension along specific points on the body. 7
Massage Benefits for Cardiovascular Health Heart disease is the leading cause of death15 for most adults in the United States; one in every four deaths is related to cardiovascular disease. High levels of stress, high blood pressure and high levels of cortisol lead to or complicate existing cases of heart disease. Without treatment this can result in a heart attack, stroke or other serious conditions. Long-term effects of massage therapy have been shown to provide specific benefits related to improved heart health, notably lowering both systolic and diastolic blood pressure in prehypertensive individuals.16 Massage therapy also provides additional benefits to improve cardiovascular health by reducing heart rate, overall level of stress and levels of the stress hormone cortisol.17 Anyone interested in receiving massage therapy to assist with cardiac rehabilitation should always talk to their physician, especially when recovering from surgery Recommended types of massage for cardiovascular health: • Swedish Massage: Applying less pressure than deep tissue treatments, Swedish massage stimulates nerve endings in connective tissues by kneading, rubbing and lightly tapping to release tension and promote relaxation. • Thai Massage: An active form of bodywork that stimulates the body through a sequence of pressure, stretching and rocking movements to increase mobility and induce relaxation. • Myofascial Release: This style aims to relieve pain in myofascial tissues, which is the membrane that supports and surrounds muscles. Myofascial release works by stretching trigger points to reduce pain and stiffness. • Sports Massage: This is a combination of many different massage techniques, including deep tissue, kneading, and wringing. Sports massage is a popular treatment in post- surgery recovery, after physical exertion and in physical therapy, chiropractic and osteopathy sessions. 8
Massage Benefits for Sleep The Centers for Disease Control and Prevention reports that about 70 million Americans suffer from chronic sleep problems,18 which can result in serious health complications. Increased levels of exhaustion can cause mental fatigue and slowed reaction time, compound complications from obesity and long-term health risks and increase the risk of substance abuse.19 While massage therapy cannot directly treat the causes of sleep problems, it is often used to address the different health conditions related to insomnia, and it can also help improve the overall quality of sleep. Massage therapy can reduce fatigue and improve rest20 by providing positive benefits for physical and mental well-being: Reduction of pain. Reduction of stress. Massage therapy can be used to reduce the Massage can also help decrease the stress intensity of chronic pain, whether it’s from cancer hormone cortisol and increase the levels of treatment, illness or recovery from surgery or serotonin and dopamine, neurotransmitters injury. The reduction in pain allows for longer 21 which promote feelings of happiness and and more restful sleep. relaxation within the brain.22 This can aid in balancing mood to reduce anxiety, reducing restlessness and improving the quality of sleep. Recommended types of massage for better sleep: • Deep Tissue Massage: An intense style of massage that aggressively works the muscles using hard pressure, with the goal of relieving tension that lies beneath the surface tissues and deep within the muscles. • Swedish Massage: This popular technique applies less pressure than deep tissue and aims to loosen the muscles and promote relaxation by kneading, rubbing and lightly tapping areas of high stress or tension. • Manipulation: A very gentle style of massage administered by rubbing, stretching and moving ligaments, tendons and muscles in order to improve mobility and aid in relaxation. • Trigger or Pressure Point Therapy: This is a focused massage technique that works on specific spots in the muscles or on the body to relieve tension and pressure, aiding in relaxation. 9
Massage Benefits for Headaches Headaches are an extremely common experience; half of all adults worldwide suffer at least one headache a year. 23 In America alone, 45 million people suffer from chronic headaches and migraines, 24 whether due to stress, chronic medical conditions, allergies, or hereditary or lifestyle factors. Since the most common type of headache can be caused by muscle tension, massage can help alleviate some of the pain associated with tight muscles. Massage techniques that target muscles in the shoulders, back and neck can be especially beneficial. Even a short massage lasting 30 minutes or less can help reduce headache intensity or prevent them from occurring in the first place.26 While massage has been shown to be an effective therapy for sufferers of both episodic tension headaches and chronic migraines, in some cases massage therapy can make headaches worse. It’s important to determine the source of the headache before seeking alternative or complementary treatments. Recommended types of massage for headaches • Swedish Massage: This popular technique for relieving tightness aims to loosen the muscles and promote relaxation by kneading, rubbing and lightly tapping areas of high stress or muscle tension. • Trigger Point Massage: This is a focused massage technique that works on specific spots in the muscles or on the body to relieve tension and pressure. Shiatsu is a Japanese form of pressure point massage and is popular for aiding in relaxation. • Thai Massage: An active form of bodywork that stimulates the body through a sequence of pressure, stretching and rocking movements to increase mobility and induce relaxation. • Neuromuscular Massage: Similar to trigger point massage, this technique applies more intense direct pressure to knots and pressure points that hold tension and pain. By directly targeting these areas, muscles relax and pain subsides. 10
Massage Benefits for Mental Health It is estimated that 5% of all adults suffer from depression,27 making it a leading cause of disability worldwide and a major contributor to the overall global burden of disease. Anxiety disorders are also a common cause of mental illness, affecting 40 million adults in the United States every year.28 Those who suffer from anxiety disorders are three to five times more likely to go to the doctor and six times more likely to be hospitalized for psychiatric disorders than those who do not suffer from anxiety disorders. Massage therapy has been shown to decrease the symptoms of depression29 and have a positive effect on patients suffering from serious mood disorders, ultimately helping to improve long-term mental health.30 Regular massage has also been shown to lower overall stress levels, which can reduce the mental and physical manifestations of anxiety.31 Initial research also indicates that massage may have a positive effect on sufferers of ADHD,32 leading to a decrease in symptoms and better all-around focus. Recommended types of massage for mental health • Deep Tissue Massage: An intense style of massage that aggressively works the muscles using hard pressure, relieving the tension that lies beneath the surface tissues and deep within the muscles can help to boost levels of serotonin and dopamine. • Swedish Massage: This popular technique aims to loosen the muscles and promote relaxation by kneading, rubbing and lightly tapping areas of high stress or tension to reduce pain and improve mood. • Thai Massage: An active form of bodywork that stimulates the body through a sequence of pressure, stretching and rocking movements to increase mobility and induce relaxation. • Shiatsu: A Japanese style of the pressure point technique that uses pulses or rhythmic pressure to relieve stress and tension along specific points on the body. 11
Ways to Receive Regular Massages Therapy If you would like to start massage therapy as a way to recover from injury or surgery, always talk to your primary care physician or physical therapist. For more regular massages to help reduce stress and lower blood pressure, you could choose to make appointments with a licensed massage therapist. However, regular visits with a massage therapist can be costly and time consuming. DIY home massages are quick and simple, but it can be difficult, if not impossible, with self- massage to get consistent and targeted pressure applied to certain muscles or parts of your body. Fortunately, there are more convenient and cost-effective options available with home devices like massage chairs and portable massagers. 12
Massage Chairs Massage chairs feature extensive personalization capabilities to deliver a full body massage, but are especially good for sitting at rest while receiving a massage on the lower back and upper legs. Modern features of massage chairs include zero gravity recline, stretching programs, multiple heat levels and even different pressure levels and techniques to provide specific massage therapy techniques. With no additional travel time or per-session fee required, a massage chair can save money in comparison with frequent visits to a massage therapist. For those who want a full-body massage experience in the comfort of home, a massage chair is a great option. Body Massagers Portable, easily storable and designed to target specific areas, body massagers are great options for anyone who needs to target a specific area of their body. Body massagers are designed exclusively around treating the neck, back or feet and often come with additional benefits such as different massage techniques, auto programs and heat therapy. These smaller devices are also excellent for those who live in smaller condos or apartments. Massage Guns The most conveniently portable option for massage therapy, massage guns can target the lower back, or any area of the body, with the push of a button. These devices are the most inexpensive option and can travel anywhere to provide relief. It is important to consider that massage guns don’t apply heat, will tend to have fewer pressure levels and techniques than massage chairs or body massagers and won’t be able to affect certain hard-to-reach areas. 13
About Massage Chair Store Massage Chair Store is an online retailer of high-quality, full-body massage chairs. Our team of trained massage chair specialists is here to help you through every step though every step of the purchase process, including learning about different massage chair and body massage models and selecting the right one for your budget and needs. We make customer service a top priority, and we’re extremely proud of the thousands of verified five-star reviews that satisfied massage chair owners have left us. If you’re interested in how our line of massage chairs, targeted body massagers and massage guns can help provide you with reliable and affordable massage therapy, Visit our Website. 14
Endnotes 1 Efthalia Angelopoulou, Maria Anagnostouli, George P. Chrousos, Anastasia Bougea, Massage therapy as a complementary treatment for Parkinson’s disease: A systematic literature review, Complementary Therapies in Medicine, 2020, Volume 49, retrieved from Science Direct on May 2022 2 Tiffany Field, Miguel Diego, Gladys Gonzalez, C.G. Funk, Neck arthritis pain is reduced and range of motion is increased by massage therapy, Complementary Therapies in Clinical Practice, 2014, Volume 20, Issue 4, retrieved from Science Direct on May 2022 3 Ibid 4 Nina C. Franklin, Mohamed M. Ali, Austin T. Robinson, et al. Massage therapy restore peripheral vascular function after exertion, Physical Medicine and Rehabilitation, volume 95, Issue 6, 2014 retrieved from Archives of Physical Medicine and Rehabilitation on May 2022 5 Tiffany Field, Maria Hernandez-Reif, Miguel Diego, et al. Cortisol decrease and serotonin and dopamine increase following massage therapy, International Journal of Neuroscience, 2005, Volume 115, Number 10, retrieved from PubMed on May 2022 6 Damian Hoy, Lyn March L, Peter Brooks, et al, The global burden of low back pain: Estimates from the global burden of disease 2010 study, Annals of the Rheumatic Diseases 2010 Study, Retrieved from PubMed on May 2022 7 Rubin Dl. Epidemiology and risk factors for spine pain. Neurologic Clinics. 2007, Volume 25, Number 2, Retrieved from PubMed on May 2022 8 Sciatica: Of all the nerve, Harvard Medical School, 2016, Retrieved from Harvard Health Publishing on May 2022 9 Rose Adams, Barb White, Cynthia Beckett, The effects of massage therapy on pain management in the acute care setting, International Journal of Therapeutic Bodywork, 2010, Volume 3, Number 1 Retrieved from PubMed on May 2022 10 Peripheral neuropathy fact sheet, National Institute of Neurological Disorders and Stroke, NIH.gov, retrieved May 2022 11 Xiaolin Zhang, Di Cao, Minhui Yan, et al, The feasibility of Chinese massage as an auxiliary way of replacing or reducing drugs in the clinical treatment of adult type 2 diabetes: A systematic review and meta-analysis, Medicine (Baltimore), 2020 Volume 99, Number 34, Retrieved from PubMed on May 2022 12 Jeanette Ezzo, Thomas Donner, Diane Nickols, et al, Is Massage useful in the management of diabetes? A systematic review, Diabetes Spectrum, 2001, Volume 14, Number 4, Retrieved from American Diabetes Association Publications on May 2022 13 Tütün Yümin E, Şimşek TT, Sertel M, Ankaralı H, Yumin M. The effect of foot plantar massage on balance and functional reach in patients with type II diabetes, Physiotherapy Theory and Practice, 2017, Volume 33, Number 2, Retrieved from PubMed on May 2022 14 Pinar Sarısoy, Ozlem Ovayolu, The effect of foot massage on peripheral neuropathy-related pain and sleep quality in patients with Non-Hodgkin’s Lymphoma, Holistic Nursing Practice, 2020, Volume 34, Number 6, Retrieved from PubMed on May 2022 15 Centers for Disease Control and Prevention. Underlying Cause of Death, 1999–2020. CDC WONDER Online Database. Atlanta, GA: Centers for Disease Control and Prevention; 2018. Retrieved from CDC Wonder on May 2022. 16 Mahshid Givi, Masoumeh Sadeghi, Mohammad Garakyaraghi, et al, Long-term effect of massage therapy on blood pressure in hypertensive women, Journal of Education and Health Promotion, 2018, Volume 7, Number 54, Retrieved from NIH National Library of Medicine on May 2022 17 Surussawadi Bennet, Michael John Bennett, Uraiwon Chatchawan, et al, Acute effects of traditional Thai massage on cortisol levels, arterial blood pressure and stress perception in academic stress condition: A single blind randomised controlled trial, Journal of Bodywork and Movement Therapies, 2016, Volume 20, Number 2, Retrieved from ScienceDirect on May 2022 18 Sleep and Sleep Disorders, Centers for Disease Control and Prevention, Retrieved from CDC.com on May 2022 15
Extent and health consequences of chronic sleep loss and sleep disorders, sleep disorders and sleep deprivation: An unmet public health problem, 19 Retrieved from NIH National Library of Medicine on May 2022. Flavia Baggio Nerbass, Maria Ignez Zanetti Feltrim, Silvia Alves de Souza, et al, Effects of massage therapy on sleep quality after coronary artery bypass 20 graft surgery, Clinics (Sao Paulo), 2010, Volume 65, Number 11, Retrieved from PubMed on May 2022 Patrick H. Finan, Burel R. Goodin, Michael T. Smith, The association of sleep and pain: an update and a path forward, The Journal of Pain, 2013, Volume 21 14, Number 12, Retrieved from PubMed on May 2022 22 Tiffany Field, Maria Hernandez-Reif, Miguel Diego, et al, Cortisol decreases and serotonin and dopamine increase following massage therapy, International Journal of Neuroscience, 2005, Volume 115, Number 10, Retrieved from PubMed on May 2022 23 Headache disorders, World Health Organization, Retrieved from WHO.int on May 2022 Stephanie Sy, Lorna Bladwin, 15 percent of Americans have migraine disease. Why aren’t there better treatment options? 2020, Retrieved from PBS.org 24 on May 2022 Peerada Damapong, Naowarat Kanchanakhan, Wichai Eungpinichpong, et al, A randomized controlled trial on the effectiveness of court-type traditional 25 Thai massage versus Amitriptyline in patients with chronic tension-type headache, Evidence-Based Complementary and Alternative Medicine, 2015, Retrieved from NIH National Library of Medicine on May 2022 Craig S. Moore, David W. Sibbritt, Jon Adams, A critical review of manual therapy use for headache disorders: prevalence, profiles, motivations, 26 communication and self-reported effectiveness, BMC Neurology, 2017, volume 17, Number 61, Retrieved from NIH National Library of Medicine on May 2022 27 Depression, The World Health Organization, Retrieved from who.int on May 2022 28 Understanding Anxiety, Anxiety & Depression Association of America, Retrieved from ADAA.org on May 2022 Michaela Maria Arnold, Bruno Müller-Oerlinghausen, Norbert Hemrich, et al, Effects of psychoactive massage in outpatients with depressive disorders: 29 A randomized controlled mixed-methods study, Brain Science, 2020, Volume 20, Number 20, Retrieved from NIH National Library of Medicine on May 2022 Sara Darabpour, Masoomeh Kheirkhah, Erfan Ghasemi, Effects of Swedish massage on the improvement of mood disorders in women with breast cancer 30 undergoing radiotherapy, Iranian Red Crescent Medical Journal, 2016, Volume 18, Number 11, Retrieved from NIH National Library of Medicine on May 2022 Karen J. Sherman, Evette J. Ludman, Andrea J. Cook, et al, Effectiveness of therapeutic massage for generalized anxiety disorder: A randomized 31 controlled trial, Depression & Anxiety, 2010, Volume 27, Number 5, Retrieved from NIH National Library of Medicine on May 2022. 32 Shu-Cheng Chen, Banda Yee-Man Yu, Lorna Kwai-Ping Suen, et al, Massage therapy for the treatment of attention deficit/hyperactivity disorder (ADHD) in children and adolescents: A systematic review and meta-analysis, Complementary Therapies in Medicine, 2019, Volume 42, Retrieved from NIH National Library of Medicine on May 2022 16
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