Massage Therapy is to work and act on the body with pressure. Massage techniques are commonly applied with hands, fingers, elbows, knees, forearm, feet, or a device. The purpose of massage is generally for the treatment of body stress or pain. People who are professionally trained to give massages were traditionally known as masseurs or masseuses, but the term massage therapist has been promoted.
Types and Methods of Massage Therapy
Active release technique
Active release technique (ART) is a form of deep tissue manipulation patented by P. Michael Leahy in which specified techniques are used to release what are presumed to be soft tissue adhesions.
The ART curriculum also includes various nerve slide, or flossing, protocols and adjacent muscle interface work.
Acupressure is an alternative medicine technique similar in principle to acupuncture. It is based on the concept of life energy which flows through “meridians” in the body. In treatment, physical pressure is applied to acupuncture points with the aim of clearing blockages in those meridians. Pressure may be applied by fingers, palm, elbow, toes or with various devices.
Some medical studies have suggested that acupressure may be effective at helping manage nausea and vomiting, for helping lower back pain, tension headaches, stomach ache, among other things, although such studies have been found to have a high likelihood of bias.
Aquatic bodywork comprises a diverse set of massage and bodywork forms performed in water. This includes land-based forms performed in water (e.g., Aquatic Craniosacral Therapy, Aquatic Myofascial Release Therapy, etc.), as well as forms specific to warm water pools
In ashiatsu, the practitioner uses their feet to deliver treatment. The name comes from the Japanese, ashi for foot and atsu for pressure. This technique typically uses the heel, sesamoid, arch and/or whole plantar surface of foot, and offers large compression, tension and shear forces with less pressure than an elbow, and is ideal for large muscles, such as in thigh, or for long-duration upper trapezius compressions.Other manual therapy techniques using the feet to provide treatment include Keralite,
Ayurvedic Massage known as Abhyangam in Sanskrit is one of the most common and important Ayurvedic therapies. According to the Ayurvedic Classics Abhayngam is an important dincharya (Daily Regimen) that is needed for maintaining a healthy lifestyle. The massage technique used during Ayurvedic Massage is known to stimulate the lymphatic system to expel the toxins out from the body. The Ayurvedic Massage also stimulates production of lymphocytes which play a vital role in maintaining the immunity in human body. Thus regular Ayurvedic Massage can lead to better immunity and also help in body de-toxification. The other benefits of regular Ayurvedic Massage include pain relief, reduction of fatigue, prevention of ageing and bestowing longevity.
Burmese massage is a full body massage technique that starts from head to toes, drawing on acupuncture, reflexology, and kneading. Signature massage strokes include acupressure using the elbows, quick gentle knocking of acupressure points, and slow kneading of tight muscles. The massage is aimed to improve blood circulation and quality of sleep, while at the same time help to promote better skin quality.
Biodynamic massage was created by Gerda Boyesen as part of Biodynamic Psychotherapy. Practised as a stand-alone therapy, it is a combination of physical and energy work and also uses a stethoscope to hear the peristalsis.
Craniosacral therapy (CST) is a gentle approach that releases tensions deep in the body by applying light touch to the skull, face, spine, and pelvis.
While various types of reflexology related massage styles focus on the feet, massage of (usually) the soles of the feet is often performed purely for relaxation or recreation. It is believed there are some specific points on our feet that correspond to different organs in the body. Stimulation of these points during foot massage can cause significant reduction in pain. Studies also suggest that foot reflexology massage can reduce fatigue and promote better sleep.
Lomilomi and indigenous massage of Oceania
Lomilomi is the traditional massage of Hawaii. As an indigenous practice, it varies by island and by family. The word lomilomi also is used for massage in Samoa and East Futuna. In Samoa, it is also known as lolomi and milimili. In East Futuna, it is also called milimili, fakasolosolo, amoamo, lusilusi, kinikini, fai’ua. The Māori call it roromi and mirimiri. In Tonga massage is fotofota, tolotolo, and amoamo. In Tahiti it is rumirumi.On Nanumea in Tuvalu, massage is known as popo, pressure application is kukumi, and heat application is tutu. Massage has also been documented in Tikopia in the Solomon Islands, in Rarotonga and in Pukapuka in Western Samoa.
Manual lymphatic drainage is a technique used to gently work and stimulate the lymphatic system, to assist in reduction of localized swelling. The lymphatic system is a network of slow moving vessels in the body that carries cellular waste toward the heart, to be filtered and removed. Lymph also carries lymphocytes, and other immune system agents. Manual lymphatic drainage claims to improve waste removal and immune function.
Medical Massage is a controversial term in the massage profession. Many use it to describe a specific technique. Others use it to describe a general category of massage and many methods such as deep tissue massage, myofascial release and triggerpoint therapy as well as osteopathic techniques, cranial-sacral techniques and many more can be used to work with various medical conditions.
Massage used in the medical field includes decongestive therapy used for lymphedema which can be used in conjunction with the treatment of breast cancer. Light massage is also used in pain management and palliative care. Carotid sinus massage is used to diagnose carotid sinus syncope and is sometimes useful for differentiating supraventricular tachycardia (SVT) from ventricular tachycardia. It, like the valsalva maneuver, is a therapy for SVT. However, it is less effective than management of SVT with medications.
A 2004 systematic review found single applications of massage therapy “reduced state anxiety, blood pressure, and heart rate but not negative mood, immediate assessment of pain, and cortisol level”, while “multiple applications reduced delayed assessment of pain”, and found improvements in anxiety and depression similar to effects of psychotherapy.A subsequent systematic review published in 2008 found that there is little evidence supporting the use of massage therapy for depression in high quality studies from randomized controlled trials.
Myofascial release refers to the manual massage technique that claims to release adhered fascia and muscles with the goal of eliminating pain, increasing range of motion and equilibrioception. Myofascial release usually involves applying shear compression or tension in various directions, cross fiber friction or by skin rolling.
Reflexology also known as “zone therapy”, is an alternative medicine involving application of pressure to the feet and hands with specific thumb, finger, and hand techniques without the use of oil or lotion. It is based on a pseudoscientific system of zones and reflex areas that purportedly reflect an image of the body on the feet and hands, with the premise that such work effects a physical change to the body.
Shiatsu (shi meaning finger and atsu meaning pressure) is a type of alternative medicine consisting of the fingers and palm pressure, stretches, and other massage techniques. There is no convincing data available to suggest that shiatsu is an effective treatment for any medical condition.
Structural Integration’s aim is to unwind the strain patterns residing in the body’s myofascial system, restoring it to its natural balance, alignment, length, and ease. This is accomplished by deep, slow, fascial and myofascial manipulation, coupled with movement re-education. Various brands of Structural Integration are Rolfing, Hellerwork, Guild for Structural Integration, Aston Patterning, Soma,and Kinesis Myofascial Integration.
The most widely recognized and commonly used category of massage is the Swedish massage. The Swedish massage techniques vary from light to vigorous.Swedish massage uses five styles of strokes. The five basic strokes are effleurage (sliding or gliding), petrissage (kneading), tapotement (rhythmic tapping), friction (cross fiber or with the fibers) and vibration/shaking. Swedish massage has shown to be helpful in reducing pain, joint stiffness, and improving function in patients with osteoarthritis of the knee over a period of eight weeks. The development of Swedish massage is often inaccurately credited to Per Henrik Ling, though the Dutch practitioner Johann Georg Mezger applied the French terms to name the basic strokes.The term “Swedish” massage is actually only recognized in English and Dutch speaking countries, and in Hungary. Elsewhere the style is referred to as “classic massage”.
Clinical studies report that Swedish Massage can effectively reduce low back pain and the effectiveness can last for as long as 15 weeks. One study reported that Swedish Massage caused reduction in salivary cortisol indicating its role in management of stress and improvement in mood.
Known in Thailand as meaning “ancient/traditional massage”, traditional Thai massage (Nuad Boran) is generally based on a combination of Indian and Chinese traditions of medicine.
Thai massage – or Nuat Thai – combines both physical and energetic aspects. It is a deep, full-body massage progressing from the feet up, and focusing on sen or energy lines throughout the body, with the aim of clearing blockages in these lines, and thus stimulating the flow of blood and lymph throughout the body. It draws on yoga, acupressure and reflexology.
Thai Massage is a popular massage therapy that is used for management of conditions such as musculoskeletal pain and fatigue. Thai Massage involves a number of stretching movements that improve body flexibility, joint movement and also improve blood circulation throughout the body. In one study scientists found that Thai Massage showed comparable efficacy as the painkiller ibuprofen in reduction of joint pain caused by osteoarthritis (OA) of the knee.
Traditional Chinese massage
Massage of Chinese Medicine is known as An Mo or Qigong Massage, and is the foundation of Japan’s Anma. Categories include Pu Tong An Mo (general massage), Tui Na An Mo (pushing and grasping massage), Dian Xue An Mo (cavity pressing massage), and Qi An Mo (energy massage). Tui na (推拿) focuses on pushing, stretching, and kneading muscles, and Zhi Ya (指壓) focuses on pinching and pressing at acupressure points. Technique such as friction and vibration are used as well.
Trigger point therapy
Sometimes confused with pressure point massage, this involves deactivating trigger points that may cause local pain or refer pain and other sensations, such as headaches, in other parts of the body. Manual pressure, vibration, injection, or other treatment is applied to these points to relieve myofascial pain. Trigger points were first discovered and mapped by Janet G. Travell (President Kennedy’s physician) and David Simons. Trigger points have been photomicrographed and measured electrically and in 2007 a paper was presented showing images of Trigger Points using MRI. These points relate to dysfunction in the myoneural junction, also called neuromuscular junction (NMJ), in muscle, and therefore this technique is different from reflexology, acupressure and pressure point massage.
Tui na is a Chinese manual therapy technique that includes many different types of strokes, aimed to improve the flow of chi through the meridians.
Watsu, developed by Harold Dull at Harbin Hot Springs, California, is a type of aquatic bodywork performed in near-body-temperature water, and characterized by continuous support by the practitioner and gentle movement, including rocking, stretching of limbs, and massage. The technique combines hydrotherapy floating and immersion with shiatsu and other massage techniques. Watsu is used as a form of aquatic therapy for deep relaxation and other therapeutic intent.
This is a gentle form of massage that uses long strokes, kneading, deep circular movements, vibration and tapping to help relax and energize you.
This massage technique uses slower, more-forceful strokes to target the deeper layers of muscle and connective tissue, commonly to help with muscle damage from injuries.
This is similar to Swedish massage, but it’s geared toward people involved in sport activities to help prevent or treat injuries.
Trigger point massage
This massage focuses on areas of tight muscle fibers that can form in your muscles after injuries or overuse.
Benefits of Therapeutic Massage Therapy
The benefits of Therapeutic Massage Therapy are profound and are becoming even more attractive as the world around us becomes more stressed, aggressive and anxiety ridden. Many companies in South Africa are beginning to adopt Therapeutic Massage Therapy in their own organisations and are actively encouraging their employees to have ongoing treatments.
- It Is Relaxing – When the body is tense and under stress, it produces unhealthy levels of the well-known stress hormone, cortisol, which can contribute to weight gain, sleeplessness, digestive problems, and headaches. Massage therapy has been shown to decrease cortisol levels in the body. This enables the body to enter a recovery mode. Moreover, this form of therapy also triggers lasting feelings of relaxation, improved mood, and reduced stress levels.
- It Reduces Stress – Not only can massage therapy help with stress relief, but regular massage sessions over a prolonged period of time can boost energy levels, reduce pain, and stimulate individuals on physical as well as emotional levels.
- It Can Help Lower Blood Pressure – Regular massage therapy sessions have been found to reduce blood pressure levels. In fact, some long-term studies have shown that a consistent massage program can reduce both systolic (upper number) and diastolic (lower number) blood pressure. Moreover, it can also reduce cortisol levels within the body. Furthermore, consistent massage sessions can also reduce trigger sources for anxiety, hostility, tension, and depression. In turn, lower blood pressure levels can also reduce the risk of heart attack, stroke, and/or kidney failure, as well as many other health issues.
- It Promotes Muscle Relaxation – The purpose of massage therapy is to target the source of the body’s pain via eliminating tense muscles, increasing flexibility, and providing relaxation to the affected muscles as well as the body as a whole. Massage also promotes circulation to the affected or injured muscles, which increases nutrients and oxygen to the damaged tissues. These hormones assist the body in many ways–physically as well as emotionally. Case in point, they promote healing, pain management, and feelings of euphoria, as well as help to calm the nerves.
- It Can Help Improve Circulation – The long-term benefits of massage therapy are not to be underestimated. Improved circulation is part of a snowball effect that occurs in the body as a result of receiving regular massage therapy on a consistent basis. This is because proper circulation brings damaged, stiff, and tense muscles the rich blood supply they need to promote healing.
- It Can Help Improve Posture – Many Americans experience back, neck, and muscle pain from a variety of sources. However, the primary cause of this pain results from poor posture. In fact, chronic back pain, which is the number one reason for missed work days and second most common cause of disability, is often the result of incorrect or poor posture while standing and/or sitting. Moreover, being overweight, poor posture, and repetitive or overuse movements can also contribute to the strain on the back and other potential problem areas. As a result, the added strain often causes spasms, pain, and tense muscles in the hips, glutes, back, neck, and leg
- Health maintenance and/or health promotion – Promotes general tissue health and encourages lifestyle and general health awareness
- Stress management – Helps relieve associated muscular tension and encourages general relaxation
- Post-operative care: Helps reduce recovery period and speeds up elimination of anaesthetic, as well as reducing pain and stiffness associated with bed-rest
- Emotional and/or psychological disorders: Releases endorphins that help to uplift and reduce depression
- Terminal illness: Helps reduce pain and discomfort associated with long term bed-rest as well as providing support and reducing the effects of emotional stress for the patient as well as the family
- Chronic pain: Helps break the “pain spasm” cycle whilst reducing associated muscle tightness
- Care of the disabled: Provides emotional support as well as assisting in the maintenance of general tissue health
- Pre and/or post-event sports’ participation – Improves performance and recovery and reduces the likelihood of serious injury
- Improves Immune System Functioning – According to MassageTherapy.com, a website operated by Associated Bodywork and Massage Professionals to educate the public about massage, massage improves immune system function by stimulating the lymphatic system. The lymphatic system helps rid the body of waste, debris, toxins and pathogens. Fluid circulates through the lymphatic system much like blood circulates through the cardiovascular system, but there is no pump such as the heart to help lymph fluid circulate. Massage helps lymph fluid circulate, though, as explained on the website of the National Integrated Health Associates.
- Gets the Blood Flowing – According to the Florida State Massage Therapy Association, massage lowers high blood pressure and also slows the heart rate. Of course, massage helps people relax and that also reduces blood pressure. Massage improves circulation, according to MassageTherapy.com, which improves blood flow to all of the organs. Good circulation improves the condition of the skin, too, which is in fact that body’s largest organ. It may even reduce scar tissue or stretch marks.
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