16 Jul

Integrative Health Care + Arthritis

what can I do for you and your loved ones? This is the second in this week’s series. Watch for more each day.

Arthritis is one of the most common conditions in America, as well as one of the most painful. With symptoms that range from pain and swelling to reduced range of motion and stiffness, arthritis can seriously inhibit a person’s ability to maintain a normal or active lifestyle. Pain medications are often prescribed or purchased over-the-counter, but can have some side effects, like stomach upset, that can further impact daily living. New research, however, is showing that massage therapy may be the ideal nonpharmacological substitute.

The Swedish Council on Health Technology Assessment conducted a systematic review of treatments for chronic pain, one of the key symptoms of arthritis. Their research indicates there is “strong scientific evidence” that massage reduces chronic pain by 20 to 30 percent more than treatment that does not involve physical movements.4

In 2018, a study by the Health Qualitative Research Center of Birjand University looked at the effects of aromatherapy massage with lavender essential oil on osteoarthritis, one of the most common musculoskeletal disorders. Results showed that after one week of treatment, the quality of daily life was increased significantly.Tatninov also sees success with aromatherapy, finding that for her clients with chronic pain conditions like arthritis or fibromyalgia, lavender and other oil blends can help with relaxation.

Additionally, numerous studies on osteoarthritis suggest that massage therapy can help with the pain involved in joint degeneration, as well as stiffness and function.6,7 One randomized controlled study found that participants who received an eight-week massage therapy intervention for symptoms associated with osteoarthritis of the knee had significant improvement when compared to those who received usual care.8 A similar study of 125 patients with osteoarthritis of the knee showed that a one-hour course of massage given for eight weeks provided better pain relief than usual medical care.9 Even when compared to just exercise, researchers found that patients with knee arthritis pain who received massage therapy with exercise showed significant improvement on the pain scale, get-up-and-go test and the WOMAC index.10

Working with clients with chronic pain conditions, however, does require massage therapists to make some adjustments. According to Tatninov, some of her clients who have been receiving massage therapy for a time can handle and request deeper pressure, while others who are new to the practice may need a lighter touch. “I will check in more than I would with an average client to make sure the pressure I am using is comfortable,” she adds. 

Jeana Anderson, C.N.H.P., LMT, CEIM, CBS

Natural Helping Hands, LLC

www.naturalhelpinghands.com

jeana@besmiley.com

501-690-3306 (I-phone)

15 Jul

Integrative Health Care + Scoliosis

What can I do for you and your loved ones? The following article is just one. See my series this week for more.

Most commonly forming in adolescent years, scoliosis causes nagging back pain and fatigue. While these symptoms may sound minor, back pain and fatigue can mean that people are sometimes forced to miss opportunities for personal growth, like athletics or performing arts, as well as potentially having to give up some of their favorite hobbies. If not treated, scoliosis can persist for years, and in some cases, a lifetime.

In a study done by the Good Posture Association, the effect of consistent massage on Cobb angle, or the curve in the spine caused by idiopathic scoliosis, was analyzed. Thirtyminute treatment sessions, which involved soft tissue massage, were administered three times a week for eight weeks. “It was established that the Cobb angle was noticeably decreased after four weeks of the intervention,” researchers concluded.3

Cynthia Oberdier, a massage therapist from Columbus, Ohio, has significant experience treating clients with scoliosis. For Oberdier, focusing on the muscles around the spine is essential. “In my experience, massage for scoliosis is to encourage strengthening of the open side and lengthening of the shortened side,” explains Oberdier. “Massage strokes are then lengthwise to the short side with stretching to encourage opening of the curve. Myofascial release to the opposite side, encouraging myofascial unwinding and taking the tension off of the shortened side.”

Sonia D. Tatninov, a massage therapist from Tulena Wellness in Brooklyn, New York, says massage therapists working with clients with scoliosis should be prepared to do a lot of their work in side-lying position, and that many clients with scoliosis are going to need their neck worked. “I pay a lot of attention to the lamina groove,” she adds, “since I find that those with scoliosis tend to have a lot of holding at the attachments here.”

For clients with scoliosis, Tatninov also cautions massage therapists to talk with clients who have fusion and rods about how they affect their dayto- day life and range of motion. “These clients are often fine in supine positions, but I am always sure to have a sheet or towel handy to bolster their head,” she explains. “A client who has a rod may need to have their head bolstered to a very specific height.”

Similar to dementia, some of the biggest benefits of massage therapy surround its being able to be customized to individual needs. Tatninov emphasizes that clear communication is vital to providing proper treatment. “Those with severe scoliosis are often acutely aware of what’s going on in their bodies,” she says. “They are more than happy to give you a rundown of everything new going on in their body since they last saw you and to tell you specifically what they want the focus of the session to be that day. The best thing I can do for them is to listen to them and then plan that day’s session in response to the information they’ve given me on that day.”

Jeana Anderson, C.N.H.P., LMT, CEIM, CBS

Natural Helping Hands, LLC

www.naturalhelpinghands.com

jeana@besmiley.com

501-690-3306 (I-phone)