Living Right: Talking to Your Physician About Massage — American Massage Therapy Association

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According to the results of a recent survey conducted by the American Hospital Association’s Health Forum and Samueli Institute, a nonprofit research organization, 40 percent of hospitals indicated they offer one or more alternative therapies—up a full 37 percent from 2007.

Responding to patient demand and the increasing cost of health care, more and more hospitals are taking a good look at complementary and alternative therapies—including massage therapy—to help patients with a variety of issues. From back and neck pain to stress relief, doctors and hospitals are beginning to think a little differently about how they might help patients better deal with some of these conditions.

“Today’s patients have better access to health information and are demanding more personalized care,” says Sita Ananth, study author and director of knowledge services for the Samueli Institute. “The survey results reinforce the fact that patients want the best that both conventional and alternative medicine can offer, and hospitals are
responding.”

Of the hospitals that responded to the survey, 64 percent reported using massage therapy as part of outpatient care, and 44 percent use massage therapy as part of inpatient care.

These results dovetail nicely with the findings of a reader survey published in the September issue of Consumer Reports, where three out of four adults reported using some form of alternative therapy for general health. Chiropractic, deep tissue massage and yoga all dominated the lists of helpful alternative treatments for conditions such as back pain, neck pain and osteoarthritis.

According to the report, survey respondents indicated that yoga, deep tissue massage and Pilates rated the same as prescription medications for help with back pain. And some of the respondents initially looked to complementary and alternative therapies upon the suggestion of their physicians. “Twenty-eight percent of readers who used deep tissue massage, usually for back or neck pain, said their doctors had recommended it,” the report explains.

What This Means For You

As we begin to learn more about the benefits of complementary and alternative therapies, don’t be afraid to talk with your doctor about how these options might fit into your overall health care regimen.

Additionally, talk to your massage therapist openly and honestly about the benefits you want to receive from massage therapy. Take some time to gather information on your own. There are quite a few resources out there that can help you better understand the research being done on the benefits of massage therapy, as well as the different techniques and modalities your massage therapist might use.

More Resources

AMTA has a wide variety of information fo consumers—including clinical research on the efficacy of massage therapy, how to find a qualified massage therapist, as well as tips for getting the most from your massage.

How Massage Heals Sore Muscles

By NICHOLAS BAKALAR

| February 6, 2012, 12:01 am 

 

 

Barbara P. Fernandez for The New York TimesResearchers are learning how massage soothes aching muscles.

A massage after vigorous exercise unquestionably feels good, and it seems to reduce pain and help muscles recover. Many people — both athletes and health professionals – have long contended it eases inflammation, improves blood flow and reduces muscle tightness. But until now no one has understood why massage has this apparently beneficial effect.
Now researchers have found what happens to muscles when a masseur goes to work on them.
Their experiment required having people exercise to exhaustion and undergo five incisions in their legs in order to obtain muscle tissue for analysis. Despite the hurdles, the scientists still managed to find 11 brave young male volunteers. The study was published in the Feb. 1 issue of Science Translational Medicine.
On a first visit, they biopsied one leg of each subject at rest. At a second session, they had them vigorously exercise on a stationary bicycle for more than an hour until they could go no further. Then they massaged one thigh of each subject for 10 minutes, leaving the other to recover on its own. Immediately after the massage, they biopsied the thigh muscle in each leg again. After allowing another two-and-a-half hours of rest, they did a third biopsy to track the process of muscle injury and repair.
Vigorous exercise causes tiny tears in muscle fibers, leading to an immune reaction — inflammation — as the body gets to work repairing the injured cells. So the researchers screened the tissue from the massaged and unmassaged legs to compare their repair processes, and find out what difference massage would make.
They found that massage reduced the production of compounds called cytokines, which play a critical role in inflammation. Massage also stimulated mitochondria, the tiny powerhouses inside cells that convert glucose into the energy essential for cell function and repair. “The bottom line is that there appears to be a suppression of pathways in inflammation and an increase in mitochondrial biogenesis,” helping the muscle adapt to the demands of increased exercise, said the senior author, Dr. Mark A. Tarnopolsky.
Dr. Tarnopolsky, a professor of pediatrics and medicine at McMaster University in Hamilton, Ontario, said that massage works quite differently from Nsaids and other anti-inflammatory drugs, which reduce inflammation and pain but may actually retard healing. Many people, for instance, pop an aspirin or Aleve at the first sign of muscle soreness. “There’s some theoretical concern that there is a maladaptive response in the long run if you’re constantly suppressing inflammation with drugs,” he said. “With massage, you can have your cake and eat it too—massage can suppress inflammation and actually enhance cell recovery.”
“This is important research, because it is the first to show that massage can reduce pro-inflammatory cytokines which may be involved in pain,” said Tiffany Field, director of the Touch Research Institute at the University of Miami Medical School. She was not involved in the study. “We have known from many studies that pain can be reduced by massage based on self-report, but this is the first demonstration that the pain-related pro-inflammatory cytokines can be reduced.” she said.
Getting a massage from a professional masseur is obviously more expensive than taking an aspirin. But, as Dr. Field points out, massage techniques can be taught. “People within families can learn to massage each other,” she said. “If you can teach parents to massage kids, couples to massage each other. This can be cost effective.”
Dr. Tarnopolsky suggests that, in the long run, a professional massage may even be a better bargain than a pill. “If someone says “This is free and it might make you feel better, but it may slow down your recovery, do you still want it?” he asked. “Or would you rather spend the 50 bucks for a post-exercise massage that also might enhance your recovery?”