Massage Techniques

Massage Techniques
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Ischemia means a lack of blood supply, with associated tissue irritation and congestion. Ischemic compression is a massage technique used in both Shiatsu and trigger point work(often called static pressure). The purpose of ischemic compression is to deliberately increase the blockage of blood to an area so that, upon release, there will be a resurgence of blood. This washes away waste products, supplies necessary oxygen and helps the affected tissue to heal. This increase of blood flow to the area is called a hyperemia.
“To apply ischemic compression to a trigger point, the relaxed muscle is stretched to the verge of discomfort. Initially, a thumb (or strong finger) is pressed directly on the TP to create tolerably painful (7 to 8 on a client pain scale of 10), sustained pressure. Treatment is useless if the patient tenses the muscles and so protects the TP from pressure. As the discomfort tends to abate, pressure is gradually increased by adding a thumb or finger from the other hand, as necessary, for reinforcement. This process is continued up to 1 min. with as much as 20 or 30m lb. of pressure. If TP tenderness persists, the procedure can be repeated, preferably after a hot pack and active range of motion.’” Travell, Janet, Myofascial Pain and Dysfunction, The Trigger point manual, v1.
Following treatment it is valuable to gently stretch the area to help the muscle “remember” its full length.
The first treatment should be conservative, lasting one or two minutes only, followed by a day of rest for the treated part. The treatment is resumed on alternate days until the pain abates and full usage is returned, usually within 3 to 10 sessions. Appropriate application of ice following treatment is recommended. Ischemic compression is one of the most effective massage techniques.
Myofascial release is a grouping of massage techniques that uses very gentle stretching for 2 minutes or more, to slowly unwind the fascia. Fascia is made to resist force, but with prolonged gentle stretch, the ground substance that the collagen and elastic fibers are embedded begins to soften and go from a gel state to a liquid state. During the first part of the myofascial stretch this change is taking place. Once the tissue has softened, the fascial fibers begin to move. Cross-linkages are microscopic fascial adhesions that cross the larger collagen matrix, and the gentle stretch begins to break these. Myofascial release takes time to perform, but the results are amazing.
There are a few types of myofascial release techniques. The cross-handed stretch is the most common. A leg pull or arm pull will affect the deeper fascial layers, and skin rolling is a good way to release adhesions within the skin, and between the skin and underlying structures.
Developed for the treatment of soft tissue lesions by the British osteopath, Dr. James Cyriax, deep transverse friction is one of the only massage techniques that effectively reduces fibrosis and encourages the formation of strong, pliable scar tissue at the site of healing injuries. This technique, also known as cross-fiber frictioning, reduces the crystalline roughness that forms between tendons and their sheaths that can result in painful tendonitis. It can also prevent or soften myofascial adhesions.
A deep, non-gliding, oil-less friction stroke, cross-fiber friction is administered with a braced finger or thumb moving across the grain of a muscle, tendon or ligament. The therapist’s thumb and the client’s skin move as one over the exact site of the lesion with sufficient sweep and duration to create a mechanical effect on the tissue treated. The stroke must be applied directly at the site of the lesion, at right angles to the fibers, and be broad enough to separate the fibers without bouncing over them. The treatment is painful, though always within tolerance, and should be initiated only with the informed consent of the client. It should never be applied during the initial inflammatory stage in an acute injury.
The first massage treatment should be conservative, lasting one or two minutes only, followed by a day of rest for the treated part. The treatment is resumed on alternate days until the pain abates and full usage is returned, usually within 3 to 10 sessions. Appropriate application of ice following treatment is recommended.
Stripping strokes are one of the many massage techniques that therapists use everyday. This technique involves the application of slow, deep, gliding pressure along the length of the muscle fibers. Stripping strokes release and elongate tightened muscle and fascia, flush the muscles with fresh blood, and erase trigger points (trigger points are hyperirritable muscle tissue that refers pain). Stripping strokes are performed using the elbow, forearm, knuckles and thumb. The elbow and forearm are used for larger muscles, and the knuckles and thumbs are used for detail work and smaller muscles.
Dr. Janet Travell, author of Myofascial Pain and Dysfunction, identifies a trigger point (TP) as a hyperirritable neuromuscular point that is painful when compressed, and is associated with dysfunctional neurological reflex circuits. Translated into English, this is an area that gets so irritated that the body misinterprets the signal, causing the person to feel as if the pain is coming from somewhere else. About 70% of the time an area will refer pain to a predictable spot, and these are shown on trigger point charts. But each of us is different, and many times people will have unique referral patterns. Unique referral patterns can be caused by a facilitated pathway. This means that when a person has a long term area of inflammation, the body will become used to sending and receiving nerve signals from that area. With a facilitated pathway, new injuries will refer pain to the old injury. Trigger point therapy can help reduce facilitated pathways, returning the nerve pathways to a more normal functioning.
Trigger points are found in muscle tissue or its associated fascia, located in a taut band of fibers. Deactivating a trigger point relieves the local impaired mobility and pain due to muscular and vascular restriction, and reflexively improves the associated referred pain and dysfunction. In english this means that by pushing on a trigger point area, the referral pain goes away, and the tight muscle under your thumb softens and relaxes.
Knowing about trigger points is important because where people feel pain is not always where it is originating. For example people usually feel infaspinatus pain deep in the front of the shoulder, while they feel subscapularis pain in the posterior shoulder. It is also important to use resistance tests to assess the muscle & tendon, and range of motion tests to test the joint capsule.
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Massage treatment has been practiced in almost every culture throughout human history, but besides being extremely relaxing , you’re probably wondering what actually happens to your body.
It’s quite simple (and powerful!) as soft tissues and muscles in the body are manipulated, boosting your physical and mental health.
It’s a popular therapy, that’s for sure!
According to the American Massage Therapy Association , 25% of men and 21% of women in the US enjoyed a massage last year, with over half of them motivated by health and wellness reasons .
Below we’ve explored 19 different types of massage, the benefits of each one and answered a number of frequently asked questions:
A Swedish massage should be top of your list if you’re looking for a way to relax , or if you want to experience your first treatment.
It’s all about using long strokes and light-to-firm pressure that will leave you feeling rejuvenated.
Typically your therapist will use five techniques : stroking and gliding, kneading, rubbing, tapping or pounding, and vibration.
If you’re looking to reduce tension or suffering from anxiety then definitely opt for a Swedish massage.
A study by the Mood and Anxiety Disorders Program of Emory University , investigated the effects of Swedish massage on people suffering from generalized anxiety disorder (GAD) , but who weren’t receiving medical treatment.
Over six weeks participants were separated into two groups: one group received a Swedish massage twice a week, while the other only received light touch massage.
The Swedish massage group reported significantly reduced anxiety scores, with researchers stating it may be an effective treatment for the condition.
It’s great for circulatory issues too. Academics in Malaysia discovered a four-week course of the technique reduced the heart rate and blood pressure of women suffering with hypertension.
A sports massage is, as you’d expect, great for athletes or anyone with a physically demanding lifestyle.
Focus is on the impact of sporting activities on your joints, muscle groups, tendons, ligaments and soft tissues.
To ensure the therapist really hits the spot, you can expect an initial assessment so you get a tailored plan.
Lots of different movements are involved in a sports massage including: Swedish style massage, stroking, kneading, compression, friction, striking, vibration, gliding, stretching, percussion and trigger points.
The ultimate aim of a sports massage is to improve athletic performance. However, don’t rule it out if you’re not a sporty person!
There have been other reported benefits , including better sleep , increased flexibility and a greater sense of wellbeing.
Shiatsu massage can be traced all the way back to ancient Japan and means ‘finger pressure’.
But be prepared for much more, as your therapist may use their knuckles, elbows, feet and knees.
The idea of energy flow, also known as ‘Ki’ or ‘Qi’ (pronounced ‘chee’), is the underlying principle here.
Practitioners believe disruption to the ‘Ki’ causes illness. Shiatsu is about freeing any blockages or imbalances to the Ki flow and rejuvenating the body by restoring energy to where it’s needed most.
It’s also the perfect treatment for loosening up your muscles and improving your circulation .
There are many other benefits too, including easing constipation, decreasing stress and tension and improving symptoms of insomnia .
Percussion massage has been dubbed the ‘new foam rolling’ by Men’s Health .
Delivered through a percussive massage gun, it packs a powerful punch, reaching deeper into tired muscles to relieve tension and bring blood flow to the area.
You’ll have likely seen professional athletes and fitness influencers promoting massage guns, such as the devices in the popular Theragun range .
That’s because they’re recognised for the way they enhance athletic performance and aid recovery from injury, to mention just a few of the benefits .
Watch below as physical therapist, Dr Jo, demonstrates how a percussion massage gun can be used to relieve back pain:
Reflexology , also known as ‘zone therapy’, is about applying different levels of pressure to your hands, feet and ears.
Theoretically it’s thought that these parts of your body are connected to certain organs and body systems.
If you do suffer from pain and discomfort associated with a medical condition, reflexology may be helpful.
Researchers have reviewed 17 studies that analyze the psychological benefits of reflexology and concluded that is does boost mental wellbeing and help people manage long term health conditions.
Thai massage is different to other techniques as the patient lays on the floor and actively participates.
Only gentle pressure is applied, with stretching incorporated for whole body relaxation.
There are lots of scientifically proven health benefits.
One study discovered that Thai massage can reduce levels of the stress marker present in our saliva.
Another randomized trial revealed it helps to combat fatigue and boost energy levels.
Massage has always been a great way to get the blood pumping . Thai massage in particular works wonders with its yoga-like stretches that fill the body’s tissues with oxygen.
Aromatherapy massage uses essential oils from plants to improve both mental and physical wellbeing.
Think Roman chamomile, geranium, lavender, tea tree, lemon, ginger, cedarwood and bergamot. Not only do they produce wonderful smells, but each one has a different chemical composition that affects how it’s absorbed and then impacts on our body.
A number of trials have shown how Roman chamomile can help to decrease anxiety.
One study , involving 58 cancer patients, tracked how participants felt before and after an aromatherapy massage.
Findings revealed that the treatment eased anxiety and also offered relief from depressive symptoms.
Suffering from menstrual cramps and looking for solutions ?
A double-blind clinical trial discovered that the therapy is great for easing discomfort.
Participants found their pain level was reduced as well as the duration. In fact, the duration of the cramps decreased from 2.4 days to 1.8 days!
When you book a hot stone massage you can expect smooth, heated stones made of volcanic rock to be placed on certain parts of your body.
Typical places would be your spine, stomach, chest, face, palms, feet and toes.
Cold stones may also be used to soothe the skin and calm swollen blood vessels.
It’s an indulgent treatment and the perfect option if you want to gift someone a massage .
As well as sharing similar benefits with other forms of massage like relieving muscle tension and helping to promote better sleep , hot stone massage can treat painful conditions like rheumatoid arthritis (RA) .
Research conducted in Miami found that people with RA benefited from moderate-pressure massage like hot stone therapy.
Participants experienced less pain, greater grip strength and a more extensive range of motion after just one month of treatment.
Despite not being as common as other types of massage, Craniosacral Therapy can be used to treat a variety of symptoms.
During your treatment you stay fully clothed, with soft music and low lighting used to help you unwind.
You can expect a gentle hands-on technique that is all about light touch to examine membranes and movements of the fluids in and around the central nervous system.
The Craniosacral Therapy Association says it’s suitable for everyone — from newborn babies to the elderly.
CST is thought to relieve compression in the head, back and neck, easing pain and releasing both emotional and physical stress and tension held in the body.
When reviewed as a therapy for individuals with moderate to severe migraines, CST was shown to be effective for reducing symptoms.
Watch the video below from the Craniosacral Therapy Association as they demonstrate the light touch that is the bedrock of this technique:
As the name suggests, deep layers of muscle and the surrounding tissue are targeted with the aim of lengthening and relaxing deep tissue .
This results in an intense treatment, as blood and nutrients are carried to your muscles, helping to eliminate toxins.
If any of our readers are suffering from chronic pain or have a sports injury, you need to pay special attention now:
Researchers examined the effects of deep tissue massage on males with ankylosing spondylitis , a type of arthritis.
They discovered that the treatment significantly reduced pain compared to therapeutic massage.
When it comes to helping with recovery, studies have shown that it can also work wonders for ankle injuries .
Wherever there’s muscle tissue, you could develop a small area of tension that feels like a knot or marble under the skin — this is a trigger point.
When someone applies pressure you will either feel absolutely nothing or significant pain!
Trigger point therapy is mostly rubbing and pressing on trigger points, which can relieve tension and feel amazing.
One common form of the treatment is acupuncture .
The underlying belief of acupuncture is that an illness is the result of blocked or interrupted ‘chi’ (similar to ‘Ki’ we mentioned earlier, but this is the Chinese spelling as acupuncture has roots in China). ‘Chi’ provides your body with healing energy.
Through acupuncture these blockages are eradicated and your energy flow can hopefully go back to normal.
You can expect fine needles to be inserted into certain parts of the skin as part of this process.
Another way to treat trigger points is through the ancient Chinese therapy acupressure , a blend of acupuncture and reflexology.
During treatment the therapist will apply pressure to ‘acupoints’ and by doing so will stimulate your nerve center, boost your circulation and get the flow of energy moving around your body.
You can even enjoy acupressure at home by investing in an acupressure mat . When you lay on one, the plastic or metal points will replicate the treatment.
A head and scalp massage is a pure sensory pleasure. You can sit there, close your eyes, relax and enjoy.
But did you know that besides placing you in a total zen-like state , this type of massage may ease headaches, cut down feelings of stress and even boost hair growth. Amazing, right?
Don’t just take our word for it, listen to the American Massage Therapy Association .
They have reported that a scalp massage may help decrease the i
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