Massage and Bodywork Therapy
From The MS Information Sourcebook, produced by the National MS Society.
Massage is the most common of all bodywork therapies. It was used in ancient Greece as a treatment for sports and war injuries. Today, massage is used to relax muscles, reduce stress, and relieve conditions exacerbated by muscle tension.
Types of massage commonly practiced in the United States today:
- Swedish massage, which uses the traditional techniques of:
- Effleurage (a long gliding stroke)
- Petrissage (kneading and compression)
- Vibration (a fine, rapid, shaking movement)
- Friction (deep circular movements with thumb pads or fingertips)
- Tapotement (a series of quick movements using the hands alternatively to strike or tap the muscles)
- German massage, which combines Swedish movements with therapeutic baths. (Please note: people with MS who are heat sensitive should avoid hot baths.)
- Acupressure, which stems from the traditional Chinese practice of acupuncture but uses fingers rather than needles to stimulate specific parts of the body.
- Shiatsu, a Japanese system based on finger pressure, which focuses on prevention rather than healing; its purpose is to increase circulation and restore energy balance in the body.
Other common forms of bodywork therapy include:
- Rolfing or Aston variations-an effort to correct body alignment by applying deep pressure to the fascia, the tissues that cover muscle and internal organs.
- Feldenkrais method-called "awareness through movement"- which is designed to make patterns of movement easier and more efficient by correcting habits that unduly strain muscles and joints.
- Alexander technique-a movement therapy intended to correct bad habits of posture and movement that lead to muscle and body strain and tension.
- Trager method (Tragerwork)-in which gentle, rhythmic touch is combined with exercises to release tension in posture and movement.
Massage and MS symptoms
Many people with MS use massage for relief of the following symptoms:
- Spasticity-massage can help relax muscles and enhance range of motion exercises.
- Poor circulation-massage can increase blood flow through superficial veins by friction, through deeper arteries and through veins by petrissage. It can increase capillary dilation through light stroking. It may be helpful in preventing the development of pressure sores but should not be used if pressure sores or reddened areas of inflammation are present.
- Pain-massage is useful in any condition in which a reduction in swelling or mobilization of tissues leads to pain relief. It can provide pleasurable stimulation, giving the client a chance to relax, relieving anxiety and fear. If massage is used as an aid for controlling pain, it should be used under the advice of a physician.
Massage may be unsafe in these conditions
- Edema-which is defined as swelling caused by an accumulation of excessive amounts of watery fluid in cells, tissues, or body cavities. Edema can have many causes, including heart and kidney disease, and it is essential that a physician determine the reason for the edema before beginning massage. If the edema is the result of immobility, mild massage may be helpful.
- Osteoporosis-in which bone may become brittle to the point of being easily broken. For reasons that are not entirely clear, but which may be related to corticosteroid use and restricted mobility, people with MS tend to have lower bone mass than the general population and are more subject to fractures. When osteoporosis is present, massage therapy should be given only with the advice of a physician.
- Ulcers or enlargement of liver or spleen
- People who have recent injuries or have been diagnosed with cancer, arthritis, or heart disease should consult a physician before receiving massage therapy.
- Women who are pregnant should consult their physician about the types of massage that are appropriate during pregnancy.
Massage and the underlying disease of MS
While massage can be helpful in relieving stress and inducing relaxation, it has no effect on the course of MS. A 1998 study investigated the effect of massage in people with MS on:
- relief of anxiety and depression
- improvement in mood, self-esteem and body image
- increased ambulation and improved physical and social functioning.
The study used self-reports by the participants, and found that, at the end of a five-week period, physical and social activity had improved in the people receiving massage. Those in the massage group also reported a decrease in depression. There was, however, no improvement in grip strength and only marginal improvement in ambulation.
Finding a qualified massage therapist
The American Massage Therapy Association has a certification program, and can supply names of approved therapists. Most states also have licensing programs. Additional information can be obtained from them and from the Touch Research Institute.
American Massage Therapy Association
500 Davis Street, Suite 900
Evanston , IL 60201-4695
Phone: 877-905-2700 or (847) 864-0123
Web site: http://www.amtamassage.org/
Find a massage therapist: 888-THE-AMTA (888-843-2682)
Touch Research Institutes
University of Miami School of Medicine
P.O. Box 016820
1601 NW 12th Avenue, 7 th Fl., Suite 7037
Miami , FL 33101
Phone: (305) 243-6781
Web site: www.miami.edu/touch-research
Clinical Bulletin for Healthcare Professionals
Bowling A. Complementary and Alternative Medicine and Multiple Sclerosis (2nd ed.). New York: Demos Medical Publishing, 2006.