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Saturday, July 9, 2011

Therapeutic Back Massage Techniques

Ref. : http://www.easyvigour.net.nz/backpain/h_BackMassage.htm

Therapeutic Back Massage Technique Tips:

Lie the partner on their belly on a firm, comfortable surface (see diagrams below). Make sure you can reach their whole back without straining your own.

Back Massage Technique, Tip 1: Whole Hand Effleurage

Warm the massage oil in your hands, and apply a modest amount (see tips, above ) with whole hand "effleurage" (definition - smooth rhythmic stroking): Use the whole surface of both hands (see diagram). Stroke reasonably firmly upwards from the lower back all the way up to the neck, then (gentler pressure), circle around and back to the lower back region (5 to 10 minutes).

Back Massage Technique, Tip 2: Effleurage using Heel of the Hand

There is a smaller area of contact, so the pressure is deeper. Both hands work in circles - start at the lower back. Move in a circle, first outward, then upward and return to the center. Gradually progress to the upper back (5 minutes).

Back Massage Technique, Tip 3: Effleurage using reinforced Fingers

(Smaller area of contact, so deeper again - see diagram). Stand on the opposite side to the one that you are working on. I suggest you stand on the right side first. Push with the flats of your fingers (one hand on top of the other) away from the center line, then glide back toward the spine. Start at the lower back, and work up to the upper back (five minutes).

Back Massage Technique, Tip 4: Stripping, using the Reinforced thumb

Glide with deep sustained pressure up the full length of the "sausage shaped" muscles either side of the spine (see diagram). Back off the pressure a little as you cover the neck. Move slowly and deliberately, feeling for knots or sensitive spots as you glide from lower to upper back. Three times each side; alternate with a couple of minutes of effleurage (techniques one to three above), and repeat the stripping.

Back Massage Technique, Tip 5: Frictions, using the Reinforced Middle Finger:

Firm deep movements either side of each spinous process. Start to the side of the lower spine and move upward. Apply 5 frictions at each spot - more if over a sore spot.

Back Massage Technique 6: "Effleurage" using Forearms

Apply firm downwards pressure (see diagram), and move the arm closest to the head up to just below the shoulder blades. 6 strokes. For the first stroke, be aware of the possibility of lower back pain

Back Massage Technique, Tip 7: Trigger point release using sustained pressure of the of the reinforced thumb.

Let the patient's pain be your guide. Place your thumb over any tender spots or knots that your patient may have told you about or that you may have felt, and press firmly and with increasing pressure thus: Gradually increase the pressure until the pain is 6 or 7 on a scale of one to ten. Hold that pressure until the pain lowers to about 4/10 (takes about 5 seconds). Immediately (don't stop the pressure), increase again until the pain is 6 to 7 on the scale of 10, and again hold until the pain subsides to 4/10. Repeat step two. This is painful, but you can't do much harm to the patient - quite the reverse: muscle and back pain (upper or lower)may miraculously disappear. Your thumb is more likely to suffer, so make sure that you back it up with the fingers of the other hand, and after each trigger point release, give your thumb a bit of massage too.

Back Massage Technique, Tip 8: Finishing with Effleurage

Apply effleurage (stroking moves) with supported fingers (technique 3 above), then effleurage with the heel of the hand (technique 2 above), then full handed effleurage (technique 1 above). This will enhance the good that you have done with the stripping and trigger point release. Then leave the patient quiet for a few minutes.

Patient Advice:

For the five days after the massage, encourage the patient not to sit, stand still or run, for longer than half an hour at a time; but rather to take a short walking break, and to sip water frequently.

Back Pain Red Flags

If your massage patient has back pain (upper or lower) related to any of the following, refer them to a medical specialist. See also:- Back Pain Red Flags
Younger than 20 or older than 55 and getting back pain for the first time.
Pain after a violent injury, e.g. road traffic accident.
Pain is constant and getting worse.
Pain is in the upper part of the spine.
Cancer in the past or at present.
Taking (Cortico)steroids.
Drug abuser, or HIV infected.
Generally unwell or feverish.
Significant weight loss.
Continue to have great difficulty bending forwards.
Nerve related problems other than pain: loss of sensation (especially of the area that would sit on a saddle - so called saddle anaesthesia), loss of power, urinary or bowel incontinence.
Obvious structural deformity of your spine.
Debilitating pain that is not reducing after 4 -6 weeks.

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Thursday, July 7, 2011

Introduction to Therapeutic Back Massage Tips

Ref. : http://www.easyvigour.net.nz/backpain/h_BackMassage.htm

So long as you have an the help of an understanding partner who will give you good feedback, you can quickly learn to apply therapeutic back massage techniques (Swedish Massage: Effleurage and Stripping, Trigger Point Release) that rival those of massage experts.

Required Equipment for Therapeutic Back Massage:

Warm, quiet, relaxed environment.
Firm comfortable surface such as a (firm) bed, massage table or floor mat.
Massage Oil. Baby oil will do fine for a starter.
Towels: to lie on, and also to cover the body.
Cushions or pillows.

Massage Tips:

Massage oil decreases the friction created on the skin and prevents the pulling of hairs. Don't use too much: The less oil, the greater the friction and the deeper the pressure.
Use slower movements for a soothing or calming response.
When applying pressure with finger or thumb, provide support with the other fingers and thumbs. Otherwise you will wear your thumbs out!

Massage Patient Comfort:

If the patient is uncomfortable in the lower back, ankles, neck or shoulders, place cushions as required under the whole length of the torso, and/or under the ankles, the shoulders, or the side of the head (diagram right). In pregnancy, the patient can lie on her side. Do not use the massage techniques in this article during pregnancy (not gentle enough). Try the following article at 101lifestyle.com : Massage In Pregnancy: A Step by Step Guide
Cover any parts of the body not being worked on with a warm towel.
Pour the massage oil onto your hands first, and then apply (too cold otherwise!) Once the massage is started, keep a hand on the person at all times, so that there are no surprises.
Avoid direct pressure on bony processes.
(Important!) - Ask the patient for feedback: Are you warm enough? Are you comfortable? How's that feel?

Massage Warnings:

Minimal direct pressure on bony processes.
Avoid broken skin, blisters or areas of possible infection.
See also Back Pain Red Flags

Massage Benefits:

Relaxation, releasing of tight muscles.
Emotional comfort and stress management.
Increased body awareness.
Improved circulation, and improved lymphatic drainage for release of toxins.

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Wednesday, June 8, 2011

What is Abdomen Massage

Ref. : http://www.massagehealththerapy.com/articles/41/massage-therapy/abdomen-massage.html

The abdomen houses vital organs and is a very important part of the body. The abdominal cavity comprises of the stomach, diaphragm, colon, small intestine, liver, pancreas, and gall bladder. The health of the abdomen lies with the stomach, the digestion process and reproductive organs.

The peristaltic waves of the alimentary canal (The muscular contractions of the alimentary canal in wave like fashion move contents toward the opening) begin in the upper stomach and continue down through the rectum where fecal matter is eliminated. In a healthy person, such a wave starts every 20 seconds during digestion. But, when the digestive system is unable to actively digest a meal peristalsis waves slows down. Ideally, the peristaltic waves must be able to flow uninhibited through the entire digestive tract in order to ensure the proper functioning of the intestines.

When the digestion process is inhibited due to illness, malabsorption or inactivity due to a stagnant lifestyle the abdomen undergoes immense stress from the muscles (attached from the spine to the pelvis for support) and the well connected fascia (sticky-like layer between skin, fat and muscle )network that hold the organs within the abdominal cavity. Such stress in the abdominal area may lead to pain in the sides, lower back pain, inguinal and joint pain at the pelvis. Sometimes, even the ribs may get affected.

Other problems related to the abdomen include: abdominal disorders like IBS (Crone’s or Ulcerative Colitis), spastic colon, chronic constipation, dislocation of female reproductive organs and problems caused by dislocation such as miscarriages, infections, premature birth, weak new borns, backache, difficult menopause etc…

Hence, the abdominal massage is highly effective remedy in removing obstructions, correcting dislocations and restoring the harmonious flow. Abdomen massage helps open the abdominal cavity and release the fascia so the organs can lay unrestricted in their natural positions in the abdominal cavity.

Benefits of an abdominal massage

The key benefits an abdominal massage can provide include:

General improvement in blood circulation benefits the blood vessels in the abdominal cavity.
The veins transport the blood depleted of oxygen to the heart more quickly and the arteries respond by supplying the body cells with freshly oxygenated blood.
The liver, the gall-bladder, and the pancreas receive a large share of oxygen and nutrients and release their metabolic waste products such as carbonic acid into the bloodstream.

How does one render an abdominal massage?

Here are some basic guidelines to an abdominal massage

An abdomen massage requires the person to lie on their back, knees supported by bolsters. The abdomen is left exposed for the therapist to massage, with the chest and pelvis draped to the comfort of the person. The therapist begins the massage by warming the fascia, employing strokes from the descending colon, around to the transverse and then to the ascending colon. The therapist assists the release of the connective network, and often frees the bowel to perform its function naturally.

Warm castor oil or regular massage lotions are favored lubricants for this type of massage. Heat may also be applied for a better result though it is not necessary. An abdominal massage can be done specifically or along with a full body massage.

Incase of self massage, it is advisable to do an abdominal massage in the mornings and evenings while lying in bed for about 15-30 minutes. With regard to self massage, it is believed that the effectiveness of the massage depends upon the sensitivity to the upward and downward movements (expansion and contraction) of the abdomen. Which means it is important to use softer strokes and light pressure on the abdominal walls and one can intensify the massage strokes with gentle vibrations during the exhalation when required.

As a practice, keep the strokes in tandem with the breath because stimulating the diaphragm will not only enhance the abdominal massage but also encourage deeper abdominal breathing. During inhalation, the hands should follow the expansion of the abdomen. During exhalation, the hands must move along with the contraction. Remember: the pressure applied by the hands is almost zero while inhaling, whereas it intensifies in pressure when exhaling.

Just before exhalation, draw nine circles counter-clockwise with the right hand on the right side, followed by nine circles clockwise with the left hand on the left side. Then exhale. The pressure should be just enough to move the skin lightly. The circles should only be as large as the stretched skin permits.

The circular motions push the abdominal wall against the intestines. Be sensitive to the strokes and notice the soft structure of the intestine underneath the abdominal wall. Unless one is able to feel the intestine, one may not be able to experience the benefits of the massage.

Continue to draw the circular motions with both hands such that both the hands move towards each other. The right hand moves counter-clockwise, the left hand clockwise. Both hands are moved from the lower outside region of the abdomen to the center. Once they reach the center the hands are moved upward, then to the sides and downward. Thus, each hand draws one circle on the right and one on the left side of the abdomen.

Complete the abdominal massage by combining the circles with gentle vibrations. These soft strokes stimulate the entire intestine. One can continue doing so for three to five minutes. It is also advisable to take a 3-5 minutes break between strokes applied to the abdomen.

Other Known Abdominal Massage Therapies

With the success and popularity of massage therapies various traditionally followed techniques have come to light. Some such known therapies used to treat and massage the abdomen include:

Mayan Abdominal Massage: A traditional Latin American form of abdominal massage which treats all problems related to the abdomen for men and women.
CNT: or Chi Nei Tsang is an abdominal massage therapy from China also known as a healing massage developed with the objective to ease digestion and eliminate toxins and create a free flow of chi or energy in the body.

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