Category Archives: Chronic Conditions

Massage Therapy for Diabetes

Massage Therapy for Diabetes

November is Diabetes Awareness Month. The health benefits of massage are varied, but can it help in the management of diabetes? Find out what’s proven to work best, and what should you know about massage therapy for diabetes.

As more Americans incorporate CAM modalities into their health care, people with diabetes are also looking to complement their lifestyle with integrated medical care. Massage Therapy is a commonly-used modality for patients with diabetes. Learn how it can help you or a loved one with diabetes.

Abstract in Brief

Massage is among the fastest growing CAM therapies used in the United States. Here we present a brief review of the available evidence on potential benefits and adverse effects of massage for people with diabetes: Massage at injection sites may increase insulin absorption; uncontrolled studies suggest that massage may have a positive effect on blood glucose levels and symptoms of diabetic neuropathy; randomized, placebo-controlled studies are needed to confirm any short- and long-term benefits of massage as a complementary treatment for diabetes and to further define an optimal massage treatment.

This article aims to clarify what is and is not known about the use of Massage Therapy for people with diabetes, with 4 frequently asked questions.

1. Can Massage Improve Insulin Absorption?

Our search found one study on insulin absorption in Type 1 diabetes. No studies were found on insulin absorption in Type 2 diabetes. Dillon observed that eight lean, well-controlled patients with Type 1 diabetes who massaged their insulin injection sites with an electric vibrator for 3 minutes at 15 minutes post-injection, experienced higher insulin levels and lower serum glucose levels by 15 minutes after the start of massage and 29 minutes post-injection, but these changes were not statistically significant. More significantly, serum glucose levels fell 8.3% lower (P < 0.05) 30 minutes after massage and 44 minutes post-injection compared to the control day when participants did not massage their injection sites. At 45 minutes post-massage, the difference in glucose levels was even more striking (76 mg/dl ± 6%) when compared to the control day (89 mg/dl ± 4%).

The same report revealed 2-year follow-up data on these eight patients, as well as on 18 others who had been massaging their injection sites for 3 minutes at each meal in order to achieve a  beneficial postprandial rise in insulin levels. After 3–6 months of massage, the mean HbA1 for the 26 patients fell from 10.56 ±1.73 to 8.55±1.69%. (Normal HbA1 was <8.2% according to the laboratory assay used.) After 12-18 months of injection-site massage, 8 patients had normal HbA1 levels, and the remaining 18 patients had mean HbA1 levels of 8.41 ±1.58%, a significant improvement from baseline (P < 0.001). Dillon proposed that injection-site massage can improve conventional insulin therapy by increasing the bioavailability of insulin in the postprandial state.

2. Can Massage Help Normalize Blood Glucose Levels?

Three published results of two trials and one unpublished preliminary study have examined the effects of massage on normalizing blood glucose.

Fields and colleagues, describing a single-group, pre/post-test design in two publications of the same study population, reported that after 1 month of parents administering nightly full-body massage to their  diabetic children (n = 14), the children’s glucose levels decreased from an average of 158 to 118 mg/dl. The authors also reported that both parents’ and children’s anxiety and depression levels decreased immediately after massage.

Vest trained clinical staff to administer 15-minute sessions of breathing instruction, light touch and acupressure to diabetic patients for 6 consecutive weeks using a one-group, pre/post-test design (n = 12). Patients had a reduction in blood glucose, anxiety, headaches, depression, work stress and anger. Self-reports also indicated the patients were sleeping better and had improved family relations. No P values were cited.

Preliminary data were available from one small trial comparing people with Type 2 diabetes receiving 45-minute full-body massage three times a week for 12 weeks (n = 6) to similar patients on a waiting list for massage (n = 2). Researchers found that of the 6 patients receiving massage, HbA1c decreased in 3 patients from a baseline of 7.9, 8.3, and 9.8% to 7.3, 8.1, and 8.6%, respectively. In the other three patients receiving massage, HbA1c increased from a baseline of 7.4, 8.2, and 8.0% to 7.9, 10.0, and 8.5%, respectively. These patients, whose glycemic control deteriorated while receiving massage, were obese, injecting insulin, or both. None of the group whose glycemic control improved with massage had either of these characteristics. In the waiting list control group, HbA1c level also declined from 7.3 and 8.6% to 6.9 and 8.4%, respectively.

3. Can Massage Provide Relief for Symptoms Associated With Diabetic Neuropathy?

Our search found one trial assessing the effects of massage on the symptoms of diabetic neuropathy. This single-group, pre/post-test design assessed 25 patients with symmetrical diabetic neuropathy of the lower extremities and complaints of burning, tingling, pain, itching, restless legs, paresthesia and loss of reflexes. The duration of disease was 6–17 years, and the duration of neuropathic symptoms averaged 14 months. Massage was administered every 2 days, with the total number of treatments ranging from 20 to 30 in those who appeared to benefit. Therapy was discontinued after the tenth treatment for those who experienced no benefit.

Subjective outcomes were defined as no effect, improved or good. At the 1-month follow-up, results showed good response in 14 cases (56%), improvement in 8 cases (32%), and no effect in 3 cases (12%).

Question #4: What Contraindications or Precautions Are Related to Massage for People With Diabetes?

A potential adverse effect of massage for diabetes appears to be the risk of inducing hypoglycemia in insulin-using patients. This risk is extrapolated from massage studies using healthy volunteers. None of the studies of massage and diabetes reports adverse effects.

In the study of massage for diabetic neuropathy, Kurashova specifically cites contraindications and precautions for people with diabetes. In the beginning, it is recommended to use only continuous effleurage. Massage should begin with 5-7 minutes on the back, then proceed to the posterior thigh and calf. 20-30 minutes total on the posterior body; then 10–15 minutes on anterior extremities. For patients with peripheral nerve damage, gentle friction of the lower extremities can be added only after 7–10 treatments of effleurage have been completed.

Because vascular dysfunction may render the tissues fragile, friction should be light to avoid vascular damage or bruising. In swollen areas, friction should be avoided because the direct pressure into the tissues that is characteristic of friction may further close the dysfunctioning vessels. Pressure should be sufficiently light to cause no pain.

SUMMARY

Massage at an insulin injection site can significantly increase serum insulin action, thereby decreasing blood glucose levels in people with Type 1 diabetes. It is unknown whether massage can improve insulin sensitivity and therefore be a useful adjunct to management of Type 2 diabetes.

Uncontrolled studies suggest that massage may help normalize blood glucose and symptoms of diabetic neuropathy. Randomized, placebo-controlled studies are needed to further clarify what an optimal massage treatment might be and to elucidate any short- and long-term benefits of massage as a complementary treatment for diabetes.

Kids Can Have Arthritis Too

Kids Can Have Arthritis Too

In recognition of July as Juvenile Arthritis Awareness Month, we share this information about this painful disease that affects children and teens.

Image result for juvenile arthritis monthArthritis isn’t just one disorder. It’s a complicated set of musculoskeletal disorders made up from over 100 different diseases or conditions that destroy joints, bones, muscles, cartilage and other connective tissues. The symptoms cause pain, limit movement, and can halt an otherwise active person’s life.

In the US, almost 300,000 of those affected by arthritis are kids. Juvenile arthritis (JA) is a broad way to describe a variety of autoimmune and inflammatory conditions that can develop in children ages 16 and younger. The cause is unknown and it can appear in many different ways.

Children Can Be Diagnosed With Arthritis

We usually associate arthritis with middle-aged and elderly adults, not children and teenagers. Stiff joints, pain and swelling for more than 6 weeks are associated with arthritis. Eyes, skin and the gastrointestinal tract can also be affected in children. It is an autoimmune disorder, meaning the body is attacking itself instead of a foreign body such as a virus. If your child or teen seems to always have a tummy ache and complains of joint pain it could be a good idea to visit your doctor for a chat.

There is No Known Cause

Parents of children with a JA diagnosis wonder “What caused this?” Unfortunately the answer is usually, “We don’t know for sure.” Researchers are looking at genetic and environmental factors which may contribute to the development of JA, but they have found no specific cause. There isn’t one single blood test to diagnose. Studies are trying to determine if siblings of children with JA will also develop symptoms.

Common Signs of Juvenile Arthritis

Complaints of painful knees, hands, feet, neck, or jaw common symptoms. This pain is common first thing in the morning or upon waking from naps. Arthritis pain tends to appear slowly, not suddenly like an injury.

Stiffness in the joints is another sign of arthritis. Usually the stiffness will be worse in the morning but improve with movement throughout the day. Some children may stop doing certain things. Has your toddler stopped using utensils to eat when he has been wielding a fork for months? See if you can determine if he’s in pain or just exploring with his fingers.

Swelling of a joint or joints is a strong sign a child might need an evaluation. The joint may be hot to the touch, as well. Often a child with JA will develop fevers with fatigue but no other symptoms of illness.

Treatments for Juvenile Arthritis

Even though there is no cure for JA, doctors will have a treatment plan for each patient. Treatments may include medication, physical therapy, nutrition, and eye care. One patient may respond well with medication while others may do better with movement or physical therapy. The whole family will work together in an effort to maintain normalcy for the patient. Adjustments to schedules may happen, but there’s no need to quit living life altogether.

Massage as a Treatment

We all know massage feels great on sore muscles, but can it help with the stiffness of arthritis? Maybe! We know massage can have a positive effect on blood pressure and anxiety. A study at the University of Medicine and Dentistry of New Jersey looked at people with osteoarthritis of the knee. The people who received a Swedish (or relaxation) massage twice a week for 8 weeks reported improvement in pain levels and function.

Massage for children and teens can be beneficial in many ways. Regular massage helps manage painful symptoms and can help improve self-awareness, self-image, and self-confidence. Parents can even work with a massage therapist to learn soothing techniques to apply at home. Massage for arthritis is usually gentle and soothing with a warm touch, perfect for use by any parent trying to help his or her child.

With this list of signs you may learn how to spot the signs of something more serious than a case of the childhood “I don’t want-tos.” Chronic pain is no fun, but it can be harder to deal with if no one knows it’s happening. Juvenile arthritis is a real issue with real symptoms. If spotted and treated early, it doesn’t have to mean an end to the active life your child deserves.

If you have any questions or would like to schedule a massage for your child (or yourself!), please contact us by phone: 808.885.4459 or email: pacmsg@gmail.com

Massage Therapy for Headaches

Massage Therapy for Headaches

Image result for headacheJune is Migraine Awareness Month. Fifty million Americans have chronic headaches – the most common pain problem reported to physicians, ranging in severity from annoying to debilitating. Massage therapy can help significantly with the 3 most common types of chronic headaches.

At Pacific Massage Services we assess whether a patient’s headache might indicate a life-threatening condition, such as tumor, meningitis, aneurysm or head trauma. During intake of a headache patient, we ask the following questions:

• Is this the first headache you’ve ever had?
• Is this the worst headache you’ve had?
• Is this one very different from your usual headaches?
• Do you also have other symptoms, ie fever, body pain, earache, dizziness, confusion, stiff neck?
• Have you had a recent head trauma?

 A “yes” answer to any of these questions results in an immediate referral to the patient’s physician to rule out a serious problem. Massage is contraindicated for a headache due to infection, recent head trauma or central nervous system injury.

Another important question we ask is: Could you be dehydrated? With insufficient water, the salinity, and thus osmotic pressure, of the cerebrospinal fluid in the cranium rises. This painful head pressure can be relieved by drinking an adequate amount of water.

Image result for headacheOnce we have established that the headache does not seem to involve another condition, we determine the type of headache to help us select the most effective treatment. There are three main types of chronic headaches:

1. Tension Headache – Characterized by tension and pain in neck, shoulders, head, face, TMJ; feels like a tight cap squeezing the entire head.

2. Vascular Headache – Deep throbbing pain from excessively dilated blood vessels in the meninges, causing migraine and cluster headaches.

3. Inflammatory – Accompanies sinus infection, URI or UR allergy; constant, deep facial pain, often exacerbated by movement.

A structural imbalance is often the root cause of chronic headaches. While massaging tense muscles can bring temporary relief, correcting a structural imbalance can bring long-term relief from chronic headaches. Two factors influence a successful massage treatment:

1. Release of contracted muscles: Skilled massage therapists release the upper thoracic fascia, the contracted musculature of all cervical and upper thoracic muscles, and all  skeletal attachments. Muscle tension constricts blood flow to these muscles and to the head. This combination of muscle spasm and inadequate blood supply is the primary cause of pain in tension headaches.

2. Structural Alignment: Back, neck and shoulder tension often creates a structural imbalance, as can treatment to these muscles alone. So we balance upper back work by including lower back massage; and posterior work by also releasing anterior and lateral muscular structures, thus allowing any structural or postural misalignment to rebalance. The correction of postural deviation is often all that is needed to prevent future headaches. For vascular headaches, structural realignment has the additional benefit of improving the flow of cerebrospinal fluid and blood to the head, giving long-lasting benefits for the relief of vascular headaches.

In addition to hands-on treatment, at Pacific Massage Services, we also counsel patients on postural causes of headache, such as long hours of driving, or phone or computer work. We make suggestions for improvement, for example: placing the computer monitor at eye level and use of ergonomic seating. As well, we advise patients on lifestyle changes such as sufficient water intake and possible dietary causes. When appropriate, we recommend stretching, exercise, chiropractic care, physical therapy, nutritional counseling or medical attention.

Tired and Achy 24/7?

Tired and Achy 24/7?

Image result for chronic fatigue syndrome awareness month

In recognition of March as Chronic Fatigue Syndrome Awareness Month, we share information on the benefits of massage therapy for this exhausting condition.

Chronic Fatigue Syndrome (CFS) is a distinct collection of signs and symptoms that affect multiple systems in the body. It varies in severity from mildly limiting to completely debilitating. The Centers for Disease Control (CDC) officially named this condition in 1988, purposely keeping the name general to include all patients with the wide variety of symptoms that characterize this condition.

The central defining symptom of CFS is extreme fatigue/exhaustion that is not relieved by rest. It may be accompanied by swollen lymph nodes, sore throat, slight fever, muscle and joint pain, headaches, excessive pain after mild exertion, short-term memory loss, inability to concentrate, and/or depression, in addition to non-restorative sleep.

Other symptoms of CFS are prolific and may include: digestive disturbances, chest pain, heart palpitations, dizziness, morning muscle stiffness, and others. There is much crossover between CFS, fibromyalgia, lupus and irritable bowel syndrome, as well as psychological problems relating to living with chronic pain.

Primary CFS treatment consists of making lifestyle choices that support optimum wellness and immune function: stress management, moderate dietary choices, gentle exercise and adequate sleep. Many CFS patients are hypersensitive to medications, and often find that a lower dosage is adequate.

Massage therapy is strongly indicated as helpful for CFS patients, in the following ways:

Pain relief

Improved sleep

Lower anxiety levels

Cleanses blood and tissues

Increases endorphin production (“happy” hormones)

Decreases cortisol production (stress hormones)

Relieves depression

Stimulates circulation when exercise may exacerbate pain.

The caring support of the therapist, combined with skilled touch, has the potential to make CFS less isolating for patients suffering from this debilitating syndrome.

Give us a call to learn more about info and special offers this month for CFS patients.

Pacific Massage Services: 808.885.4459.

October is Massage Therapy Month!

October is Massage Therapy Month!

Image result for massage therapy monthMassage is one of the oldest healing arts: Chinese records dating back 3,000 years document its use; the ancient Hindus, Persians and Egyptians applied forms of massage for many ailments; and Hippocrates wrote papers recommending the use of rubbing and friction for joint and circulatory problems. Today, the benefits of massage are varied and far-reaching.

As an accepted part of many physical rehabilitation programs, massage therapy has also proven beneficial for many chronic conditions, including low back pain, neck pain, headaches, arthritis, bursitis, fatigue, high blood pressure, diabetes, immunity suppression, infertility, smoking cessation, depression, and more. And, as many millions will attest, massage also helps relieve the stress and tension of everyday living that can lead to disease and illness.

INJURY. Were you injured at home, at work or in your car? Whether your pain is from a recent injury or you’ve had that nagging ache for a while, massage therapy can give you relief and comfort!

HEADACHES. Do you miss out on work and play because of frequent or severe headaches? Our targeted approach treats migraine and tension headaches with great results!

INSOMNIA. Does insomnia keep you from feeling and functioning your best? Regular massage can put an end to those sleepless nights so you are more energetic and more effective!

SURGERY. If you have soreness, stiffness or poor scar healing after surgery, our post-op massage series can accelerate healing, relieve pain and minimize scarring!

STRESS. Anxiety, depression or stress got you down? Massage therapy is proven to balance endorphin and cortisol production to boost your mood and brighten your outlook on life!

JOINT PAIN. Do have pain in your muscles or joints? Our special techniques can alleviate pain from fatigue, repetitive use, over-exertion, arthritis and more!

CHRONIC CONDITION. Does a chronic fatigue condition such as fibromyalgia limit your activities and reduce your fullest enjoyment of life? We can help with soothing, energizing massage and adjunct services.

PREGNANCY. The childbearing year is filled with joy, anticipation, aches and pains! Relieve the discomforts of pregnancy while lying face our special down on our special pregnancy massage table!

Massage is beneficial for many discomforts from a variety of conditions. CALL US TODAY to learn whether massage therapy is right for you! For the entire month of October, we offer SPECIAL PRICING for our Fall program – Tune-In and Tune-Up with Massage! 808.885.4459.

Massage Therapy for Arthritis

Massage Therapy for Arthritis

Image result for arthritisIn recognition of May as Arthritis Awareness Month, we explore how this painful condition can be helped with massage therapy. Arthritis is an umbrella term used to describe over 100 medical conditions and diseases, known as rheumatic diseases.

According to the Arthritis Foundation, massage can help with arthritis in two ways. First, it reduces muscle pain caused by spasms. Second, it increases production of endorphins which reduces pain.

For greatest benefit, massage therapy is most effective on a regular basis with a therapist trained and experienced in working with arthritis. The optimum treatment schedule is once a week for one month, then 1-2 times per month thereafter.

Two studies involving arthritis of the hands and knees each concluded that massage therapy is beneficial:

  1. A 2006 study at the Touch Research Institute in Miami demonstrates effects of hand massage in arthritis patients. Dr. Field shows by grip strength pre and post treatment that the treatment group had significant improvement in mobility and function compared to the non-massage control group. Also, to increase synovial fluid production in affected joints, treating the surrounding joint tissues and establishing a methodical treatment interval is suggested (Wine, 1995). As a systemic disease, RA can create blockage in lymph nodes proximal to affected joints, contributing to pain. Gentle friction techniques increase the delivery of oxygen and nutrients, and assist in the removal of waste products surrounding the affected joints. Massage is contraindicated during an acute inflammatory stage, but when in remission, massage can effectively manage symptoms, prevent inflammation, and reduce joint damage.

Massage therapy is safe and effective to reduce pain and improve function in adults with osteoarthritis of the knee, researchers at the Yale Prevention Research Center and at the University of Medicine and Dentistry of New Jersey (UMDNJ) report in the first clinical trial to assess the effectiveness of this treatment.

The 16-week study identifying the benefits of massage on osteoarthritis patients with pain, stiffness and limited RoM was published in the December 2006 Archives of Internal Medicine. Osteoarthritis, affecting 21 million Americans, causes more physical limitation than lung disease, heart disease and diabetes mellitus, according to the CDC.

The 68 study participants were randomly assigned either to an intervention group that received massage therapy immediately, or to a wait-list control group that received massage after an 8-week delay. Both groups continued previously prescribed medications and treatments.

Participants in the intervention group received a standard 1-hour massage twice a week for 4 weeks, followed by massage once a week for the next 4 weeks at the Siegler Center for Integrative Medicine at Saint Barnabus Ambulatory Care Center in Livingston, NJ. After the first 8 weeks of massage therapy, participants had improved flexibility, less pain and improved range of motion.

The primary study outcomes were changes in the Western Ontario and McMaster Universities Osteoarthritis Index pain and functional scores, as well as changes in the Visual Analog Scale assessment of pain. Measures of pain, stiffness and functional ability were all significantly improved by the intervention as compared to the control group.

Those who continued with only their usual care without massage showed no changes in symptoms. During weeks 9 through 16, they received the massage intervention and experienced benefits similar to those in the original control group. When reassessed 8 weeks after completion of the massage intervention, the benefits of massage persisted at significant levels, with slight reduction in magnitude.

“Massage is free of any known side effects and according to our results, clearly shows therapeutic promise,” said senior investigator of the study David L. Katz, MD, associate adjunct professor in the Dept. of Epidemiology & Public Health at Yale School of Medicine and director of Yale Prevention Research Center. “Massage is important when conventional treatments are far from ideal. NSAIDs are often not well-tolerated. Cox-II inhibitors like Vioxx were developed as substitutes for traditional anti-inflammatory drugs, but pose toxicity problems.”

Katz conducted the study with Adam Perlman, MD, executive director of the Institute for Complementary and Alternative Medicine at the UMDNJ-School of Health-Related Professions. Perlman said “Our results suggest that massage therapy can be used in conjunction with conventional treatment for osteoarthritis,” said Perlman. “Ultimately, massage may be shown to lessen a patient’s reliance on medications and decrease health care costs.”

Perlman and Katz say that further study of the cost-effectiveness and the lasting impact of the intervention is warranted. They have begun collaborating on a follow-up study.”

Our hope is to show that this treatment is not only safe and effective, but cost-effective,” said Perlman. “That could serve to change practice standards so that massage is a more common option for the many patients with osteoarthritis of the knee.”

More info: http://www.arthritis.org

Always Achy and Exhausted?

Always Achy and Exhausted?

Chronic Fatigue Syndrome (CFS) is a distinct collection of signs and symptoms that affect multiple systems in the body. It varies in severity from mildly limiting to completely debilitating. The Centers for Disease Control (CDC) officially named this condition in 1988, purposely keeping the name general to include all patients with the wide variety of symptoms that characterize this condition.

The central defining symptom of CFS is severe fatigue/exhaustion that is not relieved by rest. It may be accompanied by swollen lymph nodes, sore throat, slight fever, muscle and joint pain, headaches, excessive pain after mild exertion, short-term memory loss, inability to concentrate, and/or depression, in addition to non-restorative sleep.

In addition to the classic signs and symptoms listed above, other symptoms of CFS are prolific and may include: digestive disturbances, chest pain, heart palpitations, dizziness, morning muscle stiffness, and others. There is much crossover between CFS, fibromyalgia, lupus and irritable bowel syndrome, as well as psychological problems relating to living with chronic pain.

Primary CFS treatment consists of making lifestyle choices that support optimum wellness and immune function: stress management, moderate dietary choices, gentle exercise and adequate sleep. Many CFS patients are hypersensitive to medications, and often find that a lower dosage is adequate.                    

Massage therapy is strongly indicated as helpful for CFS patients, in the following ways:

Pain relief

Improved sleep

Lower anxiety levels

Cleanses blood and tissues

Increases endorphin production (“happy” hormones)

Decreases cortisol production (stress hormones)

Relieves depression

Stimulates circulation when exercise may exacerbate pain.

The caring support of the therapist, combined with skilled touch, has the potential to make CFS less isolating for patients suffering from this debilitating syndrome.

Relief is in sight! Give us a call to learn more about how Massage Therapy can help relieve the uncomfortable and painful symptoms of Chronic Fatigue Syndrome.

Pacific Massage Services: 808.885.4459.

Massage Therapy for a Healthy Heart!

Massage Therapy for a Healthy Heart!

Image result for february heart monthIn recognition of February as American Heart Month, created to educate the public about cardiovascular disease, we feature massage for cardiovascular health.

According to Heart Foundation.org, about 80 million Americans have heart disease or high blood pressure. The 2010 Heart Disease and Stroke Statistics update of the American Heart Association reported that 17.6 million persons in the United States have heart disease, including 8.5 million with a history of heart attack and 10.2 million with chest pain.

A good massage can both calm and stimulate the nerve endings in the skin; release endorphins (happy hormones); and reduce production of cortisol and adrenaline (stress hormones). Massage helps blood circulate more efficiently, lowers blood pressure, and causes heart rate to slow down.

Stress is a proven major contributor to cardiovascular disease. Research studies suggest that massage therapy can shift a patient’s nervous system from sympathetic to parasympathetic function. The sympathetic nervous system mobilizes the body for action with the fight-flight-or-freeze response, when faced with a stressful situation. Staying in this state for a prolonged amount of time is a common problem in our stressful modern society, and increases the likelihood of developing or worsening heart disease. Stress speeds up the heartbeat, increases breathing rate and causes blood vessels to narrow in diameter. The parasympathetic response, on the other hand, creates a relaxation response, characterized by reduced heart and breathing rates and dilated blood vessels.

A regular and consistent massage regimen can reduce the risks associated with stress, including cardiac arrhythmia. This is a medical condition in which the heart pumps less effectively than normal, causing less blood to reach the brain and other vital organs. Studies have shown that consistent massage therapy can contribute to reducing the risk of heart attack. Massage therapy relaxes contracted muscles and assists the veins in moving blood through the circulatory system, thus reducing strain on the heart.

Research also reveals that massage reduces heart rate, lowers blood pressure and increase blood circulation. A pilot study at Cedars-Sinai Medical Center showed that inpatient massage treatments performed after heart bypass surgery reduced pain levels, decreased the frequency and severity of muscle spasms and improved sleep.

Image result for massage for heart healthMassage therapy is usually administered by a trained and licensed therapist who uses hands and fingers to manipulate the tissues of the body –muscles, tendons and skin. When performed by a trained professional, massage is generally safe, with no adverse side effects. Since massage improves the circulation, it facilitates the delivery of nutrients and oxygen to the body’s cells, tissues and organs. The gliding action of the massage therapist’s hands over the skin can have a calming effect on the nerves, which medical studies show can help reduce the adverse effects of stress on the heart.

For people who do not get enough physical exercise, a massage at least once a month is highly recommended. Keep in mind that the effects of regular massage are cumulative. The more often and more consistently massage is received, the more it will help improve health over time.

Before receiving massage therapy for a heart condition, first consult your primary care physician or your cardiologist. If your doctor advises that massage may help you, find a massage therapist who meets the licensing requirements in your state. If you live in a state that does not require licensing, choose a therapist who is nationally certified through the National Certification Board for Therapeutic Massage and Bodywork (www.ncbtmb.org) or is a member of a massage therapy professional association, such as AMTA or ABMP.

Regardless of your age, size, gender or health, massage therapy performed by a qualified therapist can improve your heart health by reducing the effects of stress on the body, promoting relaxation of body and mind, and enhancing your overall well-being. Give us a call to discover how massage offers a drug-free, non-invasive and pleasurable approach to helping the cardiovascular system feel better and function better!

CALL TODAY – MASSAGE FOR A HEALTHY HEART! 808.885.4459

Massage Reduces PTSD Symptoms in Military Personnel

Massage Reduces PTSD Symptoms in Military Personnel

Image result for massage for veterans dayIn honor of Veterans Day, we offer special promotions and fees for active and veteran military personnel suffering with PTSD. According to a recent article in Science Daily, Post Traumatic Stress Disorder (PTSD) symptoms can be reduced with professionals use of healing touch and massage therapy.

PTSD symptoms include a variety of stressful emotional responses including re-living the original trauma through flashbacks and nightmares.  Those suffering from PSTD also are prone to insomnia, irritability, and intensified emotional reactions.  Others appear to be emotionally numb; some deal with the disorder by avoiding people or places which may remind them of the original traumatic situation.

Active duty Marines took part in a two-year trial.  Participants had at least one PTSD symptom based on pre-screening.  Over a three-week period the group that had received both the healing touch and guided imagery showed a marked improvement in PTSD symptoms as a result. The control group received the usual treatment for PTSD.  One investigator stated that the results – beyond being significant statistically – showed that those receiving the healing touch therapy actually had their symptoms reduced below that required to be diagnosed with PTSD.

At Pacific Massage Services, we are honored to help veterans and military personnel suffering with PTSD. Please call us to learn more about how massage can help with this life-altering diagnosis! 808.885.4459.

Massage Therapy for Arthritis

Massage Therapy for Arthritis

In recognition of May as Arthritis Awareness Month, we explore how this painful condition can be helped with massage therapy. Arthritis is an umbrella term used to describe over 100 medical conditions and diseases, known as rheumatic diseases.

According to the Arthritis Foundation, massage can help with arthritis in two ways. First, it reduces muscle pain caused by spasms. Second, it increases production of endorphins which reduces pain.

For greatest benefit, massage therapy is most effective on a regular basis with a therapist trained and experienced in working with arthritis. The optimum treatment schedule is once a week for one month, then 1-2 times per month thereafter.

Two studies involving arthritis of the hands and knees each concluded that massage therapy is beneficial:

1. A 2006 study at the Touch Research Institute in Miami demonstrates effects of hand massage in arthritis patients. Dr. Field shows by grip strength pre and post treatment that the treatment group had significant improvement in mobility and function compared to the non-massage control group. Also, to increase synovial fluid production in affected joints, treating the surrounding joint tissues and establishing a methodical treatment interval is suggested (Wine, 1995). As a systemic disease, RA can create blockage in lymph nodes proximal to affected joints, contributing to pain. Gentle friction techniques increase the delivery of oxygen and nutrients, and assist in the removal of waste products surrounding the affected joints. Massage is contraindicated during an acute inflammatory stage, but when in remission, massage can effectively manage symptoms, prevent inflammation, and reduce joint damage.

2. Massage therapy is safe and effective to reduce pain and improve function in adults with osteoarthritis of the knee, researchers at the Yale Prevention Research Center and at the University of Medicine and Dentistry of New Jersey (UMDNJ) report in the first clinical trial to assess the effectiveness of this treatment.

The 16-week study identifying the benefits of massage on osteoarthritis patients with pain, stiffness and limited RoM was published in the December 2006 Archives of Internal Medicine. Osteoarthritis, affecting 21 million Americans, causes more physical limitation than lung disease, heart disease and diabetes mellitus, according to the CDC.

The 68 study participants were randomly assigned either to an intervention group that received massage therapy immediately, or to a wait-list control group that received massage after an 8-week delay. Both groups continued previously prescribed medications and treatments.

Participants in the intervention group received a standard 1-hour massage twice a week for 4 weeks, followed by massage once a week for the next 4 weeks at the Siegler Center for Integrative Medicine at St. Barnabus Ambulatory Care Center in Livingston, NJ. After the first 8 weeks of massage therapy, participants had improved flexibility, less pain and improved range of motion.

The primary study outcomes were changes in the Western Ontario and McMaster Universities Osteoarthritis Index pain and functional scores, as well as changes in the Visual Analog Scale assessment of pain. Measures of pain, stiffness and functional ability were all significantly improved by the intervention as compared to the control group.

Those who continued with only their usual care without massage showed no changes in symptoms. During weeks 9 through 16, they received the massage intervention and experienced benefits similar to those in the original control group. When reassessed 8 weeks after completion of the massage intervention, the benefits of massage persisted at significant levels, with slight reduction in magnitude.

“Massage is free of any known side effects and according to our results, clearly shows therapeutic promise,” said senior investigator of the study David L. Katz, MD, associate adjunct professor in the Dept. of Epidemiology & Public Health at Yale School of Medicine and director of Yale Prevention Research Center. “Massage is important when conventional treatments are far from ideal. NSAIDs are often not well-tolerated. Cox-II inhibitors like Vioxx were developed as substitutes for traditional anti-inflammatory drugs, but pose toxicity problems.”

Katz conducted the study with Adam Perlman, MD, executive director of the Institute for Complementary and Alternative Medicine at the UMDNJ-School of Health-Related Professions.. Perlman said “Our results suggest that massage therapy can be used in conjunction with conventional treatment for osteoarthritis,” said Perlman. “Ultimately, massage may be shown to lessen a patient’s reliance on medications and decrease health care costs.”

Perlman and Katz say that further study of the cost-effectiveness and the lasting impact of the intervention is warranted. They have begun collaborating on a follow-up study.”

Our hope is to show that this treatment is not only safe and effective, but cost-effective,” said Perlman. “That could serve to change practice standards so that massage is a more common option for the many patients with osteoarthritis of the knee.”