Gravity Fx Fitness

This old dog recently learned some new tricks at a continuing ed course on deep tissue massage therapy.  If you think that massage needs to be painful to be effective, think again.

One of the nice things about these CEU classes is getting worked on by another professional.  In general, I prefer firm to deep pressure when getting worked on.  In the last two courses I’ve attended, the therapists that I worked with, used decent pressure, but not as much as some of the work I’ve received.

Yet, the massage was fairly precise and skillfully applied – and the results were noticeable.  As I was driving back from Chicago last weekend I noticed that I was able to breathe easier and deeper than before.

A few days later I noticed that my shoulder was moving a little better, even though there really wasn’t much work done directly to the glenohumeral (shoulder) joint – which can tell you that where it hurts isn’t necessarily where the problem is.

The next night my mother asked for some assistance for some pain she got while doing yard work over the weekend.  She had lifted some things she probably shouldn’t have and had pain around her shoulderblade that was radiating down her arm.

Instead of having her lie face down on the table, I put her on her opposite side and worked around the upper and inner edge of her shoulderblade while I used gravity to let her scapula drop down a little.

Instead of using a lot of pressure, I massaged the area while using her arm to add movement to her shoulderblade, which helped relax the tense muscles.  Besides not causing any undue pain, I didn’t work any harder than necessary, which is also a good thing.

I talked with her today and she said that the pain had disappeared after the massage work, with no more radiating pain going down her arm, either.

Deep tissue massage doesn’t always need to use the most amount of pressure from the therapist.  There are different layers of connective tissue (fascia) that can develop adhesions and they need to be unstuck.  Light, relaxing massage usually works on the superficial layers only, often leaving the deeper layers stuck together after an injury or trauma.

Moist heat prior to the work can soften the connective tissue, making it easier to manipulate.  Warming the soft tissues with lighter massage first can prepare the tissues for the work to follow.

Clients sometimes tell the therapist they can go deeper, even though the therapist is still “prepping” the tissues for the deeper pressure to follow – just like how an athlete warms up prior to playing their sport.  Be patient!

In wrapping up, I’ve had deep tissue work that didn’t get the desired results because it wasn’t as skillfully applied as it could have been.  Pressure is great, but skill is more desireable than just being heavy handed.

By the way, my Mom still needs some strengthening and posture training to prevent future problems.

Get moving!

Brian Morgan

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Is pain a necessary evil or can deep tissue massage be unnecessarily painful?  As a massage therapist and former instructor of massage therapy, I’ve had some interesting discussions on this matter.

Recently I was talking with a fellow therapist who uses deep pressure with her massages and usually people tell her that the results are much different than light, relaxing massage.  Sometimes, the clients are amazed at how it can make them feel.

The pressure that I use and that I enjoy, is firm to deep pressure.  Sometimes this can be uncomfortable to receive and often, a little painful for a brief moment.  I’ve had some pretty good results, though, and don’t have much problem putting up with some momentary discomfort in exchange for lasting results.

I’ve also had some students tell me that they have come across people that have had bad results with deep tissue work and endured too much pain.

So this made me think about this little dilemma and I think I have some answers.  One, the therapist may have used very deep pressure without adequate skill.  I’ve had a few therapists use lots of pressure, but it wasn’t applied skillfully and the results weren’t what they could have been.

I have a very high pain threshhold and generally need plenty of pressure to make a change in my muscles.  I also push my body to its limits when I exercise, so my muscles are fairly dense and used to a lot of stress, so I can handle deep pressure very well.

My first massage was about 13 years ago.  At the time, I was doing concrete construction, which included plenty of digging and pushing a wheelbarrow full of dirt or wet concrete – a pretty demanding job.  I didn’t experience any pain, but my muscles got stiff after a while.

So I decided to try massage therapy and had a half hour session with a chiropractic student.  He used deep pressure work, along with triggerpoint and stretching.  The session left me with some bruising on my backside and some spot tenderness – lots of pressure!

But it wasn’t really painful and really loosened my hips and I felt much better – I played softball a few hours later and hit a homerun my first time up – mission accomplished.  There again, I had spent lots of time lifting weights and doing manual labor, so my body was used to being stressed.

Maybe those that don’t do anything physically demanding can’t tolerate a lot of pressure in their massage.  Those with high stress levels – your issues end up in your soft tissues – often seem to need and want more pressure.

The deep tissue massage is designed to release tension in overworked muscles or reduce or realign scar tissue, which may be restricting the muscles’ ability to stretch.  This can include cross fiber friction massage, which is frequently painful or at least, uncomfortable.

This technique is often used by physical therapists in dealing with an injury and can be used by massage therapists, as well.  I’ll finish for now and discuss this more in a second article next week.

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