PhysioPol physiotherapy services
PhysioPol physiotherapy services

Massage

 

 

 

 

Massage involves mechanical stimulation of tissues, usually by hand using specific pressure techniques. This results in the formation of a reaction (local or general) in response to the acting stimulus. There are many types of massage adjusted to the particular needs of the patients: sports, classical, relaxation, isometric, segmental, oriental one

The benefits of massage are numerous however, for some time one has been trying to combine it with other forms of therapy, e.g. physiotherapy, manual therapy, cosmetics or pharmacology. The goal of massage is to stimulate the peripheral circulation and metabolism, to intensify the circulation of tissue fluids and to accelerate the process of the removal of harmful substances formed in the muscle as a result of fatigue.

Massage does not directly contribute to increased muscle strength. It may affect it only indirectly by improving the conditions of the blood supply to the muscles. Massage is recommended especially in pain, fatigue, overwork and stress. It also brings aesthetic results, making the skin better nourished. The procedures performed on the muscles and joints allow one to deeply and effectively loosen the tense muscles. In addition, the epidermis is mechanically removed and the adipose tissue is broken. Sebaceous and sweat glands begin to function better, the body temperature rises, the skin becomes rosy, more tense and more elastic, and striae, bedsores, adhesions and thickenings are reduced.

The fundamental premise for a massage is complete muscle relaxation of the patient. Since massage is a passive procedure, muscle tension hinders its proper performance.

 

Indications for massage:

 

The locomotor system and orthopedics:

  •  Post-traumatic conditions
  •  Contusions (48 hours after the injury)
  •  conditions after dislocations, sprains combined with injuries of the ligaments and joint capsules (2-3 weeks after the injury)
  •  Conditions after bone fractures (consensual massage in the period of immobilization)
  •  Conditions after immobilization
  •  Changes in the locomotor organs resulting from overload
  •  Bone and joint diseases with periarticular contractures
  •  Conditions after operations on the locomotor organs (after the healing of the wounds)
  •  Chronic inflammation of the joints, ligaments and joint capsules
  •  Changes distorting the bones and joints
  •  Congenital defects and developmental disorders of the locomotor system
  •  Degenerative and proliferative changes of the joints
  •  Degenerative disease of the spine
  •  Periarticular shoulder inflammation
  •  Rheumatoid arthritis

Neurology:

  •  Paralyses and pareses of the peripheral nerves
  •  Neurites
  •  Inflammation of nerve plexuses
  •  lumbago
  •  Disc herniation
  •  Inflammation of the anterior horns of the spinal cord
  •  Cerebral vascular diseases accompanied by paresis or paralysis of the muscles (especially in the period of decreased muscle tone)
  •  insomnia
  •  Parkinson's disease
  •  Occupational diseases:
  •  Vibration disease
  •  Diseases of the nervous system resulting from occupational exposure to harmful agents
  •  Overload changes in the locomotor organs resulting from forced body postures (work in a sitting or standing position), static (motionless) work or  work in a variable microclimate
  • Pediatric diseases:
  •  Rickets
  •  Cerebral palsy
  •  Posture defects
  •  Curvatures of the spine
  •  Flat feet
  •  Hypotrophy (insufficient nutrition of the tissues and skin)
  • Respiratory and circulatory diseases:
  •  Failure of the lymphatic vessels
  •  General conditions of lowered blood pressure
  •  Peripheral arterial sclerosis (gentle massage)
  •  Raynaud's disease
  •  Varices of the lower limbs with no ulcers
  •  Massage is recommended in the case of patients immobilized in bed for a long time, to prevent bedsores, loss of the elasticity of veins suffered by geriatric patients and with reduced tension of the lymphatic vessels and capillaries
  •  COPD (chronic obstructive pulmonary disease)
  •  emphysema
  •  Chronic bronchitis
  •  Bronchial asthma in the interictal period
  •  Conditions after thoracic surgeries

 

Contraindications to the massage:

 

Contraindications to the massage can be divided into:

  •  Relative - they do not rule out, but restrict the manner, time and areas subjected to the massage
  •  Absolute general and local - they absolutely rule out the massage, as it may worsen the patient's health condition

 

Relative:

  •  Subacute inflammation
  •  Subfebrile condition (up to 37 Centigrades)
  •  Pregnancy
  •  Multiple sclerosis in remission
  •  Hemophilia (no blood clotting factor)
  •  Rheumatoid arthritis (RA)
  •  Osteoporosis
  •  Epilepsy
  •  Heart diseases (cardio-respiratory insufficiency)
  •  Peripheral ischaemia
  •  Hypertension
  •  Migraine (headaches)

Absolute:

  •  Lymphadenitis
  •  Acute purulent inflammation
  •  blood clots
  •  Phlebitis
  •  Advanced peripheral vascular disease
  •  Fever (body temperature exceeding 38 Centigrades)
  •  Bleeding, hemorrhages, bleeding-threatening conditions
  •  Cancer (massage can cause metastasis)
  •  Acute inflammation
  •  Menstruation
  •  Progressive loss of muscle (muscle atrophy)
  •  Multiple sclerosis (in periods of exacerbation, relapse, bout of the disease)
  •  Syringomyelia
  •  Shaking palsy,
  •  Unstable coronary heart diseases
  •  Aneurysms
  •  Gouty diathesis
  •  Mental diseases
  •  Infectious diseases

Absolute local:

  •  Inflammatory and allergic conditions of the skin
  •  Skin lesions (eczemas, ulcerations), interrupted continuity of the skin (wounds), etc.
  •  Varicose veins
  •  Ulcers of lower extremities
  • Abdominal massage is contraindicated in the following cases:
  •  Chronic duodenal ulcer disease and chronic gastric ulcer disease
  •  Nephrolithiasis and hepatolithiasis
  •  Inflammation of the bile ducts
  •  Ccute and subacute inflammation of the organs of the pelvis minor,
  •  Menstruation and pregnancy
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