Massage Therapy vs. Chiropractic

If you are anything like me, you probably prefer staying away from providers of conventional Western medicine as much as possible and I cannot say that I blame you.

Although I have full medical coverage for that “you never know when you might need it” time of my life, I have not seen any of my Blue Cross doctors in well over ten years, and I hope to continue not seeing them for the rest of my life. Please do not miss understand me and think that I am some sort of superhuman creature who never gets ill. I do have my weak moments of pain and sniffles just like everyone else, or at least everyone else who takes good care of him or herself. So, when my body seems to need a boost, I visit one of my two favorite practitioners of alternative medicine; my massage therapist or my chiropractor.

I know that it all sounds very simple and straight forward but it is, in fact, somewhat challenging at times, because I do not always know which one of these wonderful professional to seek out. So, I often first opt to visit my chiropractor for a good therapeutic session of adjusting and aligning my skeletal structure and then, as an extra bonus to me and my one and only body, I also make an appointment with my massage therapist for some hefty digging and rubbing. Between the two of them, I come out feeling like a million bucks although my finances are sadly depleted. I figure that we, my body and I, are worth it.

Now, you might ask and rightfully so, “What is the difference between a massage therapy and chiropractic therapy?” Well, I will be happy to tell you:

* Chiropractic Therapy.

- For the most part, chiropractic therapy focuses on the hard tissues such as the spine and other joints for adjusting and realignment. Chiropractors have some training in massage techniques but that is never their first and foremost priority.

- Chiropractors are authorized to make medical diagnosis, order x-rays or blood works.

- Chiropractors cannot prescribe conventional medications but they can sell supplements or homeopathic remedies.

- Chiropractors do not need medical referrals to perform their work.

* Massage Therapy.

- Massage therapists perform wonderful work on the soft body tissues such as the muscles, tendons and ligaments but they have not been trained nor are they licensed to adjust the spine or any other joints.

- Massage therapists may not legally make medical diagnosis, order x-rays or any blood work.

- Massage therapists are not permitted to dispense medications of Western medicine but they can and do provide or recommend alternative herbal remedies.

- Massage Therapists do not required referrals from anyone to conduct their massage sessions.

A highly acclaimed national non-profit magazine recently conducted a study in which more than 34,000 participants in the United States were asked to rate which alternative treatments worked best for their two biggest health problems for the past two years and the overwhelming majority voted just as I would have; for deep tissue massage therapy and chiropractic therapy in equal measures for such conditions as back pain, osteoarthritis, rheumatoid arthritis, fibromyalgia, respiratory problems, high blood pressure, high cholesterol, depression, insomnia and prostate problems.

Of course, as far as alternative medicine is concerned, one should not discount acupuncture and reflexology for they too are beneficial in their own very special ways.

The Indian Head Massage

Its origins stem from an Indian remedial and grooming practice which had been and continues to be part of the Indian daily ritual for over 4,000 years.

The ancient Indians believed that when energy channels become blocked and the flow of positive energy is obstructed, negative energy builds up and increasingly leads to a wide array of ailments and dysfunctions such as stress, depression, poor sleeping habits, localized and remote pains and aches, hampered and sluggish blood circulation, overall poor health, as well as loss of hair or baldness. The main focus and intent of the Indian Head massage, therefore, is to open up the blockages and to allow the positive energy to flow freely through the entire body and in the process to get rid of the amassed negative energy.

Indians in times of yore, young and old and mostly women but not exclusively, sat in large groups and massaged each other’s heads. They began by applying a variety of nut and grain oils (coconut, almond, olive or sesame) which were to nourish the hair and scalp while, at the same time, the massage promoted improved circulation. Today’s modern Indians get their head massage treatments regularly in beauty salons and barber shops.

The Indian Head massage was introduced into the Western world in the early years of the 1970s by Narendra Mehta, a native of Bombay, India and an osteopath and a massage therapist. As countless techniques for the Indian Head massage were passed down through the generations, Mr. Mehta developed his own particular technique by integrating the head, neck, and shoulder and massage into a single robust therapy which promotes and elevates the body to heightened states of physical, mental and spiritual health and wellness. Mr. Mehta branded his comprehensive massage treatment as Champissage. Champi means “head massage” in Indian and it is also, by the way, the origin of the English word “shampoo.” With the help of Mr. Mehta’s promotional campaign, Champissage rapidly gained popularity in Europe and elsewhere around the world, and he summarizes his own belief which, in fact, echoes the belief of his ancestors by making the following statement out of his current home base in London: “Unfortunately, in the West, many people worry about their hair’s health only when they start to lose it. Healthy hair should be promoted from childhood with the help of regular massage.”

The body has seven chakras which are centers that regulate the flow of energy all through the body. Champissage works on the top three energy centers or chakras which are found on the crown of the head, the forehead and the throat as it aims to bring the entire body into corrected alignment and proper balance. The resulting effects are strong, silky and shiny hair, relief from stress, restful sleep patterns, increased energy and sharpened mental clarity.

The Indian Head Massage or the Champissage is performed in a quiet place where the client can sit comfortably on a chair and the massage therapist can either stand or sit directly behind him or her. The sequence of the treatment is as follows:

* The shoulders. Gently squeezing the trapezoid muscles at the base of the neck and moving outward toward the shoulders. This is repeated three times while slightly increasing the pressure.

* The neck. The neck is massaged with small circular motions, beginning at the collarbone and ending at the hairline. This is repeated three times.

The sides of the neck are then stroked with a rolling motion beginning under the jawbone and ending at the shoulders. This is repeated three times.

Avoiding the vertebrae, the back of the neck is pressed with a gliding and rotating motion from the collar bone up to the hairline and it is repeated five times.

* The head. The head is moved slowly and gently forward and backward three times.

The entire area of the scalp is massaged with rolling gentle pressure four or five times and then the scalp is rubbed briskly without causing pain for a full minute.

* The hair. Fingers are run through the hair from the forehead back three times.

* The temples. The temples are worked with small circular massaging and pressing movements three times.

* The end. Slowly stroking the entire head area from the forehead to the back for a minute and progressively making the strokes lighter and lighter.

Risks Of Massage Therapy

By and large, massage therapy that is performed by a properly schooled and well experienced massage therapist who practices his or her art prudently and with due caution, is risk free to its recipient’s health and wellbeing.

For that reason along, if for no other, massage therapists must be selected very carefully as credentials and licenses are scrutinized meticulously, references are checked with diligence and questions are asked relentlessly. Regardless of how it is phrased or worded, one question which must always be asked of a potential massage therapist is the following, “Which health conditions would you consider preclusive of massage therapy and why?” And the correct answer, whether stated in exactly those words or different ones, should be, “There are certain health conditions which must rule out massage therapy and those are ?” And he or she must name the following:

* Cancer. Massage therapy comes in different forms which affect the body differently. There are also many different types of cancers and patients may be at different stages and receiving different treatments. In some cases and certain types of massage therapy may lead to life threatening results while in other cases with another type of massage therapy the results may be extraordinarily beneficial. Because of such complexity, it is essential to consult with the medical provider who knows the particulars of the case in question before proceeding with a massage therapy of any kind.

The potential risks involved in performing massage therapy on cancer patients do not inevitably discard the entire concept of massage therapy but it does mean that extra caution must be practiced and, perhaps, moderate to extreme alteration of the treatment is in order. And the health risks are the following:

- Fractures of bones. Certain forms of cancer and their treatments weaken bones to the extent that they can easily break under pressure.

- Bleeding. Many cancer patients have the tendency to bleed easily. Deep tissue massage can cause dangerous internal bleeding.

- Spreading of cancerous tumors. There is an ongoing debate about the effects of massage therapy on tumors. Some claim that applying vigorous pressure to the area where the tumor is present will cause it to metastasis (break down and to spread or to increase its rate of growth). Others, however, deny that claim as unsubstantiated and untrue. It is best to play it safe and not massage the tumor region or its surrounding soft tissues.

- Lymphedema (the buildup of lymph in soft tissue which leads to swelling of the limbs). Certain types of massage therapy in patients who have had their lymph nodes removed due to cancer may lead to lymphedema.

- Flu-like symptoms. Patients who are going through chemotherapy can often develop symptoms which look and feel like the flu after having been treated to certain types of massage therapy.

- Pain. Cancer patients frequently suffer a great deal of pain and most massage therapy techniques can result in some temporary pain immediately after the treatment. That may translate to added pain when too much of it is already present and that can be quite literally unbearable.

* Post-surgery. Shortly after surgery, the wound is still in the process of healing visually on the surface of the skin as well as internally. Applying pressure to the site may cause a series of risky health problems such as reopening the incision, trigger internal and/or external bleeding or blood clotting, and so on.

* Skin conditions. Areas where the skin is infected, inflamed or covered with rashes or sores should not be massaged as it can lead to worsening of the condition.

Even when taking into account all the risks which have been mentioned above, massage therapy can still be very beneficial to most people in most situations. Rather than discounting it completely due to specific concerns, I would advise consulting a physician.

The Foot Massage

Some 2,500 ago and during Lord Buddha’s time in ancient India, a physician named Jivaka Komarabhacca developed a complex massage system which somehow ended up in Thailand where it was pass on by word of mouth from one generation to the next and is still practiced today in much the same way as it was so many centuries ago.

When the Thai alphabet was developed under King Ramkamhaeng the Great, scholars began recording all aspect of Thai society, culture and healing practices which, of course, included massage therapy. Unfortunately, future generation had little left as almost all was destroyed when Thailand’s capital of Ayuthaya was captured by the Burmese invaders in 1776. All that remained of the recorded ancient traditions was that which, under the directives of King Rama III who wanted to preserve as much as possible, was engraved on the walls of Wat Poh, one of the most famous temples in Bangkok.

Based on the ancient teachings regarding massage therapies, many different kinds are practiced in modern day Thailand. The Foot massage is one of the most interesting of them all due to the fact that its principles are simple while its practice is quite a bit more complicated as the force which is applied to the foot by the massaging hands must be exceedingly accurate as it is directed toward particular nerves of the foot. The Thai believe that each part of the foot has a direct link to another remotely located part of the body such as a vital organ or a system. Therefore, applying pressure and massaging a certain area of the foot influences the soft tissues of that particular area of the foot as well as the other.

As a general rule, the Foot massage is much more effective when the foot is bare as opposed to being clad with socks or stockings. There are several basic techniques that are used by just about every Foot massage therapist and they are:

* Sweeping and Rubbing. Most Foot massages begin with bringing an increased supply of blood into the foot by rubbing its surface lightly but long enough to create the desired warmth and the rhythm of movement.

* Thumb Walking. The thumbs are used to apply more direct and firm pressure to various parts of the foot as well as to loosen the tense tendons which run along the its outside edge.

* Toe Rotation. The toes are very sensitive and care should be taken when manipulating them by either rotating each toe individually or by gently pulling them upwards and outwards while squeezing gently.

* Kneading. Kneading is accomplished by firmly but not harshly pressing and rotating the knuckles of a fisted hand back and forth across the sole of the foot, from its heel to its toes.

* Cupping. This is a simple squeezing of the entire foot with an up and down motion of one hand while cupping it with the other.

The benefits of a good Foot massage are many:

* Firmly pressing and massaging the base of the fourth toe heals an ailing heart.
* Pressing and massaging the base of the second toe stimulates the lungs and the bronchial system for improved breathing.
* Pressing and rolling the area between the first and second thumb relieves headaches.
* Massaging between the third and fourth toe relaxes tired eyes and improves vision.
* Stretching and pulling the big toe alleviates pain caused by sinusitis.
* Rotating pressure at the ball of the foot will ease stomachaches and heal the kidneys, the bladder and the entire excretory system.
* Applying pressure to the front of the heel delivers remedial effects to the male and female genital glands.
* Stretching the skin backwards and forwards under both sides of the anklebone is therapeutic to the reproductive tracts of men and women.
* Pulling the knuckle of any toe backwards along the instep eases spinal pain and improves posture.
* Holding the foot between two hands and rubbing the top of the foot between the first and second toe with one thumb which rubbing the top of the foot between the fourth and the fifth toe with the other, relieves pain of the inner ear and the chest.
* Massaging the inner and outer edges of the foot is beneficial to the diaphragm.
* Pushing and massaging the soft spot beneath the anklebone reduces the pain from the sciatic nerve and stimulates the lymphatic system to cleanse the body of bacteria and toxins.
* Enfolding and rotating the toes achieves overall relaxation and a sense of well-being.
* With so much pressing, massaging, rolling, gyrating, pulling, stretching and stroking; all the soft tissues of the foot itself become relaxed and invigorated.

Dysfunctions Responding To Clinical Massage

Occasionally referred to as an orthopedic massage, Clinical massage is an entire array of manipulation techniques designed to assess and then to minister to soft tissue injuries and these may include but are not limited to: massage therapy, trigger point therapy, myofascial release, muscle-energy techniques, craniosacral therapy, deep tissue massage and so on.

The Clinical massage therapy is usually based on a physician’s prescription and directives as a series of treatment sessions to be performed over a set period of time and at specified frequency as related only to a specific need. In that regard, this therapy is most often performed with a particular and purposeful outcome in mind, and its first and foremost objectives are to relieve pain, to increase the range of motion and to help repair and restore soft tissues such as muscles, tendons and ligaments to their normal and healthy functions.

The first of the doctor-prescribed set of sessions is predominantly devoted to assessment or diagnostics of the client’s true condition and with all the data collected an action plan can be formulated:

* By using various levels of palpation or touching of the ailing body part, the massage therapist will pinpoint the exact location as well as determine the levels of pain.

* The range of motion and the strength of the muscles is tested through a sequence of movements such as a passive movement which involves the massage therapist moving the relevant muscle groups while the client is inert; an active movement which involves the client’s own movement of the muscles in questions; and the resisted movement which involves the clients’ movement against a resisting force.

* If clinical data related to previous soft tissue injuries and massage therapy is available, it will be reviewed for comparison to the current situation and the phase of healing will be determined.

* The findings are closely reviewed along with the doctor’s orders and a customized Clinical massage therapy is drawn up.

Most every condition of the soft tissues can benefit from Clinical massage to some extent, but the following list displays dysfunctions which respond most advantageously to its application:

Myofascial Pain. Pain and physiological dysfunctions are known to begin at specific points within muscles and their connective tissues which are also known as fascia. These are appropriately referred to as trigger points because they tend to set off or trigger reactions at remote locations.

Scientists and researchers have successful recorded comprehensive map systems of myofascial trigger points and they have been able to identify dozens of dysfunctions relating to them. The most common of these are: carpal tunnel syndrome, TMJ dysfunction, PMS, headache, diarrhea, dizziness, cardiac arrhythmia, indigestion, tennis elbow, urinary frequency, sinusitis, deafness and blurred vision.

Fascial Plane Dysfunction. Fascia covers nearly the entire body in large endlessly connected sheets which can be distorted and bound to themselves and nearby tissues when inflicted with injury, misalignment or a chemical imbalance. To promote optimal health, the fascial sheets and the blood vessels and nerves which follow them must be in good conditions.

Neuromuscular Dysfunction. Even the simplest and the tiniest of movements of the body requires armies of nerve impulses to be sent to the muscle which is directly involved, as well as to the adjoining and opposing muscles. And it must all be accomplished with precision of timing and proportions. When the mechanics of any part of these functions break down, muscle fibers or entire muscles lock.

Tonus System Dysfunction. Overused muscles become hypertonic or lose their ability to relax. Consequently, they tighten and cause stress on opposing muscles and on the joints they cross.

Dermatomic Dysfunction. When nerves are pinched anywhere along their path, pain will be delivered to the area they serve.

Spondylogenic Dysfunction. When joints of the spine are impaired or compressed, pain will occur in that specific area.

Stated more simply, people suffering from muscle or joint pains or tightness, muscle fatigue or tension, shooting or spreading pains, allergies or asthma, anxiety or depression, irregularity of the digestive system, arthritis or circulatory problems, sleep disorders, headaches, immune function disorders or stress, they can be helped as their symptoms can be relieved through Clinical massage.

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