Chronic
Pain and Massage Therapy
Few experiences are as distressing as chronic pain. Painful
situations sap your energy and take an emotional toll. Over time, pain
can become a vicious cycle with a life of its own, sometimes persisting
even after the original cause is resolved.
Massage therapy is one of the most overlooked, yet accessible supportive
measures you can seek for chronic pain. Dr. Donald Melzack, a pioneer
of modern pain research, said of massage therapy” almost all societies
use mechanical pressure…to relieve pain…There is not one of
us who does not …stretch an aching back or rub an area that hurts.
These are our own, almost instinctive, maneuvers which have developed
into various anti-pain procedures.”
THE PAIN CYCLE
The pain cycle is a complex chain of events which reinforce each other.
The wheel of painful suffering often begins with a traumatic stressful
situation in one’s life. These situations can be of a short(acute)
or long lived duration (chronic)and involve a persons body symptoms, stressful
narratives ,social conflicts, and a person’s ways of languaging
these events. These stressful patterns often foster injury, illness, and
endless interpersonal conflicts. Massage therapy is unique in addressing
these elements of the pain cycle.
ELEMENTS OF THE PAIN CYCLE
PAIN: You perceive pain when your body releases chemicals
that stimulate nerves to send pain messages to the brain. These are difficult
and dangerous to ignore. Pain immediately causes us to examine “what’s
going on” in our lives that’s creating this painful situation.
This search opens us to deeper reflections on our life situation.This
can involve many levels of examination-physical(symptoms),mental,(narratives)
and social realities such as our relationships to work,intimate relations,and
meanings of life.
In collaboration with your massage therapist one can explore and treat
the cause of your pain. At the same time, through receiving massage treatments
one can affect how one experiences chronic, persistent pain. Research
suggests that massage stimulates release of natural pain relievers such
as endorpins. Massage can also reduce the devastating grip of pain as
one learns to relax deeply the chronically held tensions located in three
central areas of the body namely the central nervous system,visceral congestion,and
skelto-muscular spasms.
MUSCLE TENSION: Muscles automatically contract around
any painful site to support and protect the area. If pain persists, the
muscles can become habitually contracted. Sometimes muscle contractions
press on nerves causing tingling, numbness, and more pain.
REDUCED CIRCULATION: Like a sponge that is squeezed,
a contracted muscle can’t hold much fluid. Tight muscles reduce
circulation, allowing waste products from inflammation and normal muscle
function to accumulate. This can leave you feeling fatigued and sore,
reducing your energy reserves. It can also irritate nerves, causing pain
to spread throughout the tense area. Massage releases contracted muscles
and pushes circulation toward the heart. Also, as massage relaxes the
nervous system, blood vessels dilate to increase blood flow. Waste products
are flushed away and replaced with healing oxygen and nutrients. As your
tissues are cleansed and flooded with nutrients,you may experience relief
from emotional symptoms such as anxiety,depression,suffering ,anger outbursts
to a renewed sense of optimism which can last for days.
TRIGGER POINTS: Over time, areas with poor circulation
form trigger points-highly irritable spots that refer pain, tingling or
other sensations elsewhere in the body, usually in a predictable pattern.
Trigger points respond well to standard massage techniques such as sustained
pressure,ice massage,and muscle stretching.
MUSCLE and FASCIA SHORTENING: Eventually,
the body lays down restrictive connective tissue throughout any contracted
area.While helpful for healing injuries,this natural reaction can glue
muscles and their connective tissue coverings into a shortened state.Massage
increases circulation,rehydrating and softening connective tissue that
surrounds the tight muscle. This again helps free a person from the pain
cycle.
RESTRICTED MOVEMENT: Irritating waste products, painful
trigger points, and shortening muscles make even simple actions difficult
and tiring. As your capacity for movement and exercise decreases, you
lose the most important means for maintaining good circulation throughout
your body, risking pain in new areas. Massage helps restore normal movement
by releasing trigger points, removing waste products, and stretching shortened
muscles. In addition, because you feel better after massage therapy, you
may discover renewed energy and motivation for physical activity.
STRESS AND PAIN: Our physical reactions to stress reflect
how we evolved in prehistoric times. Muscles tense for action and circulation
decreases to areas not needed to fight or flee. To be in a constant state
of tension doesn’t help with modern stresses such as family conflicts,
work pressures or money worries. When stress is unrelieved, our bodies
tense further into an anxious deformed postures. Chronic pain itself is
a major source of stress. It drains you emotionally, robbing you of patience
and stamina you need just to get through a day. It interrupts your sleep,
leaving you tired and irritable. You worry about its cause and if you
will ever get better. As pain makes normal activity difficult, your anxiety
increases. Stress induced muscle tension and impaired circulation can
and do contribute directly to the pain cycle.
MASSAGE THERAPY AND STRESS; Massage acts on the nervous
system to counteract the body’s response to stress, relaxing muscle
tension and allowing heart rate, blood pressure and circulation to return
to normal. Many people sleep better after massage, which helps the body
heal and renews emotional reserves.(Life Nourishing).This opens a space
that frees one from the grip of the pain cycle (Painful contractions)
at first this space may be temporary but with body awareness of habits
and massage this healing space slowly expands fostering more time and
space freed from chronic pains. This somatic awareness helps you become
aware of unconsciously held tension patterns, and how it feels to relax
and let-go of habitually held tension responses. This helps one sense
the tension patterns, the narratives and social situations that increase
it and ways of stepping out of them.
WHAT ELSE CAN BE DONE; always seek medical advice for
pain since it can indicate a serious health condition. Always inform Richard
about any medical conditions and inform primary health care worker that
your receiving massage.
FOSTERS BODILY AWARENESS; Through receiving massage a
person soon learns where one holds tension.This awareness can help you
recognize early stress warning signs such as stomach ache,shoulder pain,sore
feet,headaches,whatever.You can then learn the follwing methods to shift
the tension cycle.
LEARNING TO RELAX AND OPEN DEEP BREATHING: Relaxation
is a skill that can be learned.Through a receiving a good massage you
can experience where you hold,constrict,twist,collapse or rigidify .This
will give you instant awareness of when your body goes back to habitual
tension patterns.Only this time around you will be able to immediately
beaware of the situation that’s creating the stress,your emotional
programmed response, ways to reform habitual postures,problem-solving
capabilities,and languaging. Through awareness of these four modes of
intelligence one can create longer periods of feeling good making it earier
to consciously recreate that state in your daily life.
Massage therapy is most effective when it is in the context of a wellness
model. In which a person is encouraged to become responsible in creating
actions and social climates that foster good health. Such as rest, nutrition,
exercise, good breathing, play, laughter, sexuality and awareness of everyday
habits that create the bedrock for painful conditions to take hold.
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