Archives for category: Stress
In RA, the synovium, the tissue that lines the joint, mistakenly becomes a target for the immune system. The immune system cells release inflammation-causing chemicals which cause inflammation in the synovium. The synovium creates a fluid called synovial fluid, which lubricates the joint allowing for smooth movement. When the synovium becomes inflamed and damaged, it fails to produce this lubricant and the joint does not move as freely. If the inflammation of the synovium continues over time, the cartilage and eventually the bone become damaged. The joints can then become deformed and misshapen, and movement becomes limited.

RA affects more than just the hands and other smaller joints; it can affect the entire body making it a systemic condition.

Symptoms

  • pain in multiple small joints for six weeks or longer,
  • morning joint stiffness lasting longer than 30 minutes,
  • bilateral pain,
  • loss of energy and appetite,
  • low grade fever,
  • dry eyes and mouth (Siogren’s syndrome),
  • and rheumatoid nodules, or lumps, which can grow beneath the skin.

Trouble breathing, anemia and inflammation of the blood vessels can also be symptoms of RA.

Joints affected by RA may be tender, warm and swollen, typically in a symmetrical pattern – meaning if one side is affected the other side usually is affected as well. RA shows up in the smaller joints first, so wrist and finger joints are affected most often, but other joints such as the neck, shoulders, elbows, hips, knees and ankles along with the feet can be affected. While there is a great deal of variation in symptoms, once someone shows signs of RA, those symptoms usually last for years.

Drug treatment for RA involves drugs called disease modifying antirheumatic drugs (DMARDs) that relieve symptoms and slow the progression of the disease. Analgesics like non-steroid anti-inflammatory drugs and NSAIDs may also be used to reduce swelling, pain and fever.

Massage and Rheumatoid Arthritis

While massage can aid in increasing mobility and alleviating muscle tightness resulting from chronic pain, it cannot do much to alleviate pain from deformed or degenerating joints. Moderate pressure Swedish massage and myofascial release are the two types of massage that research has proven offer benefits for those with RA, but there may be other techniques that reduce pain and increase mobility as well.

Massage therapy has been shown to reduce pain and increase joint mobility as well as decrease depression and anxiety in clients with RA. In one study, those with RA who received moderate pressure massages enjoyed less pain and greater mobility and grip strength than those who received lighter pressure massage therapy (Field, et.al., 2013). Another study showed that the stress hormone cortisol decreased immediately when RA patients received massage therapy (Field, et.al., 1997).

A 2011 study showed that myofascial massage, applied three times per week for two weeks, provided significant pain relief from RA symptoms. Myofascial release works through the application of sustained moderate to deep pressure, which allows the muscle to lengthen, reducing strain on the joints from muscle tension (Cubick, et.al., 2011).

Deep tissue massage techniques or trigger point therapy on clients with RA, should be limited, as these techniques might trigger a flare up of inflammation, especially near joints affected by the disease. When employing these techniques, it is important to work slowly, giving the client time to react, and to not overdo it. Let the client “live with” the work after a short, limited amount of deep work to see how their body reacts. If they are okay and do not have an increase in inflammation in RA-affected joints after the session, you can do a little more deep work at the next appointment. If they have a flare up of symptoms, avoid deep tissue techniques. Communication from the client is key. Massage should never be more painful than a good workout. Discomfort is one thing, but especially when dealing with RA, pain is not optimal.

Contraindications

Basic contraindications for massage therapy apply to those clients with RA as well; avoid massage when there are open wounds, fever, skin rashes or irritation, or deep vein thrombosis. Clients with any significant health concerns should be cleared by their physician before getting massage therapy.

When working on clients with RA, joints that are in an acute stage of inflammation and are warm, red, or extremely painful should be avoided. The therapist should check in with the client regularly to ensure that the pressure is not too deep, as it is important to ensure the massage does not trigger muscle contraction and cause more tension and pain. If a client is having a significant flare up of symptoms, massage should not be performed until symptoms calm down. Joint mobilization and stretching should be performed with care, as joints may be damaged or compromised.

Massage therapy has been shown to significantly reduce pain, increase mobility and reduce stress and anxiety for clients with Rheumatoid Arthritis. Massage therapy should be light to moderate, and care should be taken with inflamed and potentially damaged joints. Clients with RA live with pain as a constant companion and truly appreciate any intervention which offers relief from that pain.

Communication with the therapist as to medications taken is important. Depending on the medication considerations will be made pertaining to how the medications affect the body including pain relief, muscle relaxation, nerve reaction, dehydration, time of last dose etc.

 Adapted from an article Written By Leslie DeMatteo, LMT, MS  December 7th, 2016

 

OMG, if I could count on one hand how many people’s primary complaint is neck and shoulder pain, I wouldn’t have a job! Seriously, I can just about guarantee anyone walking into my office is going to have a complaint of EITHER Neck & Shoulder pain or Low Back Pain if not both.

People with neck and shoulder issues often have their pain return before their next massage appointment. Work, play and children all make demands on the body. A dull ache can quickly turn into a burning pain especially while folding laundry, doing yard work, playing on the computer or any of the other million things you do.

What can you do between professional massage appointments to take the edge off neck and shoulder pain? Here are some ideas.

Take a Break

Take short breaks as often as you can if you sit at a computer all day. Move your shoulders around and s-t-r-e-t-c-h. Ideally you can get up and move around a bit. But even if you’re chained to the desk, you can rock out a little Deskercise to stay loose.

Get the kids into it

Have a short yoga break together! There are plenty of videos made especially for kids, and the moves are just as beneficial for adults. Bonus: got a little one averse to naptime? Try the lying-down postures here and maybe you’ll get a short break.

Heat it

Just 10-15 minutes of heat on your shoulders can make a huge difference in how your tissue moves and feels. You don’t need a fancy heating pad, you can make one at home pretty easily. Check out this DIY tutorial.

Self-massage

Try it, you might be surprised how much it helps! It’s not complicated, just grab a tennis ball, a lacrosse ball, or even a red rubber ball and check out these techniques.

Choose the right pillow

superb_new_PILLOW_SILO_775_jjYou spend about one third of your time in bed, be sure it’s cozy for your neck. Side-sleepers have different needs than belly-sleepers. The right pillow at night can help you all day. I have a limited supply (FOUR) of Bed Boss Superb Pillows at the office. I like them because they are #1 shredded memory foam, so they keep their shape, but offer support too. #2 have a cooling gel insert so my head doesn’t sweat at night. #3 It’s just right for shaping it myself regardless of how I’m sleeping. They retail for $70 but the ones I have I’m selling for only $40. But once they are gone, they are gone. 

A few minutes of self care every day, little changes, can make a huge difference in how you feel. See you at your next appointment! Book your appointment online today! 

We all get sick, and you will get better much faster by taking care of you and resting!

Depressed businessman sitting under a cloud

Depressed businessman sitting under a lightning rainy cloud

A few tips:

Ask for help from your spouse and child if they are old enough.
Have some easy meals in the cabinet or freezer in case you’re not up to cooking (healthy canned soup, frozen veggies, and quick rice are great).
Eliminate what you can from your work load. Many things, such as housework can wait!

As far as going to your job it’s much better to call in for a day or two then to try to do too much and end up being sick for longer.  You’ll be a lot more productive if you can just stay home and get well! If that’s not an option, just take care of your most important tasks and then go home.

I also use aromatherapy oils in the diffuser by my bed. I feel like that really helps to support my immune system.
Epson salt baths are very good for sore muscles and achy muscles when you’re sick.
Let you kids watch movies, or do whatever it takes to get your rest.

I find that when I do get sick it’s when I have let some of my self-care slide such as being overly busy, skipping green smoothies, not getting regular massage and not getting enough sleep.

It is very tempting to just try to push through and carry on with your regular schedule even when you’re sick.  We all want to do it all and accomplish our goals, but by resting and taking care of yourself you’ll be back at it faster and healthier and stronger! … And remember … if you aren’t taking care of yourself, you can’t take care of others.

As much as we enjoy the emerging flowers and warmer weather of April, there can be a bit of a dark cloud hanging in the spring sky. Often the first few weeks of the month are a rush of receipts and 1040’s as the April 15 Tax deadline looms, and a rush of new schedules as the kids’ sports seasons fire up. Maybe that’s why April is Stress Awareness Month; to remind us to take care of ourselves, and not let stress go unchecked.

Meditation

Meditation does not have to be about pretzeled legs, chanting, and reaching enlightenment. It can simply be about creating a moment of stillness in your mind as a way to become more relaxed. Just one minute, 60 seconds of meditation, can dramatically improve your mood, your productivity and the quality of your day.

Exercise

It can be tough to make time for exercise when the schedule gets tight and tensions get high. But that’s when it becomes even more important. Exercise can relieve the physical symptoms of stress like fatigue, pain, and moodiness. If you can’t make time for daily workout, try to fit a 5-10 minute walk outside into some part of your day. A little goes a long way when you need it.

Giggle and hum

Both laughter and music can lower the blood pressure. In fact, this study in 2011 showed that 3 months of laughter or music therapy resulted in the same drop in blood pressure that could be achieved with a low-salt diet, losing 10 pounds, or taking a blood-pressure-lowering medication.

So cue up the “Who’s on first?” or dance around with your kids while making dinner and work some giggling and humming into your day.

Massage

Regular massage can improve sleep, relieve headaches, reduce muscle pain, and improve moods. Plus, massage feels good. When you feel good, you play more, work more efficiently, and take better care of the people you love. Schedule a massage now to prepare for a busy (and fun) spring!
Commit to taking care of yourself this spring! You may be surprised with the results.