Massage has long been one of the most common lower back relaxation treatments for both doctor-consulting and self-medicating patients. However, many people will be surprised by its effects, as despite how all-encompassing these advantages are, they may be contraindicated for the patient’s co-morbid conditions and may even exacerbate them. It’s then crucial to understand the mechanical and psychological effects of massage as a lower back pain reliever, as well as its signs and contraindications. Have a look at Craniosacraltherapie for more info on this.
Massage’s mechanical effects are often focused on vascular changes, as fluid is replaced by the hand’s repetitive uniform directional movement. It then stimulates blood and lymph fluid flow by tapping both the circulatory and lymphatic systems. It can, however, be used with caution in patients with cardiovascular and renal problems. Kneading and stroking massage alleviate edoema, while compression massage transforms non-pitting edoema into pitting edoema. Furthermore, massage promotes the release of the neurotransmitter histamine, which allows superficial veins to dilate, allowing metabolic waste fluids to drain. Despite these benefits, massage is not recommended for people who have thrombosis. It’s important to note that particles appear to block blood vessels in thrombosis (as in thrombo-embolitic stroke). Massage could simply help the thrombus pass through the circulatory system, raising the risk of ischemia. Massage, on the other hand, was found to reduce spasms while increasing the contractility and flexibility of skeletal muscles.
Massage’s psychological benefits as a lower back pain reliever are based on the placebo effect and neurotransmitter release principles. Many studies show that people who receive some kind of massage report a “feeling of relaxation and well-being.” Massage activates the release of endorphins, or “feel-good” hormones, due to its influence on the proprioceptive system (thus affecting the higher centres), according to neuroscientific research. Massage has also been shown to be beneficial in the treatment of acute and chronic pain, as well as anxiety disorders. Lower back relief massage has been shown to be successful when combined with therapeutic methods such as directed imagery. Patients with hallucinations, on the other hand, do not benefit from it.
Massage’s benefits for lower back pain relief include not only interstitial fluid mobilisation and blood flow, but also pain, muscle soreness, adhesion prevention and removal, and relaxation. Strains, fractures, sprains, contractures, myoedema, spasms, myofascial pain syndrome (MPS), immobilised arms, amputations, and sympathetic dystrophy may all benefit from massage. Massage is often used as an adjuvant to many anxiety-stimulating conditions due to its sedative effect.
Despite these many advantages, massage is contraindicated in many ways. The massage is normally removed from the therapy regimen if it induces unnecessary tissue destruction, aggravation of a disorder, or disease spread. Massage can spread thrombi, contaminated tissue, malignancies, and atherosclerotic plaques due to its fluid mobilisation property. Massage can not provide adequate lower back relief if the scars and wounds are still healing, if the soft tissues are calcified, if the skin is grafted, if the skin is atrophic, or if the tissue is inflamed. Even though it has been discussed that massage can help with chronic pain in certain respects, it must also be used with caution. The patient may become reliant on the treatment due to its passive nature. To avoid this, endpoints or priorities must be identified so that care is based on more objective and disease-oriented issues rather than patient satisfaction.