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In Depth
Definition of Massage and Massage Therapy
History of Massage
Types of Massage
Massage Therapy Today
Massage and Health
Benefits of Massage

Due to the large amoubt of information contained within the "In Depth" section, we have broken up this information into 2 pages in order to allow for faster download times. After browsing the information on this page, feel free to explore the second half of these topics. Click the "More Topics" link below when you are ready.

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Definition of Massage and Massage Therapy

Therapeutic massage involves the manipulation of the soft tissue structures of the body to prevent and alleviate pain, discomfort, muscle spasm, and stress; and, to promote health and wellness. AMTA defines Massage as, "a manual soft tissue manipulation that includes holding, causing movement, and/or applying pressure to the body."

Massage therapy is "a profession in which the practitioner applies manual techniques, and may apply adjunctive therapies, with the intention of positively affecting the health and well-being of the client." (AMTA)

Massage therapy improves functioning of the circulatory, lymphatic, muscular, skeletal, and nervous systems and may improve the rate at which the body recovers from injury and illness.  Massage involves holding, causing movement of soft tissue, and/or applying pressure to the body. 

Massage comes in many forms, including:
Swedish a gentle, relaxing massage;
Pressure point therapy for certain conditions or injuries; and
Sports massage which focuses on muscle groups relevant to the particular sport.

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History of Massage
Massage may be the oldest and simplest form of medical care. Egyptian tomb paintings show people being massaged. In Eastern cultures, massage has been practiced continually since ancient times. A Chinese book from 2,700 B.C., The Yellow Emperor's Classic of Internal Medicine, recommends 'breathing exercises, massage of skin and flesh, and exercises of hands and feet" as the appropriate treatment for -complete paralysis, chills, and fever." It was one of the principal method of relieving pain for Greek and Roman physicians. Julius Caesar was said to have been given a daily massage to treat neuralgia. "The Physician Must Be Experienced In Many Things," wrote Hippocrates, the father of Western medicine, in the 5th century B. C., "but assuredly in rubbing.. . for rubbing can bind a joint that is too loose, and loosen a joint that is too rigid." Ayurveda, the traditional Indian system of medicine, places great emphasis on the therapeutic benefits of massage with aromatic oils and spices. It is practiced very widely in India.

Doctors such as Ambroise Pare, a 16th-century physician to the French court, praised massage as a treatment for various ailments. Swedish massage, the method most familiar to Westerners, was developed in the 19th century by a Swedish doctor, poet, and educator named Per Henrik Ling. His system was based on a study of gymnastics and physiology, and on techniques borrowed from China, Egypt, Greece, and Rome. Physiotherapy, originally based on Ling's methods, was established with the foundation in 1894 of the Society of Trained Masseurs. During World War I patients suffering from nerve injury or shell shock were treated with massage. St. Thomas's Hospital, London, had a department of massage until 1934. However, later breakthroughs in medical technology and pharmacology eclipsed massage as physiotherapists began increasingly to favor electrical instruments over manual methods of stimulating the tissues.

Massage lost some of its value and prestige with the unsavory image created by "massage parlors." This image is fading as awareness of the value and therapeutic properties of massage grows.

Massage is now used in intensive care units, for children, elderly people, babies in incubators, and patients with cancer, AIDS, heart attacks, or strokes. Most American hospices have some kind of bodywork therapy available, and it is frequently offered in health centers, drug treatment clinics, and pain clinics.

A variety of massage techniques have also been incorporated into several other complementary therapies, such as aromatherapy, reflexology, Rolfing, Hellerwork, and osteopathy.

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Types of Massage
Relaxation Massage: A smooth, flowing style that promotes general relaxation, improves circulation and range of movement, and relieves muscular tension.

Remedial Massage:
Is a paramedical treatment that helps to restore function to injured "soft tissues" (muscles, tendons and ligaments). Therapy may involve the use of various types of Massage, as well as a range of other physical treatments to assist your recovery. In addition, you may be asked to perform some activities at home to assist the process of recovery.

Sports Massage: Combines different Massage techniques to enhance sports performance and recuperation. An effective component of any training program.

Aromatherapy Massage:
Combining the therapeutic properties of essential oils with specific Massage techniques to promote health and well-being.

Reflexology: Using thumb and finger pressure on the reflex points of the feet (which correspond to all areas of the body) to assist in achieving balance within the body.
Oriental Therapies: Oriental-based systems of finger pressure Massage, such as Acupressure and Shiatsu, that treat points along theacupressure meridians, aiming to release discomfort and rebalance energy.

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Massage Therapy Today
These days massage isn't just for feeling good anymore. It has lost the ancient stigma associated with blue light districts. It is a holistic therapy that reduces the heart rate, lowers blood pressure, increases blood circulation and lymph flow, relaxes muscles, improves range of motion, and increases endorphins, the body's natural painkillers. 
Therapeutic massage enhances medical treatment and helps people feel less anxious and stressed, relaxed yet more alert. It had been said that, "Massage is to the human body what a tune-up is for a car." 

Fueled by the popularity of the alternative therapies, consumers are using more and more services of licensed massage therapists. Consumers spend $2 billion to $4 billion a year on visits to massage therapists, according to an American Massage Therapy Association (AMTA) analysis of a study by Beth Israel Deaconess Medical Center and Harvard Medical School published in the New England Journal of Medicine in 1993.

Current research shows that people are getting more massages, and that therapeutic massage is becoming more mainstream, appealing to everyone from young adults to seniors.  People are experiencing the therapeutic benefits of massage. They are getting  massages mostly to relax, to relieve aches and pains, and to help reduce stress.

A national survey conducted by the State University of New York at Syracuse found 54 percent of primary care physicians and family practitioners said they would encourage their patients to pursue massage therapy as a treatment, and a third of those said they are willing to refer patients to a massage therapist.

The American Massage Therapy Association's membership has increased nearly four-fold in the past decade, to more than 28,000.

More and more employers are offering massage during break times to their employees. They have found that massage therapy isn't just a perk, but actually increases employee productivity and morale. For example, according to a 1996 survey of employees who regularly receive therapeutic massage  on-site at Reebok International Ltd., 98 percent said it helped them reduce work-related stress; 92 percent said it increased alertness, motivation and productivity; 83 percent said it had in some cases sufficiently addressed a problem so medical attention was not necessary; and 66 percent said it had enabled them to stay at work when they would have otherwise gone home sick.

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Massage and Health
Massage is a holistic therapy. It has effect on both body and mind. Massage increases the circulation of blood and flow of lymph. The direct mechanical effect of rhythmically applied manual pressure and movement used in massage can dramatically increase the rate of blood flow. Also, the stimulation of nerve receptors causes the blood vessels (by reflex action) to dilate, which also facilitates blood flow. This has a profound effect on one's health.

The following are the key effects of massage:

 
Reduced muscle tension.
Massage affects the muscles throughout the body. Massage affects the muscles and other soft tissues throughout the body. It loosens contracted, shortened, hardened muscles. Massage can stimulate weak, flaccid muscles. Chronic muscle tension reduces the circulation of the blood and movement of lymph in an area.
Improved blood circulation. The oxygen capacity of the blood can increase 10-15% after massage. By indirectly or directly stimulating nerves that supply internal organs, blood vessels of these organs dilate and allow greater blood supply to them.

Better lymph movement.
Lymph is a milky white fluid that drains impurities and waste away from the tissue cells. A component of these wastes is toxins which are the by-products of metabolism. So, it is a vital to our health. Muscular contraction has a pumping effect that moves lymph. Massage and exercise help to move lymph. 

Increased mobility and range of motion of joints. Massage provides a gentle stretching action to both the muscles and connective tissues that surround and support the muscles and many other parts of the body, which helps keep these tissues elastic.
Stimulated or soothed nervous system. Massage balances the nervous system by soothing or stimulating it, depending on which effect is needed by the individual at the time of the massage.

Enhanced skin condition.
Massage enhances the skin condition by improving the function of the sebaceous and sweat glands, which keep the skin lubricated, clean, and cool.

Better digestion and intestinal function. Massage increases the body's secretions and excretions. It increases the production of gastric juices, saliva, and urine. There is also an increased excretion of nitrogen, inorganic phosphorus, and salt. As a result, the metabolic rate increases.

Relief of acute and chronic pain. Massage can promote recovery from the fatigue and from minor aches and pains

Beneficial effects on the internal organs and the immune system
Reduced swelling 
Reduced stress
General relaxation
Overall improvement in physical health and the quality of life.


(Source: Encyclopedia of Alternative Medicine, Jennifer Jacobs, MD, MPH, Consultant Editor)

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Benefits of Massage
Research in massage therapy has been ongoing for more than 120 years. Here are some reported benefits of massage:

Medical school students at the University of Medicine and Dentistry of New Jersey-New Jersey Medical School who were massaged before an exam showed a significant decrease in anxiety and respiratory rates, as well as a significant increase in white blood cells and natural killer cell activity, suggesting a benefit to the immune system.
Preliminary results suggested cancer patients had less pain and anxiety after receiving therapeutic massage at the James Cancer Hospital and Research Institute in Columbus, Ohio.

Women who had experienced the recent death of a child were less depressed after receiving therapeutic massage, according to preliminary results of a study at the University of South Carolina.

Studies funded by the National Institutes of Health (NIH) have found massage beneficial in improving weight gain in HIV-exposed infants and facilitating recovery in patients who underwent abdominal surgery. At the University of Miami School of Medicine's Touch Research Institute, researchers have found that massage is helpful in decreasing blood pressure in people with hypertension, alleviating pain in migraine sufferers and improving alertness and performance in office workers.

An increasing number of research studies show massage reduces heart rate, lowers blood pressure, increases blood circulation and lymph flow, relaxes muscles, improves range of motion, and increases endorphins (enhancing medical treatment). Although therapeutic massage does not increase muscle strength, it can stimulate weak, inactive muscles and, thus, partially compensate for the lack of exercise and inactivity resulting from illness or injury. It also can hasten and lead to a more complete recovery from exercise or injury.

Research has verified that:

• Office workers massaged regularly were more alert, performed better and were less stressed than those who weren't massaged.

• Massage therapy decreased the effects of anxiety, tension, depression, pain, and itching in burn patients.

• Abdominal surgery patients recovered more quickly after massage.
Premature infants who were massaged gained more weight and fared better than those who weren't.

• Autistic children showed less erratic behavior after massage therapy.

According AMTA, massage helps both physically and mentally. "Often times people are stressed in our culture. Stress-related disorders make up between 80-and-90 percent of the ailments that bring people to family-practice physicians. What they require is someone to listen, someone to touch them, someone to care. That does not exist in modern medicine.

One of the complaints heard frequently is that physicians don't touch their patients any more. Touch just isn't there. Years ago massage was a big part of nursing. There was so much care, so much touch, so much goodness conveyed through massage. Now nurses for the most part are as busy as physicians. They're writing charts, dealing with insurance notes, they're doing procedures and often there is no room for massage any more.

"I believe massage therapy is absolutely key in the healing process not only in the hospital environment but because it relieves stress, it is obviously foundational in the healing process any time and anywhere."
Joan Borysenko - Massage Journal Interview, Fall 1999

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