1 Massage Therapy & Multiple Sclerosis National Massage Therapy Awareness Week October 2008 Presented by the Massage Therapist Association of Saskatchewan, Inc. MTAS Inc., 2008 Researched & written by Cynthia Martin, B.A., R.M.T.
2 Introduction This presentation is a brief about the benefits of massage therapy for individuals living with Multiple Sclerosis.
3 Our Body s Nervous System: The Central Nervous System consists of the brain and the spinal cord. The Peripheral Nervous System are all the nerves (neurons) that branch off the spinal cord to all parts of the body.
4 Multiple Sclerosis Symptoms MS affects the coating on the nerves (neurons) in the central nervous system. Damaged neurons can produce these and other symptoms: muscle weakness/atrophy (hypotonicity) paralysis muscle tremors increased muscle tone (hypertonicity) & exaggerated reflexes/spasticity joint stiffness difficulty with walking or balance constipation depression/anxiety fatigue.
5 Massage Therapy Massage therapy improves an individual s general health, speeds healing of soft tissue, muscle or joint injuries, alleviates pain, reduces symptoms of some illnesses/conditions and reduces stress. 1 1 Field, Tiffany; Hernadez-Reif, Maria; Diego, Miguel; et al. Cortisol Decreases and Serotonin and Dopamine Increases Following Massage Therapy (2005). International Journal of Neuroscience, 115,10,
6 Massage Therapy & MS Although a small number of people reported experiencing negative effects from CAM (5%), the vast majority perceived positive effects (72%). Therapies most often sited as beneficial were massage therapy, acupuncture and cannabis. The most common reasons for using CAM were to improve health (68%) [and] to lessen the symptoms of MS (61%). 2 Complementary & Alternative Medicine (CAM) 2 Page, Stacey A., Verhoef, Marja J., Stebbins, Robert A.., et al, (2003). The Use of Complementary and Alternative Therapies by People with Multiple Sclerosis, Chronic Diseases in Canada, Vol. 24 No. 2/3.
7 Massage Therapy Considerations: Massage therapy results depend on a person s general health, diet, fluid intake and usual physical activity. Duration of MS symptom relief depends upon the stage and severity of the illness. It is recommended a MS client receive consent from his or her physician prior to receiving massage treatment. A Registered Massage Therapist (RMT) can best determine the frequency and length of treatments to achieve results best for the client.
8 Treating MS symptoms: Muscle atrophy/paralysis (muscle weakness) To treat muscle weakness or paralysis, the primary goal is to maintain the integrity of muscle tissue. Massage therapy improves the circulation of oxygenated, nutrient rich blood to muscles and other tissues. Swelling (edema) is common with atrophy or paralysis. Specific light massage techniques are designed to move fluid from the area back into the body s general circulation.
9 Muscle hypertonicity/tremors/spasticity (increased muscle tone and exaggerated reflexes) Various massage techniques are designed to reduce abnormal muscle tone, relieve pain, increase circulation and muscle length to reduce spasm. Other massage strokes are designed to sedate the nervous system or local peripheral nerves. This temporary sedation of nerves will reduce their exaggerated stimulation of muscle fibers
10 Joint stiffness Massage to increase blood circulation in muscles surrounding a stiff joint will also create more pliable tendons, ligaments and other connective tissue. More pliable tissue means easier movement in a joint. Particular stretches and exercises may be needed to maintain a joint s range of motion and flexibility between massage therapy appointments.
11 Difficulty with walking or balance Not only do we have receptors in our body for temperature and pressure, there are sensors called proprioreceptors that tell our brain the direction and speed a body part is moving. Massage therapy can stimulate proprioreceptor function. Normal or near normal muscle tone realizes better control of joints, which helps walking and balance.
12 Constipation Specific, gentle abdominal massage helps encourage movement of stored gas and stools. Reducing emotional stress and physical muscle tension also help relieve gastrointestinal problems.
13 Depression/Anxiety Caring, compassionate touch has a physiological effect on neurotransmitters, stress hormones and self-esteem. The massage group [in this study] had lower anxiety and less depressed mood immediately following the massage sessions, and by the end of the study they had improved self-esteem, better body image and image of disease progression, and enhanced social functioning. 3 The results [of this study] suggest that massage therapy may increase the self-efficacy of clients with MS, potentially resulting in a better overall adjustment to the disease and an improvement in psycho-emotional state. 4 3 Hernadez-Reif, M., T. Field & H. Theakston (1998). Multiple Sclerosis Patients Benefit from Massage Therapy, Journal of Bodywork and Movement Therapies, 2, Finch, Paul, Becker, Pauline (2006). Changes in the Self-efficacy of Multiple Sclerosis Clients Following Massage Therapy, Journal of Bodywork and Movement Therapies, 11,
14 Fatigue Gentle, but vigorous massage strokes will stimulate peripheral nerves, helping to alleviate some fatigue. Another approach is to use soothing massage strokes to promote relaxation and enhance the client s quality of sleep. The cause of a client s fatigue will determine the technique used by the Registered Massage Therapist.
15 Conclusion: There is no specific massage therapy protocol for people living with MS. Each individual must be assessed and treated in accordance to their unique symptom presentation. Massage therapy will not change the course of MS. Research has shown that massage therapy can play an effective role in maintaining one s general health. Research also shows that many people with MS rely on massage therapy for symptom relief and stress reduction. Caregivers of people with MS will also benefit from massage therapy.
16 Contraindications: Applications of cold or heat during a massage treatment may worsen symptoms. So will an environment that is too warm. Massage therapy is not used when severe inflammation (acute episodes) is present. Over-stimulation of nerves might result in muscle spasms. Areas without sensation require very light effleurage only. Osteoporosis caused by steroid medication requires different massage techniques than usual. Massage therapy is never used when a client has a fever or an infection.
17 What is a RMT? A Registered Massage Therapist (RMT), is health professional trained to assess and treat soft tissue (ligaments, tendons, fascia), skeletal muscle and joint dysfunction. Only members of the Massage Therapist Association of Saskatchewan (MTAS) are allowed to use the designation RMT or call themselves a Registered Massage Therapist. Remedial massage therapist is not an accepted term. Licensed massage therapist is not an acceptable term because the practise of massage is not currently legislated in Saskatchewan.
18 Receive Massage Treatment from a RMT Currently massage therapy is not legislated in Saskatchewan. That means the public has little protection from under qualified or incompetent people providing massage. Members of the Massage Therapist Association of Saskatchewan (MTAS) have to prove their qualifications and ensure their competency with continuing education. Ask for a MTAS Registered Massage Therapist. If in doubt, ask to see the therapist s current MTAS membership wall certificate or wallet card.
19 MTAS Members Protect Clients: Members follow a detailed Code of Ethics, Standards of Practice and must maintain clienttherapist confidentiality. Mandatory malpractice and liability insurance is a requirement of membership. Certificates in Standard First Aid & CPR. Level C are also mandatory. If there is a problem with the massage treatment you received or with the RMT, the client has a way to address it. MTAS has a well developed Complaints & Investigation system that is engaged once a client signs a form to register a complaint.
20 How to Find a MTAS Registered Massage Therapist: Phone the MTAS office in Saskatoon: Ask for a list of RMTs working in or near your community. Go to There is a tab on the home page called Find a massage therapist. Check your local Yellow Pages under massage therapist. RMTs usually state they are members of MTAS.
21 National Massage Therapy Awareness Week This Week was created to increase public knowledge of massage therapy and its usefulness in treating everyday aches & pains, injuries, illnesses and stress. Many people enjoy massage therapy as regular maintenance for their body and mind. National Massage Therapy Awareness Week is celebrated across Canada and in the United States.
22 Resources: Finch, Paul, Becker, Pauline (2006). Changes in the Selfefficacy of Multiple Sclerosis Clients Following Massage Therapy, Journal of Bodywork and Movement Therapies, 11, Field, Tiffany; Hernadez-Reif, Maria; Diego, Miguel; et al. Cortisol Decreases and Serotonin and Dopamine Increases Following Massage Therapy (2005). International Journal of Neuroscience, 115,10, Hernadez-Reif, M., T. Field & H. Theakston (1998). Multiple Sclerosis Patients Benefit from Massage Therapy, Journal of Bodywork and Movement Therapies, 2, MacDonald, Gayle. Massage for the Hospital Patient and Medically Frail Client, Philadelphia: Lippincott Williams & Wilkins, 2005.
23 Page, Stacey A., Verhoef, Marja J., Stebbins, Robert A.., et al, (2003). The Use of Complementary and Alternative Therapies by People with Multiple Sclerosis, Chronic Diseases in Canada, Vol. 24 No. 2/3. Premkumar, Kalyani. Pathology A to Z: A Handbook for Massage Therapists. Calgary: VanPub Books, Vanderbilt, Shirley, Searching for Comfort: Alternative Therapies and Multiple Sclerosis, Massage & Bodywork, August-September Werner, Ruth. A Massage Therapist s Guide to Pathology. 3rd ed. Philadelphia: Lippincotte Williams & Wilkins, Yates, John. A Physician s Guide to Therapeutic Massage. 3rd edition. Toronto: Curties-Overzet Publications, 2004.
24 Massage Therapist Association of Saskatchewan, Inc Quebec Avenue Saskatoon, SK. S7K 1V9 (306) or (306) fax Lori Green, Executive Director Jayne Little, Executive Assistant
Meet our Certified Canine Massage Therapist, Stevi Quick After years of competitive grooming and handling several breeds in conformation, I became interested in training and competing with my dogs in the
Paul White Sports, Remedial and Holistic Massage Therapist MISRM, DipThaiMast Sports Massage Thai Yoga Massage Hot Stone Massage Seated Acupressure Massage Paul White Deep Tissue Massage improving YOUR
Multiple Sclerosis (MS) Purpose/Goal: Care partners will have an understanding of Multiple Sclerosis and will demonstrate safety and promote independence while providing care to the client with MS. Introduction
1 By Susan Jackson Grubb, NCMT, CNMT Absenteeism, lost wages and reduced productivity due to low back pain are costly to people, companies, and corporations. It is estimated that eighty percent of Americans
Acute Low Back Pain North American Spine Society Public Education Series What Is Acute Low Back Pain? Acute low back pain (LBP) is defined as low back pain present for up to six weeks. It may be experienced
ALL ABOUT SPASTICITY www.almirall.com Solutions with you in mind WHAT IS SPASTICITY? The muscles of the body maintain what is called normal muscle tone, a level of muscle tension that allows us to hold
Complementary and alternative medicine (CAM) CAM therapies can generally be divided into the following categories: Biologically based therapies (eg, dietary supplements, diets, bee venom therapy, hyperbaric
Webinar title: Know Your Options for Treating Severe Spasticity Presented by: Dr. Gerald Bilsky, Physiatrist Medical Director of Outpatient Services and Associate Medical Director of Acquired Brain Injury
Physiotherapy in Rheumatoid Arthritis Information for patients Gina Wall Senior Physiotherapist What do Physiotherapists do? We conduct assessments by asking detailed questions about your symptoms, medical
Making our pets comfortable. A modern approach to pain and analgesia. What is pain? Pain is an unpleasant sensory and emotional experience with awareness by an animal to damage or potential damage to its
Chronic Low Back Pain North American Spine Society Public Education Series What is Chronic Pain? Low back pain is considered to be chronic if it has been present for longer than three months. Chronic low
Health Questionnaire for Massage Therapy This form to be completed and brought in prior to receiving massage at SkinLife By Lesa. Contact Information Name : Last First D.O. B / / ( MM / DD / YYYY ) Occupation
www.complexchild.com Taking Care of You, Part I: Treat Yourself to a Massage by Shannon Gonsalves and Heather Chisholm Owens, LMP and Doula Feeling exhausted, stressed, sore, worried, and too busy to care
Understanding Multiple Sclerosis Tim, diagnosed in 2004. What Is Multiple Sclerosis? Multiple sclerosis (MS) is a neurologic disorder that affects the central nervous system (CNS). The CNS includes the
Do you have Back Pain? Associated with: Herniated Discs? Protruding Discs? Degenerative Disk Disease? Posterior Facet Syndrome? Sciatica? You may be a candidate for Decompression Therapy The Dynatronics
Massage Therapy Introduction Massage therapy is the manipulation of the soft tissues of the body, including the skin, tendons, muscles and connective tissue by a professional, for relaxation or to enhance
Exercise Away Your Knee Pain It seems counterintuitive, but when it hurts to move your knee, the best thing you can do is move your knee. A 2009 study in the British Medical Journal found that supervised
B CNH7 Provide Massage Therapy to clients OVERVIEW Massage Therapy means the systematic use of classical Massage and soft tissue techniques, to improve physical and emotional well being. The Massage Therapist,
Q2 2013 What s new in 2013? P a g e 1 SpineScottsdale Physical Therapy The Arizona Quarterly Spine Official Newsletter of SpineScottsdale Physical Therapy and the Center for SpineHealth Center for SpineHealth
Sciatica Yuliya Mutsa PTA 236 Sciatica is a common type of pain affecting the sciatic nerve, which extends from the lower back all the way through the back of the thigh and down through the leg. Depending
INFORMATION FOR YOU Lower Back Pain WHAT IS ACUTE LOWER BACK PAIN? Acute lower back pain is defined as low back pain present for up to six weeks. It may be experienced as aching, burning, stabbing, sharp
Multiple sclerosis (MS) Summary Multiple sclerosis (MS) is an incurable disease of the central nervous system that can affect the brain, spinal cord and optic nerves. The effects of MS are varied and unpredictable,
WHIPLASH! Helpful and effective treatment with Neuromuscular Therapy Therapeutic Massage by Lucy Lucy Dean, LMT, NMT, MMT What does Whiplash mean? Whiplash is a non-medical term used to describe neck pain
Copyright 2009 American Academy of Orthopaedic Surgeons Cervical Spondylosis (Arthritis of the Neck) Neck pain is extremely common. It can be caused by many things, and is most often related to getting
UNDERSTANDING STRESS AND YOUR BODY Life s demands create stress and although some stress may be good, too much can cause health problems. Most people equate stress with high blood pressure, a heart attack
Whiplash Associated Disorder Bourassa & Associates Rehabilitation Centre What is Whiplash? Whiplash is a non-medical term used to describe neck pain following hyperflexion or hyperextension of the tissues
Herniated Cervical Disc North American Spine Society Public Education Series What Is a Herniated Disc? The backbone, or spine, is composed of a series of connected bones called vertebrae. The vertebrae
Neck Injuries and Disorders Introduction Any part of your neck can be affected by neck problems. These affect the muscles, bones, joints, tendons, ligaments or nerves in the neck. There are many common
Table of Contents What are Core Muscles?... 2 A Healthy Lumbar Spine...3 What is Low Back Pain?...4 Rehabilitation...6 Stages of Rehabilitation...7 Pain Management....................... 8 Heat/Ice What
FOR MS RELAPSES Stepping toward a different treatment option LEARN WHAT ACTHAR CAN DO FOR YOU As a person with multiple sclerosis (MS), you know firsthand the profound impact MS relapses can have on your
ALTERNATIVE CARE CHIROPRACTIC Reston, Virginia P ROV E N R E L I E F F RO M W H I P L A S H Any rapid head movement can cause a Whiplash injury. Although whiplash is commonly associated with car accidents
Delirium Introduction Delirium is a complex symptom where a person becomes confused and shows significant changes in behavior and mental state. Signs of delirium include problems with attention and awareness,
Quality Measures for Long-stay Residents Percent of residents whose need for help with daily activities has increased. This graph shows the percent of residents whose need for help doing basic daily tasks
Health & Wellness The Newsletter About Achieving and Maintaining Optimal Well-being UNDERSTANDING STRESS AND YOUR BODY Life s demands create stress and although some stress may be good, too much can cause
1. Describe the causes of pain experienced by people with multiple sclerosis. Pain experienced by people with MS can be either neuropathic (arising directly from nervous system dysfunction) or may be musculoskeletal,
Castleknock GAA club member and Chartered Physiotherapist, James Sherry MISCP, has prepared an informative article on the common causes of back pain and how best it can be treated. To book a physiotherapy
POLAR FROST & POLAR HEAT as a treatment for SOFT TISSUE INJURIES, ACHES AND PAINS Niva Medical Oy Lauttasaarentie 48 C 00200 Helsinki Finland Tel. +358 9 615 00 540 Fax. +358 9 615 00 545 Email. email@example.com
Herniated Lumbar Disc North American Spine Society Public Education Series What Is a Herniated Disc? The spine is made up of a series of connected bones called vertebrae. The disc is a combination of strong
Massage therapy and energy-based therapies This information is an extract from the booklet Complementary therapies and cancer. You may find the full booklet helpful. We can send you a copy free see page
Spinal Cord Injury Education Common Medical Problems Following Spinal Cord Injury Common Medical Complications After SCI, your body is vulnerable to various complications This presentation gives a brief
SLEEP DIFFICULTIES AND PARKINSON S DISEASE Julie H. Carter, R.N., M.S., A.N.P. Problems with sleep are common in Parkinson s disease. They can sometimes interfere with quality of life. It is helpful to
Spinal cord stimulation This leaflet aims to answer your questions about having spinal cord stimulation. It explains the benefits, risks and alternatives, as well as what you can expect when you come to
CHIROPRACTIC WELLNESS AWARENESS Do you want to have a healthy body? Do you like to maintain your high energy level? Do you want to be stress-less? Do you like to be pain free? Please call Conrad Nieh D.C.
STEPHEN MARANO, M.D. JAMES COOK PA-C Consent for Lumbar Spine Discectomy Surgery at Patient Name: Patient Diagnosis: o Lumbar Disc Herniation (rupture of the disc) o Lumbar Degenerative Disc Disease (wear
The Future of Medicine Here Today! Aloha from Paul & Lillie Founders : Inventors : Authors Our mission is to help all humankind unwind from stress, tension, and dis-ease, and to provide a new reference
Battles 1 Becky Battles Instructor s Name English 1013 21 November 2006 Muscular Dystrophy and Multiple Sclerosis Although muscular dystrophy and multiple sclerosis are both progressive diseases that ultimately
Holistic Massage We can all benefit from this lovely experience, whether to maintain health, to help soothe and calm body and mind or to treat specific muscles. Perhaps you feel in need of some healing
FROM RELAPSE TO RELIEF Keeping track of your MS relapse symptoms record your experience. share with your doctor. Tracking your MS relapse symptoms No matter what MS relapse treatment you re on or considering,
This information is an extract from the booklet, Understanding complementary therapies. You may find the full booklet helpful. We can send you a copy free see page 6. This information discusses eight physical
Therapeutic Massage Please take a moment to answer the following questions. The information you provide will be used to customize your session to your needs and exclude any techniques that may be medically
Orthopaedic Spine Center Graham Calvert MD James Woodall MD PhD Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs The cervical spine consists of the bony vertebrae, discs, nerves and other structures.
Active Isolated Stretching: The Mattes Method Active Isolated Stretching began to develop in 1970. What began as an attempt to find specific techniques to alleviate pain and improve everyday performance
Chiropractic Physician: Emphasis in neurology, sports medicine and muscle rehabilitation Practice locations: NeuroBalance Center - Barrington Il Physical Medicine Associates - Naperville Il Alternative
The Role of the Haematology Specialist Nurse Catherine Chapman RN. BSc (Hons) Key Roles Information Support Advice Patient advocate Education Coordination of care Information Patient Family Carers Health
What you can do to help your child in pain About pain A child with cancer or other diseases will likely have pain at times. The pain can keep him or her from being active, from sleeping well, from enjoying
Taking Charge, Living Life: Managing Your Chronic Pain Common Questions & Answers About Chronic Pain Treatment Contents What is Your Pain Like?...2 Goals of Pain Therapy...3 Treatments...4 One Provider
Temple Physical Therapy A General Overview of Common Neck Injuries For current information on Temple Physical Therapy related news and for a healthy and safe return to work, sport and recreation Like Us
PAYMENT AND COLLECTION POLICY Payment is expected at the time of service. Unpaid balances left by your insurance companies will be your responsibility. In the event you are unable to pay the balance in
---BRINGING THE POWER OF TOUCH TO A NEW LEVEL--- PHYSIOASIA THERAPY CENTER was established in 2006 as a subsidiary of V2U Healthcare Pte. Ltd., a leading Singapore rehabilitation company that has a diversified
SHARING YOUNG LIVING the Right Way The U.S. and most other countries have regulations in place designed to protect consumers. Many of these specifically regulate how natural wellness companies like Young
Spine Care Centre (SCC) protocols for Multiple Sclerosis Update 1 August 2015 Introduction Multiple sclerosis (MS) affects nerves in the brain and spinal cord, causing a wide range of symptoms including
New York State Workers' Comp Board Mid and Lower Back Treatment Guidelines Summary From 1st Edition, June 30, 2010 Effective December 1, 2010 General Principles Treatment should be focused on restoring
Fibromyalgia Fibromyalgia is an often misunderstood even unrecognized disorder that causes widespread muscle pain and tenderness which tends to come and go and move about the body. This common and chronic
CALIFORNIA TRINITY UNIVERSITY Purpose / Objectives Purpose Students interested in a career or continuing education in bodywork therapy are provided with a strong therapeutic aspect to their training, as
Spine University s Guide to Neuroplasticity and Chronic Pain 2 Introduction Neuroplasticity is also called Brain Plasticity. Neuroplasticity is the ability of your brain to reorganize neural (nerve) pathways
Q3 2013 What s new at SpineScottsdale? P a g e 1 SpineScottsdale Physical Therapy The Arizona Quarterly Spine Official Newsletter of SpineScottsdale Physical Therapy and the Center for SpineHealth Center
Sleep Difficulties By Thomas Freedom, MD and Johan Samanta, MD For most people, night is a time of rest and renewal; however, for many people with Parkinson s disease nighttime is a struggle to get the
HealthExchange Points For Your Joints An Arthritis Talk Howard Epstein, MD Orthopaedic & Rheumatologic Institute Rheumatic & Immunologic Disease Cleveland Clinic Beachwood Family Health & Surgery Center
Informed Patient Tutorial Copyright 2012 by the American Academy of Orthopaedic Surgeons Informed Patient - Carpal Tunnel Release Surgery Introduction Welcome to the American Academy of Orthopaedic Surgeons'
There's help for pregnant women and new mothers Pregnancy shouldn t mean pain Pregnancy and new motherhood should be times of joy and promise not pain. Fortunately, times have changed since your mother
Lumbar Disc Herniation/Bulge Protocol Anatomy and Biomechanics The lumbar spine is made up of 5 load transferring bones called vertebrae. They are stacked in a column with an intervertebral disc sandwiched
Tai Chi: : A Mind-body Exercise for Pain Relief and Well-being Chenchen Wang, MD, MSc Associate Professor of Medicine Director, Center for Integrative Medicine Tufts Medical Center/Tufts University School
Patient Information Full Legal Name Preferred Name Date of Birth Age Gender Address City State Zip Code E-mail Phone # Ok to leave a message related to your healthcare? Yes No Social Security # Occupation
English 182 READING PRACTICE by Alyx Meltzer, Spring 2009 Vocabulary Preview (see bolded, underlined words) gait: (n) a particular way of walking transient: (adj) temporary; synonym = transitory remission:
The Face of Cerebral Palsy Segment I Discovering Patterns What is Cerebral Palsy? Cerebral palsy (CP) is an umbrella term for a group of non-progressive but often changing motor impairment syndromes, which
THERAPEUTIC USE OF HEAT AND COLD INTRODUCTION Heat and cold are simple and very effective therapeutic tools. They can be used locally or over the whole body, and the proper application of heat and cold
Pain Management Following Injury for Health Professionals and Introduction Pain is a common problem following SCI. In the case where a person with SCI does have pain, there are treatments available that
Choices Fatigue Fatigue is one of the most common invisible symptoms of MS and one which can have a major impact on all aspects of life. For some people it is the symptom that affects them the most. It