Massage is an ancient form of pain and stress relief practiced by most worldwide cultures. These techniques may involve not only physical manipulation of the body’s tissues, but also relaxation techniques. Massage may involve use of heat and cold applications to the skin, or the use of oil or lotion to ease gliding of hands or tools against the skin.
Here’s a brief overview of the many types of massage therapy. Be sure to tell your massage therapist that you have arthritis, and point out particular joints that are affected, prior to your session. Before getting any type of massage, consult your doctor to make sure massage is safe for your arthritis and any other health conditions you may have.
Swedish Massage
Swedish massage is the most common type of massage, and what many people think of when they hear the term “massage.” Swedish massage involves long, fluid stroking of muscles and tissues, and is meant to reduce soreness and stiffness in muscles and joints, to reduce anxiety and to improve circulation. Swedish massage involves five basic strokes: effleurage (sliding or gliding of hands across skin), petrissage (kneading of muscles), tapotement (rhythmic tapping of knuckles or fingers against skin), friction (moving across fibers) and vibration or shaking of the body. Therapists may adjust pressure according to your sensitivity and typically use oil or lotion.
Deep Tissue Massage
Deep tissue massage focuses on manipulation of both top and deeper layers of muscles and tissues, often requiring intense, focused pressure by the therapist. Deep tissue massage is designed to address severe tension or pain in the muscles and connective tissues. Deep tissue massage may cause lingering soreness, so it might be inappropriate for some people with arthritis.
Hot Stone Massage
Hot stone massage is a massage therapy offered in many day spas that involves placing smooth, heated stones on your back as you lie on your stomach. The hot stones send soothing heat to the muscles and tissues, releasing tension and promoting relaxation. Typically, therapists knead your muscles by hand in addition to placing hot stones on your skin. Other forms involve cold stones, which may help sore muscles from exercise-related injuries or swelling. Some therapists may use both hot and cold stones for contrast or for different healing purposes.
Ayurvedic Massage
Ayurveda is an Indian natural health philosophy that blends yoga, massage, meditation and herbs. Ayurvedic massage is also known as abhyanga, and involves a full-body massage in addition to using aromatic oils chosen for purported spiritual healing properties.
Anma
One of many massage techniques that originated in Asian countries, Anma is a Japanese massage that involves kneading of the muscles and other soft tissues. Anma uses no oils. Anma is based on the idea that an energy flow in the body can be disrupted or blocked, causing illness and pain. Anma practitioners believe that massaging the muscles and tissues can restore this flow and the body’s natural ability to heal itself.
Thai Massage
Thai massage combines massage with placement of the body in yoga-like positions during the session. Thai massage techniques may vary between practitioners or the regions in Thailand from which they came. Some involve more flexibility stretching, while others focus on applying pressure to the muscles and joints.
Myofascial Release
Myofascial release aims to relieve pain by manipulating the fascia, connective tissues that surround muscles, blood vessels and nerves. During myofascial release, a therapist stretches and releases those connective tissues by gently rolling the skin back and forth on the back, legs and other areas of the body. Usually, no oils, lotions or massage tools are used.
Reflexology
Reflexology is an alternative Asian healing practice based on a belief that pressure on particular areas of the hands and feet will spur healing in other parts of the body. For example, pressing on the person’s big toe is believed to heal pain or injuries in the brain. Reflexology is meant to promote not only pain relief or healing, but also to reduce stress and anxiety.
Rolfing
Rolfing is similar to myofascial release, and is part of a healing philosophy called structural integration. Invented by Ida P. Rolf in the mid-20th century, rolfing involves the practitioner moving the body into certain positions and manipulating fascia tissues. Rolfing aims not only to promote pain relief and relaxation, but to restore posture and range of motion.
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