Massage

Massage exists in many forms but comes down to applying mechanical stimuli to a patient's body with the hands of a (physical) therapist.

The aim of massage is to reduce pain and muscle tension and to stimulate blood flow in the skin, muscle, or subcutaneous connective tissue. Massage does not only work on a physical level, but can also be mentally relaxing. This offers benefits such as better sleep, less stress, and a more relaxed feeling.

Forms of massage

Within physical therapy, a number of forms of massage are regularly applied. This includes the 'classic' massage, in which techniques such as rubbing, stroking, kneading, shaking, and pressing are used. This form of (relaxation) massage is mainly used for painful, tense muscles and is generally experienced as pleasant.

A sports massage is similar to the classic massage but is a bit less relaxing. The techniques that the masseur applies are often a bit faster and firmer. The aim is to promote the recovery of athletes and/or improve sports performance.

The so-called connective tissue massage is also used regularly. This form of massage focuses on the connective tissue layer that lies between the skin and the muscles. Blood vessels and nerves also run through this layer toward the organs. With connective tissue massage, tissue is influenced reflexively. Stimulation of the connective tissue in that way affects deeper organs. This is because certain connective tissue zones of the body are connected with specific organs, glands, and muscles.

By stimulating the connective tissue, a reaction simultaneously takes place in the associated organ. Physical symptoms can be treated in this way. Conversely, when an organ functions less well, this can be seen in the associated connective tissue zone.

For example, the tension in the skin on the back can be increased with a kidney problem, and the skin there is more difficult to slide and/or pick up. These zones are then stimulated by means of specific connective tissue techniques such as skin rolling, stroking, and pulling. This can cause a sharp pain and feel unpleasant. Very different, therefore, from a relaxation massage.

There is also lymphatic drainage in the form of massage; this is discussed separately.

Examination

To be able to examine and massage a body part, it is necessary for that area to be uncovered. So keep this in mind when visiting the physical therapist. Before starting the massage, the color, mobility, and ability to lift the skin are assessed. Attention is also paid to any scars, thickenings, and contour differences.

In the muscles, increased tension and so-called trigger points are also sought. These are local hardenings in a muscle that can cause pain symptoms (see also dry needling). The temperature of the injured area is also assessed. An increased temperature can indicate inflammation. With a decreased temperature, there may be a circulatory disorder.

It is important to know that massage can be part of the treatment of symptoms. Almost always, massage is combined with other forms of treatment such as posture and movement instructions, exercise therapy, etc. This is to address the cause and to prevent the recurrence of symptoms as much as possible.

Make an appointment with a physical therapist near you.