Koda Integrative Therapy Group

Therapeutic Massage and Health Partners for Recovery and Performance

Filtering by Tag: #neuromusculartherapy

Massage Treatments and Chronic Pain and Disease

     When someone asks me why I became a massage therapist, I just say - "I wanted to be passionate about my career." Then it became, "I want to help people manage pain. " Then I honestly wanted to share my joy and the usefulness I've found in manual therapy within anyone who would listen - at one point we were 'chastised to get a bullhorn and shout it from the street corners,' so this is my version of doing just that.

    Integrative Health and Medicine current offers a comprehensive prevention-based approach to effectively treat chronic disease and enhance health. This should include the use of soft tissue therapy and treatments to leverage CAM health care appointments. All appointments from health practitioners such as naturopathic doctors, chiropractors, physical therapists, acupuncturists, nurse practitioners, nurses, midwives, and nutritionists and orthopedic surgeons can benefit from pre- and post- healthcare appointments from a CMT/NMT. To fully embraces a multi-disciplinary team of licensed health care providers working at the highest level of their scope of practice, massage and neuromuscular therapy provide extensive preventative at pre-tax savings, as well as effective knowledge of soft tissue details .

These health care practitioners have been lumped into the term complementary and alternative medicine (CAM) providers, and if we use the term Integrative Health and Medicine professionals with distinct licensed professional certifications, CAM can be used in the traditional and there is no need to “discover” a new model of care.  Patients who work with Integrative Health and Medicine practitioners are already achieving basic wellness goals 1) are healthier, 2) have lower health care costs, and 3) report extremely high levels of patient satisfaction. Through a collaborative approach to health care, integrative health care solutions contribute improved health care every day.

How does the interrelated way in which the contributions of licensed Massage Therapy professionals can help reduce health care costs and fit into the existing Health Care system?

Without disruption, Massage therapy can be used prior to ALL appointments to soften, warm and prepare tissues in areas like the spine, or head and neck to leverage existing services  and make them more than previously identified.  Like corporate Wellness programs, Massage Therapy aims to help get people healthier to prevent big-ticket chronic diseases, like the seven preventable chronic diseases: cancer, diabetes, hypertension, stroke, heart disease, pulmonary conditions and mental illness. The cost of these chronic and life threatening heath issues, costs the U.S. economy $1.3 trillion annually, including the cost of lost productivity, treatment in the form of insurance reimbursement and medication. Combining the diversion of caregivers with the costs of absenteeism and ‘reduced workload’, the total impact of chronic disease already exceeds $1 trillion a year, including more than $100 billion in California alone.

While healthy lifestyle change requires investment from more than just the health care arena, health-oriented providers play a critical role. CAM users were 64% more likely to report that their health had improved over the last year.  Not only are prevention and health promotion fundamental cornerstones of CAM, integrative health and medicine practitioners including Massage Therapists can consistently provide additional resources and avenues into conventional providers. Because CAM creates better outcomes, contrary to the common critique that there is a lack of evidence, thousands of studies, including randomized controlled trials published in top medical journals which highlight research demonstrating the ways naturopathic medicine prevents cardiovascular disease and metabolic syndrome at a cost less than prescribing a pill!                                                                      

European countries, in which general practitioners are co-trained in integrative approaches, have incorporated CAM into national health care systems based on studies showing better outcomes and lower costs. Keeping costs low by keeping care simple and adhering to a common-sense therapeutic order, allows individuals to make a choice on healthy alternatives that have a longer lasting impact. With back pain alone, the cost to the health care system is 60% less with CAM treatments and largely due to expensive, often ineffective diagnostics and surgical procedures.

Massage therapists are experts in administering less invasive, low-cost treatments that support the body while it heals itself, and that serve as effective substitutes for riskier modalities such as prescription narcotics. An approach to treatment that begins with low-force, non-addictive, low-cost care options that feel good just makes sense. Reduce costs up front through complementary, alternative, and integrative therapies. Many people have the impression that the use of CAM creates substantial add-on costs for health care systems and individual payers. The myth that patients are draining their bank accounts on out-of-pocket costs associated with CAM looks like actual costs – $33 billion – which is pocket change compared to the $268 billion spent out-of-pocket on conventional care in the same year.  

In Washington state, where CAM health care providers of every discipline have been a mandated part of the health care system for nearly 20 years, data show that patients who see CAM providers have lower prescription drug costs, hospitalization costs, and total costs, despite starting out in poorer health and incurring the “additional” cost of the CAM provider’s services. Because CAM providers – including Massage Therapists offer therapies that are less expensive than those provided by other health care professionals, they not only reduce costs, but also may increase access through “first contact points of entry,” reaching people who are unwilling or unable to access the conventional health care system.

So, when you look at what we do, and why being a massage therapist is 'life changing,' not only for ourselves, fellow therapists and our clients...It can be for everyone in the health care system.



Physiotherapy vs. Neuromuscular Massage

Physiotherapy is a health profession concerned with helping to restore physical well-being to people who are suffering from an injury, pain or disability. Using knowledge from our extensive scientific and clinical background (Masters or Doctorate of Physical Therapy), and they are Chartered Physiotherapists or managed by a professional association. They can assess, diagnose and treat conditions and illnesses that affect people of all ages and social groups.

Chartered Physiotherapists, or Physical Therapists, use manual therapy including manipulation, mobilization and myofascial release as well as complementary modalities including electrotherapy and Medical Acupuncture & Dry Needling. In recent years pain management education and counselling techniques have also become integral in most treatment programs. The Chartered Physiotherapist also utilizes prescriptive exercise as a rehabilitative tool to help patients achieve their full potential. While traditionally, Physiotherapy and/or Physical Therapy was regarded as rehabilitative and mainly hospital-based, the profession has expanded greatly into other health care areas. 

Neuromuscular therapy (NMT) is a specialized form of manual therapy that integrates specific massage techniques, flexibility stretching and home care practices to eliminate the causes of neuromuscular pain. NMT theory explains how injury, trauma and other factors can destabilize nerve transmission, making the body vulnerable to pain and dysfunction.

Through neuromuscular therapy training, students learn to manipulate muscles, tendons and connective tissue to restore balance to the central nervous system.

Neuromuscular therapy examines five elements that cause pain: ischemia (lack of blood flow), trigger points (more about trigger point therapy), nerve compression, postural distortion and biomechanical (movement) dysfunction. During an initial session, neuromuscular therapists interview patients about their health history, current physical condition, lifestyle, and stress levels and devise a treatment plan that addresses their pain syndromes.

Using fingers, knuckles or elbows, neuromuscular therapists apply concentrated pressure on areas of pain until they reach a trigger point, usually a spot that’s extra tender or numb. At this point, they’ll begin a stronger, more localized massage to relax the muscle. Relaxing muscles in this way releases lactic acid, increasing blood and oxygen flow, which, in turn, enhances the function of joints, muscles and movement.

Although both are forms of manual therapy, and they deal with the soft tissue of the body - Neuromuscular therapists can be more preventative - since they may see clients with varying degrees of discomfort. The appointments can also be used in conjunction with many other types of treatment including chiropractic visits, acupuncture, physical therapy and orthopedic rehabilitation (post surgery).


What is Neuromuscular Therapy or NMT

When people ask my ‘what type’ of modalities I specialize in – I usually say I’m a neuromuscular therapist. I prefer to use that title rather than massage therapist, because most people will respond with, ‘Oh, you’re a masseuse.’ Um, no! Because I do a lot more than relaxation massage and helping people de-stress (although I do that too). I am more of a pain management specialist.

What is neuromuscular therapy – it is the most effective type of massage therapy for muscle pain, and it is also called trigger point or myotherapy. The American Academy of Pain Management recognizes this form of massage therapy as an effective treatment for pain caused by soft tissue injury (such as a muscle strain), joint pain throughout the body, muscle tension, spasms and injury and/or surgical recovery or addressing trigger points.

Neuromuscular therapy consists of alternating levels of concentrated pressure on the areas of pain, tightness or muscle spasms. The massage therapy pressure is usually applied with the fingers, knuckles, or elbow at a consistent rate (ischemic pressure) on the spots chosen – until the muscle releases. The pressure may continue from 30 secs to several minutes.

Because Neuromuscular therapy is a specialized form of deep tissue massage digital pressure and friction are used to release areas of strain in the muscle for superficially and deep (think joint pain you can’t get rid of), and these areas of strain are called tender or trigger points and are the cause of muscular pain symptoms.

Trigger points are areas of hypersensitivity in a muscle caused by a continual firing of the signals to the muscle that do not allow it to relax between movement (either contraction or stretch).  These are small areas with the muscle in which there is a contracture of muscular tissue (think of a tiny grain of rice under a sheet).  Blood circulation and nutrients are lacking in that part of the muscle and therefore the muscle spindle is unable to relax.  Trigger points cause pain, fatigue and weakness in the muscle.  Trigger points also create a phenomenon called referral pain.

Referral pain caused by trigger points can exist in areas far from the trigger point – the best example of this Carpal Tunnel – because the source of the issue is generally in the neck, yet clients come in with pain in their wrist. Additional people suffer from sensations of pain, tingling, or numbness.  Examples of referral pain include: sciatica like symptoms (lower leg), lower back pain (from hips and thighs) and headaches (neck).

Neuromuscular therapy is used to treat many different soft tissue problems.  The following list is a small example of issues that may be helped by neuromuscular therapy:
Lower back pain, upper back pain, carpal tunnel like symptoms, sciatica like symptoms, hip pain, headaches, plantar fasciitis, calf cramps, tendonitis, knee pain, iliotibial band friction syndrome, jaw pain, tempomandibular joint pain (TMJ disorders).