Massage therapist w

Added: Chayla Gervais - Date: 10.11.2021 18:33 - Views: 31340 - Clicks: 7282

Inthe U. Department of Health and Human Services reported that nearly one-half of all people take at least one prescription medication and one in six take three or more medications. A recent systematic review of ambulatory patients found the median incidence of adverse drug events ADEs to be Little information is available describing the potential impact of massage therapy on medications and visa versa.

The purpose of this review is to examine the impact that several classes of medications may have on massage therapy and the effect that massage therapy may have on those medications.

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Various forms of massage, traction, and manipulation have been practiced for thousands of years across many cultures, with Massage therapist w Chinese use of massage dating back to BC. Massage spread through Europe during the Renaissance. George and Charles Taylor introduced massage therapy to the U. Inthe term massage entered the Anglo-American medical lexicon. By the early s, massage became a less prominent part of American medicine and was displaced by a focus on the biological sciences. Interest resurged in the s, particularly in sports medicine and as a complementary therapy to promote well-being, relaxation, pain-reduction, stress relief, musculoskeletal injury healing, sleep enhancement, and quality of life.

Two main of massages exist—Western and Eastern. Western massage is the most common type practiced in the U. Massages are mainly used to promote relaxation, treat painful muscular conditions, and reduce anxiety. Massage may be utilized as the primary therapeutic intervention or as an adjunct to other therapeutic techniques. Therapeutic uses include mobilization of intertissue fluids, reduction or modification of edema, increase of local blood flow, decrease of muscle soreness and stiffness, moderation of pain, facilitation of relaxation, and prevention or elimination of adhesions.

Psychological benefits of massage therapy include improvements in mood, body image, self-esteem, and perceived levels of anxiety and may be accompanied by decreased tension, anxiety, and pain. Very few controlled clinical trials have evaluated the impact of massage therapy.

Most published trials are limited by a small sample size, nonrandomization, and other concurrent treatment modalities. A Cochrane meta-analysis evaluated the effect of massage on neck pain in 19 trials. Massage therapist w trials that utilized massage therapy as part of a multimodal intervention were evaluated; however, none were deed to determine the relative contribution of massage versus the other modalities.

Therefore, further research on the impact of massage therapy is needed, prior to resolving the role of massage therapy in the treatment of various ailments. Adverse effects due to massage therapy are rare but have been reported. A review of 20 adverse event case reports or series reported occurrences of cerebrovascular accidents, displacement of stents, embolizations, hematomas, leg ulcers, nerve damage, pseudoaneurisms, thyrotoxicosis, and various pain syndromes.

Absolute contraindications to massage therapy include deep vein thrombosis DVTacute infection, bleeding, and new and open wounds. Relative contraindications include incompletely healed scar tissue, fragile skin, calcified soft tissue, skin grafts, atrophic skin, inflamed tissue, inflammatory muscle disease, and pregnancy. Medications may affect several aspects of treatment planning including the scheduling of treatment, treatment focus and duration, techniques used during treatment, and client cooperativeness.

Patients receiving drug therapy for chronic diseases e. Patients who are receiving new drug therapy or drug therapy for an acute condition e.

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Patients receiving analgesics i. These medications alter the normal pain responses that warn of potential tissue injury. Techniques or modalities that would normally cause discomfort may become more tolerable than they should. For example, a patient who is taking ibuprofen mg four times daily for a minor injury may seek massage therapy in order to help with the healing process.

For patients taking medications for short-term minor conditions, the patient should take their medications just before or soon after their massage. This ensures that that the plasma levels of the drug will be at their lowest during the massage. Some medications may require the massage to be adapted or shortened. Fatigue is a common adverse effect of many medications, including antihypertensives and chemotherapy.

The treatment session may need to be shortened and more specific. Many medications cause anxiety, depression, and mood fluctuations. These may become worse during massage therapy. Medications may have a wide variety of effects and may alter blood-clotting mechanisms, neurosensory feedback, tissue integrity, and pain perception.

The effects of these medications should be taken into when the massage therapist is selecting the manual technique to be used. Massaging on or around injection sites, skin patches, and implanted devises pose challenges because very little is known about how massage affects the release and uptake of medication from these administration sites. Being conservative, it should always be assumed that any manipulation on or around such a site, in particular an injection site or skin patch, has the potential to alter the pharmacokinetics of the drug being administered.

In a study by Linde, it was reported that during massage the first-order elimination rate constant of insulin from subcutaneous tissue increased six-fold, indicating an increase in insulin absorption. Plasma glucose also fell ificantly faster on the day of the massage, starting from 10 minutes after massage compared to the control day without massage.

In all instances, a conservative approach to massage therapy should be utilized because information about tissue response, muscle guarding, and other s will be altered in this patient population. It is best to schedule treatments toward the end of the dosing period, Massage therapist w to the next dose, when the drug is at the lowest levels in the body to maximize the accuracy of feedback and to optimize the medical stability.

Side effects of these agents Massage therapist w include dizziness, drowsiness, and postural hypotension, all which can be potentiated by massage therapy. Therefore, always determine the impact of massage therapy during future visits and adjust the treatment course accordingly. Some NSAIDS have anticoagulant properties and patients taking these agents may be more susceptible to bruising if treated too aggressively. Muscle relaxants and narcotic analgesics depress neural responses and, therefore, attention must be given to avoid overtreatment.

Corticosteroids can impair the tissue strength, resilience, and sensitivity and lead to reduced skin integrity. Therefore, massage techniques that place stress on muscles, bones, and ts should be avoided or modified. Cardiovascular Agents: Many of the drugs utilized for managing cardiovascular disease have an impact on the sympathetic nervous system. For a patient taking these agents, massage therapy may exacerbate the parasympathetic system, increasing the potential for orthostatic hypotension and related symptoms such as dizziness, lightheadedness, fatigue, and lethargy.

Patients should be advised to sit up and move slowly to minimize the dizziness and discomfort.

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Other medications may affect renal function and electrolyte balance. Symptoms of these disorders may manifest as musculoskeletal symptoms and therefore necessitate careful consideration. In addition, patients with diseases such as angina pectoris or cardiac dysarrhythmias maybe at higher risk for destabilization with vigorous massage techniques. All patients receiving antihypertensive therapy should have a blood pressure reading at every visit to the massage therapist. The positioning of the patients warrants careful consideration, since many of these agents may induce orthostatic hypotension and exacerbate other adverse events.

One example is angiotensin-converting enzyme ACE inhibitors. Treating these patients in a semiseated position may be an alternative strategy. Patients receiving calcium channel blockers CCBs may be at a higher risk for developing DVT due to their ability to cause edema of the lower extremities. Patients receiving treatment for an active DVT with anticoagulants who choose to receive massage therapy have an increased risk of mobilization of the thromboembolism Massage therapist w, therefore, increased risk of pulmonary embolism or excessive bruising.

These patients should avoid strenuous massage treatments. Massage therapy may mask the need for further work-up and evaluation by a medical professional. Antidiabetic Agents: The implications of massaging a client with diabetes can be ificant since massage therapy has been shown to decrease blood glucose. As a general rule, massage therapy should be avoided during periods of medication changes and dose adjustments.

It is best to wait at least 1 week prior to restarting the massage treatments. Ideally, treatment should be done in the middle of a dosing schedule, since many of the products may impact the blood sugar in the short- and long-term of the dosing schedule, such as a mixture of short-acting and long-acting insulins. The sulfonylureas may cause paresthesias that can Massage therapist w sensation and reduced accuracy of patient feedback. Biguanides, such as metformin, may cause muscle cramps, muscle weakness, numbness, and tingling, which may require further medical attention and rarely may be due to the lactic acidosis associated with this class of medications.

The biguanides are also associated with easy bruising, so more aggressive techniques should be avoided. Gas and bloating are common side effects of alpha-glucosidase inhibitors Massage therapist w may be heightened due to massage therapy. Thiazolidinediones use is associated with development of edema, which may be improved with massage treatments. However, easy bruising is also noted with this class, so aggressive techniques should be avoided.

Insulin injection sites and infusion pump devise placement sites should be locally avoided during massage treatments. The various types of insulins have specific onsets of actions and massaging can alter the pharmacokinetics, especially the absorption parameters, of these agents and increase the potential for hypoglycemic events.

At the same time, long-term diabetes affects the viability of connective tissues and the nervous system, leading to fragile skin, potential for sensory loss, and high risk of infections. Antineoplastic Agents: Massage therapy has been increasingly utilized to relieve symptoms in patients with cancer. The improvement was a persistent benefit and was evident through the duration of follow-up of 48 hours.

However, chemotherapy and supportive adjuvant therapy can cause severe adverse effects that should be evaluated during the therapy session. If needed, the therapy session may be either postponed or shortened or lighter treatments may be used. The alkylating agents and antitumor antibodies can cause pulmonary fibrosis, which can result in poor oxygen delivery and decreased carbon dioxide removal, leading to weakened body tissues. These patients should avoid deep manual techniques.

Peripheral neuropathy and subsequent sensory perception alteration may occur and if symptoms are severe, avoid massaging the area; if the problem is mild, employ light techniques. The antimetabolites and antitumor antibiotics have a of cardiovascular and blood disorders, and again it is important to adjust the depth of the manual techniques.

Hormonal agents may cause orthostatic hypotension and, therefore, rapid positional changes should be avoided. Tamoxifen is related to increased risk of developing DVT, and local massage of the area may result in dislodging of the clot. This can result in myocardial infarctions, cerebrovascular accident, or pulmonary embolisms.

Drugs that are classified as antimitotics can cause paralytic ileus. Patients may present with symptoms such as constipation and distension.

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Massage therapy is contraindicated in this situation. Antiretrovirals: Many studies have been published demonstrating that patients with HIV infection and AIDS often seek complementary therapy for their disease. Patients receiving therapy with nucleoside reverse transcriptase inhibitors NRTIs are at an increased risk of developing lactic acidosis. The massage therapist should observe the patient receiving these therapies for bruising and modify the massage technique accordingly. NRTIs commonly result in muscle wasting and subsequent extremity edema.

Massage therapist w

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