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Showing posts with label Sports Massage. Show all posts
Showing posts with label Sports Massage. Show all posts

Tuesday, 13 December 2011

Benefits of Sport & Remedial Massage: an overview


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Benefits of Sport & Remedial Massage
  • Injury prevention
  • Enhanced training
  • Greater energy
  • Pain reduction & management
  • Faster recovery
  • Increased flexibility & agility
  • Improved mobility & range of movement
  • Functional muscle balance
  • Normalised fluid movement (blood & lymph)
  • Emotional relaxation and stimulation
  • Increased body stamina
  • Reduced soft tissue tension & binding
  • Improved physical & mental performances


Benefits for systems of the body:
  • Skeletal system: reduced thickening of connective tissue, restore range of movement, decrease stress on joints and bones, improve muscle tone balance 
  • Muscular system: release tension, decrease stiffness, decrease spasms, decrease restrictions, decrease adhesions, normalise scar tissue, improve tissue functionality 
  • Cardiovascular system: increase blood flow, increase oxygen and nutrient uptake, remove of toxins and waste products 
  • Nervous system: increase endorphin production, stimulate and soothe sensory receptors (decrease pain), proprioceptive balance restoration, deactivate trigger points 
  • Digestive system: improve peristalis and fluid movement 
  • Lymphatic system: increase white blood count & lymph movement

Friday, 18 November 2011

Guest blog at Combat Sports Clinic


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In October we were asked by Rosi Sexton if we wanted to contribute an article for the Combat Sports Clinic blog. Of course we jumped at the chance - Rosi, in her own words... "...is the founder of Combat Sports Clinic and is a registered osteopath and sports massage therapist. She is also a professional MMA fighter, and is currently ranked amongst the top 10 female fighters in the world."

The topic for our article is the Physiological Benefits of Sports Massage for Athletes it was published in two parts. Enjoy the read of both Part 1 and Part 2 - and as always, let us know if you have any comments.

Monday, 10 October 2011

Herniated disc


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Your spine is made up of vertebrae, each separated by intervertebral discs made of fibrocartilage.  The discs are made up of inner and outer parts - a soft gel like elastic inner core called the nucleus pulposus and the tough annulus fibrosus being the outer rim of cartilage. The nucleus pulposus is there to distribute the pressure of each disc when they are put under load, i.e. they are shock absorbers. They also enable each vertebrae to glide over the other, keeping movements smooth.

What is a herniated disc?
Also called a slipped, ruptured or prolapsed disc. What happens is the soft inner nucleus pulposus herniates - it bulges through a tear or distortion in the annulus fibrosus into the vertebral canal or intervertebral foramen. The damage to the annulus fibrosus can happen because the disc is compressed beyond its normal range.

Depending on which way the bulge protrudes will determine what symptoms are felt. The disc can compress the spinal cord or nerves which can lead to reduced, or loss of function to the areas of the body served by the nerves. To you, this will feel like mild to severe back ache with or without burning, tingling, numbness or other sensations. If really severe muscle function can be affected or even paralysis. It really depends how severe the injury is, and what structures are affected.

Why does it happen?
For a fit and healthy person it is usually caused by sudden trauma, generally because of strenuous exertion (e.g. lifting a heavy object) or exercise (e.g. improper technique when weight lifting). Trauma can occur because of the lightest of movements, e.g. picking up a small object, and this would point to an underlying cause, or with forceful trauma to the vertebral discs such as in a fall or car accident. Poor posture can also contribute to this condition. In the healthy/young population the herniation is generally sudden and acute.
For older people the herniation can occur because of wear and tear - bone disease or degeneration, and the onset can be more progressive and chronic. That said, the onset, i.e. when you feel the pain, is usually sudden and sharp.

Can it be prevented?
Obviously accidents and traumatic occurrences are difficult to prevent. You can however ensure you perform lifting with proper technique, and keep yourself generally fit and healthy. Avoiding repetitive twisting movements is generally a good idea as this can put extra pressure on the discs. In a gym ensure your trainer shows you correct posture and technique and continues to monitor you so that you continue to do the exercises correctly. This should minimise the risks.

How to treat it?
Immediate care is rest and application of ice initially, heat can be applied after the acute stage has passed. Seeing your GP or emergency doctor may be appropriate. With medical intervention anti-inflammatory and pain medication may be prescribed.  As the injury progresses bed rest may be applicable for a period but generally normal activity should be undertaken ('active rest') to prevent muscle guarding and keep the spine mobile. If there is pain then stop what you're doing. Longer term, you should be looking to undertake strengthening and flexibility exercises with a sufficient warm up. It should go without saying that sudden or excessive heavy lifting is to be avoided to prevent re-injury. In severe cases surgery may be necessary but the majority of cases resolve with this being necessary.

Can Sports Massage help?
Yes, it can. Providing the therapist avoids treating on a day when symptoms are bad then there are no reason not to massage. Sports Massage will help to relieve muscle spasms, muscle guarding and tension which is your body's natural reaction to 'protect' the area. The intention of massage is to create space around the affected vertebrae, thereby allowing for the retreat of the herniated tissues.

Massage will also help to manage pain. A good therapist will look at the wider issues occurring in your body which might be contributing to, or a result of the disc injury. For example, postural imbalances, muscle functioning (what might be inhibited or short), firing pattern dysfunction and gait reflexes should be considered as part of the treatment. The aim is to look for the cause of the issue, as well as managing the acute area and muscles surrounding the injured disc. 


It is often appropriate with this condition for massage therapy and osteopathy treatments to be included in the overall treatment plan. This is to allow the soft tissues and bony structures to be worked in tandem, since both are involved.

Monday, 3 October 2011

Marathon training


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As the London and Manchester Marathon places have just been released, there are a number of first time marathon runners (and also more experienced runners) who are about to start training in earnest for the events early next year.
For those of you who are planning on running a marathon, read on! We have worked with many marathon runners in the past and all have benefited from ensuring their training programmes include regular sports massage.

Why is that?

Well the simple answer is that regular maintenance massage can help to keep your muscles healthy and injury free, which is of great importance to long distance runners.
Of course it is more complicated than that - depending how much you want to know about anatomy and physiology. But for you, the runner, massage therapy is a must if you want to help prevent injuries, improve your running times and have greater energy.

London 2010 marathon runners


Sports Massage works with the muscles, tendons, fascia and all soft tissue structures in the body which are put under stress when running. After a run, your muscles will have suffered microtrauma - tiny amounts of damage which you are not able to detect. It's unavoidable, but how you deal with it is what matters because microtrauma is one of the paths which can lead to injury. Essentially, microtrauma is tiny tears in muscle fibres as a result of overloading or overuse. It's the same result that happens when you have a muscle tear, though perhaps not as obvious or painful - so underlying the trauma there will be bleeding, inflammation, swelling and formation of scar tissue.

Through soft tissue therapy we can prevent the build up of scar tissue by breaking down any adhesions (what you might feel as knotty areas) and keeping muscle fibres aligned along the functional lines which are needed to stay injury free and to keep you running strong.

The danger of not dealing with microtrauma and vulnerable areas is, as we've mentioned, injury, but also muscle imbalances elsewhere in your body. Joints then become stressed and biomechanically inefficient which can lead to tendons becoming overly stressed and less efficient movement patterns. An example of injury which can be the result of untreated and repetitive microtrauma is tendinitis. For runners, one area which often suffers is the Achilles tendon.

Repeated microtrauma = weak & damaged muscle fibres = chronic muscle strain = injury

If muscles are chronically strained then the collagen (which helps to build muscles) is reabsorbed and results in the weakening of soft tissues in that area.

Weak soft tissues = injury susceptibility

Massage is also good at improving circulation in your body. If you have poor circulation then you'll feel sluggish, lack energy and generally not be enjoying your runs. When we say circulation, we're talking about blood (which carries oxygen and nutrients essential for optimal muscle functioning) and lymph (interstitial fluid involved in the removal of waste products and bacteria).  The interesting fact about the lymphatic system is that it has no built in pump; it relies totally on one way valves and other systems in your body (muscle contraction, arterial pulsation) to assist the movement of fluid. Massage therefore, can help with lymphatic flow by encouraging it to return into the circulatory system appropriately.

Better circulation = improved energy = better running

The challenge of running a marathon is quite a big one for most people. Motivation to run the 26 miles (42 kilometres) has many origins. The risk of injury is the same for everyone (well more or less the same - there's intrinsic and extrinsic factors which have to be taken into account). If you choose to put your body through a rigorous and lengthy training plan then you must respect your body enough to look after it along the way.

Sports Massage can benefit all runners, regardless of background, support or motivation. Here's an overview of some of the benefits Sports Massage can offer you:
  • Injury prevention
  • Faster personal bests
  • Greater flexibility and increased range of movement
  • Functional muscle balance
  • Improved circulation
  • Faster recovery times
  • Pain relief
  • Greater energy
  • Relaxation
  • Improved posture
The best way to look after your body and keep strong for running is to have regular monthly maintenance massage - let us, the experts, keep you healthy and help you to prevent injuries.

Thursday, 16 June 2011

I'm a cyclist. What good is Sports Massage for me?


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As a cyclist, you know about spending money on getting a better bike, lighter components and more aerodynamic wheels. It all makes you go faster.
That's all defined by materials and mechanics, if someone else buys the same thing as you, they can go just as fast. What if you could get something unique that could make you go faster and be a more efficient and less injury prone cyclist?

No, I'm not talking about EPO, I'm talking about Sports Massage.

We know that the pro's use it on a day to day basis - and they know the performance enhancing benefits that it brings- so lets just break it down a bit to give you an idea of why they use it, and how it can be used to benefit you.

The general complaint I see from cyclists - as with runners is pain running down the ITB, there have been a few of the more hardy souls who want it "stripped" so that the pain goes away- which is particularly painful, and is something to do if you want quick relief, but not actually treat the cause of the pain. If you have ITB syndrome then there is a previous blog post that you might want to have a look at.

Cyclists are generally plagued with overuse injuries. It's not generally a sport in which something suddenly hurts, and hurts badly - (unless you hit a tree), it is a sport in which things gradually ache, you get used to them, and then, over a long period of time, you start breaking down. The main areas are knee pain, foot and ankle injuries, neck and back pain, hip pain and hand and wrist injuries. I'm not going to include fractures and impact injuries, though they do happen, and massage can help the recovery of them in the long term... but it's not really a modality which stops you from blunt force trauma. I'm not going to talk about correct bike set up, though a badly fitting bike can  lead to all kinds of issues.

Maintenance massage- what does it do?
Much like checking over your bike for wear and tear, the drive-chain, the gears, brakes, bearings etc, everything needs replacing from time to time. A maintenance massage is just that. Checking over the various muscle groups throughout the body for excessive tension, inefficient muscles, imbalances which make your body more prone to fatigue, flushing waste products through muscles and generally assessing the well being and health of the body for the ongoing challenge that is cycling.

Imbalances? Are you saying I'm unbalanced?
Yes. but not mentally. obviously.
Muscles work on a reciprocal basis - agonists and antagonists. When one of those is being used, the other is neurologically inhibited (it automatically relaxes). So when you use the quads, the hamstrings will automatically relax, its hardwired into your nerves to do that. This is great - until you consider something else, all the time the quads are engaged, the hamstrings CANNOT switch on - they are neurologically inhibited by the nerves. If you have huge quads and they are constantly tight - always switched on even when you "relax", the resting tone of your hamstrings is very lax. They become wasted and inefficient and you become over reliant upon the muscles at the front of your legs. That's just a brief example of a muscle imbalance - and it can happen anywhere in the body - which will affect posture and your ability to pedal for long periods of time - so muscle imbalances are something to look out for.

Ok - so what other muscles might be affected?
Well, we've already talked about quads and hamstrings, another contender for most ignored muscle of the year award for cyclists is the glutes. Gluteus maximus, medius and minimus, all working around the hips and hip joint to stabilise the pelvis and make sure the leg - and by extension - the knee - are working in harmony. Again, its the quads which can end up being very dominant, and the glutes end up wasting away, not being called upon to do what they are meant to do. This may not have much effect on the power of your pedalling, but if the muscles don't work in terms of their stabilising role, the legs are going to start being less efficient in their stroke, excess side to side (lateral) movement may result and over time, that chronic overuse injury to the knee may well result. Not a good thing.
The same could well be said for the Piriformis muscle - not being stretched out - ends up with a chronically over tight lateral rotator, and then hip is thrown out of whack - ending up with - you guessed it, an overuse injury at the knee.

Funnily, the glutes are connected with another issue - the back. As they get weaker and more atrophied, the movements which rely on Glute power (one of the biggest, if not the biggest muscles of the body) begin to find other muscles to use in order to make movements which it is used to. Raising the leg behind you is meant to use the Glute max as a prime mover - in a number of back ache cases, the Glute max isn't being used in that capacity - its the lower back muscles which are being used as the main muscles, followed by the hamstrings, and THEN the glutes. No wonder their backs hurt! Small muscles which are meant to be used for postural changes are being used by the body to power movement - because the glutes are lazy - which has come about because the quads are permanently too tense.

All of a sudden, your lower back pain is being indirectly caused by tight quads. What about that.
Might it be worth getting those quads looked at - see if they need a maintenance massage?

Hours of sitting on a bike can cause havoc with the upper body posture - especially when its combined with the average "desk jockey" position. A great aerodynamic position is with the shoulders tucked in. Elbows in, head down and looking - in essence - up. Pectorals are shortened, Lat dorsi is shortened, trapezius is short, scalenes and SCM (muscles in your neck) are tight and holding the head at an angle which is definitely sub-optimal for muscular endurance - however, all these muscles are also having the same things done to them as you sit at your computer at work. Your glutes, which aren't working on the bike so much, barely get a look in when you are sitting down, and it's the quads which are mainly used in the action of standing up and sitting down.

So all the things that are bad for you at work (if you're predominantly sitting at a desk) appear to be compounded by riding the bike.

Yes, riding is a fantastic and very healthy thing to be doing, but its not actually getting your posture any better, and it's not giving your body a break from the position its in all day anyway.

A final note about efficiency of muscles.
We all know that when we exercise, the muscles break down. It is during rest that the muscles build back up again and become stronger. They do this through tissue being laid down in a haphazard fashion within the muscles. This haphazard pattern becomes aligned to lines of stress.
However, the tissue that is laid down in the muscles is a sticky collagen substance - it's so sticky that it doesn't just lay down in individual muscles, it forms cross-bridges between them - and without care, can bind muscles together - which will make them perform sub-optimally.
Imagine if your quadriceps (sorry to keep going back to them, but they are generally a pretty good example) which are 4 individual muscles, which contract at different rates and different times according to what you want them to do were bound together - forming what is essentially a single muscle - a unicep if you will - each time an individual muscle wanted to contract, all 4 of them have to do so, using up valuable energy, sapping your power instead of that one muscle working efficiently, and leaving the others to rest until they are needed. (simplistic and, in this case slightly unrealistic, but I hope you see my point). If your muscles are bound together they are inefficient and are wasting your energy.

How can I stop this?
Get a foam roller, do some intelligent stretching (to counter the effects of the cycling posture) and book yourself in for a massage.
Foam rollering going to hurt the first few times you do it, but the more it hurts the less efficient your muscles have been - and the more you need it.
I know there are more reasons and more things to talk about, but I think I've drivelled on enough for the moment.

Tuesday, 14 June 2011

By request - Recovery Techniques


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So. I ache. I was out flipping tyres and throwing medicine balls around yesterday, and although I warmed down a bit, I didn't really do any recovery - hence, I ache.

Generally at the end of a session it's common to think that you can't be bothered to do a cool down, or you don't have time - you shoot off and do something else, and it's not until the next day that you curse yourself for a fool as you wander around the house trying to make a coffee with what feels like battery acid coursing around your veins.

After the post on DOMS which seems to have generated some interest, I received a couple of missives to ask what kind of recovery practices are good in order to minimise the pain, and are there any diet changes that can make a difference - like chugging protein after a workout etc.

Ice Baths-
or - if you can't get any ice - really cold water bath. The colder the better, the more ice the better - within reason. The idea of this is that the ice has an anti-inflammatory effect - the muscles have already been over-heated from the exercise you were just doing- you need to cool them down. A general guideline is filling the bath up as high as it need go to cover the muscles you have been using, and try to accumulate 15- 20 mins in total. It doesn't need to be all at once, you can have several shots at it for a few minutes. (I find that heating a flannel and using it to cover slightly more sensitive areas for the duration of the bath makes it slightly more bearable).

If you've just been for a fell run and there is a nice, ice cold stream to lie in - that will do the job nicely. Just ignore the weird looks from other people - you'll be feeling fresh as a daisy tomorrow.

Recovery shower -
Start warm to hot - massaging muscles for a few minutes (less than 5), then slowly turn the heat off until its properly, ridiculously cold. Unbearably so.
Man up.
for 5 minutes.
Turn the heat back on for a couple of minutes. And repeat at least twice, finishing with cold water.
Remember, 5 mins of cold water is better than feeling stiff as a board for the entirety of the next couple of days.

Foam roller -
I've mentioned these a couple of times in various blogs - use foam ones, expensive ones, pressurised coke bottles, beer bottles, slosh pipes, anything that is cylindrical and solid. You use the roller over muscle, which has the effect of stretching and separating muscle and fascia, breaking down cross fibres which make muscles less efficient. The pain you will feel is an indication of the muscles that are bound together (a bad thing), so the more it is hurting, the better it is for you, and the more you need it.

Also, the more you use a foam roller, the easier it will be for a massage therapist to treat the areas that actually need treating as they won't have to waste time getting through all the superficial knots and tension to get to the structural issues which may be causing inefficiencies in the way you use your body.

What should I eat?
Back in the day when I was primarily an indoor climber, I used to chug protein shakes on the way back home from a climbing session. They tasted lovely, but I was heavier than I needed to be because I really didn't need any of the extra stuff that I was pumping into my body. No matter how much protein you take on board directly AFTER a session, it will make no difference to the immediate recovery of muscles. The protein already in your system is what helps...
they keys to recovery after workout are twofold
1- a pre-workout snack - or taking on food before the work out - and
2- the replacement of Glycogen after the workout.
At this point in time, sports nutritionists are recommending 3:1 or 4:1 ratios of carb to protein- but at best this is a generalisation. (chocolate milk has an approximate 3:1 ratio. That's just normal chocolate milk - not some fancy expensive shake. It's what I use when I need a quick recovery drink at the end of a hard work out and I know that I won't be getting proper food for a while...) It will depend on the kind of effort you are expending.
Short intense workouts need little more than water, and a normal meal, up to 120 mins at a moderate pace may need up to 250cals followed by a normal meal (note, the numbers are not gospel, it will depend on your body and what you, as an individual needs), and long, long efforts will need up to 900 cals. You will know when you have got to that point. There will be no doubt.

The most important of the food advice I can possibly give is eat a balanced and intelligent diet. Eating crap, and then having energy bars and protein shakes will not get you anywhere near as good as just eating decent food. I'm not going to get into one type of diet versus another, because that is all secondary to the quality of food. Spend money on decent food. Your body is one of the best things you can invest in.

Other recovery methods -
The main one is long term cross training. If you are a triathlete you bike, run and swim - this, however, is not cross training for you. There will be massive imbalances between your quads and your glutes which will inhibit your ability to go faster - find another activity to do which will help keep the non-tri muscles working.
If you just lift weights- find something else to do,
you get the picture... the reason for this is if you constantly and consistently train for a single sport imbalances will develop and the muscles that you are using will get more and more tired.

Sleep -
Most important. Good quality sleep. I hate people that say sleep when you are dead. That's like saying you can have a drink while you're drowning. Sleep time processes toxins that you have accumulated in the day - poor quality food, water, air, alcohol etc. If you suffer from poor sleep quality or quantity, do something about it. Black out curtains, music, etc. Magnesium extract is a good sleep preparation dietary addition.

Maintenance massage -
Yes - regular massage can of course help - not just from a soothing and remedial point of view, ridding muscles of toxins, increasing muscle length and reworking myofascia via myofascial release to give better range of motion, but it is a time in which the therapist can see which muscles are healthy and are working in conjunction with others, and which are not taking on responsibility for their movements- and are contributing to inefficiencies in your daily life and sport. By discovering this, you can take pre-emptive care of your body, using the information to correct muscle imbalances before they become too ingrained, and your quality of life suffers from pain. The longer you leave muscles to become inefficient, and build up pain, the longer it will take to get you back into working order.

I think I've covered most of the things here - if only in quite a cursory way, but in enough detail for you to go away and have a think about how to recover better.

For those of you that keep a training diary - add a section- a recovery diary. Take note of what you are doing on a daily basis to help your body to recover.

If you are taking a lot out of your body with exercise, but not putting enough back in - not recovering enough, there is only one way you are heading- and that is to breakdown and injury.

Your choice, spend a bit of time doing recovery every day, or spend a lot of time out with injury and pain. I know which one I'm choosing.

Tuesday, 31 May 2011

Rock Over Climbing Wall Birthday Party


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Global Therapies will be providing FREE Sports Massages at the Rock Over Climbing Wall Birthday Party. See the Rock Over Climbing website for details of the party.