Out of scope of practice or just politics?
by Boris Prilutsky
|As you may know, some time ago due to complaints Massage Magazine requested, to remove my article Specially designed medical massage protocol is the most powerful methodology for management of concussions symptoms and much more
The main complaints were:
Regrettably, Massage Magazine decided to give up. “Regrettably”, because if we would discuss the issues stated in this complaint, I am positive that everyone would be able to learn even more about our scope of practice and about other aspects of massage practice that could have arisen in a professional discussion.
Again, regrettably, and despite my promise to provide references, Massage Magazine didn’t allow me to respond to these complaints and removed my article. As far as references are concerned, I always had them. Only, in this case, I elected not to include them.
I have a friend, who is an MD, neurologist, and sports medicine expert, as well as Ph.D., and a great hands-on massage therapist. He was a student as well as the right hand of Prof. Dembo. Much older than me, during the 1970s, he was my mentor and then took me to work in his group. Almost 10 years later, he proposed me a partnership in private practice. We still are very close friends.
When I shared my frustration with him, he asked me whether within the editorial board of massage Magazine there were any professionals in our field, and if so, why didn’t they allow me to answer to the allegations? I had no answer for him at the moment. However, later, contemplating on the issue, I surmised that the magazine was subjected to so much pressure that the editorial board chose this way of handling the situation.
In my view, the magazine’s refusal to publish my rebuttal is a detrimental practice, not worthy of democratic society standards. I remember publishing a short article in “Massage Today.” It included the proposal to address trigger points. One lady disagreed with my approach. “Massage Today” published her disagreement and published my rebuttal a well. It so happened that my opponent agreed with me, but our personal agreement or disagreement was of little significance. More importantly, the readers of this professional massage magazine could learn from our discussion.
Having said all of the above, I actually want to compliment Karen on her courage in allowing me to clarify the situation by posting my reply on Massage Magazine FB page. Even though most likely, the amount of subscribers to a printed magazine is much greater than Facebook membership, it is some reconciliation after all. Therefore, I will use this opportunity to present my position regarding allegations stated above.
1. All the information I’m presenting in my article is out of massage therapy scope of practice.
The concussion-rehabilitation protocol is nothing more than a massage protocol – a sequence of massage manipulations – effleurage, friction, petrissage, tractions, massage techniques to accelerate lymph as well as cerebral spinal fluid drainage etc. that I like any other massage therapist use in massage therapy procedures. Those of you, who rented my instructional videos know that I perform all stated above techniques. If massage technique that I am proposing as a part of this protocol is out of massage therapy scope of practice then we all practice out of the scope of practice.
As for the protocol itself –it was developed by Professor Dembo and his research group in 1964 for a use of massage therapists just like any other massage protocol of Medical Massage.
The concepts presented in my article I learned in 1973 from the internal informative leaflet of Soviet Ministry of Health, the department number 4. In addition, I was trained in to perform hands-on massage protocol in the classroom.
2. Massage therapists cannot treat psychiatric disorders and certainly can’t promote themselves as mental health professionals.
I never presented or/and promoted myself as a mental health professionals.
The following is an excerpt from my blog:
”The hands-on protocol starts from combining massage techniques for acceleration of cerebral spinal fluid drainage, lymph drainage massage techniques. It is followed by the lateral neck compression massage techniques, acupressure techniques for tension headaches and the full body medical stress management massage. To understand why this protocol is utilized with repeated success, I am referring you to how the biomarker was established, and summarize that the concussion biomarker is irregularities of the autonomic nervous system. After accelerating drainage of an excessive amount of cerebral spinal fluid, we immediately increase much-needed blood supply to the brain. However in order to sustain the normal cerebral circulation, normalization of autonomic activities is a must. No other methodology but massage therapy possesses this significant power/effect to balance sympathetic and parasympathetic activities. Again, the post-concussion conditions developing vicious cycle, such as secretions of excessive amounts of CSF, following by Insufficient blood supply along with dysfunctional mitochondria – intracellular source of reactive oxygen species, Programmed cell death and more, immediately reflecting in autonomic irregularity. In order to achieve sustainable results, a therapist must perform all techniques I mentioned above in order to restore blood supply and at the same time, stimulate autonomic activities to achieve the maximum possible balance.”
Thus accusing me of presenting myself as an expert for psychiatric disorders, is just as groundless as to blame me in proclaiming myself an expert in support and movement disorders, etc. I am a massage therapist, who possesses skills and knowledge in performing therapy by means of massage, which is the capability to address causes that produce pain and dysfunction. As human body has a potential to heal itself, by performing massage we stimulate this healing process.
3. Only healthcare providers can address concussions, massage therapists have no business in this cases.
The answer to this questions has to do with the distribution of tasks. Certainly, medical doctors have to diagnose the problem and prescribe the treatment plan. However, it is the obligation of a massage therapist to execute the treatment. The misunderstanding perhaps happen because the post-concussion rehabilitation protocol, so widely known and implemented for a long time in the Eastern Europe, is not very well known in the US. So the permission to use the protocol comes down to the factor of its legitimacy.
I said earlier, it was developed by scientists and it has been tested by many years of implementation in the field. Professor Dembo’s research established that the nature post-concussion biomarker was irregular autonomic activities. It was a challenge to find references to support his research written in or translated into English. The best support for his research (in English) is this video that I discovered it accidentally, and very timely. Please watch the following video:
Random picked, 21 post-concussion patients demonstrated irregular autonomic activities. This is a very solid evidence. I would recommend reading the information scientifically based and clinically proven information on physiological effect of massage on human body.
Irregular autonomic activities are very sensitive phenomena. When an individual suffers from a post-concussion encephalopathy, including irregular autonomic activities, he or she cannot control himself even under regular circumstances, which otherwise could be controlled by a healthy person. Under these circumstances just an insignificant emotional or mental irritation can escalate into absolutely irrational behavior; to, what we would call, psychiatric behavioral disorder.
In a case of successful application of massage protocol, directed to address post-concussion phenomenon, including an approximate balancing or sympathetic and parasympathetic activities, in most cases, the development of brain dysfunction could be prevented, including movement disorders, dementia, as well as psychiatric behavioral disorder.
4. I didn’t include references, supporting my statements.
Prior to answering the question of references I would like to post my own question to the complainers: Will the list of references help a patient suffering from post-concussion encephalopathies?
The friend I mentioned earlier, told to me, that the first time Professor Dembo’s research paper was published in 1965 at “Physical Culture and Sports publications” and suggested that I could have given references to this publications. However, I wasn’t sure that searching in old Soviet magazines was the right approach in this case. At the time when Professor Dembo proposed the Post-Concussion Rehabilitative Medical Massage Protocol, the prevailing opinion in the contemporary scientific community was that the terms such as a stunned brain, hibernating brain cells, apoptosis or programmed cell death meant the same thing – a non-reversible cell death. That means that a reversible apoptosis as well as the post-concussion inflammatory response, weren’t possible because the brain was incapable of marshaling a post-concussion inflammatory response due to the selective permeability of the blood–brain barrier (BBB).
Today, 40+ years later many researchers support all that Prof. Dembo hypothesized and clinically proved. The outcomes were reproduced thousands of times.
However, my point still stands; will the list of those references help a patient suffering from post-concussion encephalopathies?
When Prof. Dembo proposed this concept and massage protocol, he was a maverick in this research and, therefore, couldn’t offer any references because, as it was mentioned above, it was contrary to the prevailing opinion of the contemporary scientific community on the issue. Yet has his method been less effective because of this?
In the interim, the friend I mentioned above, Dr. Ross Turchaninov, my kids, and my current partner convinced me to always present references, in order to avoid unnecessary “misunderstandings”. Ok, from now on I will always present references. At the same time, I find this attempt to pretend, making a terrible disservice to our communities, including professional publications. Many times, following the given references within published articles, I discovered that they had nothing to do with presented subject relying on the fact that editorial board is not checking, or not capable of check them. How about the readers? Do most of them ever follow or read references that come with each article?
When massage Magazine removed my article, without allowing me to reply to those complaints my partner wrote Karen Manahan editor in chief an emotional personal e-mail. To his and later to my surprise Karen decided to publish his letter. To me, her decision seemed odd; to refuse me to publish a reply to complainers, and, suddenly, to agree to publish my partner’s letter? The readers might remember these sentences from his letter: ”Again, this information was classified. You actually might find some publications in some old Soviet scientific magazines, but it has never been published in English?” and, as a result, be left with the partial or wrong impression.
In my next post, I will include the text of his letter – the same text as it was printed in the editorial section of “Massage Magazine.” My partner is not massage therapists or in any way connected to our field. Therefore, in the next blog will offer my additional explanations and clarifications regarding the information he included into his letter.
A contemplation about “Concussion”
By Michael Gaft
I would like to start by saying that I am not a massage therapist or a medical professional and my interest in this matter is rather philosophical than medical.
Recently, I watch “Concussion” movie and was impressed with it in a couple of different respects, least of which was a great job by Will Smith imitating Nigerian accent.
It was very touching how Will Smith portrayed Dr. Omalu. He’s shown a person of unusual courage, resolve, and perseverance, and, at the same time, someone very humble, without preemptive sassiness and tantamount of drama. “The true American” as they put it in the movie. I might add “the true citizen of the World” since it’s not only in America that the big business is throwing its weight around. Maybe that belief in the exclusivity of the US as a beacon of justice and opportunity actually kept him going through the entire ordeal and the success, he has eventually enjoyed in the US, couldn’t have been possible somewhere else. That and the pretty partner that Hollywood has furnished Will Smith in the movie. Surely, behind every great man, there’s got to be a great woman. “Serse la fam” so to speak. Not sure whether this is how this reality happen in the life of real Dr. Omalu as he is not as tall and handsome as Will, but let’s give this plot line the benefit of a doubt.
It’s actually amazing that the real Dr. Omalu was able to persevere through that struggle. Even being truly righteous and courageous, he was also very lucky. I am thinking of many doctors who on the brink of such discoveries were shut down, intimidated, were stripped of their licenses, lost their jobs or, perhaps, careers.
However, to me, the most striking inference of the movie was in the fact that Mr. Omalu had to make the discovery of chronic traumatic encephalopathy (CTE) in 2002, while this phenomenon was discovered many years earlier, before he was even born, in the Soviet Union. Only this condition was detected in connection with boxing rather than with Football. However, as I can recollect, Joe Luis had the 750 lb punch, as was the case with many other knock-out artists, which is quite enough to create a concussion and leave a person with CTE.
As I was saying, this phenomenon was discovered in the Soviet Union in 1963 in connection with a very famous, at the time, boxer Valery Popenchenko, who was called “Mr. Mystery Knock Out.” Rather than describing the history here I’d like to offer you the link, where Boris discusses it at length.
Interestingly, not only that in the Russian doctors discovered these encephalopathies, but they also developed the massage protocols to handle this condition. Among many bad things that a police state might enforce, this came out good as all the boxers and athletes of other sports susceptible to the possibility of concussion were obligated to go through the appropriate treatment and only then were allowed to return to training.
If instead of pushing the players to the field after sustaining the concussion, NFL would employ these very safe and cheap treatment protocol, there would be no brain damage and consequent deaths of so many icon players. I remember this sentiment coming many times from Boris when visiting him in the past, I saw huge burly fellows leaving his office after receiving this protocol. So I actually very glad that the movie like this has finally arrived.
The whole situation with Dr. Omalu discovery reminded me the case of the father of genetics Gregor Johann Mendel who made his discoveries in 1865 and 1866, and which had been forgotten to be rediscovered in 1900’s.
As I am contemplating about the movie and the real case that this movie is about, I have a bitter taste in my mouth – “what a waste” of a talent! Why can’t we, as the only Homo sapiens on this planet, communicate the knowledge and be helpful to one another?
The opening scene in the movie, where Dr. Omalu is subjected to inquest regarding his credentials, is very indicative of the overall US approach to an “alien” source of knowledge. It wasn’t enough to say that he was a pathology anatomist and established the cause of death on a daily basis. He had to mention that he had degrees from the several accredited American schools, before his testimonial been given any weight. It sort of blows my mind. Here it is this protocol that prevents long-lasting brain damage, just take it.
Surely, there is some justifiable safety precaution here for who knows what people came from other countries can claim? Thank god the US has enough of its own quacks. However, if someone offers methods of treatments that has been proven safe and effective over many years, why not give them the benefit of the doubt enough to test them?
Another unsettling moment in the movie was when NFL finally started listening to Dr. Omalu’s reasoning only because one of their own upper-level managers, ex-football player, also committed a suicide. Do we have to wait for another fifty years until someone like Dr. Omalu would develop the protocol in the US?
Diverticulitis and lower back pain
Prior to getting familiar with the case I am about to describe, I highly recommend to read this article. http://medicalmassage-edu.com/critical-vs-clinical-thinking/
I called this article “Critical vs. Clinical Thinking.” I hope we all agree that critical thinking is involved in most situations of our life, including and not limited to intellectual dynamics of clinical thinking. But if critical thinking will compel you to a search for scientific data, it will lead you astray from the specific clinical picture thus becoming useless and having nothing to do with clinical thinking process and the outcome of it.
Last Monday, September 7th, 2015, a 47-year-old lady, a nurse practitioner came to me, complaining about an intensive lower back pain; more toward the left side. According to her report, the last three days it was getting worse. Painkillers and anti-inflammatory drugs did not really help.
Palpation is the part of a massage therapy examination procedures where we try to discover trigger points, tension within the fascia, muscles, etc. I didn’t discover many trigger points that would support skeleton-muscular disorder in the lower back. The description of symptoms she offered, and what I have felt with my fingers didn’t match. However, when I examined abdominal, even a light touch produced an unusually sharp pain, and mostly on the left site. I told her that this was not the case for a massage therapist, and highly recommended her to go to an emergency room. She asked me to explain her my suspicions.
As usual in such cases, my responses that I am not a medical doctor and cannot diagnose, but from my experiences it didn’t look good. I also explained to her that if the trip to an emergency room would not entail any real concerns it also would also not pose any threat – better be safe than sorry. However, if this is a life-threatening condition, not going to ER, at the very least, is irresponsible.
She told me that she was a nurse practitioner and she could diagnose and that she wanted to hear my opinion. I said that her condition looks like diverticulitis, and, possibly, her condition was progressing. I felt with my hands an unusual stuff. Luckily I examined her at a hospital research laboratory, a few yards from ER where I volunteered to walk to.
Three days later, when I was back in the laboratory, I asked about her and the guys who knew the story praised me, claiming that my actions saved her life. I answered what saved her life was simply my refusal to treat at that moment.
What it turned out to be was a difficult case of peritonitis, including infected pouch ruptures, spilling intestinal contents into the abdominal cavity. The client’s condition required emergency surgery, IV and significant amount of Antibiotics. She was in a life-threatening condition. The confusing part of the diagnostic process was the fact that she didn’t experience abdominal pain, but the pain in the lower back.
There are cases when people complain about pain in certain body parts, which isn’t an indication of orthopedic disorders. We, as massage therapists, should be careful prior to starting a treatment if we cannot palpate obvious trigger points that can explain the symptoms. I advise forming questions in a specific manner. They should clarify if a client feels pain in places where trigger points, related to the described symptoms, usually reside. Unless this is done, it is easy to misinterpret the complaint and come to the wrong conclusion. It could be a coincidence. A person can develop trigger points, but similar to what happened in this case, it wouldn’t be related to diverticulitis.
In the aforementioned case, I asked the questions in the manner I recommend. The client’s recognized the presence of trigger points, but they were not related to her lower back pain. She just described what she felt, and this helped me to make the right decision, after careful investigation of abdominals. Three days later, I went to visit her at the hospital. She presented me to nurses and doctors as a hero. I responded that all my heroism was in the fact that I decided not to provide a treatment.
Sometimes even doctors can make mistakes and refer us patients with a similar clinical picture. In the above case, it was very easy to miss diverticulitis without complaints on the abdominal pain, high fever, and much nausea. Just a light touch was enough to determine that this is not the case for a massage therapist, and to come to a conclusion that this was diverticulitis. We are not only the first door-keepers but sometimes, also frontiers in recommending the urgent medical attention.
You’re welcome to post any questions, comments.
Specially designed medical massage protocol is the most powerful methodology for management of concussions symptoms and much more.
The mainstream position on concussion treatment states that “rest and time” will provide a sufficient cure.
Partially this is true – with time and rest the immediate concussion symptoms go away. The symptoms like disorientation, dizziness, nausea, sleep disorders, headaches will disappear during the first ten to fifteen days after a concussion. But would the development of post-traumatic brain degenerative diseases stop? Would brain dysfunction symptoms go away?
Many athletes in all contact sports suffer from post-concussion encephalopathies such as movement disorders, dementia, chronic headaches, psychiatric behavioral disorders, etc. (of course, the most violent sports like football and boxing suffer more) These are terrible and, sometimes, irreversible pathologies. Lately, many young promising football players are giving up million dollar contracts, their entire athletic careers, because they are afraid of side effects of concussions. They don’t want to live their lives with chronic headaches, psychiatric behavioral disorders, tremors, dementia, etc. Again all this mentioned above dysfunctions can and must be prevented.
Athletes who get concussions repeatedly develop these brain dysfunctions after or even during their careers. The good example is “the domestic violence” cases exhibited by football players. We all probably have seen the video I mentioned earlier. The video where a strong athletic fellow is punching his girlfriend in the face, the Ray Rice video.
I don’t think Ray is a wicked or a violent person. If not for his brain trauma, most likely… he’d be able to control his urges. Even a violent person, knowing about the surveillance and the repercussions following the domestic violence case, would have restrained themselves in a similar from being exposed like her was in that situation. Should Ray Rice have no brain trauma, he’d realize that his power unleashed to a woman could kill her. A very strong violent man, in most cases, are rational, and should he happen to hit the loved one, he would restrain his power.
Yes, specially designed protocol of massage therapy is the most powerful methodology, to prevent post-concussions brain dysfunctions, as well as to treat this type of encephalopathies.
From the neurological perspective, a concussion is a head injury that causes head trauma. When it happens to brain cells are in the mode that is called “stunned brain” or “hibernating brain cells”, apoptosis or “programmed cell death.” All these terms describe the state when some brain cells go into hibernation in order to allow other neighboring cells to survive. The main reason for apoptosis is an immediate decrease in blood supply to the brain, due to an abrupt increase of cerebral spinal fluid secretions and an increase in intracranial pressure. The purpose of hibernation is a decrease in cellular function to the point when fewer resources of blood supply, such as oxygen, glucose are required for some cell function thus allowing the neighboring cells a chance to survive.
It is crucial to understand that during Programmed cell death (PCD) process, brain cells don’t die immediately. Moreover, in many cases, hibernation is a reversible process. In some cases, cells can resurrect and brain function will be normalized during nine months without treatments, with some minor functional disabilities such as the lack of concentration, headaches, etc. However, in many concussion cases and especially in cases of repeated concussions, if left without treatment, these resurrections never happens and people who suffered concussions develop movement disorders, psychiatric behavioral disorders, chronic headaches, dementia etc.
As stated above, the hibernation is an initiation of a degenerative change that can be reversed. However, the only way to reliably prevent neurons from going into permanent hibernation is to increase cerebral circulation. The massage protocol proposed by the former Soviet sports medicine expert, neurologist Prof. Dembo, was directed toward stimulation of blood supply to the brain, which in turn is the prevention of irreversible apoptosis.
It is very hard to predict which concussion case would lead to dead cells/brain dysfunction. Therefore, it is crucially important to apply the entire concussion rehabilitation medical massage protocol immediately after concussion. Of course, doctors have to exclude hemorrhage, but the moment doctors give “okay” the program have to be implemented immediately. The sooner it will be applied after a concussion has taken place, the higher is the probability that PCD process will be contained and a person wouldn’t be subjected to organic brain dysfunction, detrimental consequences of concussion.
Although “treating” concussions industry is booming, none of them established a biomarker to diagnose a post-concussions brain dysfunction, as well to assess an improvement of brain function. What is the goal of this therapy?? You can read about it by following this link
In order to successfully treat post-concussion brain dysfunctions, it is extremely important to understand the mechanism of concussions. For a detailed description of the issue please follow the link below The mechanism of concussions and its consequences
The hands-on protocol starts from combining cerebral spinal fluid drainage techniques and lymph drainage techniques. It is followed by the lateral neck compression techniques, acupressure techniques for tension headaches and the full body medical stress management massage. To understand why this protocol is utilized with repeated success, I am referring you to how the biomarker was established, and summarize that the concussion biomarker is irregularities of the autonomic nervous system.
After accelerating drainage of an excessive amount of cerebral spinal fluid, we immediately increase much-needed blood supply to the brain. However in order to sustain the normal cerebral circulation, normalization of autonomic activities is a must. No other methodology but massage therapy possesses the power to balance sympathetic and parasympathetic activities. Again, the post-concussion conditions develop vicious cycle, such as secretions of excessive amounts of CSF, insufficient blood supply along with dysfunctional mitochondria – intracellular source of reactive oxygen species, Programmed cell death and more, immediately reflecting in autonomic irregularity. In order to achieve sustainable results, a therapist must perform all techniques I mentioned above in order to restore blood supply and at the same time, stimulate autonomic activities to achieve the maximum possible balance.
American football is a huge part of American life. Is it impossible to imagine America without the Super Bowl? Even people like me, who have no clue about the game, never miss the Super Bowl, because this is the nationwide event. It is a good cause for families and friends to come together, to have beer and food, to enjoy watching the opening, to be moved by listening to the U.S. National Anthem, watching marching bands and cheerleaders. Always at the half time some famous singer performs and, of course, let’s not to forget the great advertisings brought here to the level of art. Not less important to note that that NFL is a multi-billion industry and will likely to stay forever.
I don’t have the statistics, but I’m suspicious that throughout their careers in high school, college and NFL players receive concussions multiple times. In many cases, even without experiencing the real symptoms, so-called asymptomatic concussions, these traumas accumulatively fuel encephalopathies developments.
My biggest concern is about the high school football. Again, I don’t have the exact statistics, but I am suspicious that many high school students, because of an adverse effect of encephalopathies developments, are diagnosed with attention deficit disorders, or tagged as “dumb” or “academically incapable.” Our programs can prevent many personal tragedies.
I almost finished working on the educational video, where during almost two hours, considering the inclusion of the full stress management protocol, I am explaining and demonstrating a step-by-step massage protocol for concussion symptoms management, and prevention of encephalopathies developments. This video will be available for rent, at a very affordable price. If you have an interest and would like to be notified on day of release, please e-mail us at
The more I get familiar with the pandemic proportions of concussions incidents in the United States, the more it becomes obvious that there is a huge market, where our treatment is needed, and where, as massage therapists, we are capable of making the difference in the life of many.
Below is the link to my video presentation. A new movie “Concussion” is scheduled to release on December 25, 2015, which certainly will bring much attention to this serious issue. I highly recommend everyone in our fields to learn this protocols and to start treating people in order to prevent movement disorders, dementia, chronic headaches, psychiatric behavioral disorders, etc. Together, we can make a big difference in people’s lives.
Prior to the 1965 publication of Professor Dembo in the “Physical Culture and Sports” publication on a post-concussion inflammatory response, it was believed that the brain was incapable of marshaling a post-concussion inflammatory response due to the selective permeability of the blood–brain barrier (BBB).
However, in the 1960s, Prof. Dembo hypothesized and clinically proved that this was possible and now it is a well-established fact that neuroinflammation can occur independently of changes in BBB permeability and is commonly seen in response to almost all neurological disorders, including concussions.
The concepts presented in my article I learned in 1973. In addition, I was trained in a classroom environment to perform the corresponding hands-on massage protocol. As you can see from viewing supplied references, to this day, many researchers provide a solid support to all the concept introduced by Prof. Dembo
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Is massage therapy, remedy to all diseases?
I was inspired to write this when I came across the article Blood Pressure Reactivity to Psychological Stress Predicts Hypertension in the CARDIA Study conducted research.
Here is the fragment from the abstract for this article:
Absolutely. Young people who are under psychological stress are at risk of developing essential hypertension. An increase in sympathetic tone produces arteriolar vasoconstriction with a subsequent increase in the peripheral vascular resistance. At the onset, these changes exhibit a transient character and the body uses self-regulatory mechanisms to restore the proper relationship between sympathetic and parasympathetic tones. This is why in earlier stages there are episodes of increased arterial blood pressure, without symptoms of hypertension. With time and repeated episodes of hypertension attacks, the body resets baroreceptors, in the arterial circulation to the new level, and the elevation of arterial blood pressure becomes sustained.
The correctly established protocol of medical massage therapy may play a critical role in controlling arterial blood pressure in some patients with EH. More details on the subject is in my article link below: Medical Massage and Control of Arterial Hypertension
In addition please take a look at the link below, where I am presenting well-documented case of repeated hypertonic crisis. Massage therapy was the only methodology that could save this precious life. The power of massage
Of course, if massage can be helpful and effective when we treat established hypertension, then it must be a great preventive effort as well. It should be noted that hypertension should not be segregated from other stress related illnesses. It is fair to say that nowadays, humanity facing epidemics of stress related illnesses, including but not limited to essential hypertension, anxieties, sleep disorders, clinical depression, diabetes type II, tension headaches, muscular aches and pains. In most cases stress leading to combinations of illnesses I have mentioned above. For a better understanding please view the video below, where I am explaining the chain reaction of the emotional stress mechanism that debilitates the human body.
At the risk of repeating myself I’d like to emphasize that it is very difficult to find person who are suffering from essential hypertension, and not experiencing anxieties attacks, and /or muscular aches and pains, sleep disorders, stress related over eating , pre-diabetes or diabetes type II, etc.
The method section of the study Blood Pressure Reactivity to Psychological Stress Predicts Hypertension in the CARDIA Study proposes the following artificial stressors: cold pressor, star tracing, and video game tasks.
In fact, many surveys suggest that on average 80% of doctor visits are stress related casing such diseases as essential hypertension , anxieties attack , tension headaches , sleep disorders ,TMJ disorders , spinal disorders and more. Not to consider this information while talking about healthcare is wrong by all means.
Let me point out though that these 3 stressors where not the only the ones that effected the stress group. Outside the research experiment, participants were exposed to additional stressors. Even the modern technologically advanced life is applying am additional tremendous amount of stress. The link below is to a four minute video presentation where, under different angles, I propose a view at a stress exposure. Workplace conditions that worsen stress
It is clinically and scientifically proven that massage therapy is the most powerful methodology in stress management. Of course, scientific fundamental base of massage therapy that explains the power of massage is the physiological effect of medical massage on human body. Here is the link to brief explanation. Physiological effect of massage on the human body
In my blog Concerned about stress related illnesses I am offering extended view on role of massage in stress management.
So, is massage therapy, a remedy to all diseases? I wouldn’t say so. However, I know that this is a very powerful preventive medicine methodology, as well as the great treatment tool that must be integrated with the conventional medical treatments. In this case the statistics of stress related illnesses will change for the better Increasing unwillingness to bear even small pains and general public will be not blamed for suffering.