What is the difference between massage technique and osteochondrosis from conventional massage?
Osteochondrosis is a disease of the spine, in which massage is always prescribed. This procedure has a pronounced therapeutic effect due to the removal of muscle tension and increased circulation in the spine and intervertebral discs. This leads to a reduction of pain syndrome, improvement of metabolic processes and elimination of inflammatory phenomena.
When can I start the massage?
Massage can be performed in subacute stages, when the pain syndrome is already stopped. But sometimes the procedure is prescribed and during the exacerbation, then the task of massage is reflex action on the pain, due to manual stimulation of healthy parts of the body. In this case, the first sessions should be very gentle and do not cause excessive muscle tension, leading to vigorous holding of massage techniques to the appearance of additional pain.
Technique of massage with osteochondrosis
Before starting the actual massage, it is necessary to prepare the back of the patient with intensive surface stroking for 2-3 minutes. The strokes are carried out upwards - from the bottom of the shoulder blades to the neck, and are made on both sides. Then we pass from the neck to the forelegs. Here, stroking movements are performed, which should be completed by kneading and shaking alternately from the left and the right side.
Back massage for osteochondrosis is very painful, so it is important to relax and warm up muscles as much as possible. Usually, with a daily massage, all painful sensations pass on the third - fourth day. A good therapeutic effect is achieved after carrying out thermal procedures( solux or warming with hot sand), if this is not possible, then sometimes use special warming massage creams.
1. Mass the patient usually in the prone position on the abdomen, achieving maximum relaxation of the entire body. The technique of massage with cervical osteochondrosis differs somewhat from the general back massage. Such patients are massaged in a sitting position on a special massage chair. The area of massage is limited to the neck and collar zone, massaged large pectoral muscles must be massaged.
- Position lying on stomach.
Begin usually massage from the back, alternating consistently following techniques: stroking, squeezing and kneading( palm base, tongs, ordinary, double ring).All receptions are performed three to four times, after each stimulating reception, stroking is necessary.
Particular attention is paid to the area of the scapula: first massaged from the lower angle of the scapula to the neck, then go over to the forelegs.
The neck is massaged down from the scalp to the back. First, stroking 8-10 times. If there are no pains in the spine, squeeze 3-4 times on several lines. Squeezing here and in the upper back near the spine is done very gently with the pads of the fingers( 4-5 times).Then perform kneading with the edge of the palm and pads of fingers, and again squeezing. Finish the massage of this area by stroking( 7 times).Then they pass to the zone of the shoulder-blades, where after a short stroking they perform squeezing for 2 minutes. After that they again pass to the neck and perform alternately 6 strokes, kneading and squeezing, finish stroking.
- Position lying on the back.
In this position, massage of large pectoral muscles is performed. Here are used such techniques as stroking, squeezing, kneading. Begin and finish the massage by always stroking - 6-7 times. Between strokes perform wringing - 4-6 times and kneading - 4-6 times.
- Seated position.
A special massage chair is always used. It is necessary to relax the muscles of the neck as much as possible, tilting the head forward. Begin the massage from the occipital bone, perform all movements down to the back, first carry out stroking from the spine to the sides. After stroking, perform squeezing and kneading. These techniques are carried out in a circular motion, using only the pads of the fingers.
- Before the next massage unit, the patient needs a small rest.
The final block of massage is carried out on the upper back and shoulder straps, after which it will smoothly pass to the neck. It ends with a massage of large pectoral muscles.
As usual, everything starts with stroking, then squeezing and kneading on the upper back and shoulder pads are performed. After that, the neck is massaged. In this zone, 4-6 strokes are performed, then 4-5 squeezes and 5-6 kneading, and the strokes are terminated. After that, the area of influence should be rubbed intensely.
We pass to the chest: first we perform rubbing of the pectoral muscles, then - stroking, squeezing and kneading. We perform the actions neatly. Kneading of the sternocleidomastoid muscle is performed with pads of four fingers. Massage is finished by stroking.
2. In lumbosacral osteochondrosis, massage is always performed in the prone position on the abdomen to prevent the spine from flexing in the lumbar region, a special roller is placed under the abdomen, the legs should be raised at an angle of 45 degrees.
- First, a massage is performed to relieve pain and tension. Begin the massage from the back, then pass to the buttocks and thighs, then return to the back. At the same time using stroking, squeezing with shaking and kneading.
- After this, proceed to the actual massage. First, massage the lower back, performing stroking and squeezing with the edge of the palm. Smoothly pass to the gluteal muscles, using different types of squeezing, stroking and shaking. And again return to the back, applying stroking and squeezing, kneading with shaking and again stroking( 3-4 times each reception).Particular attention is paid to the pain points, around them, and the point itself is particularly careful study. If the pain radiates to the back of the thigh, then apply the technique of deep massage - squeezing and kneading, especially the "double bar", and fists.
A good effect in osteochondrosis is obtained from the combined application of classical massage and techniques of local effects on biologically active points.
Massage of the cervical spine with osteochondrosis
In our time, osteochondrosis seriously "rejuvenated".This disease, which is already very widespread, now very often affects people of working age. It should be remembered that in 9 cases out of 10 back pain, in one way or another is associated with osteochondrosis. We have already considered this disease in detail, at the same time we will focus on such a component of treatment as the massage of the cervical spine.
General information about the disease
Since osteochondrosis can manifest itself in different ways, the massage technique should be selected individually
Osteochondrosis is a disease of the spine, in which a degenerative process occurs in the intervertebral discs. The reasons for the development of osteochondrosis are well known to everyone - usually this is an excessive load on the spine( during sports, or due to professional duties), or vice versa - a serious lack of movement( sedentary work, sedentary lifestyle).
The development of the disease is explained by the fact that the intervertebral disc does not have its own blood vessels, it is fed by diffusion from surrounding tissues. Lack of motor activity leads to that, then the natural processes in the cartilage are violated, as a result of which premature aging begins. On the other hand, excessive loads cause damage to the intervertebral discs, resulting in reduced elasticity and strength. In both cases, the result is the appearance of cracks in the outer shell of the disc, through which the pulpous nucleus of the disc falls, leading to the appearance of an intervertebral hernia.
Specificity of the cervical department of
It should be remembered that the neck in general is a fairly vulnerable part of the human body. A large number of blood vessels and nerve channels pass through a relatively small volume. Therefore, the appearance of even a small protrusion, not to mention a full-fledged hernia, never goes unnoticed. On the other hand, the manifestations of osteochondrosis in the cervical section do not always express themselves unambiguously, so it is not uncommon for a person to simply cure a disease that does not exist without suspecting that the problem is in the spine.
In general, the signs of the appearance of osteochondrosis in the cervical spine are pain in the neck, occiput and interblade area, attacks of dizziness, limitation of mobility of the neck. Perhaps the appearance of other rather unexpected signs, for example - increased blood pressure. At the same time, the heart is healthy, as all studies show. But a person begins to persistently "treat pressure", although the reason is quite different.
What can massage help?
Massage in the treatment of the neck, is often more effective than the exercise therapy
In the treatment of such a disease, the primary task of the doctor is first of all the removal of the pain syndrome. After the pain has been removed or weakened, the real treatment begins, the main task of which is to prevent the progression and relapse of the disease. For this, two main methods are used: physical therapy and massage.
In the case of the neck, exercise therapy is often not so effective, but massage can fully fulfill the tasks assigned to it:
- weakening or elimination of pain;
- improved blood circulation in the affected area;
- elimination of spasms of the muscles of the back and neck;
- strengthening of the neck muscles.
Specificity of massage of the cervicothoracic spine
The procedure for performing the massage depends largely on what the clinical picture of the disease is, and on what stage it is. Since osteochondrosis can manifest itself in different ways, then the technique of classical massage should be selected individually. In addition, you need to trust only real experts who can properly perform the massage of the cervical spine, the price in this case is receding into the background - you should not save in such a situation. In the general case, with therapeutic massage, all the usual methods of classical massage are used - stroking, rubbing, kneading, squeezing, vibration.
It should also be remembered that a backbone massage, the video of which you can see below, is usually performed when the acute period of the disease has already passed. Otherwise, there is a risk not to reduce, but to strengthen the pain syndrome. In addition, the performance of the massage should take into account the presence of the patient's concomitant diseases, such as hypertension, circulatory disorders, etc.
In cases where the pain is expressed only on one side, massage should begin with a healthy part of the neck and only then you can go to the painful part, but ultimately the neck is equally massaged on both sides. In addition, the exit points of small and large occipital nerves must necessarily be affected, since they suffer from cervical osteochondrosis.
A good effect is also provided by the addition of classical therapeutic massage elements of segmental and acupressure.
Additionally, it should be taken into account that in the case when the cause of pain is the instability of the cervical spine, massage should be performed carefully. In this case, you can trust only a highly qualified specialist.
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Massage with osteochondrosisMassage is the most accessible method of curative effect on the areas of the spine that have been altered by osteochondrosis. Massage movements contribute to the complete elimination of pain by relieving muscle tension, increase blood flow to the damaged area, accelerate the recovery of nerve tissue and prevent muscle atrophy. The effectiveness of massage manipulations increases with the combination of different methods, for example, the classical technique with acupressure.
Massage for osteochondrosis: rules and contraindications
Massage procedures are prescribed for any localization of degenerative-dystrophic foci. Usually conducted in the subacute period, when the bright manifestations of the pain syndrome are eliminated. However, in some cases, the massage is possible and with intense soreness. In this case, the most gentle method of manipulation is chosen. The first sessions of massage therapy can cause some pain, a marked improvement occurs after 3-4 daily procedures.
Sharp soreness during the massage session or after it indicates an incorrectly chosen pattern of massage movements. In order not to aggravate the course of osteochondrosis and to achieve a positive result of the procedure it is necessary to trust exclusively experienced specialists. Self-teachers and beginners are unlikely to be able to provide professionalism, and hence the effectiveness of massage services. Skilful selection of the scheme of exposure and proper performance of massage is the key to successful procedures.
Massaging is performed in accordance with the analysis of the patient's condition, the presence of concomitant pathology. Massage manipulations are contraindicated if a patient with osteochondrosis diagnoses:
- severe cardiac pathology;
- severe hypertension;
- blood disease;
- active stage of tuberculosis( including connective tissue);
- venereal diseases;
- acute respiratory infections, influenza( states with significant temperature increase);
- allergic, infectious and varicose manifestations on the skin( massage is shown only after the disappearance of rashes);
- pregnancy( some types of massage, lying on the stomach, and deep impact are excluded).
The complex of massage manipulations includes the effect of varying degrees of intensity not only on the pathology site. So, with osteochondrosis in the lumbar region, the massage is complemented by an effect on the entire back, gluteal region and thighs. Breast osteochondrosis involves massaging the thoracic region in a supine position and affecting large pectoral muscles when the patient lies on the back.
Types of massage
Classical massage is performed in a recumbent position, only massaging the cervical region is permissible when sitting. It is usually combined with the use of ointments and gels of warming character( Apizarthron, formic alcohol, etc.).Technique:
- Stroking and rubbing. Muscles warm and relax, prepared for deeper effects.
- Rubbing. Wrong holding it gives the patient pain.
- Mashing. Deep muscle training improves blood flow and relaxation in the deepest layers.
- Finishing stroking.
Trimming and kneading manipulations are carried out with little pressure. If the patient has muscular hypotension, the tempo of performing massage movements increases, the complex includes shock techniques and shaking. The intensity and duration( starting from 8 minutes and continuing until 10-12 minutes) of massage increase with each session. The number of surface and deeply affecting massage techniques depends on the nuances of the course of the pathology and the response of the body to treatment.
This is a kind of independent execution of the classical technique.10-minute carrying out stroking the pads of II-IV fingers, rubbing the palm of the palm and pressing the fist are repeated up to 3 times a day. At the same time the whole shoulder girdle is developed, which is important for cervical osteochondrosis.
Massage with honey
Massage with honey does not require knowledge of special techniques. Prerequisite: first remove the hairs in the massaged zone, otherwise during the massage they will stick into the honey and painfully break out. The effectiveness of the honey effect is enhanced if the procedure is carried out before reheating( warming compress, pouch with heated sand).
Slightly warm honey is distributed by stroking movements on the entire massed surface. Relaxation and warming of the muscles is carried out until the honey mass thickens. Pressing the entire surface of the palm on the skin( not too vigorous!), The palm should fit snugly against the body. Then the palm sharply breaks from the base to the fingertips.
During the procedure honey becomes grayish-whitish, toxins are secreted into the mass of the skin, and the open pores begin to absorb vitamins and active elements from honey as much as possible. Hone massage back is considered complete when honey falls from the skin and completely remains on the palms. The session ends with a slight stroking, erasing the remnants of the honey mass with a damp warm cloth and wrapping it to preserve heat.
Honey massage causes reddening of the skin due to its heating. Patients ascertain the appearance of burning and some soreness of the massaged zone. Honey massage should be stopped when there is a strong soreness and skin rash.
Duration of honey manipulation - 30 min. It is recommended to spend at night, the course of honey treatment is 5-8 procedures.
It is a point effect on certain areas. In this case, the location of biologically active points can be sufficiently remote from the spine. On the nape, in the region of the sternocleidomastoid muscle, there are dots on the auricle, the finger action on which contributes to the healing of the spinal column and muscle relaxation. Acupressure includes 2-3 minutes.pressing on them and circular massaging. Usually they act immediately on 3-4 points, regularly conducted manipulations give a noticeable effect.
Due to significant heating and vacuum absorption( with proper installation, the skin retracts by 1-1.5 cm inside the can), allows maximum muscle relaxation, increased blood flow and absorbency. Special medical jars( glass or plastic) are used. Straight, zigzag or spiral movements are made from top to bottom and from the spine to the sides along intercostal lines.
Movement by banks should be continuous and smooth, last 10-15 minutes. Vacuum massage is performed daily or with a one-day break and assumes a 30-minute rest( it is necessary to hide) after the procedure.
Therapeutic massage for osteochondrosis is an effective addition to the basic therapy of osteochondrosis. The method of treatment should be discussed with the attending physician. Massaging, with the exception of self-massage and agreed with the specialist, is to be performed by a qualified masseur.
Massage for osteochondrosis of lumbar spine
Symptoms of lumbar spine
How is lumbar osteochondrosis manifested? The main symptoms of the disease:
- Pain of different nature in the lumbar region. Most often, pain is a drawing, aching character. To provoke painful sensations can long stay in an inconvenient pose, physical activities, constant overcooling. Most painful syndrome occurs in the waist, sacrum, gives in the buttocks, both legs. It happens that the pain irradiates( gives) to the lower part of the thoracic spine.
- Lumbar sprouts are lumbago. Lumbago occurs during heavy physical exertion, often after lifting heavy objects. Lumbago can last for hours, days.
- Skin sensitivity disorder. Sensitivity decreases in the lumbar region, on the buttocks, legs. Sometimes, on the contrary, there is an increased pathological sensitivity of the skin. Sometimes patients notice numbness, "crawling crawling," tingling.
- Osteochondrosis of the lumbar region is manifested by impairments from the muscles: the muscles of the legs are weakened, their tone is reduced, the intensity of reflexes decreases, and the muscles are atrophied with time - their volume decreases.
- Vascular pathologies. During the period of exacerbation of pain, weather changes in patients with lumbar osteochondrosis pale the skin of the legs, becomes cyanotic color, to the touch - cold. There are specific itching, stitching pains.
- Vegetative changes. Vegetative changes are associated with disorders of nervous regulation of blood vessels during compression of the nerve roots.
To eliminate the symptoms of the disease, massage is prescribed for lumbar osteochondrosis. Like all medical procedures, its implementation has rules.
Before using the oil, be sure to check if you are allergic to it
- Usually, therapeutic massage for lumbosacral osteochondrosis consists of a course of 10-15 sessions, 4-7 are sufficient to prevent the disease. The duration of one session depends on the general condition of the patient, but, as a rule, lasts from 20 to 30 minutes.
- Massage for osteochondrosis of the lumbar spine should be performed in a supine position on a hard medical couch. Sometimes it is allowed to carry out the procedure sitting, but massage in this position only on a special massage chair.
- If osteochondrosis is observed on one side of the spine, the so-called unilateral osteochondrosis, first massage the healthy part of the back, then go to the patient.
- During the massage the expert studies exclusively soft tissues, direct influence on the spinal column is prohibited. To maximize the effect, not only the lumbar spine is massaged, but also the buttocks, the sacrum, and thighs. Massage in the kidney area is not prohibited, but only with less intensity.
- The first sessions can cause pain, discomfort, and therefore they need to be carried out in a sparing mode, then the force of influence can be increased.
- Massage movements are carried out exclusively from the bottom upwards - along the line of movement of the lymph.
- Sessions are conducted a couple of hours after eating. It is advisable to go to the toilet before the procedure.
- After the massage, the patient is recommended to lie down, rest for 20-30 minutes.
Important! Massage with osteochondrosis of the lumbar region can be carried out only after the aggravation subsides, when the pain sensations are removed.
During the massage under the waist, the patient is placed a massage pillow to avoid sagging the back.
With the diagnosis of "lumbar osteochondrosis" patients undergo a course of therapeutic massage 1-2 times a year.
When performing a lumbar massage for osteochondrosis, a specialist is guided by the feelings of the patient. Massage techniques should not be painful. And the feeling after the procedure should be better than before it. If after the session the patient feels discomfort, tension, fatigue, intensity of the procedures should be reduced. In any case, all massage sessions are held in three stages with the use of various techniques.
At the first stage the usual massage movements( rubbing, stroking) are carried out. These movements improve blood circulation in the affected areas, prevent further muscle hypotrophy.
In the second stage, the lumbar region undergoes kneading, a technique of effleurage and deep grinding is used to strengthen the dorsal muscles.
The third stage - the technique of intensive pressing is applied. At this stage, the patient is transferred to a sitting position, to develop a correct posture. If the patient often has pains of shooting character, during the massage session, from the effect on the inflamed zones are discarded.
Types of massage for osteochondrosis
Of all types of massage with osteochondrosis of the lumbar region, the most popular is classical, spot, canned, honey. Electro-massage is effective for lumbar osteochondrosis, as well as for cervical osteochondrosis.
Comfortable and effective massage with a massage. The massager has the form of a track, which is used as a long sponge with handles.
A massage with honey can be more effective than a classical or other kind of procedure. Honey is smeared on the affected area and begins to pat on it with the palms. Increases blood circulation, toxins are released.
The most common type of procedure is traditional classical massage with osteochondrosis. It includes different kinds of effects on the affected areas:
Massage with cervical osteochondrosis
Principles of treatment of osteochondrosis
During the exacerbation of cervical osteochondrosis, the main emphasis is on drug therapy and maintenance of a sparing regimen, the purpose of which is to stop the pain syndrome, the effects of compression and ischemia of the peripheral nervous system. After the acute period, the treatment should not stop, even if the patient does not bother. In order to achieve long-term remission and to minimize the number of exacerbations, it is necessary to constantly apply such methods as therapeutic massage and gymnastics, stretching, physiotherapy, sanatorium treatment.
Massage with cervical osteochondrosis is a rather effective therapeutic and prophylactic measure, provided it is correctly performed and combined with other methods of treatment. It allows you to significantly reduce the rigidity of the neck muscles, improve blood circulation and lymph circulation in tissues located in the immediate vicinity of the cervical spine. With hypotrophy associated with spinal syndrome, massage of the upper extremities helps to strengthen the muscles, improve their trophism and innervation.
Nevertheless, whether it is possible to do massage in each specific situation should be determined by the attending physician, since this medical manipulation has contraindications. With osteochondrosis of the cervical department, the most effective is therapeutic( classical) massage. It is shown to most patients after the exacerbation subsides, and is performed every day by a course of 10-15 procedures. In the absence of exacerbation, it is desirable to repeat courses every 4-6 months, if the patient has no contraindications.
Contraindications for therapeutic massage
- presence of severe pain syndrome associated with exacerbation of osteochondrosis;
- persistent hypertension;
- severe cardiovascular pathology in the decompensation stage;
- infectious diseases that occur with fever;
- skin diseases( pustular lesions, dermatitis, neoplasm).
For the procedure, the patient should take a position lying on his stomach or sitting, with a special chair. The neck muscles should be completely relaxed, the head slightly tilted forward. Massage of the neck-collar zone, neck and occipital part of the head is performed.
- In the beginning strokes are made, the direction of movement goes from the nape to the upper back and shoulders. Such strokes should be 10-12, covered by the posterior and lateral surface of the neck. Efforts applied to the surface of the neck are small and do not cause the skin to shift relative to the muscles.
- After stroking, go to longitudinal squeezing. This technique requires more significant effort, so it should be done with caution, especially at the first sessions. Squeezing is performed by phalanxes of bent fingers along the spine 4-6 times on each side.
- The next technique is kneading. The muscles of the neck are grasped and fingers or by circular movements with bent phalanges. The group of muscles is first stretched along the spine, after which they pass to the side groups.
- Then, longitudinal rubbing with thumb-pads 6-8 times, grasping the posterior and lateral surfaces of the neck. If the patient has pain, then the effort should be weakened. The same images are massaged shoulder-straps. After stroking them, squeezing and grinding of the upper trapezium muscle bundles on both sides is done.
- Finish neck massage with strokes, then move to the occipital region. Make circular strokes with spread fingers, then do small-intensity squeezing. At the end, rubbing the occipital part of the head. The duration of the session is 25-35 minutes.
During the exacerbation of cervical osteochondrosis accompanied by acute pain, so-called acupressure massage can be used. This technique consists in stimulation of biologically active points by pressure on them by different parts of the fingers. As a rule, finger pressure is performed in areas that are anatomically distant from the place where pain is localized.
The pressure on the active points is carried out with varying intensity and duration and depends on the severity of the pain syndrome. With severe pain, the pressure is more intense, sometimes painful for the patient, and reaches 5 minutes. As the pain subsides, the effect becomes less intense and lasts up to 3 minutes. A good effect of this procedure is given with headache due to the deficiency of the vertebral artery.
The optimal option is to entrust the performance of a massage, both classical and point-wise to a qualified specialist, and go to a medical institution where there is a massage room. If for any reason you can not get professional help, then at home you can do the following types of massage:
- Self-massage. The techniques of classical massage are adapted so that the patient can perform them himself. You can manipulate in a standing or sitting position. Begin by stroking the palms of the scalp to the upper back. Then go to the squeezing, which is done just like stroking, only more intensively with the redistribution of the load on the thumb. Then rubbing with pads pressed against each other, making circular motions on the back and side surfaces of the neck. Finish self-massage kneading. Muscles, grasping together with the skin, and fingering with pads of fingers. This technique should cover the back and side muscles of the neck. The duration of one session is 20-25 minutes, self-massage is done every day for 2 weeks.
- Use of massagers. For the treatment of cervical osteochondrosis, you can use some massagers. These can be simple devices like Kuznetsov's applicator or a roller massager. They are very simple to use and do not require any complicated actions. It is enough to just lie down for a few minutes on the massager, after which the blood supply and metabolic processes improve at the site of exposure.
- Honey massage. This method involves applying honey to the skin of the neck. After that, little effort is put on this area with the palms, pressing and tearing them away from the surface of the skin. Manipulation continues until the honey is absorbed into the skin, usually 5-10 minutes. The therapeutic effect is caused not so much by the mechanical action on the affected tissues, as by the action of the biologically active substances that are contained in honey, and have an anti-inflammatory effect.