What heals and what cripples massage? General principles of treatment of diseases of internal organs with massage What diseases are treated with massage

This is a massage specialist who knows the art of touch, a set of techniques for influencing the human body, a scientifically based and most physiological method for the body that allows you to control its functional state.

What is included in the competence of a massage therapist

The massage therapist is familiar with the massage technique specifically for each patient and is aimed at ensuring that his actions contribute to the fulfillment of the general task of treatment. The massage course should not consist of repetitive stereotypical procedures.

In the initial period of treatment, at the stage of mobilization of the curvature, the doctor performs an intensive massage of the surface tissues in order to increase the overall tone of the body, activate reparative processes, soft muscle massage in order to eliminate local muscle hypertonicity, myodystrophic changes.

What diseases does a massage therapist deal with?

- hypertensive diseases;
- Cardiovascular disorders of a neurogenic nature.

In diseases of the nervous system, massage is also actively used. It promotes better blood supply, thereby affecting muscle nutrition, thus acting on nerve endings and trunks, restoring their conductivity.

Diseases of the motor nerves can lead to paralysis due to the fact that under the influence of the disease the muscles stop contracting.

Another case of the disease will be a spasm, when the muscles begin to contract voluntarily, becoming excited with increased irritability of the motor nerves.

Against the background of a disorder of the nervous system, neuralgia appears, causing pain.

Indications for massage are divided into two groups:

When it is necessary to accelerate the resorption of inflammatory residues in tissues;
- to improve the functioning of the nervous system and muscle activity.

The most famous and most used indication for massage is diseases associated with the musculoskeletal system. It uses the property of massage to irritate muscles and nerves, as well as promote resorption.

Skin diseases such as scars, cuts and burns, bone diseases (fractures, curvature of the spine, changes in the shape of the joints, etc.)

In the treatment of internal organs (diseases of the intestinal tract, diseases of the kidneys and genitourinary system, cardiovascular diseases), massage is actively used as a reliable aid.

Massage is very effective in the treatment of diseases of the nervous system, as a sedative.

The massage therapist also corrects diseases of the spine and joints:

Intervertebral disc herniation without surgery;
- kyphosis;
- osteochondrosis and all its manifestations (back pain, sciatica, back pain, plexitis, myositis, pain in the legs);
- osteochondrosis of the cervical region;
- osteoporosis;
- curvature of the spine;
- violation of posture;
- scoliosis;
- headaches (including those that developed after injuries);
- humeroscapular periarthrosis;
- neurological manifestations of osteochondrosis of the spine;
- acute and chronic pain in the back, neck, shoulder and hip joints;
- dizziness;
- migraine;
- limited mobility of the spine, neck, shoulder and hip joints.

What organs does a massage therapist deal with?

Legs, arms, back, spine, neck, head, lower leg, calves, buttocks, legs and feet, abdomen, sternum, hands, face.

When to Contact a Massage Therapist

Indications for therapeutic massage:

1. Pain in the back, lower back, neck.
2. Headaches.
3. Osteochondrosis.
4. Bruises, sprains of muscles, tendons and ligaments.
5. Fractures at all stages of healing.
6. Functional disorders after fracture and dislocation (joint stiffness, muscle changes, cicatricial tissue adhesions).
7. Arthritis in acute and chronic stages.
8. Neuralgia and neuritis.
9. Sciatica.
10. Paralysis.
11. Chronic insufficiency of the heart muscle.
12. Angina.
13. Hypertension.
14. Arterial hypotension.
15. Rehabilitation period after myocardial infarction.
16. Chronic gastritis.
17. Violation of the motor function of the large intestine.
18. Bronchitis.
19. Pneumonia.
20. Bronchial asthma.
21. Peptic ulcer of the stomach and duodenum (without exacerbation).
22. Physical fatigue.
23. Mental fatigue.

When and what tests should be done

Uses the results of research methods of other specialists.

What are the main types of diagnostics that a Masseur usually performs?

Uses the results of research methods of other specialists. "Nerves like a string"

Need to de-stress, relax? Massage and more massage. But first, a warm bath. Turn on some light music, create total darkness, and immerse yourself in 36°C water for 20 minutes. It is believed that this procedure replaces 8 hours of sleep.

During this rest, the muscles relax slightly. This is necessary before self-massage. After all, kneading muscles tense due to stress is a rather painful thing.

Often, with nervous tension, the trapezius muscles hurt - in other words, the shoulders and upper back.

To massage this area with your hands yourself is not an easy task. You can alleviate it by using a wooden massager called "Corners". The device is simple - three rollers are attached to the handle so that they form a triangle. With such a massager we drive first along the shoulders, and then across. You don't need to press hard.

All these procedures must be performed with a relaxing composition. For him, very good means, which include oils of immortelle and wheat germ.

Children's massage

Massage is a way to treat and prevent diseases, and children's massage is the best way to influence the baby's body.

Of course, massage and gymnastics are useful at any age, but they are especially important for babies. Wellness massage significantly accelerates not only the physical, but also the mental development of the baby.

Children's massage successfully helps to cope with intestinal, muscle colic, hypertonicity, hypotonicity.

Promotes the development of skills and abilities of the child. Children's massage contributes to weight gain with malnutrition, good sleep, and increased immunity. A timely massage will help prevent or cope with clubfoot, flat feet, and torticollis.

Massage contributes to the normalization of the activity of all organs and systems: nutrition, growth of bones and muscles improves. In addition, massage maintains optimal tone, improves metabolic processes in tissues, normalizes the functioning of the gastrointestinal tract (especially with constipation and flatulence). Nervous kids get better sleep.

When massaging young children, it is better not to use strong-smelling creams with various additives, because. they can cause allergic reactions.

The usual domestic cream "Children's", "Chanterelle" will do. You should not spread the baby "like a sandwich with butter" - you can clog the pores.

It is enough just to lubricate your hands so that they slide freely over the body.

No need to use talc and Vaseline.

The room must be ventilated, but make sure that the air temperature in the room is not lower than 22 degrees.

The air should be warm but fresh.
Hands before the massage must be thoroughly washed, they must be warm and clean. It is better to remove watches, rings, bracelets so as not to injure the delicate skin of the baby.

It is desirable to carry out massage on a solid basis, otherwise all your efforts will extend not only to the child's body, but also to a soft sofa or bed. It is best to massage on the table, you can lay a thin blanket and a diaper.

Massage is not only a preventive procedure. They can cure many diseases. We perfectly fight with massage with tired or overstrained muscles (or, conversely, with massage we restore tone to relaxed muscles), help to correct figure flaws, relieve general stress. But can massage help in the treatment of diseases of internal organs? The answer is yes. Let us examine in more detail the list of those pathologies that can be eliminated with the help of massage.
First of all, a course of massage can cure pathologies of the nervous system (peripheral).
All kinds of radiculitis, neuritis, osteochondrosis and neuralgia are most often a manifestation of pinched nerves by the vertebrae or fascia of the paravertebral muscles. After all, almost the entire nervous system diverges throughout the body from the spinal cord, which is placed inside the spine. Therefore, in almost any of these diseases (up to 90%), the nerves are pressed down by the muscles located along the spine. Therefore, any neuropathologist-masseur seeks to gain access to those areas of the back near the spine, from where large trunks of nerves diverge. That's what happens. That diseases of the somatic and autonomic nervous system can be cured with a properly selected course of massage. From the point of view of anatomy, a part of the inner side of the spine (neck and abdomen) that is open for massaging, and a part that is closed (thoracic region and small pelvis) are distinguished.
In the case of diagnosing sciatica, massage of the paraverbal muscles, acupuncture and acupressure, and also, if it is necessary to remove inflammation, injections of adrenal hormones, are effective.
Massage therapy for stomach ulcers or diabetes may be recommended by therapists.
At a consultation with a gynecologist, you can get a referral for a massage if you need to improve the autonomic innervation of the small pelvis. This can eliminate salpinitis, ovary, and in some cases, ovarian cysts and uterine fibroids. Traumatologists prescribe massage for the treatment of arthritis, inflammation of the ligaments, etc. Well, surgery resorts to massage when it is necessary to stretch intestinal adhesions.
The technique of any therapeutic massage absolutely depends on the anatomical location and structure of the organs that need to be affected. Therefore, first, the doctor selects an adequate technique of therapeutic massage, depending on the location of the internal organs. Of course, a back massage will differ from a shin massage in the same way as massaging the abdomen from head treatment. The general definition of massage, which sounds like "impact on muscle tissue" in this case cannot be called correct.

What can be cured with massage and what cannot be treated with massage
A general healing course of massage is indicated for absolutely all diseases. There are no contraindications here. It is customary to say that thanks to a general massage, immunity is restored, blood supply to all organs improves, and mood improves. Unfortunately, nowhere in the world have there been meticulous studies of the percentage improvement in immunity or, for example, kidney blood flow after a course of massage of 10 sessions. There are only assumptions based on monographs of specialists. Most likely, all these statements are more optimistic than they actually are.
But to measure the effect of therapeutic massage is quite possible. For example, to determine how much the patient's pain has decreased. Of course, the statement of the fact that after several sessions of back massage, the patient, who could not get to the kitchen, goes to the nearest store on his own, cannot be considered a quantitative measurement of the effectiveness of treatment. But a qualitative assessment - it can be called. There are practically no contraindications for therapeutic massage. It is not used only in the treatment of schizophrenia or, for example, epilepsy. Those. in cases where this technique will not bring any result at all.

Therapeutic massage: indications and contraindications
Therapeutic massage is usually recommended for the treatment of disorders of the peripheral nervous system. In the treatment of diseases of the internal organs, massage is effective if the disease is functional, not organic. What are these functional disorders of internal organs?

So, first we will name those diseases, in the treatment of which the use of massage gives maximum results:
diseases of a neurological nature (sciatica, neuralgia, neuritis, neuropathy, cerebral palsy, etc.);
diseases of a therapeutic nature (diabetes in the initial stage of development, hypertension, migraine, dyskinesia of the esophagus and stomach, biliary dyskinesia, dyskinesia of the gallbladder, gastritis, hiccups, peptic ulcer of the stomach and duodenum, enuresis, bronchial asthma, and others);
diseases of a gynecological nature (inflammatory diseases of the appendages, pain during menstruation, infertility, etc.);
psychiatric diseases (overstrain, mild post-stress conditions, restless sleep, mild neurosis, and others);
diseases of an endocrinological nature (obesity, diseases of the glands: salivary, thyroid, pancreas, prostate, diseases of the adrenal glands, ovaries and testicles, etc.);
diseases of a surgical nature (muscular torticollis, clubfoot, congenital dislocation of the hip, dysplasia of the femoral head, epicondylitis, arthritis, especially the neurogenic nature of the hip and knee joints, joint contractures, sprains, and others);
dental diseases (periodontitis and gingivitis);
ophthalmic diseases (nearsightedness and farsightedness, conjunctivitis, blepharitis, etc.).

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Massage- this is a set of methods of mechanical dosed impact on the surface of the human body with hands or special devices (vibration, vacuum vibratory massager, ultrasonic, etc.).

The effect of massage on the body

Mechanisms of action:

neuro-reflex. Mechanical stimuli excite mechanoreceptors of the skin, muscles, joints, tendons. Mechanical energy is converted into a nerve impulse. Nervous excitation is sent along sensory pathways to the central nervous system, from where it is sent along efferent pathways to various organs and tissues, changing their functions;
humoral. Biologically active substances (histamine, acetylcholine) are formed in the skin, which are carried throughout the body with blood flow and participate in vasodilation and transmission of nerve impulses;
mechanical action at the point of direct impact: increased blood flow, lymph and tissue fluid (which facilitates the work of the heart), elimination of stagnation, increased metabolism and skin respiration.

Leather. Horny scales are removed, blood and lymph circulation improves, local skin temperature rises, metabolism improves, secretory function of the sebaceous and sweat glands, skin and muscle tone increases, the skin becomes smooth and elastic.

muscles. Blood supply improves, oxygen supply and removal of metabolic products increase, muscle tone and elasticity increase, and contractility improves.

Ligament apparatus strengthens, increases its elasticity, improves joint mobility.

Types of massage

Forms of massage

General - massage the whole body.
Local - massage individual parts of the body.

Massotherapy

Therapeutic massage is widely used in medical institutions in combination with drug treatment (for the treatment of diseases of the internal organs, nervous system, surgical and gynecological diseases; for diseases of the ear, throat, nose, eyes, teeth and gums). After surgery, functional treatment and restoration of physical performance with the help of rehabilitation massage is carried out. This massage is usually carried out in combination with physical therapy, mechanotherapy and other methods. In case of diseases and injuries, massage is prescribed as early as possible to normalize blood flow, relieve pain, resolve edema, hematoma, tissue repair, and normalize metabolic processes. The first stage of such treatment is carried out in combination with cold, the second - with thermal procedures. Immediately after the injury, massage is done with ice. After a while, cold massage is alternated with warm. Cold acts on the injured part of the body as an anesthetic (reduces the sensitivity of nerve endings) and an anti-inflammatory agent. Usually, after ice massage, the mobility of the massaged joint improves, tissue swelling decreases. The massage is easy to perform. Ice is placed in a special ice pack or in a tight plastic bag. The area of injury (or disease) is massaged with ice for 2-3 minutes, then the patient swims in the pool or performs simple physical exercises. This procedure is performed several times. Therapeutic massage for colds (bronchitis, pneumonia, etc.) in the first 2-5 days is carried out as a can massage, then percussion massage in combination with inhalations (medicines and oxygen). A warming massage is recommended at night.

1. Classical- does not take into account the reflex effect and is carried out in the area of \u200b\u200bthe diseased organ or near it

2. Segmental reflex- affect the areas of reflected pain - dermatomes, the innervation of which is associated with certain segments of the spinal cord, in which sensitive cells are excited under the influence of nerve impulses coming through the sympathetic nerve fibers from the diseased organ. For example, in diseases of the liver and biliary tract, the sensitivity and tone of the trapezius muscle reflexively change. The collar zone (back surface of the neck, nape, shoulder girdle, upper back and chest) is connected with the segments of the spinal cord (D2-D4) and the cervical part of the autonomic nervous system, which has a connection with the autonomic centers of the brain. Massage of the collar zone changes the function of the central nervous system and normalizes body functions (metabolism, thermoregulation, etc.) in a reflex way. The lumbosacral zone (buttocks, lower abdomen and upper third of the anterior surface of the thighs) is innervated by the lower thoracic (D10-D12), lumbar and sacral segments. Massage of this area is used for pain in this area, injuries and vascular diseases of the lower extremities, violations of the hormonal function of the sex glands. They use classical massage techniques and modified in accordance with reflex changes. The main task of segmental massage is to relieve tension in the tissues of the affected areas. The massage therapist must know exactly the relevant segments.

Segmental innervation of internal organs

Organ name	Segments of the spinal cord
Heart, ascending aorta, aortic arch	C3-4, D1-8
Lungs and bronchi	SZ-4, D3-9
Stomach	SZ-4, D5-9
Intestines	SZ-4, D9-L1
Rectum	D11-12, L1-2
Liver, gallbladder	SZ-4
Pancreas	SZ-S4, D7-9
Spleen	SZ-4, D8-10
Kidneys, ureters	C1, D10-12
Bladder	D11-L3, S2-S
Prostate	D10-12, L5, S1-3
Testicles, epididymis	D12-L3
Uterus	D10-L3
Ovary	D12-L3
Note. C - cervical segments; D, thoracic segments; L - lumbar segments; S - sacral segments

Massage movements are made in the direction of the Benningoff lines, which characterize the greatest resistance of individual skin areas to its stretching (Figure 1).

Figure 1. The location of the lines of greatest resistance to stretching of individual areas of the skin according to Benningoff. Front and back view.

3. dotted- affect biologically active points - BAP (projections of large nerves and blood vessels with a higher temperature and low electrical resistance) in order to reflex effects on various body functions, eliminate pain, reduce or increase muscle tone. As in acupuncture, apply:

braking reception when relaxation and tranquility are needed. Press on the point and rotate clockwise, gradually increasing the pressure. Then the finger is “unscrewed” (counterclockwise movement), gradually reducing the pressure force. Repeat the reception 4-8 times for 2-4 minutes continuously, without lifting your finger from the point;
exciting reception. A short strong screwing is performed with a sharp separation of the finger from the point. Repeat the movement 8-10 times for 40-60 seconds.

4. connective tissue- affect mainly the connective tissue, subcutaneous tissue. The method is based on the fact that in various diseases in the body segments that have a common innervation with the affected organs, there are areas of increased tension of the connective tissue - connective tissue cords. Their massage reflexively affects the entire autonomic nervous system, without affecting individual organs.

5. periosteal- massage areas of the periosteum (where the muscles are weakly expressed), which in some diseases change reflexively: they become denser and are accompanied by sharp pain, especially when pressed. Massage improves the trophism of bone tissue and internal organs “associated” with it.

Indications for therapeutic massage

Pain in the back, lower back, neck, headaches, various ailments.
Osteochondrosis, bruises, sprains of muscles, tendons and ligaments, fractures at all stages of healing, functional disorders after fracture and dislocation (joint stiffness, muscle changes, cicatricial tissue adhesions), arthritis in the subacute and chronic stages, curvature of the spine, flat feet, impaired posture.
Neuralgia and neuritis, radiculitis, paralysis, injuries of the nervous system, consequences of cerebrovascular accident.
Ischemic heart disease, hypertension, arterial hypotension, heart defects, diseases of the arteries and veins.
Chronic nonspecific lung diseases (emphysema, bronchial asthma in the interictal period, pneumosclerosis, chronic pneumonia, bronchitis, pleurisy).
Chronic gastritis, colitis, peptic ulcer of the stomach and duodenum (without exacerbation), chronic diseases of the liver and gallbladder, impaired motor function of the large intestine.
Diseases of the female and male genital organs: inflammatory - in the subacute and chronic stages, incorrect positions of the uterus, vagina, anatomical changes and functional disorders of the uterus and ovaries, pain in the sacrum, coccyx.
Metabolic disorders: diabetes, gout, obesity.

Contraindications for therapeutic massage

Acute febrile conditions.
Bleeding and tendency to it.
Diseases of the blood.
Purulent processes of any localization.
Various diseases of the skin, nails, hair.
Acute inflammation of the blood and lymphatic vessels, thrombosis, severe varicose veins.
Atherosclerosis of peripheral vessels and severe sclerosis of cerebral vessels.
Aneurysm of the aorta and heart.
Allergic diseases with skin rashes.
Chronic osteomyelitis.
Tumors.
Mental illness with excessive excitement.
Insufficiency of blood circulation of the 3rd degree.
During hyper- and hypotonic crises.
Acute myocardial ischemia.
Acute respiratory disease (ARI).
With a disorder of intestinal functions (nausea, vomiting, loose stools).
Active form of tuberculosis, syphilis.

is a massage therapist. He owns a set of techniques with which he acts on the human body, while the massage technique is based on scientifically based methods from the point of view of physiology. This enables the specialist to manage the functional states of the body.

Each person has their own technique, depending on their diagnosis. The masseur determines not only the totality of methods of influence, but also their dose, which contributes to the maximum healing of the body. It is important to choose a competent specialist, since the wrong massage technique can lead to a feeling of weakness and discomfort after the session, even for a healthy person. As for children and weakened people, their nervous system is more receptive and sensitive, which means that health problems can be more serious.

To choose a specialist who could be trusted with your own body, it’s not enough just to focus on the reviews of friends. What is important is the qualification of the massage therapist, which is the criterion of his professional skills. This is not just paper, but a kind of diploma, which is issued based on the results of passing exams. The construction of exams takes place in accordance with medical standards.

So, there are four categories that are assigned to massage therapists:

Third category means that the professional has completed courses or an educational institution in the relevant specialty. He owns some massage techniques, can only perform hygienic massage of the body or part of the body.

Second category indicates that the specialist has completed specialized courses, but owns many massage techniques and has the right to perform it in case of human health problems as a therapeutic measure (for fractures, with high blood pressure, etc.).

What does a massage therapist do?

Massage is a procedure for the treatment and prevention of various diseases. Perform massage for both adults and children with and without health problems. There are many massage techniques, there are more than a hundred of them.

However, most often masseurs practice the following of them:

classical technique, which includes many techniques: stroking, rubbing, kneading, vibration, etc. The massage therapist selects a specific technique based on a person’s disease. The purpose of classical massage is to restore the functionality of the body or organ systems. In addition, classical massage helps to relax, relieve nervous tension and pain. If classical massage is performed by a competent specialist, then in combination with taking medications, it will help to get rid of the problem as soon as possible.

Preventive massage aims to prevent the development of various pathologies. It improves blood circulation, normalizes metabolic processes, improves immune forces. Preventive massage is used to prevent gynecological diseases, vascular and heart pathologies, diseases of the joints, spine, etc.

Therapeutic massage is often prescribed by various doctors to improve the health of the patient. It can be recommended by neurologists, dentists, orthopedists, gynecologists, cosmetologists and other specialists. A course of therapeutic massage is often an integral part of various rehabilitation programs.

Sports massage. This type of massage technique helps to prevent the development of diseases of the musculoskeletal system. During the preparatory sports massage, the patient's muscles are warmed up, toned, strengthened. It is often prescribed before sports competitions, before responsible training, etc. A restorative type of sports massage is used when the muscles need to be put in order after exercise. This technique helps to relax the muscular system of the body.

hygienic massage, which, first of all, is aimed at strengthening health, at preventing the development of various diseases by increasing immunity. The effect is especially noticeable when hygienic massage is performed once a day, on a regular basis.

Cosmetic massage. This type of massage technique is used as a prevention of various skin problems. In particular, as a means of caring for the dermis, to prevent skin aging, to maintain tone. This type of massage can be therapeutic, hygienic and preventive.

Anti-cellulite massage. This technique gives maximum results when it is done systematically. This massage helps to eliminate fats, increase elasticity and firmness of the skin. Sometimes, after an anti-cellulite massage, a person may experience short-term swelling, hyperemia of the skin, and slight inflammation. However, such side effects do not harm health and indicate the benefits of the procedure performed.

relaxation massage, which allows you to restore lost strength, strengthen the body.

Children's massage. If performed correctly, it will definitely benefit every child, without exception. Such massage contributes to the regulation of the nervous system, strengthens the muscular frame, is the prevention of diseases of the musculoskeletal system and forms the correct posture. Therefore, doctors can recommend massage for both children with diseases and absolutely healthy ones.

Traditional oriental technique This is Thai massage. This massage is impossible without spiritual unity between the client and the massage therapist, for which the appropriate environment, aromas, and atmosphere are used.

Massage is prescribed by doctors for many diseases, including:

Hypotrophy, namely a chronic eating disorder, can be successfully corrected with the help of therapeutic massage. In patients, muscle tone improves, metabolic processes normalize, and immune forces increase. The massage technique for malnutrition is smooth, gentle, without sudden movements, which gives protection from the development of the inflammatory process.

Dysplasia, characterized by a violation of the formation of organs, tissues and parts of the body. The therapy consists of stroking procedures, rubbing, kneading and vibrations.

Congenital clubfoot in children can be corrected with massage of the legs and feet.

Muscular torticollis of a congenital nature, which occurs when a child passes through the birth canal, is also successfully corrected using acupressure techniques for the corresponding zone.

Diseases of internal organs - liver, kidneys, gallbladder.

Diseases of the ENT organs. For example, with sinusitis, a short sinus massage is used.

Inflammation of the prostate.

Diseases of the digestive system.

Chronic gynecological diseases.

Diseases of the heart and blood vessels, hypertension.

It is worth remembering that although massage is an effective treatment for many diseases, nevertheless, it should most often be used with other methods of therapy. This may be taking medications, undergoing physiotherapeutic procedures, etc. Only in this case can a truly positive result be achieved.

When should you contact a massage therapist?

As a wellness procedure, massage can be recommended to all people who have problems with the nervous system. It, depending on the state of the person, can be: tonic, or, on the contrary, relaxing.

Insomnia, nervous overexcitation - all this is an indication for massage.

Monotonous work activity, a sedentary lifestyle, characteristic working conditions that force one and the same part of the body to strain for a long time.

Kyphosis, scoliosis, lordosis and other posture disorders.

Osteochondrosis, in which massage is an excellent way to prevent the development of the disease.

Frequent colds, chronic bronchitis, respiratory tract infections.

Headaches.

Overweight.

Depressive conditions, chronic fatigue, stressful situations, decreased performance - massage can improve a person's condition.

In addition to the treatment and prevention of diseases, massage courses can be visited to combat skin aging, muscle flabbiness, cellulite, etc. It is massage that is an excellent cosmetic tool in the fight for beauty and youth.

What tests should be taken before visiting a massage therapist?

Although there are no clear indications for taking certain tests in order to undergo a massage course, however, it is highly desirable to do this. The fact is that there are certain contraindications for massage, which can be detected by blood and urine tests.

A person, before going for a massage, should find out if he has the following contraindications:

Fever;

Acute inflammation;

tendency to bleed;

Internal occult bleeding;

Tuberculosis;

Oncological diseases;

Trophic ulcers;
Vascular aneurysm.

To make sure that visiting the massage therapist's office will be beneficial, you need to consult with the local or attending physician. If any diseases are identified that are not absolute contraindications to massage, then it is imperative to inform your master about this. Perhaps he will change the technique of performing the procedure, replacing it with a more gentle one.

What diagnostic methods does the massage therapist use?

The masseur before carrying out the procedure of therapeutic massage must get acquainted with the available results of the examination of a particular patient for his disease. Also, the massage therapist clearly follows the recommendations given by the doctor.

Perhaps the appointment of an x-ray examination in the case when the patient applies for a restorative massage after injuries. Also, x-ray images will be needed by the massage therapist before performing a massage session for pain in various parts of the back, for diseases of the musculoskeletal system, for curvature of the spine, etc.

In addition, before starting the procedure, the massage therapist will independently perform diagnostic palpation of the problem area.

Expert editor: | MD general practitioner

Education: Moscow Medical Institute. I. M. Sechenov, specialty - "Medicine" in 1991, in 1993 "Occupational diseases", in 1996 "Therapy".

Olya Likhacheva

Beauty is like a precious stone: the simpler it is, the more precious :)

The popularity of therapeutic massage sessions is due to the fact that, with few restrictions, this procedure is indicated for health problems and for the treatment of many diseases. In addition, therapeutic and prophylactic massage, when used correctly, does not cause side effects. It is part of a complex of wellness procedures aimed at restoring people who have suffered serious injuries.

What is therapeutic massage

A description of the technique of performing therapeutic massage was found in the papyri of ancient Egypt. This procedure was then adopted by the Greeks, who began to use it to treat various diseases. Today it is one of the main areas of manual therapy, which has a wide range of applications. Therapeutic massage is a procedure used to accelerate the recovery of organs, body parts in case of injuries and diseases. It is used in medical institutions and sports schools.

Massage treatment helps to reduce the period of rehabilitation of the patient with injuries of varying degrees. Under the influence of the procedure, pain sensations decrease faster, the formation of callus accelerates, edema dissolves, the elasticity of muscle fibers improves, the metabolic process normalizes, a person has energy and vigor. Medical massage affects the receptors located on the surface of the body. The procedure actively affects the vessels, muscles, internal organs.

Indications

Massaging as a rehabilitation and therapeutic agent must be prescribed by a specialist after a thorough examination of the patient. This procedure can be used in cosmetology to eliminate lymphatic edema and to combat cellulite. It is carried out with increased skin tone, fluid retention, and overweight. In addition, the procedure is prescribed for such problems:

pathologies of the gastrointestinal tract (flatulence, constipation);
rheumatic diseases of the motor system (arthritis, sciatica);
ailments of the nervous system (overwork, headache, insomnia, stress);
respiratory diseases (chronic and acute bronchitis);
muscle spasms and increased physical activity;
pathological processes that occur in the musculoskeletal system;
diseases of the cardiovascular system (myocardial infarction, chronic heart failure);
functional disorders after fractures (muscle changes, joint stiffness).

Massaging can be used to:

reduction of physical and psychological fatigue;
stimulation of the musculoskeletal system;
improving general well-being;
anesthesia, sedation, relaxation of the tissues of the musculoskeletal system;
expansion of blood vessels of the skin;
improve blood circulation, activate metabolism in the body.

Peculiarities

Therapeutic professional back massage is a common type of classical procedure. Regular conduct of such therapy helps to increase the body's defenses and the appearance of positive emotions. Specialists recommend that their patients undergo a course of manual therapy at least 2 times a year. Thanks to this, immunity will be strengthened, and the patient will be healthy and vigorous throughout the year.

The features of the wellness procedure include a clear planning of the number of techniques used and the time of the session. If with one ailment it takes an hour to knead, then with another, it is necessary to focus on rubbing. These subtleties can only be determined by a doctor. The first sessions must be introductory, sparing - the procedure is carried out slightly above the injured area. Further, after 3 sessions, it will already be possible to proceed to the main part.

Children's therapeutic massage

Massaging has a comprehensive effect on the child's body. It stimulates the development and relaxation of soft tissues, helps to quickly detect tense areas where the baby feels discomfort. A therapeutic session of manual therapy for children is considered a constructive and effective tool that fully satisfies the baby's need for physical contact. Regular procedures create excellent conditions for the full development of the child.

Massage is useful for babies whose age is more than three months and older. Parents can do the procedure on their own or invite a specialist home. All manipulations should be applied an hour after eating, they can not be done before bedtime. In this case, doctors do not recommend using the cream. A children's session is performed while monitoring the reaction of the baby, he should not cry. The main methods of manipulation are rubbing, stroking, kneading, vibration.

Kinds

Therapeutic massage can be divided into general and local. In general, the specialist massages the entire body (except for the head) with an impact on the affected areas of the body. Before the procedure, the doctor must conduct a diagnostic and visual examination, familiarize himself with the patient's history. Only after that he can give a conclusion about the effectiveness of the chosen therapy. It is better to carry out manipulations in the morning, after breakfast, but not every day. The session time should be increased gradually - from 20 to 60 minutes.

Local therapeutic massage is a procedure in which only one part of the body is massaged. All movements should be performed along the lymph flow - towards the lymph nodes. The effectiveness of the local procedure will be higher if it is combined with medicinal preparations, ointments. It is good when exercise therapy and physiotherapy are included in the treatment process. As a rule, a session, depending on the disease, lasts from 15 to 40 minutes, and is carried out every day. There is also a non-medical massage, which includes preventive, relaxing.

Therapeutic massage technique

The course of therapeutic massage, as a rule, consists of 10 or 20 procedures. The procedure is prescribed daily, after which a rest of 30 minutes is recommended. Breaks between the main methods can last several months. Massage consists of an introductory, main, final stage. Often, in order to achieve maximum effect, a specialist can use them all in combination:

Introductory period (1-3 procedures). It involves gentle techniques (rubbing, stroking) that prepare a person.
Main section (3-16). Includes differentiated massage, which is carried out according to the clinical features of the disease and the patient's condition.
In the final section, for 3 minutes, the specialist reduces the intensity of the techniques, ending the therapy by stroking the massaged area. If necessary, at this stage, the patient can be taught self-massage using a massager.

faces

Therapeutic massage procedure of the facial part is carried out according to medical indications: skin diseases, seborrhea, acne. All these diseases have a common etiology, they are caused by poor functioning of the sebaceous glands, which often provokes rashes on the head and face. Indications for massage can be scars and scars, comedones, skin pigmentation. This type of manual therapy does not have a tightening effect. Although thanks to this procedure, the work of the sebaceous glands is normalized, the skin is cleansed, and inflammation is reduced.

Facial massage involves the presence of classical techniques: kneading, stroking, rubbing, although little attention is paid to them. The main ones are tweezers. They are held with the pads of the thumb and forefinger. The technique of pinching procedure improves metabolic processes and blood circulation, takes an active part in the restoration of skin cells. Movements do not allow tenderness and smoothness, everything is performed intensively. At the same time, stretching of the skin and excessive shifting should not be allowed. The procedure is painful.

With osteochondrosis

A complex of disorders in the joints or osteochondrosis of the cervical region is diagnosed in people of different ages. The main cause of the disease is the deformation of the intervertebral discs. Massage for osteochondrosis can help with the first symptoms of the disease. It involves the use of techniques such as squeezing, stroking, rubbing, shaking, kneading, active movements with resistance, hitting and shaking. The back massage course should consist of at least 10 procedures.

When observing an exacerbation of the disease, the effect on the diseased area may change. At the beginning of the course, less active movements are used. Further, the degree of their strength increases. In this case, the massage therapist focuses on the condition of the patient. During the treatment procedure, the specialist acts on special areas. These are points that have a reflex connection with blood vessels, nerves, muscles. Such manipulations relax them, restore the natural position of the spine.

Contraindications

The technique, duration and number of sessions for each patient is selected individually. You can not use therapeutic massage in a serious condition of the patient, inflammatory processes, exacerbation of chronic diseases. Massage of the muscles, thighs, abdomen, lower back can not be done during pregnancy, menstruation, hernia. In addition, contraindications for the procedure are:

feverish conditions;
blood diseases;
bleeding;
phlebeurysm;
skin diseases;
purulent processes;
atherosclerosis of peripheral vessels;
skin damage,
thrombosis;
kidney disease;
angiitis.

Price

Therapeutic massage can not be carried out independently, only after visiting a specialist. This service is offered by various clinics. The price will depend on the part of the body on which it will be produced. The average cost for massage services in Moscow is presented in the table:

	Time in minutes	Price in rubles
cervical spine


lumbar
chest
anti-cellulite

Video: medical massage

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