Massage is Good Medicine

Massage is Good Medicine Massage is Good Medicine Use of Massage therapy Common massage therapy terminology Research informed massage therapy Finding and working with a massage therapist 1

Use of Massage Therapy Source: AMTA s 2016 Consumer Survey Pain Most compelling reason people seek the services of health care professionals Pain affects job performance, the marriage, the family and the self esteem of the individual Chronic pain can change lives forever Today, more than 50 people die each day from prescription pain relievers 2

Pain In 2013, drug overdoses were the leading cause of injury and death In addition to the concerns we have regarding opioid dependence: The Health Care Reform Act has asked practitioners to focus on the Triple Aim which asks for: improved quality, better outcomes and lower cost CDC Guidelines Integrative Wellness Programs Integrative programs are on the rise: Sloan Kettering, Duke University & Mayo Clinic Minnesota Aim at reducing pain and carefully monitoring improvement in outcomes 3

What is Massage Therapy? The manual manipulation of soft tissue intended to promote health & wellbeing Massage Therapy Fits into the biopsychosocial model Has under its umbrella, many types of techniques NMT, Myofascial Release, Trigger Point Therapy, Swedish Massage Dr. Janet Travell Treatment plans specific to the patient 4

Multiple Massage Approaches Myofascial Release trigger point referral Neuromuscular Therapy/Structural Integration Principles of NMT Ischemia Trigger points Nerve compression or entrapment Postural distortion Biomechanical dysfunction 5

6

Medial Pterygoid Lateral Pterygoid 7

8

Serratus Posterior Superior Piriformis 9

Piriformis Massage Therapy & Chronic Pain Management Reduce pain & improve quality of life Decrease low back pain Reduce pain from osteoarthritis of the knee Help fibromyalgia symptoms 10

Samueli Institute (Pain Medicine) In 2016, published a systematic review and metaanalysis of randomized controlled trials on massage therapy The Impact of Massage Therapy on Function in Pain Populations Pain in the General Population improved pain levels, decreased anxiety/health related quality of life Massage for Cancer Patients reduced fatigue and anxiety Surgical Pain Populations effective for reducing pain and anxiety in those who are about to receive surgery or for those who are recovering Cherkin et al., (2011) Low Back Pain 401 participants suffering from non specific low back pain Those receiving massage, had superior functional outcomes and symptom improvement than those in the usual group 11

American College of Physicians American College of Physicians clinical practice guidelines: Include massage therapy as nonpharmacologic approach for acute, subacute and chronic low back pain The Joint Commission Standard The Joint Commission Standard PC.01.02.07 recommends massage therapy as a nonpharmacologic strategy for managing pain. 12

Countering Opioid Epidemic Physicians in several states are encouraged to use non pharmacologic strategies, specifically mentioning massage therapy, to combat the opioid epidemic occurring across the country Osteoarthritis Perlman, et al., (2012), Duke Integrative Medicine Center 125 patients with osteoarthritis of knee 1x week for 8 weeks Better range of motion/pain relief 13

Massage Therapy & Behavioral Health Reduce stress, anxiety, tension headaches, symptoms of depression & improve sleep Positively influence quality of life of people with serious illnesses Control blood pressure Blood Pressure Reduction International Journal of Preventative Medicine (2013). Massage can be an effective intervention in controlling blood pressure in pre hypertensive women Lowered blood pressure lasted up to 72 hours post massage 14

Massage Therapy for Rehabilitation & Physical Training Athletic training & injury treatment Ergonomics & jobrelated injuries Joint replacement rehab Post operative Pain Hip and Knee Replacement Pain Management Nursing (2013) Compared relaxation techniques vs. massage therapy post surgery Reduced pain and anxiety Scar Management 15

Massage Therapy for Acute Medical Conditions Reduce pain, fatigue, anxiety, nausea & depression in cancer patients Sloan Kettering (2004) reduction in all symptoms Decrease pain in those with severe bone metastases Lower postoperative pain & anxiety Mayo Clinic Minnesota Reductions in post operative pain and anxiety in patients: Thoracic Surgery Mastectomy Heart Surgery 16

Relaxation Time vs. Massage Progress in Cardiovascular Surgery (2009) 113 patients received massage therapy or quiet relaxation time 62 participants who received massage had significantly less pain, anxiety and tension Cost Effectiveness Massage therapy helps: 1. Cost effectiveness compared to standard medical care 2. Prevent unnecessary medical treatments 3. Ease overall burden of care 4. Avoid adverse health events Learn more at AMTAmassage.org/healthcare 17

Cost Effectiveness Massage therapy is shown to be effective for a variety of conditions Can save both health care costs & result in better outcomes when integrated in patient care Learn more at AMTAmassage.org/healthcare Massage Therapy Regulation 2017 Blue Licensed State Yellow Voluntary Certification State Red Unregulated State 18

Massage Professional Credentials Massage therapy professionals are: Licensed, certified and/or meet standard initial education requirements Required to maintain a high level of continuing education Uphold a strict code of ethics Visit FindaMassageTherapist.org Board Certification Board Certification is the highest voluntary credential attainable in the massage therapy. Pass the Board Certification Exam Therapeutic Massage and Bodywork exam 750 hours of education 250 hours of professional, hands on experience Pass a national background check Current CPR certification Agree to uphold NCBTMB s Standards of Practice and Code of Ethics Agree to oppose human trafficking 19

FindaMassageTherapist.org Search for professional massage therapists near you 20