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Medical Forum / Diseases and Disorders / Arthritis / May 2005

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Massages??!!!

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Nevhyn - 19 May 2005 03:58 GMT
So I went and saw a CMT with a gift certificate my wife gave me.  The
massage therapist was pretty knowledgeable about RA and did a good job of
ratcheting the intensity up and down based upon my feedback.  Didn't feel
too bad afterwards, but now, several hours later, I feel like somebody took
a baseball bat to me.

Holy cr^p!
Duckie - 19 May 2005 04:59 GMT
Water is a must after a massage to rid the body of the
toxins. I finally had to give up massages because of
that. My acupuncturist gives me the same relief now
with NO baseball bat after effects. You might try that.
Duckie

> So I went and saw a CMT with a gift certificate my wife gave me.  The
> massage therapist was pretty knowledgeable about RA and did a good job of
[quoted text clipped - 3 lines]
>
> Holy cr^p!

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spodosaurus - 19 May 2005 08:05 GMT
> Water is a must after a massage to rid the body of the toxins.

Which toxins?

> I finally
> had to give up massages because of that. My acupuncturist gives me the
[quoted text clipped - 8 lines]
>>
>> Holy cr^p!

Signature

spammage trappage: replace fishies_ with yahoo

I'm going to die rather sooner than I'd like. I tried to protect my
neighbours from crime, and became the victim of it. Complications in
hospital following this resulted in a serious illness. I now need a bone
marrow transplant. Many people around the world are waiting for a marrow
transplant, too. Please volunteer to be a marrow donor:
http://www.abmdr.org.au/
http://www.marrow.org/

Duckie - 19 May 2005 20:08 GMT
Don't have any idea now that you mention it Ari. But
every massage I have ever had, they always say 'drink
plenty of water to wash out all the toxins' Must be
something that is released when the muscles are worked
over. Anyone here trained for massage therepy? I have a
friend who is and I think I will see her tonight. If I
can get my brain to remember to ask, maybe I will have
an answer late tonight.
Duckie

>> Water is a must after a massage to rid the body of the toxins.
>
> Which toxins?
spodosaurus - 19 May 2005 20:19 GMT
> Don't have any idea now that you mention it Ari. But every massage I
> have ever had, they always say 'drink plenty of water to wash out all
[quoted text clipped - 3 lines]
> remember to ask, maybe I will have an answer late tonight.
> Duckie

If you can, try and make sure they give you specific compounds, not just
generalised information without justification, like 'metabolic wastes'
or similar brush off answers.

>>> Water is a must after a massage to rid the body of the toxins.
>>
>> Which toxins?

Signature

spammage trappage: replace fishies_ with yahoo

I'm going to die rather sooner than I'd like. I tried to protect my
neighbours from crime, and became the victim of it. Complications in
hospital following this resulted in a serious illness. I now need a bone
marrow transplant. Many people around the world are waiting for a marrow
transplant, too. Please volunteer to be a marrow donor:
http://www.abmdr.org.au/
http://www.marrow.org/

Duckie - 20 May 2005 17:45 GMT
Ari, we were standing on the edge of the dance floor
and I got all I could before we both were asked to
dance. I do have my priorites. lol But she did say it
was normal cell waste and mentioned carbon dioxide as
one example. I found this
http://bioserv.fiu.edu/~walterm/human_online/urinary/urinary_lecture.htm
Didn't know that about the kidneys. They regulate first
and excrete second. Interesting.
Duckie

> If you can, try and make sure they give you specific compounds, not just
> generalised information without justification, like 'metabolic wastes'
> or similar brush off answers.
spodosaurus - 20 May 2005 18:02 GMT
> Ari, we were standing on the edge of the dance floor and I got all I
> could before we both were asked to dance. I do have my priorites. lol
[quoted text clipped - 4 lines]
> second. Interesting.
> Duckie

The body is such an amazing machine. I wish I'd continued on with my
human bio degree and gone into medical research rather than pursuing
neuroscience and neuropsychology (not that much of neuropsych isn't used
in clinical settings, but it's just not the same for me).

Ari

>> If you can, try and make sure they give you specific compounds, not
>> just generalised information without justification, like 'metabolic
>> wastes' or similar brush off answers.

Signature

spammage trappage: replace fishies_ with yahoo

I'm going to die rather sooner than I'd like. I tried to protect my
neighbours from crime, and became the victim of it. Complications in
hospital following this resulted in a serious illness. I now need a bone
marrow transplant. Many people around the world are waiting for a marrow
transplant, too. Please volunteer to be a marrow donor:
http://www.abmdr.org.au/
http://www.marrow.org/

Nanny - 20 May 2005 06:01 GMT
I'm like you, Duckie - not knowing exactly how the "toxins" process works.
I do know that my therapist told me that massage does several things:
improves circulation, gives more oxygen to the cells, and increases red
blood cells.  That last one surprised me.  I used to be anemic and on iron
supplements, but my doctor took me off them a couple years ago.
Coincidence?  I don't know.  Nanny
> Don't have any idea now that you mention it Ari. But every massage I have
> ever had, they always say 'drink plenty of water to wash out all the
[quoted text clipped - 7 lines]
>>
>> Which toxins?
Nann Bell - 20 May 2005 14:26 GMT
I must admit I don't know if I was told this by someone, or read it or
assumed it, but I believe excess lactic acid is the major "toxin".  It is, of
course, released by working muscles and is a factor in cramped, knotted
muscles geting that way.  So that massaging the muscles releases the lactic
acid, which is also known to cause widespread aching in the body if you don't
have endorphins balancing it.  Can't give you any source for this info
though, as I say, I don't even know where I got it from.  (we need Melinda to
answer questions like this!)

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Simply the thing I am shall make me live --- William Shakespeare

> Don't have any idea now that you mention it Ari. But
> every massage I have ever had, they always say 'drink
[quoted text clipped - 9 lines]
>>
>> Which toxins?
spodosaurus - 20 May 2005 15:42 GMT
> I must admit I don't know if I was told this by someone, or read it or
> assumed it, but I believe excess lactic acid is the major "toxin".

This would indicate a metabolism error if that concetration of lactic
acid is just hanging around. You also get that after a good workout, and
it's reprocessed to run through the metabolic pathway again and provide
more energy.

> It is, of
> course, released by working muscles and is a factor in cramped, knotted
> muscles geting that way.  So that massaging the muscles releases the lactic
> acid, which is also known to cause widespread aching in the body if you don't
> have endorphins balancing it.

If someones muscles have that much lactic acid AT REST, then they have a
serious metabolism error and should seek medical advice. Also, a good
workout produces far more lactic acid than a massage, and it doesn't
result in overall body aches...and here's where hydration comes in:

Most people are chronically dehydrated, and that exacerbates underlying
health problems. sometimes it exacerbates them a lot. It's no wonder
people feel better after a couple days of proper hydration! Most people
who exercise vigourously on a regular basis also keep themselves well
hydrated.

There are no toxins being released. Lactic acid is a normal metabolic
product of anaerobic metabolism, and is itself reprocessed to provide
even more cellular energy when the short term anaerobic stress is
removed. I hear about these mythical catch all 'toxins', and it just
isn't so.

Massage is good, and relaxing, and that will help reduce muscle and
nervous tension which creates chronic stress on the body. There's no
need to try and medicalise the terminology by making up things about
'toxins'.

I'm not having a go at you. I appreciate you conveying what you've
heard, as all I've ever heard were references to 'toxins' and noone has
ever been game enough to try and answer (even strangers, who don't know
me well enough to know I would know better). I just prefer truth and
evidence to marketting hype and practitioners trying to get themselves
to be seen as medical practitioners when they are alternative therapy
providers, and there's a huge difference in the level of qualifications
between the two. I feel that as consumers of these services (massage
really helps free my breathing and reduce the pain from my vertebral
injuries) we deserve to be treated with respect, and for practitioners
to try and use terms associated with medical treatments in order to pull
the wool over our eyes as to the real effectiveness of their services
shows an unacceptable degree of disrespect to us all.

> Can't give you any source for this info
> though, as I say, I don't even know where I got it from.  (we need Melinda to
> answer questions like this!)

Signature

spammage trappage: replace fishies_ with yahoo

I'm going to die rather sooner than I'd like. I tried to protect my
neighbours from crime, and became the victim of it. Complications in
hospital following this resulted in a serious illness. I now need a bone
marrow transplant. Many people around the world are waiting for a marrow
transplant, too. Please volunteer to be a marrow donor:
http://www.abmdr.org.au/
http://www.marrow.org/

Duckie - 20 May 2005 17:39 GMT
Okay here is what she said.
The cells produce waste like carbon dioxide which you
are familiar with and other things which she did not
elaborate on but sure could be found on internet
search. The blood washes away these wastes. When a
muscle decides to knot up, the muscle cells tend to
hold on to those wastes. The harder the knot the more
wastes the more it holds on. During a massage, the [big
word I have forgotten but think it began mya-fibro...]
are worked to release these wastes. The harder the
knots, the more there is to release. Since the normal
ebb and flow had been broken, this release can cause
pain if not done properly [her words]. I told her that
my fibro got worse with massage and she said it was the
[big word again] sheath[?] that was massaged and that
would make sense. There is a form of massage she said
that would be good for fibro patients. Actually she
said, ridding the body of these wastes that have built
up is important to everyone but not if they hurt you
worse. She suggested that he call the massage therepist
and report his reaction to it as she can make
suggestions and the next time treat him differently.
She did say that lots of water will help these cell
bi-products move on out. Hence - drink plenty of water
to wash out all the toxins.
Now that would have been better coming from her but
that was the best I could remember from what she told
me. Hope that helps.
Duckie

> Don't have any idea now that you mention it Ari. But every massage I
> have ever had, they always say 'drink plenty of water to wash out all
[quoted text clipped - 7 lines]
>>
>> Which toxins?

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spodosaurus - 20 May 2005 18:02 GMT
> Okay here is what she said.
> The cells produce waste like carbon dioxide

heh ... if they didn't we'd be in big trouble!

> which you are familiar with
> and other things which she did not elaborate

of course not

> on but sure could be found
> on internet search.

For what, normal cellular metabolism?

> The blood washes away these wastes. When a muscle
> decides to knot up, the muscle cells tend to hold on to those wastes.
> The harder the knot the more wastes the more it holds on. During a
> massage, the [big word I have forgotten but think it began mya-fibro...]
> are worked to release these wastes.

myofilaments. They like to use big words to try and bamboozle us to
believing their mumbo jumbo pseudo-science babble. They're trying to
make it sound like they're medical practitioners, and they haven't a
clue what that really means. I really don't understand why they're not
satisfied with being providers of useful complementary therapies! I find
their need to try and manipulate us highly demeaning and disrespectful.
They don't need to behave like snake oil salesmen, but they're
indoctrinated to do so.

> The harder the knots, the more there
> is to release.

Not that much more.

> Since the normal ebb and flow had been broken, this
> release can cause pain if not done properly [her words].

well, pressing on a trigger point is often a painful...but very
useful...procedure. There's no need to try and manipulate us using high
school science terms to try and pretend like there's anything more to it
than that. There're no mythical toxins. There are, however, factors such
as tension, pain, and fatigue that set in through chronic low level
contractions that massage does wonders to assist in relieving! It's a
very useful assistive therapy, but there's no need to try and use big
words to convince us that it is more than it really is. It's not
practicing medicine, it's a massage, and it helps our pain.

> I told her that
> my fibro got worse with massage and she said it was the [big word again]
> sheath[?] that was massaged and that would make sense.

All muscles are encapsulated in a fibrous sheath. Obviously, to press on
a muscle belly, you also have to press on this sheath (and the skin, and
the subcutaneous tissue, etc.

> There is a form
> of massage she said that would be good for fibro patients. Actually she
> said, ridding the body of these wastes that have built up is important
> to everyone but not if they hurt you worse.

These wastes that she declined to name do not build up to form toxic
deposits.

> She suggested that he call
> the massage therepist and report his reaction to it as she can make
> suggestions and the next time treat him differently.
> She did say that lots of water will help these cell bi-products move on
> out.

In my other recent post I mentioned that most people are quite under
hydrated. Drinking plenty of water and relieving that situation is going
to make you feel better...until you revert to habitual drinking
patterns. There's nothing more scientific to it than that.

> Hence - drink plenty of water to wash out all the toxins.

Toxins that she declined to name, as I knew she would. She provides a
great adjunctive therapy, I really don't understand why she, and others,
feel the need to try and convince others that they know more than they
do, or that the therapy does things that it doesn't. More people would
use alternative and adjunctive treatments if they would stop doing this!

> Now that would have been better coming from her but that was the best I
> could remember from what she told me. Hope that helps.
[quoted text clipped - 11 lines]
>>>
>>> Which toxins?

Signature

spammage trappage: replace fishies_ with yahoo

I'm going to die rather sooner than I'd like. I tried to protect my
neighbours from crime, and became the victim of it. Complications in
hospital following this resulted in a serious illness. I now need a bone
marrow transplant. Many people around the world are waiting for a marrow
transplant, too. Please volunteer to be a marrow donor:
http://www.abmdr.org.au/
http://www.marrow.org/

Duckie - 20 May 2005 19:14 GMT
She wasn't trying to bamboozle me -- we were chatting
between dances - a 30 sec pause. I thought I got a lot
for that. She would have written all the words down for
me if I had asked - I didn't. Bet she will give me a
good link for solid info when I see her next. If she is
at the dance this Saturday night, I will try again. She
works full time as the head of catering at a large
hotel and has been taking classes because she was
interested in this form of health care. So except for a
choice between steak or fish, she isn't even trying to
sell you something. rofl
I will see what I can do. Bet she is working on
Saturday night though.
This is interesting. Glad you put me on to it. I need
to get my acupuncturist to explain exactly what chi is
while I am at it. :)
Duckie

>> Okay here is what she said.
>> The cells produce waste like carbon dioxide
[quoted text clipped - 90 lines]
>>>>
>>>> Which toxins?

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spodosaurus - 20 May 2005 19:50 GMT
> She wasn't trying to bamboozle me

I guess not, it was how she was trained. The person who trained her used
those terms, and they didn't need to.

> -- we were chatting between dances - a
> 30 sec pause. I thought I got a lot for that. She would have written all
[quoted text clipped - 4 lines]
> interested in this form of health care. So except for a choice between
> steak or fish, she isn't even trying to sell you something.

Fish for me, thanks!

I realise she's not peddling snake oil, I just wish the people teaching
alternative therapy techniques would stop using the same tactics as
snake oil salesmen! It makes them sound too similar, and while it may
work to keep people coming back to the SO salesmen, the legitimate folks
like her really don't need to use that tactic.

> rofl
> I will see what I can do. Bet she is working on Saturday night though.
> This is interesting. Glad you put me on to it. I need to get my
> acupuncturist to explain exactly what chi is while I am at it. :)

Again, another valuable alternative therapy. But from what I have seen
and heard about it, they use the traditional terms (whether they're
recognised by western science or not) instead of trying to make it sound
like it has a traditional scientific basis.

> Duckie
>
[quoted text clipped - 93 lines]
>>>>>
>>>>> Which toxins?

Signature

spammage trappage: replace fishies_ with yahoo

I'm going to die rather sooner than I'd like. I tried to protect my
neighbours from crime, and became the victim of it. Complications in
hospital following this resulted in a serious illness. I now need a bone
marrow transplant. Many people around the world are waiting for a marrow
transplant, too. Please volunteer to be a marrow donor:
http://www.abmdr.org.au/
http://www.marrow.org/

Norman Lampert - 23 May 2005 03:54 GMT
I don't think that she, or most masseurs/masseuses are trying to
"bamboozle us; many of them were trained as if massage were a mystical
procedure. I've known a few who think of it as "aligning the aura" (I
don't go to them, even when they are friends).

Most of them do seem to have a good working knowledge of musculature and
how it works (or refuses to do so) and what it takes to get the muscles
moving again (though some of their ideas on "power flows" and such are
rather odd).

Massage does seem to help increase blood circulation, which helps the
muscles feel better. As far as drinking water, most of us really don't
drink enough, so being told to drink more now and then is probably a good
idea, even if it doesn't "flush the toxins out of the system".

I know that I have a tendency to "lock up", and a good massage (which IS
somewhat painful if I'm really tight) helps me feel better and move
better, though I may be a little sore for a bit a few ours later. One
thing which helps to lessen the overall pain is paying attention to where
the masseuse/masseur is working and intentionally relaxing the muscle
"under attack" even if it does hurt at that time.

Some discomfort is OK during the massage, but A LOT OF PAIN is not. If it
hurts a lot, tell them to ease up.
Nanny - 20 May 2005 05:55 GMT
You're right, Duckie.  I forgot to mention how important drinking water
after a massage is - to help flush out the toxins in your system.  Also, a
couple aspirin and/or a muscle relaxer helps afterwards (or even before you
go in).  Nanny
> Water is a must after a massage to rid the body of the toxins. I finally
> had to give up massages because of that. My acupuncturist gives me the
[quoted text clipped - 8 lines]
>>
>> Holy cr^p!
Norman Lampert - 19 May 2005 06:14 GMT
> So I went and saw a CMT with a gift certificate my wife gave me.  The
> massage therapist was pretty knowledgeable about RA and did a good job of
[quoted text clipped - 3 lines]
>
> Holy cr^p!

Many people experience that. I know quite a few who say that this is an
indication that something finally loosened up; the way a muscle is sore
after a cramp has been released. As Duckie said, drinking water
afterwards helps. So does learning to relax a muscle as the therapist
works on it. Tensing up if the therapist "finds" a sore spot makes it
hurt worse.
Nann Bell - 19 May 2005 14:43 GMT
> So I went and saw a CMT with a gift certificate my wife gave me.  The
> massage therapist was pretty knowledgeable about RA and did a good job of
> ratcheting the intensity up and down based upon my feedback.  Didn't feel
> too bad afterwards, but now, several hours later, I feel like somebody took
> a baseball bat to me.

drink a lot of water and give it a day.  A really good massage will leave
your muscles sore for a day or so.  Then you realize they are much more
relaxed.  It is even more true for an initial massage.  Massages have a
cumulative effect on relaxing the muscles and over time the aching isn't as
bad the next day.  Drinking lots of waer is becuse the massage, in loosening
up the muscles, releases a lot of the waste products of muscle tension and
water helps flush these from your body.

I got regular massages last year before I moved away from my therapist, who I
really miss!  I learned that if I wanted to swim, to do it the day of the
massage, before going, because I wouldn't be up to it afterwards or the next
day.  But the muscles surely felt much better the rest of the time......

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Simply the thing I am shall make me live --- William Shakespeare

Nanny - 20 May 2005 05:55 GMT
Don't be discouraged by your first experience.  I've been getting
twice-a-month massages for years.  Since the therapist was working on
muscles you probably haven't had massaged before, it is not uncommon to hurt
for a couple days afterwards.  Also, if you go back, let her know just how
much pressure you want applied.  I like a firm massage, but others can only
tolerate a light touch.  It's an individual thing.

It is my experience that after awhile I was looking forward to the next
appointment.  For me, it is totally wonderful to lie there and have hands-on
therapy, with absolutely no distractions.  Some therapists light
aromatherapy candles and/or play soft music.  It helps to find a massage
therapist you feel comfortable with and form a "bond" with over many
treatments.  My personal choice is a woman, and my massage therapist happens
to be one.  She knows my body and all its "lumps and bumps", and I know her
touch.  I do not like to visit during massage, as it tenses me up instead of
relaxing me.  We understand each other that way.

Anyhow, hope your next experience will be even better than your first!
Nanny
> So I went and saw a CMT with a gift certificate my wife gave me.  The
> massage therapist was pretty knowledgeable about RA and did a good job of
[quoted text clipped - 3 lines]
>
> Holy cr^p!
 
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