Psoriasis And Massage

This is a topic that is near and dear to my heart

My Grandmother has psoriasis over 100% of her body and she suffered for many years with psoriatic arthritis which is the most painful and debilitating form of arthritis.

The following article discusses the benefits of massage for sufferers of psoriasis:

http://www.everydayhealth.com/psoriasis/living-with/massage-for-psoriasis-is-it-safe/

Massage for Psoriasis: Is It Safe?

By Beth W. Orenstein | Medically reviewed by Niya Jones, MD, MPH

Massage is great for reducing inflammation and stress, two key benefits for people with psoriasis. Here’s how to get a massage that’s right for you and your psoriasis.

A therapeutic massage session can reduce inflammation and provide stress relief. Both are welcome benefits if you are one of the 7.5 million Americans who has psoriasis — a chronic skin condition that causes scaling and inflammation.

A study of male bicyclists in the February 2012 issue of Science Translational Medicine showed that massage helps reduce inflammation and promotes the growth of new mitochondria, the energy factories of the cells.

As many as 30 percent of people with psoriasis also havepsoriatic arthritis, which causes persistent pain in the joints. Massage has been shown to relieve joint pain.

So you want a massage and you have psoriasis. Do you need to do anything special for bodywork with this condition? Not really, but here are a few ideas you might want to keep in mind:

Tell all up front. The National Psoriasis Foundation suggests that when you call for your massage appointment, you tell the receptionist you have psoriasis. “You can ask if they have a therapist who has worked on or is comfortable with people with psoriasis,” said Winona Bontrager, president of the Lancaster School of Massage in Lancaster, Pa., and president of the American Massage Therapy Association. You can find a qualified massage therapist in your area on the AMTA website.

“It’s not contagious.” Massage therapists should know that massage and psoriasis can be a good idea, as psoriasis is not contagious, Bontrager noted. “But it’s not a bad thing to make sure your therapist knows she can’t catch it from you.”

Go gently. Injuring your skin can cause your psoriasis to flare. Your therapist might want to avoid areas that are red and inflamed. “There’s nothing the therapist has to avoid per se,” Bontrager said, “but I tend to do something that’s less intense when someone wants a massage and has psoriasis.”

Ask for a Swedish massage. A Swedish massage includes long strokes and kneading. Swedish massage can increase circulation and stimulate the lymphatic system, a major part of the immune system. “A Swedish massage can help your immune system to make sure everything is moving,” explained Bontrager. Other types of massage that may work for people with psoriasis are deep tissue massage, reflexology, shiatsu, and acupressure. Talk with your massage therapist about which will work best for you.

Bring your own oils. Bontrager said she’s used many different kinds of lotions and oils and never had anyone say, “Oh, that’s not comfortable.” But if you have moisturizers and skin oils that help your psoriasis, you might want to bring them and ask your massage therapist to use them.

Avoid inflamed joints. If you have psoriatic arthritis and your joints are hot and inflamed, tell your massage therapist. The therapist should avoid the joints that are actively inflamed. Otherwise you may benefit from whole bodywork when you have psoriasis or psoriatic arthritis.

Paying for Bodywork for Psoriasis

On average, a massage costs about $60 an hour, though costs vary considerably depending on where you live. Will your insurance cover massage if it’s therapeutic? “That’s so individual,” Bontrager said. “If people are getting massages prescribed by their physician, the likelihood of getting them covered is greater.” You should check with your health insurance provider.

Massage Safety for Psoriasis

Massage is generally safe for people with psoriasis. Massage has the benefit of not only stimulating your circulation and reducing inflammation but also providing stress relief. “Lots of people fall asleep or doze off a little when they’re getting a massage,” Bontrager said. “That’s how relaxing it can be.” Massage is great for stress relief, and when it comes to massage and psoriasis, you may appreciate that.

Based on my personal experience with psoriasis I would like to further expand on this:

Having lived with my grandmother I came to understand more about just how fragile her skin was. With psoriasis the skin is frequently dying and regrowing which leaves it weak and prone to tearing, sometimes simply bumping into something was enough to tear my grandmothers skin open, conversely her skin regenerated so rapidly that her tears healed up very quickly as well.

The article pointed out that the massage should be Swedish and gentle, the article also states that “there is nothing a therapist has to avoid per se” but I would caution you to keep in mind that depending on the severity of the psoriasis certain techniques such as Myofascial Release where there is stretching and pulling of the skin could cause weakened areas of the skin to break open, so please treat effected areas with caution.

In most cases of psoriasis the client usually has only some effected areas to be cautious with, in my grandmothers case it was her entire body. The skin may be sensitive so check with the client about any products you may wish to use or have them bring in whatever they use.

My grandmother used Aquaphor to condition and repair her skin but coconut oil would also be a good choice to use for the massage as it is natural, conditioning, and antibacterial.

It is advised not to massage during an arthritis flareup as you may further irritate the already inflamed tissues, avoid areas that are red or hot to the touch.

I would also like to point out that many PPO insurances DO cover medical massage with or without a prescription from your doctor, so if cost is a factor for you consider going to a Chiropractic or Wellness center that offers massage billing to insurance companies.

Yours in Health and Wellness,

Kristeen Anne Kish CAMTC Certified Massage Therapist

Cortisol and weight gain:

The other night I was having a conversation with a client who is struggling to lose weight and she stated that her cortisol levels are too high. This is a common problem for many of us.

As she and I were talking I realized that cortisol has its benefits

I got to thinking about why our cortisol rises, situations in which we might need what that hormone has to offer us. What is it about stress that would cause this need for a hormone that stores fat and keeps us awake at night? SURVIVAL!

I laughed and said to my client “Skinny people do not make it on Survivor” she laughed and agreed, yes that fat storage has its place in times of great physical stress such as famine, drought, and threat to our psychical survival.

Why does our body react to emotional stress the same way it would physical danger?

Our bodies cannot distinguish between a physical threat of harm and an emotional one, to the body it is all the same, your mind perceives ALL STRESS as if you are in danger and must prepare to survive, it really is that simple.

Lets take a look at the Pros and Cons of this “evil” hormone:

The following article has a lot of information on cortisol and its physical effects on the body http://www.fitness4her.com/the-pros-and-cons-of-cortisol-the-key-to-fighting-belly-fight/

Cortisol is a hormone in the body that is secreted by the adrenal glands and provides for the following functions:

• Proper glucose metabolism

• Regulation of blood pressure

• Insulin release for blood sugar maintenance

• Immune function

• Inflammatory response

• A quick burst of energy in times of fight or flight.

• Heightened memory functions.

• Boosts the immune system.

• Lowers sensitivity to pain.

• Helps to maintain homeostasis in the body.

Often referred to as the stress hormone because of the high levels of cortisol released in the bloodstream when the body is enduring a great amount of stress, too much cortisol can cause problems with your health such as:

• Increased belly fat which is associated with a greater amount of health problems.

• Impaired cognitive performance.

• Suppressed thyroid function.

• Blood sugar imbalances like hyperglycemia.

• Decreased bone density.

• Decreased muscle tissue.

• High blood pressure.

• A lowered immune system.

• Higher levels of cholesterol.

In the first list you will see that it helps to maintain homeostasis, regulates blood sugar, improves immune response and other things that are beneficial to survival. The second list are the unfortunate side effects of cortisol when it is not needed for survival.

So how do we minimize cortisol resulting from stress?

The article goes on to describe several ways to help minimize the negative effects of cortisol:

The key to keeping cortisol production at a healthy level is relaxation.  As a matter of fact, proper rest is vital to the body’s well being. Getting 8 hours of sleep rather than 6 can mean a reduction in cortisol of up to 50%. Other ways of reducing cortisol are:

1. Meditation and prayer can cut cortisol by as much as 20%.

2. Listen to some of your favorite music to cut cortisol by nearly 65%. Fill your iPod with some new tunes and take a walk to lower stress and reduce belly fat.

3. Sip black tea. As it turns out, enjoying an afternoon tea has many health benefits such as reducing cortisol by about 45%.

4. Attend church or other religious service and reduce cortisol by 25%.

5. Do something nice for someone to reduce cortisol levels by 20%.

6. Go for a massage. Let a professional work out the kinks of built up stress and stiffening of the muscles. It can reduce cortisol levels by 30%.

7. Hang out with a fun loving friend. Someone you can laugh with and enjoy your time with, you’ll reduce cortisol by up to 39%.

8. Have a romp in the bed with your lover. Increased stress and cortisol can boost your sex drive, so why not take advantage and enjoy some love-making, you’ll reduce stress and cortisol levels, while burning about 70 calories in about 30 minutes.

9. Exercise regularly. By maintaining your exercise program, you’ll regulate cortisol levels and reduce stress and help to lower blood pressure.

10. Put stress in its place. Life’s challenges are sure to follow us but we can take charge of how we handle them and not let them control us. Enjoy life and preserve your health and happiness.

In Summary:

Cortisol is necessary for human survival, unfortunately stress can trick the body into believing it is under physical threat causing it to produce more cortisol than is needed. Meditation, massage, exercise, and learning to control your stress can help you to reduce cortisol naturally.

Yours in Health and Wellness,

Kristeen Anne Kish, CAMTC Certified Massage Therapist

Postpartum Massage

Recently I massaged a woman who was only two weeks postpartum

My first thought was about her comfort and I offered her a breast cushion, my next thought was about precautions post pregnancy...

In my last post I wrote about prenatal massage and the changes experienced in pregnancy. Following child birth some of those same conditions still apply.  Relaxin, the hormone that loosens ligaments is still present and can remain present in the body up to four months after discontinuing breast feeding, so her joints, especially the SI joints may still be causing her discomfort. The coagulating hormones that poses a risk for deep vein thrombosis during pregnancy may still be present for up to four weeks or more following child birth so deep tissue work is not advised during that time and specifically to be avoided on the back of her legs.

The client may be positioned prone (face down) at this time but if she has had a cesarean section it is advisable for her to wait until after the scars have healed and to speak with her physician before getting massage and to seek her doctors approval before having any abdominal massage work.

The following article by the American Pregnancy Association highlights the Many Benefits of postnatal massage

 

http://americanpregnancy.org/first-year-of-life/postpartum-massage/

 

The Benefits Of Postpartum Massage

Postpartum massage has been shown to be effective for a quicker recovery and better health. Integration of maternal bodywork may add welcome value to your healing journey and transition to motherhood.

Relaxation and Stress Reduction

Massage relaxes muscles, increases circulation and lowers stress hormones, bringing relaxation and stress relief. All body systems appreciate treatment after nine months of change, culminating with the delivery of the greatest miracle in life.

Some women prefer lighter pampering massage while others enjoy deeper techniques to work out the knots. Adding myofascial release and craniosacral therapy reaches deeper into the body for more complete healing. Any of these massage styles will bring relaxation and stress reduction.

Anxiety and depression respond very well to skilled therapy. About two-thirds of new moms experience temporary postpartum blues related to hormonal changes, new responsibilities and adjustment frustrations. Emotional support and the other benefits of massage can help during this transition.

Postpartum depression is a more serious, longer-lasting condition that affects 10-15% of mothers. Studies show massage to be beneficial for treating postpartum depression. Don’t hesitate to consult healthcare providers for assistance, including a postpartum body worker.

Pain Relief

Residual body aches from pregnancy are normal. Adding breastfeeding and childcare can intensify arm, shoulder and back pain. Massage is an effective holistic approach that relaxes muscles and relieves pain without medication. A skilled therapist may also resolve even associated numbness and tingling. Chronic or severe pain may require multiple sessions for resolution.

Hormone Regulation

Massage greatly improves postpartum hormone balance. Estrogen and progesterone hormone levels are very high during pregnancy and decrease after delivery. Prolactin and oxytocin hormone levels rise to facilitate breastfeeding. Studies indicate that massage reduces the stress hormone cortisol. Certain essential oils may also bring hormone and mood balance.

Massage also reduces naturally occurring biochemicals associated with depression (dopamine and serotonin) and cardiovascular problems (norepinephrine), supporting Mom with the challenges of motherhood.

Decreased Swelling

Body fluids need to find balance after pregnancy, in which there was an increase of about 50% in fluid volume. Massage increases circulation and lymphatic drainage to facilitate elimination of excess fluids and waste products. Tissue stimulation assists your body to shift water to the right places.

Swelling is also affected by hormones, which go through major changes after delivery. Massage helps hormone regulation, which also decreases swelling (see Hormone Regulation). Continue your high fluid intake for healing and lactation, even though you may still have swelling.

Better Sleep

Most new moms feel exhausted after labor and delivery, complicated with around-the-clock baby care. Massage will ease the fatigue, promote relaxation and assist with sleep. Studies have shown an increase in delta brain waves (those that accompany deep sleep) with massage therapy.

That is why it is very common to fall asleep during a massage. Getting enough sleep is key to postpartum recovery. Everything improves when you feel rested! Arrange some help and get regular massages for better rest and sleep. One study correlated better sleep with losing the baby fat on the tummy!

Improved Breastfeeding

Breastfeeding is a beautiful gift to your newborn, but can also be a challenge for some moms. Massage therapy relaxes the body, increases circulation and increases milk production. Studies show that massage increases prolactin levels, a lactation hormone.

Relaxation in the chest muscles opens the shoulders and improves lactation. New research indicates that breast massage helps relieve breast pain, decreases breast milk sodium and improves newborn suckling. Consult with your therapist about this service as work directly on the breasts may not be legal in some areas.

Her level of comfort and tolerance are as much a concern post pregnancy as they were when she was pregnant.

If at any time she feels uncomfortable with the position, pressure, or duration of the massage be prepared to make accommodations for her.

Her breasts may be tender, swollen, or engorged with milk and it is possible that she may experience a let down of her milk (leaking) during the massage. There is no risk associated with contact with breast milk.

She may be exhausted and sleep soundly through the massage, allow her to fully relax and enjoy the experience.

Yours in Health and Wellness,

Kristeen Anne Kish CAMTC Certified Massage Therapist

Last night I had two back to back prenatal massages, one only a week until her due date followed by one only 16 weeks pregnant.

The first one, oh so beautiful in her last trimester but so ready to finally go into labor soon. She had never had a prenatal massage before, she loved it and she wished that she had been getting massages throughout her entire pregnancy.

The second, so very happy to be pregnant following a partial hysterectomy and just coming into the discomforts of her changing body.

Both of these women are first time mommies and it is such a joy to have the opportunity to give these women the benefit of a relaxing and therapeutic massage.

Her Changing Body:

When a woman is pregnant her body is in a constant state of change in preparation for the birth process. A hormone called Relaxin loosens ligaments and the SI joints to help widen the pelvis. This can sometimes lead to low back and SI discomfort.

It is also not uncommon for women to experience sciatica in later stages of pregnancy as her changing body and the pressure of her baby can irritate the sciatic nerve.

A woman’s body also produces hormones that effects the clotting factor to prevent her from losing too much blood when giving birth. Because of that we do not use deep tissue on the back of a pregnant woman’s legs as she is more prone to blood clots at this time.

In later stages of pregnancy she may experience swelling of the feet and legs, but if that swelling is mostly on one side that can be an indication that there may be some problems and that should be addressed with her doctor.

She may become more off balance as her body is changing and she may also experience some dizziness when getting up from a resting position, so it is important for her to be careful when getting off of the massage table or out of bed.

How Massage Can Help:

• Reduces muscle and joint discomfort
• Provids needed relaxation
• Improve sleep
• Help minimize foot and leg swelling
• Improves circulation
• Help move lymphatic fluids
• Minimizes anxiety and stress

Contraindications and Precautions:

Hot stone therapy and aroma therapies are often avoided at this time as they can effect blood pressure and in some cases can effect hormone levels.

Some use of aromatherapy have been shown to be safe during pregnancy  (such as lavender oil) but due to the highly concentrated nature of essential oils it is often suggested that aromatherapy should be avoided at this time and avoided all together in the first trimester.

High risk pregnancies such as preeclampsia or a history of blood clots should avoid getting massage until after delivery.

Many therapists may refuse to massage a woman in her first trimester because that is a time in which miscarriages are most common and it is always best to be cautious.

In the second trimester it is not uncommon to do some of the massage supine (face up) as long as the client is still comfortable laying on her back, but by the third trimester the massage needs to be done in the side lying position.

Pregnancy massage cushioning systems are sometimes used by some therapists and spas in the second and part of the third trimester, but if at any time the client feels uncomfortable it is always best to perform the massage side lying.

Always remember that if at any time you or your client feel uncomfortable in any way about the massage it is always better to err on the side of caution.

Yours in Health and Wellness,

Kristeen A. Kish

CAMTC Certified Massage Therapist

Topical Analgesic Review

Topical Analgesic Product Review for Biofreeze, Cryoderm, and Sombra products

Biofreeze:

If you have ever been to a chiropractor or sports medicine clinic I am sure you have seen or heard of Biofreeze.

They have several products including gel, roll-on, and a 360 degree spray. The products are easily found for purchase at most chiropractic clinics, sports medicine clinics, and various spas.

The 360 spray is by far their best product, easy to apply even to your own back with a spray can that works even when held upside down.

The roll-on is simple to use for those areas that you can easily reach but due to direct contact with the skin it should only be used on one person.

Gel is the most common products that is used in most chiropractic clinics. For me personally this is my least favorite product to use in massage because the gel eventually balls up while I am working the area (the same can be said for gels from other companies as well,) however, it does provide a cooling sensation and helps aid in the relaxation of the effected muscles.

Pros:

Easy to obtain at various distributors, easy to use, temporary cooling effect and muscle pain relief.

Cons:

Not long lasting, smells like medicated alcohol, gel balls up with rubbing.

http://www.biofreeze.com/Default.aspx

Now, onto my two personal favorites!

Cryoderm:

I had never heard of Cryoderm products until I was introduced to them at the World Massage Festival. They have a number of products ranging from lotions, sprays, roll-ons, gels, and also heat therapy products.

The cooling effect lasts for several hours and far outlasts Biofreeze.

The heating products contain Capsaicin and provide lasting heat sensation, in fact much hotter than expected. This product might be a bit too much for anyone who is sensitive to hot peppers, but it definitely does exactly what it intends to do!

Pros;

Long lasting cooling or heating, effective muscle pain relief, never tested on animals.

Cons:

Heat therapy may be too hot for some people, strong medicinal scent.

If you like Biofreeze you will love Cryoderm.

http://www.cryoderm.com/index.php?p=353902

Sombra:

What is not to love about Sombra? It has a more pleasant smell than the other products, comes in cooling, heating, and even a soothing lemon version.This also comes in a handy roll-on version as well as lotions, creams, and gels.

The cooling effect is effective but not overpowering, the heating effect is subtle but warming. The heating product also contains Capsaicin but is not as intensely hot as the Cryoderm Heat products. A nice happy medium that is long lasting and smells wonderful!

Pros:

Long lasting heat or cooling, pleasant scent, also comes in a soothing lemon scent.

Cons:

I cannot think of any cons.

http://www.sombrausa.com/

In summary:

My personal favorite if I want a powerhouse of an analgesic I prefer Cryoderm products, but if I am looking for an effective yet soothing option I prefer to use Sombra products. Biofreeze is good but if given a choice between them all I know which products I would prefer to use for my clients.

It is also very important to mention that no matter which of these products you use always remember to thoroughly wash your hands before touching your face, eyes, or other areas where the heating or cooling sensation might be problematic, I can assure you from first hand experience that getting these products in your eye is not a pleasant experience.

(I was not paid by any of these companies to write this review, the opinions expressed here are from my personal experience with the three products mentioned.)

Yours in Health and Wellness,

Kristeen Anne Kish

CAMTC Certified Massage Therapist