All posts by Pedro Olabarri

HAVE YOU EVER HAD JAW PAIN?? READ BELOW THEN

I recently met a friend for a coffee to find out he had been diagnosed with temporomandibular joint disorder (TMD) by his doctor.

He had been on painkillers and anti-inflammatories for several weeks and although the pain had eased off slightly he was still in quite a lot of discomfort. He had also been prescribed with antidepressants in order to treat his anxiety levels as according to the doctor the cause of the problem was stress related.

Although I was familiar with the condition and I had had clients asking me to treat their jaw and facial muscles,  this was actually the first time I was treating a client specifically diagnosed with TMD.

Basically this disorder affects the jaw joint and the muscles that control jaw movement. Well.. I thought.. As a sports massage/soft tissue therapist, technically a more correct term to describe my role, I do manipulate and mobilise soft tissue structures (muscles, tendons, ligaments and connective tissue) in order to regain functionality of injured joints. So I thought.. Let’s give it a go!

I explained to my friend that using some simple, non invasive and safe techniques could actually help him with the symptoms and the following day he came to visit me for a brief consultation.

It was just a 20 minutes session. All I did was basically using a technique called “soft tissue release” which involves stretching small areas of soft tissue. This technique usually helps me to “move things around”.. What I mean is that after an injury, trauma or stress caused by repetitive movement some fibers end up adhering to each other creating adhesions or more commonly known as “knots”.

In this  case the attachments of the joints were very tight. It just felt to me that the joints needed stretching.

It is now 2 weeks since the session and the pain has completely gone. He is aware that needs to keep an eye and if pain recurs he might need to visit a specialist to discuss ways of stopping grinding his teeth.

There are many conditions that cannot be just treated with some soft tissue work.. We all know it is not that simple.. If only.. But my experience tells me that when it comes to muscular and joint pain it is advisable to try alternative therapies and look for a second opinion before ending up taking several tablets per day for several days, weeks or even months.

Soft tissue therapy can ease off symptoms and decrease or eradicate pain completely allowing soft tissue structures to heal in a quicker and a more functional way.

Want to swim like a fish? Benefits of Sports Massage for swimmers

I recently treated a 19-year-old male client who is a regular swimmer. He was complaining from pain and stiffness in his right shoulder. The affected joint presented stiffness and tension at the insertions of some muscles crossing over the joint. Range of Motion (ROM) test on different planes confirmed restriction of movement.

It is common on swimmers to suffer from rotator cuff tendonitis or shoulder impingement due to a combination of factors such as overtraining or/and lack of rest, poor stroke mechanics, lack of stretching and/or warm up, insufficient “off-pool” activities such as weight lifting to strengthen rotator cuff muscles, etcetera.

Repetitive motion of the shoulder when performing backstroke, freestyle and butterfly strokes is the most common factor that contribute to this type of injury. When the joint gets overused muscles such as deltoids, rotator cuff, trapezius, latissimus dorsi and pectorals may be badly affected. The tissue becomes rigid and the fibers of the muscles adhere to one another due to the reasons mentioned above. It is important to treat the affected tissues as soon as possible to prevent further injury.

In this case client’s shoulder presented restriction on lateral rotation. Palpation revealed the existence of adhesions along some fibers of the pectoralis minor as well as tenderness of the subscapularis muscle. These 2 muscles internally rotate the shoulder and when they are tight they can limit external rotation of the joint.

It is important to emphasize that massage is contraindicated directly on the injured area in the acute phase. The patient often presents pain, the tissue is inflamed and the existence of fluid around the affected structures is common. However the surrounding tissues can be massaged as this will reduce edema and inflammation.

The strokes are best applied from distal to proximal starting above the swelling which will decrease the amount of fluid in the area. Once inflammation has decreased more invasive techniques (see below) can be used.

Techniques such as friction are effective in breaking down adhesions and scar tissue which restrict movement of the joint, loosening tight tissue and increasing blood circulation.

Muscle Energy Technique is another useful technique that helps to stretch and strengthen muscles as well as to break down adhesions whereas Soft Tissue Release (STR) relieves tissue congestion, improves elasticity and increases muscle length, making the muscle more mobile and increasing joint functionality.

Applying these techniques over a few sessions along some strengthening and stretching exercises for the shoulder allowed me to get the client back to the pre-injury state. The tissue of the affected joint became looser and more mobile, adhesions were broken down and those shortened muscles were lengthened.

Client confirmed by the end of the treatment sessions that he can now swim pain free.

I advised client to have regular treatment sessions not only to prevent injury but to maintain his muscles, tendons and ligaments in good health.

Remember Sports and Remedial massage can improve the quality of muscle tissue meaning less tension, less pain, less stiffness, more functionality, better performance… and the last but not the least: better quality of life!

 

Diabetes and Sports Massage – What do you need to know?

Diabetes and  Sports Massage

People suffering from diabetes are prone to nerve compression syndromes, prolonged gripping or direct nerve compression during weight training, cycling, running, jumping and other activities.

Long-term elevations of blood sugar can cause oxidative stress, damage and structural changes in joints. It may also cause imbalances between strength and flexibility around joints, for example, quadriceps versus hamstrings.

Some studies suggest Type 1 diabetes might have an impact on young athletes’ performance as a result of dramatic changes in blood sugar levels. It is also associated with heart disease. Hypoglycemia is a condition which can cause dip in blood sugar levels. Physical activity itself is also one of the factors which can cause dip in blood sugar levels.

Regular exercise can have a beneficial effect on people with diabetes however intense physical activity can make glycemic control challenging. Also sensation of pain diminishes in people suffering from diabetes.

Type 1 diabetes is treated with daily insulin injections as an individual suffering from this condition is unable to produce insulin.
Daily insulin injections can cause micro-traumas in the skin which could become a chronic issue. If insulin is injected into the same spot too regularly lipohypertrophy can occur as a result of accumulation of fatty, tough lumps underneath of the skin. Massage can help to alleviate these symptoms but as a preventive measure injection sites should be rotated. Regular massage will be able to improve the condition of that tissue which is not in the acute phase.

Sports and Remedial Massage may also help to improve the condition of an individual suffering from diabetes due to the following reasons:

  • it improves blood circulation and tissue fluid;
  • eradicates pain;
  • releases tension on affected tissues, and
  • decreases muscle hypertonicity.

It may also help to restore balance between those muscles around those joints affected by long-term elevations of blood sugar, improving their ROM (range of motion). Weak muscles can be strengthened and, at the same time, shortened muscles can be lengthened and stretched.