This essay will explore the value of massage in the overall management of an athlete with lateral knee pain, and a diagnosis of Ilio tibial band syndrome.
It will explore the use of massage generally then focus on specific techniques used in myofascial pathologies. It will also describe the techniques employed, the clinical reasoning for their choice and the relevant supporting evidence.
The relevant anatomy will be discussed as well as the proposed influences of massage on these structures using current literature to support these hypotheses.
Massage has been used around the world for thousands of years for rehabilitation and relaxation (Weerapong et al, 2005). Massage is the treatment and practice of manipulation of the soft body
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Distally it attaches to Gerdy’s tubercle on the anterolateral aspect of the tibia having passed over the lateral femoral condyle (Fairclough et al, 2006).
Miller et al (2007) showed greater knee flexion and internal hip rotation in runners with ITBS at heel strike. Using a simple biomechanical they showed that both factors increased stress on the ITB.
Biomechanical studies show that maximum compression of the ITB over the lateral femoral condyle occurs at 30 degrees flexion of the knee (Orchard, 1996) hence it has been assumed that the band actually moves over the condyle.
MRI findings in a study by Nishimura et al (1997) suggest soft tissue inflammation and /or oedema rather than focal fluid collection. This study also showed no alteration to the structure of the ITB itself, and that the posterior fibres are tighter against the femur. A further study involving cadavers and MRI by Fairclough et al (2006) show ITBS is more likely to be highly innervated fat compression beneath the tract as different parts of the distal ITB come under tension- i.e. anterior and posterior sections.
One of the commonly quoted conservative interventions for ITBS is massage or more precisely myofascial release techniques (Brukner and Khan, 2006; Chaitow and DeLany, 2002; Pettit and Dolski, 2000). Indeed Fredericson (2005), states “Identifying and eliminating these myofascial components complements physical therapy and should precede strengthening and muscle
Because the tibia was displaced posteriorly, the mostly likely structure to have been damage would be the posterior cruciate ligament (Drake et al., 2012a). This could be
From the earliest of times, massage, which is the manipulation of body tissues for a therapeutic purpose, has been used by stroking or rubbing parts of our body that are experiencing pain.
Massage is a very common form of therapy for all sorts of things, from stress to chronic pain. There have been numerous studies that demonstrate the effectiveness of massage in helping to manage patients’ pain while keeping them off medication. The benefit of this type of treatment is pain relief through manipulation of the body. The mechanism of action is, once again, unknown, but it is thought to be related to stimulation of muscles and the blood flow being increased. There are
The IT band runs from your hip, across your thigh, to the outside of your knee and connects to the top of your tibia. When running your hip muscles work to stabilize your pelvis. As you rung for long periods of time, these muscles get tired and your hips begin to drop side to side with each forward moving step. As this happens, your knee is forced inward and out of alignment with your foot. Running with your hips dipping side to side and your knee turning inward, your IT band becomes inflamed. This
What does back pain, neck tension, headaches and anxiety all have in common? They are all treatable issues that can be relieved or treated through massage therapy. Stress-related symptoms are one potential treatment option for massage therapy. Massage may also be used to treat muscular pain following strenuous exercise. Tiffany Field, head of Psychology at the University of Miami School of Medicine's Touch Research Institute, explains that massage can limit our bodies fight or flight response associated with stressful or fearful situations. In university, many students will experience stressful moments with assignments, exams, and projects. What many students are unaware of, is how stress negatively impacts mental and physical health. Through the use of massage therapy, students can relieve stress and even sleep better at night. Massage can be used to cope with mood disorders and relieve muscle pain or tension. Field explains massage can increase blood flow and circulation of oxygen or nutrients throughout the muscles, as a method of removing metabolic wastes such as lactic acid that are produced through exercise (58). Massage is an excellent treatment for stress, pain, and sleep deprivation. With a massage therapy clinic on campus, charging at reduced rates, students would benefit by having the opportunity to improve their quality of sleep, limit emotional issues they may be feeling, improve their athletic performance and improve their academic performance.
Understanding the health benefits of Therapeutic Massage written by: Denya6 Massages have always had an exciting role to play in the lives of those who receive them. Some view a massage as a means to be pampered, while still others seek them out for their ability to provide short-term relaxation and relief from stress. Still another category of people adheres to the alternative medical usage of massage - in the form of therapeutic massage - as a means for treating various medical ailments including pain. Though the therapeutic massage has sometimes been the subject of some controversy and has even been ridiculed at times by various conventional doctors, the fact is that each year sees a growing body of documentable evidence that demonstrates
To assess the effects of massage treatments on pressure pain threshold (PPT), Albert F. Moraska conducted a randomized, placebo controlled trial on people with myofascial pain syndrome
Massage therapy reduces bone pain and enhances cartilage growth. It is also the oldest alternative treatment to be practiced. It is typically experienced in a declining position, on the stomach, or on the
Though it is not as common in his Ogemaw practice, Physical Therapist Dr Vijay Kumar has treated patients for Iliotibial Band Syndrome (ITBS). This painful condition presents itself as severe pain in the knee or hip. It is most commonly found in active people, athletes, and those to do aerobic exercises often. The Iliotibial band is a tissue grouping that runs the length of the outer thigh, from the hip to the knee joint, and eventually connects to the tibia at the front. Due to its positioning, the IT Band stretches across the knee itself. Through constant movement, the band may become compressed near the knee, and rubbing on the protruding bones may occur.
According to the book, some of the terms and concepts that was portrayed in the massage therapy technique were shiatsu and Swedish massage. Shiatsu is a type of massage that uses pressure to release blocked energy and help with relaxation on certain points on your body. This can help with areas in our body that are sore or distressed. Furthermore, Swedish massage was another concept that was mentioned in the book. Swedish massage is a very common and well-known massage for Western cultures. It uses a lot of hand motions like kneading, stroking, and karate type chops. Swedish massage helps our body by relieving tensions for muscle tissues. Some of the Swedish massage steps that was mentioned were effleurage, petrissage, friction, kneading, tapotement, and vibration. These are different hand movements that you could do to help relieve the tensions in your muscle tissues. For instance, tapotement is a similar form of karate chops that is going to help alleviate hard muscle tensions. Self-massage was also mentioned during the technique and in the book too. Some of the self-massages that we could do on our own body are head, face, neck, shoulders, hands, legs, and feet massage. For
Rolfing is an alternative therapy, better known as a massage technique, which focuses on deep manipulation of the connective tissue to restore the body’s natural alignment from injury, emotional trauma, and insufficient movement habits. Rolfing was developed in the middle of the 20th century by a women named Ida Rolf. Rolf was a biochemist who developed her system from her very own childhood injury. When she was younger, she suffered an injury from being kicked by a horses’ hoof that trauma to her body. She began taking alternative treatments that gave her some relief for her pain while studying about other alternative therapies such as yoga, osteopathy, and chiropractic. The research and knowledge she’d obtained help her create her very own
Palastanga (2006). Anterior cruciate ligament as two bands, anteromedial attaches anterioriorly on intercondylar eminence of medial plateau of tibia.posterolateral attach on medial aspect of lateral condyle of femur; intermediately twisted. Vascular supply is middle genicular artery.
It is known that many people with old or traumatic injuries have many soft tissue damages that trigger complicated problems with their subluxations. By offering massage and physical therapy we have created
Massage therapy can help with alleviating muscle tension, diminishing stress, and bringing to mind feelings of calmness, along with helping chronic fatigue syndrome, easing chronic constipation, and enhancing self image. It also manipulates the activity of the musculoskeletal, circulatory, lymphatic, and nervous systems in the body. Clinical studies have revealed that massage relieves chronic back pain more effectively than other treatments and most times it is more cost effective than other treatments ("University of Maryland Medical Center").
Your myofascia is the connective tissue that covers your bones and muscles. Like traditional massage works on your muscles and chiropractic treatments work on your bones, Rolfing works on your myofascia. When your body is out of alignment due to repetitive motion or because you