Massage therapy for chronic knee osteoarthritis (OA)
I just want to tell you that you really can heal your knee osteoarthritis (OA)
or rheumatoid arthritis with massage therapy perfectly
without surgery (total knee replacement or TKR).
Think it again that your healthy knee is your life itself!
Your perfect life depends on your healthy knee!
Whoever you are, you are nothing when you are hopelessly being trapped
in wheelchair for the rest of your life caused by knee osteoarthritis (OA)
or rheumatoid arthritis!
Make a decision which make you won't be regret for the rest of your life!
Take an option which has been proven 100% successful!
I am not a big mouth!
I have some videos to show you what I have done
with this kind of problem (chronic knee osteoarthritis or OA).
Just email me at firstname.lastname@example.org
and I will send you the videos on your demand.
Massage therapy for chronic knee osteoarthritis (OA)
100 % effective! No risk at all! No pain at all!
You can do massage therapy without torturing the patient
Never do any harm on the patient
You will never hear anyone screaming in all my original videos
No pain, yet you gain!
I am very angry to find the reality
that many massage therapists out there actually
are just big mouths. You can see many videos on Youtube
that they are just too much talking, nothing proven.
Many demonstrated their skill, but we do not know
if they were massaging the real ones suffering the illnesses or not.
That's why eventually many people choose other option
to solve their health problems which proven really dangerous,
because these stupid people (massage therapists)
cannot give real benefits for those in pain.
Too many parties offer their solutions,
but reality shows that all sufferers gain nothing!
Big bullshit, really!!!
I also can handle these these problems just with massage therapy:
Ruptured / torn knee ACL, LCL, MCL, PCL
(anterior cruciate ligament, lateral collateral ligament, medial collateral ligament, posterior cruciate ligament)
Bulging disc, HNP (herniated nucleus pulposus)
Chronic Low Back Pain
Unsuccessful Knee Reconstruction Surgery Correction
Unsuccessful Total Knee Replacement (TKR) Surgery Correction
Unsuccessful Meniscectomy Surgery Correction
Ruptured Achilles Tendon
Ruptured Patellar Tendon
Ruptured Quadriceps Tendon
Tennis Elbow / Golfer Elbow
Rotator cuff syndrome
Ankle's ligaments & tendons tears
IT Band Syndrome
Patient with cancer
"It's hard to find good research on massage therapy for osteoarthritis because there have been few controlled studies," Voner says. "It's hard to measure relaxation and well-being objectively."
Still, some small studies have shown that massage therapy can be effective for various arthritis-related pains:
Low back pain. Massage therapy may be useful for low-back pain, at least in the short term, according to a 2013 review of studies in the International Journal of General Medicine.
Neck pain. A study of 37 people with arthritic neck pain, published in 2014 in Complementary Therapies in Clinical Practice, found that massage therapy helped relieve pain and increased range of motion.
Knee pain. A study involving 68 people that looked specifically at massage therapy for knee osteoarthritis concluded that it was both safe and effective. The researchers' follow-up study, published in 2012 in PLoS One, found that the optimal treatment for relief is 60 minutes of Swedish massage once a week. Compared with standard care, the addition of massage reduced pain and improved function. And a study in the August 2015 Journal of Traditional Chinese Medicine also found that Chinese massage therapy can bring short-term relief from osteoarthritis knee pain.
Although there is no solid evidence to explain how or why massage therapy works, experts believe it increases blood flow, blocks pain signals that go to the brain, and releases stress-reducing chemicals like serotonin or endorphins.
Researchers from the Weill Cornell Medical College and the New York-Presbyterian Hospital reviewed previous research papers on massage and other complementary therapies. They pointed out the safety of massage therapy for OA patients, as well as its healing effects.
They determined massage therapy is safe and effective for OA patients, even when combined with exercise therapy. Research shows patients who receive massage therapy in addition to standard treatments often fare better than those who only receive standard treatments.
For example, researchers at Spain’s University of Alcala studied 18 women who received both massage and exercise therapy or exercise therapy by itself. After six weeks of treatment, the patients who received both therapies showed better results even three months after treatment.
Massage therapy provides many benefits, especially for those who experience pain. Osteoarthritis of the knee can cause pain that may not always be fully addressed with standard treatment options. With regular massage therapy, many people with osteoarthritis are able to manage their pain, increase their physical capabilities, and enjoy active lives.
Dina Gilmore, a licensed massage therapist in the Denver area, has dealt with bone and joint pain for most of her life. When she was younger, she says, doctors dismissed her concerns as growing pains and attributed them to the fact that she was an athlete. She was diagnosed with osteoarthritis in 2012 when X-rays after an injury showed she had degenerative bone disease.
Gilmore considers massage to be an important part of her OA management plan. “It helps to control the symptoms,” she says. “Massage helps to decrease the pain after the work that I do all day.” Gilmore became a massage therapist because she wanted to help ease the pain for others. “I learned how good it feels to make someone feel better,” she says.
“The type of massage that I’ve benefited greatly from has been lymphatic drainage, which is a very light touch massage that works with the lymphatic system," she says. "When you get that flowing, it communicates with your central nervous system, which can calm a lot of the pain that flares up with OA. Also Swedish massage, which is just a basic massage, and any energy work like Reiki or Polarity are fantastic.”
Gilmore recommends trying different types of massage until you find one that provides relief. No two bodies are the same, she says, so it may take some trial and error. She also says it’s important to tell your massage therapists that you have arthritis and to let them know when something feels good and when it doesn’t.
If you’re nervous about going for a massage, call ahead and ask the therapist to walk you through the process and answer any questions you may have. If you don’t want to lie on a table, ask for a chair massage. If you’re uncomfortable with undressing for a massage, you can request to remain fully or partially clothed. “It’s your session,” Gilmore says. “It should be customized to meet your needs.”
A research team at the University of Medicine and Dentistry of New Jersey studied 68 adults with OA who received Swedish massage for eight weeks (biweekly for the first four weeks and weekly for the second four weeks). Participants experienced a reduction in pain and stiffness, as well as an increase in physical function, including range of motion and walking speed.
Research shows self-massage may also have benefits for OA. A pair of post-doctoral researchers at the Holos University Graduate Seminary observed 40 adults with OA diagnoses. For six weeks, study participants followed a 20-minute narrated self-massage program (both supervised and unsupervised). These people experienced pain and stiffness reductions (though they did not experience the range-of-motion benefits associated with massage by trained therapists).
A research team at the Duke University Medical Center and the Durham Veterans Affairs Medical Center studied 25 veterans with OA who received eight weekly massage therapy sessions. In addition to finding the same positive effects as other researchers (pain reduction, stiffness alleviation, and increased function), these researchers pointed out the positive inclination of the study participants toward massage. Given the popularity, safety, and affordability of massage therapy (especially home therapy), the researchers highlighted the potential of massage for treating a variety of physical and mental health issues (especially post-deployment).
Osteoarthritis (OA) is a disease of the joints that worsens over time. It affects approximately 50 million people in the United States. The personal and financial costs of OA may include:
In recent decades, millions of people have explored the potential of massage therapy to relieve the pain of many ailments, such as physical injuries, cancer, diabetes, musculoskeletal conditions, and others. If their needs are not fully met with other treatment options, many OA patients may turn to massage therapy for relief.
As more people experiment with complementary therapies to address health, wellness, and quality of life, researchers continue to pay attention to these treatments. It is recommended you talk with your doctor about what types of massage are safe to try, explore your options, find a qualified massage therapist, and see what works best for you.
A research team from China used six infrared cameras and a motion analysis system to study the gaits of 20 women with OA. Participants received traditional Chinese massage three times a week for two weeks.
In addition to the pain relief, lowered levels of stiffness, and greater mobility noted by other research teams, the researchers observed improvements in specific physical functions. They found massage therapy helped the study participants walk significantly faster and increase the distance between steps. The researchers also measured the total time patients put weight on their joints and saw substantial improvements.
In a follow-up study, the University of Medicine and Dentistry of New Jersey team partnered with colleagues from the Duke and Yale Schools of Medicine to study a group of 125 OA patients. The researchers gave study participants massage treatments either weekly or biweekly for either 30 or 60 minutes.
The researchers found 60 minutes of massage a week provided more benefits than the other durations and intervals studied. Participants who received 60-minute massages experienced decreased pain, increased range of motion, and faster walk speeds. Even those who received massages only biweekly for 30 minutes experienced less stiffness than those who did not get massages.
How Massage Therapy Helps Relieve Osteoarthritis Pain
Massage has become one of the most commonly used complementary health approaches in the United States: More than 15 million American adults have received it, according to the National Institutes of Health. It's also a treatment that might benefit people with osteoarthritis.
"When done by a trained massage therapist on carefully selected patients, massage therapy is a very valuable addition to traditional osteoarthritis treatments," says Valerie Voner, a licensed massage therapist and coordinator of the massage therapy program at Cape Cod Community College in West Barnstable, Massachusetts.
Osteoarthritis, which affects nearly 27 million Americans, occurs when wear and tear breaks down the cartilage cushions between the joints. Pain and stiffness often result, according the Centers for Disease Control and Prevention.
Chronic osteoarthritis responds well to massage, Voner says. Pain is relieved as the muscles surrounding the joints relax, releasing stiffness and allowing for better range of motion and mobility. Increased relaxation, decreased stress, and a sense of well-being are additional benefits of massage therapy, she explains.
Adding a weekly massage to the budget may not seem possible when you have other priorities. Try these ideas for lessening the cost burden:
Other points to keep in mind:
According to the Arthritis Foundation, massage offers a range of potential benefits to people with arthritis. Types of massage include:
Millions of adults in the United States suffer from osteoarthritis (OA), a degenerative joint disease that has historically been described as "wear and tear" of weight-bearing joints of the body, causing changes in the joints’ cartilage, lining and underlying bone.
The goals of treating this chronic, progressive disease of aging often include pain and stiffness management, as well as joint mobility improvement.
As the largest and most complex joint in the body, the knee is a common place for people to develop osteoarthritis. And, as more and more research is suggesting, massage therapy can be beneficial. But how can you help clients manage pain between regular massage therapy sessions?
Self-massage is one answer. Read on to learn more about the role self-massage can play in helping your clients suffering from osteoarthritis of the knee.
Osteoarthritis of the Knee
Knee OA is often diagnosed by the presence of osteophytes (bone spurs) and loss of joint space seen on x-rays.1 Although scientists are unsure of the specific cause of knee OA, some influential factors include genetics, obesity, previous knee injuries and overuse.
Additionally, researchers have investigated the possible causative role of the quadriceps muscle group. The quadriceps femoris, located on the anterior thigh, is made up of four distinct muscles that have different points of origin and a common insertion around the knee. These muscles work together to extend the leg, such as in the movement you make when kicking a ball, and also help stabilize the leg while climbing up and down stairs. Joint protection and shock absorption (when walking or running) are also common functions of these muscles.
Quadriceps weakness is commonly seen in adults with knee arthritis, and researchers often debate whether it is quadriceps muscle dysfunction or knee joint changes that precipitate OA of the knee. Dysfunction or weakness of this muscle may affect balance, as well as daily activities such as standing and walking. Additionally, studies have found a correlation between quadriceps muscle weakness and increased knee pain and altered walking patterns in those with knee osteoarthritis2.
Although this condition can occur in any of the weight-bearing joints, knee OA affects approximately 9 million American adults. Unfortunately, this condition does not have a cure, and researchers predict the prevalence of this type of OA will increase as the population ages.
The current combination of treatments include exercise, physical therapy, weight control, supportive devices, medications and surgery. However, conventional treatments often don’t provide enough symptom relief, and so more and more people are turning to proven alternatives for pain relief, including massage therapy.
Recent studies showing the efficacy are helping drive demand, and can also facilitate better discussions between you and your clients about the benefits of massage3.
As previously discussed, studies indicate a correlation among quadriceps weakness, increased pain, and altered walking patterns in aging people with OA of the knee. And it appears self-massage of the quadriceps muscles may help improve function and correct dysfunctions.
Self-massage is the application of various massage strokes to the body’s soft tissue for therapeutic purposes. You might use self-massage to soothe tired hands and feet, for example, or to ease tension headaches.
Since self-massage research is in its infancy, there is little significant data to support its therapeutic value. Historically, however, self-massage has been employed as an integral part of the treatment and management of chronic medical conditions. Lymphedema, for example, is a condition where chronic swelling is the result of a reduction in the transport capacity of the lymphatic system. Massage therapy and self-massage can be helpful in managing this condition.
Specific to self-massage for knee OA, a 2013 randomized, controlled trial by Atkins and Eichler examined the effects self-massage had on pain, stiffness and physical function in 40 adults diagnosed with knee OA.
Participants assigned to the intervention group did a 20-minute self-massage protocol twice a week during 10 supervised and three unsupervised intervention sessions. The control group was a wait list.
Between group analyses of WOMAC pain, stiffness and function subscales— and total WOMAC scores— showed significant difference between the intervention and control groups, though no difference was seen in range of motion4.
Additionally, self-massage for hand arthritis5 and carpal tunnel6 has been investigated by The Touch Research Institute at the University Of Miami School Of Medicine.
Equally important, of course, are regular exercise, proper diet and weight management. As a massage therapist, you need to keep in mind that self-massage is not meant as a substitute for ongoing medical care or regular massage therapy. Rather, self-massage is a safe, therapeutic hands-on approach to self care that can benefit your clients between sessions and their work with other health care professionals.
If we follow the evidence, both massage and self-massage therapy can provide symptom relief to people suffering with osteoarthritis of the knee. What a hands-on gift to give our clients—both in the office and at home.
This knee self-massage protocol was founded on research linking the quadriceps muscle to knee osteoarthritis. The massage strokes chosen for this intervention are deep gliding (effleurage), tapping (tapotement) and friction.
Use common sense when following directions and make adjustments when necessary. For example, if a person has difficulty using the suggested heel of hand, suggest they use a two-handed, one hand on top of the other approach.
The technique can be done safely on the skin with or without lubrication, or on top of most clothing with the exception of jeans, wool or corduroy.
The Rocking: Forward and backward motion during each glide stroke done with the heel of hand uses the weight of the upper-body rather than the arm’s muscles. This protects the arm and wrist from overuse. This is achieved by holding the arm and hand, flexed at wrist, in position while applying deep pressure while rocking forward and backward with each gliding stroke to the quadriceps muscle of the thigh. Also, keep foot flat on floor for knee stabilization.
The first five steps include the warm-up phase to stretch the upper body in preparation to safely massage the quadriceps muscles.
The warm-up includes: Three deep breaths > Three alternate shoulder shrugs > Three alternate arm raises to shoulder > Three alternate arm raises to the ceiling > Three alternate knee raises
Massage strokes to use: Deep gliding massage strokes (effleurage)—performed with or without lubrication—work to soften and lengthen muscle fibers. The heel of the hand is ideal, but knuckles, forearm or elbow can be used according to the client’s needs or desired results.
Tapping (tapotement) is applied with loose fist to stimulate circulation and warm soft tissue.
Friction strokes are applied with no lubrication by pressing fingers firmly into the tissue and compressing a small area while moving the tissue back and forth using short strokes.
Tap both hands with a soft closed fist rhythmically at the same time on the upper, then middle, then lower thigh. Repeat 10 times.
Repeat sequence three times, taking three deep breaths.
Seated, move hips forward, extend right leg with foot flat on floor and place heel of right hand on top of right thigh. Glide down using heel of hand. End at the top of knee and release. Bring hand back to starting position. Repeat this sequence 5 times.
Now repeat the same sequence on the left leg, using left hand.
Place heel of the right hand on top outside right thigh. Glide down outside thigh. End at the top of the knee and release. Repeat this sequence 5 times.
Now repeat the same sequence on the left leg, using your left hand.
Seated, place heel of the left hand on top inner right thigh. Glide down with heel of hand. End at top of knee and release. Repeat this sequence 5 times.
Now repeat the same sequence on the left leg, using your right hand.
Without lubrication, strokes are applied around knees. Press four fingertips firmly into tissue, compressing small area while moving tissue up and down using five short strokes around knee—bottom, outside, top and inside.
Sit with both feet flat on floor. Place one hand palm down on each upper thigh. Glide down over knee caps across to outside thigh and up to starting position using light to medium pressure.