We’d like to spotlight some techniques used by both our Myotherapists and Massage Therapists at Mobilise Toowong.
There are many different massage techniques, and we tailor our sessions to your specific issues and pain. It does not matter if the pain is work, sport or daily life related, we can help you reduce, remove and/or manage that issue at Mobilise.
Once our therapists have all the information needed to understand your condition, including a medical history, injury history, and your goals for the treatment plan, we will perform postural and movement assessments, and some orthopaedic assessments (dependant on what issues you have presented with). After we know everything we need to know, we will create the right treatment for you using some of the techniques described below:
To begin, our therapists will always use some deep or soft tissue massage throughout the region being addressed. Should you be needing a full body, or sports massage, the therapist will focus on the use of massage to help and heal you. Massage has many benefits, and in respect to pain, massage begins the process of desensitising your neural system to stimuli – helping your brain to see the treatment as a positive stimuli, and to pattern that and the following more advanced techniques as a beneficial process, not one to protect against. In respect to musculoskeletal changes, massage has many proven benefits, including reduction of muscle tension and tone, increase length and range of motion of surrounding joints, reduce muscle fatigue and post exercise soreness. We aim to start gently, but use deeper techniques, within your pain tolerance levels.
The science behind trigger point therapy has changed over the past few years. Initially it was thought to “undo knots” within the muscle tissues, but there was limited research into both if a “knot” actually existed (i.e. that the muscle fibres perhaps did not actually bind up and not release) and how pressure on that “knot” would reduce pain and tone in the muscle and referral areas. Read More Here.
Now the science is tending more towards a neuroscience explanation, involving the upregulation of the resting potential of muscles – caused by many different stimuli (the bio-psycho-social model). Here is a great article to read further into this. Specifically, when applying this model to muscle behaviour, it is believed the brain increases the amount of “resting potential” (low level electrical current that runs through the muscle at all times and gives it its shape) of a muscle when it reacts to negative stimuli. These stimuli can be in the form of muscle overuse or misuse, muscle fatigue, joint dysfunction or injury and the accompanying pain signals, chronic pain, or even psychological factors.
It is believed, via the Pain Gate theory, that when applying pressure (within tolerance limits) to a “trigger point” area, that the brain begins to rewrite it’s neural pathways in respect to how much protection or “upregulation” tone the muscle needs to have. It begins to drop the resting potential of that muscle, and over time, with repeated stimuli, the muscle reduces its tonicity, and goes back to a more favourable tone. This reduces pain, and movement dysfunction.
Over the coming weeks, we will continue our blog posts on the techniques we use at Mobilise. Make sure you keep an eye out for our next post on Muscle Energy Techniques and Joint Mobilisation!
Sports Med. 2005;35(3):235-56.
The mechanisms of massage and effects on performance, muscle recovery and injury prevention. Weerapong P1, Hume PA, Kolt GS.
Robert J. Gatchel and Yuan Bo Peng, The Biopsychosocial Approach to Chronic Pain: Scientific Advances and Future Directions, Psychological Bulletin 2007, Vol. 133, No. 4, 581– 624.