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I’ve Got Your Back! How to Prevent Pain

Back Care Awareness Week: 7th-12th October 2024

Are you struggling with back pain from hours spent hunched over a desk? 

Is your posture less than perfect?

This Back Care Awareness Week, I’ve got your back—literally! 

Whether you’re dealing with persistent discomfort or aiming to prevent issues before they start, this week is the perfect time to focus on your back health.

Wherever you are in the UK, Back Care Awareness Week might kick off on different dates, but I’m following the official timeline from backcare.org, and it begins today! 

Your back supports you every day; why not take this opportunity to assess your posture, reflect on you lifestyle, and incorporate daily habits to help resolve ongoing issues and protect your back in the long term. 

So, without further ado, let’s dive into some practical tips that can help you protect your back and improve your overall health and wellbeing.

Look After Your Back and Your Wellbeing

Back pain is one of the most common health issues in the UK, affecting people of all ages, walks of life and professions. 

Whether you’re working from home, hitting the gym, or simply going about your daily routine, taking care of your back is essential for long-term health.

Is Your Home Office Hurting Your Back?

With many of us now working from home, whether full time or hybrid, it’s essential to ensure that your workspace is set up ergonomically. Poor posture or spending hours on the couch or in bed while working can lead to significant discomfort, pain, and, possibly, long-term back issues.

Here are a few key adjustments to help protect your back while working from home:

  • Chair Support: Ensure your chair supports your lower back properly. If you’re working from a couch or bed, you’re likely slouching, which can strain your spine.
  • Desk vs. Couch: Sitting at a properly set-up desk is much better for your back than lounging on the couch or working in bed. Desks allow for proper posture, while soft furniture encourages slouching.
  • Screen Height: Your monitor or laptop screen should be at eye level to prevent hunching your shoulders and neck.
  • Frequent Breaks: Get up and move around every 20 minutes to reduce stiffness and improve circulation.

For more ergonomic tips, check out this Mayo Clinic guide on office ergonomics.

The Tissue is Not Always the Issue

Sometimes, despite all your efforts to care for your back, pain persists. Research shows that back pain isn’t always linked to structural damage. The phrase “the tissue is not the issue” reminds us that pain can be influenced by a variety of factors—stress, mood, fitness, or previous pain experiences.

The nervous system plays a crucial role in how much pain you feel. When pain is persistent, your nervous system can become hypersensitive, making you feel more discomfort even after the initial injury has healed. Understanding this can help you manage your pain better and distinguish between “hurt” and “harm.”

A personalised, holistic approach to self-care or treatment, considering both physical and emotional factors, can often offer better results.

Strengthening Your Core: A Key to Back Health

One of the best ways to prevent back pain is by building a strong core. Your core muscles support your spine, helping to prevent strain and injury. Incorporating exercises like planks, gentle yoga, or Pilates can make a significant difference in keeping your back healthy and resilient.

Everyday Habits for a Healthier Back

Small lifestyle changes can have a big impact on your back health. Here are some simple tips to follow:

  • Stay Active: Regular exercise like walking or swimming keeps your back flexible.
  • Move Regularly: Avoid sitting for more than 20 minutes without taking a quick walk or stretch.
  • Eat a Balanced Diet: A diet rich in nutrients can nourish your muscles, bones, and spine.
  • Take Vitamin D and Calcium: Support bone health by ensuring you get enough calcium and Vitamin D.

Mental Health and Back Pain: A Two-Way Street

Chronic back pain can impact your mental health, causing stress, poor sleep, and even depression. Likewise, stress and anxiety can amplify the perception of pain.

An holistic approach, which addresses both physical and emotional factors, is crucial for effective pain management.

Massage and Complementary Therapies for Back Pain Relief

Sometimes, self-care isn’t enough, and that’s where professional treatments come in. At Lorraine’s Treatment Room, I offer a range of therapies designed to alleviate back pain and improve your overall wellbeing:

Celebrate Back Care Awareness Week!

This Back Care Awareness Week, why not take a small step towards better back health? Whether it’s improving your posture, strengthening your core, or booking a relaxing treatment, every little change can have a big impact.

If you’re ready to take the next step in your back care journey, I’m here to support you with treatments tailored to your needs. Get in touch and let’s work together to ensure your back stays healthy and pain-free!

Find Out How To Ease Muscle Discomfort With Gliding Cupping

Do you struggle with stiff, aching muscles or persistent muscular tension? Are inflammation and chronic pain affecting your daily life? Read on to discover more about gliding cupping, an effective and natural method to help you find relief and accelerate your healing process.

What is Gliding Cupping?

Gliding cupping is a modern adaptation of ancient cupping therapy which has been practiced for thousands of years.

This therapeutic technique involves the use of specialised cups to create negative pressure on the skin.

The silicone cup is then gently glided over your body are being treated to stimulate circulation, release muscle tension, and promote overall well-being.

Unlike traditional cupping, which leaves noticeable marks, gliding cupping focuses on delivering the therapeutic benefits without the telltale circular marks on the skin.

Whoa! Hold on! What is negative pressure?

Gliging cupping - what is negative pressure?

Negative pressure, in the context of cupping, simply means creating a suction effect.

Imagine gently pulling on your skin with a cup (like in the photo). This suction ~ almost like a reverse deep tissue massage ~ draws the skin and underlying tissues upwards into the cup, which helps to increase blood flow, loosen tight muscles, and relieve tension facilitates your body’s own healing processes.

It’s like using a gentle vacuum to help improve circulation and get things moving in the area being treated.

How Does Gliding Cupping Work?

Gliding cupping works by creating suction on your skin’s surface, lifting the underlying tissues, and gently pulling them away from the body. This action helps increase blood flow, enhance lymphatic drainage, and promote the removal of metabolic waste. By moving the cups along the skin, the therapy can target specific muscle groups, relieve adhesions, and improve overall tissue mobility. The gliding motion also provides a soothing massage effect, which can be deeply relaxing and therapeutic.

Is Gliding Cupping Effective on Areas of Stress and Tension?

While more research is needed to fully understand the benefits of gliding cupping, many practitioners and clients report significant improvements in pain reduction, muscle relaxation, and overall well-being. Additionally, this technique is particularly popular among athletes and individuals with active lifestyles who are looking to recover from injuries or relieve chronic muscle tension. Therefore, the anecdotal evidence, combined with its long history of use, suggests that gliding cupping can be an effective complementary therapy for a variety of conditions.

How Can Gliding Cupping Help Me?

Gliding cupping offers a wide range of benefits for both your physical and mental well-being. It can help reduce muscle tension, alleviate pain, and increase flexibility by promoting circulation and oxygenating tissues. The technique is also known for its anti-inflammatory effects and can help reduce cortisol levels, which promotes relaxation.

Some research even suggests that gliding cupping can improve the appearance of cellulite by enhancing blood flow and stimulating the underlying tissues.

Here are some benefits of gliding or sliding cupping:

1. Reduces Muscle Tension and Pain ~Gliding cupping can help to relieve your tight muscles by promoting relaxation and reducing pain in areas of tension.
2. Improves Circulation ~ The sliding motion of the cups increases blood flow to the treated areas, delivering oxygen and nutrients to tissues and aiding in the removal of toxins.
3. Enhances Mobility and Flexibility ~ By lifting and separating fascia and muscle layers, gliding cupping can improve your range of motion and flexibility, thereby making it particularly beneficial for athletes and those with movement restrictions.
4. Supports Lymphatic Drainage ~ This technique can stimulate your lymphatic system, encouraging the drainage of excess fluids and reducing swelling. (In fact, facial cupping is great at rejuvenating your skin, boosting your circulation, and enhancing your natural radiance by reducing puffiness and creating a more youthful appearance.
5. Promotes Relaxation~ Gliding cupping has a calming effect on the nervous system, helping to reduce stress and anxiety, and decreasing cortisol levels.
6. Reduces Inflammation ~ The increased blood flow and circulation produced by cupping can lead to anti-inflammatory effects, which may help reduce chronic inflammation and promote healing. Could be helpful for fibromyalgia sufferers where inflammation and pain are common issues.
7. Improves Skin Health ~ Regular sessions of cupping massage can help to improve your skin tone and texture by increasing blood flow and stimulating collagen production. Ssome studies suggest it may even help reduce the appearance of cellulite.
8. Alleviates Headaches and Migraines ~ By relieving muscle tension and improving circulation, gliding cupping can help reduce the frequency and severity of headaches and migraines.
9. Enhances Your Overall Well-Being ~ The combined physical and mental benefits of gliding cupping contribute to an overall sense of well-being, making it a valuable addition to your holistic wellness routine.

Are There Any Contraindications to Treatment?

While gliding cupping is generally safe, there are some contraindications to be aware of. Please consult with your therapist before scheduling your appointment if you have any of the following conditions:

  • Skin Conditions: Open wounds, burns, or other skin issues may be aggravated by cupping.
  • Blood Disorders: Conditions such as hemophilia or anemia may increase the risk of bruising or other complications.
  • Pregnancy: While some practitioners may use cupping during pregnancy, it should be done with caution and under professional guidance.
  • Recent Surgeries: Cupping should be avoided near recent surgical sites or areas with fresh scars.

What Should I Expect During a Gliding Cupping Session?

Your treatment begins with a hands-on massage where the oil is applied, and any areas of tension are identified.

Next, specialised silicone cups are placed on your skin. A vacuum is created by squeezing the top of each cup.

Different sizes of silicone cups are selected based on the area being treated and the level of negative pressure desired. The pressure is adjustable to ensure your comfort.

Your therapist then gently glides the cups over the treatment area, focusing on regions of tension or discomfort.

Many clients describe the sensation as a deep, soothing massage, often resulting in a profound sense of relaxation and relief.

After Effects of Gliding Cupping

Personally, whenever I’ve had a gliding cupping massage, I’ve felt amazing the next day! The cups have worked deeply on my areas of tension without the discomfort sometimes associated with deep tissue massage. I’ve felt rebalanced and revitalised.

Whilst traditional (dry or wet cupping) can cause some redness or slight bruising in the treated areas,this is less common with gliding cupping. Gliding cupping massage involves the movement of cups over the skin to create a massage-like sensation. The cups are generally not left in one place and therefore are far less likely to create the circular marks associated with traditional cupping. If the cups are stationary, this is for a finite amount of time and carefully monitored to avoid damage to the skin.

After your gliding cupping session, you may notice some redness or slight bruising in the treated areas. This is known as erythema, a result of increased blood flow to the area. The suction created by the cups draws blood to the skin’s surface, which helps to oxygenate and nourish the tissues. This influx of blood brings vital nutrients and promotes healing, while also aiding in the removal of toxins and waste products from the body.

Although the marks are less pronounced with gliding cupping than with traditional cupping, they are a normal and temporary part of the process, usually fading within a few days. Some clients also report feeling more relaxed or experiencing temporary relief from pain or tension. To support the body’s natural healing processes, it’s important to stay hydrated and rest after your session.

Sounds Great! Where can I book a Cupping Massage?

I would recommend Lorraine’s Treatment Room. Lorraine studied Gliding Cupping at Middlesex School of Complementary Medicine.

You can book your cupping session at Lorraine’s Treatment Room by clicking here.

If you have any questions prior to booking, please do not hesitate to drop Lorraine an email.

Lorraine’s Treatment Room is based in Worth, between Sandwich and Deal with convenient access from Discovery Park and the surrounding villages such as Eastry, Ash, Sholden, Mongeham, Wingham, St Margaret’s, Walmer, and Kingsdown, along with the larger towns of Canterbury, Margate, and Thanet.

What About After Care? Anything I Should do After my Cupping Massage?

Aftercare is an essential part of cupping therapy to ensure optimal results and minimise any potential side effects. Here are some guidelines for aftercare following a cupping session ~ Following these aftercare guidelines can help you maximize the benefits of cupping therapy and support a smooth recovery process.

Cupping Aftercare Tips
  1. Stay Hydrated: Drink plenty of water to help flush out toxins released during the treatment and support the body’s natural healing process.
  2. Rest and Relax: Give yourself some downtime after the session to allow your body to recover. Avoid strenuous activities or heavy exercise immediately afterward.
  3. Avoid Direct Heat: Refrain from hot baths, saunas, or hot showers for at least 24 hours post-treatment, as direct heat can exacerbate redness or bruising.
  4. Protect Treated Areas: Keep the cupped areas clean and dry. Avoid applying creams, lotions, or oils to the treated areas immediately after the session unless directed by your therapist.
  5. Wear Loose Clothing: Opt for loose-fitting clothes to avoid irritation or rubbing on the treated areas, especially if there is residual redness or sensitivity.
  6. Monitor Skin Reactions: Sometimes you may experience some redness or slight bruising, this usually fades quite quickly. If you notice any unusual or severe reactions, please contact your therapist or healthcare provider.
  7. Gentle Exercise: Light stretching or gentle movement can help maintain flexibility and reduce stiffness, but avoid intense workouts for a day or two.
  8. Follow Therapist’s Advice: Adhere to any specific aftercare instructions provided by your therapist, as they may have tailored advice based on your individual treatment.
  9. Observe Any Changes: Pay attention to how your body responds post-treatment. Any significant changes or concerns should be discussed with your therapist.
  10. Schedule Follow-Up: If recommended by your therapist, plan any follow-up sessions to maintain the benefits of the cupping therapy.

So I Can’t Shower for 24 Hours After Treatment?

Avoiding swimming or showering for a few hours after a cupping session is recommended for several reasons that are outlined below:

Why Avoid Swimming or Showering After Cupping?
  1. Skin Sensitivity: The skin and underlying tissues can be more sensitive immediately after cupping. Submerging in water or exposure to hot water can potentially exacerbate redness or discomfort. Allowing the skin to settle helps avoid further irritation.
  2. Prevention of Infection: Post-cupping, the skin may have small areas of broken capillaries or minor abrasions, especially if bruising occurs. Immersing in water, especially in public pools, can increase the risk of infection or introduce bacteria to the skin.
  3. Optimal Healing Environment: The immediate post-treatment period is crucial for the body to start its healing process. Allowing time before exposing the skin to water helps the body maintain its natural healing environment and ensures that any marks or bruising are not aggravated.
  4. Temperature Sensitivity: Hot showers or baths can increase blood flow to the treated areas, potentially intensifying any redness or bruising. It’s best to wait until the body has had some time to recover and normalize.
  5. Enhancing Effectiveness: By avoiding water exposure right after the treatment, you ensure that the effects of the cupping therapy—such as improved circulation and toxin release—are not diminished by external factors.
Best Practices
  • Wait for at Least Three Hours: This timeframe allows the skin to calm down and reduces the risk of irritation or infection.
  • Use Lukewarm Water: When you do shower, opt for lukewarm water rather than hot to minimize skin sensitivity.
  • Gentle Cleansing: If you need to cleanse the treated areas, use a gentle, non-irritating cleanser and avoid scrubbing the skin.

Where it all started: A Brief History of Cupping

The practice of cupping dates back as far as 5000 years, with evidence found in ancient Egyptian medical texts from 3500 years ago.

In China, archaeologists have discovered that medical cupping was used as early as 3000 years ago. Even the Greek physician Hippocrates, often referred to as the “Father of Medicine,” employed cupping for the treatment of various ailments around 2400 years ago.

Traditionally, cupping was performed using either wet or dry methods, often involving fire to create a vacuum inside glass cups. At Lorraine’s Treatment Room gliding cupping, also referred to as sliding cupping is offered. You can read more about this below.

The Evolution of Cupping: From Fire to Silicone

In recent years, the practice of cupping has evolved significantly.

During the past decade we have seen the rise of silicone cups. These have become popular due to their ease of use, client comfort and flexibility.

Silicone cups are hygienic, easy to clean, and can be effortlessly applied to the skin by simply squeezing the top to create a vacuum. Their pliability makes them ideal for gliding over the body’s contours, which is the basis for gliding cupping.

While fire cupping is still practiced by some practitioners, those therapists who practice more traditional cupping tend to incorporate more modern techniques often utilising pumps and suction guns to create the vacuum, making the process easier, more time-efficient, and safer.

To ensure your comfort and safety, Lorraine’s Treatment Room uses silicone cups.

World Menopause Day – Menopause and You

Today, 18th October, is World Menopause Day.

World Menopause Day aims to increase awareness of the menopause and the support available.

What is Menopause?

A woman is considered menopausal when she hasn’t had a period for 12 full months.Infact, The Menopause Charity defines it as the single day when you have not had a period for 12 months; after this one day, you are post menopausal.

What Age will I be Menopausal

The average age to become menopausal in the UK is 51.

However, some ladies will have an early menopause – under age 45. Early menopause might be triggered by some underlying health conditions or as a result of receiving treatment for cancer.

Surgical menopause is where you have your ovaries removed – you will immediately go into menopause.

Many people describe themselves as menopausal when they start experiencing symptoms such as hot flushes, erratic menstruation, alterations in their mood and a whole host of other signs.  This is infact perimenopausal, also known as your menopause transition period.

My last blog looked into perimenopause, the symptoms you may experiencing and self-help suggestions. You can read this here /its-world-perimenopause-day-are-you-experiencing-perimenopause/

Menopause and Bone Health

This year’s World Menopause Day theme is bone health.

Oestrogen is essential for the formation of healthy bones.  When oestrogen levels drop after the menopause, this can lead to a decrease in bone density and an increase in the risk of osteoporosis. 

Haitham Hamoda is Consultant Gynaecologist and Lead for the Menopause Team at King’s College Hospital as well as being Chairman of the British Menopause Society.  He discusses bone health and the advantages and risks of HRT in a short, informative video which you can see here.

Menopause – HRT or the Holistic Approach?

Haitham Hamoda advises that HRT is the first choice of treatment for osteoporosis in women under 60.  

HRT can help manage your menopausal symptoms and improve your quality of life.  HRT has also been shown to reduce cardiovascular disease.  

Whilst for most women, the benefits of HRT are believed to outweigh the risks, it is recommended that you discuss your individual case with your medical expert as well as doing your own research.

You may, however, prefer a more holistic approach with lifestyle changes such as healthier diet choices, ceasing smoking, reducing intake of sugar and other stimulants, increasing your exercise, implementing a sleep routine and making time for you.

A quick search will produce lots of information.  One site with lots of information is The Menopause Charity.  

Flo Health mentions a number of essential oils that can help you during your menopause transition period and there have been a number of studies carried out showing that reflexology can help reduce depression in menopausal women, reduce hot flushes and improve sleep quality,  and decrease anxiety and depression.

Sally Earlham is a renowned reflexology specialist and creator of Reflexology for Menopause – this unique course looks at the menopause, reflexology research, lifestyle factors for easing menopausal symptoms and focused reflexology techniques aimed at supporting your body through this time of transition. 

I am delighted to be a qualified Menopausal Reflexology Practitioner.  If you would like to know more about this treatment, please visit /complementary/#Reflexology or contact me.

Menopause and You

Your menopause experience will be as unique as you are. 

Whilst the symptoms may be unwanted, please remember that this too will pass.

Perimenopause and menopause are natural processes.  This is a great time to reflect  and reframe and think about what you would like moving forward to the next stage of your life.

It’s World Perimenopause Day ~ are you Experiencing Perimenopause?

October is menopause awareness month.

October 12th is World Perimenopausal Day, a day that aims to raise awareness of people’s knowledge of perimenopause.

What is Perimenopause? 

The Collins Dictionary tells us perimenopause is 

the period leading up to the menopause during which some of the symptoms associated with menopause may be experienced

It is the transition phase a woman goes through on her journey towards menopause (cessation of menstruation).

What Age does Perimenopause Start?

Perimenopause most usually begins when a woman is in her 40s however it can start when a woman is in her 30s, or, occasionally, but quite rarely, even earlier.

How Long Does Perimenopause Last?

Every woman is unique and her experience of Perimenopause is personal to them.  

Perimenopause can last anything from a few months to around a decade. Most women experience perimenopause for approximately four years.  However, according to the NHS site, 10% of women will experience symptoms lasting in excess of 12 years.

When does Perimenopause End?

Perimenopause ends when you are menopausal.  Menopause is defined as the cessation of your menstrual cycle.  

It is stated that you are menopausal once you have had twelve months without a period.

Why do I feel out of sorts?

As you approach menopause, oestrogen, progesterone and testosterone fluctuate within your body. 

Oestrogen is one of the primary female sex hormones, produced by the endocrine system.  Oestrogen affects the central nervous system, the cardiovascular system, your bladder, teeth, skin, nails, and hair.  Oestrogen helps develop and maintain a woman’s reproductive system – puberty, periods and pregnancy. It aids in the development of female characteristics such as breasts.  Oestrogen also helps with bone strength and maintaining cholesterol levels.  Oestrogen assists with temperature regulation, sleep and your mood.

Progesterone helps to regulate your menstrual cycle and prepare your uterus for pregnancy.

Testosterone fluctuations can affect your libido.  Testosterone also helps maintain muscle and bone strength and can contribute to your mood and cognitive performance.

How Will I Know if I am Perimenopausal?

Whilst some women will be unaffected during their menopause transition period, many will experience symptoms they would rather not have!

Also, a proportion of women may not consider perimenopause as being responsible for how they are feeling as they are still menstruating.

Dr Louise Newson, the menopause doctor, tells us that, infact, perimenopause and menopause symptoms are the same, explaining that cessation of periods is often the last part of your menopause journey.

The most common way of diagnosing perimenopause in the over 45s is by the symptoms they may be experiencing.  

Symptoms of perimenopause can include:

  • Hot flushes
  • Night sweats
  • Increase in PMS symptoms
  • Breast tenderness
  • Decrease in libido
  • Low energy levels
  • Menstruation changes
  • Urine leakage
  • Increase in mictuation
  • Vaginal dryness
  • Mood swings
  • Sleep issues
  • Anxiety and stress
  • Weight gain
  • Aching joints
  • Headaches
  • Brain fog
  • Hair loss
  • Facial hair
  • Dizziness
  • Gum disease
  • Bad breath
  • Weak nails

If you are struggling with any perimenopausal symptoms please make an appointment to see your nurse practitioner or GP.  

For hot flushes, you may find it helpful to keep a diary and note any triggers. 

What can I do to Help Myself through my Menopause Transition Period?

Whilst the symptoms listed above may not be welcome, it is helpful to remember that perimenopause is a natural process that ageing women will go through.  This transition period is an ideal time for personal reflection and growth; a time to think about any changes you would like to make and how you will achieve them.

One of the best things you could do is adopt The Five Pillars of Perimenopause Health.  These are:

  • Diet
  • Exercise
  • Relaxation
  • Sleep
  • Purpose

Are you mindful of these?

It is recognised that elevated cortisol, the stress hormone, can magnify perimenopausal symptoms.  It is therefore recommended that you take time to regularly relax and destress.  Whether it is exercise, time with friends, or a therapeutic treatment – do something for you that you enjoy.

Many studies have, in fact, been carried out showing how massage, acupuncture, reflexology and aromatherapy can all help with perimenopausal symptoms.  An internet search will highlight these if you are interested to read more.

Why not schedule a treatment to help you as you move towards menopause? You can read more about relaxing treatments that might help on the /massage/ page and /complementary/ page.

Manual Lymphatic Drainage Massage for Surgical Procedures

Welcome!

This blog specifically details incorporating manual lymphatic drainage (MLD) into your post-surgery recovery plan.For more information about manual lymphatic drainage and your lymphatic system, please see my MLD post by clicking here.

Lymphatic Drainage Post-Surgery

Most surgeons recommend lymph drainage to assist with your recovery, ensuring you achieve the best results possible from your surgery and to speed up your recovery time.

If you have had liposuction / body-contouring / lipoplasty, the cannula used to remove the fat not only causes trauma but can leave channels where it has been. These channels can fill with fluid and your tissues can become bruised resulting in an accumulation of blood cells. 

Lymphatic drainage will help dissipate the blood cells and also gently guide the excess fluid – lymph – to your lymphatic vessels thereby preventing a permanent hardening of the tissues, known as fibrosis, or pockets of blood from forming.

If you are having or have undergone a cosmetic procedure such as abdominoplasty / tummy-tuck, Brazilian butt-lift, arm-reduction / brachioplasty, thigh-lift surgery, breast augmentation or reduction or even a mummy-makeover then your consultant will almost definitely recommend lymphatic massage. 

During your surgery your lymphatic vessels are disturbed and it can take about three months for new connections to be made.  

Lymphatic massage can also be carried out before your procedure to prepare your tissue, filtering out waste products and toxins, eliminating excess fluid, viruses or bacteria.  As you will have read above, MLD also increases the production of white blood cells which help heal cuts and damaged tissue.

Booking a series of lymphatic drainage massages for after your op is believed to benefit your recovery and can help prevent infection.  Infection is more of a risk where there is lymphatic congestion which in turn can put pressure on your incision lines causing healing issues.

In fact, anyone having an operation would benefit from MLD. One study by Ebert, Jay R. et al. demonstrated that MLD used postoperatively in total knee replacement patients showed an increase in knee flexion compared to patients who didn’t receive MLD. This study also indicated that MLD helped to reduce pain.

Some surgeons also recommend lymph drainage following surgery to the face, such as rhytidectomy, neck lift, eye lift or surgery for sagging jowls. MLD has been shown to reduce recovery time for those having face/facial lift or other facial enhancements.

To summarise, having lymph massage post surgery can:

  • Reduce your swelling
  • Reduction in bruising and faster healing time
  • Minimise scar tissue
  • Prevent fibrosis
  • Help with pain management
  • Prevent infection
  • Aid with the elimination of waste from the area/s of surgery
  • Help circulate white blood cells to improve the healing process
  • Improve your wellbeing and help with stress relief
  • Is particularly effective when combined with other elements of CDT – complete decongestive therapy.  The combined components of CDT have been shown to achieve a 45-70% reduction in lymphedema volume.

How many sessions of MLD will I need after surgery?

You should be guided by your surgeon.

Most surgeons recommend between 5-12 sessions of lymph massage, although this will also be dependent upon your body’s healing response and the procedure you have had. Someone undergoing multiple procedures such as a mummy makeover is likely to need more sessions than someone having a single procedure.

How soon after my op can I start MLD?

Again, be guided by your surgeon.  Most commonly recommended is 24 hours after your procedure, although a few surgeons suggest waiting two weeks before you start.  

You can have MLD daily however, it is best to go by your doctor’s recommendations for your post-operative recovery plan and your availability to schedule appointments.  

The usual frequency is daily for the first week, alternate days on the second week post op and then monthly maintenance for 5 months.

Please click here, or carry out a search for more information about how MLD can assist after surgery. 

Manual Lymphatic Drainage Massage

What is Manual Lymphatic Drainage?

Manual lymphatic drainage (MLD) massage is a gentle, rhythmic massage with a soft touch that lightly stimulates your skin in the direction of your lymphatic flow.

This massage assists your lymphatic system in maintaining your body’s fluid balance, immune system and circulatory system; it also assists in reducing toxins in your body. 

Developed by Dr Emil Vodder and his wife Estrid in the 1930s as a treatment for lymphedema, this treatment stimulates lymphatic fluid, encouraging the lymph to move more freely around your body assisting in the reduction of swollen lymph nodes; it also has a powerfully relaxing and calming effect on your nervous system.

WOAH!  Let’s start with my lymphatic system……what’s that?

Your lymphatic system is part of your body’s immune system helping to defend you against infection and cancer. It transports lymph – a fluid containing infection-fighting white blood cells – throughout your body via a network of vessels, nodes, ducts and some of your glands (tonsils, adenoids, spleen, and thymus).

Amongst other functions, your lymphatic system is key for immunity, blood pressure regulation and digestion.

Blood plasma leaks out of small capillaries into your body’s tissues. This extracellular fluid, lymph, is made up of excess fluid, fats, proteins, bacteria and other substances and collected from the tissues by lymph capillaries.  These lymph capillaries link with your larger lymph vessels and the lymph is carried through these until it reaches your lymph nodes.

The job of the lymph nodes is to filter out and excrete any unwanted particles, such as bacterial and viral pathogens and cancerous cells, before returning the cleaned lymph to your circulatory system at the subclavian vein.

As well as filtering, excretion and recycling, your lymphatic system also helps create and circulate vital disease fighting cells such as lymphocytes, monocytes and antibodies.

The lymphatic system has no pump and it is the pressure from your circulatory system and movement from your muscles that create lymphatic flow.

Your lymphatic system

So, if my lymphatic system functions without me doing anything, why do I need lymphatic drainage massage?

Unfortunately, there can be many factors that might contribute towards a clogged lymphatic system and it is believed that a lymphatic system that is not functioning optimally can cause many health problems.  Lymphatic drainage massage assists in moving fluid out of damaged areas to where the body is functioning normally. 

Lymphatic drainage massage is also considered beneficial to skincare and well-being and it is remarkably detoxifying and relaxing.  

In fact, many people have MLD after illness or injury, after a stressful period, or with the changing seasons as they find it very purifying, revitalising their energy so they are ready to face the world and new challenges.

How does manual lymphatic drainage work?

MLD is a unique massage that uses a variety of specialised skin-stretching movements to gently stimulate the lymphatic fluid under your skin.  This promotes the movement of the lymphatic fluid, encouraging it to flow freely around your lymphatic system.

Where there are blockages (areas of lymph build up) the advanced techniques of this massage help stimulate the lymph nodes and increase the rhythmic contractions of the lymphatic vessels encouraging them to find new pathways that enable the lymph to drain away from the swollen area.

Free-flowing lymph and an optimally working lymphatic system helps renew, nourish, strengthen and regenerate the cells of your body whilst also assisting with the removal of excess fluid from the system and waste products. 

What causes swelling/blockages in my body?

A sluggish, compromised or blocked lymphatic system is most commonly a side-effect of surgery, infection, trauma or certain diseases (such as autoimmune disorders or cancer).

When the lymph builds up in a particular area of the body, such as the arms or the legs, this is known as lymphedema.

Lymphedema symptoms can include swelling, skin discoloration, pain, weakness and feelings of heaviness in the affected arm or leg.

Peripheral oedema does not occur as a result of a poorly functioning lymphatic system, however, this kind of swelling of the tissues of the arm or legs does respond well to lymphatic drainage treatment.

How would a lymphatic drainage massage help me?

MLD is extremely relaxing, is a great boost to your body’s immune system and can enhance your well-being.

MLD is preventative, remedial, relaxing and can enhance your well being. Furthermore, MLD:

  • Is deeply relaxing.
  • Promotes the healing of fractures, torn ligaments, sprains and lessens pain.
  • Can improve many chronic conditions: sinusitis, rheumatoid arthritis, scleroderma, acne and other skin conditions.
  • May strengthen the immune system as part of “detox” treatment.
  • Relieves fluid congestion: swollen ankles, tired puffy eyes and swollen legs due to pregnancy.
  • Is an effective component of the treatment and control of lymphoedema and assists in conditions arising from venous insufficiency.
  • Promotes healing of wounds and burns and improves the appearance of old scars.
  • Minimises or reduces stretch marks.
  • Recommended as a pre-surgery treatment to prepare your body and tissue for the upcoming procedure and after surgery (especially cosmetic procedures) to speed recovery.  Please see my blog on MLD for surgical procedures.

What Conditions can Manual Lymphatic Drainage Help With?

Manual lymphatic drainage may help with:

  • Lymphedema
  • Fibromyalgia – in fact authors of a 2015 systematic review concluded that MLD might be more effective that regular massage in relieving symptoms of stiffness and depressing in FM sufferers
  • Oedema (swelling)
  • Skin disorders
  • Fatigue
  • Insomnia
  • Stress
  • Digestive issues
  • Arthritis
  • Migraines & headaches
  • Sinus issues
  • Excess weight
  • Post trauma oedema
  • Post surgery – please see my MLD during surgery blog
  • Palliative care – please also see my article on Oncology massage
  • Lymphedema – primary and secondary
  • Lipedema
  • Chronic venous insufficiency 
  • Reducing intracranial pressure in severe cerebral diseases.

I’m healthy and feel fine, should I have MLD?

This gentle, soothing massage is suitable for everyone.  Considered an MOT for your body, it is a great treatment to have when you are feeling a little ‘meh’, or with the changing of the seasons.

A 2014 study showed that MLD had a soothing effect on the sympathetic nervous system reducing anxiety and pain.

So, is MLD suitable for everyone?

As with most therapeutic treatments and complementary therapies, there are a few conditions that prevent lymphatic massage.

If you have any of the following conditions, you will not be able to receive a lymphatic drainage massage unless you have your medical professional’s written permission. However, if you are suffering from any of the following and would like to receive a treatment, please do contact me so we can discuss suitable alternatives.

The conditions that prevent MLD include:

  • Congestive heart failure
  • Blood clots / DVT
  • Kidney problems / renal failure
  • Infections
  • Circulatory problems

I’d love a massage, how can I book?

Please book your lymphatic massage by clicking here.

Any lymphatic self-care top-tips?

Indeed!

  • Water – drinking the recommended 2L of water a day will help flush out your system
  • Activity – even gentle activity will help encourage a healthy flow of lymph – the movement of your muscles applies pressure on the lymphatic vessels to help keep them moving
  • Body brushing – using circular movements over your skin with a bristle brush
  • Hot and cold showers – alternate dilating and constricting of your blood vessels helps the body eliminate toxic fluids
  • Avoiding tight clothes that may restrict your lymphatic flow
  • Deep breathing – this will help the lymphatic system transport lymph to your liver for filtration
  • Eating foods that support and promote a healthy lymphatic system
  • Avoiding foods that are believed to block the lymphatic system
  • Herbal teas – some herbal teas promote lymph health

References and recommended reading

https://docs.google.com/document/d/e/2PACX-1vRzwGQzPSzeTZoY7e5XTl3oOv0S0igZ75qp-l9TpDlpQVJ5uM_iJ3sG7oxGKpZIw_u4x2MEAH0oyGws/pub

Oncology Massage ~ Helping you on your cancer journey

According to Cancer Research UK & NHS one in two people will develop some form of cancer during their lifetime.

Many people become concerned upon hearing the word ‘cancer’.  A cancer diagnosis commonly causes panic and distress leaving the patient feeling bewildered, alone, powerless and frightened.  

You might reflect on your life, you might consider your mortality; without doubt there will be both physical and mental challenges that will affect you and and also those closest to you.

During your treatment you are likely to spend considerable time in hospital and receive various drugs and chemicals; you might feel that you have no say in what is happening, that you are a patient and not an individual.

Our medical professionals do an amazing job facilitating your recovery however tests, treatment and surgery can be painful and distressing.  Oncology massage therapy is a form of touch that causes no pain and can bring you much comfort.

How Massage can help with Cancer

Historically massage was contra-indicated for cancer patients as it was naively believed it could spread the disease. Fortunately, this myth is now busted!  

Thanks to extensive research and studies by pioneers in the field of oncology massage, this belief is now known to be unfounded and massage therapists are welcomed and respected as an integral part of the oncology team.

What is Oncology Massage?

Oncology massage is a gentle, safe and mindful treatment for anyone who has been diagnosed with, or who has a history of cancer.  Using specialised techniques, each massage session is customised and tailored to meet your unique needs and the effects your cancer and cancer treatments may have on your body.

Oncology massage allows you to actively participate in your healing journey.  This unique and specialised massage therapy can have positive effects on your mind and body, providing you with comfort, relaxation, peace and serenity, allowing you to regain dignity and feel less like a patient and more like yourself.

Many cancer sufferers are not aware of how much they are holding in, how by ‘coping’ their emotions build up.  

Feeling safe and nurtured during your oncology massage can allow for an emotional release;  many clients find all their pent-up emotions are released as tears during their treatment; this is a perfectly normal and welcome reaction to your treatment.

What Happens at my Oncology Massage Session?

Your comfort is considered throughout your appointment and your treatment can be carried out fully clothed if this is your preference.  

I use nourishing, organic oils and, as well as specialised massage techniques, your appointment might include some breathing work, some ball work and home care advice.   

For those utilising the couch, I will ensure you are in the most comfortable position for you.  Whether that is lying supine, face down or side-lying, I work to ensure the massage is as relaxing and beneficial as

possible for you.  Treatments can also be carried out in a chair / wheelchair, your bed in hospital or at the hospice or in your home.

Occasionally a shorter session may be suggested depending upon your energy / fatigue levels and your immune system.

I have always worked with my hands and my heart and am now able to combine my passion with expert techniques, working therapeutically to give you a renewed sense of relaxation and well-being.

As previously mentioned, some clients find being in a safe, tranquil, nurturing space means they are truly able to let go and have an emotional-release; this is a perfectly normal reaction and invariably leaves the client feeling as if a weight has been lifted off their shoulders.

Benefits of Oncology Massage

Oncology massage therapists work with the cancer-sufferer’s mind, body, and spirit; providing treatments tailored to your personal needs and energy levels at every stage of your oncology treatment.  This non-invasive and compassionate therapy is suitable for patients undergoing treatment, to those in recovery to those survivors who have complete remission.  Oncology massage can be beneficial at all stages of your cancer experience, during diagnosis and prognosis, pre or post operation, during chemotherapy or radiation, during recovery, remission, cure or at the end stages of life.

Oncology massage can be carried out anywhere; the hospital, hospice, at your home, or at the therapist’s treatment room / clinic. It can be carried out on everyone, whether you are bed bound, in a wheelchair or fully mobile. 

The benefits of oncology massage are manyfold and research has shown that symptoms such as nausea, depression, fatigue and insomnia are greatly reduced for those who include massages as part of their cancer treatment. 

Stress, anxiety, chemotherapy, radiotherapy, and other changes that are taking place in your body will all have an effect on you, putting your body’s central nervous system on high alert.  

How Massages can Alleviate Stress

Stress increases the amounts of cortisol and adrenaline in your body; this can cause your muscles to tense.  Massage works on the soft tissues, inducing relaxation and assisting with dispersal of your tension. 

Massage relaxes your central nervous system giving your body space and time and this relaxation of the CNS is believed to enhance your ability to heal and fight cancer.

Massage also stimulates your vagus nerve which is the main component of your parasympathetic nervous system.  This can help with your immune system, enhancing your mood and helping you destress. 

How Massages can Help with Insomnia

Sleep deprivation, whether due to anxiety or as a side-effect of treatment, can compromise your immune system.  Massage has been shown to boost serotonin levels which can help promote good sleep and positive feelings. 

How Effective is Oncology Massage for Pain Management and Symptoms of Cancer?

For those cancer patients experiencing pain, studies have shown that Oncology massage is more effective at reducing pain than other types of massage.

In fact, a study conducted in 2004 (Cassileth and Vickers), studied the outcome of massage therapy on 1290 patients over a three year period and found the following positive results on participants wellbeing: 

  • Pain improved by 47% 
  • Fatigue improved by 42% 
  • Anxiety improved by 59% 
  • Depression improved by 48% 
  • Nausea improved by 51% 
  • Other symptoms (such as shortness of breath, memory problems, dry mouth, disturbed sleep) improved by 48% 

My Oncology Massage Qualifications

Lorraine Smith Certified Oncology Massage Therapist

I was fortunate to be trained by renowned oncology massage specialist and tutor, Susan Findlay.  Her approach and training is believed to be the best in the country and I am proud to say that I am a Certified Oncology Massage Therapist.

The training gave great insight and education into the specific needs of oncology massage.  

The oncology massage treatment focuses on providing care, comfort, and compassionate touch to the client.  Each treatment is tailored to meet your unique and changing needs and takes into account the complexities of your condition and your symptoms.

Oncology massage does not treat the disease but aims to help you cope better with the physical and psychological side effects of cancer treatment, providing some well deserved me-time and a sense of normality. A space where you can be you. 

Oncology massage is not aggressive and I will work with you, your unique symptoms and your body to ensure you get the most from the treatment.  

What to look out for when Booking an Oncology Massage

If you decide to incorporate massage therapy as part of your cancer treatment, always ensure that you are seen by someone who is trained in oncology massage and who has the awareness and expertise to identify any contra-indications and who can adapt treatment to take into account your medical history, tumour sites and who understands the need to work around ports and medical devices.

You should talk to your oncologist or doctor before undergoing oncology massage to ensure it is right for you.

How to book an Oncology Massage with Lorraine

Please do not hesitate to contact me if you would like more information about oncology massage.  It is also possible to check availability for Lorraine’s Treatment Room by clicking here.

Cancer Cells

Reference links:

https://www.healthline.com/health/how-to-increase-serotonin

https://www.cancerresearchuk.org/health-professional/cancer-statistics/risk

https://pubmed.ncbi.nlm.nih.gov/11315685/

https://www.researchgate.net/publication/8376746_Massage_therapy_for_symptom_control_Outcome_study_at_a_major_cancer_center