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Should Kupuna Get Massage Therapy?

Increasing aches and pain seems to be the norm for most people as they age. Yet, kupuna may be under-utilizing massage therapy services(1) which could safely and effectively reduce their symptoms. Massage therapy has many benefits and seniors may benefit the most. Here are a few areas where massage has been shown to improve health and well-being:

  • Reduced pain from osteoarthritis. Although massage therapists cannot address joint mechanics, soft tissue massage can reduce pain from muscle guarding, spasm, and hypertonicity – aka tight muscles.
  • Improved sleep. Many seniors don’t get enough exercise and sunlight during the day, which can lead to poor sleep at night. Most people notice improved sleep the day of a massage and weekly massage may make a difference in overall sleep quality.
  • Decreased symptoms of depression. Many elderly respond to increased touch from a massage therapist with improved mood.
  • Reduced stress hormones. Massage therapy may reduce cortisol allowing for greater mental and physical relaxation.
  • Improved circulation, reduced swelling. Pain in the lower extremities can occur from fluid retention in the calves, ankles, and feet causing them to swell. Lymphatic drainage massage can assist the circulatory system and reduce pain.
  • Lowered blood pressure. Massage therapy has been shown to decrease blood pressure in the pre-hypertensive population and may improve the effect of blood pressure medications in those who already have the disease.
  • Increased social interaction.  Although massage therapy delivered in the home can have all the above benefits, helping an elderly person get out of the home, into the community, and interacting with others can be extremely positive for their health and well-being.

    Niu Valley massage therapy room.

Precautions

Not every type of massage therapy is recommended for the elderly. While a healthy 65 y/o “senior” may benefit from deep tissue and shiatsu, the same type of massage would not be recommended for their frail 89 y/o parent. Keep these precautions in mind:

  • Massage should not be used in place of exercise or physical therapy. Our kupuna need more movement not less. If pain is affecting movement, physical therapy may be the first treatment to pursue.
  • Certain heart conditions such as congestive heart failure (CHF) may be contraindicated for massage therapy. Consult with a physician if you or a loved one has heart disease prior to trying massage.
  • Massage can cause severe bruising and tissue damage in those taking blood thinners.
  • Recent surgery, acute injuries, infections, and broken bones are not good candidates for massage technique and could result in increased problems. Consult with the patient’s MD or DPT regarding the use of massage in these cases.
  • There is a big difference between severe, acute pain and chronic pain. Anyone with severe pain should seek out a medical professional as correct diagnosis is essential to rule out life-threatening conditions.
  • Osteoporosis and osteopenia are not contraindicated for gentle massage techniques, but forceful deep tissue pressure should be avoided to prevent fractures.
  • Finally, massage therapists vary in their skill level, education, experience, and techniques. Before booking an appointment, make sure the therapist is licensed and experienced working with the elderly.

OrthoSport Hawaii hires only the best medical massage therapists. Our Niu Valley and Downtown clinics offer 30, 60, and 90 minute appointments which include free parking. If you’d like to learn more or schedule a massage, call 808.373.1114.

(1)Licciardone JC, Pandya V. “Use of complementary health approaches for chronic low-back pain: A pain research registry-based study.” J Altern Complement Med. 2020.

 

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