Use of massage in cervical spondylosis
A) Characteristic signs and symptoms of cervical spondylosis:
1. It is a degenerative condition of cervical spine and is universal in elderly.
2. There is degeneration of inter-vertebral disc and secondary osteoarthrosis which is often asymptomatic, but always be associated with disc protrusion and bony overgrowth of adjacent vertebra, causing narrowing of spinal canal and inter-vertebral foramen with resultant compression of nerve roots, spinal cord or both.
3. Associated with patients experience pain in neck. Pain in upper limbs probably originates in disc and spine.
4. Compression of nerve roots develops when disc prolapses laterally and radiating pain from neck to fingers is experienced. Range of movements is reduced and pain worsens with movement of neck, coughing, sneezing and much more.
5. Signs of motor weakness and muscle wasting count on nerve roots compressed. Tingling sensation in upper limb is commonly observed.
6. Vertebro-basilar insufficiency may produce intermittent or perpetual vertigo. Neck movements may initiate or exacerbate vertigo.
7. Dorso-medial herniation of disc and development of post osteophytes may mean that pressure over spinal cord and patient may present with progressive spastic paralysis, and sensory impairment on top of a level, bladder and bowel involvement developing at a later stage.
8. X-ray cervical spine shows reduced disc space, osteophyte structuration. MRI shows
Nerve root involved.
B) Goal of massage:
1. To scale back pain sensation as massage stimulates body's natural painkillers.
2. To prevent further degenerative changes in inter-vertebral disc and cervical vertebrae as massage can be a good source of nourishment with use of unctuous substance like oil, ghee for instance.
3. Enhance strength of cervical vertebrae and inter-vertebral disc for that reason of improved nourishment to keep up their normal position and function and there by make it possible to prevent prolaps disc, osteophyte formation or anything else.
C) Process of massage:
1. Body area with regard to massaged: From base of skull, neck region to around fingers of upper or even. If person does not experience any radiating pain in upper limb then only local massage over neck will do.
2. Direction of massage movements: a) Massage movements should be directed from above downwards contemplate concerned muscles, ligaments etc right from neck to both shoulders up to fingers. b) Massage movements over cervical vertebrae and disc space between adjoining vertebrae end up being circular.
3. Useful massage tips: a) In spondylosis, absorption and deep penetration of oil through skin is crucial to provide nourishment. Therefore massage movements should be slow but for longer time on an exclusive place like vertebrae etc rather than rapid movements with more pressure and friction. b) Circular action of thumb is a good choice for massage over vertebrae and disc web space. c) Use of fingers and palm is useful while massaging upper branch. Individual muscles of neck and limb can be massaged with finger to relaxation. d) Duration of massage as also its effect is based on relief in pain and other symptoms. Reduced pain is indicator of proper massage. Usually continuous massage for 25-30 minutes rather than a particular place like vertebrae etc assist you oil reach up to bones. e) Daily massage preferably at the begining of morning for days is beneficial. f) Post massage, cold air and cold water bath should be avoided.
D) Involving different oils for massage:
1. Usually oil helpful for massage end up being advised by concerned physician as some special medicinal oil that will reach up to bones and nourish them has to. Medicines that improve strength of bones like black sesame and milk etc should be included during preparation of important oil.
2. Sesame oil, coconut oil, olive oil, sandalwood oil etc may be utilized.
Cervical spondylosis massage