What's the Straight Dope on massage?

In this Pit thread, there are some claims made about massage that I found surprising. For instance:

[ul]
[li]Having your tummy massaged is good for the digestion[/li][li]Massage stirs up metabolic wastes that can become trapped in body tissues, and it is important to drink water to flush them out of your system[/li][li]Being round-shouldered means there is extra importance in having the pectoral muscles worked[/li][/ul]

There’s also a reference to reflexology as an aspect of foot massage, but it’s unclear to me if any specific benefits are being claimed for that.

What’s the Straight Dope? What are the actual, testable, measurable physical effects of massage?

  • Rick

I’ll start with the last question first.

If you’re round-shouldered (kyphosis is the medical term), basically you have had bad posture and been standing/sitting with your shoulders hunched that your pectoral muscles become contracted, thus perpetuating the condition, and making it difficult to assume proper posture without intense concentration. Even with making the effort, the shoulders are pulled forward somewhat. Massage can help relax and lengthen muscles, so if you massage the pecs, they can elongate somewhat, making it easier for the trapezius and rhomboids to do their job, part of which is to keep those shoulders back. One massage obviously isn’t going to fix this, and there should be some exercises done at home to stretch the pectorals. But the general rule is, if there’s pain/problems with a muscle, you should work its antagonist as well as the affected muscle.

Middle question- a lot of the problem is we simply don’t drink enough water. We drink tea, we drink coffee, soda, etc., which really don’t do a lot of good as far as getting those metabolic wastes out of the body tissues, so they just kind of hang out there and can cause problems. Massage increases blood flow to an area. Increased blood flow means that more oxygen, nutrients, etc. are brought into the area, and any excess metabolic wastes are carried out. Of course, if you don’t drink enough water (not coffee, not soda, but water), then the body can’t properly flush itself out, and everything can settle back into the tissues again.

Tummy massaged- again, blood flow to the area is increased, and good blood flow is important to the proper functioning of any body part. Also, massage can increase peristalsis, which helps keep things moving along through the digestive tract. Also, if a person is a bit constipated, just the physical, mechanical pressure can help get things moving again. Squeeze a tube of toothpaste and you’ll see what I mean. One of my instructors advises against doing abdominal massage on elderly clients because they often don’t have good control of their bodily functions, and it does occasionally happen that things move along and out onto the table. I’d hate to be working for the linen service on the day that happens. On a client who is suffering diarrhea, it can be helpful to massage the abdomen in a counterclockwise direction (opposite direction of the movement of the digestive tract). In all other circumstances, clockwise is the rule. If the client has certain intestinal disorders (irritible bowel syndrome is one example) the abdomen should not be massaged.

OK, measurable effects- muscle relaxation, increased circulation, increased muscle tone, increased skin elasticity and improved skin tone, relief of pain, reduced breathing and heart rate, decreased blood pressure, reduction of edema, increased/improved immune function, reduction of depression and anxiety… that’s all I can think of without actually consulting my textbook.

I’m not really sure how much research has been done on reflexology, it seems the evidence of its effectiveness is largely anecdotal, but I will tell you this. In our first reflexology lesson, I was being worked on by a girl who just doesn’t like feet. In particular, she was working the area that corresponds to the spine in a half-assed way. The next day, my back, which I have chronic problems with anyway, was so stiff I was almost immobilized. After some stretching, I gave that area of the foot a good working on and felt quite a bit better. The day before yesterday, my partner overworked the part of the foot that corresponds to the chest, and late that afternoon, I had a really vicious coughing fit. Snarked up a lot of unpleasantness and felt better afterward, but while I was hacking, it wasn’t fun.

Hmmmm, I really hope one of the more knowledgable and skeptical posters chimes in. No offense, but the having the person who originally made the claims in question be the one to substantiate the claims is a bit sketchy.

I will say that anytime you hear stuff about “wastes” and such needing some esoteric treatment (massages, enemas, fasts, etc.), it’s always unsubstatiated bunk. And the claim that most people don’t drink enough water has been disproven many times. This [url-http://story.news.yahoo.com/news?tmpl=story&cid=594&ncid=594&e=2&u=/nm/20040211/hl_nm/health_thirst_dc]report released today states that hydration is not an issue for Americans and that you can (and do) get water from all the liquids you consume. (however, we do have a problem with excessive salt consumption)

A skeptical, informed view of reflexology.

Corrected link coding: acticle.

Also, I didn’t have time to do research last night but here’s a link form a skeptic’s page on massage therapy. And here’s a Slate article. It looks like a lot of sites concludes massages relax you and feels good but many of the other claims are unsubstantiated and somewhat suspicious.

I think there’s near-universal agreement on the value of drinking plenty of water. But I’m more interested in any substantiation of the claim that if you don’t drink enough water, wastes “settle” back in the tissues. You’ve claimed it – I’m looking for how you know this to be so.

  • Rick

I’d like a more detailled explanation of why massage is not good for irritable bowel syndrome but it is for other sundry abdominal complaints.

Massage involves touching the patient, and is generally received positively. I personally feel the benefits, though there, are short lived. The body is pretty good at determining which areas need to receive how much blood and adjusts itself accordingly with additional help. Someone with working kidneys is also very adept at removing water from tea, cola and other beverages and using it appropriately.

Well, for starters, that probably wasn’t a very good way of phrasing it. But it is actually fairly common for people to be sore the day after getting a massage if they ignore their therapist’s advice to drink plenty of water. Also, it is fairly common for someone to be nauseous a day or two after receiving deep tissue work for the first time- it is highly recommended that the client drink plenty of water both before and after the massage to prevent this hapening (this actually happened to me last week- I was a bit dehydrated and got some deep tissue work and was quite ill for two days afterward). How do I know this to be so? Um, I learned it in my Swedish and deep tissue massage classes. (OK, yeah, I know, but hey, if you asked someone like Dr. Paprika how they know a particular medical fact to be so, they’d probably say, “I learned it in medical school”.

Dr. Paprika- massage is contraindicated for irritable bowel syndrome because it is stimulating to the digestive tract, and can trigger an “attack”. And yes, it is true that the effects of massage are short-lived. Of course, the same is true of physical therapy, but I don’t see anyone disputing the benefits of PT because you have to go back twice a week for a period of time and do “homework” in order to obtain lasting benefits. For conditions caused by muscle problems, you would have to receive massage 2-3 times a week in order to get any lasting benefit, and a good therapist would recommend some stretching exercises on the “off days”, just as a physical therapist would.

A lot of the skepticism I’ve seen stems from the fact that the evidence for the benefits of various massage modalities is mostly anecdotal. I’ve surfed Quackwatch and I’ve seen alternative modalities dismissed due to “lack of scientific evidence”, but aside from the article Cerowyn linked to, I have yet to see a study cited that refutes the effectiveness of these modalities. Also, I really don’t think anecdotal evidence should be dismissed. I have personal experience with the effects of reflexology, which is enough to convince me that it is effective as a modality(and I am not a terribly suggestible person). I would not use any form of massage as a substitute for medical treatment- more as a complement to it. Also, the metabolic waste removal is strictly aresult of the physical effects of manipulating the body tissue- blood flow is increased, which means that assorted nutrients and byproducts of their use are carried in and out of the tissues more efficiently. This is a measurable effect. Saying waste products are “trapped in the tisses” except in some special cases (think gout) is possibly a poor choice of words, but in a fairly high percentage of the population, these processes are not as efficient as they might be.
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For males, massage can be diagnostic as well as therapeutic: if you can receive a massage from another man without feeling uncomfortable, you are either gay or were born outside of the American midwest.

Wow - you’re right. So far as I know, I’m not gay… married with a kid, and nary a desire to swing the other way. But I was born on the East Coast.

I’ve had a number of massages from men, and it didn’t bother me in the least.

Fascinating.

  • Rick

My ex-BF is a professional massage therapist with going on 20 yrs. of experience, and at the time we were dating, I broke my leg really, really badly. I had a metal plate, screws, and pins going all the way through my leg for 6 months. Basically, I was a human shish kebab, and the darn bones were just not healing at all. (They still aren’t 100%, seven years later; you can still see holes and spots that aren’t filled in on an X-ray, although I’m more or less funcitonal again and can walk, although my soccer career is pretty much over.)

At the time, my BF was reading a book on Chinese massage techniques, which was something he did frequently for new ideas. Much to our surprise, the book recommended massage for fractures. He was scared, but as my (quite traditional Western) ortho specialst had explained, part of the problem with my particular type of fracture (I shattered both fibula and tibia an inch or two above the ankle) was that both because of the location and because of my complete inability to use the leg at all, there was almost no circulation to promote healing. This was quite visble; if I stood up or lowered my leg below waist level for more than a few seconds, it turned a lovely shade of purple, because there was no muscle activity to force the blood back up toward my heart.

I checked with my doc, and he said that the bones were held in place pretty well with the pins and such, and so it probably wouldn’t damage anything to try massage and gave my BF permission to give it his best shot. My BF was too freaked out to try it, but at my urging, my doc finally let me try an electromagnetic bione-growth stimulator thingie, which was basically anelectromagnet which was wrapped around the fracture sites, attached to a bettery pack around my waist, which I wore several hours a day. It was somehow supposed to promote circulation, and thereby bone growth; I really wasn’t crazy about the idea of bone grafting surgery, and this was a last-ditch nonsurgical attempt. It was finally the only thing that worked and started to make the bone grow again. (It would have been nice if my doc’s staff had been organized enough to take X-rays to check before the moment I was going unconscious and ready to be wheeled into surgery, but that’s a rant for another day.)

So yes, I think anything that promotes circulation is good. And that stuff about being gay or non-Midwestern to be comfortable getting a massage from a man is ludicrous. Unless you think the editorial staff of Playboy, many of whom were Midwesterners and clients of my ex’s, were also gay. (Among hundreds and hundreds of other male, Midwestern clients he had; I live in Chicago.)

My heterosexual, Chicago-born father, who has received a number of massages from men, would beg to differ. He would also like you to start following the “don’t be a jerk” rule.

Jeez, folks, give it a rest. I thought it was just a clever observation, not any kind of insult. My guess is that the vast majority of men in America would feel either somewhat or very uncomfortable with getting a massage from another man. Maybe your dad didn’t. Fine.

I think your guess is way off, we’re not talking about an erotic massage with the ‘happy ending’ here. Theraputic massage is not erotic. I bought all of 2 massages in my life. One from a guy and one from a girl and there was nary a difference, well except that the guy did a better job.

Now the massages I get from my GF, those I wouldn’t want from a guy.

Lacking any hard data* to the contrary, I’m sticking to my guess. Even though it’s not intended to be erotic, you’ve still got some guy whose nekkid or close to it and another guy putting his hands all over him. Considering the level of homophobia in this country (you have been following the gay marriage debates haven’t you) my guess is that indeed the vast majority of men in America would feel uncomfortable getting a massage from a man.

*[Bevis 'n Butthead]Heh-heh, I said hard data[/Bevis 'n Butthead]

I’m going to bump this in an effort to return to the OP - namely, the documented, proven physical effects of massage. I am highly skeptical of some of the claims offered above, particuarly the wastes left in tissues and the benefits of reflexology.

  • Rick

OK, somebody had to do it:

Have you tried posting this question on the Straight Dope Massage Board?

(drum roll, and a quick exit)

Here are some documented effects from a clinical study on infants. Claims about waste product cleansing and increased bloodflow are conspicous by their absense.