Muscle Therapy

Muscle Therapy For Treating Your Own Neck & Back

Many instances of neck and back pain can be related to problems with muscles. Typical areas of back strain and neck strain can range from sore, tired or overworked muscles, to tears in muscles which can cause significant pain. Using both electric and manual massagers can help treat these condition from a superficial massage, to deep muscle therapy and trigger points.

muscle therapy

Sore or stiff muscles can interfere with daily living activities along with sports performance. At work, a frequent issue is muscle soreness, pain and tenderness, which often affects workers that are frequently using one-sided and repetitive movements.

Therapy That Allows You To Control The Massage

Most of the products are ones you use yourself or require your active participation. This allows precise control of where, how much pressure and how long massage is applied. They make it easy to get at difficult to reach areas involved with neck strain, shoulder strain, back strain, or almost anywhere muscles can hurt.

Benefits of Muscle Therapy

  • A 2021 study in the Journal of Family Medicine and Primary Care found manual trigger point release in the upper trapezius muscle showed a significant decrease in pain intensity and increase in cervical range of motion and this was more effective than positional release therapy in computer users with neck pain.

Joint Problems

Massagers like the neck or back massager use an electric/battery power source to apply massage. This allows passive mobilization of the joints, helping to lubricate the joints and restore smooth motion. It will also help to massage the muscles, but can concentrate on restoring joint function through motion and increased nutrition. Similarly, using non-powered massagers can also help to mobilize the joints. This can be done for short periods, frequently, helping to treat hard to reach areas with ease.

Headaches

Headaches often accompany neck pain. This is usually due to the muscles at the base of the skull, called the occiput. This connects the muscles of the upper part of the neck to the base of the skull. These muscles often become stiff from poor posture or sleeping on a non supportive pillow, including stress and tension. Trigger points in this area can cause pain to radiate into the head. A method often used by therapists to help relax these muscles is called occipital release, and there are muscle therapy massagers that specialize in performing this type of therapy. The massage is used by lying on the massager and letting gravity do the work, however, doing some simple motions like rotating the head or doing the basic from of the neck exercises, the nodding motion, can help bring more rapid relief.

Tendinitis

Repeated work tasks can not only affect the muscle, but can cause tendon problems. Tendons are muscle attachments to bone. Tendinitis, inflammation of the tendons can happen anywhere there are muscles, but is common in the elbow area or the wrist extensors. A common form of therapy is called cross friction massage. This, unlike massaging along the lines of muscle fibers, actually massages across the tendons. This can be painful and is not done for long periods, however, it can help with tendinitis. Ice is usually applied after to control inflammation, but tendons can respond to this type of therapy.

Fascia

Fascia surrounds the muscles (myofascia) and is a continuous fibrous tissue that runs throughout your body. It is densely interwoven and connected to every muscle, nerve, blood vessels, bone and internal organs as well. Through injury, the fascia may form fibrous scars that can adhere to nerves. This can make movement very painful and upset the balance of the musculoskeletal system. Myofascial therapy helps to release entrapped nerves, so they may move freely; restoring motion and reducing pain, thereby increasing function.

While these techniques are best served by professionals, you may find a very specific area of particular pain. Treating the area by moving the muscle through applied pressure can help release the tissues. For more on the physiology of this technique, please see the neck injury page.

These tools are great for self myofascial release. An example would be the levator scapula, a muscle often involved with neck and shoulder pain, placing pressure at the top of the neck and pulling down towards the shoulder in line with the muscle, while bending the neck to the opposite side. Very effective and this can be done with just about any muscle and the muscle massager, cane tool and deep tissue blocks are great ergonomic tools for this.

  • In a 2020 Clinical Biomechanics study it was found that in patients with chronic back pain, the lumbar myofascia showed a decrease in elasticity and this was observed more in females. There was also a correlation between being right handed and right sided lumbar myofascial stiffness.

The fascia is intimately associated with muscles and the various complications that arise are often termed myofascial pain syndromes.

  • A 2021 study in the journal Morphologie found that the fascia in the thoracic-lumbar spine increased in thickness and nerve fibers as you go down the spine with the greatest thickness and number of nerve fibers in the sacral area.
  • A 2021 study in Clinical Biomechanics found myofascial release has immediate effects on neuromechanical characteristics patients with low back pain. There was a significant increase for velocity of contraction in lumbar erector spinae as indicated by tensiomyography.
  • A 2021 study in Clinical Biomechanics found 4 sessions of myofascial release contributed to the normalization of the flexion-relaxation response, and also showed a significant reduction in pain and disability in patients with non-specific chronic back pain.
  • A 2022 Review in Clinical Anatomy indicates Chronic neck pain is often associated with a number of symptoms including head and neck pain and eye movement disorders. The deep cervical fascia of the neck, the epicranial aponeurosis of the head, and the fascial sheath of eyeball form the proximal myofascial chain and therapy may help manage painful head and neck disorders.
  • A 2022 study in Clinical Anatomy indicates the deep fascia in the neck and back is a three dimensional continuum of connective tissue surrounding the bones, muscles, nerves and blood vessels. Pathological fascia is displays increased tissue stiffness and altered cellular activity. There are an increased density and sensitization of nerve fibers and markers of inflammation.

Acupressure

This is an ancient healing art using light pressure on numerous healing points throughout the body. These points are thought to stimulate your body’s natural healing abilities. This is a treatment is very good for stress related problems and can be used alone or along with other therapy methods.

Reflexology

This is based on the principle that your body is interconnected via your nervous system. It is thought that stimulating nerve endings in your feet and hands can help treat ailments problems throughout the body. Reflexive points may relate to acupoints and can be treated similarly. These last two methods are the least aggressive of the treatments. This allows everyone to benefit from massagers that aid you in self treatment and awareness.

Muscle Therapy Effectiveness

Muscle soreness can negatively interfere with daily and work activities as well as sports performance. This soreness can result from inflammation caused by micro‚Äźtears in muscle fibers during repetitive activity and/or contractions.

There are many of these devices and some of the designs are simply ingenious. Some of them are very useful in that they can do massage on just about any muscle, making them very versatile, lightweight and easy to use. The popularity shows that using one can really help. Research also indicates some of these massagers can help alleviate pain and dysfunction.

  • A 2014 study in the International Journal of Sports Physical Therapy, indicates a muscle therapy massage devices reduce pain and soreness of an affected muscle. The authors indicate 10 minutes of massage tool application has an acute soreness reducing effect with higher tolerance to pressure in the affected muscle.
  • A 2018 study in the journal Sports Medicine – Open found a tool assisted self help device (muscle-fascia tool) promoted meaningful changes in parameters related to range of motion, mechanical tissue properties (stiffness, elasticity), and pain reduction.
  • A 2019 study in the Journal of Bodywork & Movement Therapies indicated myofascial release helps restore tissue extensibility and is useful in many conditions like low back pain, ankle injuries, fibromyalgia, and headaches. The study indicates that this type of muscle therapy has to biomechanical and systemic effects reaching beyond just the local area of treatment. It reduces pain locally and systemically, while increasing range of motion.
  • A 2019 study in the Journal of Exercise Rehabilitation studied the effects of massage consisting of connective tissue manipulation: muscles, tendons, fascia, and ligaments. The group receiving the manipulation showed significant improvements in improved pain, mobility, and well being in patients suffering with chronic low back pain compared with those receiving physiotherapy alone or sham massage.
  • A 2019 study in Applied Ergonomics found a short 8 minute period of tissue manipulation with a massager was more effective at reducing significant increases in back stiffness than a controlled standing task break for workers sitting for 4 and a half hours. The authors concluded, “This study indicates that short-duration tissue manipulation can be an effective active break between prolonged sitting periods to prevent musculoskeletal issues, such as musculoskeletal discomfort and back pain.”
  • A 2019 study in the Journal of Bodywork and Movement Therapies indicated an integrated neuromuscular inhibition technique program (soft tissue mobilization techniques) had a positive effect on neck muscle strength and endurance in individuals with chronic mechanical neck pain. The authors indicated that incorporation of muscle therapy techniques with exercise provided better results than exercise alone.
  • A 2019 study in the Journal of Back & Musculoskeletal Rehabilitation indicates most of the mechanical massage techniques imitate manual massage. Products like the neck massager and back massager function in this manner. The authors noted a significant difference between mechanical massage and rest on serum cortisol and creatine kinase for exercise-induced muscle fatigue. The authors conclude mechanical massage may reduce stress and muscle damage for the athlete after training or competition.
  • A 2020 study in Physiotherapy Theory & Practice found a self-administered program of 4 weeks focusing on muscle therapy was effective in reducing active trigger points. It was noted that pain severity and aspects of functionality also significantly improved.

Author Bio

Stephen Ornstein, D.C. has treated thousands of neck, shoulder and back conditions since graduating Sherman Chiropractic College in 1987 and during his involvement in Martial Arts. He holds certifications as a Peer Review Consultant from New York Chiropractic College, Physiological Therapeutics from National Chiropractic College, Modic Antibiotic Spinal Therapy from Dr. Hanne Albert, PT., MPH., Ph.D., Myofascial Release Techniques from Logan Chiropractic College, and learned Active Release Technique from the founder, P. Michael Leahy, DC, ART, CCSP.