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Neck and Shoulder Pain
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Neck and Shoulder Pain
Therapeutic massage for pain relief
and improved flexibility
Do
you experience a neck and shoulder pain during everyday activities such as working, driving, or sleeping? Do you sometimes
wake up with a headache, find yourself unable to look over your shoulder, or simply feel that your neck is “out of whack?”
If so, therapeutic massage can work on multiple levels to help you relax, reduce your pain, and regain movement in your neck
and shoulders.

A pain in the neck
The heavy weight of the
head requires a lot of support from the delicate, highly mobile structure of the neck. Because of this, your neck and shoulders
are particularly susceptible to tension, strain and injury.
In some cases, neck pain
begins with a traumatic incident. For instance, in a whiplash injury the jerking of the head may cause painful sprains or
strains in the ligament and muscles of the neck and shoulders.
Pain can also come on gradually,
for example from working day after day at a computer with tense shoulders and your head in a forward position. Other common
culprits include cradling a phone with the shoulder, carrying a heavy purse or sleeping without proper neck support. Conditions
such as arthritis or fibromyalgia can also cause the gradual onset of neck pain.
Pain can spread
Once tension and pain take
hold, other symptoms may develop. Areas surrounding the initial problem may tighten up in a protective response. Ligament
injuries and highly irritable spots called trigger points can cause pain to extend to other areas. The result can be distant
symptoms such as headaches, jaw tension or tingling and pain in the arms or hands.

Massage for your pain
Massage can be one of the
most effective measures you might seek for relieving neck and shoulder pain. Massage kneads away tension and painful muscle
spasms, gently encouraging relaxation and increasing circulation. Improved circulation can cleanse tissues of irritating waste
products that contribute to pain. Oxygen and nutrients flow to tight or injured areas, helping to reduce discomfort and promote
healing. Therapeutic massage can also powerfully support additional treatments for neck pain such as chiropractic, physical
therapy or other medical care.
There are many different
massage techniques. Some focus primarily on relaxing the muscles, while some help heal ligaments or release trigger points
in the neck and shoulder area. Others relieve pain by working with fascia, the connective tissue that covers and connects
the muscles. All these techniques work to decrease pain, promote flexibility and help lower the possibility of future injury.
The role of alignment
Problems with joint alignment
are a common component in pain and reduced mobility in the neck. Massage relieves muscle tension that can contribute to alignment
problems. It can also stretch and lengthen shortened tissues, helping to restore mobility. Massage can increase the effectiveness
of other treatments such as chiropractic adjustments, which often proceed more easily and hold longer when combined with a
relaxing massage.
Your individualized plan
Your massage session may
begin with a review of your pain level and range of pain-free motion. Your massage therapist can then choose his or her approach,
which may include areas that contribute to your pain but are not painful themselves.
If you are experiencing
severe pain or extreme muscle weakness, consult your primary health care practitioner before receiving massage. Also let your
therapist know if you feel numbness, tingling or other discomforts during a session so that she or he can adjust pressure
or technique.
Your therapist may recommend
a serried of sessions depending on the cause and severity of your pain. For the future, you may want to use massage as a preventive
measure, scheduling a session as soon as you become aware of increasing tension.

Stress and pain
Stressful events or unrelenting
minor aggravations can often build up to physical discomfort. For example, you may have noticed that under stress your shoulders
become painfully tight as they creep up toward your ears. Distracting and unpleasant, stress-related tension can also leave
you more susceptible to injury, such as when you turn your head suddenly or sleep in an awkward position.
Massage calms the nervous
system, allowing you to let go and breathe more deeply, which in itself helps release neck and shoulder tension. As you experience
deep, restorative relaxation, you may enjoy an increased feeling of overall well-being, which can build your reserves to face
ongoing stresses, both large and small.
Support for your self-care
To reduce tension or improve
mobility, your massage therapist may recommend stretching or the use of hot or cold applications. She or he may also recommend
adjusting your habits at work and home. For example, if you work at a desk, are your chair, keyboard and monitor comfortably
positioned? At home, does your pillow adequately support your neck? Practicing yoga, tai chi or other movement and relaxation
techniques may also help by reducing daily stress and tension.
A return to pain-free movement
Massage can be a powerful
and effective therapy for reducing your neck and shoulder pain. It can improve ease of movement, help your tissues repair,
increase relaxation and support other types of treatment. For both immediate pain relief and preventive care, massage can
help you more fully enjoy the activities of your work, play and family life.
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