Most of the time, my clients have such a powerful response to massage therapy they don't need additional therapies. However, that isn't always the case. I always look for clues that indicate I may need to refer a client to another practitioner, such as a physical therapist.
Update September 2020: Sometimes those clues are less about what the "best" course of treatment would be. And more about finding a way to help a client make their budget work. PT is covered by insurance far more often than massage therapy is (for now). Sometimes, I think a combination of PT and massage will work as well as massage on it's own. If so, I will often recommend a client work with a PT 1-2 times a week and with me once every 2-4 weeks.
The PT will help the client make small but steady gains. In my sessions, I'll then focus on making bigger leaps. Assuming the PT sessions are covered by insurance, the client spends less money overall and arrives at a pain free place. It just might take a little bit longer to get there. You can find several great PT's that we send clients to on our colleagues page!
The Breakdown:
1) Massage therapy helps by treating short and overused muscles.
The goal of many physical therapy exercises is to help strengthen any weak muscles that are causing pain symptoms. The goal is that by strengthening weak muscles, the body will move & feel healthier. But that's only half the picture.
When it comes to muscles, imbalance happens when one muscle is weak and long while another muscle is overused, chronically tight, and short. In order to correct the imbalance faster, BOTH of these problems need to be addressed. This means following the exercises provided by a physical therapist teaching clients how to engage and strengthen muscles that are weak. It also means using massage therapy to address the muscles that are chronically overused and tight.
The right massage therapist in NYC will focus on releasing these tight muscles as well as lengthening them when they've gotten short. This can help effectively decrease pain while also improving range of motion and helping the nervous system learn how to move better!
2) Massage therapy will help make physical therapy more effective and easier to do.
Studies show that one major obstacle to physical therapy treatment is that many will stop coming in if the exercises are painful to do, or if their pain doesn't decrease right away. (Source: Read this article) (1) Basically, if the work is too hard and painful, people are a lot less likely to do it. Massage therapy can decrease pain, often with immediate results. Which will help provide motivation to stick to the physical therapist's treatment plan.
3) Massage therapy can help post-surgical recovery.
Sometimes people will experience new aches and pains after their recovery from a surgery, even while doing physical therapy. This can happen due to a change in the body alignment and how the body moves after the procedure. If clients are already doing regular physical therapy and still experiencing pain post-surgery, I suggest asking a doctor if it’s medically safe to try massage therapy as well.
For more detailed information on massage therapy after surgery, please check out this in-depth article: Click Here! (2)
In summary, we see that combining physical therapy and massage therapy help clients move better and feel better by working on correcting any muscular imbalances that can be causing or contributing to pain.
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