The Value of Sports Massage for Athletes of Every Level

Sports massage is a specialized therapy designed to cater to athletes and active individuals. It offers a range of benefits from enhancing performance to improving overall well-being. Here are five reasons why you should consider incorporating sports massage into your routine:

1. Increased Flexibility and Freedom of Movement

Flexibility is key to optimal performance in many sports. Techniques used in sports massage work to stretch and lengthen the muscles, break down adhesions, and improve elasticity. In addition to an increasing flexibility, these techniques also free up restrictions within normal range of motion. These benefits can help your muscles and joints function optimally, giving you a competitive edge.

2. Accelerated Recovery and Reduced Muscle Soreness

One of the primary benefits of sports massage is its ability to speed up the recovery process. After intense physical activity, muscles often experience micro-tears, leading to soreness and stiffness. Sports massage promotes the flow of oxygen and nutrients to the affected areas, facilitating faster repair and reducing delayed onset muscle soreness (DOMS). By helping your muscles recover more quickly, sports massage allows you to return to your training regimen sooner and with less discomfort. This accelerated recovery is essential for athletes who need to maintain a rigorous training schedule without prolonged downtime.

3. Relief from Chronic Pain

The very nature of sport is to perform the same actions over and over and, as such, many athletes suffer from chronic pain due to repetitive use injuries. Focusing on the root causes of pain and addressing muscle tightness, trigger points, and adhesions, sports massage helps to reduce chronic pain from these injuries. This reduction in pain combined with an increase in circulation from the massage itself encourages healing, leading to increased performance.

4. Injury Prevention

Preventing injuries is crucial for anyone engaged in regular physical activity. Sports massage helps to maintain optimal muscle function by addressing muscle imbalances and tightness. These issues can lead to strain or overuse injuries if left unaddressed. Sports massage also enhances proprioception, or body awareness, which can improve coordination and balance. Regular sports massage sessions ensure that your muscles remain flexible and responsive, reducing the risk of strains, sprains, and other common sports injuries.

5. Improved Mental Focus and Relaxation

Physical performance is closely linked to mental well-being. The relaxing and stress-relieving effects of sports massage can help to calm your mind, improve your focus, and boost your overall mood. This mental clarity and relaxation can help you concentrate, translating into better performance and a more enjoyable training experience. Improved mental focus means you can strategize and perform with greater efficiency, making sports massage a valuable tool for both physical and mental improvement.

Incorporating sports massage into your routine offers a wide range of benefits that can elevate your athletic performance, promote recovery from and prevention of injuries, and bolster your mental well-being. The techniques used in sports massage are designed to target the specific needs of athletes and active individuals, ensuring maximum benefit from each session.

Whether you’re a seasoned athlete or someone who enjoys regular physical activity, sports massage is a valuable addition to your wellness routine. Experience the transformative effects of sports massage by scheduling a session with our experienced massage therapist.

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As Physical TherapPT’s in-house massage therapist, Jamison helps to expertly deliver comprehensive care to our patients and athletes. His area of expertise includes: range of motion assessment, postural analysis, trigger point treatment, and manual therapy for injury prevention.

Jamison is currently accepting new clients.

To learn more, check out these articles:

American Massage Therapy Association. (2011) Position Statement on Massage Therapy for Those Who Exercise. Retrieved from https://www.amtamassage.org/about/position-statements/massage-therapy-for-those-who-exercise/

Kargarfard, M., Lam, E. T. C., Shariat, A., Shaw, I., Shaw, B. S., & Tamrin, S. B. M. (2015). Efficacy of massage on muscle soreness, perceived recovery, physiological restoration and physical performance in male bodybuilders. Journal of Sports Sciences, 34(10), 959–965. https://doi.org/10.1080/02640414.2015.1081264

Lee, J., Crosman, B.S. Chateauvert, S.R., Hateauvert, J.W. (1984). The Effects of Massage to the Hamstring Muscle Group on Range of Motion. Journal of Orthopaedic & Sports Physical Therapy, 6(3) 163-208. https://www.jospt.org/doi/epdf/10.2519/jospt.1984.6.3.168

Aeini, Maryam. (2022). Effect of Massage on Fatigue and Mood in Female Rowers. Humanistic Approach to Sport and Exercise Studies (HASES). 2. 10.52547/hases.2.2.7.

Daily Foam Rolling

Myofascial release is a hands-on technique using sustained pressure to the connective tissue restrictions to relieve pain and restore motion. But does it work? Dr. Betsy Webb certainly thinks so, stating “this is one of the most common modifications I suggest to patients. Maintaining soft tissue and joint mobility is so important in preserving joint health and building strength.”

According to a systematic review conducted by Beardsley and Škarabot, myofascial release can help to increase flexibility and reduce soreness. Regular maintenance helps with joint and soft tissue extensibility and mobility, will improve tissue length and pliability and its ability to accept force and load. This allows the body to do more work with less strain overall. Methods like foam rolling, gua sha and massage can improve arterial and vascular endothelial function, or the flow of blood and lymph through the tissues. Self-myofascial release allows for consistent and cost-effective management. Athletes of all levels most commonly use a foam roller or ball of varying density.

Despite being versed on the benefits, Betsy has trouble incorporating soft tissue work. “I love working on strength and cardio work,” she laughs, “but often under prioritize mobility in my own physical fitness. I know how valuable mobility work is, yet I struggle to incorporate it into my routine.” As part of our Athlete Within Challenge, Betsy agreed to spend 10 minutes foam rolling everyday for two weeks. Here’s how it went:

As with any new habit, the most challenging part about for Betsy was adherence. “I started out really strong for the first week but then the weekend hit and falling out of my daily routine made it more challenging to stay diligent,” she says. Sound familiar?

In order to stay consistent, Betsy found three different techniques to be most helpful: routine, external accountability, and increased accessibility. “I found using an alarm worked really well. I set an alarm for 9:15 every night to remind me.” (As an added benefit, myofascial release can also help to improve parasympathetic nervous system activity, allowing us to mentally and physically calm down so our bodies can regenerate. Soft tissue work in the evening can set you up for a great night’s sleep!)

Betsy shared her goals with her fiancé, finding that having “someone to hold me accountable, who knew to remind me if I hadn’t done it for the day” helped to keep her on track. The last thing she found to be helpful? Relocating her foam roller. “I ended up putting it next to the tv,” says Webb, “so that when I would sit down to watch tv at night I would see the roller and be reminded to use it.”

So is it worth the time? After the two weeks were up Betsy’s body was thanking her. “Foam rolling is something I know I should do more of, especially for my thoracic spine, but never was able to get into a routine." Like so many of our patients, Betsy saw tremendous benefit from going back to the basics: “After the first week I felt good but not too much different, but a full two weeks really started to make a difference in how I felt from a mobility standpoint.” The true payoff for myofascial release work is in the consistency. Studies have yet to show if any of these improvements in flexibility and tissue quality have longterm effects once treatment is stopped. “I fully intend to maintain this behavior. As I saw with the two weeks, the longer I remained consistent the better I felt,” states Webb.

Our vote? Yes to myofascial release!

Looking for Dr. Betsy Webb? As of July 1st, she will be practicing in the Chicago Area!

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Self-Limiting Pitfalls

Elite performance requires us to be vulnerable. It is essential to have an honest view of our skill set to grow and improve. Working with a coach, or using tools like biofeedback technology can give a clear picture. In the clinic, we use a variety of motion and force capture to enhance the assessment process. Outside of the clinic, wearable technology can track heart rate, speed, and sleep metrics to give you a more complete picture of your performance.

But, ultimately, it’s how we interpret that information that matters. Use the self-assessment below and see if you fall into any of these 4 protective strategies that may be limiting your potential:

1. Self-Handicapping:

Intentionally limiting your effort to give yourself an “out.” If you didn’t really try your best, then the results don’t matter.

2. Feedback Avoidance:

Bubble alert! By only surrounding yourself with people who flatter you, you are distort you outlook.

3. Self-Serving Bias:

Only taking credit for success, and not failure. When you win, its because of your hard work and natural talent, but if your fail it could be the refs, the weather, the astrological calendar…

4. Downward Social Comparison:

Rather than look at how everyone performed, you only compare yourself to those who did worse to protect your ego. Maybe you only scored twice, but he didn’t score at all.

Being mindful of these common mental traps helps us build awareness of the role our mind plays in performance.

Adapted from @stevemagness, author of Peak Performance

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How Can I Heal?

This week, Dr. Heather McGill shared in conversation with Crina Okumus on her podcast How Can I Heal. The two discussed Heather’s vision for how to build robust, durable athletes through three healthy habits. Read more about Okumus and her podcast below:

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THIS PODCAST IS A WEEKLY CONVERSATIONS WITH PEOPLE THAT I ADMIRE TO IMPROVE YOUR OWN LIFE FOR THE BETTER.

Subscribe on Apple Podcasts

To give you a little background about me. I have an experience for more than 15 years in the fashion industry, running my company successfully selling in more than 40 countries and being highly profitable. 

One day, I received a call that my father died in a car accident and my whole life completely changed. I started to ask myself who am I and why I am here? The process of healing took more than five years, during which I was also facing my inner calling to move away from fashion and figure out what is next for me.It was certainly not an easy journey and I thought that I will never figure out what I will do for the rest of my life. But one day, I chose to listen to my heart and let it guide me to my future.

And with that decision, everything started moving in the right direction. 

The biggest insight I had during this time was that I could not change the world. I'm too small for that. But I can certainly change myself and the people around me who would be inspired by my story. And that’s when I decided to start a series of interviews with people that I love and who have made a big change in my life. 

So I hope you will join me in my journey and find inspiration in the stories of known personalities but also those of normal people. And please share your own journey with me and let's make a little change and make this world more beautiful. It’s up to us to make this change happen.

With love,
Crina

Flexor Hallucis Longus Tendinopathy: Part II

If the symptoms from the last post sound familiar, it’s important to seek care to prevent the condition from advancing. The good news is FHL tendinopathy does not require imaging for diagnosis. You can see a PT or AT directly- they’ll evaluate and diagnose your condition, and will refer you to a physician as needed.

After assessing your leg, your clinician will be able to ascertain contributing factors that led to the injury and how to address them with an individualized exercise program including neuromuscular re-education and functional training. Neuromuscular re-education helps reprogram the way you move- focusing on specific muscle activation and timing. This strategy takes the whole kinetic chain into consideration, looking for inefficient habits that may seem unrelated to your injury.

For example, many athletes diagnosed with FHL tendinopathy present with excessive pronation- or arch collapsing- a faulty pattern that can contribute to overloading the FHL in running. Strengthening the hip, pelvis and core muscles, combined with improved running mechanics can reduce this problem for the long term!

If you are able to see a clinician in-person, manual therapy may be beneficial to reduce inflammation, muscular tension, and any joint stiffness.  

Until your appointment, follow these recommendations at home:

1. Rest from the aggravating activity - running, dancing, etc.

2. For pain management, try over the counter NSAIDs (ie Advil, Aleve)

3. Use contrast therapy to reduce inflammation:

   • Submerge foot for 10-15’ total following the pattern below:

     • 2-3’ in ice water

     • 2-3’ warm water

     • 2-3’ ice water

     • 2-3’ warm water

     • 2-3’ ice water

4. Self-massage the outer calf by rolling with a tennis ball or something similar on the floor

5. Perform a seated calf stretch with a towel at the toes, being sure to pull the big toe back with the foot