TREATABLE Conditions

RMT

Musculoskeletal Conditions

Treatable conditions with RMT

Back Pain

What is it?
Back pain is one of the most prevalent musculoskeletal disorders, caused by a variety of factors including muscle strain, ligament sprain, poor posture, degenerative conditions (like herniated discs), or trauma. It can range from mild discomfort to chronic pain that affects daily activities.

Muscles Involved:
Key muscles involved include the erector spinae (a group of muscles that run along the spine), latissimus dorsi (largest muscle in the back), quadratus lumborum (deep muscle in the lower back that stabilizes the pelvis), trapezius, and rhomboids (muscles of the upper back that support shoulder movements).

RMT Treatment:
RMT treats back pain using a combination of techniques such as deep tissue massage to reduce chronic tension, myofascial release to target muscle adhesions (knots), and trigger point therapy to relieve referred pain. RMT can also include muscle energy techniques to stretch tight muscles and improve alignment, and swedish massage for overall relaxation and pain relief. Chronic cases might also benefit from postural assessment and correction strategies.

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Neck Pain and Tension

What is it?
Neck pain often stems from poor posture, muscle strain, or injury such as whiplash from car accidents. It can lead to stiffness, limited range of motion, and headaches. Chronic conditions such as cervical spondylosis (wear and tear of the cervical spine) can also be a factor.

Muscles Involved:
The primary muscles include the sternocleidomastoid (SCM), upper trapezius, levator scapulae, and suboccipital muscles. These muscles are responsible for supporting the head, neck, and upper shoulders, and can become strained from repetitive use or poor posture.

RMT Treatment:
Massage therapy can address muscle tightness and trigger points in the neck and upper shoulders. Techniques such as myofascial release and gentle neck mobilizations are used to restore range of motion. Trigger point therapy is especially helpful for tension headaches linked to neck issues. RMT also focuses on posture correction, including stretching tight muscles and strengthening weak ones to prevent further strain.

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Shoulder Pain (e.g., Frozen Shoulder)

What is it?
Frozen shoulder, or adhesive capsulitis, is characterized by stiffness and pain in the shoulder joint, which restricts movement. It often develops after an injury or surgery and can take months to years to fully resolve.

Muscles Involved:
Muscles affecting shoulder mobility include the deltoid, rotator cuff muscles (supraspinatus, infraspinatus, teres minor, and subscapularis), and pectoralis minor. Tightness in these muscles can restrict shoulder mobility.

RMT Treatment:
RMT for frozen shoulder focuses on improving mobility and relieving pain. Techniques include deep tissue massage to reduce tightness in the surrounding muscles, joint mobilizations to improve range of motion, and passive stretching to gently increase movement. Myofascial techniques are also applied to the muscles surrounding the joint capsule to break up adhesions.

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Sciatica

What is it?
Sciatica is pain that radiates along the path of the sciatic nerve, which runs from the lower back through the hips, buttocks, and down each leg. It is often caused by a herniated disk or bone spur compressing the nerve, leading to radiating pain, numbness, or weakness.

Muscles Involved:
Key muscles affecting sciatica include the piriformis (can irritate the sciatic nerve if tight), gluteal muscles, hamstrings, and lower back muscles such as the erector spinae.

RMT Treatment:
Massage therapy for sciatica involves reducing pressure on the sciatic nerve through deep tissue massage and trigger point therapy, particularly on the piriformis muscle. Stretching techniques for the glutes and hamstrings can improve flexibility, while nerve mobilization techniques help relieve tension along the sciatic nerve pathway. RMT also addresses lumbar tension to reduce compression on the nerve.

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Carpal Tunnel Syndrome

What is it?
Carpal tunnel syndrome occurs when the median nerve is compressed as it travels through the carpal tunnel in the wrist, causing numbness, tingling, and weakness in the hand and fingers. It often arises from repetitive hand movements or prolonged wrist flexion.

Muscles Involved:
Muscles and structures involved include the flexor muscles of the forearm (e.g., flexor carpi radialis, palmaris longus), pronator teres, and the thenar muscles of the hand.

RMT Treatment:
Massage therapy focuses on relieving tension in the muscles of the forearm and hand that contribute to carpal tunnel symptoms. Techniques like myofascial release and cross-fiber friction can help release soft tissue restrictions, while nerve gliding exercises are often incorporated to improve nerve function. RMT also works on ergonomics education and stretching to prevent reoccurrence.

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Joint and Muscle Pain

What is it?
General joint and muscle pain, or myalgia, can result from overuse, injury, inflammation (such as with arthritis), or conditions like myofascial pain syndrome. It can manifest as localized or widespread pain, affecting the ability to move and function.

Muscles Involved:
The involved muscles vary depending on the area, but common groups include the quadriceps, hamstrings, gluteals, trapezius, and rhomboids.

RMT Treatment:
RMT uses a variety of techniques to treat joint and muscle pain, including deep tissue massage for chronic tension, trigger point therapy to alleviate referred pain, and swedish massage for relaxation and improved circulation. Techniques like joint mobilization are also applied to reduce stiffness and improve function.

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Postural and Alignment Issues

Treatable conditions with RMT

Forward Head Posture

What is it?
Forward head posture occurs when the head juts forward in relation to the spine, often due to prolonged sitting or poor ergonomics. This misalignment can cause strain in the neck, upper back, and shoulders.

Muscles Involved:

Involved muscles include the sternocleidomastoid (SCM), upper trapezius, levator scapulae, and suboccipital muscles. These muscles become overworked in trying to support the misaligned head.

RMT Treatment:
RMT focuses on releasing tight neck and shoulder muscles, specifically using myofascial release and trigger point therapy on the SCM, trapezius, and suboccipitals. Postural education and corrective exercises are often included to strengthen weak muscles such as the rhomboids and deep neck flexors, which help realign the head.

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Kyphosis and Lordosis

What is it?
Kyphosis is an exaggerated forward curvature of the thoracic spine, while lordosis refers to an exaggerated inward curvature of the lumbar spine. Both conditions can result from poor posture, muscle imbalances, or spinal deformities, leading to discomfort and mobility issues.

Muscles Involved:
For kyphosis, muscles like the pectoralis major/minor and rectus abdominis may become tight, while the rhomboids and erector spinae weaken. In lordosis, the hip flexors (e.g., iliopsoas, rectus femoris) become tight, and the gluteals and abdominal muscles weaken.

RMT Treatment:
Massage therapy addresses these postural imbalances by releasing tight muscles through myofascial release and deep tissue massage while strengthening weaker muscles with targeted exercises. Postural education is also essential to prevent worsening of these conditions.

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Scoliosis

What is it?
Scoliosis is a lateral curvature of the spine that can occur during growth spurts in adolescence or from neuromuscular conditions. It can result in asymmetry in the shoulders or hips, pain, and compromised lung or heart function in severe cases.

Muscles Involved:
Muscle imbalances occur around the spine, with some muscles (e.g., erector spinae and latissimus dorsi) becoming shortened and tight on one side and overstretched on the other. Paraspinal muscles and intercostal muscles may also be affected.

RMT Treatment:
Massage therapy for scoliosis aims to alleviate muscle tension on the concave side of the spine and strengthen weak muscles on the convex side. Techniques such as deep tissue massage, myofascial release, and trigger point therapy are used, along with stretching and strengthening exercises to improve posture and reduce discomfort.

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Pelvic Misalignment

What is it?
Pelvic misalignment occurs when the pelvis is uneven, often due to leg length discrepancies, poor posture, or muscle imbalances. It can lead to pain in the lower back, hips, and legs, and may contribute to conditions like sciatica or SI joint dysfunction.

Muscles Involved:

Key muscles include the quadratus lumborum, gluteus medius, piriformis, iliopsoas, and hamstrings. Imbalances in these muscles can pull the pelvis out of alignment.

RMT Treatment:
RMT focuses on releasing tight muscles in the lower back and hips, particularly using deep tissue massage, myofascial release, and muscle energy techniques to improve alignment. Pelvic stabilization exercises are also recommended to strengthen weak muscles and correct imbalances.

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Injury Recovery and Rehabilitation

Treatable conditions with RMT

Sports Injuries

What is it?
Sports injuries can range from acute injuries (sprains, strains, and fractures) to chronic conditions like tendinitis or overuse syndromes. These injuries often affect the muscles, tendons, and ligaments.

Muscles Involved:
Depending on the sport and injury, commonly involved muscles include the hamstrings, quadriceps, calf muscles, rotator cuff muscles, and forearm muscles.

RMT Treatment:
RMT helps with sports injuries by reducing muscle tension, swelling, and scar tissue formation. Techniques like cross-fiber friction help realign injured tissue, while swedish massage improves circulation and promotes healing. Stretching and strengthening exercises may be incorporated into the treatment plan to facilitate recovery and prevent future injuries.

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Post-Surgical Rehabilitation

What is it?
After surgery, scar tissue formation, muscle atrophy, and stiffness can lead to decreased mobility and discomfort. Common surgeries requiring rehabilitation include knee and hip replacements, spinal surgery, and shoulder repair.

Muscles Involved:
Muscle groups vary based on the surgery but often include muscles surrounding the surgical site, such as the quadriceps and hamstrings in knee surgeries or the rotator cuff in shoulder surgeries.RMT

Treatment:

RMT in post-surgical rehabilitation involves scar tissue release, lymphatic drainage to reduce swelling, and gentle joint mobilization to restore range of motion. As healing progresses, deep tissue techniques and stretching are introduced to improve flexibility and strength.

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Whiplash and Motor Vehicle Accident Injuries

What is it?
Whiplash occurs when the neck is rapidly flexed and extended, often due to motor vehicle accidents. It can cause pain, stiffness, headaches, and reduced mobility.

Muscles Involved:
Commonly affected muscles include the sternocleidomastoid, trapezius, levator scapulae, and suboccipital muscles. Ligaments and fascia around the cervical spine may also be damaged.

RMT Treatment:
RMT focuses on reducing muscle tension and restoring mobility in the neck and shoulders. Gentle mobilizations, myofascial release, and trigger point therapy help address pain and stiffness. Gradual stretching and strengthening exercises are incorporated to restore function.

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Soft Tissue Injuries (e.g., Sprains, Strains)

What is it?
Sprains involve ligament injuries, while strains affect muscles or tendons. Both are common injuries resulting from overstretching or trauma.

Muscles Involved:
Depending on the location, muscles like the hamstrings, quadriceps, calves, and shoulder muscles can be involved in strains, while ligaments in the ankles, knees, and wrists are common sites of sprains.

RMT Treatment:
Massage therapy for sprains and strains focuses on reducing inflammation and promoting healing. Lymphatic drainage helps with swelling, while cross-fiber friction aids in scar tissue remodeling. As the injury heals, mobilization and stretching help restore range of motion.

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Chronic Pain Conditions

Treatable conditions with RMT

Fibromyalgia

What is it?
Fibromyalgia is a chronic condition characterized by widespread pain in the muscles and soft tissues, along with symptoms like fatigue, sleep disturbances, and cognitive difficulties (often called "fibro fog"). It’s believed to be related to how the brain processes pain signals, amplifying sensations.

Muscles Involved:
While fibromyalgia doesn’t specifically damage muscles, it can cause widespread pain and tenderness, particularly in areas such as the trapezius, rhomboids, quadriceps, hamstrings, gluteal muscles, and the erector spinae.

RMT Treatment:
Massage therapy for fibromyalgia is aimed at reducing pain, improving sleep, and decreasing stress. Gentle techniques such as swedish massage and myofascial release are often used to avoid overstimulating the nervous system. The goal is to promote relaxation, increase blood flow to painful areas, and gently stretch and mobilize soft tissues to reduce stiffness.

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Chronic Fatigue Syndrome

What is it?
Chronic Fatigue Syndrome (CFS), or myalgic encephalomyelitis (ME), is a complex disorder characterized by extreme fatigue that isn’t improved by rest and worsens with physical or mental exertion. It often involves muscle pain, joint pain, headaches, and difficulty concentrating.

Muscles Involved:
Muscle pain is widespread in CFS, affecting major muscle groups such as the back muscles, neck muscles, shoulders, legs, and arms. General muscular weakness may also develop due to inactivity caused by fatigue.

RMT Treatment:
Massage therapy for CFS focuses on gentle, restorative techniques to help relieve muscle tension and promote relaxation without causing fatigue. Swedish massage and light myofascial release techniques are used to address muscle pain and tightness while boosting circulation. RMT can also help to reduce the stress and anxiety often associated with CFS.

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Myofascial Pain Syndrome

What is it?
Myofascial pain syndrome (MPS) is a chronic condition where trigger points in the fascia (connective tissue) cause referred pain in other parts of the body. It can result from overuse or injury to muscles, leading to the development of painful knots or bands in the muscle fibers.

Muscles Involved:
Any muscle can develop myofascial trigger points, but common sites include the upper back and shoulder muscles (trapezius, levator scapulae, rhomboids), neck muscles, gluteal muscles, and thigh muscles.

RMT Treatment:
RMT is particularly effective for treating myofascial pain by targeting trigger points through trigger point therapy, which involves applying sustained pressure to the knots. Deep tissue massage, myofascial release, and stretching are also used to relieve tension and break up adhesions in the fascia, improving range of motion and reducing pain.

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Arthritis (Osteoarthritis, Rheumatoid Arthritis)

What is it?
Arthritis is the inflammation of joints, leading to pain, stiffness, and decreased mobility. Osteoarthritis is a degenerative condition where the cartilage between joints wears down over time, while rheumatoid arthritis is an autoimmune disorder where the immune system attacks the joints.

Muscles Involved:
Although arthritis primarily affects the joints, muscles surrounding the affected joints (such as quadriceps around the knee, deltoids and rotator cuff muscles around the shoulder, and forearm muscles around the wrist) may become weak or tight due to lack of movement or compensatory postures.

RMT Treatment:
Massage therapy can help alleviate arthritis pain by improving circulation, reducing inflammation, and increasing joint mobility. Gentle mobilizations, swedish massage, and myofascial release are used to reduce stiffness and relieve muscle tension around affected joints. For rheumatoid arthritis, RMT sessions are typically scheduled during remission periods to avoid exacerbating inflammation.

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Headaches and Migraines

Treatable conditions with RMT

Tension Headaches

What is it?
Tension headaches are the most common type of headache, characterized by a dull, aching sensation around the head. They are often caused by muscle tension in the neck, shoulders, and scalp, commonly triggered by stress, poor posture, or repetitive strain.

Muscles Involved:
The primary muscles involved include the trapezius, sternocleidomastoid (SCM), suboccipital muscles, and temporalis muscles. These muscles can become tight or develop trigger points, contributing to headache pain.

RMT Treatment:
RMT helps relieve tension headaches by addressing the tight muscles in the neck, shoulders, and scalp. Trigger point therapy, myofascial release, and deep tissue massage focus on the SCM, suboccipitals, and trapezius to alleviate muscle tension and reduce referred pain. Regular treatments can also help prevent headaches by maintaining muscle flexibility and reducing stress.

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Cervicogenic Headaches

What is it?
Cervicogenic headaches are headaches caused by dysfunction in the cervical spine (neck) or surrounding muscles. These headaches are often felt in the back of the head and neck and can radiate to the front, mimicking migraines.

Muscles Involved:
The suboccipital muscles, levator scapulae, trapezius, and sternocleidomastoid are commonly implicated in cervicogenic headaches due to tension and tightness.

RMT Treatment:
RMT focuses on relieving the tight muscles in the neck and upper back through techniques like trigger point therapy, deep tissue massage, and gentle joint mobilizations to improve the function of the cervical spine. Postural correction and stretching exercises can help to prevent the recurrence of cervicogenic headaches.

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Migraine Relief

What is it?
Migraines are severe headaches often accompanied by nausea, sensitivity to light and sound, and visual disturbances. They are thought to be caused by changes in brain activity, blood flow, and the release of pain-causing chemicals.

Muscles Involved:
While migraines primarily involve neurological and vascular changes, muscle tension in the neck, scalp, and shoulders can exacerbate symptoms or contribute to migraine triggers.

RMT Treatment:
Massage therapy for migraines focuses on reducing muscle tension and stress, both of which are known migraine triggers. Myofascial release, scalp massage, and trigger point therapy in the neck and shoulders can help alleviate tension and reduce the frequency and intensity of migraines. Regular treatments may also help with migraine prevention.

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Circulatory and Lymphatic Conditions

Treatable conditions with RMT

Edema

What is it?
Edema is the abnormal buildup of fluid in tissues, often occurring in the extremities such as the ankles, feet, or hands. It can result from poor circulation, pregnancy, injury, or conditions like heart failure or kidney disease.

Muscles Involved:
Although edema primarily affects the soft tissues, muscles in the affected area (such as the calf muscles for leg edema) may become weak or stiff due to restricted movement.

RMT Treatment:
RMT helps alleviate edema by using lymphatic drainage massage, which stimulates the lymphatic system to move excess fluid out of the tissues. This technique is very gentle and involves light pressure to encourage lymphatic flow, helping reduce swelling and discomfort.

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Poor Circulation

What is it?
Poor circulation occurs when blood flow to certain parts of the body is reduced, often due to conditions like atherosclerosis, diabetes, or peripheral artery disease. Symptoms include cold extremities, numbness, and tingling.

Muscles Involved:
Muscles in the legs and arms are often affected, particularly the calf muscles, quadriceps, and gluteals, which may become stiff or weak due to poor blood flow.

RMT Treatment:
Massage therapy for poor circulation uses techniques like effleurage (a gliding stroke) to increase blood flow to the extremities. Swedish massage and manual lymphatic drainage are also effective in improving circulation, reducing fluid buildup, and promoting the delivery of oxygen and nutrients to tissues.

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Lymphedema

What is it?
Lymphedema is a condition in which the lymphatic system is unable to drain lymph fluid properly, causing swelling, often in the arms or legs. It commonly occurs after lymph node removal (as in breast cancer surgery) or damage.

Muscles Involved:
Lymphedema typically affects the soft tissues rather than muscles directly, but muscles in the affected limb (such as the biceps and triceps in arm lymphedema) may become weak due to restricted movement and swelling.

RMT Treatment:
RMT for lymphedema involves manual lymphatic drainage (MLD), a gentle technique that encourages the movement of lymph fluid out of swollen areas. This helps reduce swelling and improve mobility in the affected limbs. Compression bandaging and gentle range of motion exercises may also be recommended to support recovery.

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Stress-Related Conditions

Treatable conditions with RMT

Anxiety and Stress Relief

What is it?
Anxiety and stress are mental health conditions that manifest with both psychological and physical symptoms, including muscle tension, headaches, fatigue, and disturbed sleep.

Muscles Involved:
Stress can cause tension in muscles such as the trapezius, neck muscles, lower back muscles, and facial muscles.

RMT Treatment:
Massage therapy helps alleviate anxiety and stress by promoting relaxation and reducing muscle tension. Swedish massage and deep tissue massage are commonly used to relieve tight muscles and improve circulation, while techniques like aromatherapy massage may enhance relaxation. The parasympathetic nervous system is activated, which helps lower cortisol levels and promote calmness.

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Insomnia and Sleep Disorders

What is it?
Insomnia is a sleep disorder characterized by difficulty falling asleep, staying asleep, or achieving restful sleep. It can be caused by stress, anxiety, or underlying health conditions.

Muscles Involved:
Although insomnia primarily affects the nervous system, muscle tension (especially in the neck, shoulders, and lower back) can worsen sleep disturbances.

RMT Treatment:

RMT can improve sleep by reducing muscle tension, promoting relaxation, and calming the nervous system. Techniques like swedish massage, scalp massage, and aromatherapy massage can help reduce stress and create an environment conducive to better sleep. Massage also helps the body enter a state of relaxation, which can promote deeper and more restorative sleep cycles.

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Pregnancy and Postpartum Care

Treatable conditions with RMT

Prenatal Massage Benefits

What is it?
Prenatal massage is designed to alleviate the common physical discomforts experienced during pregnancy, such as lower back pain, hip pain, and leg swelling. It is tailored to the needs of the expectant mother and focuses on improving circulation, reducing muscle tension, and promoting relaxation.

Muscles Involved:
Common areas of discomfort include the lower back muscles (e.g., quadratus lumborum, erector spinae), hip muscles (e.g., gluteus medius, piriformis), and leg muscles (e.g., quadriceps, hamstrings).

RMT Treatment:
Massage therapy during pregnancy focuses on relieving muscle tension, particularly in the lower back and hips. Swedish massage, gentle myofascial release, and lymphatic drainage are used to reduce swelling and discomfort. Side-lying positioning is often used for comfort and safety during prenatal massage.

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Postnatal Recovery

What is it?
Postnatal massage supports the recovery process after childbirth, addressing muscle strain from pregnancy and labor. It helps improve circulation, reduce swelling, and ease muscle tension, especially in areas like the back, neck, and shoulders.

Muscles Involved:
Commonly affected muscles include the abdominal muscles (which may have been stretched during pregnancy), lower back muscles, neck muscles, and pelvic floor muscles.

RMT Treatment:
Massage therapy for postnatal recovery focuses on restoring muscle tone and relieving pain in the lower back, neck, and shoulders. Myofascial release, swedish massage, and gentle deep tissue massage help address muscle tightness and encourage relaxation. Special attention is also given to restoring strength in the abdominal muscles and relieving postural imbalances that may develop from caring for a newborn.

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Nervous System Disorders

Treatable conditions with RMT

Peripheral Neuropathy

What is it?
Peripheral neuropathy refers to damage to the peripheral nerves, causing symptoms like numbness, tingling, weakness, and pain in the extremities (often the hands and feet). It can result from conditions like diabetes, chemotherapy, or trauma.

Muscles Involved:
While neuropathy primarily affects the nerves, muscles in the affected limbs (such as the hands, feet, calves, and forearms) may become weak or lose function due to impaired nerve signals.

RMT Treatment:
Massage therapy for peripheral neuropathy focuses on improving circulation and reducing discomfort in the affected limbs. Gentle massage and myofascial release are used to improve blood flow and promote relaxation. RMT may also include light stretching and nerve mobilization techniques to help maintain flexibility and mobility in the affected areas.

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Multiple Sclerosis (MS) Symptom Relief

What is it?
Multiple sclerosis (MS) is a chronic autoimmune disease that affects the central nervous system, leading to symptoms such as muscle weakness, spasticity, pain, and balance issues. It can cause periods of flare-ups followed by remission.

Muscles Involved:
MS affects muscle groups throughout the body, particularly the legs, arms, back, and neck, leading to muscle spasms, weakness, and impaired coordination.

RMT Treatment:
Massage therapy for MS is focused on relieving muscle tension and spasms while promoting relaxation. Swedish massage, gentle deep tissue techniques, and passive stretching are used to ease muscle stiffness and improve circulation. RMT also helps reduce stress, which can exacerbate MS symptoms. During flare-ups, massage should be gentle and adapted to the client’s tolerance levels.

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Digestive and Respiratory Conditions

Treatable conditions with RMT

Irritable Bowel Syndrome (IBS)

What is it?
IBS is a common gastrointestinal disorder characterized by abdominal pain, bloating, constipation, and diarrhea. The exact cause is unknown, but it is thought to involve a combination of gut sensitivity, motility issues, and stress.

Muscles Involved:
While IBS primarily affects the intestines, abdominal muscles and diaphragm can become tense due to the discomfort caused by the condition. Muscles in the lower back may also be affected due to compensatory postures.

RMT Treatment:
Massage therapy can help alleviate IBS symptoms by reducing stress and promoting relaxation. Abdominal massage may be used to stimulate digestion and relieve bloating, while diaphragmatic breathing techniques can help ease tension in the abdomen. Swedish massage and gentle myofascial release are used to address tension in the lower back and other areas affected by IBS-related discomfort.

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Constipation

What is it?
Constipation is a condition characterized by infrequent or difficult bowel movements. It can be caused by poor diet, dehydration, lack of physical activity, or conditions like IBS.

Muscles Involved:
The abdominal muscles and pelvic floor muscles may become tense or weak in cases of chronic constipation. Diaphragm function may also be affected, impacting the ability to push during bowel movements.

RMT Treatment:
RMT for constipation focuses on stimulating the digestive system and relieving tension in the abdominal muscles. Abdominal massage is used to promote peristalsis (the movement of the intestines), while diaphragmatic breathing techniques help to engage the abdominal muscles and improve bowel movements. Relaxation techniques are also incorporated to reduce stress, which can contribute to constipation.

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Asthma and Bronchitis Relief

What is it?
Asthma is a chronic respiratory condition characterized by airway inflammation, leading to difficulty breathing, wheezing, and coughing. Bronchitis is the inflammation of the bronchial tubes, causing coughing, mucus production, and chest discomfort.

Muscles Involved:
Muscles of the respiratory system, including the diaphragm, intercostal muscles, and scalenes, may become overworked or tense during episodes of asthma or bronchitis. Tightness in the pectoralis major and upper back muscles may also develop due to labored breathing.

RMT Treatment:
Massage therapy for asthma and bronchitis focuses on improving breathing and relieving tension in the muscles associated with respiration. Diaphragmatic massage and chest wall mobilization help to relax the muscles involved in breathing. Swedish massage and myofascial release can also alleviate tension in the upper back, shoulders, and chest, promoting easier breathing. Trigger point therapy may help reduce tension in the accessory muscles of breathing, such as the scalenes and pectoralis major.

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