Experts estimate that upwards of ninety percent of disease is stress-related. And perhaps nothing ages us faster, internally and externally, than high stress. Massage is an effective tool for managing this stress, which translates into:
Decreased anxiety.
Enhanced sleep quality.
Greater energy.
Improved concentration.
Increased circulation.
Reduced fatigue.
Massage can also help specifically address a number of health issues. Bodywork can:
Alleviate low-back pain and improve range of motion.
Assist with shorter, easier labor for expectant mothers and shorten maternity hospital stays.
Ease medication dependence.
Enhance immunity by stimulating lymph flow—the body’s natural defense system.
Exercise and stretch weak, tight, or atrophied muscles.
Help athletes of any level prepare for, and recover from, strenuous workouts.
Improve the condition of the body’s largest organ—the skin.
Increase joint flexibility.
Lessen depression and anxiety.
Promote tissue regeneration, reducing scar tissue and stretch marks.
Pump oxygen and nutrients into tissues and vital organs, improving circulation.
Reduce postsurgery adhesions and swelling.
Reduce spasms and cramping.
Relax and soften injured, tired, and overused muscles.
Release endorphins—amino acids that work as the body’s natural painkiller.
Relieve migraine pain.
The information provided is for general wellness and educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. If you have a medical condition, injury, or chronic pain, consult a healthcare professional before beginning any new stretching routine.
Where will my massage or bodywork session take place? Your massage or bodywork session will take place in a warm, comfortable, quiet room. Soft music may be played to help you relax. You will lie on a table especially designed for your comfort.
Must I be completely undressed? Most massage and bodywork techniques are traditionally performed with the client unclothed; however, it is entirely up to you what you want to wear. You should undress to your level of comfort. You will be properly draped during the entire session.
Will the practitioner be present when I disrobe? The practitioner will leave the room while you undress, relax onto the table, and cover yourself with a clean sheet or towel.
Will I be covered during the session? You will be properly draped at all times to keep you warm and comfortable. Only the area being worked on will be exposed.
What parts of my body will be massaged? A typical full-body session will include work on your back, arms, legs, feet, hands, head, neck, and shoulders.
What will the massage or bodywork feel like? A relaxing Swedish massage is often a baseline for clients. In a general Swedish massage, your session may start with broad, flowing strokes that will help calm your nervous system and relax exterior muscle tension. As your body becomes relaxed, pressure will gradually be increased to relax specific areas and relieve areas of muscular tension. Often, a light oil or lotion is used to allow your muscles to be massaged without causing excessive friction to the skin. The oil also helps hydrate your skin. You should communicate immediately if you feel any discomfort so that another approach may be taken. Massage and bodywork are most effective when your body is not resisting.
Are there different kinds of massage and bodywork? There are numerous types of massage and bodywork; various techniques utilize different strokes, including basic rubbing strokes, rocking movement, posture and movement re-education, application of pressure to specific points, and more. We can discuss which methods may be most appropriate for you.
What should I do during the massage or bodywork session? Prior to the massage, feel free to ask the practitioner any questions about the technique or the upcoming session. During the massage, make yourself comfortable. The practitioner will either gently move you or tell you what is needed throughout the session (such as lifting your arm). Many people just close their eyes and completely relax, communicating if/when they need more or less pressure, another blanket, or anything else relevant to the session. If you have any questions regarding the session or about the particular technique you are receiving, feel free to ask.
How will I feel after the massage or bodywork session? Most people feel very relaxed. Some experience freedom from long-term aches and pains developed from tension or repetitive activity. After an initial period of feeling slowed down, people often experience increased energy, heightened awareness, and greater productivity which can last for days.
What are the benefits of massage and bodywork? Massage and bodywork can help release chronic muscular tension and pain, improve circulation, increase joint flexibility, reduce mental and physical fatigue and stress, promote faster healing of injured muscular tissue, improve posture, and reduce blood pressure. Massage and bodywork is also known to promote better sleep, improve concentration, reduce anxiety and create an overall sense of well-being.
Are there any medical conditions that would make massage or bodywork inadvisable? Yes. That’s why it’s imperative that, before you begin your session, the practitioner asks general health questions. It is very important that you inform the practitioner of any health problems or medications you are taking. If you are under a doctor’s care, it is strongly advised that you receive a written recommendation for massage or bodywork prior to any session. Depending on the condition, approval from your doctor may be required.
Important Notice: Post-Facial and Cosmetic Procedure Massage Guidelines
To ensure your safety and protect the results of any cosmetic treatments, please inform your therapist if you’ve recently received any of the following:
Botox or dermal fillers – Please wait at least 7–10 days before receiving facial massage or any massage that involves lying face down.
Cryo Shaping or body contouring treatments – We recommend waiting 5–7 days, or until all tenderness and sensitivity have resolved.
Facials involving peels, microdermabrasion, or extractions – Please allow 2–3 days before receiving a massage, especially if it involves the face or lymphatic drainage.
These waiting periods help avoid unwanted side effects and ensure your comfort during treatment. Always let your therapist know about recent procedures so we can customize your session accordingly. Your wellbeing is our priority!
The information provided is for general wellness and educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. If you have a medical condition, injury, or chronic pain, consult a healthcare professional before beginning any new stretching routine.
Ehlers-Danlos Syndrome (EDS) refers to a group of connective tissue disorders caused by defects in collagen. People with EDS often experience joint hypermobility, fragile skin, and hyperelasticity, along with several comorbidities that can make day-to-day living difficult. While there is no cure, massage therapy can play an integral role in managing symptoms and improving quality of life.
In this article, we will explore the comorbidities associated with EDS, how massage can benefit those living with the condition, which massage modalities work best, and which might be contraindicated for individuals with EDS.
Understanding Ehlers-Danlos Syndrome
EDS is a genetic condition that affects the connective tissues in the body. It is often associated with:
– Joint hypermobility
– Chronic pain
– Muscle weakness
– Fragile skin
– Frequent bruising
– Poor wound healing
There are several subtypes of EDS, the most common being Hypermobile EDS (hEDS), while others include Classical EDS (cEDS) and Vascular EDS (vEDS). Each subtype has specific manifestations and severities, but the overarching issue relates to faulty collagen production.
Comorbidities Associated with EDS
EDS patients often suffer from comorbidities that complicate their condition, which must be considered when approaching massage therapy. Some of the most common include:
1. Chronic Pain
– Individuals with EDS commonly experience chronic joint and muscle pain. Pain may result from frequent joint dislocations, subluxations, or muscle overcompensation for weakened connective tissue.
– A common comorbidity, especially in hEDS patients, POTS involves difficulty regulating blood pressure and heart rate, leading to dizziness, fainting, and fatigue.
3. Gastrointestinal Issues
– Gastrointestinal dysmotility, irritable bowel syndrome (IBS), and gastroesophageal reflux disease (GERD) are often reported by those with EDS.
4. Anxiety and Depression
– Mental health challenges are prevalent due to chronic pain, fatigue, and the limitations imposed by the condition. Anxiety and depression may further complicate treatment.
5. Temporomandibular Joint Disorder (TMJ)
– TMJ dysfunction is a common comorbidity in EDS patients, causing pain in the jaw, neck, and head due to hypermobile joints in the jaw.
6. Vascular Fragility
– In patients with vascular EDS, there is a significant risk of arterial and organ rupture due to weakened blood vessels. This is the most severe form of the condition and must be carefully considered in any manual therapy treatment plan.
EDS: Lifelong, Chronic, and Often Debilitating
• Daily Pain & Disability: Constant joint pain, dislocations, and instability can make daily life difficult. Some people need braces, wheelchairs, or mobility aids.
• No Cure & Limited Treatment: There are no medications to stop EDS from progressing. Management focuses on physical therapy, pain control, and lifestyle adaptations.
• Vascular EDS (vEDS) Can Be Life-Threatening: The rare vascular type (vEDS) can lead to artery rupture, organ tears, and sudden death, making it the most dangerous form.
• Fatigue & Comorbidities: Many with EDS also have dysautonomia (POTS), mast cell activation syndrome (MCAS), and gastrointestinal issues, making life more complex.
The Role of Massage in Managing EDS Symptoms
Massage therapy, when applied correctly, can offer significant relief for those with EDS by:
However, the structural fragility inherent in EDS requires special considerations to ensure that the benefits of massage are maximized without risking further injury.
Best Massage Modalities for EDS
1. Myofascial Release
– Myofascial release is gentle and focuses on releasing tension in the fascia, which is often tight in EDS patients. This modality helps alleviate chronic pain by addressing muscle imbalances and fascia restrictions without exerting excessive force on the joints.
2. Craniosacral Therapy
– This light-touch therapy is beneficial for EDS patients as it targets the central nervous system, which can be affected by POTS and dysautonomia. Craniosacral therapy helps in balancing cerebrospinal fluid, improving relaxation, and reducing symptoms of stress, which can exacerbate pain and fatigue.
3. Lymphatic Drainage
– Individuals with EDS often experience poor lymphatic circulation, leading to swelling and fluid retention. Manual lymphatic drainage is a light, rhythmic massage technique that encourages the movement of lymph fluids, helping reduce swelling and improve immune function.
4. Swedish Massage (with Modifications)
– Swedish massage can be an effective method for stress relief and pain management, especially with gentle pressure. Modifications may be needed, such as avoiding deep strokes or overstretching hypermobile joints. Long, gliding strokes can help improve circulation and provide relaxation without straining the fragile connective tissues.
5. Trigger Point Therapy (with Caution)
– Trigger points, or knots, are common in EDS patients due to muscle overuse from joint instability. Trigger point therapy can relieve muscle tension and pain, but therapists should avoid applying too much pressure as EDS patients are prone to bruising and tissue damage.
Contraindicated Modalities for EDS Patients
While some massage techniques are helpful for EDS, others may be contraindicated due to the fragility of the connective tissue and other associated comorbidities.
1. Deep Tissue Massage
– Deep tissue work involves applying firm pressure to muscles and connective tissues. This can be dangerous for individuals with EDS, particularly those with vascular fragility or hypermobile joints, as it can lead to tissue damage, bruising, or dislocations.
2. Sports Massage
– Sports massage often involves vigorous techniques aimed at improving athletic performance and recovery. For EDS patients, this level of pressure and stretching could easily cause joint dislocations or muscle strain.
3. High-Velocity Joint Manipulations
– Any form of rapid joint manipulation, such as those used in chiropractic adjustments, is contraindicated for EDS patients. The high velocity and force involved can exacerbate joint instability, leading to increased pain or injury.
4. Rolfing/Structural Integration
– Rolfing is an intense form of bodywork that focuses on deep manipulation of the body’s connective tissues to improve posture and alignment. This modality is contraindicated in EDS due to the risk of tearing or damaging fragile tissues.
Key Considerations for Massage Therapists Working with EDSClients
When working with clients who have EDS, massage therapists should keep several important factors in mind:
1. Communication is Critical
– Open communication with the client about their comfort level is vital. Because every EDS case presents differently, the client should guide the therapist in terms of pressure and technique. Therapists should always err on the side of caution and use lighter touch.
2. Avoid Overstretching
– EDS patients are already hypermobile, and excessive stretching can lead to joint dislocations or tissue damage. Massage therapists should focus on stabilizing the muscles around joints rather than increasing flexibility.
3. Modifications Based on Comorbidities
– Therapists should be aware of comorbidities such as POTS or dysautonomia. Clients with POTS may need to avoid prolonged periods in a prone or supine position due to blood pressure issues. In these cases, the client should be encouraged to sit up or take breaks as needed.
4. Work with Other Healthcare Providers
– Massage therapists should consider working alongside other healthcare professionals, such as physical therapists, acupuncturists, or rheumatologists, to create a well-rounded treatment plan. Clients with EDS may benefit from a multi-disciplinary approach to care.
Case Study: Massage for an EDS Patient
As both a massage therapist and someone diagnosed with Ehlers-Danlos Syndrome (EDS) after entering the profession, I can personally attest to the benefits of various massage modalities for our population. Having undergone treatments such as myofascial release, craniosacral therapy, lymphatic drainage, and modified Swedish massage, I understand firsthand which techniques provide the most relief without causing harm to fragile connective tissues.
One of my clients, diagnosed with hypermobile EDS (hEDS), experienced chronic pain and muscle tension due to joint instability. In our sessions, I applied a combination of myofascial release and lymphatic drainage to address muscle imbalances and reduce swelling. These gentle therapies were effective in relieving pain without exacerbating hypermobility or risking tissue damage. Craniosacral therapy also proved invaluable in calming the nervous system, alleviating the stress and tension that often accompany chronic pain.
As someone living with EDS, I can confidently recommend these modalities for individuals with the condition. My personal and professional experiences allow me to guide other therapists in creating safe and effective treatment plans for EDS patients. I am also an approved massage provider for Ehlers Danlos.
Conclusion
Massage therapy can be an effective tool for managing the complex symptoms of Ehlers-Danlos Syndrome. However, due to the fragility of the connective tissue, certain precautions must be taken, and specific modalities are better suited for EDS patients. Gentle therapies like myofascial release, craniosacral therapy, and lymphatic drainage can provide much-needed relief without the risks associated with deeper techniques.
Understanding the client’s unique presentation of EDS and its comorbidities is essential for massage therapists to provide safe, effective care. Through tailored treatments, massage can help improve the quality of life for those living with this challenging condition.
The information provided is for general wellness and educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. If you have a medical condition, injury, or chronic pain, consult a healthcare professional before beginning any new stretching routine.
Purpose: This is the most common form of massage, designed to relax the entire body by rubbing the muscles in long, gliding strokes in the direction of blood returning to the heart.
Why You’d Be Interested: It helps increase the level of oxygen in the blood, improves circulation, reduces muscle toxins, and eases tension.
Sports Massage
Purpose: Designed to prevent and treat injuries, enhance performance, and improve recovery time for athletes.
Why You’d Be Interested: If you’re an athlete or lead an active lifestyle, this massage can help improve flexibility, reduce muscle tension, and boost overall performance.
Trigger Point Therapy
Purpose: Focuses on identifying and releasing trigger points (tight areas within muscle tissue) that cause pain in other parts of the body.
Why You’d Be Interested: Effective for managing pain and improving range of motion, especially for chronic pain conditions like fibromyalgia or tension headaches.
Oncology Massage
Purpose: Specifically adapted for individuals with cancer, focusing on gentle techniques that provide relief from symptoms, treatment side effects, and emotional stress.
Why You’d Be Interested: It offers a compassionate approach to help alleviate pain, fatigue, and anxiety associated with cancer treatments.
Lymphatic Drainage
Purpose: A gentle massage that encourages the movement of lymph fluids around the body, helping to remove waste and toxins from the tissues.
Why You’d Be Interested: Beneficial for reducing swelling, improving immune system function, and promoting overall health, particularly after surgery or injury.
Prenatal Massage
Purpose: Tailored to the needs of pregnant women, focusing on reducing pregnancy-related discomforts and enhancing overall well-being.
Why You’d Be Interested: It can relieve back pain, improve sleep, and reduce stress, making pregnancy more comfortable.
Tuina
Purpose: A traditional Chinese massage that works on the body’s energy points and channels to balance the flow of Qi (energy) and blood.
Why You’d Be Interested: It’s useful for treating musculoskeletal conditions, improving circulation, and balancing the body’s energy.
Jin Qi
Purpose: Focuses on restoring the flow of Qi in the body, similar to other Asian therapies, but with its unique methods and philosophies.
Why You’d Be Interested: Ideal for those looking for holistic healing, as it integrates physical, emotional, and spiritual well-being.
Reiki
Purpose: A form of energy healing that involves placing hands lightly on or just above the body to promote healing by helping balance the body’s energy.
Why You’d Be Interested: It’s a gentle, non-invasive therapy that supports relaxation, reduces stress, and promotes healing on all levels—physical, emotional, and spiritual.
Reflexology
Purpose: Based on the principle that specific points on the feet, hands, and ears correspond to different body organs and systems, and applying pressure can bring relief.
Why You’d Be Interested: It can improve circulation, reduce stress, and help balance the body’s natural energy pathways.
Cupping
Purpose: Uses suction from cups placed on the skin to promote blood flow, relieve muscle tension, and facilitate healing.
Why You’d Be Interested: It’s beneficial for relieving pain, inflammation, increasing blood flow, and providing a sense of relaxation.
Gua Sha
Purpose: Involves scraping the skin with a massage tool to improve circulation, release muscle tension, and promote healing.
Why You’d Be Interested: This technique can help with chronic pain, inflammation, and improving circulation, making it a good choice for those seeking relief from tight muscles and pain.
Each of these modalities offers unique benefits and can be tailored to meet specific therapeutic goals, depending on individual needs and preferences.
Tranquil Touch Wellness: Jennifer Richards, LMT 