Multiple Sclerosis is an autoimmune, inflammatory disease that leads to the degeneration of myelin sheath, and ultimately the nerve tissues in the central nervous system.
- MS is a progressive CNS disease that interferes with the brains ability to control functions such as walking, etc
Multiple Sclerosis Massage MS Massage
Multiple Sclerosis Massage Therapy Treatment Contraindications: Multiple Sclerosis Massage CI
- Techniques and Modalities that will fatigue patients are contraindicated.
- Painful techniques such as frictions and vigorous work will increase SNS Firing and also induces fatigue
- Heat applied over a large area will affect nerve conduction and may cause fatigue
- Deep techniques are contraindicated in areas with altered sensation.
- Local massage is contraindicated for decubitus ulcers.
(MS) Multiple Sclerosis Massage Therapy Treatment: Multiple Sclerosis Massage MS Massage
- most appropriate when in remission
- MS patients have poor tolerance for rapid changes in temperature; avoid hot and cold (warm and cool are better)
- watch for inaccurate sensations
- be conservative in numb areas
- Position for comfort
- MLD if necessary
- Passive ROM of joints
- Slow, prolonged stretch to contractures
- Kneading, stroking, shaking
- GTO , OI to spastic muscles
Multiple Sclerosis Massage MS Massage
Signs and Symptoms of Multiple Sclerosis: Multiple Sclerosis Massage MS Massage
- fatigue, weakness and spasm
- changes in sensation (paraesthesia, reduced sensation, numbness)
- loss of coordination, muscle stiffness, difficulty walking
- loss of cognitive function
- depression
- Lhermitte’s sign (electrical sensation when neck is in flexion)
- digestive disturbances , optic neuritis, sexual and urologic dysfunction
- benign MS (1 flare only)
- malignant MS (rapidly progressive)
- relapse and remission
MS Medical Treatment: Multiple Sclerosis Massage MS Massage
- symptomatic
- steroids, immune suppressants
- exercise, physical therapy for maintenance
