sore throat after massage

How to Use Hand Acupressure Massage to Cure Cold, Headache, Pain and Sore Throat | Black Belt ReviewPoisoned by Massage Beyond being D-toxizing, deep tissue massage can cause a toxic situation • November 8, 2020 SUMMARY ARTICLE Sometimes we feel a bit crude and pained after a massage, as if it were a great training. Brotherhood and postmass discomfort (PMSM) is embraced as a minor side effect and shakes by hand by almost everyone as a sort of thing without painting-no-gain. But it can be a lot harder. Massage is not "detoxizing" in any way (that is absurd pseudoscientific). Ironically, it may be the opposite: PMSM can be caused by mild rehhabdomiolysis, a type of poisoning. The real rhabdo is a medical emergency in which the kidneys are hooked by the myoglobin of the crushed muscle. But the tamer rhabdo can be caused by physical stress, even only an intense exercise (medical reality, see exertional or "white collar" rhabdo) ... and very possibly the "deep tissue" massage too, which is still just a hypothesis. But that hypothesis that is gathering more evidence as evidence accumulates. There are three good formal case studies now (, , ), and I have many informals as well: many people find this article and send me reports of signs/symptomas of post-mass rabid. The phenomenon of the PMSM needs to explain, and the rabid is surprisingly a good candidate. There is a lot of empirical plausibility and "smoke" to support the hypothesis. What if it's true? An important side effect, totally unstoppable with faith in the value of strong massage. Mild PMSM also has several possible non-rhabdo explanations, such as casual mild disease, pathological vulnerability and psychologically disarming our normal psychological defenses. (A Jarisch-Herxheimer reaction is not a plausible explanation.) And you can't "flush" the rhabdo (or anything else) away with massage or drinking some extra water. It turns out that it can be toxic, which is both interesting science and against popular beliefs about massage. People believe that massage is detoxifying, and that is not only true, but possibly the opposite of truth. Intense massages may be harming people, especially some vulnerable populations, people who do not even know they are vulnerable. Specifically, there is a strong scientific case that strong massage can damage the muscle, spilling proteins in the blood and obstructing the kidneys, a type of literal poisoning. Toxification, not detoxification! The idea of "toxins" is often exploited ethically in alternative medicine, usually to sell detoxification treatments. Toxin speakers should be specific when talking about toxins, or stop talking about toxins. I'm going to be specific, and there's no detoxifying solution for sale here. (And I'm probably sacrificing a small fortune. Pesky's ethics!) Before we talk about any toxin, however, we will establish that there is something that needs to explain... Is the massage toxic? Probably a little, yeah, technically. But it's also whisky. And hard work. You feel sick after the massage? It's common to feel disgusting after a massage. Symptoms similar to flu are surprisingly common. People often suffer from varying degrees of pain and discomfort after stronger massage therapy. In the massage industry, this phenomenon known as post-mass pain " malaise, or PMSM. The worst cases feel like a full-blood flu, except it doesn't last for almost that long. The severe PMSM is very unpleasant, and its cause is probably unpleasant. Most of this article is about the worst cases, which are much harder to explain than the smallest, but I dedicate a section below to explore the causes of mild cases as well. Stronger massage tends to cause more PMSM — although the effect is as unpredictable as time. It is often explained as a necessary evil, a "healing crisis" that we must endure to get to the benefits of the far side. No-pain-no-gain is the message (most unexpressed). The effect is often explained more specifically as the symptom of a healthy detoxification process with a happy result (more doubtful): unspecified toxins trapped in tired muscles, tightened free and decompose from the muscle, slightly poisoning us as they leave the body through kidneys and livers. There are many problems with that mental image, and they are discussed in detail in The washing model is false. The massage is not "free" any toxin that was there when the client entered the door. If anything, ironically, massage can be the creation of them — minor muscle injury by-products. That would mean that massage is actually a "toxifier" treatment, not a detoxifying treatment. (This is actually one of the original reasons for the idea that toxins should be removed from the body by drinking extra water.) If so, it is interesting how the detoxified myth has become within the years. Few massage therapists have considered the possibility of the client going out with a problem they didn't come with. Unfortunately, it's a strong possibility. And it's not such a radical idea. The PMSM is real. Something bad is clearly happening after some massages. What? Rhabdo el Terrible: a medical emergency (which has nothing to do with massage)Rhabdo kills But it makes you the color of tea first: one of the signs of signature. The fact that the urine does not look like that one day after a massage is reassuring. — or simply "rhabdo" to shorten, and for the rest of this article — it is a medical emergency that is cultivated mainly after horrifying shocks. Rhabdo can kill even when the injuries are not lethal. It is more often seen in nature after earthquakes and car accidents. It was one of the diagnoses suggested by Dr. House in an episode of 2009, "known unknowns". When the muscle is injured, the cellular guts are spilled into the blood, especially mioglobin molecules, which are mixed with blood chemistry a little, poisons the kidneys, and turns its dark brown urine. If it reaches the kidney damage point, it should be treated with many intravenous fluids to dilute the poisons in the kidneys. Rhabdo the Terrible, the medical emergency, really has nothing to do with the massage. Take this into account if you mention a connection with a doctor, they'll take a look at you. But... what if there's only one small mioglobin? What about rehab thymus? Can massage cause a mild and non-energy rabid? Almost sure, it turns out. In fact, if you get a massage strong enough, you can even — almost — cause severe rehabilitation. A history of extreme mass terror: a case of authentic rhabdomiosis apparently induced by massage, with kidney danger and all Is this fearful? I hope not: I share conscious and cautious alarming stories, only when I think it constitutes a legitimate public health education. In 2006, an old gentleman collapsed with fever and failed kidneys. There are several reasons that can happen to a 88-year-old man, but the diagnosis turned out to be a fairly clear case of rabdomiolysis. And there was a smoking gun from a cause. A regular massage veteran for years had an unusually intense massage the day before. "Intensive" is actually a bit of underestimation ... The afternoon before this accident, she received a body massage session for 2 h served by two new massagists [sic] at the same time instead of one. The strength of this massage session was significantly stronger than that of the past. The afternoon before this accident, she received a body massage session for 2 h served by two new massagists [sic] at the same time instead of one. The strength of this massage session was significantly stronger than that of the past. Security Council: You don't get a two-hour brutal massage from a couple of "massants." Clearly this was an exceptional massage. However, assuming that the rhabdo was not caused by anything else, your case shows that the massage can probably damage the muscle. If he hadn't collapsed, he would still have felt perfectly horrible — in other words, he would have had a next PMSM. More Case Studies of Mass Induced Raw There are other confirmed cases of post-mass rehabilitation. Another rare and extreme example is 2009: a horrible experience with an infrared heat reaction and regular massage for several days. In 2020, a woman was hospitalized with extremely severe rhabdomiolysis after a more typical use of a vibratory massage tool — a ", an extremely popular type of product at this time. Note that reported cases of adverse effects like this are usually just the tip of an iceberg. And then there are those that I am hearing directly from my readers... Articles like this are not written The suggested price to continue reading is $6 USD? Don't you want to pay? Just stay in the scroll! Like a street busker. You don't have to pay to keep reading. The "an increased price" is really just a suggestion. I refuse to break my pages with typical Internet advertising, so instead you get this strongly-written suggestion to support my work. But only in some of the most substantive and popular articles. And why six dollars? I'd rather suggest $3 for this, honestly, but my hands are tied. It is rare, but $5 online purchases are rejected by credit card companies at an extraordinary rate, because that price point is strongly associated with fraud (specifically with the phenomenon of "card tests"—the bad guys who test stolen card numbers with small purchases). And under $5, fees begin to defeat the purpose of donation. So $6 is the viable minimum price point for a "micro" transaction. But, if you've come so far with me—about a third—it's obvious that this is a super deep dive in the subject of sadness and unrest caused by massage—like a little ebook that could easily sell to Kindle users (and maybe it should be, but I'm not). It is certainly more than a mere "article": it is an active, highly referenced and ad-free resource for millions of readers over the years, providing useful information that is almost impossible to find anywhere else. Please help him exist. Paying in your own currency (no-USD) is always cheaper! My prices are set slightly lower than the current exchange rates, but most cards charge extra for conversion. Example: as a Canadian, if I pay $19.95 USD, my credit card converts it at a high price and charges me $26.58 CAD. But if I choose Canadian dollars here, I only pay $24.95 CAD. Why so different? If you pay in United States dollars (USD), your credit card will convert the USD price to the native currency of your card, but card companies often charge too much for conversion, it is a way for them to make a little extra money, of course. So I offer my customers prices converted to a little better than the current rate. If you find this useful information, please support independent health science journalism by paying what you would spend on a premium coffee. Or go to the store to pay more. Or just с~ , editor of PainScience Vancouver, Canada The story of a rhabdo reader (and the chilling possibility that some people are much more vulnerable than others) Many people who experience PMSM are finding this article. They feel rotten after a massage, beaten and disgusting, properly sick, and start Googling. And therefore, for a couple of years, I have received a constant supply of accounts sent by e-mail of the consequences of intense massages. Many of them are probably not about rehabilitation, but others are too clear and accurate to rule out. It is impossible to infer actual prevalence data on this problem of my deeply roasted sample, and yet there are obviously approximately "very few" people who do not feel well after their massages, and urinate Cocao urine that confirms more or less rhabdomiolysis. Do you have a story to tell about feeling awful after massage therapy? Please.Here is just a good example, which also highlights another important point: that some people are probably more biologically vulnerable to this phenomenon than others. Reader Moriah Dyke de Langely, Canada (shared here with permission): About a year ago I had a particularly difficult massage therapy session and the next day at work I started to feel super sick so I went home (I never got sick, never) so I lay on the couch whatever I went to bed but when I woke up the next morning I felt literally as if I had been hit by a bus. I called sick to work like I could barely get out of bed. The bodily pains I was experiencing were like nothing I've experienced before, I could barely walk! I felt someone was stabbing small knives through my main muscles. I stayed on the couch all day and had so much pain I started looking to see if I could find out what was wrong and I ran into the rabid. My urine was dark brown and had all the other symptoms. I had so much pain I was crying on the couch and I called the nurses' line to see if they could give me any advice. They didn't think it was the rabid, but said even if it was all they do is give liquids (and I'm afraid of needles) so I didn't end up going to the hospital, but instead of taking a ton of vitamins and drank an outrageous amount of water and electrolytes to try to help. It took almost two weeks when the body collapses at 100%. I've never experienced anything like this in my entire life. The reason I do this is very important. I am in the process of trying to get a diagnosis of the Ehlers Danlos Syndrome (a disorder of connective tissue) that makes the tissue more fragile. After realizing that I could have this condition, it seems much more likely that the massage can ripen my tissue to the point where it causes the drahabdo which means that my experience was probably not in my head at all, but in a real situation. EDS is severely undiagnosed and some people believe that 1/200 people could have their condition with only 1/5000 being actually receiving a diagnosis. This means that a lot of people might be thinking that they are crazy when doctors tell them that the rabid is not possible from a massage when they might actually have a condition that makes it much more likely that this happens. I thought that my personal experience and the link between a connective tissue disorder and the raft could be beneficial to you in any future article you can choose to write. Moriah Dyke, Langley, Canada About a year ago I had a particularly difficult massage therapy session and the next day at work I started to feel super sick so I went home (I never got sick, never) so I lay on the couch whatever I went to bed but when I woke up the next morning I felt literally as if I had been hit by a bus. I called sick to work like I could barely get out of bed. The bodily pains I was experiencing were like nothing I've experienced before, I could barely walk! I felt someone was stabbing small knives through my main muscles. I stayed on the couch all day and had so much pain I started looking to see if I could find out what was wrong and I ran into the rabid. My urine was dark brown and had all the other symptoms. I had so much pain I was crying on the couch and I called the nurses' line to see if they could give me any advice. They didn't think it was the rabid, but said even if it was all they do is give liquids (and I'm afraid of needles) so I didn't end up going to the hospital, but it took a ton of vitamins and drank an outrageous amount of water and electrolytes to try to help. It took almost two weeks when the body collapses at 100%. I've never experienced anything like this in my entire life. The reason I do this is very important. I am in the process of trying to get a diagnosis of the Ehlers Danlos Syndrome (a disorder of connective tissue) that makes the tissue more fragile. After realizing that I could have this condition, it seems much more likely that the massage can ripen my tissue to the point where it causes the drahabdo which means that my experience was probably not in my head at all, but in a real situation. EDS is severely undiagnosed and some people believe that 1/200 people could have their condition with only 1/5000 being actually receiving a diagnosis. This means that a lot of people might be thinking that they are crazy when doctors tell them that the rabid is not possible from a massage when they might actually have a condition that makes it much more likely that this happens. I thought that my personal experience and the link between a connective tissue disorder and the raft could be beneficial to you in any future article you can choose to write. Moriah Dyke, Langley, CanadaMoriah is right: EDS is both subdiagnosed and surprisingly common, and it is a real and worrying possibility that people with EDS have a much greater risk of injury when they are subjected to a powerful massage. It's probably even worse, actually. The SDS is part of a spectrum of connective tissue diseases that refer basically to tissue fragility. Most have genetic markers, but not all: hypermoletic EDS, the most common subtype of the disease, has not yet been linked to a gene. People with EDS suffer from a wide variety of strange musculoskeletal pains and problems, many of which drive them to seek therapy, and many massage therapists are very likely to treat them by vigorously stretching their connective tissue (fascia) — exactly the opposite of what they need, but it is an extremely popular tendency in therapy, based on the wrong enthusiasm for the idea that fasformity is trapped or trapped. I am afraid to think how many people with pathologically fragile fascia have been subjected to treatment specifically aimed at stretching the fascia. But even without that specific therapeutic goal, these patients are probably much more easily damaged by any type of "deep tissue" massage and may take into account many or more stories about post-massage rhabdomiolysis. It is conceivable that this is a common collision of pathology and manual therapy that almost no one is aware of, patients or practitioners. Disintegrate muscle tissue! Rhabdo the Terrible is mainly defined by unpleasant muscle damage and kidneys that die from myoglobin poisoning — just before dying. It is the kidney damage that particularly makes the rhabdo a medical emergency. But there are many other things, a cocktail of substances that cause many other symptoms (ahem, discomfort) many hours before your kidneys are injured. Notably, frank trauma is not the only way to get the rabid, just one of the worst and most obvious. Instructions to release a lot of myoglobin in the blood: You finished! But the rabid is not only caused by the "crushed" muscle but by the muscle that, in Wikipedia's words, "composes fast" ... by any means. What, space alien decaying targets? Fly giant monster regurgitating digestive enzymes in your quadriceps? How, say pray, the muscle "breaks quickly"? This is where things get a little weirder. Rhabdo the Merely Unpleasant (a.k.a. rhabdo recreational)Read about the rhabdo and it becomes evident that while the worst cases are caused by things like buildings falling into people's legs, there are many other less traumatic causes: What this list of strange causes tells us is that acute rhabdomiolysis is the tip of a physiological, the malform. Muscles will obviously spill their chemical intestines in response to tensions and forces much smoother than crushing. Relatively minor and exertional rhabdomiolysis is actually common, and it even has a name: "Rhabdomiolysis of white neck". That term was coined by Knochel in 1990 because the rabid was beating the recreational athletes—people who voluntarily work in a state of grief. I could also call it (for fun) recreational rehabilitation. Another well-known source of rabid cases is the boot field: "large amounts of [recruits] may have mioglobinemia ...". After a little navigation through literature, I have the impression that you could be rabdo-ized by a particularly hard sneeze. These are real cases of rhabdomiolysis, with amounts of myoglobin in the blood ranging from mildly oogy to alarming, and a lot of mineral and electrolytic derangementation, but they are also generally less severe and less likely to cause kidney damage. They're somewhere in the middle of the rhabdos spectrum. This is also about where the older man landed in the spectrum after his brutal massage of 2 men and 2 hours. That case is probably the worst scenario for massage-induced rehabilitation... but it's also a rather bad scenario worse. If that's what a strong two-hour massage can do, what can a strong one-hour massage do? Maybe for someone with a genetic predisposition to rehabilitation? Disclaimer: This is obviously all hypothetical It is a hypothesis that mild reabdomiolysis can explain EMPM. It is based on no direct evidence beyond case studies and anecdotes. But there's a lot of smoke! Anecdotes are not data, but they are a good justification for research (which will probably not happen). And the undeniable existence of exertional rehabilitation makes it highly plausible that the softest rhabdo may also be caused by other biological tensions. It is not a big leap from there to realize that painfully strong massage could be one of those efforts. This is "only" a hypothesis, but it is very plausible. Rehabilitated as a common denominator in raw feeling after virtually any physical stress To understand common experiences, it is often useful to learn about their extreme and exaggerated forms. What's going on here? Turn it on! Acute rabid is interesting and revealing because it almost certainly represents the extreme form of a tamer and almost universal human experience: feeling pain and crispy after physical stress. Even quite severe rabid may have symptoms that are basically intense exhaustion. If that's possible, then the smoothest rabid can probably be subtle straight. A reader, hospitalized for almost two weeks for the remediation, mostly felt as if he had overcome him a lot, spent, but not sick. (For all that history, see .)The lower half of the rhabdos spectrum is messy and fascinating. It is undoubtedly biochemically diverse, with the exact cocktail depending largely on many variables such as genes, fitness and the type of stress. However, if relatively normal people such as runners and soldiers can get the Middlin raft, then it is virtually guaranteed that less extreme tensions are routinely less extreme drivers. Much of this would fall far below the threshold of what would be diagnosed as rhabdomiolysis. In fact, at the lower end of the spectrum, we simply have other names for him... Patience, for example. Rhabdo the Merely Unpleasant clearly overlaps (mostly or completely) with the familiar phenomenon of being really hurt after a strong exercise (usually called DOMS, for ). And that, in turn, feels almost exactly like PMSM. Very appropriately, one of the names of DOMS is "muscular fever". These experiences are probably just soft versions of something that can get a lot more irritating, but it usually doesn't. But the nature of the mild phenomenon is well illuminated by the nature of its most serious versions. Although biochemical details are absurdly complex, the general theme is not — we are poisoned by relatively smaller tissue stress by-products. Even a little massage. Massage can almost be defined as "muscular moulding", and the raft is caused by muscle crushing injuries and even much milder damage to muscles. Therefore, the massage probably causes the rabid, and is the most likely explanation for PMSM. So what? Implications are surprisingly inexciting All this is very interesting, but it may not be very important. As I mentioned earlier, "Poisoned By Massage" is a sensational title. I chose it to help promote the article, of course — but I wouldn't have chosen it if I didn't think that "meaning for massage" is actually scientifically defensible (as well as provocative and interesting). I think the evidence and reasoning is good, and I have some confidence that the massage really "become" us a little. But what? And we're not gonna give up on that. It is almost impossible to progress in the aptitude without "coming" yourself with a little DOMS, almost regularly. It is not entirely unreasonable to call it "healing crisis" — an unpleasant price to pay some benefits. The problem with massage is that the benefits are much less clear. No one knows exactly what the good massage does for people, medically speaking. It's pretty bad. We don't even know if it makes us "fitter" to adapt to PMSM stress. Being hardened by massage can be as dubious as hardening your feet so you can walk barefoot — that's all right and well, but do you need hard feet? Probably not. Fortunately, we know that good massage is intrinsically satisfactory as a sensory experience, and it is probably a good reason to withstand some side effects. However, I am also sure that I do not want to mark the PMSM and embrace it either. It can be avoided mainly with a milder treatment, and should probably be. Life is stressful. It is a multi-decade process of adaptation to tensions. I'm happy to tolerate a little mild rhabdo on the road, but I'm definitely going to try to minimize it. PMSM: What about people who feel bad after a mild massage treatment? I suspect it is unusual for people to get mild massage PMSM, and when they do it is probably mild PMSM, not in the same league as the worst cases. While this article generates a lot of email from people who feel really rotten after a strong massage, I still have to receive a report of greater discomfort after light massages. The sensationally bad PMSM combo with gentle massage is clearly a rarity. Although it's remarkable, there's less to explain here. However, the milder massage can cause some blahs. I have often heard of these less dramatic cases during my career as RMT, and I have experienced some of myself. So I'm sure it happens, and it would be good to understand. It is very implacable that soft rubbing can cause significant biological damage, so I suspect that the causes are diverse, and most of them have not much to do with massage itself. For example... infections. Many cases are probably explained by a simple coincidence: sometimes you just get sick shortly after a massage, just a bad time. Viral and bacterial infections are more common than massage therapy, and occasionally collide. Too mild infections to diagnose are even more common, but these can further increase our vulnerability to physical tensions significantly. This is surely a reason why we've all had days when a family training feels surprisingly hard and makes us more pain than "must." Even a light massage in such biological conditions could have the same effect. chronic pathological vulnerability. In addition to mild infections, there are a variety of chronic diseases and diseases that can go undiagnosed for years, or even forever, and that can also mark vulnerability, either transitoryly during outbreaks, or all the time. The phenomenon of PMSM is so similar to the discomfort that it comes with viral infections that we have to consider both the possibility of real infections... and the possibility that something about massage has the same effect as an infection, which is not as rare as it might sound at first. Burdo feeling is technically known as "comporting of disease", a set of symptoms generated by an old biological system shared by all animals: when threatened, neuroinflammation imposes rest and withdrawal by making us feel fatigued and fragile. I don't know why mild massage would cause a neuroinflammatory response, but the behavior of neuroinflammation and disease has such deep roots in biology that I wouldn't be surprised if they can be caused in surprising ways. Fun things for the storm of ideas! Extreme condition. Consider all the people who are so out of shape that they would feel beaten by a 10-minute hug, a dose of exercise that any suitable person could spend without any ill effects. For the truly inadaptated, a "gentle" massage might not be so soft. We must not underestimate the power of significant decondition. Anyone who has trained people out of shape knows how surprisingly fragile they can be. Emotional and psychological factors. Finally, there is no doubt a psychological PMSM. Even a happy and relaxing massage experience can expose or highlight a depletion that was already there, such as removing a mask. Life is hard and many people are running empty, pushing through the days fed by caffeine, worry, grace and need. Massage is a rare opportunity to relax and relax, but it can also have the potential to disarm us, to steal from our normal defenses against the asphyxiating fatigue that crawls right below the surface. I think I've experienced precisely this PMSM flavor on many occasions... and most of the Sundays, frankly. It is very unlikely that PMSM is caused by a Jarisch-Herxheimer reaction Many massage therapists have speculated that PMSM is caused by a , which is being poisoned by the bodies of dead bacteria during antibiotic treatment. The most educated answer to this idea that I am capable of is that it is wildly speculative, necessary quote and good luck with that. It is strongly based on huge optimistic assumptions about the powers of massage, specifically its ability to cause such an extraordinary increase in the activity of the immune system that could kill enough bacteria to cause this effect. And what infection is this? Are we also hypothesizing that people with enough serious infections to cause a J-H reaction are also asymptomatic enough that are looking for massage therapy? I have been writing about this material long enough to avoid categorically declaring that anything is "impossible" — I always want to leave a small room of juggle — but this is almost as far in the left field as massage claims can get. For some alternative medicine practitioners, I believe that the "Jarisch-Herxheimer reaction" has become a practical way of saying "healing crisis" in a scientific way. Did you find this useful article? Please support independent scientific journalism with a donation. For more information and options. About Paul Ingraham I am a science writer in Vancouver, Canada. I was a registered massage therapist for a decade and the assistant editor for several years. I've had a lot of injuries as a runner and player, and I've been one since 2015. See you. After the word: The theory of waste lowers drainage All this article began as an attempt to clarify a point about "flushing" in my article. The effort came out a bit of the hand, and I ended up with an article of 3700 words about rhabdomiosis. However, I still have to board the washing thing... Photograph of a glass of water. If PMSM is basically a light poisoning, does the popular practice of advising massage customers to drink extra water? Mostly not — it is not specifically, medically relevant. It is sensitive to avoid complicating soft rhabdo with dehydration. But it is reasonable to avoid dehydration, period. If the acute rhabdo is treated with IV fluids, does it not suggest that drinking water would help? In mild rhabdo, we are not concerned about kidney damage at all. And drinking an extra glass or two of water wouldn't do the job anyway. In fact, there is an ironic catch-22: if you drank enough water to successfully dilute a dangerous concentration of myoglobin in your kidneys, you would actually poison yourself. With water. Consider: Can you "treat" the much more familiar problem of DOMS by drinking extra water? Answer: definitely not. Try to drink three extra glasses, big glasses of water next time you are super pained after a great training. Is she still very pained? You can count on it. In principle, the only medical condition that can be effectively treated for drinking more water is ... dehydration. Several sickness processes and even toxins are dehydrating, which in turn can be treated with hydration. The obvious example is alcohol. But neither massage nor rhabdomiaolsis is "dehydrant." (I have really heard the claim that the massage is hydrating—but that is too clumsy to bother the decomposition.) Dehydration is inherently dangerous, and will especially aggravate any condition in which the concentration of toxins in body fluids is a factor, and this can be helped by diluting toxin with a higher blood volume — but only a little, and not enough to dilute toxins. Acute rhabdomiolysis is treated with intravenous fluids because, again, you can literally not drink enough to dilute the toxins enough to protect the kidney. Many people will guess that drinking makes you urinate more, which means more renal action, which means more blood-borne toxins and toxins, but logic is just like the blood volume. It's true-site-trivial. Dehydration is worth avoiding in itself, of course, and it is not illogical to make sure to avoid it after a massage: who wants both pre-rhabdo and dehydration at the same time? Not me. Unfortunately, in no way is extra hydration really "protective" — there is not so much difference between hydrated and unhydrated. APPENDIX: Answers to Criticism Certainly, I expected to be criticized for being "negative" about massage in this article — and I was criticized for it— but they also called me to present a theory without evidence. That's ironic: I've spent a lot of time fighting the hypocrite about premature conclusions, and I'd hate to be the source of one. Yeah? Although it does not argue that your hypothesis can be very correct and it is an interesting and plausible position, I feel that your conclusions are a bit strong without being given enough support. "Inner West Mobile Massage" comments on Facebook Although it does not argue that your hypothesis can be very correct and it is an interesting and plausible position, I feel that your conclusions are a bit strong without being given enough support. "Inner West Mobile Massage" comments on Facebook I appreciate the spirit of that criticism, and I even agreed with it and immediately changed a key phrase overtrusted in the conclusion. But while I reviewed all this article looking for other signs of excess confidence, my concern was relieved. There's a lot of qualifications and mistakes here! I say "maybe" a lot. It's clear from the style that I'm hypothesizing, thinking out loud. I like theory, and I suspect it's probably right, but I don't think it's a safe thing — anywhere near. More criticism came. On Twitter, for example, @SwoleClient accused me of "unfounded claims," arguing that I was basing my argument on a single case of study. Others echoed the feeling. I don't agree with that. There are two main topics here: "Claim" does not apply here A claim is any unverified claim. But not all claims are created equal. In health care and in health science, "clamation" implies a more self-serving affirmation. If a claim could be used as a bullet point in a sales field, it's more demand-and. If it makes you (or your profession) look better, it's more demanding. And the more demand it is, the more it needs to be backed up. This special case of the word demand comes from the thorny ethical challenges with the sale of care to the sick and injured people. All claims need critical evaluation and verification, but it is not so ethically critical if it does not have a claim destination. Sagan's idea that "extraordinary claims require extraordinary evidence" is not just about the alien abductions and monsters of the lake. It is also, in spirit, more mundane but self-serving and profitable demands, a more common ethical danger than truly extraordinary affirmations. I presented my theory to question classic self-service claims, affirmations that serve the interests of massage therapists: the popular and specific affirmation that the massage "detoxifies" and the most general affirmation that the massage is beneficial (or at least safe). The "reclaim" I made is more self-defeating than self-serving. It is superficially contradicting my widely published view that people should buy massage services and devote considerable energy to self-massing (although I explain in the article that is not really a concern). My "negativity" about massage and many other treatments hurt my lower line. I could probably make a lot more money just by closing things like this. So the accusation of "unfounded claim" does not fit well—technically correct, but definitely wrong in spirit. What I presented is only a partially supported theory. There's no evidence that the massage detoxifies. But I presented some evidence and a plausible theory that does, in fact, do the opposite. This is more about putting a dent on the detoxification claim than testing my own hypothesis — my own case simply has to be "reasonable" to throw a significant doubt on the claim. Levels of Trust and Test Many professionals believe (or fear) that evidence-based medicine is tense and narrow, and ignore their clinical experience (although EBM has always emphasized that evidence is only an important factor in clinical reasoning, see ). Now, when I defend a theory with imperfect data, I was shot by some of the same people for not presenting enough evidence! Bah. My case for the rabid as a cause of post-mass pain and discomfort was not based only on a single case study, as several critics implied. I discussed it from different angles, and provided some "circumstantial" evidence (indirect evidence). Calculate the whole thing to "you based everything on a case study," as some people did, is a simplistic synopsis. But I didn't say the evidence was strong or that my conclusion is hermetic. The level of evidence was modest, reasonable reasoning, and my level of trust corresponded. It's a trap! An exampleA hand-held critic tried to catch me in an apparent inconsistency: At the beginning of this year you complained that there was not enough evidence for the claim that . But now you are asserting with weak evidence that the massage causes the rabid. What's up? Earlier this year you complained that there was not enough evidence for the claim that . But now you are asserting with weak evidence that the massage causes the rabid. What's up? This is what it gives: the researchers involved in that study made a great massage claim that was implausible to start with any number of ways, and that was missupported only by a single indirect line of evidence. The claim was large, so the burden of the test was heavy, and yet all they had was an extraordinarily elaborate test tube test, full of problems, and far from any solid clinical involvement. And yet they summed it up with great confidence for the media and the magazine in a very definitive way as "the mass reduces inflammation." It's just not the same. A lost opportunity Historically, there was something wrong with this article, but no one caught it: its most important flaw for a long time was the absence of any discussion of alternative explanations for the phenomenon of brotherhood and postmass discomfort. "How else can I explain this?" is a fairly basic part of critical thinking, and missing. I wasn't until mid-2020, when I added the section on softer cases. And there's still more I could do. Maybe next month. Related Reading The main myths about massage therapy are: The complete list of doubtful ideas in massage therapy is much larger. Look at me. Or you can listen to me. And the massage is still amazing! It is important to understand myths, but there is more to massage. Are you an ethical, progressive and science-loving massage therapist? Does all this cause a crisis of faith in your profession? This is for you: What's new in this article? Five updates have been registered for this article since its publication (2012). All PainScience.com updates have been registered to show a long-term commitment to quality, accuracy and currency. more more As good standing notes, update PainScience.com registration sets apart from most other websites and health blogs. It is a good impression, but important fine impression, in the same spirit of transparency as the editing story available for Wikipedia pages. I achieve any changes in articles that might be of interest to an enthusiastic reader. Complete update record started in 2016. Before that, I have only recorded important updates for the most popular and controversial articles. See the page for updates of all recent updates on the site. Nov 8, 2020 — He quoted a new case study of massage-induced rehabilitation, added a link to another good quality anecdote on the exertional radon. Although it is a minor change, this is now quite "smoke" and I am beginning to think that the rhabdo hypothesis is no longer so exotic, so I have also changed a language to express a more serious concern about the potential gravity of the situation. 2020 — New section and subtopics, "PMSM: What about people who feel bad after a smooth massage treatment?" polished and updated the article summary. He added a brief section on the evidence and plausibility of the hypothesis of rhabdomiosis.2018 — New section and sub-topics, "The story of a reader's rhabdo (and the chilling possibility that some people are much more vulnerable than others)."2017 — Miscellaneous minor edition, and a new section, "No, PMSM is not usually caused by an injusted public reasoning I am often accused of fearful because I express concerns about potentially dangerous treatments. I beg "not guilty": I point to maticity and balance every time I write anything that might scare someone, and I do a point of pondering risks and benefits. Increased awareness of legitimate risks is not fearful—it is a valuable public health education. It would be fearful if you were doing a thing without anything, but it's never about "nothing." You are not paranoid if they are behind you," and it is not fearful if the concern is rational. (G) It's hard to imagine any heated amount of infrared heating causing such a horrible reaction, and I don't think it would increase muscle enzymes in the blood under any circumstances. The exhaustion of heat, but that is a more obvious threat that was not even mentioned. As an interesting side note, some people also believe that infrared saunas (and others) are "detoxifying", and yet here we have a case where it clearly did not do that.) ABSTRACT Percussion massage guns are commonly used by professional athletes and non-letters from around the world for warming and physical recovery; however, there are no clinical or evidence-based reports on percussion weapons in relation to their benefits, indications, contraindications and even side effects. The purpose of this report is to describe the first case of rhabdomiosis as a serious and life-threatening disease after the use of a percussion weapon. A young Chinese woman with untreated iron deficiency anemia presented with fatigue and pain in her thigh muscles for 3 days and urinas tea color for 1 day, after cycling and then receiving percussion gun treatment by her coach for massage and relaxing tired muscles. Muscle tenderness and multiple hematomas were found in their thighs, and their urine indicated hemoglobinuria. Its serum creatine cinosa was reported as "intelligibly high," a hallmark of severe muscle damage that leads to a diagnosis of severe ribdomiolysis. During hospitalization, aggressive intravenous fluid reanimations were administered, urine alkaline alkaline alkaline intravenous solution, urine production evaluation and electrolipid balance maintenance. The patient's clinical presentation gradually improved with the decline in creatine kinase, and recovered well during follow-up. A case of severe rhabdomiolysis after the percussion massage should alert caregivers, sports professionals, and the public to suspect and recognize the potentially serious adverse effects of percussion weapons and to ensure that percussion massage guns are properly and safely used in rehabilitation therapy, especially in individuals with an underlying disease or condition. It is necessary to investigate the benefits, indications, contraindications and adverse reactions of percussion weapons. SUMMARYPercussion massage guns are commonly used by professional athletes and non-letters from around the world for warming and physical recovery; however, there are no clinical or evidence-based reports on percussion weapons in relation to their benefits, indications, contraindications and even side effects. The purpose of this report is to describe the first case of rhabdomiosis as a serious and life-threatening disease after the use of a percussion weapon. A young Chinese woman with untreated iron deficiency anemia presented with fatigue and pain in her thigh muscles for 3 days and urinas tea color for 1 day, after cycling and then receiving percussion gun treatment by her coach for massage and relaxing tired muscles. Muscle tenderness and multiple hematomas were found in their thighs, and their urine indicated hemoglobinuria. Its serum creatine cinosa was reported as "intelligibly high," a hallmark of severe muscle damage that leads to a diagnosis of severe ribdomiolysis. During hospitalization, aggressive intravenous fluid reanimations were administered, urine alkaline alkaline alkaline intravenous solution, urine production evaluation and electrolipid balance maintenance. The patient's clinical presentation gradually improved with the decline in creatine kinase, and recovered well during follow-up. A case of severe rhabdomiolysis after the percussion massage should alert caregivers, sports professionals, and the public to suspect and recognize the potentially serious adverse effects of percussion weapons and to ensure that percussion massage guns are properly and safely used in rehabilitation therapy, especially in individuals with an underlying disease or condition. It is necessary to investigate the benefits, indications, contraindications and adverse reactions of percussion weapons. Here is one of the simplest: When you receive a massage, several body systems receive a temporary boost. Blood circulation is improved, lymph flow is improved and the immune system begins to be a little more efficient. If you are a person who does little or no exercise (not uncommon in our culture these days), who has never received a massage, or only receives a massage once or twice a year, your body will be stimulated enough to stir things up a bit. When you get a massage, several body systems get a temporary boost. Blood circulation is improved, lymph flow is improved and the immune system begins to be a little more efficient. If you are a person who does little or no exercise (not uncommon in our culture these days), who has never received a massage, or only receives a massage once or twice a year, your body will be stimulated enough to stir things up a bit. © 1999–2021 by Paul Ingraham Vancouver, CANADA Share a link to this pagePainScience.com does not use the conventional "shared" buttons for the reader's privacy. Please copy and paste! You can click to copy a full or short link: https://www.painscience.com/articles/poisoned-by-massage.php PainScience.com/poisoned_by_massage PainScience.com/soreness_and_malaise_Caused_by_massage PainScience.com/massage_side_effects Short links are useful where the full version can be too uncomfortable: social media publications/comments, Instagram subtitles, email, text messaging, audio and slideshow. Short links are useful where the full version can be too uncomfortable: social media publications/comments, Instagram subtitles, email, text messaging, audio and slideshow. Post a link on your blog For links on a blog/website, use the full URL (direction). These are examples ready to publish both in HTML and in Markdown (Markdown is a readable abbreviated for HTML, understood by many blog systems and comments). Pain and discomfort caused by massages[soreness and malaise caused by mass](https://www.painscience.com/articles/poisoned-by-massage.php) For more detailed information, see my .

Throat pain after neck adjustment. Could the adjustment have caused this? Throat pain after neck adjustment. Could the adjustment have caused this? I went to a chiropractor for the first time three days ago. A massage therapist told me my back was out of alignment and recommended that I be adjusted. I've had chronic pain in my back/shoulder for years. The kid adjusted my back and neck. It felt good, but since then I've had a sore throat that's getting worse. This feels different from the typical sore throat I have if I'm taking a cold, and I don't have other symptoms to suggest that I'm getting sick. It's much deeper in my throat (more larynx) than I've felt before. Is there any way the adjustment could have caused this? No, it's just a coincidence that you got sick at the same time unless the provider was spreading germs by accident. That could probably cause jtI don't know if it's a coincidence, but I just adjusted my neck and I have the same sore throat. I thought I was getting sick. But I've had about 15 neck adjustments. I don't remember having sore throat every time. I've seen it a little, actually. Adjustment can sometimes cause your breasts to drain, and as they do, it's a little irritating your throat. It usually disappears in a day or two. If not, then it can be something additional. Like the others, I would say that if your sore throat (flamed throat) is a coincidence. However, if they are tight muscles (called platysma muscles) in the front of the neck, perhaps. An adjustment can cause a muscle spasm. if the discomfort disappears with heat (mile and heat) and light massage that was! Read Sageberrytree's comment. That also sounds possible... MembersOnline

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