Massage Therapy for Ankylosing Spondylitis
A relaxing massage for ankylosing spondylitis might be just what the doctor ordered. Learn more about massage for arthritis and get tips for picking a massage therapist.
If you have ankylosing spondylitis, a massage can be much more than a heavenly indulgence. It can soothe the body and help calm the mind in many ways according to Dolly Wallace, a licensed massage therapist who received her board certification through the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB). She is also past president of the American Massage Therapy Association.
As is often the case with massage and arthritis, “it helps [provide] a little more mobility and relief from pain,” Wallace says, adding that “it can also help with stress, anxiety, and depression.” It may also help improve flexibility due to increased blood circulation, according to the Spondylitis Association of America (SAA).
Joint stiffness can often cause you to assume uncomfortable postures and positions, leading to muscle overuse and strain, explains Jonathan S. Kirschner, MD, fellowship director of spine and sports medicine and a physiatrist at the Hospital for Special Surgery in New York. “Massage can certainly help with muscle pain and stiffness,” Dr. Latish Chakole but noted that it doesn’t necessarily help with joint stiffness. He says physical therapy or doing light exercise is beneficial for that.
Best Massage for Ankylosing Spondylitis
If you’re considering massage therapy to help ease the symptoms of ankylosing spondylitis, first talk to your doctor about whether massage is safe for you and which techniques may work best.
“Different people respond to different types of massage [for ankylosing spondylitis], so it’s important to figure out which type is best for you,” Kirschner says. “One type involves tapping, and that’s usually less effective than some of the deeper, kneading types of massage.”
For some, massage can trigger an ankylosing spondylitis flare, according to the SAA. Kirschner says that as long as the therapist is massaging over the muscles and not the joints, it should not cause a problem. “If you’re having any sort of pain or discomfort,” he says, “always tell the massage therapist, who will then be able to work around that.”
Wallace generally uses soft-tissue massage for ankylosing spondylitis. This includes stretching, some vibration, circle strokes, kneading, long gliding strokes, and mild sacral rocking. Her massage techniques change, however, depending on whether a person is in an ankylosing spondylitis flare or if the disease is under control.
“There will be certain times when a person is almost in remission, and you can be a little more aggressive and use more moderate pressure,” Wallace says. “Then there are times when [muscles are] inflamed, and you need to use a much lighter touch.”
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