flu symptoms after massage

  • 18 min read
  • Des 10, 2019

I
I’m sick. Should I come in for a massage? – Elements Massage …

Instead of being a DE-toxifying, massage can possibly lead to a situation slightly toxic in the body

, November 6, 2018

Massage is not a treatment of detoxification in mind, contrary to popular belief. Ironically, it may be the opposite: a post-massage pain and malaise (PMSM) may be caused by mild rhabdomyolysis ( “rhabdo”). True rhabdo is a medical emergency in which the kidney is poisoned by a crush injury myoglobin of the muscles. But a lot of physical pressure and metabolic cause lighter rhabdo-like state – even just intense exercise can do, and maybe a massage as well. This is evidenced by a case study of acute rhabdomyolsis caused by massage intense (see), many documented cases of exertional or “white collar” rhabdo, by many reports of informal inspired by this article, and with strong similarities between PMSM and pains regular exercise. So cocktail rhabdo waste metabolites and products of tissue damage is probably why we feel cruddy little after biological stress and trauma, including the occasional massage. And you can not “flush” the rhabdo go with a massage or to drink extra water. , PMSM only an occasional side effect of massage Strong

Number of words: 6500 words
Reading Time: 30 minutes
First published: 2012

It turns out maybe only slightly toxic. This really should not come as any surprise, even too much of a problem. But interesting, and – more importantly – it is contrary to the popular notion. Which makes it a perfect topic for PainScience.com.

The idea of ​​”poison” is often unethical utilized in alternative medicine, usually to sell detoxification treatment. So why am I writing about them now? I found a good speaker should be specific toxins when they talk about poison, or stop talking about poison.

I will be more specific, and there is no solution detox for sale here. (And I may sacrifice ethics pesky little money.!)

Massage is a toxin

Maybe a little, yes -? Technical. But once scotch. And hard training.

Flu-like symptoms in a surprisingly common after a massage. People often suffer from varying degrees of pain and malaise following firmer massage therapy – post-massage pain and malaise, or PMSM. The worst cases feel like a full-blown flu, but it did not last nearly long. PMSM not pleasant, and the cause may be fun

strong massage tend to cause more PMSM -. Although the effect is as unpredictable as the weather. It is often described as a necessary evil, a “healing crisis” that we must endure to get the benefits on the far side. No-pain-no-gain is the message (mostly unspoken). The effect is often described more specifically as a symptom of the process of detoxification healthy with (somewhat dubious) happy result: poison unspecified stuck in a tired, tense muscles freed and flushed from the muscles, poisoning us somewhat as they make their way out of the body through kidney and liver. There are many problems with the mental picture, and they will be discussed in detail in the

Model flushing is false. Massage is not “liberate” any toxins that were there when a client walks in the door. If there is, ironically, a massage can create them – by-products of minor muscle injuries. That means the actual massage is “toxifying” treatment, not a de-toxifying. (This is actually one of the original reasons for the idea that toxins need to be flushed out of the body by drinking extra water.) If so, it is interesting how the detox myth has turned itself inside out over the years. Some massage therapists have considered the possibility that leaves the client with a problem they did not come up with. Unfortunately, it’s a strong possibility.

And it is not a radical idea. PMSM is real. Something icky evident after a few massage. What

Rhabdo kill

But it piss you first tea color: one sign autographs. The fact that the urine does not look like the day after a massage convince

-. Or simply “rhabdo” for short, and for the rest of this article – is a medical emergency that most of the plants in the wake of a horrible, traumatic crush. Rhabdo can kill, even when otherwise non-lethal injuries. It is most often seen in the wild after the earthquake and car accidents. It is one of the (incorrect) diagnoses suggested by Dr. House in episode 2009,”Known Unknowns.”

When the injured muscle, guts spilled into the blood cell, especially the myoglobin molecule, which messes with a little blood chemistry, kidney toxins, and turns brown dark piss you. If it gets to the point of kidney damage, it should be treated with intravenous fluids to dilute the many toxins in the kidneys.

Rhabdo the Terrible, medical emergencies, absolutely nothing to do with massage. Be aware of this if you mention the connection to the doctor -. You’ll get booed

But … what if there is only a little myoglobin? How rhabdo light? Massage can cause a mild, non-emergency rhabdo? Almost certainly, it turns out. In fact, if you get a massage is strong enough, it even can – almost -. Causes severe rhabdo

Is this fear mongering? I hope not: I share alarming stories conscious and careful, just when I think it is a legitimate public health education

In 2006, an elderly man collapsed with a fever and kidney failure .. There are a number of reasons that may happen to a man 88 years, but the diagnosis turned out to be a pretty clear cut case of rhabdomyolysis. And there is a smoking gun of the cause. A veteran of regular massage for many years, she has regular massage intense day before. “Intense” is actually a bit of an understatement …

The afternoon before the accident, he received a body massage session for two hours served by two new massagists [sic] at the same time instead of one. The strength of this massage sessions is significantly more powerful than the past

Safety Tip :. “Massagists” did not get a brutal two-hour massage from a pair ????

Obviously this is an incredible massage. However, assuming rhabdo was not caused by something else, the case shows that massage may damage muscles. If he is not completely collapsed, he still would have felt terrible -. In other words, he will have a wicked PMSM

And there may be some other confirmed cases. And then there are those that I heard directly from my readers …

Many people who experience PMSM found this article. They feel rotten after a massage – beaten up and dirty, really sick – and they start Googling. And, for a few years now, I have received an e-mail supplies tale consequence of intense massage. Many of these are probably not about rhabdo, but others are too clear and precise to ignore. It is impossible to deduce the real prevalence data on this issue from very skewed sample me, but obviously there were “several” people out there who do not feel well after their massage – colored urine and urine Coke more or less confirms rhabdomyolysis.

Do you have your own story about the horrible feeling after the massage therapy? , Please

Here is just one good example, which also highlights another important point: that some people may be more biologically susceptible to this phenomenon that the others. Readers Moriah Dyke of Langely, Canada (along here with permission):

About a year ago I had a massage therapy session was particularly rough and the next day at work I began to feel very ill so I went (I do not never sick, never) so I put on any sofa to go to sleep but when I woke up the next morning I really felt like I had been hit by a bus. I called in sick to work I could hardly get out of bed. Body pain I experienced was like nothing I had experienced before, I could hardly walk! I felt like someone stabbed a small knife all in all my major muscle. I stayed on the couch all day and in so much pain I started googling to see if I could figure out what was wrong and I came in rhabdo. My piss is dark brown and I had all the other symptoms. I was in so much pain I was crying on the couch and so I called the nurse line to see if they could give me advice. They do not believe it rhabdo but said even if that’s all they do is give fluids (and I’m afraid of needles) so I did not end up going to the hospital but instead took a ton of vitamins and drink an outrageous amount of water and electrolytes to try and help.

It took almost two weeks for the body pain subsided to 100%. I’ve seriously never experienced anything like this in my entire life.

The reason I bring this very important. I am in the process of trying to get a diagnosis of Ehlers-Danlos syndrome (a connective tissue disorder) who make extra tissue fragile. After realizing I may have this condition seems far more likely that a massage can tear my network to the point where it causes significant rhabdo my experience might not be in my head at all but a real situation. EDS severe undiagnosed and some people believe that anyone could have a condition 1/200 to 1/5000 only be truly received the diagnosis. This means that many people may think they are mad when doctors told them rhabdo unlikely massage when in fact they may have a condition that makes it far more likely to have this happen.

I think my personal experience and the relationship between connective tissue disorders and rhabdo might benefit you in future articles you can choose to write.

Moriah Dyke, Langley, Canada

Moriah true: EDS was diagnosed and surprisingly common, and it is real and worrying about the possibility that people with EDS are at much greater risk of injury when subjected to vigorous massage. It may be even worse, actually.

EDS is part of a spectrum of connective tissue disease that is all basically about the fragility of the network. Most have genetic markers, but not all: hypermobility EDS-types, sub-types of the most common of the disease, has not been associated with genes. People with EDS suffer from a variety of musculoskeletal pain strange and problems, many of which encourage them to seek treatment, and many massage therapists are trying to treat them with vigorous stretching their connective tissue (fascia) – precisely the opposite of what they need, but it very popular trend in the therapy, based on misguided enthusiasm for the idea that fascia gets stuck or disabled.

I shudder to think how many people with fragile pathological fascia has undergone a special treatment intended to stretch the fascia. But even without that specific therapeutic purposes, these patients may be much more easily harmed by any type of massage “in the network”, and they may explain many or most stories about post-massage rhabdomyolysis. It’s conceivable this is a common collision pathology and manual therapy that almost no one noticed, the patient or practitioner

Rhabdo the Terrible was largely determined by the evil of muscle damage and kidney died of poisoning myoglobin -. Right before you die. It is kidney damage mainly made rhabdo medical emergency. But there are many other things going on -. A cocktail of substances that cause many other symptoms (ahem, malaise) hours prior to your kidneys hurt

In particular, frank trauma is not the only way to get rhabdo, only one of the worst and most obvious. Instruction to release a lot of myoglobin into the blood:

You’re done! But rhabdo not only caused by “destroyed” the muscles but the muscles which, in the words of Wikipedia, “quickly broken” … in any way.

Like? alien disintegrator ray room? fly giant monster vomiting digestive enzymes into your thigh? How, pray tell, do not muscle ever “fast break”?

This is where things get a little weird.

Read in rhabdo and it became clear that while the worst cases are caused by such things as buildings fell at the feet of people, there are many causes less traumatic others:

What this list is odd tells us that the cause of acute rhabdomyolysis are the tip of the iceberg physiological, bad end of a broad spectrum. Muscles will obviously entrails spilling their chemical in response to light pressure and forces many of overtly destroying

relatively small, exertional rhabdomyolysis is actually common, and even has a name :. “White collar rhabdomyolysis” a term coined by Knochel in 1990 due to a very striking rhabdo recreationally extreme athletes – people who volunteered to work alone in a sorry state. You could also call (for fun) rhabdo recreation. Another well-known source of rhabdo case is boot camp: “a large number of [recruited] may have myoglobinemia …”

After a little browsing through the literature, I have the impression that you could rhabdo. -ized by sneezing especially loud

This is a real case of rhabdomyolysis, with the amount of myoglobin in the blood start to worry a little oogy, and many minerals and electrolytes mess – but they are also generally less severe and tends to cause kidney damage. They are somewhere in the middlewhich rhabdo spectrum.

It is also roughly where parents landed in the spectrum after a brutal two-man, two hours of his massage. The case was probably the worst scenario for a massage-induced rhabdo … but it’s also bad worst-case scenario. If it’s a strong two-hour massage can do, what could be a strong one hour massage do? Maybe for someone with a genetic predisposition for rhabdo?

To understand the general experience, it is often helpful to learn about their extreme and exaggerated form. What’s going on here? Turn it up! Acute rhabdo interesting and revealing because it is almost certainly an extreme form of disposal and almost universally human experience. Feeling sick and cruddy after physical stress

The lower part of the spectrum rhabdo messy and interesting. No doubt the biochemical diversity, the right cocktail depends heavily on many variables such as genes, fitness, and the type of stress. Regardless, if people are relatively normal as runners and soldiers can get middlin ‘rhabdo, then it is almost guaranteed that less extreme pressure fairly routine cause of rhabdo less extreme. Most of this will fall far below the threshold of what would have been diagnosed as rhabdomyolysis. Indeed, at the lowest end of the spectrum we simple have another name for it …

“Pain,” for example

Rhabdo that’s just a fun obvious overlap -. Largely or entirely – with the familiar phenomenon of being really sick after vigorous exercise (usually called the DOM, for). And that, in turn, feels almost exactly like PMSM. Appropriately enough, one of the names for the DOM is “muscle fever.”

This experience may only lightweight version of something that could get much more horrible, but usually not. But the nature of light phenomena is well lit by the nature of his more serious version. Although the details of biochemical absurdly complex, not a common theme – we are being poisoned by the by-products of stress are relatively small network.

Even a little massage. You almost can determine the massage as “destroy muscle,” and rhabdo caused by muscle crush injury and even much lighter damage to the muscle. Therefore massage may cause rhabdo, and it is the most likely explanation for the PMSM.

This is all very interesting, but probably not very important.

As I mentioned at the beginning, “Poisoned With Massage” is a sensational headline. I chose to help promote the articles, of course – but I would not choose it if I do not also believe that “poisoned by massage” scientific fact maintained (as well as the provocative and interesting). I think the evidence and reasoning were good, and I have high confidence that massage actually “poison” we, little.

But so what? So is exercise! And we do not stop it. It was almost impossible to progress in fitness without the “poison” yourself with a little DOM, almost regularly. It is not entirely unreasonable to call “healing crisis” -. Prices are not fun to pay the benefits are clear

The problem with the massage is that the benefits are much clearer. No one knows exactly what a good massage is not for people, medically speaking. This is somewhat murky. We do not even know if it makes us “fit” to adapt to the stress of PMSM. Formidable by perhaps as doubting the toughness massage your feet so you can walk barefoot – it’s all well and good, but you need strong legs? Probably not.

Fortunately, we know that a good massage intrinsically satisfying as sensory experience, and it’s probably a good enough reason to put up with some side effects. However, I also believe that I do not want to dial up PMSM and embrace it either. It can largely be avoided by gentle treatment, and probably should.

Life is stressful. It is a multi-decade process of adapting to the pressure. I am happy to tolerate mild rhabdo bit along the way – but I will definitely try to minimize

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I’m a science writer, a former massage therapist, and I was an assistant editor for several years. I have had my share of injuries and illness as runners and challenge players. My wife and I stayed in downtown Vancouver, Canada. Look at me, or my blog ,. You might run into me or.

Photo of a glass of water.

If PMSM is essentially a mild poisoning, does this validate the popular practice of massage advise clients to drink extra water? Most no – it is not specifically, medically relevant. It makes sense to avoid compounding rhabdo mild dehydration. But it makes sense to avoid dehydration, period.

If the acute rhabdo treated with IV fluids, does not that show that drinking water would help? In light rhabdo, we do not worry about kidney damage at all. And drinking one extra glass or two of water will not be (remotely) does the job permanent. Indeed, there is an ironic catch-22: if you drink enough water to dilute the concentration of harmful successful myoglobin in your kidneys, you will actually poisoning yourself. With water.

Consider: Can you “treat” the problem is much more familiar than the DOM by drinking extra water? Answer: Definitely not. Try drinking three extra large glass of water when you are sick super-being after a great workout. Still really sick? You can count on it.

In principle, the only medical condition can be effectively treated by drinking more water is … dehydration. A number of disease processes and even poison dehydration, which in turn can be treated with hydration. A clear example is alcohol. But good massage or rhabdomyolsis is “dehydration.” (I’ve actually heard claims that massage is hydrating – but it’s too kooky to bother unpacking.)

Dehydration is inherently dangerous, and in particular will worsen any condition where the concentration of toxins in your body fluids factors, and this can be aided by diluting the toxin with a higher blood volume – but only a little, and not enough to dilute toxins. Acute rhabdomyolysis treated with intravenous fluids because, again, you can absolutely do not drink enough to melt enough to protect the kidneys.

toxin A lot of people would guess that drinking makes you urinate more, which means more action on the kidneys, which means more processing and filtering of some blood-borne toxins – but logic is the same as the volume of blood , It is true-yet-trivial

Dehydration is worth avoiding his own, of course, and it is not logical to make sure you avoid it after a massage. Who want both pre-rhabdo and dehydration at the same time? Not me. Unfortunately, there is no way of additional hydration really “protective” – ​​there simply is not much difference between the hydrated and un-hydrated

Many massage therapists have speculated that the PMSM caused by, poisoned by. the bodies of dead bacteria during antibiotic treatment. The most polite response this idea I was capable of is that it is wildly speculative, referrals, and good luck with that. It really depends on optimistic assumptions about the strength of the massage great, especially its ability to cause such remarkable surge in activity of the immune system can kill the bacteria enough to cause this effect. And what this infection, anyway? Do we also hypothesized that people with the infection serious enough to cause a reaction asymptomatic JH well enough that they are looking for massage therapy?

I already wrote about this long enough to avoid categorically stating something that is “not possible” – I always want to leave a little wiggle room – but this is about as far left as the claims in the field can get a massage. For some alternative medicine practitioners, I thought “Jarisch-Herxheimer reaction” has just become a practical way to say “healing crisis” by the science-y.

Did you find this article useful? Please support independent journalism with a donation. See for more information and options.

I’m a science writer, a former massage therapist, and I was an assistant editor for several years. I have had my share of injuries and illness as runners and challenge players. My wife and I stayed in downtown Vancouver, Canada. Look at me, or my blog ,. , You might run into me or

I definitely expected to be criticized for being “negative” about the massages in this article – and I was criticized for that – but I also call for overconfidently presents a theory without evidence. It’s ironic: I’ve put in a lot of time fighting the hype about a premature conclusion, and I would hate to be the one source. Am I?

While not deny that your hypothesis may very well be true, and it is attractive and reasonable position, I feel that you are just a little stronger conclusions unsupported by suFficient evidence.

“Inner West Mobile Massage ‘comment on Facebook

I appreciate the spirit of criticism, and I even agree with it and immediately changed the sentence too believe the key in the conclusion. But as I reviewed this entire article look for other signs of overconfidence, my concern subside. There are many qualifications and circumvention here! I say “probably” a lot. This is obvious from the style that I theorize, think hard. I do like the theory, and I suppose that may be true, but I do not think I was present as a sure thing -. Places close

More criticism came. On Twitter, for example, @SwoleClient accused me of “unfounded claims,” ​​the reason that I am basing my argument on a single case study. Others echoed the sentiment.

I do not agree with it. There are two main issues here:

A claim is any statement has not been verified. But not all claims are created equal. In the health care and medical science, “claims” implies more a self-serving statement. If the claims can be used as a bullet-point in the sales promotion, it is a claim-y. If it makes you (or profession) look better, it is more claim-y. And the claim-y it is, the need to be supported.

This special case of a claim the word comes from the thorny ethical challenge to sell out for the sick, sick people. All claims need critical assessment and verification, but it’s just not important ethical if it has no odor claims. Sagan idea that “extraordinary claims require extraordinary evidence” is not only about alien abduction and lake monsters. It is also, in spirit, are about more unusual but self-serving and favorable claims -. Danger ethically more common than claims remarkable

I presented my theory to the doubt cast claims a self-serving classic, claim that serve the interests of the massage therapist: claims popular and specific that massage “detoxify,” and claims that more general that massage is beneficial (or at least safe). The “claims” I’ve made more self-defeating than serving yourself. This shallow contradict widely published in my opinion that one should buy a massage service and devote sufficient energy for self-massage (although I explained in the article that it was not really a lot of attention). My “negative” about massage and other treatments does great damage to my bottom line. I could probably make more money just to shut up about things like this.

So the allegations “unsubstantiated claim” did not fit properly – technically correct, but certainly one in spirit. What I was served only partially supported theory.

There is exactly no evidence that the detoxifying massage. But I presented some evidence and a plausible theory that it was, in fact, do the opposite. It’s more about putting a dent in claim detoxification rather than prove my own hypothesis -. My own case should only be “reasonable” to doubt the significant of claim

Many professionals believe (or fear) that evidence-based medicine is tense and narrowed, and ignore their clinical experience (although EBM has always stressed that the evidence only an important factor in clinical reasoning).

Now, when I defend the theory with data that is not perfect, I received criticism from some of the same people for not presenting enough evidence! Flood.

my case for rhabdo as a post-massage causes pain and malaise is not only based on a single case study, as some critics have implied. I would argue it from several different angles, and provided a fair bit of “indirect” evidence (indirect evidence). Chalk it all up to “you based everything on one case study,” as some people do, is a synopsis facile.

But I did not say that the evidence is strong or that my conclusions are airtight. , The level of evidence is a simple, fair reasoning – and my level of confidence match it

One cunning critics tried to trap me in inconsistencies clear:

Earlier this year you complain that there is not enough evidence to claims. But now you claim with weak evidence that massage causes rhabdo. What gives

This is what gives 😕 Researchers involved in the study that makes the massage-increasing big claims that it makes no sense to start with in various ways, and are poorly supported by evidence is very indirect. The claim was great, so that the burden of proof heavy, but all of them have some exceptional complex proof test tube, filled with problems, and far from sound clinical implications. However, they concluded it was very confident for the media and journals are very confident as a “massage reduces inflammation.”

Not the same thing.

There is something wrong with this article, but there is no catch: most significant remarkable defect is the absence of discussion of alternative explanations for the phenomenon of post-massage aches and malaise. “How else can I explain this?” is a pretty fundamental part of critical thinking, and it was gone. I did not go there

Perhaps the next month

The main myths about massage therapy are: ..

A complete list of dubious ideas in massage therapy is far greater than. Look at me. Or you can listen to me.

And the massage was awesome! It is important to understand the myth, but there is more to massage. Are you an ethical, progressive, science-loving massage therapist? Does all this unpacking caused a crisis of faith in your profession? This one is for you :. – “story rhabdo A reader (and possibly terrible that some people are more susceptible than others)”

2018 new parts and sub-topics,

2017 – “no, PMSM not caused by Jarisch-Herxheimer reaction “Miscellaneous minor changes, and new sections,

2017 – Added sidebar on PMSM how many stories I have received from readers

2012 – .. Publications

“” is a passion deliberate and justified public concern, usually to serve ulterior motives. I am often accused of fear mongering because I express concern about the potentially dangerous treatment. I pleaded “not guilty”: I aim to nuance and balance every time I write something that strength spy anyone, and I made a point of weight the risks and benefits. increase awareness of the risks legitimate fear mongering – it’s a valuable public health education. It will be fear mongering if I am making an issue out of nothing, but it was never about “nothing.”

“You’re not paranoid if they really are after you,” and it is not fear mongering if attention is rational.

bizarre, extreme case another study paper () tells the terrible experience of the horror stories of people with a severe reaction to infrared heat and massage on a regular basis for a few days. The problem started after a few days. neck and arms become swollen, pain “unbearable,” and “increased serum muscle enzyme” – rhabdo? Some degree, it is very possible. Rhabdo presence also has implications for the massage itself as a significant mechanism of injury.

(It is hard to imagine any number sane infrared heating caused such a terrible reaction, and I do not think it will increase muscle enzymes in the blood under any circumstances. Heat exhaustion will, but the threat is more apparent that even mentioned. As an interesting side note, some people also believe that the infrared (and others) sauna that “detoxification,” but here we have a case where obviously failed to do that)

here’s one of the most simple:.

When you receive a massage, various body systems were given a temporary boost. improved blood circulation, increased lymph flow and the immune system starts to become a little more efficient. If you are a person who gets little or no exercise (not common in our culture today), who never got a massage, or simply get a massage once or twice a year, your body will be stimulated enough to stir things up a bit.

PainScience.com is © 1999-2020 by Paul IngrahamCANADA

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