Arthritis includes more than 100 diseases and conditions that affect joints, the tissues that surround the joint, and other connective tissue. Symptoms vary depending on the specific form of the disease, but typically include pain and stiffness in and around one or more joints. Some rheumatic conditions can also involve the immune system and various internal organs of the body.[i]
Arthritis affects more than 1 of 4 U.S. adults (that’s about 54.4 million people). It is a leading cause of work disability in the United States and one of the most common chronic conditions in the nation. Arthritis is a common cause of chronic pain.
There is a lot of conflicting information and little scientific research or published studies about arthritis indications and contraindications for massage therapy or bodywork.
Arthritis sufferers usually have a good deal of joint irritation and inflammation. As such, it is usually contraindicated to massage (or provide heat around) an “inflamed” area. However, some arthritis sufferers state that their pain is greatly relieved by heat, and there has been research over the years that shows heat was helpful with chronic medical conditions such as arthritis in SOME cases.
Some arthritic sufferers may find that a gentle massage therapy session could provide pain relief. Others could say this same work irritated their inflammation. It’s up to the bodyworker and client to evaluate and decide what services can safely be provided to that arthritic client.
The client usually knows what irritates and soothes them. It’s important to ask questions and listen to their answers because each individual usually knows their own body best. If there are ever any questions about safely providing service, it is best to seek physician approval and/or direction.
Osteoarthritis (OA)
Osteoarthritis affects over 30 million Americans and is the most common form of arthritis in the US. It is caused by the damage or breakdown of joint cartilage between bones. It is sometimes called degenerative joint disease or “wear and tear” arthritis. These changes usually develop slowly and get worse over time. It most frequently occurs in the hands, hips, and knees.
Osteoarthritis can cause severe joint pain, swelling, and stiffness. In some cases, it also causes reduced function and disability; some people are no longer able to perform their daily tasks and, in some cases, are not able to work. Severe cases may require joint replacement surgery, particularly for knees or hips.[ii]
Heberden’s Nodes
Heberden's nodes are often seen in osteoarthritis. They are hard bony swellings and growths that develop on distal interphalangeal joints. Precaution – do not press or apply pressure to swollen joints!
Bouchard’s Nodes
Bouchard's nodes are often seen in osteoarthritis. They are hard bony swellings and growths that develop on proximal interphalangeal joints. Precaution – do not press or apply pressure to swollen joints!
Rheumatoid Arthritis (RA)
Rheumatoid Arthritis, is an autoimmune and inflammatory disease, which means that your immune system attacks healthy cells in your body by mistake, causing inflammation (painful swelling) in the affected parts of the body.
RA mainly attacks the joints, usually many joints at once. These attacks are also commonly called “flare-ups”. In some cases, it may be contraindicated to work on a client while they are experiencing a “flare-up”. That’s because the client could have extreme irritation which might become worse by any type of pressure or touch. Unfortunately one of the only ways to know if their medical condition would be worsened by massage is through experimentation - and it would be unwise to experiment on clients. Also, just because a client has had massage in the past without irritation, does not mean they will have the exact same result with every massage session. Unfortunately we do not know why different responses can happen with what seems like similar massage sessions; and as such, practitioners should avoid doing anything where it feels like an experiment with a client where they could be worse off than before they started their massage or bodywork session. Just think of the old adage when performing massage or bodywork: do no harm!
It is up to the bodyworker and client to decide if they should proceed with service during a “flare-up”. It is always best to seek approval and/or direction for services from a medical physician regarding medical conditions if you and/or the client are unsure about which service(s) are safe and/or beneficial.
Rheumatoid arthritis commonly affects joints in the knees, hands and wrists. In a rheumatoid arthritic joint, the lining of the joint becomes inflamed, causing damage to joint tissue. This tissue damage can cause long-lasting or chronic pain, a lack of balance, and deformity within the joints themselves.
Rheumatoid arthritis can also affect the lungs, heart, and eyes. RA usually attacks many joints at once. [iii]
Fibromyalgia
Fibromyalgia is a frequently debilitating and painful condition that can have "tender points" on the body. Tender points are specific places on the neck, shoulders, back, hips, arms, and legs. These points can elicit extreme pain when pressure is applied to them.
The American College of Rheumatology approved new revised diagnostic criteria in 2010 for fibromyalgia that eliminated the 1990 tender point testing criteria.
The new 2010 diagnostic criteria uses the Widespread Pain Index, and symptom severity scale in place of tender point testing under the 1990 criteria.[iv]
The 2010 “Widespread Pain Index” (WPI) is shown here in the colorful picture of the body (top). The 1990 “Tender Point” criteria body chart is shown here with the red dots on the body (to the right).
As a bodyworker it is important to know where the “tender spots” are when working with fibromyalgia clients. It is questionable whether pressure should be applied to these tender point spots as this can be very painful for a fibromyalgia client. Always avoid working on any areas of lost sensation or numbness.
Fibromyalgia can also cause disability, a lower quality of life and widespread pain all over the body beyond the “tender points”. People with fibromyalgia may be more sensitive to pain than people without fibromyalgia. This is called “abnormal pain perception processing”. Fibromyalgia affects about 4 million US adults, about 2% of the adult population. The cause of fibromyalgia is not known, but it can be effectively treated and managed.vii
People with fibromyalgia can also be GREAT candidates for Massage Therapy!
The CDC reports US adults with fibromyalgia may have complications such as:
- More hospitalizations. People with fibromyalgia are twice as likely to be hospitalized as someone without fibromyalgia.
- Lower quality of life, especially for women. A woman with fibromyalgia has 40% less physical function & 67% less mental health than a healthy woman.
- Higher rates of major depression. Adults with fibromyalgia are more than 3 times more likely to have major depression than adults without. (Screening and treatment for depression is extremely important.)
- Higher death rates from suicide and injuries. Death rates from suicide and injuries are higher among fibromyalgia patients, but overall mortality among adults with fibromyalgia is similar to the general population.
- Higher rates of other rheumatic conditions. Fibromyalgia often co-occurs with other types of arthritis such as osteoarthritis, rheumatoid arthritis, systemic lupus erythematosus, and ankylosing spondylitis.[v]
Gout
Gout is a form of arthritis generally caused by a build-up of uric acid in the joint. It regularly starts in the big toe joint and other joints that are furthest from the heart where our body’s temperature is coolest, where the uric acid can “crystalize”.
Gout is considered one of the most painful kinds of arthritis. Symptoms include:
- Pain/tenderness
- Tightening of the skin
- Swelling
- Redness or discoloration
- Warm to the touch
Gout is generally caused by consuming purine rich foods, such as alcohol, anchovies, dried beans, gravies, liver and peas.
Most people who have gout are house-bound and are unable to stand or walk without extreme pain. It is ill-advised to press on the affected area, and it is recommended to seek approval and/or direction for bodywork from a medical physician regarding medical conditions. This may include rescheduling any services that involve the affected area (i.e., foot reflexology for someone who has gout in their big toe). Massage and bodywork services should never elicit extreme pain.
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#massage #massagetherapy #massageprecautions #massagecontraindications
[i] Centers for Disease Control & Prevention. Arthritis. (2018, February 21). Retrieved May 03, 2018, from https://www.cdc.gov/arthritis/basics/index.html
[ii] US Health & Human Services. “Arthritis.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 3 Apr. 2018, www.cdc.gov/arthritis/basics/osteoarthritis.htm.
[iii] US Health & Human Services. “Arthritis.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 3 Apr. 2018, www.cdc.gov/arthritis/basics/rheumatoid-arthritis.html.
[iv] Wolfe, F; et al. (May 2010). "The American College of Rheumatology Preliminary Diagnostic Criteria for Fibromyalgia and Measurement of Symptom Severity" (PDF). Arthritis Care Res. 62 (5): 600–610. doi:10.1002/acr.20140. PMID 20461783
[v] National Center for Chronic Disease Prevention and Health Promotion | Division of Population Health. “Arthritis.” Centers for Disease Control and Prevention, 3 Apr. 2018, www.cdc.gov/arthritis/basics/fibromyalgia.htm.
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Lucy Eagleston - June 09, 2025
Hi everyone, I thought I should share this here because it might be helpful to someone. I’ve heard people say that there is no cure or treatment for herpes, I just want to say that it’s not true. I know how frustrating and discouraging it can be to deal with herpes, especially when it feels like there’s no real solution. A few years ago, I was diagnosed with herpes, and like many people, I was devastated. I felt hopeless, ashamed, and overwhelmed. I tried to stay positive and follow the treatments prescribed by doctors, but I kept hearing the same thing, there’s no cure, only management with antiviral medications. It was emotionally draining and made me feel like I had no control over my health.
During my search for something anything that could help, a close friend told me about a traditional herbal healer named Dr. Utu. At first, I was skeptical. I had read a lot online and wasn’t sure what to believe. But I figured it couldn’t hurt to learn more. I reached out to Dr. Utu, and he was kind and professional. He told me about a natural herbal remedy he offered, and after hearing about other people’s experiences, I decided to try it.
I followed his instructions carefully and took the herbal mixture as directed. To my surprise, I started feeling better—not just physically, but emotionally too. After completing the treatment, I went to get tested again. The test came back negative. I repeated the test at different clinics just to be sure, and each time, it confirmed the same thing: no trace of herpes. It felt like a miracle.
I know everyone’s experience is different, and I’m not here to give medical advice. But I wanted to share this in case it helps someone who feels the way I once did. If you’re curious or want to learn more, you can reach out to Dr. Utu via email: drutuherbalcure@gmail.com. I’m deeply grateful for what he did for me, and I hope this testimony gives someone out there a bit of hope.
Emma Van Der Wal - May 13, 2025
For many years, I found myself entrenched in an exhausting battle against the debilitating effects of a herpes virus infection. This relentless condition manifested in a series of outbreaks that were not only excruciatingly painful but also disruptive to my everyday life. The outbreaks often seemed to coincide with periods when I found myself feeling particularly under the weather or stressed, further compounding my discomfort. Each episode brought with it a cluster of blisters and sores that rendered even the most routine activities—like going to work, engaging in social interactions, or simply enjoying a quiet evening at home—uncomfortable, if not unbearable. I often felt overwhelmed by a tide of frustration and despair, like I was losing control over my own body and my life.
In search of relief and a semblance of normalcy, I embarked on a quest that led me through various well known antiviral medications, including Valtrex and acyclovir. While these treatments provided me with temporary relief and helped manage my symptoms to some extent, they did not offer a permanent solution. With each passing year, I grew increasingly disheartened as my doctor, with genuine concern, emphasized that a definitive cure for the herpes virus was still elusive. This honest assessment deepened my frustration, leaving me to ponder the possibility that somewhere out in the world, a breakthrough solution existed—an answer that could genuinely help improve my quality of life.
As I grappled with anxiety and hopelessness, my journey took a pivotal turn when I rediscovered my belief in the power of natural remedies. This resurgence of hope was largely inspired by my admiration for holistic health approaches championed by individuals like Dr. Sebi and others who advocate for the benefits of alternative medicine. Intrigued by what I learned, I began to explore the expansive realm of natural health solutions, driven by a newfound curiosity and determination to regain control over my health.
During my exploration, I fortuitously encountered someone who shared a remarkable transformation story. This individual recounted severe struggles similar to mine, detailing the drastic improvement she experienced after adhering to a treatment plan devised by a herbalist named Dr. Utu. She confidently asserted that he had completely cured her of the herpes virus in just four weeks of following his regimen. While I initially felt a blend of intrigue and skepticism regarding such an extraordinary claim, something within me urged me to seek more information.
Taking a leap of faith, I reached out to Dr. Utu to learn more about his herbal cures. From our very first conversation, I felt an overwhelming sense of support and understanding from him. He patiently took the time to explain how his herbal remedies were intricately designed to strengthen the body’s immune system while facilitating overall healing. This interaction left me feeling invigorated and hopeful, restoring my sense of agency in the face of my health challenges.
After careful consideration and reflection on my own health journey, I decided to order Dr. Utu’s herbal cure and eagerly embarked on the treatment process. As the days transformed into weeks, I began to notice a significant and positive transformation; the frequency and severity of my outbreaks started to decline noticeably. For the first time in years, I felt a sense of control over my health that I had long believed was lost to me. By the end of the fourth week, my experience was nothing short of extraordinary. At that point, I felt liberated from the constraints imposed by the virus, free from the constant anxiety and torment it had brought into my life.
Today, I am overwhelmingly proud to share that I have achieved full recovery and am no longer burdened by the painful outbreaks or the persistent worry regarding my condition. This transformative journey has imparted valuable lessons about the necessity of exploring alternative health approaches alongside traditional medicine. It has encouraged me to foster an open mind concerning holistic treatments that respect the body’s innate capacity for healing. Therefore, to anyone currently grappling with herpes or any similar health issues, I wholeheartedly implore you not to lose hope or feel isolated in your struggle.
I genuinely believe in the efficacy of Dr. Utu’s Herpes Herbal Cleanser; it has proven to bring healing to many individuals facing the challenges of various herpes virus infections. If you are seeking a way to reclaim your health and happiness, I assure you that reaching out to Dr. Utu will be an incredibly transformative step in your health journey. You can contact him at drutuherbalcure@gmail.com
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Lennon - October 25, 2024
Here is my testimony on how to get cured from HSV1&2. I got diagnose of HSV-2 and I have been taking pills to prevent an outbreak. I never stop searching for a cure because I strongly believe that there is something somewhere that can get rid of it completely and in February this year, I ran through some comments on a blog about Dr Osato herbal cure and a lot of people commented about him having the herbs that can get rid of herpes completely. I was excited and I contacted Dr Osato and ordered the cure for myself and he sent it to me through UPS and gave me instructions on how to take it which I rightly followed and behold I went for checkup after two weeks of taking the herbs and my result shows NEGATIVE. My doctor confirmed with me that I am totally clear from HSV-2. You can as well contact Dr Osato to get the herbal cure from him. His email is osatoherbalcure@gmail.com or WhatsApp him on +2347051705853.. His website is https://osatoherbalcure.wordpress.com
Lennon - October 25, 2024
Here is my testimony on how to get cured from HSV1&2. I got diagnose of HSV-2 and I have been taking pills to prevent an outbreak. I never stop searching for a cure because I strongly believe that there is something somewhere that can get rid of it completely and in February this year, I ran through some comments on a blog about Dr Osato herbal cure and a lot of people commented about him having the herbs that can get rid of herpes completely. I was excited and I contacted Dr Osato and ordered the cure for myself and he sent it to me through UPS and gave me instructions on how to take it which I rightly followed and behold I went for checkup after two weeks of taking the herbs and my result shows NEGATIVE. My doctor confirmed with me that I am totally clear from HSV-2. You can as well contact Dr Osato to get the herbal cure from him. His email is osatoherbalcure@gmail.com or WhatsApp him on +2347051705853.. His website is https://osatoherbalcure.wordpress.com
Martha Jecorick - October 16, 2024
DR. OSATO`S CURE FOR HERPES1&2 – A NATURAL WAY TO GET HERPES1&2 CURED. If you have been looking for ways to naturally get rid of the herpes simplex virus from your body totally, then you are welcome to read further. Let’s face reality here, you have tried so many counter drugs and you are confused, weak and angry because nothing seems to work. Good News For you my friend…. Yes, I came with good news that will liberate you from the pains and stress of herpes outbreak, you will get total cure from this virus using Dr. Osato Herbal Methodology. Who is Dr. Osato? You may ask. Dr. Osato is a herbalist and a naturalist. He researched and identified some herbs and established a unique methodology to healing the human body using Herbal medicine that was confidently entrenched in his over 30 years of experience. According to him, he has the cure for so many diseases/virus like GENITAL HERPES, HIV, DIABETES, CANCER, HPV, HSV1&2, GENITAL WART, SHINGLES, VAGINAL INFECTION and so many more. You can reach Dr Osato on his email: osatoherbalcure@gmail.com or WhatsApp +2347051705853. You can also contact him through his website: https://osatoherbalcure.wordpress.com. I am using this medium to inform everyone how to get treated of herpes using Dr Osato recommended Herbal methodology.
Bryan Halifax - September 29, 2024
I was once told that there was no cure for herpes, but today I’m living proof that with the right approach, it’s possible to permanently overcome this condition. I’m forever grateful to Dr. Utu, a true gift to humanity, who helped me find freedom from the shackles of herpes.
For years, I have suffered in silence, trying countless conventional treatments that only provided temporary relief. But Dr. Utu’s Herpes Herbal Cleanser changed everything. With his guidance, I discovered the power of natural remedies and the importance of holistic well-being.
Through his expert care, I learned to harness the healing properties of herbs and plants. Dr Utu Herpes Herbal Cleanser not only alleviated my symptoms but also permanently cured me and empowered me to take control of my health. I began to understand the intricate connection between my body, mind, and spirit.
As I embarked on this journey, I noticed profound changes within myself. My energy levels increased, my skin cleared, and my overall well-being improved. But most importantly, I found peace and liberation from the grip of herpes.
I’m not alone in my experience. Many others have benefited from Dr Utu Cure’s exceptional care and guidance. His dedication to helping others is a testament to his compassion and expertise.
If you’re struggling with herpes or any other health challenge, I urge you to keep an open mind and explore alternative approaches. Don’t be discouraged by those who say there’s no cure – instead, seek out innovators like Dr Utu who dare to challenge conventional wisdom.
Today, I’m proud to say that I’m living a life free from the constraints of herpes. I’m grateful for Dr Utu’s unwavering support and encouragement. His work is a beacon of hope for those seeking true healing and wellness.
Don’t give up – there is hope. Seek out the wisdom and expertise of pioneers like Dr Utu, and discover the transformative power of nature’s healing gifts."
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Britney - September 23, 2024
PURE NATURAL CURE FOR HSV-1&2, HIV, HPV, BLOOD PRESSURE, CANCER AND DIABETES BY DR OSATO HERBAL MEDICINE. HIS WEBSITE: https://osatoherbalcure.wordpress.com
The doctors keep saying there is no cure for herpes and making people believe that there is no cure. I’m here to inform everybody that there is a cure. There is a cure for Genital Herpes and I was cured from Genital Herpes by Dr Osato with his herbal medications. I got diagnosed with herpes june 2024 and ever since then I have been looking for a cure. I was reading about herpes on Youtube and i saw a comment on how Dr Osato cure HERPES and HIV with herbs on the comment section, i was surprise and i contact him on the email they provided on the comment and i explain my problem to him and he also prepare the herbs and send it to me which i use for two weeks as i was instructed by Dr Osato and after 2weeks i went to the hospital for a blood test and the result was Negative and my doctor confirm with me that am fully cured from genital herpes. I’m so grateful to Dr Osato.You can also reach Dr Osato on his email: OSATOHERBALCURE@GMAIL.COM or you can text and whatsapp him on +2347051705853.. His website is https://osatoherbalcure.wordpress.com