ImaPT wrote:
Not a bad question, certainly one that PTs and other healthcare providers better be asking themselves. Does massage/manual treatment/ART/graston/etc help? I certainly think so based on personal and professional experiences. Do we know how it helps? Eh, not really. Science tells us that it doesnt actually break up scar tissue or change tissue fibers but it does activate chemical mediators to assist in pain relief, maybe healing? There's also the hotly debated placebo effect. But, 100% not breaking up/release fascia, etc.
Ultimately the goal is to use these therapies to help get you to properly load the injured tissues because we do know that loading is the most important factor in healing.
It's just in with the good blood, out with the bad. Massage, in large part, simply pushes blood out in front of the translating point of pressure, while drawing it in behind. So, it creates a localised area of increased circulation.
Which sounds to me like a perfectly reasonable theory about how it works, while also accounting for the benefits we see. I'm not sure it needs to be much more complicated than that.
I've been a sports trainer for six years and I'm studying a masters in PT, and to me this seems as good as any other explanation