11.10.09

Races post misleading information about Post Event Massage and Muscle Soreness

Posted in Athletes at 1:25 am by Tim Chien

We recently saw a flyer given to competitors of the recent KeyBank Vermont City Marathon. This flyer, which gave useful inormation about the medical resources provided, dealing with weather, preventing hyponatremia and the dangers of pain relievers, then continued on to show an ubsubstantiated bias against the effectiveness of post-event massage.

The flyer, from the medical director (a physician) and the medical coordinator (an athletic trainer), states that “Post-event massage continues to be controversial. Most experts agree that a massage within the first 2 hours after the race does not prevent muscle soreness”. No sources or corroborating data were given.

We believe in the effectiveness of post-event massage for reducing delayed-onset muscle soreness, as well as restoring the athletes normal muscle, mental and metabolic function. This is from our own experiences from doing massage after dozens of events including every Lake Placid Ironman and Lake Placid Marathon as well as working with pro cycling teams and the Olympic Training Center in Lake Placid, and is also supported by research. The following article is an example.

Sports Massage – Post-Event
Copyright © 2009 Richard Lane

The purpose of a massage after a major event is simply to aid the athlete to recover from the activity. This is achieved by reducing post-exercise soreness, re-establishing full range of motion and enhancing blood flow to tight muscles. The length of recovery time from strenuous competition can be dramatically reduced with a good post-event massage. Studies have found that correctly applied massage in the first two hours after activity can be critical for reducing the effect of delayed onset muscle soreness (1). Although they could not detect any change in measured physiological variables, post-event massage did lower the intensity of delayed onset muscle soreness. Post-event massage can also be employed after (heavy) training sessions as well as competition.

The primary goal of post-event massage is very similar to that of pre-event massage (2), namely promotion of circulation and to lengthen tight muscles. However, the difference is that the muscles are now in a state of congestion and fatigue following maximal effort and performance. Therefore the objective is to increase the athlete’s rate of recovery by decreasing soreness and fatigue, speeding up the removal of metabolic by-products and relieving the increased tone of the muscles. Please note that the delayed onset muscle soreness is not caused by lactic acid build-up as is commonly espoused. Current research suggests that the delayed soreness may be caused by
- microtrauma of the muscle fibres
- a micro-tearing of the fascia
- the pain-ischemia-pain cycle resulting from overuse, oedema and inflammation or
- a combination of all of these.

A post-event massage is typically administered for around 10 to 15 minutes. Even 5 minutes on the legs after a City to Surf type event is beneficial. It is certainly not a full-body massage. For example, a typical post-event leg routine might consist of:
- compressive effleurage to calm the nervous system
- compression for spreading muscle fibres and also enhancing blood flow
- petrissage for easing muscle tension and
- compressive effleurage as a finishing stroke to soothe.
Depending upon the circumstances, the therapist may consider that some gentle therapeutic stretching may be appropriate.

When performing post-event massage, the massage therapist is much more likely to encounter athletes that require first aid. During the massage the therapist should watch for cuts, scrapes, blisters, bruises and mild strains and sprains. However, it should be noted that, depending on the training of the therapist, providing first aid is generally not within the scope of practice for massage therapy. When a sports massage therapist suspects that an athlete has a problem, they should seek the help of a qualified medical staff member at the event.

Although most athletes carry out a warm-down routine after training sessions, they often fail to do so after competition because of exhaustion, elation or even disappointment. An effective post-event massage can help an athlete feel better immediately following a competition. Along with a big psychological lift, it can allow the athlete to recover mor quickly. Almost all athletes look forward to seeing massage therapists at an event because they know that they will enjoy a well-deserved post-event massage.

(1) “Massage decreases intensity of delayed soreness”. J.E. Hilbert, G.A. Sforzo and T. Swensen. British Journal of Sports Medicine 2003. Issue 37. pp72-75.
(2) “Sports Massage – Pre-Event”. R. Lane. http://www.innerwestmassage.com.au/sports_massage_pre_event.php

Richard Lane is a qualified remedial and sports massage therapist, with a mobile massage practice in Sydney’s Inner West (www.innerwestmassage.com.au). Health fund rebates. ATMS 13020. Phone 0421 410057

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The bottom line is that there is no harm and usually alot of good that can come from getting a post event massage, particularly in the first 2 hours following the event. We suggest a post event routine of walking for 15 minutes, rehydration and some nutrition, immersing legs in cool water if available in hot conditions, changing into dry clothes and then going for massage. Listen to your body and congratulate yourself for a job well done!

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