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1) Mechanism of action — why it works (details)

Neurophysiological (immediate effect)

Tactile and compression stimulation reduces pain signaling through gate mechanisms at the spinal cord level, and at the same time activates the downward suppression pathway (endogenous pain suppression) in the brain stem. 건마

Facilitating contact induces parasympathetic activity (increased heart rate variability (HRV), respiratory relief), leading to muscle relaxation and emotional stability. 마타이

Mechanical changes in myopia and fascia (structural/intermediate effects)

Repeated stretching and friction physically changes the arrangement and adhesion of myofibrils and promotes sliding between fibers ("mechanical rearrangement").

Mechanical deformation of the fascia can cause cellular reactions such as fibroblasts, affecting tissue elasticity and mobility in the long term (slow mechanism but cumulative effect).

Fluid and metabolic pathways (lymph, blood flow)

Compression and return pressure help the flow of veins and lymph and promote the removal of edema and metabolic wastes (lactic acid, etc.). It is especially beneficial in recovery immediately after exercise.

Endocrine and immune responses (whole-body effects)

Studies have reported a temporary decrease in stress hormone (cortisol) levels and an increase in endorphins and serotonin after massage, contributing to improvement of pain and mood (effect size and persistence vary individually).

2) Effect observation pattern over time axis

Immediate (0–30 min): Pain relief (temporary), decreased muscle tension, and peace of mind (parasympathetic response).

Short term (24–72 hours): clinical effect of maintaining muscle slack or recoil muscle pain (temporary muscle pain), lymphatic and blood flow improvement (reducing swelling).

Medium (weekly): Reduce pain frequency and intensity during repeated sessions, improve ROM (operational range), and start posture changes.

Organ (more than a few months): Structural improvement of muscle balance and joint function with lifestyle and exercise.

3) Clinical indications (if listening well) vs limit (if effectiveness is insignificant)

a situation that is expected to be effective

Muscular and fasciologic pain, tension headache, nonspecific back pain, recovery after exercise, local swelling (for the purpose of improving lymph circulation)

a situation of limited effectiveness

Acute structural lesions (fundamental resolution of nerve compression due to disk escape), infectious diseases, and severe inflammatory and cancerous lesions (surgical and tumor-related pain needs to be judged by a specialist).

Effects of psychological factors: Expectations and trust relationships with the healer have a significant impact (plasivo factors).

4) 'prescription' (frequency, intensity, time) — Actual guide

Acute pain (recent damage): 1-2 times a week at 1-2 weeks intervals (weak intensity → increased interval when symptoms improve).

Chronic pain and maintenance purpose: Once a week or once a 2-4 week (adjusted according to symptoms and lifestyle).

Athlete/recovery session: pre-match (active type 10–15 min, low intensity), post-match (recovery type 20–30 min, lymphatic discharge centered).

Intensity Guidelines: Subjective discomfort of patients Standard 3–6 levels on a scale of 0–10 (therapeutic depth is patient preference and purpose).

5) Safety and prohibition (simple but practical)

Medical diagnosis required: acute neurological symptoms (paralyzed severe numbness), acute trauma, high fever, suspected DVT (swelling/redness/pain on one side of the lower extremities), infectious skin lesions.

Cautionary groups: anticoagulants (risk of bleeding), heart failure and heart disease (caution of circulatory changes), and early pregnancy (certain blood spots and pressure prohibited).

Signs of side effects: Immediately stop strong pain, severe bruises, and persistent dizziness after the procedure, and consult a doctor.

6) Measurable results (how to check with figures and indicators)

Pain: VAS/NPRS (weekly record)

Features: joint angle goniometer (ROM), strength grade (MMT), daily function score (e.g. Neck Disability Index, Oswestry, etc.)

Biomarkers (research): HRV, cortisol (saliva), inflammatory markers (CRP, IL-6) — are not commonly used in clinical practice (for research purposes).

7) Practical Integration Strategy (Massage + Exercise + Lifestyle Correction)

10-minute 'action plan' before and after session: massage to relieve muscle tension → maintain and amplify effectiveness when light activation exercise (muscle and flexibility target exercise) is performed immediately (or on the same day).

Daily Correction: Combining posture education such as sitting habits, monitor height, and sleeping posture is key to long-term success.

Self-care tools: foam roller/tennis ball (fuscular relaxation), stretching routine (5–10 minutes per session, 1-2 times per day).

8) Self-care (specific action examples)

Neck: Tuck-pull (jaw-pull) 10 times × 3 sets (rearranged posture)

Shoulders and chests: Chest stretching (door frame stretching) 30 seconds x 3 times

Waist: Bridge (blind activity) 10 times x 3 sets

Calf/Foot: Ball rolling 2 minutes × 2 times/day
(All operations are stopped immediately in case of pain)

9) Select a healer and 'Quality Checklist'

Qualifications and education: Check the clinical practice history and formal education (province, sports massage, physical therapy, oriental medicine doctor, certified massage training, etc.).

Hygiene and ethics: Bedding replacement, clear treatment scope notification, and policy of refusal of sexual contact.

Communication: In your first questionnaire, ask your medical history, medication, allergies, etc. carefully and check patient feedback frequently throughout the treatment.