Page 8 - Massage Therapy School Program

Topical Analgesics 101 – Presentation Outline
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The Gate closes to the deep ache when the more superficial larger-diameter nerve fibers (A-Delta) receive more stimulation by applying a topical analgesic. Pain is NOT perceived when a Topical Analgesic is applied to the skin, because it stimulates a third nerve fiber called A-beta. The A-beta nerve fibers are “non-nociceptive” meaning they do not transmit painful stimuli. When the A-beta fibers are stimulated it causes an inhibitory response which closes the gate in the spinal cord to pain.
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Also known as “cold therapy,” cryotherapy is the application of cold to relieve pain, typically applied with ice or other cold modalities. The related term cryokinetics refers to the pairing of pain-relieving cryotherapy with exercise. This cooling and re-warming of tissue stimulates the return of blood flow to affected areas.
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The most popular form of cryotherapy is the use of ice. But when applied to sore muscles, ice can cause such negative effects as stiffness, decreased range of motion, decreased motor performance and skin irritation. While ice has some good effects such as reduced pain and inflammation, there are some disadvantages to be aware of.
• Stiffness, decreased ROM (range of motion)
• Temporary pain and numbness
• Decreased motor performance
• Prolonged vasoconstriction (narrowing of the blood vessels)
• Skin irritation
• Risk of frostbite and nerve injury
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Topical analgesics provide the benefits of cryotherapy without the disadvantages of ice4 and they come with different methods of application. Each method has its own uses and allows for easy application in different situations. Some common conditions that topical analgesics can be beneficial for are medial and lateral epicondylitis (tennis elbow).
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Gel – ideal for hands-on massages; larger muscles and joints.
Gel with Hands Free Applicator – soft sponge tip works well for bony areas like knuckles, elbows, knees and ankles. No mess.
Roll-On – effective for massaging trigger points. Hands free.
360° Spray – great for reaching hard to reach places such as back and feet. Can be used on multiple clients. Hands free.
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On-the-Go Singles – Innovative application provides the power of Biofreeze in an ultra portable, no mess application giving your client’s pain relief...anytime, anywhere.
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Using a topical analgesic before a treatment or therapy reduces minor pain and / or patient apprehension for a more productive session. Topical analgesics can be applied during treatment or therapy if patient or client has continued minor pain. Apply then wait 5 minutes before resuming treatment or therapy.
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After treatment or therapy, practitioners should recommend topical analgesics to clients and patients to use at home to help treat minor soreness or pain.
January 2013, PO5507, Rev. 1