Two remedies for muscle pain that everyone should know about: arnica and epsom salt

A marathon took place this past Sunday in Austin, Texas, and I’ve seen a few runners who came in for massages. It surprises me that so many runners, triathletes, bicyclists, and people who work out are unaware of two over-the-counter remedies that are very effective at relieving muscle pain. Hence this blog post!

It’s not that I don’t want to see you on the massage table. I do. Massage has great benefits, including pain relief. But it’s like this: Very few people can afford to get massage every time they work their muscles hard enough that they feel pain afterwards. Wouldn’t that be nice, though?

In between massages, here’s how you can find relief from muscle pain. These are remedies professional athletes, dancers, and others who work their bodies hard use. I first learned about them 20 years ago while attending a dance workshop.

Arnica gel and tabletsarnicagel

Arnica montana is an herb that grows in Europe. The homeopathic pharmaceutical industry sells an arnica gel that you can apply to your skin to relieve pain. It’s clear, goes on cool, has no odor, and once it dries, you can’t tell it’s there.

You can also get arnica cream, which blends more easily with lotion or creamy sunscreen.

Arnica relieves muscles aches and stiffness, reduces swelling, and prevents bruising. It relieves osteoarthritis pain as well as ibuprofen, without any side effects. I always have it available when I’m doing massage, to apply to bruises and to extremely sore, stiff, or swollen muscles.

arnicapelletsIf you’re more adventurous, you can take arnica tablets. There’s a little trick to dispensing the tablets: twist the lid to loosen. Hold the container upside down and twist it, keeping the lid stable. Pellets will fall into the lid one at a time. When you’ve released 5 pellets, remove the lid from the container and empty the lid under your tongue. Let the pellets melt in your mouth.

If you know you will be doing something where you’ll be in pain afterwards, like lifting heavy boxes, gardening, getting Rolfed, hiking with a heavy pack, etc., take the tablets beforehand to prevent or lessen pain, or take it afterwards for whole-body relief.

Where to get arnica

Here’s the tricky part. People “in the know” like athletes and dancers use arnica, but the makers don’t advertise (as far as I know), so others tend to learn about arnica via word of mouth. To buy it, you need to go to a store that sells homeopathic medicines. Ordinary drug stores and groceries typically do not (although that may be changing), but compounding pharmacies and health food stores (including Whole Foods and Sprouts) do. If it’s not available where you live, you can buy it online.

Note: You may have heard people say homeopathy doesn’t work. If you’re skeptical, try this: The next time you feel muscle pain equally on both sides of your body, apply arnica to one side and do nothing to the other side. Wait a few hours or overnight and note the difference. Or you could apply it to half a bruise and see what happens.

Epsom salt baths

My second recommendation for muscle pain is taking epsom salt baths. Epsom salt (magnesium sulfate) is a mineral made from sea water that looks like rock salt. It has several uses, including taking internally to relieve constipation (taking too much orally can cause diarrhea) and fertilizing plants.

Fortunately, the body absorbs magnesium really well through the skin, and there are no adverse side-effects.

epsomsaltThe best use for sore bodies is to add two cups of epsom salt to a warm or hot bath and soak in it for 12-20 minutes. Swish the water until the epsom salt dissolves. If I take an epsom salt bath in the evening, it calms me and I sleep like a baby.

Epsom salt eases muscle cramps, pain, and inflammation. It reduces insomnia and anxiety. It pulls toxins out of cells, softens skin, improves blood circulation and oxygen use, increases the effectiveness of insulin, aids in nutrient absorption, lowers blood pressure, and relieves migraines and cold/flu symptoms.

Most of us are deficient in magnesium. Stress (including muscle overuse) depletes magnesium, and depleted magnesium creates stress, so it’s easy to get stuck in magnesium depletion.

I believe magnesium is the new Vitamin D because most of us don’t know we’re deficient, and once the deficiency is remedied, well-being increases.

I’m not the only one that thinks so.

According to the National Academy of Sciences, American’s magnesium deficiency helps to account for high rates of heart disease, stroke, osteoporosis, arthritis and joint pain, digestive maladies, stress-related illnesses, chronic fatigue and a number of other ailments.

The other component of epsom salt, sulfate aids joint health, improves absorption of nutrients, strengthens the gut lining, forms healthy brain tissue, and plays an essential role in detoxing. It may ease or prevent the pain of migraines.

If you think you might be deficient, take 2-3 epsom salt baths a week for a month. Once the blood levels reach optimum level, you stop absorbing it, so it’s safe.

Where to buy epsom salt

You can buy plain epsom salt at mainstream grocery stores and pharmacies. I bought a 4 pound bag from the Texas grocery chain H-E-B for $2.86. Four pounds makes 8 cups, so using two cups per bath, a bag provides enough for four baths at $.71 per bath.

Think about it: For a little over $2 per week, you could sleep like a baby, ease sore muscles, detoxify your body, improve digestion, lower blood pressure, and increase your feeling of well-being!

Bonus: You can reuse the bath water as a plant fertilizer! Epsom salt is often used to fertilize tomato and pepper plants as well as rose bushes. My bathtub drains into a hose that I can move around outside so various plants get the benefit of this fertilizer.

Also, you may see epsom salt sold in smaller quantities that’s had fragrant essential oils added. It’s usually marked up quite a bit. If you’re frugally experimental like me, you’ll want to get the plain generic epsom salt and experiment with adding your own fragrance.

For relaxation, add lavender, chamomile, frankincense, sandalwood, patchouli, or florals like rose, jasmine, neroli, geranium. To stimulate your energy, add citrus scents, mint, ginger, cinnamon, or rosemary. Put the scented epsom salt into pretty jars, tie with ribbons, and give as gifts.

Self-care for massage therapists, part 2 (what works for me)

In part 1, I listed various self-care methods that massage therapists use for their own aches and pains from giving massage. In part 2, I want to share what I’ve tried (so far) that works.

First, I want to say that my strength and endurance have increased with practice. I used to be in pain after giving 3 hour-long massages in a row several days in a row. Now I can do 4 hours 5 days a week with just a few twinges and aches afterwards. For several weeks, though, I was hurting and feeling some despair about having upended my life to get trained and start working in this new profession and the possibility of not being physically able to do it.

Key learnings from a newbie:

  • I no longer attempt deep tissue work, sticking to Swedish and reflexology. My Swedish massages are good and getting better. I incorporate some of David Lauterstein’s deep massage strokes into every Swedish massage, and I use pressure points, stretching, techniques from sports massage, body mobilization techniques, and reflexology, depending on the client’s issues and the amount of time I have. I cannot deliver the pressure that some clients (well-informed or not about what “deep tissue” means) seem to want. If I work within my limitations, it’s win-win for everyone.
  • I trained in Ashiatsu Oriental Bar Therapy so that I can deliver deeper pressure using my feet and body weight, controlled by holding onto overhead bars. It’s so much easier on my body and a lot of fun, too.
  • I rock with my feet and leverage my body weight strategically as I deliver Swedish massage so my arms and shoulders do less work.
  • Hydrotherapy totally rocks after a long shift. I fill my double kitchen sinks with hot water (my water heater is set to 130 degrees F. for sanitizing laundry) and cold water that I dump a quart or two of ice into. I immerse my aching forearms and hands in the water, alternating cold-hot-cold-hot-cold, for one minute each. I can barely stand it, and yet it makes a huge difference in just 5 minutes. Seems to flush toxins and swelling and pain right out.
  • I stretch my fingers and wrists, holding each stretch for 15 seconds. Good to do when driving, at red lights.
  • I press into the trigger points for the elbow and wrist (see part 1 for links).
  • I apply magnesium gel with seaweed extract topically. According to Wikipedia, symptoms of magnesium deficiency include muscle cramps, weakness, and fatigue, and fifty-seven percent of the US population does not get enough magnesium from food.
  • I love epsom salts in a bath. (Guess what? They contain magnesium!) When I was feeling a lot of pain all over, I would dump a cup or two of epsom salts into a fairly hot bath and add a few drops of lavender oil, then soak for 15-20 minutes. I felt like a new woman when I came out! I learned this years ago from dancers.
  • I use Young Living’s OrthoEase oil on clients’ painful muscles, and I use it on mine as well. Contains wintergreen, peppermint, eucalyptus, lemongrass, and more that are analgesic and anti-inflammatory.
  • I keep hydrated and have been avoiding nightshades lately. I’m already gluten-free and eat fairly healthily. I’m interested in following an anti-inflammatory diet but haven’t done the research yet.
  • I take at least a couple of days off per week, not always together, though. I’m still finding my ideal schedule.
  • I do 10-15 minutes of yoga every morning. Sun salutations stretch and strengthen my body. Plus, it’s a great check-in to do something that starts the same every day. I start slowly and really let my hamstrings lengthen in forward bend before I move on to the next pose. I add standing poses, balance poses, and pigeon as I feel the need and to keep it interesting.
  • I get at least a chair massage every week. I’m interested in setting up a weekly trade for a full-body massage with someone, too.
  • I use a foam roller on back when needed, and a tennis ball to my gluteus.
  • I have two tennis balls tied into a sock that I use when driving to massage my back. I’ve also learned to “pop” my own back while giving massage!

Here’s something that just doesn’t fit into any of the categories I’ve seen so far about self-care for MTs. It’s about how you use your attention. I’ve learned to keep some of my attention on my body most of the time.

When I focused exclusively on the client’s body, delivering what I thought they wanted, I hurt and fatigued myself. I listen more to my body now and check in verbally with the client if I am not noticing nonverbal feedback.

If I notice that I feel rigid anywhere in my body, I say to myself, “Soften,” and my body softens.

Sometimes I put my attention on the soles of my feet and their connection to the floor/earth (I massage with bare feet always for Ashiatsu and as much as possible for Swedish), making the movements of giving massage into a soft, fluid dance.

Sometimes I attend to my breath, letting it become easy and relaxing (and audible to the client, as a nonverbal suggestion that they relax too).

All of these techniques activate the inner body, subtle body, energy body, whatever you want to call it. It feels better to give massage with this “soft present alive expanded body” than not. There is definitely an aspect of being “in the flow” that seems somehow related to doing Reiki, but I don’t know how to put it into words (yet).

Another bonus: the sensations of pain and fatigue become distant as peace and love fill my awareness.

I don’t know if clients perceive the difference, but I don’t think it could hurt. I do it for me because I “in-joy” it!

It’s been four months since I got licensed and began working. I look forward to learning even more new things about self-care and sharing them here.