Beauty Parlor Stroke Syndrome

From the beginning of time, men and women have gone to great lengths to attain an attractive physical appearance. Spa treatments for beauty and relaxation are indulgences that can feel as good as taking a mini vacation.

But did you ever think that the pursuit of beauty and pampering could cause a stroke? While reports of stroke resulting from salon and spa techniques are by no means common, there have been enough strokes caused by professional beauty treatments over the years to warrant the familiar name ‘beauty parlor stroke syndrome’ in the medical community.

 

What can happen and how can you protect yourself?

Professional Shampoo

There have been reports of patients who have experienced a stroke after professional hair styling. A research study published in the American Journal of Physical Medicine and Rehabilitation attempted to unravel the cause of beauty parlor stroke syndrome. The study assessed 25 volunteers who  reported dizziness after salon hair styling. The results suggest that dizziness is produced by decreased blood flow to the brain caused by neck extension during the shampoo phase of the hair service. Customers who were provided with cervical neck support during the shampoo experienced less dizziness. Additionally, there were measurable decreases in blood flow to the carotid artery with salon sink shampoo without cervical neck support and no measurable decreases in blood flow with the use of cervical neck support. It is possible that the vertebral artery (located at the back of the neck) is minimally affected as well.

Solution *Extreme neck extension should be avoided. Cervical support should be used. If dizziness occurs, this may be a sign of decreased blood flow, and therefore it is important to adjust to a more regular physical position.*

Facial Massage

Rare reports of stroke after a facial massage suggest that traumatic pressure during massage can produce tearing or blood clots of the blood vessels that supply the brain.

Solution *Careful massage techniques that avoid pressure on any blood vessel are recommended.*

Handheld Massager

The use of an at-home self-administered moving handheld electronic massager has been responsible for stroke. As with facial massage, this was shown to cause traumatic injury to the blood vessels of the neck. This pressure from the electric massager can cause a tear in the blood vessels at the front of the neck or back of the neck.

Solution *Caution and moderation should be employed when using at home massaging devices.*

Neck and Shoulder Massage

Shoulder or neck massage can cause a stroke due to physical trauma to the blood vessels located in the neck, or even the blood vessels located in the front of the chest.  Rarely, the extreme pressure can trigger the production or manipulation of blood clots, which may then travel to the brain and lodge in the blood vessels of the brain. 

*Massage and relaxation methods, including acupressure, shiatsu, manipulation, reflexology, chiropractic treatment and other techniques should be performed by a trained, experienced professional. Massage techniques should avoid blood vessel landmarks. *

*For at-home massage, it is important to avoid heavy physical pressure, and to focus the massage on the skeletal muscles, avoiding the neck and areas near the eye.*

Fortunately, all of these problems are infrequent. However, when it comes to beauty and pampering, it is important to be aware of these uncommon, but nevertheless possible complications and to take the necessary steps to avoid them.

Another, often surprising cause of stroke is a stroke after chiropractic treatment. Read the touching and inspiring story of 2 women who experienced stroke after chiropractic therapy.

Sources

Grant AC, Wang N., Carotid dissection associated with a handheld electric massager, Southern Medical Journal, December 2004

 Endo K, Ichimaru K, Shimura H, Imakiire A., Cervical vertigo after hair shampoo treatment at a hairdressing salon: a case report, Spine, March 2000

Foye PM, Najar MP, Camme A A Jr, Stitik TP, DePrince ML, Nadler SF, Chen B, Pain, dizziness, and central nervous system blood flow in cervical extension: vascular correlations to beauty parlor stroke syndrome and salon sink radiculopathy, American Journal of Physical Medicine and Rehabilitation, June 2002

Chakrapani AL, Zink W, Zimmerman R, Riina H, Benitez R, Bilateral carotid and bilateral vertebral artery dissection following facial massage, Angiology, January 2009

Hyeyoung Park, Hee-Jin Kim,Myoung-Jin Cha, Jong Yun Lee, Im-Seok Koh, and Hyo Suk Nam, A Case of Cerebellar Infarction Caused by Acute Subclavian Thrombus Following Minor Trauma, Yonsei Medical Journal, November 2013

Mark Rafferty, Terence J. Quinn,*Jesse Dawson, and Matthew Walters, Neckties and Cerebrovascular Reactivity in Young Healthy Males: A Pilot Randomised Crossover Trial, Stroke Research and Treatment, 2011

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