Chronic low back pain can be a challenge to treat, but new research suggests that massage therapy may provide some relief.
“Current medical guidelines actually recommend massage therapy prior to the use of opioid medications for lower back pain,” explained William Elder, the study’s principle investigator.
“Yet even with those guidelines, physicians and nurse practitioners are not recommending massage therapy,” said Elder. He’s with the University of Kentucky’s departments of family and community medicine and clinical services.
Low back pain is a common problem, and for most people, it’s short-lived. But for about 15 percent of people with low back pain, the problem becomes chronic and lasts more than three months, the study authors said.
There aren’t a lot of effective treatment options for chronic back pain, and physicians often prescribe opioid painkillers such as OxyContin or Percocet to ease the pain. But those drugs come with a risk of addiction.
Other possible treatments include exercise, steroid injections, behavior changes, chiropractic, acupuncture and surgery, according to the U.S. National Institute of Arthritis and Musculoskeletal and Skin Diseases.
The new study sought to simulate real-world back pain and treatment. Researchers asked physicians to recommend massage for people with chronic back pain.
Just over 100 study volunteers were then paired with an approved, experienced massage therapist in their area who assessed the problem and created a treatment plan. The study participants received 10 treatments, which they set up directly with their therapist.
More than half of the participants had less pain after 12 weeks and many continued to report reduced pain after three months.
The research also showed that massage therapy worked better with patients aged 50 years and older, although younger people benefited, too.
“These results are exciting because it shows that most doctors can refer their patients for massage as a treatment. It’s applicable to the real world,” said Elder.
“Some medical providers have taken interest in massage, but most don’t know which type would be helpful. We learned that just referring the patient to a massage therapist and letting them work to select the therapy is effective,” he added.
Dr. Anders Cohen, the neurosurgery division chief at The Brooklyn Hospital Center in New York City, recommends massage therapy to his patients as part of what he calls a comprehensive treatment plan.
“Massage is great way to break up adhesions and is great for soft tissue,” Cohen said. “If the back pain is a soft tissue issue, such as muscles and ligaments, it works great. Plus, there is the bonus of therapeutic touch.”
Patients in the study received the massage therapy free of charge. But, cost could also explain why some physicians recommend opioids instead. Cohen noted that massage prices vary, and may not be covered under some insurance plans.
Study co-author Niki Munk is a licensed massage therapist who’s with the Indiana University School of Health and Rehabilitation Sciences. She said the researchers saw that massage needs to occur regularly when someone begins treatment to reduce the pain.
Munk added that more research is needed on the ideal pain maintenance schedule. But the study authors think that once a level of comfort has been achieved, people can continue to manage their back pain through regular massage therapy on a schedule that fits their needs, such as once a month or every other month.
Munk also noted that selecting the right therapist is important.
“Look for a masseuse that you can establish a therapeutic relationship with over time,” she recommended.
“Chronic low back pain is a complex issue that can’t be cured from just a one-hour massage. Find a therapeutic massage clinic and ask questions about the therapist, such as their initial training and continuing education. Also, make sure that the therapist sets up a treatment plan that will work for you,” Munk said.
The study was published online recently in the journal Pain Medicine.
The information herein on "Massage May Ease Chronic Back Pain" is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.
Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.
Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.
We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
We are here to help you and your family.