resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
July, 2013, Vol. 13, Issue 07
Massage Brings Relief to People Suffering from Headaches
By Massage Therapy Foundation Contributor
Contributed by MK Brennan, MS RN LMBT and Jolie Haun, PhD EdS LMT
With the common stressors in daily life, complaints of tension and migraine headaches are not uncommon.This month's Massage Therapy Foundation review shares findings from two studies that suggest massage can provide relief for people suffering from headache pain. The authors of these articles report that episodic tension type headaches impact up to 42% of the population and migraines impact approximately 10%.
Traditionally, tension headaches and migraines have been treated with medications – so much, the term, "medication overuse headache" (MOH) has evolved. MOH refers to headaches that persist despite the regular use of drugs for treatment. Needing an alternative effective treatment for the debilitating pain of headaches, the authors of these articles suggest massage therapy presents a potentially reasonable alternative.
The first study, "Changes in Psychological Parameters in Patients with Tension-type Headache Following Massage Therapy: A Pilot Study" by Moraska and Chandler, evaluated a structured massage therapy program, focusing on myofascial trigger points and psychological measures associated with tension-type headaches. Moraska and Chandler noted that there seems to be a cycle of physical pain, decreased productivity and a psychological impact of tension headaches that contribute to stress, anxiety and depression. This theoretical assumption warranted the use of the State-Trait Anxiety Inventory, Beck Depression Inventory, the Perceived Stress Scale and the Daily Stress Inventory to measure participants' outcomes.
Eighteen participants between the ages of 21-65 years were recruited through flyers placed in doctor's offices and advertisements in local newspapers. All of the enrolled participants had episodic or chronic tension headaches. Exclusion criteria included anyone taking anti-depressants or anti-psychotic medications. The 2004 International Headache Society guidelines for episodic or chronic tension-type headaches (TTH) were used in determining the inclusion criteria. An episodic TTH is defined as one that occurs 15 days or less per month. A chronic one occurs 15 or more days in a month. Two participants did not complete participation in the study; one due to a motor vehicle accident and the other because of insufficient headache diaries.
The study was designed to have four 3-week phases: baseline (one 3-week period), massage (two 3-week periods) and follow-up (one 3-week period). In the baseline phase of the study, participants kept a headache diary to assure that they met the guidelines. Guidelines included each headache lasting at least four hours or longer and less than one migraine headache per month. The massage sessions were two 45 minute sessions per week over the two 3-week periods for a total of 12 massages in six weeks. During the week, there was at least a 48 hour span between the massages. Moraska and Chandler reported, "Massage was directed toward soft tissues of the cervical and cranial regions with an emphasis on reducing myofascial trigger point (MTrP) activity." (p.88)
Participants were randomly assigned to one of the six participating massage therapists and remained with that same massage therapist throughout their participation in the study. The therapists were experienced practitioners and received training for the study's massage protocol. In addition, conversation was limited during sessions and the participant's headache history was not discussed with the massage therapist. Study measures were completed by the participants at the start of the study, at 3-week intervals and at the end of the study. Additionally, the Daily Stress Inventory was administered over 7-day periods during baseline and the final week of massage. Psychological measures were administered on days other than when massage was provided in effort to avoid the massage session having influence on the outcomes of those measures.
Moraska and Chandler reported a significant reduction in stress, anxiety and depression for the participants after six weeks of massage, but not at three weeks. Additionally, the frequency, intensity and duration of the participants' headaches were reduced following the 12 massage sessions. Since the authors linked TTH pain with an increase in stress, anxiety and depression, a decrease in the pain through massage treatment may have impacted psychological outcomes. Study limitations include small sample size and a lack of a comparison group, resulting in limited power of results. Though this study clearly has some limitations, findings warrant further examination in a larger sample with a control group. It should also be noted the massage therapists who participated did receive specialized training beyond what a typical massage therapist might have.
The second study was "Reduction of Current Migraine Headache Pain Following Neck Massage and Spinal Manipulation" by Noudeh, Vatankhah and Baradaran. This study focused on reducing the pain intensity of the participants with acute onset migraine headaches. The authors recruited 10 male patients between the ages of 18 and 65 with acute onset of a migraine headache as defined by the International Headache Society diagnostic criteria for Massage Without Aura (MWO) and Massage With Aura (MWA). Potential participants who had secondary cause for the migraine, were not able to complete the data tools, or could not receive massage/manipulation due to skeletal disorders were excluded from the study.
Participants' pain was assessed using the Visual Analog Scale (VAS) with the numerical value of 1 indicating no headache pain and 10 indicating the worst pain possible. The VAS was administered prior to the massage/manipulation intervention. The two-step treatment protocol lasted no more than five minutes. First, massage techniques were applied to the trapezius and supraspinatus muscles, as well as the posterior and lateral neck muscles. Next, skeletal manipulation of the cervical and upper thoracic spine was done. The VAS was administered again after the massage/manipulation session. The authors also asked the participants about possible side effects following the session and their satisfaction with the physical intervention. The participants remained at the clinic (i.e. study site) for an hour after the intervention to assure that the headache did not recur; if it did, an analgesic was offered. Two participants did not remain in the clinic for this period of time; they chose to leave because they said they needed to sleep.
The authors report that 8 out of 10 participants had at least a 50% reduction in their pain level immediately following the massage/manipulation. However within the hour wait period following, three participants did request oral analgesics and one participant was treated with intravenous therapy and intramuscular medication though the authors state that there was no recurrence of the headache for any of the participants. Limitations of this study include the lack of a control group and no way to determine if it was the massage, manipulation or the combination of the two that was responsible for the participants' reduced pain.
Though different in nature, these two studies provide preliminary evidence that massage can be effectively used to treat individuals who suffer from tension and migraine headaches. These studies findings warrant further examination in larger samples to determine if findings can be replicated to support conclusive findings and dosage recommendations.
The convergent data reported in these two studies contribute to the field of massage, providing supportive evidence for the use of massage for a prevalent condition that affects a significant portion of the general population. Since headaches, both acute/chronic TTH and migraines are common, many massage therapists are likely to have clients with these painful and sometimes debilitating conditions. Knowing how massage may impact the pain and the psychological outcomes associated with headaches can be helpful in determining treatment options and providing the best possible care for clients.
To learn more about the effects of massage therapy for conditions such as headaches, migraines and more, you can review the Massage Therapy Foundation article archives, read accepted MTF Research Grant abstracts, or search Pub Med for massage therapy studies.
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