po 10 cotygodniowych, godzinnych zabiegach masazu, spadlo uzycie srodkow przeciwbolowych o 25%, rowniez o polowe spadlo "uziemienie" w lozku z powodu bolu.
efekt masazu zniknal po roku.
Znaczna poprawe odczulo 75% (w porownaniu z tylko 25% w grupie majacej inne zabiegi).
Nie mialo wiekszego znaczenia, czy byl to masaz leczniczy, czy masaz szwedzki, relaksacyjny.
A new study shows massage therapy may help people who suffer from chronic back pain.
After 10 weeks, patients who got weekly massage sessions used less pain medicine and spent less time in bed than those who didn't get any special care -- although the effects had disappeared after a year.
"If we look at patients who seemed to have some substantial improvement, that was about two-thirds in the massage group compared to about one-third among patients getting usual care," said Dr. Richard A. Deyo of the Oregon Health and Science University, who led the study.
He said some degree of lower back pain is a common ailment in the population, with about 10 percent of sufferers experiencing long-lasting symptoms.
"We have a whole lot of treatments, and when you see a whole lot of treatments, it usually means that none of them is clearly effective and superior," he told Reuters Health.
While pain medications are the go-to treatment, many people now also use alternative treatments like acupuncture, massage or even talk therapy, which recent work suggests is effective.
In the new study, published in the Annals of Internal Medicine, 401 people were randomly assigned to usual care or one of two kinds of massage therapy: either so-called structural massage, or relaxation massage (also called Swedish massage).
After 10 weeks the massage group had improved considerably compared to the other patients.
For instance, about 30 percent of those getting massages had used painkillers in the past week, compared to 40 percent of those getting usual care. And twice as many in the usual care group -- seven percent -- had stayed in bed at least one day in the past month.
However, some of the apparent benefits of massage had vanished after half a year, and all the gains were gone after a full year had passed.
There weren't any substantial difference between the two kinds of massage, the researchers say, adding that the Swedish version is widely available for about $60 per session.
Deyo said the new results compare to what is seen with other kinds of treatment, although the cost-effectiveness is still unclear.
One caveat, he added, is that patients knew which kind of treatment they got in the study, and some might have been disappointed that they didn't get massages, which could have affected the results.
Deyo said acute back pain can usually be taken care of with over-the-counter painkillers or heat pads, as long as there aren't any other symptoms like numbness or tingling in the legs.
For chronic sufferers, what works best will depend on the individual.
"Many of us believe that for truly chronic pain problems, exercise programs are actually one of the mainstay treatments that will help people function better on a daily basis," Deyo said.
A Comparison of Massage Therapy and Usual Medical Care for Chronic Low Back Pain
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What is the problem and what is known about it so far?
Low back pain is very common. It often goes away after several days or weeks, but it may last for months or years or periodically recur. The main goal in treating low back pain is to decrease pain and allow people to resume their normal activities. Usual treatments for low back pain include drugs (painkillers, anti-inflammatory drugs, and muscle relaxants), physical therapy, back exercises, and education about ways to prevent back injury and deal with back pain. Some people use alternative treatments for low back pain, such as chiropractic or massage therapy.
There are at least 2 kinds of massage therapy. Relaxation massage is most common; in this technique, a variety of maneuvers is used to relax the massaged muscles and the person with back pain overall. Structural massage uses maneuvers to release tension in specific tissues and joint structures in an attempt to restore healthy functioning of the muscular and nervous systems. It is not known whether relaxation massage, which is more widely available, is as effective as structural massage.
Why did the researchers do this particular study?
To compare the short-term and long-term effects of relaxation massage, structural massage, and usual care for people with persisting low back pain.
Who was studied?
401 people with low back pain of no identified cause lasting at least 3 months.
How was the study done?
The researchers first gathered information about the participants' symptoms and how much those symptoms limited their daily activities. They then randomly assigned each participant to receive relaxation massage, structural massage, or usual medical care without massage.
Participants assigned to the massage groups got about 1 hour of massage once a week for 10 weeks. The researchers remeasured participants' symptoms and ability to perform daily activities after completing the 10 massage treatments, and then at 6 months and 1 year after starting massage therapy.
What did the researchers find?
Participants who received massage had less pain and were better able to perform daily activities after 10 weeks than those who received usual care. The benefits of massage lasted for 6 months but were less clear at 1 year, when pain and function had improved about equally in all 3 groups. The type of massage did not seem to make a difference. Symptoms and ability to perform activities improved about the same in the 2 massage groups.
What were the limitations of the study?
Participants were mostly white. The findings might not apply to people of other ethnicities. Participants who received usual medical care were aware that they were not getting massage treatments and that other participants were; that might have led them to report worse symptoms than if they were unaware of what treatments other people were getting.
What are the implications of the study?
Ten sessions of massage therapy led to more rapid improvement in low back pain than usual medical care. There was no apparent difference between relaxation massage and the more specialized technique of structural massage.
Article and Author Information
The full report is titled “A Comparison of the Effects of 2 Types of Massage and Usual Care on Chronic Low Back Pain. A Randomized, Controlled Trial.” It is in the 5 July 2011 issue of Annals of Internal Medicine (volume 155, pages 1-9). The authors are D.C. Cherkin, K.J. Sherman, J. Kahn, R. Wellman, A.J. Cook, E. Johnson, J. Erro, K. Delaney, and R.A. Deyo.
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