Getting a massage after serious surgeries could be the key
to reducing post-operative pain and anxiety, a recent study showed.
Researchers at the Department of Veteran’s Affair in Ann Arbor, Mich.
conducted a randomized controlled trial involving 605 veterans, aged 64, or
older undergoing major surgeries (chest or abdominal surgeries between 2003 and
2005).
The veterans were randomly assigned to three groups. First
group of 203 veterans received standard care, while another 200 got a daily
20-minute back massage. The last group of 202 got 20 minutes of individual
attention but no massage, more specific they were asked to quantify their pain
and anxiety on a scale of 1 to 10.
"In patients getting massage, the acute response was equivalent to a
[dose] of morphine, which was pretty remarkable," said study senior author
Dr. Daniel B. Hinshaw, professor of surgery and a member of the palliative care
team at the VA Ann Arbor Healthcare System in Michigan.
"Patients in the massage group experienced short-term decreases in pain
intensity, pain unpleasantness, and anxiety. In addition, patients in the
massage group experienced a faster rate of decrease in pain intensity and
unpleasantness during the first four post-operative days compared with the
control group,” Allison Mitchison, lead author of the study concluded.
According to researchers, massage can dilate blood vessels, raise skin
temperature and relax the mind and body, which can lead to a considerable
diminution of the pain. Massage may also create mood-boosting endorphins that
offer a competing sensation or may even block the pain, the study said.
The first who recommended massage as an alternative to relieve the pain was
Hippocrates, the Greek physician, also named the father of medicine.
The problem with giving massages is that nurses do not have time or patience
to give massages, the study said.
"As health care systems have become more complex and administrative
demands on nursing time have increased, the tradition of nurse-administered
massage has been largely lost. Massage may potentially be a safer alternative
as-needed form of pain relief. With proper training, health care providers at
the bedside (especially nurses) may now have a powerful non-pharmacologic tool
to directly address their patients' pain and anxiety," the researchers
concluded.
The study was supported by a grant from the Department of Veterans Affairs
Health Services Research and Development