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Massage Therapy May Reduce Chronic Tension Headache
By Steven Reinberg
 
NEW YORK (Reuters Health) Oct 11 - Massage therapy directed to the neck and shoulder muscles can reduce the frequency and duration of tension headaches, researchers report in the October issue of the American Journal of Public Health.

"The results of our study strongly support the efficacy of specific manual intervention to decrease the symptomatology associated with non-migraine headache," lead author Christopher Quinn told Reuters Health.

"Specificity of the treatment was critical in the successful outcomes that we reported. Our treatment protocol was very specific and included the manipulation of myofascial trigger points, post-isometric stretching techniques, and massage strokes applied to named musculature," he added.

Dr. Quinn and colleagues from the Boulder College of Massage Therapy, Colorado, evaluated four patients with chronic tension headache. Over 4 weeks, the researchers recorded the frequency, duration and intensity of headaches.

During the next 4 weeks, patients received 30 minutes of massage therapy twice a week. Dr. Quinn's group then compared the results of massage therapy with baseline headache frequency, duration and intensity.

 
Massage therapy significantly reduced the frequency of headaches from the first week of therapy through to the end of the trial (p = 0.009). Mean headache frequency was reduced from 6.8 at baseline to 2.0 during massage therapy, they report.

The duration of headaches also tended to decrease during the massage phase, from a mean of 8.0 hours at baseline to 4.3 hours during treatment, but this difference was not statistically significant. Headache intensity was not affected by massage therapy, Dr. Quinn's team found.

Dr. Quinn noted that "results from a second portion of this study, yet to be submitted for publication, show statistically significant improvements in psychological parameters associated with chronic pain--specifically, depression, anxiety, and somatization."

 
"Massage therapy, and other manual medicine modalities, are too often used as the 'last resort' on the treatment continuum," he said. "Once a diagnosis is definitively established, the use of such conservative treatments should be a front line consideration--particularly in consideration of the risk/benefit ratio. Massage therapy is also cost-effective; we achieved our published results with only 4 total hours of treatment over a 1-month period," Dr. Quinn said. Am J Public Health 2002;92:1657-1661.
 
(The above information has been provided courtesy of www.fmscommunity.org )
 
Janice McCord is a registered massage therapist, practicing at the Bellesmere Massage Therapy Clinic in Scarborough. The clinic specializes in therapeutic treatments, and all therapists are registered. For further information, contact the clinic at (416) 431-9791
 
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