The trial details
The 60 subjects (two groups of 30) were aged from 18-60 and had suffered from upper back pain for at least 12 weeks. The only other significant inclusion criteria was the presence of at least one myofascial trigger point. Studies have shown an extremely high prevalence of trigger points in such pain syndromes. One study even found trigger points in the shoulder muscles nearly 90% of asymptomatic people. Simply, practically all chronic upper back pain sufferers would have trigger points so it is reasonable to say that the groups were fairly representative of all upper back pain sufferers.
The self massage
The subjects used a hooked cane called a Wilai stick to apply massage along the paraspinal muscles of the upper thoracic area. Using the stick, pressure was applied until mild pain was experienced, then released after five seconds. This was repeated five times for each point. The self massage was followed by a two minute stretching routine. The treatment was repeated each day for 5 days.
The anti-inflammatory drugs
Subjects took 400mg of ibuprofen three times daily for five days
The following measurements were used
- the level of pain using a visual analogue scale
- the amount of pressure on muscles needed to elicit tenderness
- cervical ranges of motion
Over the five days the self massage group experienced a reduction in pain from 5.4 to 0.08 on the 1-10 scale, plus excellent clinical improvements in tissue hardness/tenderness and cervical ranges of motion. In contrast, the ibuprofen group experienced a smaller reduction in pain, and no improvement in any other aspects.
Apart from showing that pharmaceutical companies and the medical industry are making massive fortunes pushing drugs that kill people while safer, less expensive and more effective solutions are available, the trial results help guide us in what is needed to successfully treat these pain syndromes.
The involvement of myofascial issues
The self massage used emulates the professional massage technique ischemic compression or “pressure point therapy”. This targets myofascial issues, especially trigger points. The excellent results show that myofascial issues are a major cause of upper back/cervical pain and dysfunction.
The usefulness of self/home massage
The positive results support the use of home massage. However, as with home massage using our DrGraeme massagers we are not suggesting that it should be seen as an alternative to “popping pills”. Musculoskeletal pain and dysfunction can be a complex clinical entity, and should be addressed by a proper program determined by a professional after appropriate examination. Trigger points and other chronic myofascial issues can require extensive therapy repeated over a long period of time, so home massage is a very useful tool. However, a professional management plan may also include aspects such as joint function, the need for ergonomic and manual handling advice, the need for rehabilitation exercises, more complex myofascial issues that require professional intervention, and possibly many other aspects.
Wamontree, Phanida. et.al. THE EFFECTS OF TRADITIONAL THAL SELF-MASSAGE USING WILAI MASSAGE STICKTM IN PATIENTS ON UPPER TRAPEZIUS WITH MYOFASCIAL TRIGGER POINTS: A RANDOMIZED CONTROL TRIAL. J. Phys. Ther. Sci. 27: 3493-3497, 2015
Samples and practitioner orders
We happily supply sample massagers to degree qualified practitioners who deal with musculoskeletal complaints, on a one per clinic basis. Please email us directly on firstname.lastname@example.org for samples or practitioner/wholesale supply.