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Lower Back Pain Treatment Through Ayurvedic Massage

    Lower back pain may be a familiar discomfort for you. It is one of the most common conditions in the Western world. Martin et al. (2008) explained that over 300 billion dollars are spent annually in the United States for the treatment of lower back pain. Chronic sufferers may not only experience debilitating pain, but additional symptoms such as headaches and depression. Kumar et al. (2016) wanted to research the effects of Ayurvedic massage on chronic lower back pain.

    Ayurveda is a traditional, holistic Indian medicine. It includes treatments such as nutritional guidance, thermotherapy, herbal medicine, and much more. It is not uncommon to find doctors in Southern Asia regularly using this medicine, especially for the treatment of chronic pain. Ayurvedic medicine has seen an increase in popularity across Western countries, specifically external treatments such as massage. This is the reason why the researchers decided to test Ayurvedic massage on patients with chronic lower back pain.

    For the controlled clinical trial, a sample of 64 adults was used. Participants were randomly assigned to one of two groups: an Ayurvedic massage therapy group or a standard physical therapy group. However, over the course of the study, some participants dropped out. The most common reason was inability to return to the research center, or a perceived lack of benefit from the study. 3% of the Ayurvedic group dropped out, while 22% of the physical therapy group was lost.

    The intervention lasted for a total of four weeks, where the first two weeks were spent undergoing therapy and the next two used for rest and observation. During the first two weeks, participants received six sessions of therapy. Six sessions were used as this is the average prescription within the German healthcare system, where the study took place. Researchers primarily measured for pain intensity, although they also measured quality of life, level of physical functions (or level of disability stemming from back pain), and psychological effects such as depression, anger, and fatigue. Measurements were taken before the intervention and during weeks 2 and 4 of the intervention.

    The Ayurvedic massage sessions lasted for a total of 65 minutes. The massage therapist first applied a warm, medicated oil (Sahacharadi Taila) while using light manual pressure. Next, stuffed cotton bags (Kizhi) were applied with rhythmic movements across the lower back and gluteal region. Lastly, a gentle massage was provided on the lower back, gluteal region, and any specific pain areas. Patients then took a warm shower and relaxed for 30 minutes. For the physical therapy group, participants were given heated packs to apply to the lower back for 20 minutes. Afterwards, they received a light massage. Participants in this group then also relaxed for 30 minutes.

Kizhi Treatment. Photo by naturoayur.com.au

Kizhi Treatment.
Photo by naturoayur.com.au

    After the 4 weeks of intervention, the Ayurvedic massage group reported a higher decrease in lower back pain at both weeks 2 and 4. The Ayurvedic group’s decrease in pain was 18.7 points better than that of the physical therapy group. For psychological effects, the Ayurvedic group also reported less fatigue and anger. For other effects and quality of life, no significant changes were found. The Ayurvedic group also reported an increase in physical functions, but these results were not found to be significant.

    Future research is suggested to confirm the findings of the study, especially for longer periods of intervention. In addition, the researchers note that massage is only one part of Ayurvedic medicine, and that applying additional aspects of Ayurveda may shed more light on the traditional medicine’s effectiveness. Overall, though, it appears that Ayurvedic massage may provide some much-needed relief for patients of chronic lower back pain.

References
Kumar, S., Rampp, T., Kessler, C., Jeitler, M., Dobos, G. J., Lüdtke, R., Meier, L., & Michalsen, A. (2016). Effectiveness of Ayurvedic Massage (Sahacharadi Taila) in Patients with Chronic Low Back Pain: A Randomized Controlled Trial. The Journal of Alternative and Complementary Medicine. doi:10.1089/acm.2015.0272

Martin, B. I., Deyo, R. A., Mirza, S. K., Turner, J. A., Comstock, B. A., Hollingworth, W., & Sullivan, S. D. (2008, June). Expenditures and Health Status Among Adults With Back and Neck Problems. JAMA, 299(6). doi:10.1097/01.brs.0000320200.72604.9f

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Aromatherapy Massage and Inhalation on Pain and Anxiety in Burn Patients

    Burn patients make up 5% of hospital intakes, with over one million burn patients in the U.S. alone. In many developing countries, burn injuries are an increasing risk. Treatment for burns can be very painful, such as dressing and re-dressing wounds. In addition, scars left after treatment can affect the patient’s physical, social, and emotional health. Researchers Seyyed-Rasooli et al. (2016) wanted to investigate alternative therapy for burn patients in Iran, specifically through the use of aromatherapy. The researchers explain that many burn patients are treated with tranquilizers, which reduce pain and anxiety, but are expensive, slow, and addictive. Instead, the researchers set after relieving pain and anxiety through aromatherapy, with lavender and rose essential oils.

 
    The researchers describe lavender as both calming and antiseptic, an aroma that is widely known and used. While lavender has many benefits, it is not best for everyone. Women who are pregnant or anyone suffering from certain allergies should avoid lavender. The researchers also chose rose because it has chemicals that can alleviate anxiety, depression, tension, and headaches.

 
    Seyyed-Rasooli et al. conducted a single-blind clinical trial with a randomized sample. The sample consisted of 90 women who had burns covering less than 20% of their bodies. From these 90 women, 3 groups were established: a control group who received standard treatment in the hospital, an inhalation aromatherapy group who inhaled essential oils, and an aromatherapy massage group. The 90 women were randomly assigned to a group with each group consisting of 30 women.

 
    The intervention occurred only once for a 30-minute duration. Women in the massage group were brought to an isolated room, away from any noise and interruptions. The massage group received treatment with a blend of lavender and almond oil. Researchers massaged the women’s backs, which included: back surface stroking, back deep stroking, effleurage, re-effleurage, back deep stroking, then back surface stroking. Each segment lasted for five minutes.

 
    Women in the inhalation group were also brought to an isolated room. The researchers applied lavender and rose oils to cotton, which was placed near the patient’s nose for a total of 30 minutes. For both massage and inhalation group, scores for pain and anxiety were re-tested 10 minutes after the intervention.

 
    Women in the inhalation group had the largest decrease in anxiety, although the massage group was only shortly behind. For pain, the massage group reported the highest decrease, nearly double the decrease of the inhalation group. Nevertheless, both aromatherapy massage and inhalation had positive effects on pain and anxiety for the burn patients.

 
    With these results, the researchers argue that aromatherapy inhalation is best for the treatment of anxiety, especially because the patient can perform the treatment alone. The researchers continue to explain that aromatherapy massage would be best in the treatment of pain, as the treatment can reduce pain signals from sensory nerves and increase the release of endorphins.

 
    The researchers do acknowledge that the study was only conducted on female patients, and that further research should include men. However, it is important to note that the study is not without flaws. Perhaps most glaring of them all is that the researchers used a different blend of essential oils when treating the two different groups, which may have had an effect on the outcome of the results. That is, the essential oils used may have had more of a significant effect on pain and anxiety than the researchers anticipated. Considering the researchers did not investigate the effects of almond oil, it seems strange that this was substituted for the rose oil in the massage group.

 
    Regardless of this inconsistency, this study provides light on the impact that alternative therapies can provide patients. While standard care certainly does aid patients in many different areas of medical treatment, alternative therapies such as massage and essential oil inhalation can surely assist such treatments further.

 
References
Seyyed-Rasooli, A., Salehi, F., Mohammadpoorasl, A., Goljaryan, S., Seyyedi, Z., & Thomson, B. (2016, June). Comparing the effects of aromatherapy massage and inhalation aromatherapy on anxiety and pain in burn patients: A single-blind randomized clinical trial. Burns. doi:10.1016/j.burns.2016.06.014