Recent scientific studies suggest that massage therapy may be a viable alternative to opioids in management of chronic pain.
The Opioid Crisis
The National Institute of Health estimates that the opioid crisis costs the US nearly $79 Billion per year in health care, lost productivity, rehab costs, and criminal justice.
The human cost, however, is just as staggering. Over 130 people day every day of an opioid overdose.
Pain is the Problem
Pain is the most common reason we access the health-care system in the US. It is the leading cause of disability and one of the major contributors to health costs.
An uncomfortable truth, though, is that pain does not always have, nor does it always need, an immediate fix.
Patient Demand for Alternatives to Opioids
Patients are demanding more comprehensive approaches to pain management that reduces or eliminates the need for prescription pain pills.
A 2019 survey conducted by the Mayo Clinic found that 94% of patients specifically requested massage as an alternative to opioids, as well as other integrative treatments.
More and more doctors are adopting a “best practice” of trying integrative therapies, such as massage, as a first step in pain management instead of immediately prescribing an opioid.
How Massage Can Be an Alternative to Opioids
While there will always be a need for strong pain medications, especially in cases of traumatic injuries and emergency room visits, other types of pain are likely better treated by holistic therapies, like massage.
Low Back Pain
A recent study examining massage found that patients suffering from nonspecific low-back pain had better outcomes and improvement than those that did not receive massage. Even more promising, is that the benefits of massage lasted at least six months.
Another study of women with low back pain found that those who received massage therapy showed significant decreases in pain intensity and disability over physical therapy.
Additionally, a randomized trial found that clients who received 10 massage treatments over 10 weeks scored better on the Neck Disability Index. Those who had more treatments, or longer sessions, scored even higher.
Another study found that a one-hour massage per week for 8 weeks provided better neck pain relief than usual medical care.
Perhaps the most promising study is one which found that massage therapy provides amazing results for patients with non-localized pain, such as those suffering from fibromyalgia.
Massage is the Future of Medicine
As more research is done into pain management and holistic approaches to treatment, medical providers will begin doing a better job of educating themselves and their patients on the benefits of massage therapy.
Massage therapists should start seeing themselves as part of a managed health care team, communicating treatments and results to their client’s doctors and working more closely with them to develop treatment plans.
Some major health insurance providers have already begun covering massage therapy, and more of them will follow suit.
In 2019, the Centers for Medicare and Medicaid Services sent communication to all Medicare Advantage programs encouraging them to cover massage as part of their non-opioid pain management benefits beginning in 2020.
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