Chronic neck pain is common and makes the life of many sufferers a misery. Pain-killers are helpful, of course, but who wants to take such medications on the long-term? Is there anything else these patients can do?
Massage therapy has been shown to work but how often for how long? This trial was designed to evaluate the optimal dose of massage for individuals with chronic neck pain. 228 individuals with chronic non-specific neck pain were recruited and randomized them to 5 groups receiving various doses of massage:
- 30-minute treatments 2 or 3 times weekly
- 60-minute treatments once weekly
- 60-minutte treatments twice weekly
- 60-minute treatments thrice weekly
- a 4-week period on a wait list
Neck-related dysfunction was assessed with the Neck Disability Index (range, 0-50 points) and pain intensity with a numerical rating scale (range, 0-10 points) at baseline and at 5 weeks.
The results suggested that 30-minute treatments were not significantly better than the waiting list control condition in terms of achieving a clinically meaningful improvement in neck dysfunction or pain, regardless of the frequency of treatments. In contrast, 60-minute treatments 2 and 3 times weekly significantly increased the likelihood of such improvement compared with the control condition in terms of both neck dysfunction and pain intensity.
The authors conclude that after 4 weeks of treatment, we found multiple 60-minute massages per week more effective than fewer or shorter sessions for individuals with chronic neck pain. Clinicians recommending massage and researchers studying this therapy should ensure that patients receive a likely effective dose of treatment.
So two or three hours of massage therapy seems to be optimal as a treatment for chronic neck pain. This would cost ~£ 200-300 per week! Who can or wants to afford this? And are there other options that might be less expensive and equally or more effective? For instance, is physiotherapeutic exercise an option?
I am not sure I know the answers to these questions but, before we recommend massage therapy to the many who chronically suffer from neck pain, we should find out.