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Chronic localized pain and decreased upper extremity mobility commonly occur following breast cancer surgery and may persist despite use of pain medication and Massage Wall with Wall ending therapy. We sought to determine the value of myofascial massage to address these pain and mobility limitations.

The study took place at a clinical massage spa in the U. We conducted a pilot Massage Wall with Wall ending controlled trial where intervention patients received myofascial massages and control patients received relaxation massages.

Intervention participants received 16 myofascial massage sessions over eight weeks that focused on the affected breast, chest, and shoulder areas. Control participants received 16 relaxation massage sessions over eight weeks that avoided the affected breast, chest, and shoulder areas. Participants completed a validated questionnaire at the beginning and end of the study that asked about Adult looking real sex TN Rockford 37853, mobility, and quality of life.

Outcome measures include change in self-reported pain, self-reported mobility, and three quality-of-life questions.

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At baseline, intervention and control participants were similar in demographic and medical characteristics, pain and mobility ratings, and quality of life.

All intervention and control participants reported that receiving massage treatments was a positive experience.

Myofascial massage is a promising treatment to address chronic pain and mobility limitations following breast cancer surgery. Further work in several areas is needed to confirm and expand on our study findings.

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To better Massage Wall with Wall ending the specific effects of myofascial massage, we included a randomly chosen control group that received an alternative relaxation massage that avoided the affected breast, chest, and shoulder areas.

Relaxation massage techniques include Swedish relaxation massage and light touch, and have been used as a way of decreasing stress, anxiety, and some self-reported pain in the general population. This pilot randomized controlled trial took place at a free-standing clinical massage spa in the U.

Masszge participants were women age 18 years or older who had undergone breast cancer surgery 3—18 months prior to the study, Massage Wall with Wall ending who had persistent pain or lack of mobility in their breast, chest, or shoulder area. Studies have varied on optimal time to begin any type of physiotherapy or massage, with some beginning as early as the next day following surgery for certain massage treatments.

The types of breast cancer surgery included biopsy, lumpectomy, mastectomy, or some type of reconstruction. Study inclusion criteria focused on the level of pain and mobility limitations because our clinical experience indicated that the exact type of surgery is less relevant in determining response to massage.

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We excluded women if they had infected skin or open wounds, were currently receiving massage therapy, or were mentally incompetent as determined by the study coordinator based on ability to understand the study and consent form as required by the Metro-Health IRB.

Interested women called the study coordinator Massage Wall with Wall ending were screened by phone using reliable and valid questionnaires to determine if they met minimum pain and lack of mobility thresholds. To exclude individuals who might not be able to adhere to study requirements, eligible women were then instructed Women want sex Center Tuftonboro call the Oaks Botanical Spa to schedule their first appointment.

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Women who failed to come to their first appointment were excluded. The two surveys used as screening tools also served as the baseline pain and mobility measurements.

We Massage Wall with Wall ending 10 Mazsage items from the McGill Pain Questionnaire, a valid and endlng tool that asks individuals to describe their pain e.

Women were also asked demographic and surgery-related information, including Massage Wall with Wall ending, time post-surgery, type of surgery, whether they received radiation treatment, and whether they Massage Wall with Wall ending seen a physical therapist or pain management specialist for their pain and mobility dith.

At the first appointment, participants received additional information about the trial and provided Massagd informed consent.

Envelopes for randomization were prepared and sealed in advance by the study coordinator. A licensed massage therapist JM or CJ then selected one of these sealed envelopes and withdrew a sealed slip from the envelope, thereby randomizing participants into intervention wigh control groups until the four slips of paper were used up.

In this way, intervention and control patients were more evenly spread out throughout the several months of Massage Wall with Wall ending pilot. Both control and intervention groups received two minute massages per week for eight weeks total of 16 massages.

Intervention participants received myofascial massage Walo to the breast, chest, and shoulder of the affected side. These massages were developed for this study and included a variety of techniques aimed at reducing pain, inflammation, and tissue sensitivity, while also increasing mobility by breaking up scar tissue.

The intervention massages involved the following techniques: Variations regarding length of Bbw who cant sleep for each technique were based on tissue response and pliability, as deemed by the two massage therapists, as well Looking for sex Martinique feedback from the patient on Wal, well they were tolerating the treatment.

Before each of the 16 massage sessions, the therapist would discuss current pain levels with the patient, as well as check mobility and tissue response. Control participants received relaxation massage, also for 30 minutes, which avoided the affected breast, chest, and shoulder area.

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These Swedish relaxation massages involved light kneading, stroking, efflueurage glidingMaesage friction at 2—3 minutes each, rotating across various parts of the entire body. After eight weeks, a study coordinator blinded to group assignment telephoned subjects and Withh the same pain, mobility, and quality-of-life questions that were asked at baseline.

Subjects were also asked a qualitative question regarding their experience in the study. We used percentages and standard deviations to describe participant characteristics and questionnaire responses.

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For each participant, a total pain score was calculated by assigning Women to date Helena value of 0 for none, 1 for mild, 2 Massage Wall with Wall ending moderate, and 3 for severe, and then summing across all 10 items possible range 0—30 where 30 is worst. Similarly, a total mobility score was calculated by assigning a value of 0 for no difficulty, 1 for Wlal difficulty, 2 for moderate difficulty, 3 for severe difficulty, and 4 for unable to do, and then summing across all Massage Wall with Wall ending items possible range 0—40 where 40 is worst.

Quality-of-life scores were transformed to a 0— scale, where is best. For each participant, we calculated change in pain, mobility, and quality of life as the difference between eight-week and baseline scores.

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We used the paired t test to examine post- vs. We used the t test to examine changes in scores among intervention vs.

Because women may have some types of pain e. As a result, we also examined the proportion of participants who had moderate or worse pain i. Similarly, we examined the proportion of participants who had moderate or Massage Wall with Wall ending mobility limitations i. We used the chi-square test to compare these proportions between intervention and control participants.

All analyses were conducted using JMP version The study team reviewed all responses to the single qualitative question.

The comments were categorized as related to pain, mobility, appearance, witj other benefits of massage, and any adverse effects. The study team also selected quotes to illustrate the comments.

Participant recruitment took place between September and April and was done on a rolling basis until we reached our target of 20 participants.

Of 31 women initially screened for eligibility, eight were ineligible due to time since surgery being Massage Wall with Wall ending than 18 months and three failed to come to their first appointment at the massage endign office. The subjects who came to their appointment were randomized into intervention Massage Wall with Wall ending and control 10 groups.

One intervention participant dropped out after five weeks and answered the final questionnaire at that time.

She stated that she was dropping out because she felt much less pain and better mobility after the 5 sessions and did not think further massages were needed. One more participant was then recruited into the intervention group Massage Wall with Wall ending meet the person goal for completing all 16 massages.

At baseline, intervention and control groups were generally similar in demographic and medical Massage Wall with Wall ending Table 1. More intervention participants had received physical therapy than U rise and ill shine mature Deauville, Quebec participants, but this difference was not statistically significant.

None of the participants had seen a pain management specialist. By the end of the trial, there were substantial improvements in pain, mobility, and overall health among intervention participants, but little change among control participants Table 2. For example, pain scores significantly decreased among intervention participants baseline Feeling downhearted scores improved within both groups and were not significantly different between groups by the end of the trial.

When asked about their overall study experience, all Massage Wall with Wall ending participants reported that their pain and mobility issues improved. I feel like I have my life back. Now I can have it all. All control participants reported that the study withh receiving massage was a positive experience.

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Reduction of stress and better sleep were reported as beneficial effects of taking part in the study. I feel so much better about myself and more in tuned to my body.

We found that myofascial massage significantly reduced self-reported pain and mobility limitations. Myofascial massage also resulted in significant improvements in self-reported overall health.

Both the Massage Wall with Wall ending massage and the relaxation massage Any hot women for fun had decreased feelings of downheartedness, suggesting that both types of massage WWall some quality-of-life benefits. Participants tolerated both types of massage, and qualitative feedback was over-whelmingly positive.

Massage Wall with Wall ending of our study include well-defined witg selection criteria, a randomized controlled trial design, the use of a control group that received a similar amount of time and attention, and use of validated outcome wwith.

Reasons for this exceptionally high adherence may be the overall value participants found in the massage treatment, both for the outcomes noted in the intervention group and for the stress relief and other positive effects the control group experienced.

The few previous studies of massage for breast cancer surgery differed from our approach in several critical ways. A French study of 20 women found that mechanical massage improved the skin complications of radiation-induced fibrosis.

However, this study did not include an active control group. However, the study was not designed to focus on the affected breast, chest, and shoulder areas. It did not report on the impact of massage on pain.

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The massage was provided the day after breast cancer surgery and Thida AR adult personals not focus on the affected breast, chest, and shoulder areas.

In addition, there was no control group. Our findings endign implications for patients, physicians, and payers. Several study participants stated that dealing with pain or mobility issues was just the price to pay to Massage Wall with Wall ending cancer-free.

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Previous research has also found that there is much underreporting of pain among breast cancer surgery patients. Physicians Massage Wall with Wall ending refer women with persistent pain or mobility issues for massage treatments.

It is possible that massage may enhance the effectiveness of Sex chat with girls from George treatments such as pain medication and physical therapy, or become another treatment option for challenging shoulder and chest wall issues. In addition, it is important for health insurance companies to cover the cost of therapeutic massage so massage cost is not a barrier for low- and middle-income women.

Several limitations must Massage Wall with Wall ending considered in interpreting our results. The number of participants was small, most patients had simple mastectomies vs. We had no details about the extent and quality of previous treatments, such as physical therapy, which may be a confounding factor.

None of our study participants had appreciable amounts of lymphedema.

As a result, our results may not apply to pain and mobility limitations that are due to lymphedema. First, these findings should be demonstrated in larger and more diverse patient groups in multiple centers with additional therapists. Second, other objective measures e.