Massage is the winner!

Which is the preferred intervention for people with MS:

• exercise therapy
• massage
• exercise + massage
• status quo (maintaining course of medical treatment/lifestyle)?

As a person who focuses on exercise of many kinds, I chose the third option (exercise plus massage). I figured the biggest gains were from exercise and the massage probably helped with recovery.

WRONG!!!

The answer is correct, but the emphasis may be more on the massage side than the exercise component.  

Full study details can be found at:  http://www.ncbi.nlm.nih.gov/pubmed/23828184

Last fall, I started having regular massage therapy sessions.  It has made a measurable difference in my ability to move freely.  Several nagging back issues (likely caused by my funky gait) have resolved.  The literature is filled with positive outcomes from massage.  

I urge you to do the research and find a good masseuse.  I have locked onto a Chinese massage therapist who needs little to no English to understand my every physical limitation and pain.

Rub it out!!

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More details:

Massage therapy and exercise therapy in patients with multiple sclerosis: a randomized controlled pilot study.

Negahban H1, Rezaie S, Goharpey S.

Author information

Abstract

OBJECTIVE:

The primary aim was to investigate the comparative effects of massage therapy and exercise therapy on patients with multiple sclerosis. The secondary aim was to investigate whether combination of both massage and exercise has an additive effect.

DESIGN:

Randomized controlled pilot trial with repeated measurements and blinded assessments.

SETTING:

Local Multiple Sclerosis Society.

SUBJECTS:

A total of 48 patients with multiple sclerosis were randomly assigned to four equal subgroups labelled as massage therapy, exercise therapy, combined massage-exercise therapy and control group.

INTERVENTIONS:

The treatment group received 15 sessions of supervised intervention for five weeks. The massage therapy group received a standard Swedish massage. The exercise therapy group was given a combined set of strength, stretch, endurance and balance exercises. Patients in the massage-exercise therapy received a combined set of massage and exercise treatments. Patients in the control group were asked to continue their standard medical care.

MAIN MEASURES:

Pain, fatigue, spasticity, balance, gait and quality of life were assessed before and after intervention.

RESULTS:

Massage therapy resulted in significantly larger improvement in pain reduction (mean change 2.75 points, P = 0.001), dynamic balance (mean change, 3.69 seconds, P = 0.009) and walking speed (mean change, 7.84 seconds, P = 0.007) than exercise therapy. Patients involved in the combined massage-exercise therapy showed significantly larger improvement in pain reduction than those in the exercise therapy (mean change, 1.67 points, P = 0.001).

CONCLUSIONS:

Massage therapy could be more effective than exercise therapy. Moreover, the combination of massage and exercise therapy may be a little more effective than exercise therapy alone.