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A 2015 Cochrane Review concluded that there is very little evidence that massage is an effective treatment for lower back pain. [119] A meta-analysis conducted by scientists at the University of Illinois Urbana-Champaign failed to find a statistically significant reduction in pain immediately following treatment. [109]
Another Cochrane Collaboration review found that massage provided some long-term benefit for low back pain, and stated: "It seems that acupressure or pressure point massage techniques provide more relief than classic (Swedish) massage, although more research is needed to confirm this." [8]
Prolonged heat therapy can help promote tissue healing, which can be especially beneficial for chronic conditions including fibromyalgia and low back pain. [16] The use of Heat therapy for deep-seated tissue can be treated with shortwave, microwave, and ultrasonic waves. This produces a high temperature that penetrates deeper.
Massage therapy may provide short-term pain relief, but not functional improvement, for those with acute lower back pain. [55] It may also offer short-term pain relief and functional improvement for those with long-term (chronic) and subacute lower pack pain, but this benefit does not appear to be sustained after six months of treatment. [ 55 ]
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The overall quality of the evidence was low and the authors conclude that massage therapy is generally not an effective treatment for low back pain. [118] Massage therapy is recommended for selected people with subacute and chronic low back pain, but it should be paired with another form of treatment like aerobic or strength exercises.
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