1. Massage therapy techniques as pain management for erythromelalgia: a case report.

Dicks K, Rizek P.




Barrie, ON, Canada.



Erythromelalgia is characterized by temperature-dependent redness, pain, and warmth in one or more extremities. It may be a primary disease, or it may occur secondarily because of underlying illness. It is a chronic, debilitating condition often resistant to medical treatment.


The present report evaluates massage as a complementary therapy to reduce pain and other symptoms associated with erythromelalgia.


A 31-year-old female with a long-standing history of erythromelalgia bilaterally in the lower extremities presented with complaints of acute pain exacerbation, anxiety, decreased quality of sleep, and difficulty with activities of daily living for prolonged periods of time. She had no previous experience with massage therapy or any other complementary therapies.


Massage therapy was introduced over the course of 9 treatments, each 1 hour in duration, using various massage therapy techniques, remedial exercise, and recommended home care.


In this patient with erythromelalgia, effleurage and petrissage as massage therapy techniques provided temporary pain relief in the lower extremities and long-term benefits that relieved anxiety, which improved restorative sleep and increased the patient's participation in activities of daily living.


For this treatment protocol, therapist observation and patient feedback suggest that massage therapy may lead to a state of increased relaxation, decreased stress, decreased muscle tension, and improved sleep. These positive effects may have an indirect role in the ability of the patient to cope with erythromelalgia day to day.

PMID: 21589683

[PubMed - in process]

PMCID: PMC3088525

Free PMC Article


2. Connective Tissue Reflex Massage for Type 2 Diabetic Patients with Peripheral Arterial Disease: Randomized Controlled Trial.

Castro-Sánchez AM, Moreno-Lorenzo C, Matarán-Peñarrocha GA, Feriche-Fernández-Castanys B, Granados-Gámez G, Quesada-Rubio JM.




Carretera de Sacramento s/n, Departamento de Enfermería y Fisioterapia, Universidad de Almería, 04120 Almería, Spain. adelaid@ual.es.


The objective of this study was to evaluate the efficacy of connective tissue massage to improve blood circulation and intermittent claudication symptoms in type 2 diabetic patients. A randomized, placebo-controlled trial was undertaken. Ninety-eight type 2 diabetes patients with stage I or II-a peripheral arterial disease (PAD) (Leriche-Fontaine classification) were randomly assigned to a massage group or to a placebo group treated using disconnected magnetotherapy equipment. Peripheral arterial circulation was determined by measuring differential segmental arterial pressure, heart rate, skin temperature, oxygen saturation and skin blood flow. Measurements were taken before and at 30 min, 6 months and 1 year after the 15-week treatment. After the 15-week program, the groups differed (P < 0.05) in differential segmental arterial pressure in right lower limb (lower one-third of thigh, upper and lower one-third of leg) and left lower limb (lower one-third of thigh and upper and lower one-third of leg). A significant difference (P < 0.05) was also observed in skin blood flow in digits 1 and 4 of right foot and digits 2, 4 and 5 of left foot. ANOVA results were significant (P < 0.05) for right and left foot oxygen saturation but not for heart rate and temperature. At 6 months and 1 year, the groups differed in differential segmental arterial pressure in upper third of left and right legs. Connective tissue massage improves blood circulation in the lower limbs of type 2 diabetic patients at stage I or II-a and may be useful to slow the progression of PAD.

PMID: 19933770

[PubMed - as supplied by publisher]


3. Efficacy of a massage and exercise programme on the ankle-brachial index and blood pressure in patients with diabetes mellitus type 2 and peripheral arterial disease: a randomized clinical trial

[Article in Spanish]

Castro-Sánchez AM, Moreno-Lorenzo C, Matarán-Peñarrocha GA, Feriche-Fernández-Castanys B, Sánchez Labraca N, Sánchez Joya Mdel M.




Departamento de Enfermería y Fisioterapia, E.U. Ciencias de la Salud, Universidad de Almería, Almería, España. adelaid@ual.es



Type 2 diabetes mellitus is a highly prevalent disease that can favour the development of peripheral arterial disease. The objective of this study was to analyse the efficacy of a massage and exercise programme on the ankle-brachial index and arterial pressure of patients with diabetes mellitus type 2 and peripheral arterial disease.


An experimental study with placebo control group was performed. Sixty-six type 2 diabetes patients with Leriche-Fontaine stage II peripheral arterial disease were randomly assigned to an intervention (exercise and massage) or placebo control (simulated magnetotherapy) group. Study variables were arterial pressure and ankle-brachial index.


After 10 weeks of treatment, significant (P<0.05) differences between the intervention and placebo groups were found in right and left ankle-brachial index values and in systolic and diastolic pressures in right and left lower extremities.


A combined programme of exercise and massage improves arterial blood pressure and ankle brachial index values in type 2 diabetics with peripheral arterial disease.

Copyright 2009 Elsevier España, S.L. All rights reserved.

PMID: 19819486

[PubMed - indexed for MEDLINE]


4. Fasciatherapy combined with pulsology touch induces changes in blood turbulence potentially beneficial for vascular endothelium.

Queré N, Noël E, Lieutaud A, d'Alessio P.




Ecole Supérieure de Fasciatherapie, 71, bd de Brandebourg, 94200 Ivry sur Seine, France. nadine.quere@pointdappui.com


Stress, whether physical or emotional, is known to challenge the hypothalamus-pituitary-adrenal axis and to induce important changes in the biochemical parameters of organ functions. The fascia is an elastic tissue that envelops the organs and reacts to stress by tightening, thus contributing to the dysfunction of the body. One of the unmistakable aspects of stress is that it induces vasomotor reactions. Both tightening of the fascia and vascular modifications are reversible, but sometimes tensions become embedded in the fascia and gradually begin to hinder specific functions of the body. Here we present the results of a study investigating the effects of a manual therapy (Fasciatherapy Méthode Danis Bois combined with Pulsology Touch) applied to the artery. We have measured the modifications of important parameters contributing to vascular function. Our study shows that this manual approach is able to affect blood shear rate and blood flow turbulence in particular.



[PubMed - indexed for MEDLINE]


5. Patients with venous disease benefit from manual lymphatic drainage.

Molski P, Ossowski R, Hagner W, Molski S.




Department of Orthopaedic and Traumatology, Nicolaus Copernicus University, Collegium Medicum in Bydgoszcz, Poland. molskip@gmail.com



Manual Lymphatic Drainage (MLD) may increase the quality of life (QoL) of patients with chronic venous disorder (CVD). The aim of the study was to determine the effect of MLD in patients with CVD who were candidates for venous surgery.


Patients with CVD selected for elective venous surgery were randomly divided into 2 groups (N.=20). In the preoperative period, patients in the MLD group underwent MLD 3 times a week for 5 weeks. Patients in the control group did not undergo MLD. Both groups were evaluated for CVD staging on the day of selection for surgery and again 25 days after surgery. CVD staging was evaluated by: HADs (Hospital Anxiety and Depression scale), CEAP classification and Venous Reflux Index (VRI).


Mean parameter values in the MLD group (before treatment/after MLD/after surgery): Anxiety 12.85/8.85/4.95, Depression 9.40/6.30/3.00, VRI 0.39/0.25/0.17, CEAP 3.60/2.95/1.55. Parameter values in the control group (before treatment/after surgery): Anxiety 10.95/3.45, Depression 7.55/2.20, VRI 0.30/0.10, CEAP 3.55/1.80. In the MLD group there was improvement of QoL (P<0.05) and clinical stage according to the CEAP scale (P<0.05), and VRI (P<0.03).


After surgery, the MLD group had significantly better results than the control group in CEAP score (P<0.05) and had comparable results for QoL. MLD improved (P<0.05) VRI, CEAP score, anxiety and depression states. MLD can be an alternative or a supplementary procedure for patients surgically treated.

PMID: 19367246

[PubMed - indexed for MEDLINE]