How can Reflexology help me?

In previous posts in this series I have discussed the nature of pain, and how is evidence for the reflexology can be used for acute pain.  In this article I want to discuss reflexology and chronic pain, as back pain is the most common chronic pain and it effects 8 out of 10 people in their lifetime, I will focus on studies that have looked at chronic lower back pain. An initial pilot study was carried out entitle Reflexology in the management of low back pain: a pilot randomised controlled trial by F Quinn, CM Hughes and GD Baxter.  the results of which was published (see Complement Ther Med. 2008 Feb;16(1):3-8. doi: 10.1016/j.ctim.2007.05.001. Epub 2007 Jun 27.)  Participants suffering from non-specific lower back pain were recurited and randomly assigned to a reflexology or sham group.  Each patient received either a 40 minute reflexology treatment or a sham treatment according to which group they were in once per week for 6 consecutive weeks.  The key measure of success was the measurement of pain on the visual analogue scale supplemented by the McGill pain questionnaire,  Roland-Morris disability questionnaire, and SF-36 health survey. Outcome measures were performed at baseline, week 6, week 12 and week 18.  The results incidicated that reflexology may have a positive effect on Lower Back Pain. This initial trail was followed up by a more comprehensive study of times were nurses were the patients, nursing is in the top ten professions for high incidence of lower back pain.  Again this study was a double bind trial, and the same measurements of pain were used as in the trail. The study recruited 50 male and 50 female nurses with chronic lower back pain to take part in the trail.  40 minute sessions of reflexology or sham treatements were performed three times a week for two weeks.  The study concluded Reflexology can be effective in reducing the severity of chronic back pain, i.e. it is able to reduce pain from moderate to mild.  (see The Irainian Journal of Nursing Times (reference Iran J Nurs Midwifery Res. 2012 Mar-Apr; 17(3): 239–243.), focused on back pain in nurses) In conclusion it is clear that while the number and size of the studies are small there is a clear trend which demonstrates the effectiveness of Reflexology in helping to reduce pain levels especially in cases of lower back pain.  Remember I offer a 15 minute taster Reflexology session for anyone who would like to try reflexology.

Reflexology is a complementary therapy which is rapidly growing in popularity due to its well established reputation for helping patients de-stress and relax.  My clients have found it particular effective for:

• PMT/PMS
• Headaches and migraines
• Sinus problems (including sinus pain, sinusitis, and nasal congestion)
• Stress and anxiety  (including panic attacks)
• Digestive disorders (including constipation and irritable bowel syndrome)
• Stiffness
• Depression
• Tiredness (including Chronic Fatigue Syndrome)
• Pregnancy (including constipation ,backache, pains, fluid retention and swelling)

In part 1, I explored what pain was, the pain response and briefly explained how reflexology helps manage pain. Much anecdotal evidence shows the benefits of reflexology in pain management and several studies indicate successful treatment outcomes including pain reduction. (See references at end of article). However I would like to focus on one recent study by Dr Carol Samuel and Dr Ivor Ebenezer of University of Portsmouth as this is the first time Reflexology has been scientifically evaluated as a study for acute pain.  The results indicate that reflexology may be as effective as pain killers for common conditions such as osteoarthritis, backache and cancer. Participants attended two sessions, in which they were asked to submerge their hand in ice water. In one of the sessions they were given reflexology before they submerged their hand, and in the other session they believed they were receiving pain relief from a Tens machine, which was not actually switched on.  The use of the Tens machine is equivalent of a sugar pill in drug trials. The researches found that people felt about 40% less pain, and were able to stand pain for about 45% longer, when they used reflexology as a method of pain relief. So if you are in pain now, by not book a reflexology session. References Booth L (1997) Vertical Reflex therapy: results of a reflexology trail in a Bristol residential home for elderly Khan S, Otter S and Springett K (2006) The effects of reflexology on foot pain and quality of life in a patient with rheumatoid arthritis: a case report, The Foot 16 pg 112-116 Brown CA and Lido C (2008) Reflexology treatment for patients with lower limb amputations and phantom limb pain: an exploratory pilot study, Complementary Therapies in Clinical Practice 14 pg 124-131 Hughes CM, Smyth S and Lowe-Strong A (2008) Reflexology for the treatment of pain in people with multiple sclerosis: a double-blind randomised controlled trail, The Journal of Alternative and Complementary Medicine 14(1) S1-S109