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I get severe premenstrual symptoms, including pain, anxiety, and moodiness. Can massage therapy help?
Oct. 2, 2000 -- The idea hasn't been thoroughly researched, but a couple of small studies suggest that massage can help relieve the symptoms of premenstrual syndrome (PMS).
One reason massage might help PMS is that stress appears to worsen these symptoms, and massage can calm the body's reaction to stress. Women who participated in a survey published in the February 22, 1989, New Zealand Medical Journal reported that massage was the most helpful treatment they had found for their PMS symptoms short of prescription drugs.
Researchers at the University of Miami, Fla., set out to determine just how effective massage might be for PMS by dividing 24 women with severe symptoms into two groups. Massage therapists stroked and kneaded the women in the first group from head to toe for half an hour, twice a week. The women in the second group practiced relaxing their own muscles for the same amount of time.
Regardless of whether they practiced relaxation or got a massage, all the women reported feeling better after each session. But at the end of five weeks, the women who received massage therapy reported significantly less pain and bloating than they had at the beginning, while the women who practiced relaxation did not.
The study, published in the March 2000 Journal of Psychosomatic Obstetrics and Gynecology, is too small to be definitive. But massage is definitely worth a try if you can afford the expense -- which, in some places, is about $30 for a half-hour with a professional. You may be able to cut costs if you've got a close friend willing to learn some basic techniques from a videotape, book, or class. In addition, some health plans may cover massage if it is recommended by a physician, but these are rare.
Massage therapists use many different techniques, and so far no single style has been shown to be better than the others for PMS. The therapists in the University of Miami study practiced a combination of Swedish and neuromuscular techniques. Another study, published in the December 1993 issue of Obstetrics & Gynecology, suggested that reflexology, in which therapists gently apply pressure to acupuncture points in the ears, feet, and hands, may offer lasting benefits as well.
The best way to find out which kind of massage helps you most is to try as many different types as you can. You'll never have a more enjoyable research project.
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