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The Scientific World Journal
Volume 2014, Article ID 287597, 7 pages
Clinical Study

Deep Tissue Massage and Nonsteroidal Anti-Inflammatory Drugs for Low Back Pain: A Prospective Randomized Trial

1Department of Rheumatology and Rehabilitation, Poznan University of Medical Sciences, 28 Czerwca 1956 roku 135/147, 61-545 Poznan, Poland
2Department of Kinesiotherapy, University School of Physical Education in Poznan, Królowej Jadwigi 27/39, 61-871 Poznan, Poland
3Department of Pediatric Orthopedics and Traumatology, Poznan University of Medical Sciences, 28 Czerwca 1956 roku 135/147, 61-545 Poznan, Poland

Received 30 August 2013; Accepted 26 December 2013; Published 23 February 2014

Academic Editors: S. Duport and J.-Y. Tsauo

Copyright © 2014 Marian Majchrzycki et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. To investigate whether chronic low back pain therapy with deep tissue massage (DTM) gives similar results to combined therapy consisting of DTM and non-steroid anti-inflammatory drugs (NSAID). Design. Prospective controlled randomized single blinded trial. Settings. Ambulatory care of rehabilitation. Participants. 59 patients, age 51.8 ± 9.0 years, with chronic low back pain. Interventions. 2 weeks of DTM in the treatment group (TG) versus 2 weeks of DTM combined with NSAID in the control group (CG). Main Outcome Measures. Visual analogue scale, Oswestry disability index (ODI), and Roland-Morris questionnaire (RM). Results. In both the TG and the CG, a significant pain reduction and function improvement were observed. VAS decreased from 58.3 ± 18.2 to 42.2 ± 21.1 (TG) and from 51.8 ± 18.8 to 30.6 ± 21.9 (CG). RM value decreased from 9.8 ± 5.1 to 6.4 ± 4.4 (TG), and from 9.3 ± 5.5 to 6.1 ± 4.6 (CG). ODI value decreased from 29.2 ± 17.3 to 21.4 ± 15.1 (TG) and from 21.4 ± 9.4 to 16.6 ± 9.4 (CG). All pre-post-treatment differences were significant; however, there was no significant difference between the TG and the CG. Conclusion. DTM had a positive effect on reducing pain in patients with chronic low back pain. Concurrent use of DTM and NSAID contributed to low back pain reduction in a similar degree that the DTM did.