Massage
Massage may be used with standard treatment for improved pain outcomes.
Pharmacologic, Physical, and Cognitive Pain Alleviation for Musculoskeletal Extremity/Pelvis Surgery (2021)
This guideline was produced in collaboration with METRC, with funding provided by the US Department of Defense. Endorsed by: SOMOS, OTA

Rationale

One high quality (Pasyar 2018) and three moderate quality (Forward 2015, Eghbali 2010, Buyukyilmaz 2013) studies were reviewed. All studies showed improvements in pain. Only one study measured opioid use and did not report improvement, and no studies measured function.

Benefits/Harms of Implementation

No studies reported adverse events, but the level of risk associated with this intervention is low.

Cost Effectiveness/Resource Utilization

Potentially moderate to high resource utilization in delivering this level of care in the hospital setting.

Acceptability

Would require increased resource utilization and specialized staff which may have some concerns with acceptability

Feasibility

Intervention has been used extensively and is clearly feasible.

Future Research

Further research into the effect of this intervention on opioid use and function are needed, as well as cost effectiveness studies.