The story discusses massage therapy for physical and emotional well-being. One of the reasons massage isn’t covered as frequently by insurance as other alternative therapies, such as acupuncture and spinal manipulation, is that there is relatively little evidence of benefit in well controlled studies. The article implies that the problem is licensing. Massage proponents argue that licensure might lead to insurance coverage. But the story doesn’t discuss the lack of studies examining massage for certain conditions compared to placebo and active treatments. Personal testaments should not be enough to drive health care policy in a time when health care costs are rising – at least in part because of the widespread use of tests and treatments of limited or no value.
It is likely that massage may be better for certain conditions than others. The fact that there may be benefit in premature infants doesn’t directly translate into adults with shoulder pain. It is also likely that the alternative treatments vary dependent upon the condition. While the story notes that there are medical studies which have looked at the benefits of massage for certain groups of people, no data from these studies are cited.
The story does not mention things that can go wrong during a massage, especially with people who are already injured, or who have orthopedic or other biomechanical issues. Practitioners who are not adequately trained might risk further injury to these massage clients. Oversight of massage practice via licensure might prevent some of these harms; however, the story only focuses on the negative public image of massage (i.e. ties to the adult entertainment industry).
Though the story does not provide the actual cost of massage for those described, it does mention that massage is often not paid for by insurers. Again, one of the points of the article is that by accrediting massage therapists, insurers will be more likely to cover treatment by such providers.
The story cites both a massage therapist and an orthopedic surgeon to provide perspective on the role of massage in prevention and treatment of injury. However, the story is weighted heavily on information from those in the field of massage, so another perspective on massage as possible adjunct to evidence-based treatments would provide balance to the story. As is mentioned, massage has its place, but it is not a panacea.
The story does not provide the actual cost of massage for those uses described. Granted, these costs are likely to vary quite a bit, but the story could have provided a range of costs. The story does explain that massage is often not paid for by insurers. Indeed one of the points of the article is that by accrediting massage therapists, insurers will be more likely to cover treatment by such providers. It would have been useful to know the cost of treatment for the man who had massage for his shoulder (to distinguish from the $120,000 mentioned for surgery).
The story mostly provides personal testaments of the benefits of massage. No studies are cited discussing the role of massage in healing these types of injuries. Quantitative data from one study re: weight gain for premature infants is noted, however, there is no context for these numbers and an incomplete description of this study. The fact that there may be benefit in premature infants doesn’t directly translate into adults with shoulder pain. It also implies that massage is better than physical therapy (PT can include manual techniques such as massage and mobilization – the difference is the person doing it) and spinal manipulation.
The story focuses on the many benefits of massage and discusses licensing for practitioners in Michigan. The story does not mention things that can go wrong during a massage, especially with people who are already injured, or who have orthopedic or biomechanical issues. Practitioners who are not adequately trained might increase harms to these massage clients. Oversight via licensure might prevent some of these harms. The story only focuses on the negative public image of massage (i.e. ties to the adult entertainment industry).
The story discusses massage therapy for physical and emotional well-being. It is likely that massage may be better for certain conditions than others. The fact that there may be benefit in premature infants doesn’t directly translate into adults with shoulder pain. One of the reasons massage isn’t covered as frequently by insurance as other alternative therapies, such as acupuncture and spinal manipulation, is that there is relatively little evidence of benefit in well controlled studies. The article implies that the problem is licensing. That may be true to some extent, but a lack of evidence is an important reason as well.
The story does not engage in disease mongering.
The story cites both a massage therapist and an orthopedic surgeon to provide perspective on the role of massage in prevention and treatment of injury. The story weighted heavily on information from those in the field of massage, so another perspective on massage as an adjunct to other treatments would provide balance to the story. As is mentioned, massage has its place, but it is not a panacea and not without some risks.
The story focuses only on massage. If people who have had shoulder injuries are interviewed as examples of the healing benefits of massage, then further discussion of how this and other complementary therapies can be integrated with evidence-based medical treatments would be helpful. It is likely that massage may be better for certain conditions than others. It is also likely that the alternative treatments vary dependent upon the condition.
Massage is widely available, but as the article points out there are no requirements placed upon practitioners of massage therapy. So even though the individuals in this article reported benefit from massage, it is possible or even likely that the benefit they observed may not be generalizable to all massage therapists. There are also different types of massage and again the response may differ based upon the technique. Thus, even though it is widely available, it doesn’t mean that the same type of treatments or the quality of providers are the same in different regions.
Massage is not a new treatment for relaxation and short-term relief of muscular discomfort.
Information in this story does not appear to be taken directly from a press release.
Systematic, Criteria-Driven
We’ve written about the hype of liquid biopsies for years (see link in comment below). And now this…. https://www.statnews.com/2022/01/12/medicare-shouldnt-cover-liquid-biopsies-early-cancer-detection/
Case counts still matter. “(There) are stories that may not be told adequately if only hospitalizations and deaths are emphasized.” @garyschwitzer interviewed by @dbauder of @AP. https://apnews.com/article/omicron-changing-news-outlets-covid-data-da9272f7c4c8a109c3bfb56bed9e9c76
My friend Gary @garyschwitzer wrote to his city council representative in a Minnesota town about a Viva Las Vegas event scheduled for January.
The response he got seems to perfectly capture where we are now.
https://www.healthnewsreview.org/2021/12/2021-ends-with-covid-craziness-in-sports-and-politics/
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