In accepting massage in its hospitals, the US healthcare service is opening itself to the increasing body of scientific evidence showing massage as an effective treatment. Until a few years ago, the medical profession resisted holding clinical trials to test “alternative” remedies. Such studies as existed in other countries were treated with some contempt. Massage was nothing more that an indulgence in high-priced spas. Now the manipulation of the soft tissues by a skilled therapist is acknowledged to reduce physical pain, relieve stress and bring down blood pressure. The methods differ depending on the purpose of the treatment. In general, the therapist will press, manipulate and rub the relevant parts of the body. Most techniques rely on the use of the hands and fingers, but others use the forearm, elbow and, in a few cases, the feet. The pressure may be light and involve gentle stroking. Or it can involve the use of significant pressure to knead and reach down to deep layers of muscle.

If you are experiencing muscle spasms, i.e. an involuntary contraction like cramp that persists, the combination of massage therapy and the use of a muscle relaxant like skelaxin has been found particularly effective. This most commonly occurs in the back, buttocks and legs. It may be from a physical cause such as a herniated disk or sciatica with pain radiating from the nerve. The manipulation of the disk can rapidly reduce pain and improve mobility. As the more acute symptoms are relieved, the drug will ease the problems in the muscles and reduce the risk of further spasms. In the case of sciatica, more aggressive treatment may be required in the use of steroids or, if the pain does not subside, surgery. But, in all this, the therapist will be able to guide you through the process of relieving the acute symptoms and planning a rehabilitation regime to reduce the risk of the problems recurring. At this time, it is most useful if your doctor and the therapist work as a team. That gives you the best advice on the use of prescription painkillers and drugs like skelaxin, while receiving comprehensive physical therapy. It delays treatment and can lead to misunderstandings if you constantly have to move between different hospital or clinic departments.

But the current system is to leave it to private interests to decide what to research. If there are only a few people who have this problem or the many are too poor to pay a high retail price, there is no profit to be earned. So no research and development to help them. As a result, millions die from diseases that could be treated. Even when a “good” social purpose is served, the basic research is only done to get the drug or device approved. Once the FDA has given its nod, the spotlight passes on to the next drug in the pipeline. Little is done to follow up on how the drug actually performs once it is let loose into the world. The reason, of course, is that this research could be inconvenient and damage the profitability of the drug. Suppose the research found the drug was killing patients. It would have to be withdrawn and profits would dry up.

It is therefore interesting to see that viagra is probably the most continuously researched drug on the planet. For example, in 2002, there was a piece of meta-research done on 27 sets of clinical trials. This is research which picks the best conducted individual trials and puts all the results together to see if there are any general trends. There have been more than one hundred more trials since then. The conclusion is that viagra is not only safe but also effective in men who suffer erectile dysfunction because of depression, diabetes, heart disease, prostate cancer and spinal cord injuries. It is a shame the same level of interest is not shown in proving other drugs such as Vioxx to be as safe.