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Abstract
Comparison of Effectiveness in Pain Reduction in Muscle Strain between NSAIDs and Thai Mas-
sage with Hot Compress at Sanamchaikhet Hospital in Chachoengsao Province
2
2
1
1
2
Chaisith Sivakorn , Kachonsak Yongwatana , Wirote Areekul , Ram Rangsin , Suthee Panichkul ,
3
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Panithan Pradubpongsa , Somkid Wiratepsuporn , Pannipa Tengtrakulcharoen , Supak Cae-ngow 4
1 Sixth-Year Medical Cadet, Phramongkutklao College of Medicine, Bangkok, Thailand
2 Department of Military and Community Medicine, Phramongkutklao College of Medicine
3 President of Sanamchaikhet Hospital, Sanamchaikhet district,Chachoengsao Province
4 Office of Research Development, Phramongkutklao College of Medicine and Phramongkutklao Hospital
Introduction: Although studies that proved the efficacy of traditional Thai massage with hot compress
therapy were very few in number, they played an important role in relieving various types of pain. This study
might increase the confidence of health-care providers to use this method as a standard therapy by providing
them with evidence-based knowledge.
Objectives: To compare the effectiveness and attitude in pain reduction for muscle strain between NSAIDs
and traditional Thai massage with hot compress therapy.
Study design: Prospective cohort study
Materials and methods: One hundred and six patients with muscle strain were enrolled in this study.
Fifty-six persons chose traditional Thai massage with hot compress therapy and 50 chose NSAIDs. Each an-
swered a questionnaire before the treatment and was followed up at 24, 48 and 72 hours after treatment by
telephone. The questionnaires elicited demographic data, health status, numeric rating scale (NRS) for pain
and attitude toward these two methods.
Results: Post-treatment pain score decreased significantly as compared with pre-treatment score within
the group treated with Thai massage with hot compress and NSAIDs users (p-value< 0.001), and the pain
scores at 24, 48, 72 hours were not significantly different between the two groups. These two methods reduced
pain equally for 75 per cent in three days post-treatment. The subjects mostly thought that Thai massage was
better than NSAIDs in pain reduction for muscle strain.
Conclusions: This study proved that the efficacy of traditional Thai massage with hot compression therapy
for muscle strain, pain reduction was not significantly different from that of NSAIDs.
Key words: Thai massage, NSAIDs, efficacy in pain reduction, Sanamchaikhet