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Massage

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Therapeutic massage consists of hands-on manipulation of the body’s soft tissue, skin, muscles, tendons, and ligaments using different techniques and levels of pressure. For cancer patients, massage can reduce symptoms of disease and side effects of treatment like anxiety and pain. For caregivers, massage can provide a relaxing respite, and reduce stress, anxiety, and tension.

How is it Done?
Massage is usually done in a private room of a clinic, office, or spa. If the therapist is in private practice, massage may be done in his or her home or in your home with a portable massage table. During your first session, talk with the therapist about your health history. You and the therapist will generally agree at this time on the areas to be massaged. A session typically lasts 45 minutes to an hour.

 
A therapeutic massage may cover any parts of the body except for the groin area and, for a woman, the breasts. Usually both sides of your body will be massaged. Practitioners usually use their hands, although at times they may also use their forearms or elbows. Occasionally, you may have some discomfort as the therapist works a sore, stiff, or tense area of muscle. Tell your therapist if the massage becomes uncomfortable.
 
Does it Work?
Massage therapy has been shown to increase blood and lymph flow; decrease post-exercise soreness; reduce swelling and joint and muscle stiffness; increase range of motion of the joints; release the body’s own pain relievers, the substances called endorphins; promote relaxation; relieve some fatigue; and promote a feeling of well-being.
 
Is it Safe?
For cancer patients, many massage therapists require that a doctor’s recommendation or approval to receive massage therapy. Before the first session, tell the therapist about any medical problems they have, cancer-related or otherwise and let the therapist know about any problems with movement. Tell the therapist if there is cancer anywhere in your body or have had any recent surgeries or radiation, so she or he can avoid those areas. Caution is needed for patients who are prone to bleeding because of a low platelet count or anti-coagulant medications or who are prone to making blood clots.
 
Practitioner Qualifications
A massage therapist may be either certified or licensed, depending on where he or she practices. A certified massage therapist must pass a national exam administered by the National Certification Board for Therapeutic Massage and Bodywork. Ask your doctor to recommend a massage therapist who works specifically with cancer patients.
 
Cost in Time and Money
The cost of a massage session ranges from $60 to $120, depending on the type of massage and length of the session. You can have a massage rarely or as often as once or twice a week.
 
Instruction for Family and Friends
Loved ones of cancer patients can easily learn to provide many of the benefits of touch and massage at home. This can aid the comfort and relaxation of the patients, and also make caregiving more satisfying.
 
An instructional DVD program, "Touch, Caring and Cancer: Simple Instruction for Famiy and Friends" is now available at http://www.partnersinhealing.net.  The program provides safety instructions and was developed through research sponsored by the National Cancer Institute.