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A Service Evaluation of Heisei Shiatsu Massage as an Adjunct to the Pharmacological Management of Cancer Pain

Authors: Cabo FernandoJournal: International journal of therapeutic massage & bodyworkPublished: March 1, 2026DOI: 10.3822/ijtmb.v19i1.1207
Q3 JournalSJR: 0.25h-index: 18
Moderate EvidenceObservationaln=55 participants

In Plain Language: cancer pain, explained

Conventional pharmacological treatment does not always relieve cancer pain satisfactorily, increasing the need for further medication. Complementary and integrative therapies are offered to cancer inpatients to improve their well-being. Although manual therapies such as massage and reflexology are commonly offered to hospitalized cancer patients in the UK, Shiatsu in this setting is little known and has been studied much less. The purpose of this project is to examine the pain-relieving effects of Heisei Shiatsu in hospitalized cancer patients and to compare those results with other bodywork modalities which have been established for longer in this field. Fifty-five inpatients received 66 Heisei Shiatsu treatments. Interventions are adapted to health issues and specific pain complaints. Patients scored changes in pain intensity, the relief provided, and changes in mood as a result of the treatment using the validated Integrative Medicine Treatment Evaluation Form. The pre- and post-treatment scores for pain and mood were analyzed with both student's t-test and the Wilcoxon signed-rank test. Results for relief are given in percentage points. All results were compared to results for other therapies stated in comparable research articles. Decrease in pain intensity and pain relief was reported after the Shiatsu session by all patients. The average reduction in pain was 40%. Thirty-two percent of the patients said their pain had been completely relieved, and 45% stated the pain had been mostly relieved. Compared to results in similar studies, Shiatsu is more effective than aromatherapy or reflexology in reducing pain among cancer patients. Almost all patients commented on the relaxing and soothing effects of these treatments. Heisei Shiatsu can be delivered alongside conventional care for patients with cancer. Although the sample size is not big enough to draw definite conclusions, it warrants further research into the safety of Heisei Shiatsu in this setting and it

Key Findings: what this observational study found about cancer pain

  • ✓Conventional pharmacological treatments alone often fail to adequately relieve cancer pain, necessitating additional therapeutic interventions.
  • ✓Fifty-five hospitalized cancer patients received 66 Heisei Shiatsu treatments with interventions customized to individual health issues and pain complaints.
  • ✓Patients reported changes in pain intensity, pain relief, and mood improvements following Heisei Shiatsu treatment as measured by the validated Integrative Medicine Treatment Evaluation Form.

What This Means for You

If you have cancer-related pain, Shiatsu massage alongside your medications may provide meaningful relief, though more rigorous research is needed to confirm how well it works compared to other options.

What This Means for Practitioners

This service evaluation suggests Shiatsu has potential as a hospital-based adjunct therapy for cancer pain, providing a foundation to advocate for its integration into cancer care settings alongside established manual therapies.

Study Design: how this observational study was run

Sample Size
55 participants
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Cancer pain: common questions

What does this study say about cancer pain?

If you have cancer-related pain, Shiatsu massage alongside your medications may provide meaningful relief, though more rigorous research is needed to confirm how well it works compared to other options.

What did this study find?

Conventional pharmacological treatments alone often fail to adequately relieve cancer pain, necessitating additional therapeutic interventions. Fifty-five hospitalized cancer patients received 66 Heisei Shiatsu treatments with interventions customized to individual health issues and pain complaints. Patients reported changes in pain intensity, pain relief, and mood improvements following Heisei Shiatsu treatment as measured by the validated Integrative Medicine Treatment Evaluation Form.

How strong is this evidence?

This is a observational study and we rate its evidence moderate. It covers 55 participants. It was published in International journal of therapeutic massage & bodywork, a Q3 journal. This study is indexed here for context; it did not test reflexology itself.

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