We’re busy updating our review of massage therapy and will provide a rating when that’s complete. While we’re working, we share a summary from our predecessor website, Beyond Conventional Cancer Therapies. The information we share here was last updated in September 2021.

Please consider supporting our update and revision to this information.

Massage Therapy

Massage is the manipulation of muscles and other soft tissues in the body. Massage may range from light stroking to deep pressure, with a goal to release tension or stress in the tissues. Studies of the benefits of massage find it an effective treatment for reducing anxiety, pain and muscle tension. It may help with other symptoms and conditions such as insomnia.1Mayo Clinic Staff. Massage: Get in touch with its many benefits. Mayo Clinic. October 6, 2018. Viewed September 4, 2020. Massage may be accompanied by aromatherapy.

Key Points

  • Massage is the manipulation of muscles and other soft tissues in the body and may range from light stroking to deep pressure.
  • Clinical practice guidelines cite use of massage for managing anxiety, mood disturbance, pain, and peripheral neuropathy.
  • Massage may also help to improve sleep disruption, nausea, feelings of hopelessness and other negative emotions, physical complaints and markers of stress, quality of life, fatigue, and breast symptoms.
  • Massage therapy administered by a trained massage therapist is generally safe, with few adverse outcomes.
  • Massage therapy delivered by an oncology-trained massage therapist is recommended.

Clinical Practice Guidelines

The Society for Integrative Oncology evidence-based clinical practice guidelines cite massage to manage these symptoms. The guidelines recommend massage as useful in integrative plans combining two or more therapies (multimodality treatment):2Deng GE, Frenkel M et al. Evidence-based clinical practice guidelines for integrative oncology: complementary therapies and botanicals. Journal of the Society for Integrative Oncology. 2009 Summer;7(3):85-120; Deng GE, Rausch SM et al. Complementary therapies and integrative medicine in lung cancer: diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2013 May;143(5 Suppl):e420S-e436S; Greenlee H, DuPont-Reyes MJ et al. Clinical practice guidelines on the evidence-based use of integrative therapies during and after breast cancer treatment. CA: A Cancer Journal for Clinicians. 2017 May 6;67(3):194-232.

  • Anxiety
  • Mood disturbance
  • Pain

Breast Cancer Guideline

Clinical practice guidelines for use of massage therapy with breast cancer:3Greenlee H, DuPont-Reyes MJ et al. Clinical practice guidelines on the evidence-based use of integrative therapies during and after breast cancer treatment. CA A Cancer Journal for Clinicians. 2017 May 6;67(3):194-232.

  • Can be considered for reducing anxiety
  • Recommended for improving mood disturbance

Chronic Pain Guideline

The 2016 American Society of Clinical Oncology clinical practice guideline for managing chronic pain in survivors of adult cancers makes a weak recommendation for using massage.4Paice JA, Portenoy R et al. Management of chronic pain in survivors of adult cancers: American Society of Clinical Oncology clinical practice guideline. Journal of Clinical Oncology. 2016 Sep 20;34(27):3325-45.

Peripheral Neuropathy Guideline

The patient-education resource from the American Society for Clinical Oncology (ASCO) advises an integrative approach including massage to manage peripheral neuropathy.5CancerNet. Peripheral Neuropathy. American Society of Clinical Oncology. May 2017. Viewed March 14, 2018.

Managing Side Effects and Promoting Wellness

Managing or relieving side effects or symptoms, reducing treatment toxicity, supporting quality of life or promoting general well-being

Stronger Evidence

The clinical practice guidelines described above reviewed all the evidence available at the time and concluded that massage therapy is effective for these symptoms (further research in footnotes since those guidelines were published affirms these findings):

Emerging Evidence

Evidence shows further benefits of massage therapy for these symptoms, but study designs or methods are not always strong and conclusions are weak:

Primarily physical symptoms
Primarily mental or emotional symptoms
Other symptoms

Optimizing Your Terrain

Creating an environment within your body that does not support cancer development, growth or spread

Massage increased white blood cells and neutrophils in children with cancer.57Rodríguez-Mansilla J, González-Sánchez B et al. Effects of the application of therapeutic massage in children with cancer: a systematic review. Revista Latino-Americana de Enfermagem. 2017;25:e2903.

Cautions

Massage therapy administered by a trained massage therapist is generally safe, with few adverse outcomes.58Shin ES, Seo KH et al. Massage with or without aromatherapy for symptom relief in people with cancer. Cochrane Database of Systematic Reviews. 2016;(6):CD009873. The National Cancer Institute urges massage therapists to take precautions with all cancer patients and avoid massaging specific vulnerable areas of the body. In addition, certain patients with multiple bone metastases may be at risk for fracture during deep massage.59Greenlee H, DuPont-Reyes MJ et al. Clinical practice guidelines on the evidence-based use of integrative therapies during and after breast cancer treatment. CA A Cancer Journal for Clinicians. 2017 May 6;67(3):194-232.

Massage therapy delivered by an oncology-trained massage therapist is recommended.60Deng GE, Frenkel M et al. Evidence-based clinical practice guidelines for integrative oncology: complementary therapies and botanicals. Journal of the Society for Integrative Oncology. 2009 Summer;7(3):85-120. Oncology massage therapists are keenly aware of any cautions and how to adapt massage for individual needs.61Society for Oncology Massage: Is Your Therapist Trained? Viewed August 14, 2020. See below for a website to locate an oncology massage therapist in North America.

Access

Massage therapists are widely available, including within many cancer centers. The Society for Oncology Massage has a search page to locate therapists in North America.

Some insurance plans pay for medically indicated massage therapy.

Integrative Programs, Protocols and Medical Systems

For more information about programs and protocols, see our Integrative Programs and Protocols page.

Helpful links

References[+]