• Samuel Attias, Keren Sivan, Ofri Avneri, Avigail Sagee, Eran Ben-Arye, Ofra Grinberg, Gideon Sroka, Ibrahim Matter, and Elad Schiff.
• 1 Complementary and Integrative Surgery Service, and the Surgery Department, Bnai-Zion Medical Center , Haifa, Israel .
• J Altern Complement Med. 2018 Aug 1; 24 (8): 809-815.

ObjectiveInadequate treatment of pain in patients undergoing surgery is associated with unsatisfactory perioperative outcomes. The aim of this study was to examine the role of reflexology in addition to standard analgesic treatment in postoperative pain management.DesignThis was a prospective, unblinded pragmatic controlled trial.Setting/LocationStudy participants included patients who were admitted to the general surgery department.InterventionsPatients in the intervention group received reflexology while standard analgesic care was administered similarly in both groups.Outcome MeasuresPain intensity at rest and in motion was evaluated using visual analog scale (VAS [0-10]) at baseline, and 60-90 min after treatment.ResultsPain reduction was clinically and statistically significant in the reflexology group, both for pain at rest (from mean VAS of 4.4 to 3.1, N = 77, p < 0.0001) and for pain in motion (from 6.2 to 4.2, N = 77, p < 0.0001). In the control group, pain at rest was not reduced at follow-up (from 4.7 to 4.6, N = 87, p = 0.92), nor was pain in motion (from 5.8 to 5.7, N = 87, p = 0.65). Comparison of mean difference for pain showed significant improvement in the reflexology group compared to the standard of care group (p < 0.0001). The most significant pain reduction in the reflexology group was observed among patients who had moderate-severe baseline pain (VAS >4).ConclusionAdding reflexology to standard analgesic care is effective in reducing postoperative pain at rest and in motion, especially for patients experiencing moderate to severe pain.

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