The objective of this randomized comparative study was to provide preliminary data of comparative
effectiveness of Thai traditional massage (TTM) and Chinese acupuncture for the treatment of myofascial back
pain in young military personnel. Eighteen Thai military personnel, aged ranging from 20-40 years were
randomly divided into TTM and acupuncture groups. Each group received 5 sessions of massage or acupuncture
during a 10-day period. The Thai version McGill pain Questionnaire, 100-mm, visual analog scale (VAS)
and summation of pain threshold in each trigger point measured by pressure algometer were assessed at day
0, 3, 8 and 10. At the end of treatment protocols, McGill scores decreased significantly in TTM and acupuncture
groups (p = 0.024 and 0.002, respectively). VAS also decreased significantly (p = 0.029 and 0.003,
respectively). However, the pain pressure threshold increased significantly in the acupuncture group but not
in the TTM group (p = 0.006 and 0.08, respectively). When outcomes were compared between the two groups,
no significant difference was found in the VAS (p = 0.115) and pain pressure threshold (p = 0.116), whereas
the acupuncture group showed significantly lower McGill scores than the TTM group (p = 0.039).
In conclusion, five sessions of Thai traditional massage and Chinese acupuncture were effective for the
treatment of myofascial back pain in young Thai military personnel. Significant effects in both groups begin
after the first session. Acupuncture is more effective than Thai traditional massage when affective aspect is also
evaluated.

Keywords: Thai massage, Acupuncture, Myofascial pain, Back pain