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Studies of Aromatherapy in the treatment of Pain


The analgesic effect of essential oils are thought to be a result of several factors including

  • A complex mixture of chemicals affecting the memory and behavior site of the brain.
  • Analgesic components of specific essential oils that may effect dopamine, seratonin, and norepinephrine in the brain.
  • Stimulation of endogenous opioid systems.
  • Interaction of touch with sensory fibers in the skin which may affect the transmission of referred pain.

   Several studies have been done to evaluate the effectiveness of using essential oils in the treatment of pain. Although they are not absolutely conclusive, they do show a definitive benefit as a complementary therapy in treating patients with pain. Citations for these studies can be located in the references section of this web site.


  • LAVENDER AND THE TREATMENT OF PAIN

Lavender and Pain in a Critical Care Unit. A randomised study by Woolfson and Hewitt published in Nursing Times looked at the effects of the essential oil Lavender combined with massage on 100 patients in a critical care unit. 30 patients were randomly to three groups. One group receive massage plus lavender, one received massage alone and the third "rested" without any massage or lavender. Data was obtained using questionnaires to document pain and wakefulness and by measuring heart rate, blood pressure, and respiratory rate. The results of this study showed a 50% reduction in pain with lavender oil as well as a significant effect on heart rate, blood pressure, and respiratory rate. This study provides no statistics or analysis, however, the results were as follows.

Massage + oil

Massage only

Rest only

% decrease in heart rate/ decrease in bpm

91% / 11-15

58% / 6-10

41% / 0-5

% decrease in Blood Pressure /decrease in mmHg

50% / 11-15

41% / 0-5

16% / 6-10

decrease in Resp. rate /decrease in breaths per minute

75% / 6-10

41% / 0-5

16% / 0-5

% Wakefulness

50%

33%

25%

% decrease in Pain levels

50%

41%

16%

Lavender and Arthritis. Another study by Ann Brownfield, BSc, RGN studied the effects of aromatherapy with massage on patients with rheumatoid arthritis using a randomized controlled design. Patients received a 10 minute upper neck and shoulder massage with or without lavender oil on two consecutive evenings. The results of this study did not show any significant reduction in pain levels with aromatherapy, however, those patients receiving massage with lavender oil did have a reduction in their use of analgesic medications. Many patients also reported that they slept better or were able to roll over in bed. This study emphasizes the fact that the perception of pain by the patient plays an important role in the pain and this perception can be affected by touch and smell.

Lavender and the ability to cope with critical care. A randomized controlled study of 122 patients in a critical care unit by Dunn and colleagues compared the anxiety levels in patients who received massage with lavender, massage without lavender, or neither. Their results did not address treatment of pain directly but did show that the aromatherapy group felt "less anxious and more positive" demonstrating that the patient’s perception of their ability to cope may have an effect on their perception of pain.


  • CHAMOMILE AND PAIN

Chamomile and pain in cancer. Chamomile is thought to have relaxing and analgesic effects. A randomized study by Wilkinson looked at the effects of massage with or without chamomile on 51 patients with cancer. The results of this study showed a reduction in tension, anxiety, and pain that was statistically significant.


  • MARIGOLD AND PAIN

Marigold oil in the treatment of hyprekeratotic Plantar Lesions. The essential oil from African Marigold was tested in a double-blinded placebo trial on the hyperketatotic plantar lesions of 30 patients. The placebo group received tincture with no active ingredients, and the other two groups received marigold paste with or without a protective pad. The results were generated by a "pain diary" completed by each subject. The results of this study showed that both of the treatment groups receiving active marigold had reduced pain level and a shorter duration of pain.


  • AROMATHERAPY AND CHILDREN'S PAIN

Chamomile and lavender in children's pain. A study of 20 hospitalized children with HIV looked at the effects of aromatherapy on comfort and relief of phsyical pain. The essential oil used included those recognized for their analgesic and nervine properties including chamomile and lavender. The authors report that "All the children responded well to these blends which helped to decrease the need for analgesic drugs from acetaminophen to morphine. Some children said their pain had been relieved completely". They found that the therapy eased discomfort from intermittent muscle spasm, chronic chest pain unresponsive to regular analgesia, and painful peripheral neuropathy. This study provided no formal statistics or analysis.


  • PEPPERMINT AND PAIN

Effects of peppermint oil on headache. A randomized, double-blinded, crossover study looked at the effects of peppermint on headache in humans. Pain was induced using pressure, thermal stimuli, or ischemic stimuli and the intensity of pain, neurophysiology, performance related activity, and mood states were monitored. The results of this study revealed that peppermint, when applied topically, produced a significant analgesic effect and long-lasting cooling effect on the skin.


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