I Advice - Health and Fitness

Massage is more than an indulgence—it can have major health benefits. So go ahead. Indulge!

Michelle suffered from carpel tunnel syndrome. She worked on the packing line at Wampler Foods in Virginia trimming the b

According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product

one and gristle for 330 chicken breasts a day. Her right hand began going numb and the wrist pain made it difficult to move her hand. Cortisone shots were unsuccessful. After visiting the company massage therapist,

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

she was back at work in a few weeks. In 1990, the company instituted massage, job-specific exercises, and ergonomics. Repetitive-stress injuries decreased by 75 percent and work attendance increased. Nobody wanted

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

to miss work on his or her massage day.

As Michelle experienced, massage is more than an indulgence—it can relieve pain. This gentle therapy has been around since the dawn of time. Hipprocrates, the father of medic

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

ine advocated massage. When combined with medical attention, it helps heal certain conditions and prevents their return.

In fact, new research suggests regular massage therapy can help major health benefits. Massag

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

can enhance the movement of fluids through our systems, which is fundamental for the body to function well. This movement of blood and lymph supports each and every cell of the body, carrying nutrients, oxygen, horm

ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

ones, antibodies and water to each cell, as well as carrying waste products away. Any call can be enhanced, weakened or destroyed by this movement, or lack of it.

By dispersing fluids, massage can ease the inflammat

easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi

ion that follows sprains and other injuries (although it shouldn’t be used the first day or two afterwards). Skilled hands can increase the fluids after a competitive run, easing the pain of overuse. During a mastec

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

omy, the lymph nodes are removed and lymphatic fluid can collect in the arm, causing swelling. “Other than massage, there is no really good treatment,” says Dr. Chester Plotkin, director of the Lymph Edema Center at

and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ

the University Hospitals of Cleveland.

At the Touch Research Institute, massage has been researched on a variety of groups. In a groundbreaking study in 1986, Tiffany Field, Ph.D., showed that premature infants, who

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

received massage for 15 minutes, three times a day, gained 47 percent more weight and got out of the hospital six days earlier. “Touch with pressure is a major stimulus to the central nervous system,” says Dr. Field.

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

“It puts people in a very relaxed state; your heart rate slows down, your blood pressure decreases. Things that are aroused by stress are diminished by this rubbing that people feel when they are massaged.”

Massag

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

e can also stimulate nerves that carry messages from the skin and muscles to the brain. A five-week study done on the effects of massage in the workplace in 1996 showed it reduced anxiety and enhanced alertness. The

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

individuals who were massaged twice a week completed a math test in half the time with half the errors and their stress hormones decreased by 25 percent in 1998, at Bowling Green State University, a 15-minute chair ma

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

ssage significantly reduced blood pressure.

Massage is not a single discipline, but a family of related arts, each offering different advantages. There are limitless ways to apply this ancient art. Swedish massage,

t?

As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel

with its long soothing strokes, can ease tension and stress after a long day at work. If you suffer a painful spasm or need to recondition an injured joint, “deep tissue massage” can provide relief. After warming th

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

e tissues, deeper pressure is used to identify tightness in the deeper tissues. Trigger-point or neuromuscular massage can help relieve pain by identifying the muscles, tendons and ligaments involved to locate the po

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

int of pain and release it.

Like exercise, massage does more for you when you engage in it regularly. Even a monthly treatment can help maintain general health. “Touch is basic to survival,” says Elliot Greene, pas

.

As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de

president of AMTA. Dr. Nancy Snyderman of ABC News says: “massage is to a body like a tune-up is to a car. Massage is a little bit of good medicine.”

To meet the needs of each person, most massage therapists combi

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

ne techniques for the best results. Look for someone who is nationally certified and/or a member of a professional organization, which shows they completed a minimum of 500 hours of education and continuing education

tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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