Massage and Reflexology. Massage involves manipula- tion of soft tissues in the body used to relax tense muscles (Smith et al., 2010). Massage may help relieve pain by improving blood flow or inhibiting pain signals. Reflexology involves massaging reflex points on the feet that correspond to structures of the body. By massaging the foot at defined points that correlate to another part of the body, pain relief is achieved in the alternate part of the body. Smith, et al. (2010) reported only one study in Taiwan that included massage but found that there was not enough evidence to support the effectiveness of massage or reflexology therapy (Smith et al. 2010).