The
massage group had significant improvement in all parameters at all assessment time points. Similar changes were
observed in the medication group except for the pressure pain threshold and tissue hardness. The adjusted post-test
mean values for each assessment time point were significantly better in the massage group than in the medication
group. [Conclusion] Tradition Thai self-massage using a Wilai massage stickTM provides better results than taking
ibuprofen for patients who have upper back pain associated with myofascial trigger points. It could be an alternative
treatment for this patient population