Ms Bhagya Sri Ray, Mrs. Hepsi Natha, Mr. Nageshwar V.


BACKGROUND :  This Study gives a direction for application of alternative therapy in management of pain among post operative hospitalized patient (Brenna, Carr and Cousins 2007). Despite the pain medications and anesthetics techniques available, the prevalence of postoperative pain is still high. The prevalence of acute postoperative pain is 80% ( Chen, and Mehta, 2003). In foot reflexology, pain modulation is based on Gate Control Theory. The foot as a part of the body, is used to modulate the pain. Each foot contains more than 7000 nerve endings (Bright,2001) and many studies support that foot reflexology acts help to decrease intensity of pain and anxiety. Reflexology is effective in improving muscle comfort by  enhancing blood flow which stimulates parasympathetic nervous system and  foot reflexology is a non pharmacological method for maintaining respiration, pulse, blood pressure and manage pain ( Hassani, S., Hassani, k. 2015).

OBJECTIVE:  To Assess the effectiveness of foot reflexology on pain and anxiety after surgery.

METHOD : Keyword searches of PubMed, EBSCO online search of database.

RESULT: Postoperative pain is caused by tissue damage that induces release of chemical mediators from the surgical wound. Foot reflexology is used as an complementary therapy for pain management and anxiety among post operative patients.

CONCLUSION: Foot reflexology is an effective complementary therapy used for pain and anxiety management in post operative patients.


Foot reflexology, Coronary Artery Bypass Graft (CABG), Foot massage, abdominal surgery.

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Ali ,K., Tadayonfar M. A., Shapour B., Monavar, A., A., Hoda, A., and Sara,B. Evaluation of the Effect of Reflexology on Pain Control and Analgesic Consumption After Appendectomy The Journal of Alternative and Complementary Medicine, 21(12): 774-780.

Apfelbaum, J. L., Chen, C., Mehta, S. S., & Gan, T. J. (2003). Postoperative pain experience: results from a national survey suggest postoperative pain continues to be undermanaged. Anesthesia & Analgesia, 97(2), 534-540.

Brennan, F., Carr, D. B., & Cousins, M. (2007). Pain management: a fundamental human right. Anesthesia & Analgesia, 105(1), 205-221.

Chanif, C., Petpichetchian, W., & Chongchareon, W. (2013). Does foot massage relieve acute postoperative pain? A literature review. Nurse Media Journal of Nursing, 3(1), 483-497.

Hassani, S., & Hassani, K. (2015). The Effect of Foot Reflexology on Physiologic Indices and Pain Severity Following Cesarean Delivery. Research Journal of Medical Sciences, 9(3), 114-117.

Han, H.H., Lee, Y.J., Chae, Y.J,. Eun, J.S., Lee H.H., Park, J.W.(2005) The Effectiveness of Foot Reflexo- Massage on the Postoperative Pain of Gastrectomy Patients. Korean J Crit Care Med. 20,(2),136-143.

Khorsand, A., Tadayonfar, M. A. R., Badiee, S., Aghaee, M. A., Azizi, H., & Baghani, S. (2015). Evaluation of the Effect of Reflexology on Pain Control and Analgesic Consumption After Appendectomy. The Journal of Alternative and Complementary Medicine, 21(12), 774-780.

Nastaran, R. , Leili ., Fatemeh, Y. , Habibolah, E., Hoda A. , Marzieh L. (2012).Effect of foot reflexology on pain and anxiety in women following elective cesarean section.Iranian journal of obstetrics, gyneocology and infertility,15 (1) ,9 -17.

Nikbakht Nasrabadi, A. R., Taghavi Larijani, T., Mahmoudi, M., & Taghlili, F. (2005). A comparative study of the effect of Benson’s relaxation technique and Zekr (rosary) on the anxiety level of patients awaiting abdominal surgery.Journal of hayat, 10(4), 29-37.

Shermeh, Sadeghi M., P. R., Bozorgzad. Ghafourian ,A.,.Ebadi A , Razmjoei ,N., Afzali ,M., Azizi, A. ( 2009) Effect of foot reflex massage on sternotomy pain after coronary artery bypass graft surgery. Iranian Journal of Critical Care Nursing , 2 (2), 51-54.

Thomas, S. H. L., Bevan, L., Bhattacharyya, S., Bramble, M., Chew, K., Connolly, J., ... & Sen, B. (1996). Presentation of poisoned patients to accident and emergency departments in the north of England. Human & experimental toxicology, 15(6), 466-470.

Tsay, S. L., Chen, H. L., Chen, S. C., Lin, H. R., & Lin, K. C. (2008). Effects of reflexotherapy on acute postoperative pain and anxiety among patients with digestive cancer. Cancer nursing, 31(2), 109-115.

Thottingal, S. (2013). A study to assess the effect of foot reflexology on pain and discomfort of mothers after caesarean section in selected hospitals, bangalore(Doctoral dissertation, Rajiv Gandhi University of Health Sciences).

Varghese J., George J. , Gowda Y. S. (2014). A Randomized Control Trial to Determine the Effect of Foot Reflexology on Intensity of Pain and Quality of Sleep in Post Caesarean Mothers. Journal of Nursing and Health Science,3 (1),39-43.

Weiser, T. G., & Gawande, A. (2015). Excess Surgical Mortality: Strategies for Improving Quality of Care.


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