Complementary and alternative medicine in chronic pain

  title={Complementary and alternative medicine in chronic pain},
  author={Frank H. Lee and Srinivasa N. Raja},

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The effectiveness of complementary and alternative medicine therapy in reducing pain in diabetic neuropathy: A systematic review

Most scientific evidence reports the effectiveness of complementary and alternative medicine therapies in reducing pain in diabetic neuropathy, thus strengthening its application as an adjunct to conventional medicine is needed.

Tai Chi for Chronic Pain Conditions: A Systematic Review and Meta-analysis of Randomized Controlled Trials

The aggregated results have indicated that Tai Chi showed positive evidence on immediate relief of chronic pain from osteoarthritis and clinicians may consider Tai Chi as a viable complementary and alternative medicine for chronic pain conditions.

Efficacy and safety of oral pharmacological and supplementary therapies in bladder pain syndrome: a systematic review

Among retrieved trials, amitriptyline in combination with ALA and n -3 PUFA, sildenafil, and cyclosporine A proved their efficacy for BPS/IC and CyA was superior to PPS but possessed greater AEs.

Observational multicentric study on chronic sciatic pain: clinical data from 44 Italian centers.

The results of this study suggest that a multimodal approach based on the association of ALA with physical and pharmacological therapies can be beneficial in the treatment of LBP with sciatica.

Post-laminectomy Back Pain: Understanding the Progress from Acute to Chronic Pain State

Information from the literature is reported in order to contribute to a study designed to determine whether an intermediate, post-discharge intervention following surgery, would be effective and a dearth of information concerning laminectomies is revealed.

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There is now a validated German assessment tool to measure pain perception in adolescents with chronic pain (Pain Perception Scale for Adolescents, SES-J), suitable for clinical application.



Complementary and alternative medicine use by primary care patients with chronic pain.

Complementary and alternative therapies were popular among patients with chronic pain disorders surveyed in academic primary care settings and when asked to choose between traditional therapies or CAM, most patients still preferred traditional therapies for pain relief.

CAM therapies among primary care patients using opioid therapy for chronic pain

This study suggests CAM therapy is widely used by patients receiving opioids for chronic pain, and whether opioids can be reduced by introducing such therapies remains to be studied.

The use of complementary and alternative medicines by patients with peripheral neuropathy

Complementary and alternative medicine use among adults and children: United States, 2007.

For both adults and children in 2007, when worry about cost delayed receipt of conventional care, individuals were more likely to use CAM than when the cost of conventional health care was not a worry.

Predictors of complementary and alternative medicine use in chronic pain patients.

It is found that mental health, as measured by depressive symptoms, had no noticeable impact on CAM usage among chronic pain patients, and overall, who uses CAM depends on the modality; however, education, pain severity, and pain duration are persistent correlates of CAM usage regardless of the therapy considered.

Use of complementary and alternative therapies in community-dwelling older adults.

CAM use is common in older adults, especially those with health problems, and the widespread use of oral supplements combined with not disclosing CAM use to primary care providers is a concern.

Evidence-informed management of chronic low back pain with needle acupuncture.

Acupuncture for Lower Back Pain: A Review

There is a paucity of high-quality research assessing efficacy of acupuncture in the management of LBP, and it is imperative that further research be performed, both preclinical to help elucidate the mechanisms underlying acupuncture, and clinical to justify its clinical application.

Multidisciplinary bio-psycho-social rehabilitation for chronic low back pain.

There was strong evidence that intensive multidisciplinary bio-psycho-social rehabilitation with a functional restoration approach improved function when compared with inpatient or outpatient non-multidisciplinary treatments.

Interventional Therapies, Surgery, and Interdisciplinary Rehabilitation for Low Back Pain: An Evidence-Based Clinical Practice Guideline From the American Pain Society

Due to important trade-offs between potential benefits, harms, costs, and burdens of alternative therapies, shared decision-making is an important component of a number of the recommendations.