Management of chronic pain using complementary and integrative medicine

  title={Management of chronic pain using complementary and integrative medicine},
  author={Lucy L Chen and Andreas Michalsen},
  journal={British Medical Journal},
Complementary and integrative medicine (CIM) encompasses both Western-style medicine and complementary health approaches as a new combined approach to treat a variety of clinical conditions. Chronic pain is the leading indication for use of CIM, and about 33% of adults and 12% of children in the US have used it in this context. Although advances have been made in treatments for chronic pain, it remains inadequately controlled for many people. Adverse effects and complications of analgesic drugs… 

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Patients who eliminated opioid use or never used opioids had superior clinical outcomes to those who continued use and there was no difference between groups in revision or failure rates.

Battlefield acupuncture appears to be an effective therapy for pain management

BFA provided by Internal Medicine residents appears to be a safe and effective adjunct therapy for pain management in an outpatient setting, but requires further validation by randomized controlled trials.

Pain Neurology.




Acupuncture for pain.

Based on published evidence, acupuncture is most likely to benefit patients with low back pain, neck pain, chronic idiopathic or tension headache, migraine, and knee osteoarthritis, and for other pain conditions, there is not enough evidence to draw conclusions.

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While the use of CAM modalities for the treatment of RA continues to increase, rigorous clinical trials examining their efficacy are necessary to validate or refute the clinical claims made for CAM therapies.

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This randomized, controlled trial of acupuncture versus sham transcutaneous electrical stimulation for patients with chronic mechanical neck pain identified no clinically significant benefit of acupuncture over placebo with respect to pain, function, or analgesic use.

WITHDRAWN: Acupuncture for neck disorders.

Moderate-quality evidence suggests that acupuncture relieves pain better than sham acupuncture, as measured at completion of treatment and at short-term follow-up, and that those who received acupuncture report less pain and disability atShort-term followed-up than those on a wait-list.

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Acupuncture therapy for chronic lower back pain: a systematic review.

  • D. Trigkilidas
  • Medicine
    Annals of the Royal College of Surgeons of England
  • 2010
Acupuncture can be superior to usual care in treating chronic low back pain, especially, when patients have positive expectations about acupuncture, and NICE guidelines of a course of acupuncture, offered according to patient preference, are justified.

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Harpagophytum procumbens, Salix alba, and Capsicum frutescens seem to reduce pain more than placebo, and additional trials testing these herbal medicines against standard treatments will clarify their equivalence in terms of efficacy.

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Harpagophytum procumbens, Salix alba, and Capsicum frutescens seem to reduce pain more than placebo, and additional trials testing these herbal medicines against standard treatments will clarify their equivalence in terms of efficacy.

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