Management of chronic pain using complementary and integrative medicine

@article{Chen2017ManagementOC,
  title={Management of chronic pain using complementary and integrative medicine},
  author={Lucy L Chen and Andreas Michalsen},
  journal={British Medical Journal},
  year={2017},
  volume={357}
}
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… 

Acupuncture and Chronic Musculoskeletal Pain

The available evidence suggests that acupuncture does have short-term pain relief benefits for patients with symptomatic knee osteoarthritis and chronic low back pain and is a safe and reasonable referral option, and acupuncture may also have a beneficial role for fibromyalgia.

Allied health and complementary therapy usage in Australian women with chronic pelvic pain: a cross-sectional study

The high cost and associations with income and education levels may warrant a change to policy to improve equitable access to these services.

Tibetan Herbal Pain-Relieving Plaster for Chronic Musculoskeletal Pain Among Cancer Survivors: Study Protocol of a Randomized, Double-Blind, Placebo-Controlled Trial

This Phase II randomized, double-blind, placebo-controlled trial will provide the initial evidence on the efficacy and safety of the pain-relieving plaster for pain relief among cancer survivors with chronic musculoskeletal pain.

Exploring unmet healthcare needs, healthcare access, and the use of practitioner based complementary and alternative medicine in adults with chronic pain

Having unmet healthcare needs is associated with two-fold increased odds of using Complementary and Alternative Medicine in Canadian adults with chronic pain.

Spinal Cord Stimulation for the Treatment of Chronic Pain Reduces Opioid Use and Results in Superior Clinical Outcomes When Used Without Opioids

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.

...

References

SHOWING 1-10 OF 222 REFERENCES

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.

Complementary and alternative medicine use in rheumatoid arthritis: proposed mechanism of action and efficacy of commonly used modalities

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.

Acupuncture versus Placebo for the Treatment of Chronic Mechanical Neck Pain

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.

Acupuncture in the Treatment of Rheumatic Diseases

The latest evidence on the treatment of musculoskeletal conditions including rheumatoid arthritis, fibromyalgia, neck pain, shoulder pain, low back pain, and knee pain with traditional Chinese acupuncture, electroacupuncture, and the use of moxibustion is summarized.

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.

Herbal medicine for low back pain: a Cochrane review.

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.

Herbal medicine for low-back pain.

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.

Traditional Chinese medicine: potential for clinical treatment of rheumatoid arthritis

Significant efforts need to be invested in objectively testing TCM in clinical trials that are sufficiently powered, randomized, blinded, possess appropriate controls and follow standard criteria for assessment of the outcomes.

Acupuncture for chronic low back pain in long-term follow-up: a meta-analysis of 13 randomized controlled trials.

Compared with no treatment, acupuncture achieved better outcomes in terms of pain relief, disability recovery and better quality of life, but these effects were not observed when compared to sham acupuncture.
...