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Complementary and alternative medicine tool
- 1. Complimentary and Alternative Medicine Writtenby: Evelyn Corsini, MSW Reviewed by: Synne Wing, MSW, November 2015
- 2. ➢Complementary and alternativemedicine practices (often called CAM), are a group of medical practices and products that are not part of conventional medicine, but often are used to support conventional medical approaches. ➢Complementary medicine practices are used together with conventional types of medicine and treatments. ➢Alternative medicine practices are used instead of conventional medicine to replace it.
- 3. This tool introducesyou to a number of different CAM practices Remember, if you are involved with CAM treatment, or are considering if CAM is right for you, always talk with your health care provider.
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- 5. Manipulative and body-basedpractices deal with the structure and systems of the body. They include: ➢CHIROPRACTIC ➢MASSAGE
- 6. Chiropractic How does itwork? ➢Chiropractic treatment involves manipulation of the spine. It is used to treat musculoskeletal problems (muscles, joints, bones, and connective tissue), and alleviate muscle tension or pain in the shoulder, neck and back caused by stress.
- 7. Chiropractic Research suggests ➢Chiropractic ismost often used to treat musculoskeletal conditions - problems with the muscles, joints, bones, and connective tissue such as cartilage, ligaments, and tendons. ➢Research has shown it to be an effective short-term treatment for low back pain.
- 8. Chiropractic Keep in mind ➢Chiropractictreatment for some types of pain is controversial and should be discussed with your doctor before beginning treatment ➢There is risk of complications with manipulation of the neck ➢Check the credentials and training experience of any chiropractic provider. In all U.S. states providers are required to be licensed to practice.
- 9. Massage How does itwork? ➢Massage is the manipulation of skin, muscles and joints (usually by hand) to relax muscle spasms, relieve tension, and improve circulation. It also stretches connective tissue and improves ciruclation. Various techniques include Femoral Massage, Myofascial Release, Reflexology, Shiatsu, Wurn Technique.
- 10. Massage Research suggests ➢Some reportbenefits of massage include: ➢Reduced anxiety and depression ➢Improved alertness ➢Relief from insomnia ➢Improved blood circulation ➢Reduced muscle tension ➢Improved digestive function ➢Relief from pain ➢Improved immune function
- 11. Massage Keep in mind ➢Currently,just over half of the states in the US regulate massage therapists. ➢These techniques should only be performed by a trained massage or physical therapist.
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- 13. Biologically-based CAM practicesuse substances that people can eat or drink, like herbs, vitamins and minerals, and dietary supplements. Including: ➢HERBS ➢VITAMINS, MINERALS, & DIETARY SUPPLEMENTS
- 14. Herbs How does itwork? ➢A variety of herbs and dietary supplements are used to treat symptoms related to pain and stress. Some such herbs include capsaicin, devil's claw, feverfew, ginger extract, curcumin, and willow bark.
- 15. Herbs Research suggests ➢Several herbshave been shown to have positive effects on osteoarthritis, migraine, back pain, and neuropathic pain. ➢Although herbs are increasingly popular, minimal research has been done with herbs in the field of pain management and the results are mixed
- 16. Herbs Keep in mind ➢Herbsare not FDA regulated or tested, and no safety determination has been made about these substances prior to marketing. It is very important to check for the potential of bad interactions when taking herbs while taking medications. Talk to your physician or pharmacist before starting.
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- 18. Mind-body medicine looksat how the mind and the body work together: the powerful ways that feelings, thoughts, friendships, spiritual beliefs, and behaviors can directly affect health. These include: ➢Biofeedback ➢Cognitive behavior therapy ➢Hypnosis ➢Meditation ➢Tai Chi ➢Visual Imagery ➢Yoga
- 19. Biofeedback How does itwork? ➢This technique uses sensitive instruments, like electrical sensors, to measure, amplify, and provide feedback on physiological responses, such as muscle tension, pulse rate, and body temperature, related to stress. ➢Biofeedback teaches you to regulate these physiological processes through relaxation. You can eventually learn to do it on your own.
- 20. Biofeedback Research suggests ➢Studies arelooking at biofeedback for headache, migraine, and back pain. ➢Biofeedback has been found effective in treating anxiety, hypertension, headache, muscle tension, migraines, and insomnia. ➢Studies have shown that the majority of people with panic and anxiety disorders who underwent biofeedback saw improvement.
- 21. Biofeedback Keep in mind ➢Biofeedbacktherapists can be found in a number of health care fields, including medicine, psychology, social work, physical and occupational therapy, and nursing. ➢Biofeedback poses no direct health risks ➢Seek treatment with an experienced professional trained in this technique
- 22. Cognitive Behavioral Therapy Howdoes it work? ➢Cognitive behavioral techniques (CBT) are used to help people change self-defeating and irrational patterns of thought, to plan ahead, and to better problem solve. ➢Cognitive restructuring teaches one to examine negative thought patterns, evaluate the truth of these thoughts, and, if they are not true, correct them.
- 23. Cognitive Behavioral Therapy Researchsuggests ➢CBT has been shown to: ➢Address psychological components of pain: feelings, coping skills and sense of control ➢Reduce pain and disability ➢Decrease headaches and medication use ➢Reduce stress-related physical and emotional symptoms ➢Increase understanding of one's own and other people's behavior
- 24. Cognitive Behavioral Therapy Keepin mind ➢Clinical psychologists, psychiatric nurses, and social workers are the primary practitioners of these techniques ➢Ask whether the CBT provider is certified or licensed and check the validity of their credentials
- 25. Hypnosis How does itwork? ➢Hypnosis is a suggestion technique that alters one's state of consciousness by concentrating on an object, image, or task. All other stimuli are blocked out. The goal is to create a natural, relaxed state of extreme focus and attention, in which the human mind can most easily accept suggestion that may improve an aspect of one's life, including physical health.
- 26. Hypnosis Research suggests ➢The NationalInstitutes of Health has endorsed the use of hypnosis in combination with conventional medical care in a variety of chronic pain conditions: ❖Chronic migraines ❖Hypertension ❖Immune problems ❖Ulcers ❖Anxiety and depression
- 27. Hypnosis Keep in mind ➢Checkthe hypnotist's credentials, reputation and training before you undergo hypnosis. ➢While research on the benefits of hypnosis is extensive, it is difficult to generalize results to other medical conditions.
- 28. Meditation How does itwork? ➢Meditation is a conscious mental process using techniques such as focusing attention or maintaining a specific posture, in order to suspend the stream of thought and relax the body.
- 29. Meditation Research suggests ➢Meditation canproduce physiologic changes that may reduce the body’s inflammatory response mechanism ➢Studies have shown that meditation helps relive anxiety and depression. ➢Meditation may be used to reduce muscle tension, stress, anxiety, insomnia, high blood pressure, and some types of chronic pain.
- 30. Meditation Keep in mind ➢Checkthe credentials of any instructor you may use. ➢Increasingly, pain management clinics are incorporating meditation into their patient services.
- 31. Tai Chi How doesit work? ➢Tai Chi is sometimes called “moving meditation.” People using Tai Chi move their bodies slowly and gently, and with awareness, while breathing deeply.
- 32. Tai Chi Research suggests ➢Scientificresearch is ongoing. Studies have focused on the elderly using Tai Chi as a way to prevent falls and improve cardiovascular fitness and overall well-being. ➢Tai Chi has been studied to see if it enhances the immune system and lowers blood pressure.
- 33. Tai Chi Keep inmind ➢Tai Chi is relatively safe. ➢As with any exercise, overdoing can cause sore muscles. ➢Instructors are not licensed or regulated.
- 34. Visual imagery How doesit work? ➢Visual imagery, also called guided imagery, uses the imagination to create vivid images that the body can perceive and respond to. This technique can ease stress and increase relaxation.
- 35. Visual imagery Research suggests ➢Visualimagery can produce physiologic changes that may reduce the body’s inflammatory response mechanism. ➢Visual imagery has been frequently used to help people receiving chemotherapy for cancer, dialysis for kidney failure, and other treatments that can be experienced as uncomfortable or painful.
- 36. Visual imagery Keep inmind ➢Check the credentials of any instructor you may use. ➢Increasingly, mental health providers and nurses in pain management clinics are incorporating visual imagery into their patient services.
- 37. Yoga How does itwork? ➢There are many different styles of yoga, originating in India. Typically yoga styles combine physical postures, breathing techniques and meditation.
- 38. Yoga Research suggests ➢The NationalInstitutes of Health is currently studying the benefits of yoga in a number of clinical trials. Research suggests that yoga might: ❖Improve mood and sense of well-being ❖Counteract stress ❖Positively affect levels of certain brain or blood chemicals
- 39. Yoga Keep in mind ➢Yogais one of the top 10 CAM modalities used in the U.S. It is generally considered safe. ➢Standards for yoga teacher training and certification vary.
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- 41. Manipulative and body-basedpractices deal with the structure and systems of the body. These include: ➢ACUPUNCTURE ➢HEALING TOUCH ➢QI GONG ➢REIKI
- 42. Acupuncture How does itwork? ➢This ancient Chinese practice in which needles are inserted near pressure points associated with certain nerves may play a role in some health issues, including chronic pain. According to traditional Chinese medicine acupuncture improves the flow of qi (“chee”), or energy, throughout the body. The actual process is not fully understood.
- 43. Acupuncture Research suggests ➢A fewstudies, with limited samples, suggest acupuncture alone or with complementary therapies is associated with improvement in severity of chronic pain. ➢Acupuncture when migraine symptoms first begin may be as effective as other leading treatments. ➢Acupuncture may reduce stress, depression, and anxiety.
- 44. Acupuncture Keep in mind ➢Negativeeffects are relatively uncommon, buy may include slight pricks and/or skin irritation, or in very rare cases punctured organs if not delivered properly. ➢Be sure to use a licensed practitioner in traditional Chinese medicine or a medical doctor who is trained in acupuncture. ➢Acupuncture should be only one part of the comprehensive medical treatment.
- 45. Healing touch How doesit work? ➢Healing touch, sometimes called therapeutic touch may be a light physical touch or sweeping hand motion over the body. It’s goal is for the practitioner to use their own energy to identify the patient’s energy imbalance, and to correct this imbalance to promote health.
- 46. Healing touch Research suggests ➢Somepractitioners of healing touch may touch the body, but most do not, since they are working with the body’s energy fields. ➢This approach is increasingly used but largely unproven. ➢There is no evidence that healing touch has a positive effect on chronic pain.
- 47. Healing Touch Keep inmind ➢There are no known risks with healing touch. ➢The use of healing touch is the subject of ongoing research.
- 48. Qi Gong How doesit work? ➢Qi Gong is a component of traditional Chinese medicine that combines movement, meditation, and controlled breathing, with the goals of improving blood flow and energy flow.
- 49. Qi Gong Research suggests ➢QiGong is largely unproven or experimental. ➢There is no evidence to suggest that Qi Gong has a positive effect on chronic pain.
- 50. Qi Gong Keep inmind ➢There are no known risks with Qi Gong. ➢There is ongoing research being done on its use.
- 51. Reiki How does itwork? ➢Reiki practitioners seek to transmit universal energy to the patient. They do this from a distance, or from placing their hands on or near the person. Their goal is to heal the spirit which in turn will heal the body.
- 52. Reiki Research suggests ➢Some reikipractitioners may touch the body but most do not. ➢Reiki is largely unproven. ➢There is no evidence to suggest that Reiki has a positive effect on chronic pain.
- 53. Reiki Keep in mind ➢Thereare no known risks with Reiki, and research into its usefulness is ongoing.