Using Integrative Medicine in Pain Management: An Evaluation of Current Evidence.

This article offers a brief critical review of integrative medical therapies used to treat chronic pain, including nutritional supplements, yoga, relaxation, tai chi, massage, spinal manipulation, and acupuncture. The goal of this article is to identify those treatments that show evidence of efficacy and to identify gaps in the literature where additional studies and controlled trials are needed. An electronic search of the databases of PubMed, The Cochrane Library, EMBASE, PsycINFO, and Science Citation Index Expanded was conducted. Overall, weak positive evidence was found for yoga, relaxation, tai chi, massage, and manipulation. Strong evidence for acupuncture as a complementary treatment for chronic pain that has been shown to decrease the usage of opioids was found. Few studies were found in which integrative medicine approaches were used to address opioid misuse and abuse among chronic pain patients. Additional controlled trials to address the use of integrative medicine approaches in pain management are needed. PMID: 29189365 [PubMed - in process]
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research

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Chronic pain is pain that lasts for more than 3-6 months. It is a complex health condition that is difficult to treat. Chronic pain is stressful, and can lead to serious and costly physical and mental health problems. Many people affected by chronic pain can become addicted to pain medications, like opioids. It can also lead to depression and loss of income from days out of work. The most common causes are low back pain, arthritis, and headaches.
Source: Archives of Physical Medicine and Rehabilitation - Category: Rehabilitation Authors: Tags: Organization News Source Type: research
It is easy to ridicule a 2000-year-old treatment that can seem closer to magic than to science. Indeed, from the 1970s to around 2005, the skeptic’s point of view was understandable, because the scientific evidence to show that acupuncture worked, and why, was weak, and clinical trials were small and of poor quality. But things have changed since then. A lot. Thanks to the development of valid placebo controls (for example, a retractable “sham” device that looks like an acupuncture needle but does not penetrate the skin), and the publication of several large and well-designed clinical trials in the last d...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Complementary and alternative medicine Headache Health Pain Management Source Type: blogs
In August, The New York Times published a guest op-ed by a man named David Roberts who suffered from severe chronic pain for many years before finally finding relief. The piece immediately went viral, with distinguished news journalist and personality Dan Rather posting it to his Facebook page with the addendum that it could “offer hope” to some pain patients. However, for many of us in the chronic pain community, particularly women, the piece was regarded with weariness and frustration. The first and most prominent source of annoyance for me regarding this piece was the part when the author finally discloses h...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Behavioral Health Pain Management Women's Health Source Type: blogs
Every relationship is stressful. What matters is how you DEAL with it. Couples across cultures and continents — of all races and religions, economics and demographics — experience the same human emotion when faced with relationship challenges and marriage problems. It feels like nothing ever gets resolved, the dance just keeps repeating itself. It’s a merry-go-round of pain, misunderstanding, hurtful words and blame that gets uglier with each turn of the wheel. The Weird Money Thing You Do That Puts Your Relationship At Risk In order to learn to cope with relationship stress, it’s crucial to identi...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Marriage and Divorce Money and Financial Publishers Relationships Sexuality YourTango Betrayal Breakups Dating Intimacy Monetary Gain Openness secrets Selfishness Source Type: blogs
There was plenty to blame: the car wreck that broke his back. The job pouring concrete that shattered his spine a second time. The way he tore up his insides with cigarettes, booze, cocaine, and opioids.It all amounted to this: Carl White was in pain. All the time. And nothing helped — not the multiple surgeries, nor the self-medication, not the wife and daughter who supported him and relied on him.Then White enrolled in a pain management clinic that taught him some of his physical torment was in his head — and he could train his brain to control it. It's a philosophy that dates back decades, to the 1970s o...
Source: Psychology of Pain - Category: Anesthesiology Source Type: blogs
Ibuprofen and other nonsteroidal anti-inflammatory drugs (NSAIDs) like naproxen are and have been the go-to “benign” pain medication for doctors and patients alike. Why? They aren’t addictive, and it’s not easy to overdose. Serious side effects like gastrointestinal ulcers and bleeding seemed to be limited to high doses taken for longer periods or time, or to people with significant medical problems. Even before the era of the opioid epidemic, it was raining NSAIDs, across the country. In 2004, the manufacturer of the NSAID Vioxx pulled it from the market because the drug was associated with serious...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Back Pain Drugs and Supplements Headache Health Heart Health Injuries Pain Management Source Type: blogs
Those of you who have experienced pain, especially gnawing, chronic pain, know that it affects your happiness, outlook and ability to function.In the past couple of years, the treatment of chronic pain has undergone an earthshaking transformation as opioid addiction continues to claim — and ruin — lives.Many primary care doctors no longer liberally prescribe opioid painkillers such as oxycodone, fentanyl and hydrocodone for back pain, migraines and other chronic conditions. Instead, they are increasingly turning to alternative medications and non-drug options such as acupuncture and physical therapy."Most ...
Source: Psychology of Pain - Category: Anesthesiology Source Type: blogs
“Buprenorphine is a kappa receptor antagonist. For these reasons, buprenorphine might be unique in its ability to treat chronic pain and possibly OIH.” The opioid crisis has been fueled by the use of opioids to treat chronic pain.  Practice patterns have changed, but doctors are still criticized for their roles in the overuse of opioids.  I’ve sat through community ‘heroin forums’ (sometimes on stage) as sheriffs, politicians, and ‘recovered addicts’ firmly pointed fingers at health professionals.  I, meanwhile, kept my finger under the table, but had the t...
Source: Suboxone Talk Zone - Category: Addiction Authors: Tags: Acute Pain Buprenorphine Chronic pain Suboxone treatment buprenorphine treats chronic pain chronic pain treatment opioid induced hyperalgesia opioid pain relief pain vs. addiction Source Type: blogs
When I was in medical school, doctors only wrote prescriptions for opioid painkillers for terminal cancer patients, surgical patients and critical emergencies. That's because they knew these drugs were lethal. Opioids come from the same poppy plant used to make opium and heroin. And just like those addictive street drugs, the risk of getting hooked on them is extremely high. It's incredible how things have changed since then… What are opioids prescribed for? Today, you're likely to get a prescription for opioids for just about any kind of pain. That includes chronic pain, fibromyalgia, depression, heada...
Source: Al Sears, MD Natural Remedies - Category: Complementary Medicine Authors: Tags: Health Natural Cures Source Type: news
We report here an overview of the Depression Inventory Development initiative, including results of the third iteration of items assessing symptoms related to anhedonia, cognition, fatigue, general malaise, motivation, anxiety, negative thinking, pain and appetite. The strategies adopted from the Depression Inventory Development program, as an empirically driven and collaborative process for scale development, have provided the foundation to develop and validate measurement tools in other therapeutic areas as well. Introduction The Hamilton Depression Rating Scale (HAMD)[1] and Montgomery–Åsberg Depression Rati...
Source: Innovations in Clinical Neuroscience - Category: Neuroscience Authors: Tags: Current Issue Depression Mood Disorders Patient Assessment Psychiatry Review Scales Trial Methodology depressive symptoms item response theory major depressive disorder rating scales Source Type: research
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