Alternative medicine - a replacement or an adjunctive for conventional therapy of chronic pain
DOI:
https://doi.org/10.12775/JEHS.2023.31.01.011Keywords
chronic pain, alternative medicine, acupunctureAbstract
Introduction and purpose:
Many people worldwide suffer from chronic pain. It is a very inconvenient condition on its own, not only an accompanying symptom of other diseases. Conventional drug treatment may be insufficient in some cases or may even cause serious side effects in the long term. In response to this, we aim to demonstrate the diversity of alternative pain management techniques in this review and identify conditions where such techniques may be beneficial to patients.
State of knowledge:
This paper evaluates some of the most common alternative pain management methods (acupuncture, massage, chiropractic, mind body therapies, herbal medicine, music therapy) and their application in specific cases of chronic pain. We also describe the possible mechanisms of action involved in the effectiveness of these techniques, based on contemporary studies.
Summary:
In conclusion, there are conditions where alternative medicine may be beneficial for patients suffering from chronic pain. The studies taken into account showed the best effects for chronic musculoskeletal pain treated with methods such as acupuncture and massage. Mind-body therapies may reduce stress levels and symptoms of depression associated with chronic pain, consequently improving the quality of patients' lives. However, alternative methods should not yet be considered as replacements for conventional drug therapy. More studies are needed to evaluate whether alternative therapies will play a significant role in chronic pain management in the future.
References
Merskey, H. (Ed.). (1986). Classification of chronic pain: Descriptions of chronic pain syndromes and definitions of pain terms.
Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016
DOI: 10.1016/S0140-6736(17)32154-2
The Opioid Crisis and the Future of Addiction and Pain Therapeutics
DOI: 10.1124/jpet.119.259408
Simpson CA. Complementary medicine in chronic pain treatment. Phys Med Rehabil Clin N Am. 2015;26(2):321–47.
DOI: 10.1016/j.pmr.2014.12.005
Lao L. Acupuncture techniques and devices. J Altern Complement Med. 1996;2(1):23–5.
DOI: 10.1089/acm.1996.2.23
Wilkinson J, Faleiro R. Acupuncture in pain management. Contin Educ Anaesth Crit Care Pain. 2007;7(4):135–8.
DOI:10.1093/bjaceaccp/mkm021
Lim T-K, Ma Y, Berger F, Litscher G. Acupuncture and neural mechanism in the management of low back pain-an update. Medicines. 2018;5(3):63.
DOI: 10.3390/medicines5030063
Zhang Q, Yue J, Golianu B, Sun Z, Lu Y. Updated systematic review and meta-analysis of acupuncture for chronic knee pain. Acupunct Med. 2017;35(6):392–403.
DOI: 10.1136/acupmed-2016-011306
Cho Y-J, Song Y-K, Cha Y-Y, Shin B-C, Shin I-H, Park H-J, Lee H-S, Kim K-W, Cho J-H, Chung W-S, Lee J-H, Song M-Y. Acupuncture for chronic low back pain: a multicenter, randomized, patient-assessor blind, sham-controlled clinical trial. Spine. 2013;38(7):549–57.
DOI: 10.1097/BRS.0b013e318275e601
Acupuncture for Chronic Pain
Individual Patient Data Meta-analysis, Andrew J. Vickers, DPhil; Angel M. Cronin, MS; Alexandra C. Maschino, BS; et al
DOI: 10.1001/archinternmed.2012.3654
Foster NE, Bishop A, Bartlam B, Ogollah R, Barlas P, Holden M, Ismail K, Jowett S, Kettle C, Kigozi J, Lewis M, Lloyd A, Waterfield J, Young J. Evaluating acupuncture and standard care for pregnant women with back pain (EASE Back): a feasibility study and pilot randomized trial. Health Technol Assess. 2016;20(33):1–236.
DOI: 10.3310/hta20330
Zhang XC, Chen H, Xu WT, Song YY, Gu YH, Ni GX. Acupuncture therapy for fibromyalgia: a systematic review and meta-analysis of randomized controlled trials. J Pain Res. 2019;12:527–42 Acupuncture therapy is an effective and safe treatment and can be recommended for the management of fibromyalgia.
DOI: 10.2147/JPR.S186227
Linde K, Allais G, Brinkhaus B, Fei Y, Mehring M, Vertosick EA, Vickers A, White AR. Acupuncture for the prevention of episodic migraine. Cochrane Database Syst Rev. 2016;6:CD001218.
DOI: 10.1002/14651858.CD001218.pub3
Nie L, Cheng J, Wen Y, Li J. The effectiveness of acupuncture combined with tuina therapy in patients with migraine. Complement Med Res. 2019;26(3):182–94.
DOI: 10.1159/000496032.
Bowsher D. Modulation of nociceptive input. In: Wells P, Frampton V, Bowsher D, eds. Pain: management and Control in physiotherapy. London, UK: Heinemann Medical; 1988: Chapter 13
Somani S, Merchant S, Lalani S. A literature review about effectiveness of massage therapy for cancer pain. J Pak Med Assoc 2013;63:1418-1421
Li YH, Wang FY, Feng CQ, Yang XF, Sun YH. Massage therapy for fibromyalgia: a systematic review and meta-analysis of randomized controlled trials. PLoS One 2014;9:e89304
DOI: 10.1371/journal.pone.0089304
Goertz CM, Salsbury SA, Long CR, Vining RD, Andresen AA, Hondras MA, Lyons KJ, Killinger LZ, Wolinsky FD, Wallace RB. Patient-centered professional practice models for managing low back pain in older adults: a pilot randomized controlled trial. BMC Geriatr. 2017;17(1):235.
DOI: 10.1186/s12877-017-0624-z
Moore C, Adams J, Leaver A, Lauche R, Sibbritt D. The treatment of migraine patients within chiropractic: analysis of a nationally representative survey of 1869 chiropractors. BMC Complement Altern Med. 2017;17(1):1–10.
DOI: 10.1186/s12906-017-2026-3
Bussières AE, Stewart G, Al-Zoubi F, Decina P, Descarreaux M, Hayden J, Hendrickson B, Hincapié C, Pagé I, Passmore S, Srbely J, Stupar M, Weisberg J, Ornelas J. The treatment of neck pain-associated disorders and whiplash-associated disorders: a clinical practice guideline. J Manip Physiol Ther. 2016;39(8):523-564.e27.
DOI: 10.1016/j.jmpt.2016.08.007
Holtzman S, Beggs RT. Yoga for chronic low back pain: a meta-analysis of randomized controlled trials. Pain Res Manag 2013;18:267-272.
DOI: 10.1155/2013/105919
Cramer H, Lauche R, Haller H, Dobos G. A systematic review and meta-analysis of yoga for low back pain. Clin J Pain 2013;29:450-460.
DOI: 10.1097/AJP.0b013e31825e1492
Hall AM, Maher CG, Lam P, Ferreira M, Latimer J. Tai chi exercise for treatment of pain and disability in people with persistent low back pain: a randomized controlled trial. Arthritis Care Res. 2011;63(11):1576–83.
DOI: 10.1002/acr.20594
Tsai P-F, Kitch S, Chang JY, James GA, Dubbert P, Roca JV, Powers CH. Tai chi for posttraumatic stress disorder and chronic musculoskeletal pain: a pilot study. J Holist Nurs. 2018;36(2):147–58.
DOI: 10.1177/0898010117697617
Mindfulness Meditation for Chronic Pain: Systematic Review and Meta-analysis
DOI: 10.1007/s12160-016-9844-2
Dellve, L.; Ahlstrom, L.; Jonsson, A.; Sandsjo, L.; Forsman, M.; Lindegard, A.; Ahlstrand, C.; Kadefors, R.; Hagberg, M. Myofeedback training and intensive muscular strength training to decrease pain and improve work ability among female workers on long-term sick leave with neck pain: A randomized controlled trial. Int. Arch. Occup. Envion. Health 2011, 84, 335–346
DOI: 10.1007/s00420-010-0568-5
Ma, C.; Szeto, G.P.; Yan, T.; Wu, S.; Lin, C.; Li, L. Comparing biofeedback with active exercise and passive treatment for the management of work-related neck and shoulder pain: A randomized controlled trial. Arch. Phys. Med. Rehabil. 2011
DOI: 10.1016/j.apmr.2010.12.037
Voerman, G.E.; Sandsjo, L.; Vollenbroek-Hutten, M.M.; Larsman, P.; Kadefors, R.; Hermens, H.J. Effects of ambulant myofeedback training and ergonomic counselling in female computer workers with work-related neck-shoulder complaints: A randomized controlled trial. J. Occup. Rehabil. 2007, 17, 137–152.
DOI: 10.1007/s10926-007-9066-3
Patterson DR. Clinical Hypnosis for Pain Control. Washington, DC: American Psychological Association, 2010.
DOI: 10.1037/12128-000
Willmarth E, Davis F, Fitzgerald K. Biofeedback and integrative medicine in the pain clinic setting. Biofeedback 2014;42:111-4
DOI: 10.21037/apm.2019.07.01
Lee JW, Lee WB, Kim W, Min Bl, Lee H, Cho SH. Traditional herbal medicine for cancer pain: a systematic review and meta-analysis. Complement Ther Med 2015;23:256-274
DOI: 10.1016/j.ctim.2015.02.003
Yanju,. Yang L, Hua B, Hou W, Shi Z, Li W. A systematic review and meta-analysis on the use of traditional Chinese medicine compound kushen injection for bone cancer pain. Support Care Cancer 2014;22:825-836.
DOI: 10.1007/s00520-013-2063-5
Music-Induced Analgesia in Chronic Pain Conditions: A Systematic Review and MetaAnalysis Eduardo A. Garza-Villarreal, MD, PhD1,2, Victor Pando, MD1,3,4, Peter Vuust, PhD2 , and Christine Parsons, PhD
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Adrian Bobrzyk, Weronika Kamińska, Grzegorz Łyko, Maria Antos, Piotr Bator, Angelika Wawryszuk, Maciej Rumian, Weronika Makowska, Krystian Rachwał
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 403
Number of citations: 0