Posts Tagged ‘american medical association’

Alternative Medicine: What Is It?

July 20th, 2011

What is alternative medicine? It is a phrase that has been tossed around more and more in the media, the bookstores, and increasingly, the doctor’s office, but how often does anyone say what alternative medicine is?

Theoretically, alternative medicine is any form of medicine that does not fit with in the scientific framework of western medicine. Once a form of medicine has been proven scientifically effective, and a theory has been determined to explain in the language of western medicine why it is effective, it should no longer be considered alternative

Unfortunately, after the theory comes the politics. In reality, in the United States, alternative medicine is any form of medicine that has not been accepted as scientifically valid by the American Medical Association and the United States Government. In other countries different official bodies will determine what is and is not alternative medicine. In the United States, massage is alternative medicine. In Canada massage is conventional medicine, and as such, highly regulated.

Would you believe that according the US government’s National Center for Complementary and Alternative Medicine, vitamins are a complementary or alternative medicine (depending on how they are used) that have not yet been proven to have any greater effect on the human body then a placebo? Personally, I’d like to know if they would like to be treated for scurvy with a placebo. I’ll stick with vitamin C. There are theoretical uses for vitamins that have not yet been fully proven, but that does not make the proven effects any less scientifically valid.

At the same time, just because someone claims what they offer is medicine does not make it true. Herbal supplements are not regulated, and may not fully disclose their ingredients. They certainly will not tell you about any dangerous interaction with your heart medication!

Of course, you can ask an expert, but keep in mind that there are many kinds of alternative medicine, an acupuncturist is not necessarily trained in herbs, and your primary care physician probably won’t be trained in any of them.

If you are interested in using alternative medicine, either for a specific problem, or simply improve your overall health, it’s probably best to first research what kinds of alternative medicine you are interested in, and speak with you doctor about whether or not she will be willing to work with an alternative medicine practitioner. Then find a practitioner who has had training in that specific area of alternative medicine. Most forms of alternative medicine are not licensed in the United States, so ask where they went to school, and how long they have been practicing. Then they can work with your doctor to make sure you get the care you need, without any unexpected side effects.

Some forms of alternative medicine that might be worth looking into are:

Oriental medicine: Oriental medicine is the only form of alternative medicine that is truly comparably to western medicine as a complete system of medicine. Oriental medicine is based on several theories developed thousands of years ago and first elaborated on in the Yellow Emperor’s Classic, between three and five thousand years ago. Oriental medicine includes the practices of massage, acupuncture, herbal therapy, qi gong, and several others. Tradition Chinese Medicine is a variant of oriental medicine specific to China. It is the only variant of oriental medicine the can be found with relative ease in the United States. In many parts of Asia, oriental medicine is still considered the standard of medical care and western medicine is ‘alternative.’

Herbal therapy: Herbal therapy is probably the most common form of alternative medicine found in the United States, and quite possibly one of the riskiest. While most of the conventional medicines doctors prescribe today were derived from herbs, the herbal supplements commonly on sale have no common dosages, mat contain fillers, and will rarely warn of side effects. While herbs can be used to treat everything that medication can, and possibly quite a bit more, make sure you speak with a trained herbalist before taking any. They can tell you what dosage is safe, what suppliers are worth using, and any potential side effects.

Homeopathy: Homeopathy was developed in the 1800′s by two doctors who noticed that quinine, the only medicine capable of treated malaria, caused symptoms of malaria in healthy people who were given it. They theorized that like would cure like, so caffeine which normally causes wakefulness, would be used to help someone who was not sleeping through the night, sleep better. Homeopathy is probably the only alternative medicine that is safe to try without speaking with an expert, because the active substance is so dilute that it is not possible to over dose, or incur side effects on the amounts in the local health food store, never mind the few bottles you would keep in your home. At the same time, it is still best to consult a homeopath to be sure that what your taking will work for what you need.

Massage: Massage is the use of hands or tools to manipulate the muscles and tendons. The two most common uses of massage are to ease aches and pains, and for stress relief. While there are many conditions that massage will obviously not help with (diabetes, for instance), there are many that it is surprisingly effective on, such as eating disorders, fibromyalgia, and carpal tunnel syndrome. In addition, almost any muscular injury can be treated with massage to prevent scar build up, speed healing, and increase a restricted range of motion. There are many different forms of massage therapy, including Swedish Massage, Deep Tissue Massage, Pre-Natal Massage, Shiatsu, Thai Massage, Lomi Lomi, Medical Massage, Chair Massage, Aromatherapy Massage and Hot Stone Massage. If you go to a massage therapist for a medical condition, make sure they are trained in Medical Massage. Some states have licensing programs for massage therapists now, as do most European countries. If you live in an area that has licensing, make sure the therapist you go to is licensed.

Can Complementary Medical Treatment Help With Cancer Treatment Side Effects?

June 22nd, 2011

Complementary and alternative medicine (CAM) is defined as interventions that are neither taught widely in medical schools, nor traditionally available in US Hospitals. CAM can be broken down into two broad categories I) those that are ingested or injected such as chelation therapy, Nosodes or Homeopathy and II) those that require a practitioner or therapist. Herbals, vitamins, organics, chemicals and diet are examples of the first group and meditation, massage (body work), chiropractic, acupuncture, body-mind therapy, and prayer are examples of the second.

The use of complementary and alternative medicine (CAM) has become the norm for many cancer patients, the majority of whom use it along with conventional therapy. Data published in the Journal of the American Medical Association (JAMA 280(18):1569-75) from a 1997 United States survey of alternative medicine use demonstrated that 42% of the general population uses some form of CAM. More recent surveys of cancer patients demonstrate approximately two-thirds are engaged in a least one form of CAM therapy.

As a group, physicians remain somewhat in the dark to their patients’ use of CAM therapies. In multiple surveys, only about one-half of patients using CAM have indicated that their doctors are aware. The primary reason patients cite for not informing their practitioner is that the physician never asked. Studies also indicate that the great majority of patients using CAM do so in conjunction with standard cancer therapies, and not to the exclusion of oncologic treatments that is physician-endorsed.

Herbal formulas, raw foods, organic diets and homeopathy are additional forms of CAM modalities utilized in for many types of cancer treatments and especially for reducing the potential side effects of chemotherapy as well as radiation treatments. Traditional Chinese Medicine or Meridian therapy may also support the oncologist team in properly managing the side effects from cancer treatment. Patients receiving high-dose chemotherapy found that electro acupuncture treatments combined with anti-nausea medication were more effective than medication alone in controlling their chemo-related vomiting, according to a study reported in the Dec. 6 issue of The Journal of the American Medical Association. According to cancer experts, the study adds to the evidence that non-traditional therapies can be helpful to patients suffering from side effects of chemotherapy.

Homoeopathic treatment involves giving extremely small doses of a substance (called a ‘remedy’) that, if given to a healthy person in larger doses, will cause the same or similar symptoms. A recent survey (Molassiotis, Fernadez-Ortega et al. 2005) has shown that homoeopathy is one of the most commonly used complementary therapies for cancer. As a complementary treatment, homoeopathy is used mainly to strengthen the body, improve well-being and to relieve symptoms caused by the disease or the treatment. (Milazzo, Russell et al. 2006).

Most oncologists are comfortable with their patients’ use of CAM. Overall there is little clinical evidence to suggest that complementary therapies cause harm or interact unfavorably with regular medications. However, physicians are concerned that ingested or injected CAM might pose risks to some patients. Some might biochemically interfere with the effect of the chemotherapy or radiation therapy either negating or intensifying its action. In addition, although often taken to decrease the side effects and toxicity of conventional therapy, CAM may sometimes have unwarranted side effects of their own. For example, they may worsen other medical conditions a patient has such as high blood pressure. Many forms of prescription medication contain an herb as a base and therefore using herbs with CAM their may be a drug interaction potential with the existing formulary within the prescription medication being used by the oncologist or other medical team participants.
The medical community recognizes the growing use of CAM and the need to investigate these medicines and their side effects. The National Institutes of Health (NIH) is presently putting forth a research initiative through the NCCAM to study complementary and alternative therapies.