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Complementary and Alternative Medicine
Acupuncture may provide modest benefits in the treatment of chronic low back pain, tension headache and chronic headache, migraine headache prophylaxis, and myofascial pain. Although effects vary with differing acupuncture methods and regimens and there is a notable placebo response, acupuncture is a reasonable treatment option for pain in selected patients, especially those who are unresponsive or intolerant to standard therapies.
Acupuncture is an evidence-based therapy to reduce pain that can meet patient demand for nonpharmacologic treatment. Now is the time to offer training in medical acupuncture to more family physicians.
Osteopathic manipulative treatment is a valuable modality that has the potential to decrease cost and improve pain/function in patients.
Evidence supports the use of spinal manipulation for short-term improvements in acute and chronic low back pain; cervical manipulation or mobilization for neck pain; and noninvasive physical therapies for migraine headache. There is a lack of evidence for using manipulative therapies in infants and children.
Acupuncture, with its meridians, chi, and other concepts that do not seem to line up with anything physiologic, is vexing to most of us who trained in Western medicine. However, this meta-analysis, based on data from almost 21,000 patients, found it to be more effective than no treatment and, to a l...
Find out what requirements should be met to know that you are offering your patients the highest quality probiotics to help prevent and treat disease.
Probiotics are useful for treating a variety of gastrointestinal conditions. Review the conditions with the best supporting evidence for probiotic use, as well which probiotic species are most appropriate.
There is moderate-quality evidence that whole-body acupuncture is effective for migraine prevention. Compared with usual care, acupuncture is more effective at reducing headache frequency by at least 50% (number needed to treat [NNT] = 4).
Get the latest evidence about acupuncture for chronic low back pain, coenzyme Q10 for heart failure, exercise for anxiety, fish oil for hypertriglyceridemia, Ginkgo biloba extract for dementia, mind-body interventions for insomnia, probiotics for antibiotic-associated diarrhea, and St. John’s wort for depression.
Studies show an NNT of 3 to have at least a 50% reduction of headache frequency compared with routine care. Want to know more?