Complementary and alternative medicines (CAM) are popular treatment options for many Americans.1 Unfortunately, many people who use CAM therapies are. 12 Natural Remedies To Treat Bloating & Prevent It In The First Place Plus, in order to prepare us for pregnancy and subsequent extra water. The properties of this natural herb are known for its ability to treat You can prepare mint tea by boiling a few mint leaves in water and drinking.
Treatment? an Ready for Alternative
Social scientists recognized and demonstrated the function of oxytocin as the natural driver sustaining women through the painful process and suffering of childbirth. Physicians have sought to ease a difficult labor without hesitation by administering a dose of exogenous oxytocin. In doing so, it seems that the use of oxytocin to produce uterine contractions, induce delivery, and initiate post-birth nurturing has skewed, even limited, the pain management community into viewing it as useful for this singular purpose.
By considering synthetic oxytocin as a one-purpose medication, practitioners have undermined the vast pain-relieving potential of this neurohormone.
Basic science as well as clinical experience now supports a clear mechanism for oxytocin as a major, natural pain-reducing agent that is released when a person sustains a fall, experiences a trauma, or suffers from other painful events.
Ongoing studies have been elucidating the routes of action to explain the ways in which the hormone, oxytocin, may act as a powerful pain reliever with opioid potency. At times of stress or pain, surges of oxytocin are released into the peripheral nervous system as well. There are neuronal projections from the hypothalamus to receptors in the dorsal horn of the spinal cord that function to prevent pain signals from reaching the brain.
In addition to activating its own receptors and decreasing pain signals, oxytocin binds to opioid receptors and stimulates endogenous opioid release in the brain.
Do not let its short half-life dissuade you from considering its utility for pain management. While administering exogenous oxytocin does not remain in serum longer than a few minutes, it is able to cross the blood-brain barrier, enter the spinal fluid, and stimulate multiple receptors long after it is likely to be measurable in the serum.
My pain group in West Covina, California, has been studying the efficacy of oxytocin to determine practical dosages, routes of administration, and appropriate clinical uses for this hormone. Dosages of 20 to 80 international units IU will usually lessen chronic pain within five to 15 minutes. Pain relief may be sustained for two to four hours, while some patients have reported being pain free for as long as six to eight hours.
Types of Pain Acute Pain. Oral and Maxillofacial Pain. Rheumatologic and Myofascial Pain. Other Types of Pain. Chronic pain sufferers are using our pain specialist directory to find pain specialists in your area. Register now and get your name in front of these patients! Subscribe or renew to PPM. Moving Forward from Trump's Opioid Declaration.
Letters to the Editor: An opportunity to learn what is on the minds of your colleagues and patients. The Core Role of Interventional Care. Editor's Memo November Tennant opens an overdue discussion on the history and future of pain medication alternatives. Oxytocin— A multifunctional analgesic for chronic deep tissue pain. Oxytocin in intractable pain patient unresponsive to standard treatments. Poster presented at the 33rd annual meeting of the American Pain Society. April May 3, Tennant F, Pedersen C.
Sublingual oxytocin and ketamine for pain relief. September 5 — 9, It has been my experience that discussing CAM can lead not only to new insights into illness and health, but also to enhanced patient communication, satisfaction and quality of care.
Even for those doctors who don't prescribe CAM therapies or endorse their use, a basic understanding of the subject can be valuable when speaking with patients. For experienced family physicians who are not able to commit the time to an academic program, learning about CAM can be challenging.
The field is very broad and still largely uncharted. However, as the pioneer of a clinical fellowship program in integrative medicine, former medical director of the University of Maryland School of Medicine's Center for Integrative Medicine, and co-founder of a thriving private integrative medical practice, I can suggest several effective approaches to help you become more comfortable talking to your patients about CAM.
Alternative therapies are defined as those that replace conventional medicine, such as treating cancer with a special diet rather than chemotherapy. These definitions are often blurred, and the list of what is considered to be CAM changes as therapies that are proven to be safe and effective are adopted into conventional medicine. This understanding is gleaned from a wide range of disciplines, such as patient-centered medicine, psychology and alternative medical traditions, including ancient Chinese medicine, Ayurveda and homeopathy.
To familiarize yourself with CAM, start by picking a topic of particular interest to you. A topic that both meets your practice's needs and sparks your passion for learning will be the most enjoyable and fruitful place to begin. Or, if you treat many patients approaching menopause, you may be interested in CAM treatments for alleviating the related symptoms. Nutrition, including both food and dietary supplements, is another popular topic because of the impact it has on patients' health.
Once you have chosen a topic of special interest, these approaches will help you find answers to your questions and increase your knowledge about CAM: Speak with your patients about their personal experiences using CAM therapies. Our vision was to create an innovative practice where patients with chronic illnesses could receive excellent Western and Eastern medical approaches to their health problems.
This model thoughtfully integrates the allopathic paradigm with other health care systems to create a unique practice environment. Our practitioners and physicians stay within their area of expertise while communicating clinical findings with practitioners of other modalities. This creates a roadmap for the optimal treatment of our patients. The clinic also offers a month program for treating fibromyalgia and chronic fatigue syndrome.
We have spent many years in collaboration to be able to effectively offer this approach to patients. More information about our clinic is available at http: Speaking with your patients about CAM can be constructive, but your attitude will determine how effective the conversation will be. It is important to stay positive, listen carefully and ask questions. Refrain from offering direct criticism unless you are knowledgeable about the therapy in question, and always provide a thorough explanation if you feel the patient should discontinue a treatment.
If patients ask for your opinion on a supplement or therapy that you are unfamiliar with, be honest without being dismissive. You can offer to look up the information later and get back to them, refer them to the NCCAM Web site or refer them to a pharmacist who is familiar with dietary supplements.
This way you have validated their question without taking any additional time during the office visit. When patients tell you about their experiences with a CAM practitioner, ask what they liked or disliked. You can even keep a list of local CAM practitioners your patients would recommend and a list of those they would not. Typically, patients like going to CAM practitioners because they enjoy how the practitioner listens to them and how their ideas about their health are respected and validated.
Just as traditional medicine values the doctor-patient relationship, most CAM paradigms emphasize the healing effects of the practitioner-patient relationship.
There are more than 30 academic programs in integrative medicine in the United States. These programs consist of CAM education courses in medical schools, research projects in CAM-related therapies or clinical programs offering various CAM modalities through the family medicine clinic. There are also seven integrative family medicine residency programs in the United States, some of which extend the training to a total of four years.
For physicians who have completed a primary care residency program, there are several fellowship training programs in integrative medicine. The University of Arizona offers both a residential fellowship program and a distance-learning program designed to enable physicians to study while maintaining their practice.
Philanthropic funding is available for study in the University of Arizona distance-learning program to medical school faculty who teach at schools that are members of the Bravewell Clinical Network http: The availability of these programs may change yearly depending on funding.
New programs are under development at other institutions. These fellowships are not accredited by the American Board of Medical Specialties. CAM practitioners can share valuable information about the therapies they prescribe and the services they perform. Start with those practitioners recommended by your own patients.
You can also find a directory for all types of CAM practitioners using an online search engine, such as http: When you initiate contact and introduce yourself, understand that many CAM practitioners are apprehensive of medical doctors. Their natural instincts will be to assume you are calling to complain or criticize. You can put them at ease by explaining that you got their name from a patient of yours who was pleased with their care.
Expressing sincere interest in learning about what they do is another good way to break the ice. As you get to know CAM practitioners, ask about their education, licensing, scope of practice and how long they have practiced. There are different educational paths for each CAM modality, with some requiring several years of full-time study at accredited institutions and some requiring only a few weekends of study or merely correspondence courses with no actual clinical experience.
Learn how their education compares with similar practitioners. For example, naturopaths may have graduated from a four-year, full-time school, or they may have only studied in a correspondence program.
Menopause: Non-Hormonal Treatment & Relief for Hot Flashes
For some people, ankylosing spondylitis can cause debilitating pain. Learn more about natural treatments that may work alone or with other therapies. Try these natural sleep remedies to aid sleep and find relief with herbal Cognitive behavioral therapy (CBT) usually focuses on discovering and to music will also help to quiet your brain for the day and prepare it for sleep. Are value of information methods ready for prime time? An application to alternative treatment strategies for NSTEMI patients. Kent S(1), Briggs A, Eckermann S.