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Journal Of Complementary & Integrative Medicine[JOURNAL]

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A Scoping Narrative Review of Curcumin in Pain Medicine: The Need for Further Study.

Shelton T, Croner L, Alluis A … +1 more , Aldrich L

Integr Med (Encinitas) · 2025 Aug · PMID 40703413

Complementary, alternative, and integrative medicine (CAIM) techniques, such as dietary interventions and herbal supplements, are frequently used by patients as a method of treating pain. The use of turmeric, or , has ga... Complementary, alternative, and integrative medicine (CAIM) techniques, such as dietary interventions and herbal supplements, are frequently used by patients as a method of treating pain. The use of turmeric, or , has gained popularity among patients in recent years, and as such, has become of particular interest to clinicians. While there are a growing number of studies on turmeric for specific painful conditions, there has not been a study summarizing the overall breadth of the literature on the use of turmeric in the field of pain medicine. This study aims to provide a scoping review of the use of turmeric in conditions, including but not limited to arthritis, neuropathic pain, and other related topics in pain medicine. This study found that most clinical research on the use of turmeric in pain control has been in the setting of knee osteoarthritis. Limited studies were found on the use of turmeric in osteoarthritis outside of the knee, neuropathic pain, acute postoperative pain, and in the pain-related conditions of anxiety and depression. Given the efficacy of turmeric in pain control of knee osteoarthritis, our findings suggest that more clinical research is needed on turmeric in additional areas of pain medicine.

Suspected Recurrence of Cranial Neuralgia Following Infection With SARS-CoV-2: A Case Report.

Fuller L, Moehle J, Hardin A

Integr Med (Encinitas) · 2022 May · PMID 35702490

It is understood that patients infected with the COVID-19 virus can present with headache as an initial symptom, but it is unclear if those with a history of cranial neuralgias may have a different initial COVID-19 prese... It is understood that patients infected with the COVID-19 virus can present with headache as an initial symptom, but it is unclear if those with a history of cranial neuralgias may have a different initial COVID-19 presentation, or if infections from SARS-CoV-2 virus may cause a recurrence of previous cranial neuralgias. In this review, we report a case of cranial neuralgia recurrence that was preceded by a SARS-CoV-2 exposure. There is currently a lack of literature describing COVID-19 patients with a recurrence of a previous cranial neuralgia, and this case draws attention to potential reactivation of cranial neuralgia symptoms in COVID-19 patients, highlights key components of the pathophysiology of cranial neuralgias, and underscores the potential need to identify previous history of cranial neuralgia to more appropriately navigate management and treatment of neuralgia causing head pain as a consequence of COVID-19 infection.

Complementary and Alternative Medicine's Effectiveness in Reducing High-Impact Chronic Pain and Opioid Consumption: A Case Report in the Veteran Population.

Cho MH, Arya A, Fernandez JA

Integr Med (Encinitas) · 2021 Apr · PMID 34377091

Chronic pain is a condition affecting millions of Americans annually. Veterans, as a population cohort, are often afflicted with chronic pain that is more complex, with higher rates of psychiatric and social comorbiditie... Chronic pain is a condition affecting millions of Americans annually. Veterans, as a population cohort, are often afflicted with chronic pain that is more complex, with higher rates of psychiatric and social comorbidities when compared to the general population. In this case report, we describe a veteran with major depressive disorder and alcohol abuse afflicted by high-impact chronic pain, initially treated and then maintained on high dose opioids developing dependency, who was successfully weaned off and achieved adequate pain management using complementary and alternative medicine, namely Qi gong. We conclude that complementary and alternative medicine offers a safe and effective option in providing pain relief using nonpharmacological means and thus avoiding undesired effects. We postulate that as research in this area increases, the demand for and the availability of complementary and alternative medicine will expand.

Nutritional, Alternative, and Complementary Therapies for Age-related Macular Degeneration.

Lister T

Integr Med (Encinitas) · 2019 Dec · PMID 32549854

Age-related macular degeneration (AMD) is the leading cause of blindness in people over the age of 65 particularly in those who are smokers, obese, White race, genetically predisposed and environmentally exposed. The roo... Age-related macular degeneration (AMD) is the leading cause of blindness in people over the age of 65 particularly in those who are smokers, obese, White race, genetically predisposed and environmentally exposed. The root cause is thought to be photochemical damage causing oxidative stress to the macula coupled with low grade inflammation over many years which also contributes to the progression of the disease. The hallmark studies Age-Related Eye Disease Study (AREDS) and AREDS2 found a formulation consisting of 500 mg vitamin C, 400 IU vitamin E, 25 mg zinc, 2 mg copper, 10 mg lutein and 2 mg zeaxanthin effective for slowing the progression AMD. Subsequent studies suggest diet therapy, higher dosages of zeaxanthin and supplementing with vitamin D, vitamin B, and omega-3 fatty acids may further reduce the progression of the disease.

Integrative Clinician Will Lead NIH National Center for Complementary and Integrative Health … plus more.

Weeks J

Integr Med (Encinitas) · 2018 Dec · PMID 31043923

Abstract loading — click title to view on PubMed.

Human Universal Energy Improved Health-related Quality of Life Outcomes 1 Month After External Beam Radiotherapy for Early-stage Breast Cancer.

Nguyen JB, Yeoh E, Stephens S … +1 more , Iankov I

Integr Med (Encinitas) · 2018 Apr · PMID 30962783

BACKGROUND: The demand for the use of human universal energy (HUE) as a form of complementary alternative medicine (CAM) for cancer treatment is increasing, but scientific evidence of its efficacy is lacking. AIMS: The a... BACKGROUND: The demand for the use of human universal energy (HUE) as a form of complementary alternative medicine (CAM) for cancer treatment is increasing, but scientific evidence of its efficacy is lacking. AIMS: The aims of this first randomized study of external beam radiotherapy (EBRT) + HUE versus EBRT + sham HUE in subjects with early breast cancer were to (1) document the changes in health related quality of life (HRQoL) during EBRT and immediately 1 mo after completion of radiation treatment within each subject group and to (2) compare the differences in HRQoL between the 2 groups of subjects. METHOD: Eligible subjects were randomized to either HUE (n = 16) or sham-HUE (n = 16). HRQoL measurements were taken in each patient group before starting treatment, during week 3 of EBRT, immediately after completing treatment, as well as 1 mo after EBRT. These results were evaluated using the validated functional assessment of cancer therapy-breast cancer (FACT-B) HRQoL instrument consisting of the FACT-G and breast cancer specific subscales and trial outcome index (TOI) summary scores. Changes in the scores relevant to both groups were compared using a Mann-Whitney test. The effect of the HUE treatment was quantified by analysis of covariance (ANCOVA) models. All statistical analysis was done at a 95% confidence interval and the differences were considered significant if ≤ .05. RESULTS: The tests associated with FACT-G, social wellbeing, and emotional well-being scores returned insignificant value > .05. The test associated with physical well-being and FWB returned significant value ≤ .05, but the (adjusted) quantified influence of the HUE treatment on these scores was less than the clinically significant threshold of 5 points, and the FWB clinically significant threshold of greater than 2.9 points. The test associated with FACT-B, breast cancer specific (BCS), and TOI scores returned significant or close to significant value, α ≤ .05, and the (adjusted) quantified influence of HUE treatment on these scores is more than the accepted thresholds (5 points for BCS and 10 points for FACT-B and TOI) for clinical difference. CONCLUSION: Although some results, such as values for Mann-Whitney tests and coefficients of HUE treatment in initial ANCOVA models showed promising and positive effects of HUE treatment on the subject, further research with a larger sample size is necessary to confidently conclude whether HUE treatment has significant positive influence on subject HRQoL.

Essential Oil Education for Health Care Providers.

Boesl R, Saarinen H

Integr Med (Encinitas) · 2016 Dec · PMID 28223896

CONTEXT: Patients' use of complementary and integrative health practices has been increasing in the United States for a variety of reasons. The use of essential oils is one complementary and integrative health modality t... CONTEXT: Patients' use of complementary and integrative health practices has been increasing in the United States for a variety of reasons. The use of essential oils is one complementary and integrative health modality that continues to increase in popularity. Many providers are not knowledgeable about and are not comfortable discussing the topic with their patients. OBJECTIVE: The research team intended to evaluate the effectiveness of the dissemination of current information on essential oils to health care practitioners through a continuing education module. DESIGN: The research team developed and implemented the module in collaboration with the American Association of Nurse Practitioners Continuing Education (AANP CE) Center. SETTING: The continuing education module was made available on the AANP CE Center's Web site to allow the voluntary participation of nurse practitioners throughout the nation at their convenience. The module was available to other interested practitioners as well. PARTICIPANTS: Participants were 231 health care practitioners, 62.5% of whom were nurse practitioners in family practice. INTERVENTION: The education module included information on 5 commonly used essential oils, indications for use in patient populations, and safety and contraindications for use. OUTCOME MEASURES: Pretest and posttest measures of participants' knowledge of essential oils and an evaluation by participants of the educational module were used to evaluate its effectiveness. Data were collected from the Web site during a 3-mo period, for the months of June, July, and August 2015. RESULTS: An increase in the correct responses at posttest, when compared with the pretest, demonstrated that learning had occurred because of the module. Upon completion of the module, most participants reported that they felt more comfortable discussing integrative health modalities and essential oils with their patients. Most participants also reported that they intended to ask their patients about their use of integrative health practices because of their experiences with the continuing education module. CONCLUSIONS: The overall results demonstrated a positive effect on participants, showing their increased knowledge of essential oil indications, safety, and contraindications, as evidenced by the posttest and evaluation results.

Chronic Rhinosinusitis and Irritable Bowel Syndrome: A Case Report.

Kogan M, Castillo CC, Barber MS

Integr Med (Encinitas) · 2016 Jun · PMID 27547167

INTRODUCTION: Chronic rhinosinusitis (CRS) and irritable bowel syndrome (IBS) can be comorbidities that are difficult to treat. In this patient, an evidence-informed treatment pathway guided by laboratory biomarkers was... INTRODUCTION: Chronic rhinosinusitis (CRS) and irritable bowel syndrome (IBS) can be comorbidities that are difficult to treat. In this patient, an evidence-informed treatment pathway guided by laboratory biomarkers was used to address both conditions. CASE PRESENTATION: A 69-y-old female patient presented with a 50-y history of sinusitis that was worse in the winter, postnasal drip, frequent sore throats, gastrointestinal complaints, headaches, and yeast infections. Two sinus surgeries (in years 2000 and 2002) and multiple courses of antibiotics had not resolved her sinus symptoms. In addition to CRS and IBS, this patient was noted to have intestinal overgrowth of Candida albicans, multiple food sensitivities, and leaky gut syndrome. CONCLUSION: Antifungal medication and dietary changes in the course of 8 mo resulted in the resolution of her CRS and IBS.

Chemotherapy and Functional Medicine in a Patient With Metastatic Breast Cancer: A Case Report.

Taxman ET, Conlon ED, Speers A … +3 more , Dismuke KL, Heyman TS, Taxman TL

Integr Med (Encinitas) · 2016 Mar · PMID 27053933

More than one-half of all cancer patients use some combination of conventional and complementary medicine, but exactly how this is done and what the outcomes include are poorly understood. This case study reports the suc... More than one-half of all cancer patients use some combination of conventional and complementary medicine, but exactly how this is done and what the outcomes include are poorly understood. This case study reports the successful treatment of metastatic invasive ductal breast carcinoma by 2 physician groups with treatments that combined conventional chemotherapy with nutritional support guided by nutritional and digestive laboratory testing. The goal of minimizing side effects and enhancing outcomes was achieved in this patient who did not receive radiation therapy and is almost 3 y posttreatment with no evidence of recurrence.

The Health Professions' Continuum Cleft.

Jensen CB

Integr Med (Encinitas) · 2015 Aug · PMID 26770155

The continuum of health professions is interrupted by a natural and unavoidable gap that separates conventional from complementary and alternative health care and that may aptly be called the continuum cleft. The cleft o... The continuum of health professions is interrupted by a natural and unavoidable gap that separates conventional from complementary and alternative health care and that may aptly be called the continuum cleft. The cleft occurs as a consequence of the development of professional silos during the professionalization process and of the emergence of professional cysts related to the efforts of some professions to insulate their patients from the perceived risks imposed by other professions. The continuum cleft can cause costly and potentially hazardous compromises to the continuity of care for >73 million Americans annually. Interprofessional educational experiences derived from collaboration in the health sciences among Oregon's uniquely diverse educational institutions may provide some guidelines for mending the continuum cleft.

Conventional Practitioners' Communication of Integrative Alternatives for Chronic Back Pain: An Evidence-based, Patient-centered Model.

Russo R

Integr Med (Encinitas) · 2014 Apr · PMID 26770090

Chronic back pain is one of the most common conditions treated in the United States. Informed consent is the communication of treatment alternatives, benefits, and risks and must be provided to patients in most instances... Chronic back pain is one of the most common conditions treated in the United States. Informed consent is the communication of treatment alternatives, benefits, and risks and must be provided to patients in most instances. The alternatives provided during this discussion should include all options supported by research evidence and the patient's preferences. This article proposes a model for chronic back pain that includes the communication of complementary therapies as part of a patient-centered, integrative approach to informed consent. The content of informed consent is determined by common law (court cases), legislation, regulations, and evidence-based research. The practitioner's and patient's knowledge and the patient's values should be used to filter this information. Finally, shared decision making should be used to arrive at the patient's final decision regarding informed consent for treatment.

Hypnotherapy for crohn's disease. A promising complementary/alternative therapy.

Abela MB

Integr Med · 2000 Mar · PMID 10882886 · Publisher ↗

Crohn's disease is a nonspecific chronic syndrome of unknown origin for which, to date, no conventional (i.e., medical or surgical) cure exists. However, recent clinical case studies and anecdotal reports have shown that... Crohn's disease is a nonspecific chronic syndrome of unknown origin for which, to date, no conventional (i.e., medical or surgical) cure exists. However, recent clinical case studies and anecdotal reports have shown that the use of different forms of hypnotherapy for the treatment of Crohn's have actually resulted in cures. This report reviews and compares the effectiveness of hypnotherapy in the treatment of Crohn's disease vis-a-vis current medical and surgical therapies, in addition to reviewing evidence of the modulation of immune function parameters by hypnosis, while providing support for current etiological hypotheses of Crohn's disease as an autoimmune disorder.

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