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Complementary and alternative medicine and addiction

Yue Zhang, Yin Jiang, Christopher B Glielmi, Longchuan Li, Xiaoping Hu, Xiaoying Wang, Jisheng Han, Jue Zhang, Cailian Cui, Jing Fang
Acupuncture, which is recognized as an alternative and complementary treatment in Western medicine, has long shown efficiencies in chronic pain relief, drug addiction treatment, stroke rehabilitation and other clinical practices. The neural mechanism underlying acupuncture, however, is still unclear. Many studies have focused on the sustained effects of acupuncture on healthy subjects, yet there are very few on the topological organization of functional networks in the whole brain in response to long-duration acupuncture (longer than 20 min)...
September 2013: Magnetic Resonance Imaging
Theresa M Nguyen, Neil K Roy, George R Zlupko
Acupuncture is becoming increasingly popular in the United States for a wide variety of uses, ranging from the treatment of chronic back pain to aiding in addiction therapy. As this form of complementary and alternative medicine becomes more prevalent in certain areas of the country, it is of paramount importance that the emergency physician be familiar with its methods and potential complications. In general, acupuncture is perceived as fairly safe. However, it is not without risks or side effects. In this case report, we discuss the history, methods, and common complications of acupuncture in the context of a patient who presented to the Emergency Department (ED) with bilateral pneumothoraces secondary to acupuncture therapy...
September 2011: Delaware Medical Journal
Nelci Astrid Becerra, Luz Helena Alba, Juan Sebastián Castillo, Raúl Murillo, Alejandra Cañas, Plutarco García-Herreros
BACKGROUND: smoking is a chronic disease in the group of addictions and its treatment includes two components:psychosocial and pharmacological intervention. Other types of therapeutic approaches have been used as treatment options for tobacco addiction. Acupuncture, hypnosis and homeopathy are the most used nonconventional interventions. OBJECTIVE: review the available evidence in regards to the use of alternative therapies for smoking cessation in the adult population from the published clinical practice guidelines (CPG)...
September 2012: Gaceta Médica de México
Anthony P Albanese
This article reviews the spectrum of alcohol use disorders. The pharmacologic properties of ethanol and its metabolism, and the historical, physical, and laboratory elements that may help diagnose an alcohol use disorder are examined. The concepts of motivational interviewing and stages of change are mentioned, along with the American Society of Addiction Medicine patient placement criteria, to determine the best level of treatment for alcoholism. Various therapeutic management options are reviewed, including psychological, pharmacologic, and complementary/alternative choices...
November 2012: Clinics in Liver Disease
Amy Wachholtz, Douglas Ziedonis, Gerardo Gonzalez
Treating comorbid pain (nonmalignant) and opioid addiction is a complex endeavor that requires cooperation of multi-modal treatment teams incorporating pharmacological, psychological, and social components. There are multiple barriers for patients, mental health practitioners, and physical health practitioners to provide complete treatment for this difficult treatment population. In this article, we will review which treatments have been empirically validated in this treatment population, where further research is required, and considerations for potential "best approaches" to use for patient treatment while waiting for empirically validated treatment data...
2011: Substance Use & Misuse
Kristin Vanderploeg, Xiaobin Yi
For at least 2,500 years, acupuncture has been an integral part of traditional Chinese medicine. However, recently as more people in western countries are diagnosed with chronic disease poorly treated with modern medical therapies, many are turning to acupuncture and other forms of alternative medical treatments. Based on the theory of harmonious flowing qi being the basis of good health, acupuncture focuses on restoring qi by manipulation of the complementary and opposing elements of yin and yang. However, in the modern medical community we struggle to with the concept of qi, given a lack of anatomic and histological evidence supporting its existence...
March 2009: Journal of Acupuncture and Meridian Studies
Vanita Jindal, Adeline Ge, Patrick J Mansky
Acupuncture has been used therapeutically in China for thousands of years and is growing in prominence in Europe and the United States. In a recent review of complementary and alternative medicine use in the US population, an estimated 2.1 million people or 1.1% of the population sought acupuncture care during the past 12 months. Four percent of the US population used acupuncture at any time in their lives. We reviewed 31 different published journal articles, including 23 randomized controlled clinical trials and 8 meta-analysis/systematic reviews...
June 2008: Journal of Pediatric Hematology/oncology
Kathleen A Head
Peripheral neuropathy (PN), associated with diabetes, neurotoxic chemotherapy, human immunodeficiency virus (HIV)/antiretroviral drugs, alcoholism, nutrient deficiencies, heavy metal toxicity, and other etiologies, results in significant morbidity. Conventional pain medications primarily mask symptoms and have significant side effects and addiction profiles. However, a widening body of research indicates alternative medicine may offer significant benefit to this patient population. Alpha-lipoic acid, acetyl-L-carnitine, benfotiamine, methylcobalamin, and topical capsaicin are among the most well-researched alternative options for the treatment of PN...
December 2006: Alternative Medicine Review: a Journal of Clinical Therapeutic
Gabriele Bardazzi, Jo-Anne Merluzzi, Fabio Voller, Aldo Fontana, Ludovico Abenavoli, Lorenzo Leggio, Giovanni Addolorato
It is well known that Complementary Medicine (CM) is extensively used in western countries for the treatment of many afflictions. CM has been recently promoted in addiction treatment. To evaluate CM use in alcohol dependence we planned a mail questionnaire for Italian alcohol services. We sent out 612 questionnaires. Health services that were unable to respond to the questionnaire within a 20-day limit period were contacted by phone and if we obtained agreement to participate in the study the questionnaire was sent by fax...
August 2006: Complementary Therapies in Clinical Practice
Lauren Handelman, Michael Rich, Carolyn Frazer Bridgemohan, Lynda Schneider
Explanatory models (EMs) for asthma among inner-city school-age children and their families were examined as a means of better understanding health behaviors. Children and parents were interviewed about their concepts of asthma etiology, asthma medications, and alternative therapies. Drawings were elicited from children to understand their beliefs about asthma. Nineteen children with 17 mothers from a variety of cultural backgrounds were interviewed. Among children, contagion was the primary EM for asthma etiology (53%)...
April 2004: Journal of Asthma: Official Journal of the Association for the Care of Asthma
David J Owen, Min-Lin E Fang
BACKGROUND: The amount of reliable information available for complementary and alternative medicine (CAM) is limited, and few authoritative resources are available. OBJECTIVE: The objective is to investigate the information-seeking behavior of health professionals seeking CAM information. METHODS: Data were gathered using a Web-based questionnaire made available to health sciences faculty affiliated with the University of California, San Francisco...
July 2003: Journal of the Medical Library Association: JMLA
Alejandro A Rabinstein, Lisa M Shulman
BACKGROUND: A majority of people in the United States use alternative or complementary therapy at some point in their lives, and acupuncture is among the most frequently used modalities. Many United States medical schools offer courses in alternative medicine, and a growing number of insurers offer coverage for alternative therapies. This paper critically reviews our current knowledge about the safety and efficacy of acupuncture for neurologic conditions. REVIEW SUMMARY: Acupuncture is a safe procedure when performed by trained professionals...
May 2003: Neurologist
Eric Manheimer, Bradley J Anderson, Michael D Stein
Intravenous drug users often have many health conditions in addition to their drug addiction, yet may be isolated from conventional sources of care. They have never before been examined for their use of complementary and alternative medicine (CAM) therapies. Our purpose was to study the prevalence and predictors of CAM use among persons with a history of intravenous drug use through a cross-sectional survey of intravenous drug users examining their utilization of health services, including CAM therapies. A total of 548 persons with a history of intravenous drug use, recruited from a needle-exchange program and a methadone maintenance clinic, both in Providence, Rhode Island, participated...
May 2003: American Journal of Drug and Alcohol Abuse
Ravinder Mamtani, Andrea Cimino
The use of complementary and alternative medicine (CAM) is widespread. Those with psychiatric disorders are more likely to use CAM than those with other diseases. There are both benefits and limitations to CAM. Many controlled studies have yielded promising results in the areas of chronic pain, insomnia, anxiety, and depression. There is sufficient evidence, for example, to support the use of a) acupuncture for addiction problems and chronic musculoskeletal pain, b) hypnosis for cancer pain and nausea, c) massage therapy for anxiety, and the use of d) mind-body techniques such as meditation, relaxation, and biofeedback for pain, insomnia, and anxiety...
2002: Psychiatric Quarterly
J M Leung, S Dzankic, K Manku, S Yuan
UNLABELLED: We measured the prevalence and predictors of the use of alternative medicine supplements in surgical patients by way of a self-administered questionnaire in consecutive patients > or = 18 yr old awaiting elective noncardiac surgery at five San Francisco Bay Area Hospitals. A total of 2560 patients completed the study survey (60% response rate). Of these patients, 39.2% admitted to using some form of alternative medicine supplements, of which herbal medicine was the most common type (67...
October 2001: Anesthesia and Analgesia
T A Boucher, S K Lenz
CONTEXT: A questionnaire was developed and administered by the Center for Addiction and Alternative Medicine Research, one of the research centers funded by the Office of Alternative Medicine. It was felt that information regarding mainstream medical usage and beliefs about alternative therapies might help to direct the focus of the center's research. OBJECTIVE: To examine the attitudes about and knowledge and practice of complementary and alternative medicine among physicians at a Midwestern teaching hospital...
November 1998: Alternative Therapies in Health and Medicine
D L Diehl, G Kaplan, I Coulter, D Glik, E L Hurwitz
OBJECTIVES: Little is known about the characteristics of American physicians who currently practice acupuncture. We asked: (1) Do the demographics of physicians practicing acupuncture differ from the general physician population? (2) Do these physicians use or endorse other alternative therapies? (3) For which conditions is acupuncture most commonly used? (4) For which conditions is acupuncture perceived to be most efficacious? DESIGN: Mailed survey of physicians who incorporate acupuncture into their practice...
1997: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
M L Bullock, A M Pheley, T J Kiresuk, S K Lenz, P D Culliton
BACKGROUND: Patient use of complementary and alternative medicine (CAM) is on the rise. With millions of Americans using CAM, it has become imperative from the public health point of view to undertake a coordinated research effort that will thoroughly evaluate the role and effectiveness of CAM modalities. METHODS: We developed a prospective data-collection system to capture presenting complaints, patient health histories, and demographic information on the patients of a hospital-based alternative medicine clinic...
1997: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
C F Borchgrevink
A study of the literature describing research on alternative medicine showed that, in general, the research was of poor quality. Any clinical effect of kinesiology had not been documented. Only few studies on reflexology had been controlled. Several controlled studies on healing showed significant effect, mainly in patients with psychosomatic disorders, or when the patient had great faith in the healer. Acupuncture seems to be effective against nausea, in patients with chronic pain and in patients who have had stroke...
June 30, 1997: Tidsskrift for Den Norske Lægeforening: Tidsskrift for Praktisk Medicin, Ny Række
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