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Integrative Medicine

  • Peter I-Kung WuEmail author
  • Lucy Chen
Chapter

Abstract

Integrative medicine combines conventional medicine with select practices from complementary and alternative medicine (CAM), for which there is growing high-quality, scientific evidence for their safety and efficacy to manage numerous medical conditions, including acute and chronic pain. Chronic pain is a leading indication for the use of CAM, which offers a multimodal approach to treat the multifaceted nature of pain with minimal complications. Among various CAMs, acupuncture has been the most studied, with clinical evidence from randomized, controlled trials (RCTs) demonstrating its benefit for conditions that most commonly lead patients to present to a Pain Clinic, including low back pain, neck and shoulder pain, headache, and a variety of other chronic pain disorders. The mechanisms of action of acupuncture remain incompletely understood; however, studies continue to elucidate its physiologic effects as well as evaluate its effectiveness for managing painful clinical conditions. With their utility for managing pain with minimal adverse effects compared to pharmacologic therapy, CAMs such as acupuncture provide a powerful tool to address the current overuse and abuse of opioid medications.

Keywords

Integrative Medicine Complementary Alternative Traditional Chinese Medicine Acupuncture Pain Opioid Spine Auricular Trigger point 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Orthopaedic Surgery, Division of Physical Medicine and RehabilitationUniversity of California, San FranciscoSan FranciscoUSA
  2. 2.Department of Anesthesia, Critical Care and Pain MedicineMassachusetts General Hospital, Harvard Medical SchoolBostonUSA
  3. 3.Department of Anesthesia, Critical Care and Pain MedicineMassachusetts General Hospital, Harvard Medical SchoolBostonUSA

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