complimentary and alternative medicine for veterans pain management class one: acupuncture,...
TRANSCRIPT
Complimentary and Alternative
Medicine for Veterans Pain Management
Class One: Acupuncture, Chiropractic care, Massage therapyAugust 15, 2015By Heather Díamani
Hello, I’m Heather, a 6 year Army Veteran.
• Deployed twice to Iraq.• Injured in an IED Blast in
2007.
“We cannot always control everything that happens to us in life, but we can control how we respond.” –L. Lionel Kendrick
Complementary and Alternative Medicine (CAM)
Complimentary and alternative medicine can be defined as: “a category of medicine that includes a variety of treatment approaches that fall outside the realm of conventional medicine” (Everyday Health, 2015).
Examples of Complimentary and Alternative Medicine (CAM)
Acupuncture Aromatherapy Ayurveda Biofeedback Chiropractic care Herbalism Homeopathy Hypnosis Massage Therapy Meditation Naturopathy
Nutrition TherapyOsteopathic manipulative therapy (OMT)Qi GongReflexologyReikiSpiritual healingTai ChiTraditional Chinese Medicine (TCM)Yoga
Acupuncture Acupuncture uses hair-thin needles that are
inserted in the skin at specific points in the body to correct imbalances in the flow of energy (Qi).
Qi (pronounced Chi) is the life energy force which flows around the body via meridians.
Helpful for pain (muscle, joint, head, other),nausea or other digestiveissues, insomnia, anxiety or depression, infertility, other gynecological issues,sinus or other respiratorydisorders, stress and immunity
Meridians in the Body
Getting Acupuncture: What to Expect
Tranquility
Acupuncture should bring you peace and relaxation.
Clinical Studies for Acupuncture
Study One
17, 922 participants with chronic neck, shoulder, back, headache, joint, or osteoarthritis pain
Randomized groups, 8 week study
Result= Acupuncture is effective for the treatment of chronic pain (Vickers, 2012)-JAMA
Study Two
298 patients with chronic lower back pain.
Randomized groups, 12 30-minute sessions during 8 week study
Result= Acupuncture was more effective in improving pain than no acupuncture treatment in patients with chronic low back pain (Brinkhaus, 2006). JAMA
Chiropractic careChiropractic care deals with the diagnosis, treatment, and prevention of mechanical disorders of the musculoskeletal system and the effects of these disorders on the function of the nervous system and general health (World Federation of Chiropractic, 2001).
Chiropractic Care Benefits
Improved Nerve Communication in the Body
Improved Joint Motion and Coordination
Improved Physical Function and Performance
Improved Posture Relief from Back and
Neck Pain Relief from Leg, Knee,
Foot and Ankle Pain
Relief from Arm, Wrist, Shoulders or Elbow Pain
Relief from Stress and Tension Disorders
Relief from Joint Discomfort
Relief from Bursitis Relief from Arthritis Relief from Chronic
Injuries(The Joint, 2015)
Howit
Works
Clinical Studies for Chiropractic Care
523 acute pain patients, 293 chronic pain patients treated weekly and assessed at one week, one month, and 3 months.
Both acute and chronic patients improved with chiropractic care.
(Peterson, 2012)
Low back pain in 18-35 year old Active Duty Military Personnel
4 week duration study. Comparison of standard medical care (SMC) versus chiropractic manipulative therapy (CMT)
Results showed CMT had significant advantage when combined with SMC in decreasing pain (Goertz,2013)
Study One:Acute & Chronic Lower Back Pain
Study Two:Standard vs
Chiropractic Care for Military Personnel
Receiving Chiropractic Care: What to Expect
Fill out forms, identify areas of pain,
sometimes even rate the pain.
15 minute BREAK!Get up, move around, stretch, use the bathroom, get a drink, make a phone call… do what you need to do but
don’t leave just yet!
Massage Therapy Massage therapy is defined as
manipulation of soft body tissues (muscle, connective tissue, tendons and ligaments) to enhance a person's health and well-being.
Types of Massage Swedish Massage
(relaxation) Hot Stone
(relaxation) Chair Massage
(relaxation) Reflexology
(relaxation) Trigger point
(rehabilitative) Deep Tissue
(rehabilitative)
Neuromuscular therapy (rehabilitative)
Cranial Sacral (rehabilitative)
Sports Massage (overall health)
Thai Massage (overall health)
Shiatsu (overall health)
Geriatric Massage (overall health)
Benefits of Massage
Stress relief, pain relief, relaxation, improved circulation, increased mobility, better sleep at night, mood improvement and an overall better well-being.
Clinical Studies for Massage
24 Adult participants (12 men, 12 women).
Duration: 30-minutes massages twice per week over 5 weeks
Outcome: Massage therapy is effective in reducing pain, stress hormones and symptoms associated with chronic low back pain.
(Hernandez-Reif, 2015)International Journal of Neuroscience
228 male and female participants with chronic neck pain.
4 week duration, 5 split groups receiving either 30 minute massage 1-2 times weekly, 60-minutes massages 1, 2, or 3 times per week. Assessed by week 5.
Outcome: the group that received 2 or more 60-minute massages weekly had the most significant improvements (Sherman, 2014)
Study One: Reduced Lower Back Pain with Massage
Study Two: Therapeutic Massage for Chronic Neck Pain
Getting a Massage: What to Expect
Dim lit room, comfortable setting.
Lotion or oil (non-clogging)
30, 60, or 90 minute session
Relax
Handout: Self-Assessment 1. How much is pain affecting your life?2. Which method of CAM interests you
the most?3. Are You Stressed?
“True compassion means not only feeling another’s pain but also being moved to help relieve it” –Daniel Goleman
Resources for Affordable Care Hope For Heroes (The Samaritan Center) AOMA Graduate School of Integrative Medicine
($15 Acupuncture for Veterans!) Texas Health and Science University ($28
Acupuncture by student) The Joint (No insurance needed. Certified
professionals. $19 introductory, plans available)
Active Life Healing Center (Free x-ray & exam, 50% off treatment/adjustment)
The Lauterstein-Conway Massage School ($35 one hour massage by student)
Academy for Massage Therapy Training ($46 for deep tissue massage by student)
Brinkhaus, B. (2006). “Acupuncture in Patients With Chronic Low Back Pain”. JAMA Internal Medicine. Retrieved from: http://archinte.jamanetwork.com/article.aspx?articleid=409858
Peterson, C. (2012). “Predictors of Improvement in Patients With Acute and Chronic Low Back Pain Undergoing Chiropractic Treatment”. Journal of Manipulative and Physiological Therapeutics. Retrieved from: http://www.sciencedirect.com/science/article/pii/S0161475412001169
Sherman, K. (2014). Five-week outcomes from a dosing trial of therapeutic massage for chronic neck pain. Annals Of Family Medicine, 12(2), 112-120. doi:10.1370/afm.1602
The Joint (2012). “Health Benefits of Chiropractic”. Retrieved from: http://www.thejoint.com/health-benefits
Vickers, A. (2012). “Acupuncture for Chronic Pain”. JAMA Internal Medicine. Retrieved from: http://archinte.jamanetwork.com/article.aspx?articleid=1357513#COMMENT
World Federation of Chiropractic (2001). Definitions of Chiropractic. Retrieved from: https://www.wfc.org/website/index.php?option=com_content&view=article&id=90&Itemid=110
References
References Continued
Dunn, A. (2011). “Chiropractic Management for Veterans with Neck Pain: A Retrospective Study of Clinical Outcomes”. Journal of Manipulative and Physiological Therapeutics. Retrieved from: http://www.sciencedirect.com/science/article/pii/S0161475411001916
Goertz, C. (2013). “Adding Chiropractic Manipulative Therapy to Standard Medical Care for Patients With Acute Low Back Pain”. Retrieved from: http://journals.lww.com/spinejournal/abstract/2013/04150/adding_chiropractic_manipulative_therapy_to.2.aspx
Hernandex-Reif, M. (2015). “Lower Back Pain is Reduced and Range of Motion Increased After Massage Therapy”. Retrieved from: http://www.tandfonline.com/doi/abs/10.3109/00207450109149744#.Vco9D2CFI3h
Northwestern Health Sciences University (2015). “What is massage therapy?” Retrieved from: https://www.nwhealth.edu/school-of-massage-therapy/massage-therapy-definition/
Pinola, M. (2014). “What’s the difference between all these types of massage?” LifeHacker. Retrieved from: http://lifehacker.com/whats-the-difference-between-all-these-types-of-massag-1522088430
Massage Envy (2015). “Types of massage”. Retrieved from: http://www.massageenvy.com/types-of-massage.aspx
Anymore Questions?
See You Next Week!