Complementary and Alternative Therapies

  • Erin L. Arnold
  • William J. Arnold


More and more people are employing complementary and alternative medicine (CAM) to treat their illnesses. A survey of English-speaking patients found that 42.1% used at least 1 of 16 specific CAM therapies during a 12-month period (1). In this study population, visits to CAM practitioners exceeded total visits to primary care physicians, and more than 50% of the patients had a musculoskeletal disease (arthritis, back, or neck pain). Total out-of-pocket expenditures for CAM treatments were estimated to be $27 billion, similar to out-of-pocket expenditures for all US physician services. The study found that patients were most likely to use CAM therapies in conjunction with, rather than in place of, conventional therapies


Carpal Tunnel Syndrome Glucosamine Sulfate Distant Healing Methylsulfonyl Methane Supplement Preparation 


  1. 1.
    Eisenberg DM, Davis RB, Ettner SL, et al. Trends in alternative medicine use in the United States. 1990–1997. JAMA 1998;280:1569–1575.CrossRefPubMedGoogle Scholar
  2. 2.
    Rao JK, MiboIiak K, Kroenke K, Bradley J, Tierney WM, Weinberger M. Use of complementary therapies for arthritis among patients of rheumatologists. Ann Intern Med 1999:131:409–416.PubMedGoogle Scholar
  3. 3.
    Sugarman J, Burk L. Physicians’ ethical obligations regarding alternative medicine. JAMA 1998;280:1623–1625.CrossRefPubMedGoogle Scholar
  4. 4.
    Kabat-Zinn J, Lipworth L, Burney R, Sellers W. Four year follow-up of a meditation-based program for the self-regulation of chronic pain: treatment outcomes and compliance. Clin J Pain 1986;2:159–171.CrossRefGoogle Scholar
  5. 5.
    Pioro-Boisset M, Esdaile JM, Fitzcharles MA. Alternative medicine use in fibromyalgia syndrome. Arthritis Care Res 1996;9:13–17.CrossRefPubMedGoogle Scholar
  6. 6.
    Young LD, Bradley LA, Tllmer RA. Decreases in health care resource utilization in patients with rheumatoid arthritis following a cognitive behavioral intervention. Biofeedback Self Regul 1995;259–268.Google Scholar
  7. 7.
    Yocum DE, Hodes R, Sundstrom WK, Cleeland CS. Use of biofeedback training in treatment of Raynaud’s disease and phenomenon. Rheumatology 1985;12:90–93.Google Scholar
  8. 8.
    Bradley LA, Young LD, Anderson KO, et al. Effects of psychological therapy on pain behavior of rheumatoid arthritis patients. Treatment outcome and six-month followup. Arthritis Rheum 1987;30:1105–1114.CrossRefPubMedGoogle Scholar
  9. 9.
    Astin LA, Harkness E, Ernst E. The efficacy of distant healing: a systematic review of randomised trials. Ann Intern Med 2000;132:903–910.PubMedGoogle Scholar
  10. 10.
    Dunlop DD, Selmanik P, Song J, et al. Risk factors for functional decline in older adults with arthritis. Arthritis Rheum 2005;52:1274–1282.CrossRefPubMedGoogle Scholar
  11. 11.
    Deyle D, Henderson NE, Matekel RL, Ryder MG, Garber MB, Allison SC. Effectiveness of manual physical therapy and exercise in osteoarthritis of the knee. Ann Intern Med 2000;132:173–181.PubMedGoogle Scholar
  12. 12.
    Garfinkel MS, Singhal A, Katz WA, Allan DA, Reshetar R, Schumacher HR. Yoga-based intervention of carpal tunnel syndrome: a randomized trial. JAMA 1998;280:1601–1603.CrossRefPubMedGoogle Scholar
  13. 13.
    NIH Consensus Development Panel on Acupuncture. Acupuncture. JAMA 1998;280:1518–1524.CrossRefGoogle Scholar
  14. 14.
    Ernst E, White AR. Acupuncture for back pain: a meta-analysis of randomized controlled trials. Arch Intern Med 1998;158:2235–2241.CrossRefPubMedGoogle Scholar
  15. 15.
    Berman BM, Lao L, Langenberg P, Lee WL, Gilpin AM, Hochberg M. Effectiveness of acupuncture as adjunctive therapy in osteoarthritis of the knee; a randomized, controlled trial. Ann Intern Med 2004;141:901–910.PubMedGoogle Scholar
  16. 16.
    Manheimer E, White A, Berman B, Forys K, Ernst E. Meta-analysis: acupuncture for low back pain. Ann Intern Med 2005;142:651–663.PubMedGoogle Scholar
  17. 17.
    Sunshine WI, Field TM, Quintino O, et al. Fibromyalgia benefits from massage therapy and transcutaneous electrical stimulation. J Pain Rheumatol 1996;2:18–22.CrossRefGoogle Scholar
  18. 18.
    Clegg DO, Reda DJ, et al. Glucosamine, chondroitin sulfate, and the two in combination for painful knee osteoarthritis. N Engl J Med 2006;354:858–860.CrossRefGoogle Scholar
  19. 19.
    Haqqui TM, Anthony DD, Gupta S, et al. Prevention of collagen-induced arthritis in mice by polyphenolic fraction from green tea. Proc Natl Acad Sci U S A 1999;96:4524–4529.CrossRefGoogle Scholar
  20. 20.
    Kim L, Axelrod L, Howard P, et al. Efficacy of methylsulfonylmethane (MSM) in knee osteoarthritis pain; a pilot clinical trial. Paper presented at: American Association of Naturopathic Physicians 20th annual meeting; August 24–27, 2005; Phoenix, AZ.Google Scholar
  21. 21.
    Duffy EM, Meenagh GK, McMillan SA, et al. The clinical effect of dietary supplementation with omega-3 fish oils and or copper in systemic lupus erythematosus. J Rheumatol 2004;31:1551–1556.PubMedGoogle Scholar
  22. 22.
    McAlindon TE. Influence of vitamin D status on the incidence of progression of knee osteoarthritis. Ann Intern Med 1996;125:353–361.PubMedGoogle Scholar
  23. 23.
    Bischoff-Ferrari HA, Zhang Y, Kiel DP, Felson DT. Positive association between serum 25-hydroxyvitamin D level and bone density in osteoarthritis. Arthritis Rheum 2005;53:821–826.CrossRefPubMedGoogle Scholar
  24. 24.
    Merlino LA, Curtis J, Mikuls TR, Cerhan JR, Criswell LA, Saag KG, Iowa Women’s Health Study. Vitamin D intake is inversely associated with rheumatoid arthritis: results from the Iowa Women’s Health Study. Arthritis Rheum 2004;50:72–77.CrossRefPubMedGoogle Scholar
  25. 25.
    McAlindon TE, Jacques P, Zhang Y, et al. Do anti-oxidant micronutrients protect against the development of knee osteoarthritis? Arthritis Rheum 1996;39:648–656.CrossRefPubMedGoogle Scholar
  26. 26.
    Beauchamp GK, Keast RSJ, Morel D, et al. Ibuprofen-like activity in extra-virgin olive oil. Nature 2005;437:45–46.CrossRefPubMedGoogle Scholar
  27. 27.
    Pattison DJ, Harrison RA, Symmons DPM. The role of diet in susceptibility to rheumatoid arthritis: a systematic review. J Rheumatol 2004;31:1310–1319.PubMedGoogle Scholar
  28. 28.
    Felson DT. Weight loss reduces the risk for symptomatic knee OA in women: the Framingham study. Ann Intern Med 1992;116:535–542.PubMedGoogle Scholar
  29. 29.
    Walker WK, Keats DM. An investigation of the therapeutic value of the “copper bracelet” - dermal assimilation of copper in arthritic/rheumatoid conditions. Agents Actions 1976;6:454–459.CrossRefPubMedGoogle Scholar
  30. 30.
    Valbona C, Hazlewood CF, Jurida G. Response of pain to static magnetic fields in postpolio patients: a double-blind pilot study. Arch Phys Med Rehab 1997;78:1200–1203.CrossRefGoogle Scholar
  31. 31.
    Weintraub MI. Magnetic biostimulation in painful diabetic peripheral neuropathy: a novel intervention. Am J Pain Manage 1999;9:9–18.Google Scholar
  32. 32.
    Chang YR, Bliven ML. Anti-arthritic effect of bee venom. Agents Actions 1979;9:205–211.CrossRefPubMedGoogle Scholar
  33. 33.
    Eiseman JL, Von Bredow J, Alvar AP. Effect of honeybee (Apis mellifera) venom on the course of adjuvant-induced arthritis and depression of drug meta-bolism in the rat. Biochem Pharmacol 1982;31:1139–1146.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Erin L. Arnold
    • 1
  • William J. Arnold
    • 1
  1. 1.Partner/Rheumatologist, Illinois Bone and Joint InstituteThe Center for Arthritis and OsteoporosisMorton GroveUSA

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