Perceived Benefit of Complementary and Alternative Medicine (CAM) for Back Pain

The Chiro.Org Blog


SOURCE:   J Am Board of Family Medicine 2010 (May); 23 (3): 354-362


Kanodia AK, Legedza AT, Davis RB, Eisenberg DM, Phillips RS.

Division for Research and Education in Complementary and Integrative Medical Therapies, Harvard Medical School Osher Research Center, Boston


A new article, published in the Journal of the American Board of Family Medicine [1] reports on interviews with 31,044 individuals who used CAM for low back pain. The results are quite fascinating:

  • The top 6 CAM therapies for LBP, starting with the most-used approaches are: chiropractic, massage, herbal therapy, acupuncture, yoga/tai chi/qi gong, and relaxation techniques.
  • Chiropractic use (76% of respondents) was larger than all the other 5 therapies combined (see Figure 1)
  • Chiropractic users scored their satisfaction (and clinical benefits) the highest of all 6 approaches (see Table 2).This reconfirms earlier findings from the Archives of Physical Medicine & Rehabilitation 2005, which reported that:SMT provided the greatest pain relief [7.33], scoring higher than:nerve blocks (6.75),
    Opioid analgesics (6.37),
    muscle relaxants (5.78),
    Acupuncture (5.29), or
    NSAIDs (5.22) . [2]

  • Of those who used CAM modalities for back pain, 69% of these respondents only used one CAM therapy
  • Of those who used CAM modalities for back pain, 27% used it because conventional medicine did not help, 53% used it in conjunction with medical care, and only 24% used it because their medical provider recommended it (see Table 3)
  • The researchers used Multivariable Analysis to determine the factors independently associated with the perception of a “great deal” of benefit in this group. Interestingly, the factor associated with the greatest benefit from care was in the group that said that “conventional medicine would not help”. The least benefits were experienced by those referred by a conventional pratitioner.

Figure 1: Use of the 6 most frequently used complementary and alternative medicine (CAM) modalities for back pain during the previous 12 months. These modalities are not mutually exclusive and are limited to respondents for whom back pain was one of the 3 most bothersome medical conditions..


Table 2. Perceived Benefit of the 6 Most Frequently Used Complementary and Alternative Medicine Modalities for Back Pain

Modalities*
Those with Great Benefit from CAM
(Weighted %)
Chiropractic (n = 1,163)
66
Massage (n = 196)
56
Yoga, Tai chi, Qi Gong (n = 45)
56
Acupuncture (n = 89)
42
Herbal therapies (n = 78)
32
Relaxation techniques (n = 76)
28

 


Table 3. Reasons for Using the 6 Most Frequently Used Complementary and Alternative Medicine Modalities for Back Pain

Reasons for Use
CAM Users Who Reported Reasons for Use (%) (n = 1,647)
Used conventional medicine and CAM together
53
Interested in trying CAM
48
Conventional medical treatment would not help
27
Conventional medical practitioner suggested CAM
24
Conventional medical treatment was too expensive
13

 


There are many more articles like this @:

Patient Satisfaction With Chiropractic


Reference:

  1. Perceived Benefit of Complementary and Alternative Medicine (CAM) for Back Pain: A National Survey
    Journal of the American Board of Family Medicine 2010 (May); 23 (3): 354-362 ~ FULL TEXT
  2. Chronic Pain in Persons With Neuromuscular Disease
    Archives of Physical Medicine & Rehabilitation 2005 (Jun); 86 (6): 1155–1163 ~ FULL TEXT