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Integrating complementary/alternative medicine into primary care: evaluating the evidence and appropriate
Stanley F Wainapel1, Stephanie Rand1, Loren M Fishman2
1The Arthur S Abramson Department of Physical Medicine and Rehabilitation, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
International Journal of General Medicine
|December 18, 2015
Summary
Patients increasingly use complementary/alternative medicine (CAM). This review explores osteopathic manipulation, yoga, and acupuncture, detailing their physiological effects, efficacy, and integration into clinical practice for common conditions.
Area of Science:
- Integrative medicine
- Evidence-based practice
Background:
- Complementary/alternative medicine (CAM) use is prevalent among patients.
- Several CAM therapies are being integrated into mainstream medical practice.
Purpose of the Study:
- To examine the physiological effects, efficacy, and clinical integration of osteopathic manipulation, yoga, and acupuncture.
- To provide guidance for physicians on incorporating these CAM therapies.
Main Methods:
- Review of literature on osteopathic manipulation, yoga, and acupuncture.
- Focus on physiological effects, treatment efficacy for common conditions, and safety profiles.
- Exploration of integration strategies into clinical practice.
Main Results:
- Osteopathic manipulation, yoga, and acupuncture demonstrate physiological effects and efficacy for specific medical conditions.
- Precautions and contraindications for each therapy are identified.
- Potential methods for incorporating these CAM modalities into patient care are discussed.
Conclusions:
- Physicians should inquire about CAM use during patient history taking.
- Clinical decisions regarding CAM should be based on physiological effects and research findings.
- Integration of select CAM therapies can enhance patient care.
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