Integrative medicine for chronic pain management: a narrative review

To present a broad overview of integrative medicine relevant to the field of pain management, summarize information for pain medicine practitioners, and highlight the possible role and incorporation of integrative medicine in daily practice.

From 2002 to 2022, the percentage of American individuals using at least one of seven integrative medicine approaches has increased from 19.2 to 36.7%, including use for pain management. While literature has supported benefits in pain for some approaches, there is less robust evidence for other modalities. Higher risk modalities such as chiropractic manipulation, acupuncture, and supplement use remain controversial. A discussion of practical considerations and recommendations is provided for pain management providers who may encounter patients using integrative medicine or who may want to incorporate it into their practice.

Integrative medicine encompasses a broad range of modalities, which have increased in use over the last two decades. Pain management providers should be educated about and consider including integrative medicine modalities into treatment plans. Risks and benefits of each modality must be considered and discussed with patients.