Non-Pharmacological Pain Relief: Expanding the Scope of Your Practice Michael B. Ellner and Daniel F. Cleary
Disclosures Daniel Cleary – Nothing to Disclose
Michael Ellner – Nothing to Disclose
Learning Objectives Describe CAM approaches that might benefit their chronic pain patients List the benefits of integrative pain management Name conditions, diseases and syndromes that may respond to CAM
Daniel F. Cleary and Michael B. Ellner
We're back! Because more than 50% of patients surveyed by the Centers for Disease Control want complementary and alternative treatments integrated into conventional medicine
And we can help!
Back To The Future The Ideal Pain Management Center of the Future will offer their patients the best pharmaceutical and non-pharmaceutical treatments available. These centers will offer their patients a comprehensive approach that helps them live more pleasurable, satisfying and effective lives The Future is Now!
The Future is Now "Integrating CAM into mainstream health care is now a global phenomenon, with policymakers at the highest levels endorsing the importance of a historically marginalized form of health care“ – Ryan Abbott, UCLA Center for East-West Medicine • Reference: Med students say conventional medicine would benefit by integrating alternative therapies / UCLA Newsroom • http://www.newsroom.ucla.edu/portal/ucla/medical- students-say-westernmedicine-150587.aspx
According a 2010 survey released by the AARP/NCCAM 73 percent of the respondents who utilized CAM did so to help reduce pain or treat a painful condition
http://nccam.nih.gov/news/camstats/2010/
There is a desire: "Consumers are demanding it� Mary Jo Kreitzer Director of The University of Minnesota's alternative medicine program
More than 50% of patients surveyed by the Centers For Disease Control want complementary and alternative treatments integrated into conventional medicine National Center for Complementary and Alternative Medicine (NCCAM) The Use of Complementary and Alternative Medicine in the United States Bethesda, Md.: National Institutes of Health; December 2008.
It Is Already Starting To Happen 47 respected academic medical centers are members of The Consortium of Academic Health Centers for Integrative Medicine Consortium of Academic Health Centers for Integrative Medicine
http://www.imconsortium.org/
The Rationale For Integrative Pain Management Centers and Practices: It's a win-win. Chronic neuropathies and idiopathic pain syndromes like diabetic peripheral neuropathy, trigeminal neuralgia, post-herpetic neuralgia and IBS and FMS may not be responsive to analgesic drugs
There is evidence that people living with chronic pain can be responsive to a wide range of non-pharmaceutical approaches A list of citations is included at the end of this presentation
Medical hypnotists, acupuncturists, and massage therapists, can be a very nice fit for pain management centers and practices. These modalities are evidence based for a wide range of pain relief and are a both complimentary and complementary to Pain Management Centers and practices
The National Center for Complementary and Alternative Medicine offers these brief descriptions of hypnosis, acupuncture and massage:
Hypnosis Hypnosis (also called hypnotherapy) has been studied for a number of conditions, including state anxiety (e.g., before medical procedures or surgeries), headaches, smoking cessation, pain control, hot flashes in breast cancer survivors, and irritable bowel syndrome http://nccam.nih.gov/health/hypnosis/
Acupuncture  Acupuncture is among the oldest healing practices in the world. As part of traditional Chinese medicine (TCM), acupuncture aims to restore and maintain health through the stimulation of specific points on the body. In the United States, where practitioners incorporate healing traditions from China, Japan, Korea, and other countries, acupuncture is considered part of complementary and alternative medicine (CAM) http://nccam.nih.gov/research/results/spotlight/121208.htm
Massage Therapy Massage therapy encompasses many different techniques. In general, therapists press, rub, and otherwise manipulate the muscles and other soft tissues of the body. They most often use their hands and fingers, but may use their forearms, elbows, or feet
References: Hypnotherapy for the management of chronic pain. International Journal of Clinical and Experimental Hypnosis. 2007;55(3):275– 287 Mind-body interventions for chronic pain in older adults: a structured review. Pain Medicine. 2007;8(4):359–375 Massage for low-back pain. Cochrane Database of Systematic Reviews. 2008;(4):CD001929 Acupuncture and dry-needling for low back pain Cochrane Database of Systematic Reviews. 2005;(1):CD001351
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Daniel F. Cleary and
Michael B. Ellner are available world-wide to train your staff and assist clients
www.danclearyhypnosis.com www.quantumfocusing.com
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