Pain reduced and quality of life improved by integrative medicine interventions

An integrative approach to treating chronic pain significantly reduces pain severity while improving mood and quality of life, according to a new study. Researchers found a reduction in pain severity of more than 20% and a drop in pain interference of nearly 30% in patients after 24 weeks of integrative care. The patients showed significant improvements in mood, stress, quality of life, fatigue, sleep, and well-being.

"Chronic pain is very difficult to treat," said lead researcher Donald Abrams, MD, a cancer and integrative medicine specialist at the University of California San Francisco Osher Center for Integrative Medicine. "While there have been some therapeutic advances, many patients with chronic pain become resistant to conventional medical treatments or suffer adverse effects from widely used prescription medications with high addictive potential. The results from this study are particularly encouraging as chronic pain is the number one condition for which patients seek care at integrative health care clinics."

Nearly 116 million adults in the United States are affected by chronic pain, which has estimated costs of up to $635 billion annually. This prospective, observational study, which was published in BioMed Central Complementary and Alternative Medicine (2013; doi:10.1186/1472-6882-13-146), tracked patients' measures of pain, quality of life, mood, stress, sleep, fatigue, sense of control, overall well-being, and work productivity in 252 patients at nine different clinical sites in the Bravewell Practice-Based Research Network (BraveNet).

In keeping with the integrative medicine philosophy of individualized, patient-centered care, no standardized prespecified clinical intervention for chronic pain was prescribed for all study participants. Instead, practitioners at each of the network sites devised integrative treatment plans for participating chronic pain patients.

All BraveNet sites include integrative physicians, acupuncturists, mindfulness instructors, and yoga instructors; some also incorporate massage therapists, manual medicine therapists, fitness/movement specialists, dietician/nutritionists, psychologists, healing/touch therapists, and other energy practitioners. The results of the study were consistent over the 24-week duration of the trial, suggesting the possibility of sustainable effects of the integrative interventions.
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