Alternative medicine

Alternative medicine broadly describes methods and practices used in place of, or in addition to, conventional medical treatments. The precise scope of alternative medicine is a matter of some debate and depends to a great extent on the definition of "conventional medicine." Positions on the distinction between the two include those who reject the safety and efficacy of the other, and a number of positions in between.

Support for alternative medicine

Advocates of alternative medicine hold that alternative therapies often provide the public with services not available from conventional medicine. This argument covers a range of areas, such as patient empowerment, alternative methods of pain management, treatment methods that support the biopsychosocial model of health, cures for specific health concerns, stress reduction services, other preventive health services that are not typically a part of conventional medicine, and of course complementary medicine's palliative care which is practiced by such world renowned cancer centers such as Memorial Sloan-Kettering (see Vickers 2004).

Related Topics:
Patient empowerment - Pain management - Biopsychosocial model - Palliative care - Memorial Sloan-Kettering

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Efficacy

Advocates of alternative medicine hold that the various alternative treatment methods are effective in treating a wide range of major and minor medical conditions, and contend that recently published research (such as Michalsen 2003, Gonsalkorale 2003, and Berga 2003) proves the effectiveness of specific alternative treatments. They assert that a PubMed search revealed over 370,000 research papers classified as alternative medicine published in Medline-recognized journals since 1966 in the National Library of Medicine database (such as Kleijnen 1991, Linde 1997, Michalsen 2003, Gonsalkorale 2003, and Berga 2003).

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Advocates of alternative medicine hold that alternative medicine may provide health benefits through patient empowerment, by offering more choices to the public, including treatments that are simply not available in conventional medicine.

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"Most Americans who consult alternative providers would probably jump at the chance to consult a physician who is well trained in scientifically based medicine and who is also open-minded and knowledgeable about the body's innate mechanisms of healing, the role of lifestyle factors in influencing health, and the appropriate uses of dietary supplements, herbs, and other forms of treatment, from osteopathic manipulation to Chinese and Ayurvedic medicine. In other words, they want competent help in navigating the confusing maze of therapeutic options that are available today, especially in those cases in which conventional approaches are relatively ineffective or harmful." (Snyderman, Weil 2002)

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Some physicians are willing to embrace some aspects of alternative medicine. Dr. Russell Greenfield states: "I tell them 'I'm one of you' and that we have the data - we have the studies, we're not making this up," when talking to other physicians. Greenfield was referring to published studies on the beneficial effect of saw palmetto on enlarged prostates, and how body work, or massage therapy, is effective for treating lower back pain.

Related Topics:
Saw palmetto - Prostate - Massage therapy - Lower back pain

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Dr. Karen Koffler states: "I've learned how to balance the intellectual processes of medicine with an intuitive understanding of what this person, this patient really needs to gain strength for healing. That is never taught in medical school and is lost entirely from medicine now." (McClain 2004).

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Although advocates of alternative medicine acknowledge that the placebo effect may play a role in the benefits that some receive from alternative therapies, they point out that this does not diminish their validity. Skeptics are confounded by this view and claim that it is acknowledgement of the inefficacy of alternative treatments.

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Danger reduced when used as a complement to conventional medicine

A major objection to alternative medicine is that it is done in place of conventional medical treatments. As long as alternative treatments are used alongside standard conventional medical treatments, most medical doctors find most forms of complementary medicine acceptable (Vickers 2004). Consistent with previous studies, the CDC recently reported that the majority of individuals in the United States (i.e., 54.9%) used CAM in conjunction with conventional medicine. (CDC Advance Data Report #343, 2002)

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Patients should however always inform their medical doctor they are using alternative medicine. Some patients do not tell their medical doctors since they fear it will hurt their patient-doctor relationship. Some alternative treatments however can interfere with regular treatments. An example is the combination of chemotherapy and large doses of vitamin C, which can severely damage the kidneys.

Related Topics:
Chemotherapy - Kidney

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The boundary lines between alternative and mainstream medicine have changed over time. Some methods once considered alternative have later been adopted by conventional medicine, when confirmed by controlled studies. Many very old conventional medical practices are now seen as alternative medicine, as modern controlled studies have shown that certain treatments were not actually effective. Supporters of alternative methods suggest that much of what is currently called alternative medicine will be similarly assimilated by the mainstream in the future.

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The issue of alternative medicine interfering with conventional medical practices is minimized when it is only turned to after the conventional medicine path has been exhausted. Many patients believe alternative medicine can help in coping with chronic illnesses for which conventional medicine offers no cure and only management. It is becoming more common for a patient's own MD to suggest alternatives when they cannot offer a treatment.

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