Presentation on theme: "Complementary and Alternative Medicine – an overview Dr Kevin Hickey Shipley Health Centre."— Presentation transcript:
Complementary and Alternative Medicine – an overview Dr Kevin Hickey Shipley Health Centre
Complementary and Alternative Medicine A broad domain of healing resources that encompasses all health systems, modalities and practices and their accompanying theories and beliefs, other than those intrinsic to the politically dominant health systems of a particular society or culture in a given historical period!!
Complementary and Alternative Medicine Perceptions: Positive Treat anything More time given to patients Growing body of evidence More holistic approach Can succeed where conventional methods fail Hope for the hopeless
Complementary and Alternative Medicine Perceptions: Negative Strange smelling herbs and needles Strange words: chakras / meridians/ energies/ chi Unnecessary pain Limited evidence Unknown mechanisms of action Placebo effect Unregulated Private sector
Complementary and Alternative Medicine Evidence improving Mechanisms more understood More regulation Full explanations before treatment Significant numbers of therapists working within the NHS Primary and secondary care Private, voluntary and NHS funding
House of Lords Report November 2000 CAM therapies grouped by organisational characteristics, diagnostic capabilities, apparent effectiveness and training
Group 1 Acupuncture Chiropractic Herbal medicine Homeopathy Osteopathy
Group 2 Aromatherapy Bach flower remedies Bodywork therapies including massage Counselling stress therapy Healing Hypnotherapy Maharishi ayurvedic medicine Meditation Nutritional medicines Reflexology Shiatsu Yoga
Group 3a Anthroposophical medicine Ayurvedic medicine Chinese herbal medicine Eastern medicine (tibb) Naturopathy Traditional chinese medicine
Group 3b Crystal therapy Dowsing Iridology Kinesiology Radionics
CAM As Last Resort? Mainly provided in the private sector for people with poorly met needs: Chronic painful and stress related conditions, frequent consulters Specific conditions e.g. Irritable bowel syndrome, migraine, back and neck pain, eczema, rhinitis, hay fever, insomnia Side effects from conventional therapies
CAM As First Resort? Improve patient choice Improve practitioner choice Improvement of public well being Improvement of public health Freely available on NHS?
What about the Placebo Effect? 20-40% improvement accounted for by placebo effect People feel better Symptoms resolve Long tradition of using placebos in primary care Less use of resources (Mostly) harmless Better than doing nothing?