1. Cancer Treatment Options: Complementary and Alternative Medicine Where Health Care Professionals Go for Information Review Date 2/12 O-0567 Contributed by Jason Machowsky, MS, RD, CDN, CSCS

2. This presentation provides general information about cancer treatment options. Consult with your health care professional if you have any questions or for additional information because each case is unique. Where Health Care Professionals Go for Information

3. Complementary and Alternative Treatment Acupuncture Chinese herbal medicine Homeopathy Dietary approaches Energy medicine Massage and reflexology Mind-body medicine

4. Acupuncture Generally safe if performed properly May potentially help with: –Symptoms of nausea and vomiting –Pain –Shortness of breath/breathlessness

5. Chinese Herbal Medicine Holistic system of medicinal herbs, acupuncture, food therapy, massage, and therapeutic exercise Studied in reference to advanced pancreatic cancer—efficacy not established in clinical trials Potential liver/kidney damage related to interactions of herbs with other drugs taken

6. Homeopathy Based on the idea of “treating like with like” Involves taking diluted remedies to stimulate the body to heal itself Little evidence showing efficacy of homeopathy in cancer treatment Few risks involved, unless used in place of standard cancer therapy

7. Dietary Approaches Many proposals and studies of dietary approaches to treat cancer or its symptoms exist, but efficacy of most of these is not proven and some even carry safety risks Ornish diet when paired with exercise, stress management, and group support shows the most potential, especially for improvement of quality of life

8. Dietary Approaches (cont’d) The following interventions may have a positive effect in certain cases, but still may have side effects: –Melatonin –Shiitake –Certain vitamin E derivatives

9. Energy Medicine Qigong: –Aims to regulate the flow of vital energy –Shown to have positive results for symptom management, but study quality is considered poor –No serious side effects

10. Energy Medicine Reiki: –Energy healing used as a supportive or palliative treatment –Little evidence showing effectiveness –No serious side effects noted

11. Herbal Products Many proposals and studies of herbal approaches to treat cancer or its symptoms exist, but efficacy of most of these is not proven and some even carry safety risks Interventions may have a positive effect in certain cases, but may still have side effects

12. Herbal Products (cont’d) Side effects may include: –Cannabinoids: Has mild analgesic effect and may help reduce chemotherapy-induced nausea/vomiting –Garlic: May help reduce the risk of certain cancers –Ginseng: May help with cancer-related fatigue –Mistletoe extract: May have anticancer activity

13. Massage Massage may: –Improve quality of life –Decrease pain, nausea, anxiety, stress, fatigue, anger, and depression in those with cancer, though study quality is poor –Generally considered safe

14. Reflexology Reflexology: –Involves manual pressure to certain areas of the body, usually the feet, which may correspond to certain internal organs –Insufficient evidence to determine effectiveness –Generally safe

15. Mind-Body Medicine Hypnotherapy: –May reduce cancer therapy-related pain, nausea, vomiting, and anxiety –Minimal risks –Caution for those with significant mental health issues

16. Mind-Body Medicine (cont’d) Progressive muscle relaxation: –Sequential contraction and relaxation of major muscle groups –Effectiveness inconclusive –Generally safe –Caution for those with psychiatric disorders

17. Mind-Body Medicine (cont’d) Autogenic therapy: –Mental exercises designed to turn off the stress response –Effectiveness inconclusive –Generally safe

18. Mind-Body Medicine (cont’d) Biofeedback: –Learning how to change physiologic activity to improve health –Effectiveness inconclusive –Generally safe

19. References and Resources American Cancer Society ®. Treatment types. Available at: http://www.cancer.org/Treatment/TreatmentsandSideEffects/TreatmentTy pes/indexhttp://www.cancer.org/Treatment/TreatmentsandSideEffects/TreatmentTy pes/index. Accessed February 23, 2012. Complementary and Alternative Medicine for Cancer Consortium (CAM- Cancer),. CAM Summaries. Available at: http://www.cam-cancer.org/CAM- Summaries. Accessed February 23, 2012.http://www.cam-cancer.org/CAM- Summaries For more references and resources on cancer, visit the Onocolgy Center at http://rd411.com/. http://rd411.com/