Presentation on theme: "Complementary and Alternative Medicine – an overview"— Presentation transcript:
1 Complementary and Alternative Medicine – an overview Dr Kevin HickeyShipley Health Centre
2 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”!!
3 Complementary and Alternative Medicine Perceptions: PositiveTreat anythingMore time given to patientsGrowing body of evidenceMore holistic approachCan succeed where conventional methods failHope for the hopeless
4 Complementary and Alternative Medicine Perceptions: NegativeStrange smelling herbs and needlesStrange words: chakras / meridians/ energies/ chiUnnecessary painLimited evidenceUnknown mechanisms of actionPlacebo effectUnregulatedPrivate sector
5 Complementary and Alternative Medicine Evidence improvingMechanisms more understoodMore regulationFull explanations before treatmentSignificant numbers of therapists working within the NHSPrimary and secondary carePrivate, voluntary and NHS funding
6 House of Lords Report November 2000 CAM therapies grouped by organisational characteristics, diagnostic capabilities, apparent effectiveness and training
7 Group 1 Acupuncture Chiropractic Herbal medicine Homeopathy Osteopathy Professionally organised disciplines, with their own diagnostic approach. They have some scientific evidence of effectiveness and recognised systems of training for practitioners
8 Group 2 Aromatherapy Bach flower remedies Bodywork therapies including massageCounselling stress therapyHealingHypnotherapyMaharishi ayurvedic medicineMeditationNutritional medicinesReflexologyShiatsuYogaComplementary therapies which lack a firm scientific basis and are not regulated to protect the public, but which give help and comfort to many people
9 Group 3a Anthroposophical medicine Ayurvedic medicine Chinese herbal medicineEastern medicine (tibb)NaturopathyTraditional chinese medicineAlternative disciplines which offer diagnostic information as well as treatment but for which the Committee did not find convincing evidence of efficacy. 3a are long established and traditional disciplines with very specific philosophies
10 Group 3b Crystal therapy Dowsing Iridology Kinesiology Radionics As 3a but classed as “Other alternative disciplines”.
11 CAM As Last Resort?Mainly provided in the private sector for people with poorly met needs:Chronic painful and stress related conditions, frequent consultersSpecific conditions e.g. Irritable bowel syndrome, migraine, back and neck pain, eczema, rhinitis, hay fever, insomniaSide effects from conventional therapies
12 CAM As First Resort? Improve patient choice Improve practitioner choiceImprovement of public well beingImprovement of public healthFreely available on NHS?
13 What about the Placebo Effect? 20-40% improvement accounted for by placebo effectPeople feel betterSymptoms resolveLong tradition of using placebos in primary careLess use of resources(Mostly) harmlessBetter than doing nothing?