Diabetes and Herbal Remedies : Fight the Sugar Battle

Complementary Medicine

Diabetes and Herbal Remedies : Fight the Sugar Battle

Diabetes is a global health concern that impacts millions of lives. As the need for effective treatments grows, interest in complementary options like herbal medicine is on the rise. This article focuses on four promising herbs: Bitter Melon (Momordica charantia), Gymnema Sylvestre (Gurmar), Cinnamon (Cinnamomum verum), and Fenugreek (Trigonella foenum-graecum). We'll explore their potential benefits for diabetes management and the mechanism by which they help to regulate blood glucose. These herbs should not be used by those who require insulin. You should discuss with your health care provide how to best incorporate these herbs into your regiment if you are interested in exploring their benefit for blood sugar management to avoid hypoglycemia.

Blood Glucose Control: Gymnema Sylvestre's Impact

 

Gymnema Sylvestre's role in blood glucose control is a significant aspect of its potential benefits for individuals with diabetes. The herb's active component, gymnemic acid, plays a crucial role in regulating blood sugar levels by targeting the absorption of sugar in the intestines.

 

Gymnemic Acid: The Key Component

 

Gymnemic acid, a group of triterpenoid saponins found in Gymnema Sylvestre, is responsible for the herb's blood glucose-lowering effects. This potent compound has a molecular structure similar to glucose, allowing it to bind to glucose receptors in the intestines.

 

Inhibition of Sugar Absorption

 

When gymnemic acid binds to glucose receptors in the intestines, it effectively blocks the absorption of sugar molecules. This inhibition prevents sugar from entering the bloodstream, reducing the amount of glucose that needs to be processed by the body.

.

As a result, individuals who consume Gymnema Sylvestre may experience lower blood sugar levels, especially after eating carbohydrate-rich meals. This can be particularly beneficial for individuals with diabetes, as it helps prevent sudden spikes in blood glucose levels that can be harmful to their health.

 

Impact on Postprandial Blood Glucose

 

The ability of Gymnema Sylvestre to lower postprandial blood glucose levels (blood sugar levels after a meal) is an essential factor in its potential effectiveness for diabetes management. Elevated postprandial blood glucose levels are a common issue for individuals with diabetes and can contribute to long-term complications, such as nerve damage, kidney problems, and cardiovascular disease.

 

By inhibiting sugar absorption in the intestines, Gymnema Sylvestre can help reduce postprandial blood glucose levels and minimize the risk of these complications. This effect can be especially beneficial when combined with other diabetes management strategies, such as maintaining a balanced diet and engaging in regular physical activity.

 

Synergistic Effects with Other Treatments

 

Gymnema Sylvestre's blood glucose-lowering effects may be enhanced when combined with other diabetes treatments, such as oral hypoglycemic agents or insulin therapy. By working together, these treatments can provide a more comprehensive approach to blood glucose control, leading to improved overall diabetes management. This should be done ,however, only under supervision of a qualified health care provider.

 

In conclusion, Gymnema Sylvestre's ability to regulate blood glucose levels through the inhibition of sugar absorption in the intestines makes it a valuable addition to a diabetes management plan. By understanding its mechanisms of action and how it can impact postprandial blood glucose levels, individuals with diabetes can leverage this powerful herb to improve their health and well-being.

Bitter Melon (Momordica charantia) and Diabetes Management

 

Bitter melon, also known as Momordica charantia, is a tropical fruit that has been used in traditional medicine systems across Asia, Africa, and South America for its potential health benefits. Recent research has shed light on its potential role in diabetes management, thanks to its active compounds and their impact on blood sugar regulation and insulin sensitivity. Moreover, its anti-inflammatory and antioxidant properties may provide additional benefits for individuals with diabetes.

 

Active Compounds in Bitter Melon

 

Bitter melon contains several active compounds that contribute to its blood sugar-lowering effects. These compounds include charantin, a hypoglycemic agent; polypeptide-p, an insulin-like protein; and vicine, an alkaloid. Each of these compounds plays a unique role in promoting blood sugar regulation and improving insulin sensitivity.

 

Blood Sugar Regulation

 

Bitter melon's active compounds have been shown to lower blood sugar levels by promoting glucose uptake in cells, increasing insulin secretion, and inhibiting glucose production in the liver. These actions work together to help regulate blood sugar levels and prevent harmful spikes and drops that can be detrimental to individuals with diabetes.

Improved Insulin Sensitivity

In addition to regulating blood sugar levels, bitter melon has also been shown to improve insulin sensitivity. This improvement allows cells to better utilize insulin, which is essential for maintaining healthy blood sugar levels. Improved insulin sensitivity can lead to better overall diabetes management and may help reduce the risk of complications associated with the condition.

 

Anti-Inflammatory and Antioxidant Properties

 

Bitter melon also possesses anti-inflammatory and antioxidant properties, which can be particularly beneficial for individuals with diabetes. Chronic inflammation and oxidative stress are common issues for those with diabetes and can contribute to the development of complications, such as kidney disease, nerve damage, and cardiovascular problems.

 

By reducing inflammation and neutralizing harmful free radicals, bitter melon may help protect against these diabetes-related complications, supporting overall health and well-being.

 

Cinnamon (Cinnamomum verum) and Diabetes Management

 

Cinnamon, a widely-used spice derived from the bark of the Cinnamomum verum tree, has garnered attention for its potential benefits in managing diabetes. Recent research indicates that cinnamon can lower blood sugar levels, enhance insulin sensitivity, and reduce the risk of diabetes-related complications. The active compound, cinnamaldehyde, appears to be responsible for these effects.

 

Cinnamaldehyde: The Active Compound in Cinnamon

 

Cinnamaldehyde is the primary active compound found in cinnamon, responsible for its characteristic aroma and potential health benefits. This naturally occurring compound has been shown to have a direct impact on blood sugar regulation and insulin sensitivity, making it an exciting area of research for diabetes management.

 

Blood Sugar Regulation

 

Cinnamon has been found to help regulate blood sugar levels through several mechanisms, including enhancing the activity of insulin, slowing the absorption of carbohydrates in the digestive tract, and promoting the conversion of glucose to energy. These combined effects can lead to more stable blood sugar levels, which is crucial for individuals with diabetes.

 

Improved Insulin Sensitivity

 

In addition to its effects on blood sugar regulation, cinnamon has also been shown to improve insulin sensitivity. This improvement allows cells to use insulin more efficiently, which is essential for maintaining healthy blood sugar levels. Enhanced insulin sensitivity can lead to better overall diabetes management and may help reduce the risk of complications associated with the condition.

 

Reduced Risk of Diabetes-Related Complications

 

Cinnamon's potential benefits extend beyond blood sugar regulation and insulin sensitivity. The spice has also been found to possess antioxidant and anti-inflammatory properties, which can help protect against diabetes-related complications such as cardiovascular disease, kidney damage, and nerve problems. By reducing inflammation and neutralizing harmful free radicals, cinnamon may support overall health and well-being for individuals with diabetes.

 

Fenugreek (Trigonella foenum-graecum) and Diabetes Management

 

Fenugreek, an aromatic herb native to the Mediterranean region, has a long history of use in traditional medicine for treating various ailments, including diabetes. Recent research supports its potential role in managing diabetes due to its high fiber content, unique amino acid 4-hydroxyisoleucine, and antioxidant properties.

 

4-Hydroxyisoleucine: Fenugreek's Unique Amino Acid

4-hydroxyisoleucine is a unique amino acid found in fenugreek seeds, which has been identified as one of the key components responsible for its blood sugar-lowering effects. This amino acid plays a crucial role in regulating glucose metabolism by enhancing insulin secretion and improving insulin sensitivity.

 

High Fiber Content for Blood Sugar Control

Fenugreek seeds are rich in soluble fiber, which can help slow down the absorption of carbohydrates in the digestive tract. This delayed absorption leads to a more gradual rise in blood sugar levels, making it easier for individuals with diabetes to maintain stable blood glucose levels.

 

Improved Insulin Resistance

Research has demonstrated that fenugreek can help improve insulin resistance, a significant factor in the development of type 2 diabetes. By enhancing insulin sensitivity, fenugreek allows cells to better utilize insulin, promoting more efficient glucose uptake and, consequently, better blood sugar control.

 

Antioxidant Properties

 

Fenugreek also possesses antioxidant properties, which can be beneficial in protecting against diabetes-related complications. Oxidative stress is a common issue among individuals with diabetes and can contribute to the development of complications such as kidney damage, cardiovascular disease, and nerve problems. By neutralizing harmful free radicals and reducing inflammation, fenugreek can support overall health and well-being in people with diabetes.

 

Practical Uses of Fenugreek for Diabetes Management

 

Fenugreek can be consumed in various forms, including whole seeds, ground powder, and supplements. Some practical ways to incorporate fenugreek into your diabetes management plan include:

 

Adding fenugreek powder to smoothies or yogurt

Mixing fenugreek seeds into soups, stews, or rice dishes

Taking fenugreek supplements as recommended by a healthcare provider

 

In conclusion, fenugreek is a promising natural remedy for individuals with diabetes seeking alternative or complementary treatments to help manage their blood sugar levels and insulin resistance. By understanding its active compounds, potential benefits, and practical uses, fenugreek can offer significant improvements in overall health and well-being for people living with diabetes.

Conclusion

 

In conclusion, incorporating powerful herbs like Echinacea, Ashwagandha and astragalus into your daily diet or routine can help boost your immune system and improve your overall health. However, it's crucial to remember that a healthy lifestyle, including regular exercise, adequate sleep, and a balanced diet rich in whole foods, is essential for optimal immune system function. So start by adding these herbs to your daily routine and enjoy their immune-boosting benefits. It is also important to note that these herbs can interact with certain medications and may not be safe for individuals with certain health conditions. Always consult with a healthcare professional before using these herbs as a supplement. By taking these precautions, you can reap the immune-boosting benefits of these powerful herbs and improve your overall health and well-being.


Herbal Remedies for Stress and Anxiety: Effective Herbal Treatments

Complementary Medicine

Herbal Remedies for Stress and Anxiety: Effective Herbal Treatments

Herbal remedies for stress and anxiety have been used around the world for centuries.  Today, many people are turning to natural remedies to help manage their mental health. Here are five common herbal remedies that have been shown to be effective in reducing anxiety and stress levels:

Kava

 

Kava is a plant native to the South Pacific. Its roots are used to make a drink that has been used for centuries for its calming and relaxing effects. Kava has been found to be effective in reducing anxiety symptoms in several clinical trials. A study published in the Journal of Clinical Psychopharmacology found that kava was significantly more effective than a placebo in reducing anxiety symptoms in people with generalized anxiety disorder.

 

However, it is important to note that there are some concerns about the safety of kava. The U.S. Food and Drug Administration (FDA) has issued warnings about the potential for kava to cause liver damage. As such, it is important to consult with a healthcare professional before taking kava, particularly if you have a history of liver problems.

Passionflower

 

Passionflower is a plant that is native to North and South America. Its leaves and flowers are used to make a tea that has been used for centuries to promote relaxation and reduce anxiety. Several studies have found passionflower to be effective in reducing anxiety symptoms. For example, a study published in the Journal of Clinical Pharmacy and Therapeutics found that passionflower was effective in reducing anxiety symptoms in people undergoing dental surgery.

 

Passionflower is generally considered safe when taken in appropriate doses. However, it can interact with certain medications, so it is important to talk to your healthcare provider before taking passionflower."

 

Lavender

Lavender is a plant native to the Mediterranean. Its flowers are used to make essential oil, which has a soothing and calming effect on the body and mind. Lavender has been found to be effective in reducing anxiety symptoms in several clinical trials.

 

For example, a study published in the Journal of Medical Microbiology found that inhaling lavender essential oil reduced anxiety levels in dental patients. Another study published in the International Journal of Psychiatry in Clinical Practice found that lavender essential oil was effective in reducing anxiety symptoms in patients with generalized anxiety disorder.

Valerian Root

 

Valerian root is a plant native to Europe and Asia. Its roots have been used for centuries to treat insomnia and anxiety. Valerian root is believed to work by increasing the levels of gamma-aminobutyric acid (GABA) in the brain, a neurotransmitter that helps to calm the nervous system. Several studies have found valerian root to be effective in reducing anxiety symptoms.

 

One study published in the Journal of Psychopharmacology found that valerian root was effective in reducing symptoms of anxiety in people with generalized anxiety disorder. Another study published in the International Journal of Neuroscience found that valerian root was effective in reducing anxiety symptoms in postmenopausal women.

Chamomile

 

Chamomile is a plant native to Europe and Asia. Its flowers are used to make a tea that has been used for centuries to promote relaxation and reduce anxiety. Chamomile is believed to work by increasing the levels of serotonin and melatonin in the brain, two neurotransmitters that help to regulate mood and promote sleep. Several studies have found chamomile to be effective in reducing anxiety symptoms.

 

For example, a study published in the Journal of Clinical Psychopharmacology found that chamomile was effective in reducing symptoms of anxiety in people with generalized anxiety disorder. Another study published in the Journal of Affective Disorders found that chamomile was effective in reducing anxiety symptoms in people with mild to moderate generalized anxiety disorder.

 

III. Scientific Evidence and Studies

Scientific evidence has suggested that herbal remedies can be effective in treating stress and anxiety. Researchers have conducted numerous studies to determine the effectiveness of various herbs in treating these conditions.

 

One study found that passionflower, an herb commonly used for anxiety, was just as effective as benzodiazepines in treating generalized anxiety disorder. Another study found that a combination of valerian root and lemon balm reduced anxiety symptoms in people with mild to moderate anxiety.

IV. Safe Use and Dosage

 

Herbal remedies have been used for centuries to treat various ailments, but it's important to remember that they can also have side effects and interactions with other medications. Therefore, it is crucial to follow guidelines for safe use and dosage to avoid any harm or negative consequences.

 

When it comes to recommended dosage and frequency, it's important to follow the instructions on the product label or those given by a healthcare professional. In general, the dosage and frequency of herbal remedies can vary depending on the condition being treated and the individual's age, weight, and overall health.

 

It's important to start with the lowest effective dose and gradually increase if necessary. Taking too much of an herbal remedy can lead to side effects and even toxicity.

 

Precautions and contraindications are also important to consider when using herbal remedies. Some herbs can interact with medications, causing negative side effects or reducing the effectiveness of the medication.

 

It's important to talk to a healthcare professional before taking any herbal remedies, especially if you are taking medications or have underlying medical conditions. Additionally, some herbs may not be safe for pregnant or breastfeeding women, children, or individuals with certain medical conditions.

 

Recent research has shed light on the potential risks and benefits of various herbal remedies. For example, a 2020 study found that St. John's wort can interact with numerous medications, including antidepressants and birth control pills.

 

Another study found that ginkgo biloba may increase the risk of bleeding, particularly when taken with blood-thinning medications. On the other hand, a 2019 study found that ginger may be effective in reducing menstrual pain, while a 2021 study found that chamomile may improve sleep quality.

 

V. Conclusion

In conclusion, herbal remedies can be a valuable tool in managing anxiety and stress, but it's important to understand their limitations and potential risks. While there is some evidence to suggest that certain herbs, such as passionflower and valerian root, may be effective in reducing anxiety and promoting relaxation, more research is needed to fully understand their benefits and potential side effects.

 

One of the main benefits of using herbal remedies for anxiety and stress is that they are generally considered safe and have fewer side effects than prescription medications. Additionally, many people prefer using natural remedies over pharmaceuticals and appreciate the holistic approach to healing that herbs provide.

 

However, it's important to remember that not all herbal remedies are created equal, and some may interact with medications or have contraindications for certain populations.

 

Another limitation of herbal remedies is that they may not be effective for everyone. Just like prescription medications, the effectiveness of herbal remedies can vary depending on the individual and the severity of their condition. Some people may find that they need to use a combination of herbal remedies and other techniques, such as therapy or exercise, to manage their anxiety and stress.

 

Overall, incorporating herbal remedies into a holistic approach to managing anxiety and stress can be a useful tool for promoting overall wellness. However, it's important to talk to a healthcare professional before using any herbal remedies, especially if you are taking medications or have underlying medical conditions.

 

By working with a healthcare professional and using herbal remedies safely and responsibly, you can enjoy the potential benefits of these natural remedies while minimizing the risk of negative consequences.

 

In conclusion, if you are looking to manage anxiety and stress with herbal remedies, it's important to approach them with caution and an open mind. While herbal remedies can be effective, they are not a substitute for professional medical advice and should be used as part of a comprehensive approach to wellness.

 

With the right information and guidance, herbal remedies can be a valuable tool in promoting relaxation, reducing anxiety, and supporting overall health and wellbeing.


Acupuncture Benefits : How it can Improve Your Health

Complementary Medicine

Acupuncture Benefits : How it can Improve Your Health

Acupuncture is a treatment modality in which thin needles are inserted into the various parts of the body. Acupuncture is a key component of Traditional Chinese Medicine. The roots of acupuncture reach deep into ancient China as far back as 2,500 years ago.  There are many styles of acupuncture, each one of them based on slightly different philosophies and techniques, depending on the country's origin. In the United States, Traditional Chinese Acupuncture is probably the most widely practiced system. Although Acupuncture is most often used for pain relief, it is also used for a wide range of other conditions since it is a complete medical system focused on correcting imbalances of energy flow in the body.

What is Acupuncture used for?

 

Acupuncture has been used traditionally to prevent, diagnose and treat disease, as well as to improve overall health. The benefits of acupuncture can extend to a wide variety of conditions.

 

It has been used for the treatment of emotional disorders such as anxiety and depression, as well as digestive complaints including nausea, vomiting, and irritable bowel syndrome. Acupuncture has been used effectively for pain syndromes due to an injury or associated with chronic degenerative diseases such as rheumatoid arthritis.

 

Research has supported the use of acupuncture in the treatment of neurological problems like migraines or Parkinson’s disease, but also as a rehabilitation strategy for individuals who suffered a stroke. Many patients also find relief from conditions such as sinusitis, seasonal allergies or a variety of gynecologic disorders.

 

Acupuncture as part of an overall treatment protocol, has also proved beneficial for reducing fatigue and for promoting overall well-being. Despite all of these potential benefits of acupuncture, in US acupuncture has been used most extensively for the treatment of skeletomuscular disorders and pain management.

How does acupuncture work?

 

The traditional explanation for acupuncture’s effectiveness lies in harmonizing the flow of energy throughout the body. This energy is also known as Qi.

 

According to the ancient Chinese philosophy, for the body to be healthy and to function at its full potential, the Qi has to flow unobstructed. When obstructions in the body form as a result of poor lifestyle choices, improper diet or myriad of other conditions, the flow of Qi becomes obstructed.

 

One can imagine a mountain stream being obstructed by debris. New paths to the flow of the stream have to be created. This leaves, however, everything in the immediate vicinity behind the blockage deprived of the water.

Removing the debris restores the flow and supply of the water. Likewise, inserting needles into specific predetermined acupuncture points around the body is said to restore the natural flow of Qi and health in the affected parts of the body.

 

To this day, however, there is no scientific consensus that this is actually how acupuncture works.  In the United States and many other western countries, acupuncture has been used primarily for pain relief, rather than its traditional role of balancing energy flow to address a wide range of disorders. Much of the research has been therefore focused on explaining the analgesic effect of acupuncture.

 

The rise of acupuncture popularity in the US

 

The first time that Acupuncture gained the attention of the mainstream media was when a senior reporter for The New York Times James Reston reported on his experience with acupuncture while visiting China in preparation for President Nixon’s visit.

 

He experienced the benefit of acupuncture at first hand as part of the recovery process from developing paralytic ileus post appendectomy. Teams of US physicians set for China in hopes of exploring its potential for surgical analgesia.

 

While they eventually concluded that acupuncture was not reliable as a sole analgesic, their reports stimulated a number of research studies, particularly in treating pain. Acupuncture finally gained a certain amount of respectability in the USA after the positive conclusions of an NIH consensus conference (NIH Consensus Development Panel 1998).

 

Dry needling or acupuncture ? 

 

Many patients undergoing physical therapy may be familiar with Dry needling which is also known as "trigger point dry needling". Dry needling uses the same needles that are used for acupuncture, however dry needling is used mainly to treat myofascial trigger points.

 

There is ongoing argument among Acupuncturists and other medical professionals using dry needling whether dry needling is adapted from acupuncture or if dry needling is a variation of trigger point injections. While both therapies can be very beneficial for the right patient, it is important to understand that Dry needling is not the same as Acupuncture.   For more information on dry needling please click the tab “dry Needling".


Acute Pain Management: A Guide to Complementary Therapies

Complementary Medicine

Acute Pain Management: A Guide to Complementary Therapies

Increasing number of patients do not wish to take any pain medication when they develop acute pain from fear of side effect.  There is an ongoing battle and numerous initiatives to fight the opioid crisis around the world. It is also true that every medication carries a risk of side effects.

 

Complementary medicine such as acupuncture, massage, yoga and meditation has been used to ease the pain and treat acute and chronic injuries long before contemporary medicine became the standard of care. The question arises, should we shy away from conventional pain medication for controlling acute pain and focus primarily on complementary modalities, because they are generally safer and mostly free of side effects?

 

In this post I will try to present unbiased view of  both sides and attempt to come up with the answer that I have found in my practice most successful.

Conventional medicine and acute pain

Conventional pain medication maintains a bad rap in minds of many people. This is especially true for those who are more in tuned with their body and look for complementary medicine as the primary treatment option for their daily maladies.

 

While managing daily aches and pains with stretching, massage, yoga or acupuncture is definitely very reasonable and preferred option, situation slightly changes in case of intense acute pain.

 

It is important to understand that there is a role for pain medication when it comes to severe pain. Getting your pain under control as soon as possible will prevent altering the way your brain deals with pain.

 

Any uncontrolled pain lasting longer than several days can sensitize your brain to pain and lower your pain threshold. This ultimately translates to experiencing pain from similar injury in the future at much lower level than before.

Complementary medicine and acute pain

Complementary medical modalities have been used successfully for management of pain and injuries for hundreds of years. Many of them have been extensively studied and their effectiveness proven in rigorous trials.

 

Despite their popularity, however, their primary role is generally seen in management of chronic conditions. This is largely because their main mechanism of action, by which they help to promote recovery, is through stimulating body’s own healing processes and pain control.

 

In other words, their primary role is to restore the body homeostasis. The subtle changes they produce over time are sufficient to create a noticeable difference when treating chronic pain or injuries.

 

It is, however, usually not enough to promote lasting pain relief in severe acute pain. But that doesn’t mean these modalities cannot be used successfully even in cases of significantly severe pain.

 

There are many practitioners who are quite skillful and capable to accomplish “miraculous” results. This author has treated successfully many patients with significant amount of acute pain in his own private practice with acupuncture and herbal medicine.

 

The problem with using modalities such as acupuncture for treatment of severe acute pain, becomes with the access to these skillful practitioners and the associated cost. In case of acupuncture, it takes years of experience, and additional training in treatment of musculoskeletal injuries to treat patients with severe acute pain, to achieve reliable results.

 

When seeing an acupuncturist for treatment of chronic conditions, weekly sessions are generally sufficient to achieve great results. This is, however, not true in case of significant acute pain.

 

To successfully treat an acute pain, the practitioner will need to see the patient generally up to three times a week for the first two weeks and usually will also prescribe an herbal formula. At the average cost of $70 -$100 per office visit, this can easily add up to $300 - $400 a week x 2.

 

This also does not account for the travel time to and from the office and lost work. Compared to a small co-pay for an office visit with a primary care provider and pain medication if the patient has a medical insurance, this becomes a significant financial burden that majority of patients cannot afford. Just because it is possible, doesn’t therefore mean that it is always feasible and the right thing to do.

Conventional medicine and acute pain

Conventional pain medication works in completely different way. When taking pain medication, the goal is not to restore the body’s homeostasis, or to support the body in its own ability to take care of the pain. The pain medications are designed for one and only purpose. To suppress the pain as fast as possible and as much as possible.

 

There are many different classes of pain medication and they all work in slightly different way. Some of them can be purchased over the counter to suppress mild to moderate pain, but for the severe pain, it is usually necessary to see a medical provider who can write a prescription.

 

While opioid medications are the most powerful tools that we have in our pain arsenal, there are other options which are not classified as opioids, and which your provider can prescribe to control your acute pain.

 

It should be therefore clear, that prescribing pain medication for severe pain, does not necessarily equal prescription for opioids, if that is something that the patient does not feel comfortable with. It is however noteworthy, that taking seven to ten day course of opioid medication is usually sufficient to get even the most severe pain under better control. Different class of pain medication can be prescribed after the initial seven to ten day course of opioid medication, to provide sufficient pain relief.

 

This short course of opioid pain medication is rarely causing any more side effects then some drowsiness and sleepiness. Most individuals with acute severe pain prefer to take this medication only at night when pain becomes more intense, because all the daily distractions are taken away by the silent night.

 

Opioid pain medication is therefore particularly helpful to take before sleep to ease the severe pain and allow for better sleep. To keep the dose of the strong opioid medication as low as possible, the provider usually prescribes one or two other pain medication that work through different mechanism and add to the total pain relieving effect.

Eclectic Approach

An eclectic approach to pain management is in this author’s opinion the best. In the eclectic approach, the patient uses combination of several modalities which complement each other to achieve the best result.

 

Combining one or several complementary modalities such as acupuncture, acupressure, massage, yoga, breathing exercises and meditation along with pain medication, will have much greater effectiveness than using any of them as a standalone modality.

 

This combined approach takes the best from both worlds so to speak. The complementary medical modalities slowly work on helping the body recover faster, while pain medication helps to control the acute pain and allows the patient to focus on the recovery process.

 

Getting sufficient amount of sleep, staying physically active and following an anti-inflammatory diet will further maximize the healing. For more details on how to optimize your recovery process follow this link.

 

To learn more about complementary therapies, visit National Center for Complementary and Integrative Health


Chronic Back Pain: Treatment Options for Chronic Back Pain

Treatment Options for Chronic Back Pain

Chronic back pain continues to be one of the most common musculoskeletal complains seen in primary care.  It is estimated that the incidents of chronic back pain will continue to rise given our increasingly more sedentary lifestyle. While research in the areas of pain management and safer surgical procedures continues, both should be viewed as the last resort.

Cure or management of chronic back pain?

When discussing the treatment of chronic back pain, it is important to understand, that there is no reliable “cure” for chronic back pain. That is not to say that once an individual develops chronic back pain, they will have to suffer from the pain for the rest of their life. In fact, most chronic back pain can be successfully managed, to allow the individual to live a normal productive life. It should be understood, however, that the nature of chronic back pain is fluctuating periods of no pain or only minimal discomfort with periods of severe worsening of back pain. These fluctuations generally correspond to the demands of daily life.  It is usually not possible to completely avoid the periods of more intense back pain. The frequency and the severity of these episodes can be, however, controlled to a large extent. Conscientious adherence to daily routine which includes specific exercises, stretching and self-acupressure, along with minimizing the exposure to activities that pose undue stress on the back, has been shown to significantly reduce the episodes of worsening back pain.

 

Common treatment modalities

Numerous treatment options have been developed for the treatment of back pain. They range from conservative noninvasive options, which can be applied by an individual at home, to more invasive treatments requiring a visit to a health care provider. In extreme cases, surgical intervention may be necessary.

Self-Acupressure

Self-acupressure can be applied to the specific trigger points in the affected musculature by the patient at home on daily bases. It can be used as a sole treatment for the management of mild to moderate back pain. Self-acupressure can be also used along with any other modality to reinforce the treatment effect and promote faster recovery. More information about acupressure can be found by clicking on the tab on the left-hand side of this page.

 

Physical Therapy

Physical therapy is frequently used as a part of an overall treatment protocol to treat acute or chronic back pain. The goal of physical therapy is to relieve pain, help the body in the healing process, and restore normal functional pain-free movement. A physical therapist can prescribe specific rehabilitation exercises alone or in combination with dry needling, TENS, heat application, soft tissue release or gentle manipulations.  Physical therapy is generally initiated if the injury is not spontaneously recovering with conservative treatments within 2-6 weeks. In case of severe acute back pain, however, a referral to physical therapy can be initiated right away. For more information click on the tab on the left-hand side.

Acupuncture and Dry Needling

Acupuncture and dry needling are both very safe therapeutic modalities. Dry needling is mostly available to the patients through the department of physical therapy. The carefully selected patients which may benefit from dry needling usually receive a series of dry needling sessions as part of their physical therapy treatment plan.  There are some primary care providers who have been trained in dry needling. They may offer this treatment modality to their patients on limited bases given their busy schedule. Acupuncture is available to patients only from licensed acupuncturists or physicians with training in medical acupuncture. For more information about Acupuncture and Dry Needling please click on the tabs on the left-hand side of this page.

 

Pharmacologic management

Pain medications play an important role in the management of chronic back pain for many patients. Some patients rely on a daily dose of pain medication to control their pain and there is a definite role for pain medication in the management of chronic pain. It is important to point out, however, that the medication should not be relied on as the sole long term strategy to keep chronic pain under control. This passive approach generally leads to further deconditioning, the need for increasing the dosages of medication and inherently to more side effects associated with their daily use.  Appropriate use of pain medication can be, however, an integral part of a comprehensive treatment plan when used under the guidance of a qualified health care provider. In general, the pain medication should be used at the minimal effective dose and for the shortest amount of time, unless directed otherwise by the health care provider.

Surgical procedure

No surgical procedure is risks free. Formation of scar tissue and the need for subsequent surgery are known complications. Surgery should be therefore reserved only for rare cases. These generally include instances where all other treatment options have been exhausted. In these cases either the pain cannot be successfully controlled by any other intervention or there is a significant functional deficit that can be improved by the surgical procedure.

The information provided on these pages is not intended to treat or diagnose any condition and should be viewed solely for the purpose of education. By no means is this information replacing evaluation by a qualified health care provider. For detailed Terms and Conditions, as well the use of cookies by this website, please see the sections “Terms and Conditions” and “Privacy.”

 

For more information on Acupuncture and other complementary therapies visit Alternative, Complementary & Integrative Therapies: Acupuncture/Acupressure