Complementary and Alternative Medical Therapies for Chronic Low Back Pain: What Treatments are Patients Willing to Try?

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Complementary and Alternative Medical Therapies for Chronic Low Back Pain: What Treatments are Patients Willing to Try?

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dc.contributor.author Sherman, Karen J
dc.contributor.author Cherkin, Daniel C
dc.contributor.author Erro, Janet
dc.contributor.author Savetsky, Jacqueline B
dc.contributor.author Connelly, Maureen Therese
dc.contributor.author Davis, Roger B.
dc.contributor.author Eisenberg, David Miles
dc.date.accessioned 2011-03-23T16:56:33Z
dc.date.issued 2004
dc.identifier.citation Sherman, Karen J., Daniel C. Cherkin, Maureen T. Connelly, Janet Erro, Jacqueline B. Savetsky, Roger B. Davis, and David M. Eisenberg. 2004. Complementary and alternative medical therapies for chronic low back pain: What treatments are patients willing to try? BMC Complementary and Alternative Medicine 4: 9. en_US
dc.identifier.issn 1472-6882 en_US
dc.identifier.uri http://nrs.harvard.edu/urn-3:HUL.InstRepos:4768916
dc.description.abstract Background: Although back pain is the most common reason patients use complementary and alternative medical (CAM) therapies, little is known about the willingness of primary care back pain patients to try these therapies. As part of an effort to refine recruitment strategies for clinical trials, we sought to determine if back pain patients are willing to try acupuncture, chiropractic, massage, meditation, and t'ai chi and to learn about their knowledge of, experience with, and perceptions about each of these therapies. Methods: We identified English-speaking patients with diagnoses consistent with chronic low back pain using automated visit data from one health care organization in Boston and another in Seattle. We were able to confirm the eligibility status (i.e., current low back pain that had lasted at least 3 months) of 70% of the patients with such diagnoses and all eligible respondents were interviewed. Results: Except for chiropractic, knowledge about these therapies was low. Chiropractic and massage had been used by the largest fractions of respondents (54% and 38%, respectively), mostly for back pain (45% and 24%, respectively). Among prior users of specific CAM therapies for back pain, massage was rated most helpful. Users of chiropractic reported treatment-related "significant discomfort, pain or harm" more often (23%) than users of other therapies (5–16%). Respondents expected massage would be most helpful (median of 7 on a 0 to 10 scale) and meditation least helpful (median of 3) in relieving their current pain. Most respondents indicated they would be "very likely" to try acupuncture, massage, or chiropractic for their back pain if they did not have to pay out of pocket and their physician thought it was a reasonable treatment option. Conclusions: Most patients with chronic back pain in our sample were interested in trying therapeutic options that lie outside the conventional medical spectrum. This highlights the need for additional studies evaluating their effectiveness and suggests that researchers conducting clinical trials of these therapies may not have difficulties recruiting patients. en_US
dc.language.iso en_US en_US
dc.publisher BioMed Central en_US
dc.relation.isversionof doi:10.1186/1472-6882-4-9 en_US
dc.relation.hasversion http://www.ncbi.nlm.nih.gov/pmc/articles/PMC503394/pdf/ en_US
dash.license LAA
dc.subject acupuncture en_US
dc.subject chiropractic en_US
dc.subject massage en_US
dc.subject meditation en_US
dc.subject t'ai chi en_US
dc.subject low back pain en_US
dc.title Complementary and Alternative Medical Therapies for Chronic Low Back Pain: What Treatments are Patients Willing to Try? en_US
dc.type Journal Article en_US
dc.description.version Version of Record en_US
dc.relation.journal BMC Complementary and Alternative Medicine en_US
dash.depositing.author Connelly, Maureen Therese
dc.date.available 2011-03-23T16:56:33Z
dash.affiliation.other HMS^Faculty Affairs en_US
dash.affiliation.other HMS^Population Medicine en_US
dash.affiliation.other HMS^Medicine- Beth Israel-Deaconess en_US

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