CAM Resources for our Patients

CAMCAMResources for ourResources for our

PatientsPatients

Becky Render, D.O.Becky Render, D.O.

February 3, 2009February 3, 2009

OverviewOverview

Acupuncture Acupuncture Chiropractic Chiropractic OsteopathyOsteopathy MassageMassage Community ResourcesCommunity Resources

Why is CAM important?Why is CAM important?

http://medical-dictionary.thefreedictionary.com/

Accupuncture

AcupunctureAcupuncture

DefinitionDefinition Acupuncture is one of the main forms of Acupuncture is one of the main forms of

treatment in traditional Chinese treatment in traditional Chinese medicine. It involves the use of sharp, medicine. It involves the use of sharp, thin needles that are inserted in the thin needles that are inserted in the body at very specific points. This body at very specific points. This process is believed to adjust and alter process is believed to adjust and alter the body's energy flow into healthier the body's energy flow into healthier patterns, and is used to treat a wide patterns, and is used to treat a wide variety of illnesses and health variety of illnesses and health conditions.conditions.


PurposePurpose The World Health Organization The World Health Organization

(WHO) recommends acupuncture as (WHO) recommends acupuncture as an effective treatment for over forty an effective treatment for over forty medical problemsmedical problems


Including: allergies, respiratory conditions, Including: allergies, respiratory conditions, gastrointestinal disorders, gynecological gastrointestinal disorders, gynecological problems, nervous conditions, and disorders problems, nervous conditions, and disorders of the eyes, nose and throat, and childhood of the eyes, nose and throat, and childhood illnesses, among others. illnesses, among others.

Acupuncture has been used in the treatment Acupuncture has been used in the treatment of alcoholism and substance abuse. of alcoholism and substance abuse.

It is an effective and low-cost treatment for It is an effective and low-cost treatment for headaches and chronic pain, associated with headaches and chronic pain, associated with problems like back injuries and arthritis. problems like back injuries and arthritis.


It has also been used to supplement invasive It has also been used to supplement invasive Western treatments like chemotherapy and Western treatments like chemotherapy and surgery. surgery.

Acupuncture is generally most effective when Acupuncture is generally most effective when used as prevention or before a health used as prevention or before a health condition becomes acute, but it has been used condition becomes acute, but it has been used to help patients suffering from cancer and to help patients suffering from cancer and AIDS. AIDS.

Acupuncture is limited in treating conditions Acupuncture is limited in treating conditions or traumas that require surgery or emergency or traumas that require surgery or emergency care (such as for broken bones).care (such as for broken bones).


The origin of acupuncture is Chinese The origin of acupuncture is Chinese medicine.medicine.

Chinese medicine does not draw a sharp Chinese medicine does not draw a sharp line, as Western medicine does, between line, as Western medicine does, between mind and body. The Chinese system mind and body. The Chinese system believes that emotions and mental states believes that emotions and mental states are every bit as influential on disease as are every bit as influential on disease as purely physical mechanisms, and considers purely physical mechanisms, and considers factors like work, environment, lifestyle and factors like work, environment, lifestyle and relationships as fundamental to the overall relationships as fundamental to the overall picture of a patient's health. picture of a patient's health.

Chiropractic MedicineChiropractic Medicine

Chiropractic is one of the most popular Chiropractic is one of the most popular alternative therapies currently available. alternative therapies currently available. Some would say it now qualifies as Some would say it now qualifies as mainstream treatment as opposed to mainstream treatment as opposed to complementary medicine. Chiropractic complementary medicine. Chiropractic treatment is covered by many insurance treatment is covered by many insurance plans and in 2004, the U.S. Department plans and in 2004, the U.S. Department of Veterans Affairs announced full of Veterans Affairs announced full inclusion of chiropractic care for inclusion of chiropractic care for veterans. veterans.

http://medical-dictionary.thefreedictionary.com


It has become well-accepted treatment It has become well-accepted treatment for acute pain and problems of the spine, for acute pain and problems of the spine, including lower back pain and whiplash. including lower back pain and whiplash. Applications beyond that scope are not Applications beyond that scope are not supported by current evidence, although supported by current evidence, although there are ongoing studies into the there are ongoing studies into the usefulness of chiropractic for such usefulness of chiropractic for such problems as ear infections, problems as ear infections, dysmenorrhea, infant colic, migraine dysmenorrhea, infant colic, migraine headaches, and other conditions. headaches, and other conditions.


Depending on the cause and severity Depending on the cause and severity of the condition, options for of the condition, options for treatment may include physical treatment may include physical therapy, rest, medications, surgery, therapy, rest, medications, surgery, or chiropractic care. Chiropractic or chiropractic care. Chiropractic treatment carries none of the risks treatment carries none of the risks of surgical or pharmacologic of surgical or pharmacologic treatment. The odds of an adverse treatment. The odds of an adverse outcome are extremely low. outcome are extremely low.


Chiropractic has proven in several Chiropractic has proven in several studies to be less expensive than studies to be less expensive than many more traditional routes such many more traditional routes such as outpatient physical therapy. as outpatient physical therapy. Relief from some neuromuscular Relief from some neuromuscular problems is immediate, although a problems is immediate, although a series of treatments is likely to be series of treatments is likely to be required to maintain the required to maintain the improvement. improvement.

http://www.osteopathic.org

OsteopathyOsteopathy

What Is OMT?What Is OMT?

Osteopathic manipulative treatment, or Osteopathic manipulative treatment, or OMT, is hands-on care. It involves using OMT, is hands-on care. It involves using the hands to diagnose, treat, and the hands to diagnose, treat, and prevent illness or injury. Using OMT, prevent illness or injury. Using OMT, your osteopathic physician (D.O.) will your osteopathic physician (D.O.) will move your muscles, bones and fascia move your muscles, bones and fascia using techniques that involve using techniques that involve stretching, gentle pressure and stretching, gentle pressure and resistance.resistance.

http://www.osteopathic.org


What sorts of injuries/illness can OMT What sorts of injuries/illness can OMT treat?treat?In 1999, a study released in the New England In 1999, a study released in the New England Journal of Medicine noted that OMT is not only Journal of Medicine noted that OMT is not only an effective and low-cost form of treatment for an effective and low-cost form of treatment for low back pain but also a treatment that low back pain but also a treatment that decreased the need for medications and decreased the need for medications and surgery. In addition to being used to treat low surgery. In addition to being used to treat low back pain and musuloskeletal abnormalities, back pain and musuloskeletal abnormalities, OMT can be used to treat asthma, carpal OMT can be used to treat asthma, carpal tunnel syndrome, menstrual pain, sinus tunnel syndrome, menstrual pain, sinus disorders, migraines and much more. disorders, migraines and much more.


JAOA, Journal of the American JAOA, Journal of the American Osteopathic Association, is a great Osteopathic Association, is a great resource for the latest research and resource for the latest research and techniques in practice.techniques in practice.

For those interested in learning For those interested in learning manipulation, there are CME manipulation, there are CME courses you can take.courses you can take. See article printed about MD’s taking See article printed about MD’s taking

OMT courses.OMT courses.


How to refer to our own DO’sHow to refer to our own DO’s

DO clinic proposalDO clinic proposal

MassageMassage

I’m a huge advocate!!!I’m a huge advocate!!! Massage is good for so many Massage is good for so many

reasons, everything from cancer to reasons, everything from cancer to stress reduction.stress reduction.

www.amtamassage.org

MassageMassage

Massage therapy popular among Massage therapy popular among young and lower-income Americansyoung and lower-income Americans Younger age groups and lower-income Younger age groups and lower-income

Americans are the most likely to consider Americans are the most likely to consider massage for stress and other health reasons.massage for stress and other health reasons.

Fifty-six percent of 18-24 year olds would Fifty-six percent of 18-24 year olds would consider massage to manage stress. consider massage to manage stress.

Forty-six percent of those earning less than Forty-six percent of those earning less than $25,000 a year get massage for $25,000 a year get massage for medical/health reasons; more than any other medical/health reasons; more than any other groups. groups.

www.amtamassage.org

Community ResourcesCommunity Resources Yes, we do have options for our patients.Yes, we do have options for our patients. Make sure you tell your patients to check Make sure you tell your patients to check

what insurance coverage the provider what insurance coverage the provider takes (many referrals have been made to takes (many referrals have been made to providers that don’t take Medi-Cal)providers that don’t take Medi-Cal)

In reality, this is an ongoing project to In reality, this is an ongoing project to find resources…find resources…

Community ResourcesCommunity Resources

Acupuncture:Acupuncture: Ori Tzvieli—Monday afternoon clinic in Ori Tzvieli—Monday afternoon clinic in

MartinezMartinez Kuelewa Furaha, Lac—Wednesday Kuelewa Furaha, Lac—Wednesday

afternoon, RHCafternoon, RHC Joanne Fanucchi, Lac—Oasis Joanne Fanucchi, Lac—Oasis

Acupuncture and Herbs in Concord. Acupuncture and Herbs in Concord. Wednesday 1-3pm, Thursdays 7-9pm: low Wednesday 1-3pm, Thursdays 7-9pm: low cost community cliniccost community clinic

There is a list available of others…There is a list available of others…


Chiropractic:Chiropractic: Again, there is a list and it is updated annually.Again, there is a list and it is updated annually. I can’t recommend anyone at this time, but I’m I can’t recommend anyone at this time, but I’m

open to suggestions.open to suggestions. Osteopaths:Osteopaths:

This is a work in progress due to insurance This is a work in progress due to insurance issues.issues.

I will take patients. I will take patients. Hopefully coming to a CCRMC clinic near Hopefully coming to a CCRMC clinic near

you… you…


Massage:Massage: Unfortunately we don’t have good Unfortunately we don’t have good

resources for our patients to receive resources for our patients to receive massages. massages.

There are discounts at student massage There are discounts at student massage schools.schools. National Holistic Institute (Teaching clinic National Holistic Institute (Teaching clinic

in Emeryville)in Emeryville)

ReferencesReferences

Thank you Karen Burt, Joanne Fanucchi Thank you Karen Burt, Joanne Fanucchi and many others for your help in pointing and many others for your help in pointing me in the right direction.me in the right direction.

http://medical-http://medical-dictionary.thefreedictionary.com dictionary.thefreedictionary.com

www.osteopathic.org www.amtamassage.org www.medicalacupuncture.orgwww.medicalacupuncture.org EJ Swint: Provider Relations, 925-313-9507EJ Swint: Provider Relations, 925-313-9507

Thank you!

Documents

CAM Resources for our Patients