An Analysis of the Effectiveness of Integrative Therapies for Chronic Trapezius Pain
DOI:
https://doi.org/10.47611/jsrhs.v11i4.3461Keywords:
Chronic Pain, Eastern Medicine, Integrative Therapy, Pain Management, Pain, PerceptionsAbstract
Millions suffer from chronic pain, particularly chronic back pain, but treatment-related research is limited, leading to physician overprescription of highly addictive drugs such as opioids. A common non-pharmacological treatment for chronic pain has been physical therapy, but this study examines a form of Eastern-hemisphere, mind-body techniques known as integrative therapies as a potential treatment for chronic pain in the trapezius. This study primarily analyzes acupuncture, massage therapy, and Ayurveda, three integrative therapies, to determine whether they are effective in treating chronic trapezius pain. Since integrative therapies have a large psychological component, the study also focuses on identifying whether perception of integrative therapies can influence its effectiveness and what factors can impact this perception. Through a series of interviews conducted with pain specialists, the study determines that massage therapy and Ayurveda are comparable to or more effective than physical therapy as chronic trapezius pain treatments, but the success of the therapy is dependent on the patient’s psychological perception of it. The study then conducted a survey of the general population, which revealed that while experience with integrative therapies does not appear to impact one’s perception of integrative therapy, those from an Asian/Middle Eastern background perceive integrative treatments differently and potentially perceive them as more effective. A better perception of integrative therapies leads to greater success with this treatment. These findings demonstrate that education of integrative therapies should be more widespread to counter stereotypes and misconceptions so that chronic pain treatment is, overall, more effective.
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References or Bibliography
Agarwal V. (2020). Patient assessment and chronic pain self-management in ethnomedicine: seasonal and
ecosystemic embodiment in ayurvedic patient-centered care. International Journal of Environmental
Research And Public Health, 17(8), 2842. https://doi.org/10.3390/ijerph17082842
Ballantyne J. C. (2017). Opioids for the treatment of chronic pain: Mistakes made, lessons learned, and future directions. Anesthesia and Analgesia, 125(5), 1769–1778.
https://doi.org/10.1213/ANE.0000000000002500
Breen, A., Leerberg, E., Pedigo, M., Waddell, G., Giles, L., Ernst, E., & Assendelft, W. (1999). Chiropractic for low back pain. BMJ: British Medical Journal, 318-7178, 261-263. http://www.jstor.org/stable/25181656
Bushnell, M. C., Ceko, M., & Low, L. A. (2013). Cognitive and emotional control of pain and its disruption in
chronic pain. Nature Reviews. Neuroscience, 14(7), 502–511. https://doi.org/10.1038/nrn3516
Bussières, A. E., Stewart, G., Al-Zoubi, F., Decina, P., Descarreaux, M., Haskett, D., Hincapié, C., Pagé, I.,
Passmore, S., Srbely, J., Stupar, M., Weisberg, J., & Ornelas, J. (2018). Spinal manipulative therapy and
other conservative treatments for low back pain: A guideline from the Canadian Chiropractic Guideline
Initiative. Journal of Manipulative And Physiological Therapeutics, 41(4), 265–293.
https://doi.org/10.1016/j.jmpt.2017.12.004
Chen, L., & Michalsen, A. (2017). Management of chronic pain using complementary and integrative medicine.
BMJ: British Medical Journal, 357. https://www.jstor.org/stable/26944169
Cohen, S. (2008). Cannabinoids for chronic pain. BMJ: British Medical Journal, 336(7637), 167-168. Retrieved
July 5, 2021, from http://www.jstor.org/stable/20508750
Dahlhamer J, Lucas J, Zelaya, C, et al. Prevalence of chronic pain and high-impact chronic pain among adults United States, 2016. MMWR Morb Mortal Wkly Rep 2018;67:1001–1006. DOI: http://dx.doi.org/10.15585/mmwr.mm6736a2
Deng G. (2019). Integrative medicine therapies for pain management in cancer patients. Cancer Journal (Sudbury, Mass.), 25(5), 343–348. https://doi.org/10.1097/PPO.0000000000000399
Farrell, C., & McConaghy, P. (2012). Perioperative Management of Patients Taking Treatment for Chronic Pain.
BMJ: British Medical Journal, 345(7864), 39-42. http://www.jstor.org/stable/43512374
Field T. (2014). Massage therapy research review. Complementary Therapies in Clinical Practice, 20(4), 224–229. https://doi.org/10.1016/j.ctcp.2014.07.002
Finn, R. (2020). Trigger Point Therapy Made Simple: Serious Pain Relief in 4 Easy Steps. Rockridge Press.
Gardiner, P., Luo, M., D’Amico, S., Gergen-Barnett, K., White, L. F., Saper, R., Mitchell, S., & Liebschutz, J. M. (2019). Effectiveness of integrative medicine group visits in chronic pain and depressive symptoms: A randomized controlled trial. PLoS ONE, 14(12), 1–20. https://doi.org/10.1371/journal.pone.0225540
Geneen, L. J., Moore, R. A., Clarke, C., Martin, D., Colvin, L. A., & Smith, B. H. (2017). Physical activity and exercise for chronic pain in adults: An overview of Cochrane Reviews. The Cochrane Database of
Systematic Reviews, 4(4), CD011279. https://doi.org/10.1002/14651858.CD011279.pub3
G. Varrassi, G. Müller-Schwefe, J. Pergolizzi, A. Orónska, B. Morlion, P. Mavrocordatos, C. Margarit, C. Mangas,
W. Jaksch, F. Huygen, B. Collett, M. Berti, D. Aldington & K. Ahlbeck (2010) Pharmacological treatment
of chronic pain – The Need for CHANGE, Current Medical Research And Opinion, 26:5, 1231-1245, DOI: 10.1185/03007991003689175
Hays, R. M., M.D. (2007). Book review: Ethical issues in chronic pain management. The New England Journal of Medicine, 356(24), 2551. http://dx.doi.org/10.1056/NEJMbkrev58103
Horne, A., Vincent, K., Cregg, R., & Daniels, J. (2017). Is gabapentin effective for women with unexplained chronic pelvic pain? BMJ: British Medical Journal, 358. https://www.jstor.org/stable/26941114
Jazayeri, S. & Seffinger, M. (2018). Myofascial release therapy beneficial for patients with chronic low back pain. Journal of Osteopathic Medicine, 118(5), 350-351. https://doi.org/10.7556/jaoa.2018.072
Jeong, S., & Cho, S. (2017). Acceptance and patient functioning in chronic Pain: The mediating role of physical activity. Quality of Life Research, 26(4), 903-911. http://www.jstor.org/stable/44853822
Khan, J., Zusman, T., Wang, Q., & Eliav, E. (2019). Acute and chronic pain in orofacial trauma patients. Dental Traumatology: Official Publication of International Association for Dental Traumatology, 35(6), 348–357. https://doi.org/10.1111/edt.12493
Kong, L. J., Lauche, R., Klose, P., Bu, J. H., Yang, X. C., Guo, C. Q., Dobos, G., & Cheng, Y. W. (2016). Tai Chi for chronic pain conditions: A systematic review and meta-analysis of randomized controlled trials. Scientific Reports, 6, 25325. https://doi.org/10.1038/srep25325
Lin, Y. C., Wan, L., & Jamison, R. N. (2017). Using integrative medicine in pain management: an evaluation of
current evidence. Anesthesia and analgesia, 125(6), 2081–2093.
https://doi.org/10.1213/ANE.0000000000002579
Makary, M., Overton, H., & Wang, P. (2017). Overprescribing is major contributor to the opioid crisis. BMJ: British Medical Journal, 359. https://www.jstor.org/stable/26951581
Morlion, B., Coluzzi, F., Aldington, D., Kocot-Kepska, M., Pergolizzi, J., Mangas, A. C., Ahlbeck, K., & Kalso, E. (2018). Pain chronification: What should a non-pain medicine specialist know?. Current Medical Research And Opinion, 34(7), 1169–1178. https://doi.org/10.1080/03007995.2018.1449738
Murthy, V. (2016). A Promise Fulfilled—Addressing The Nation’s Opioid Crisis Collectively. Public Health Reports (1974-), 131(3), 387-388. http://www.jstor.org/stable/44297640
O'Keeffe, M., O'Sullivan, P., Purtill, H., Bargary, N., & O'Sullivan, K. (2020). Cognitive functional therapy
compared with a group-based exercise and education intervention for chronic low back pain: A multicentre
randomised controlled trial (RCT). British Journal of Sports Medicine, 54(13), 782–789. https://doi.org/10.1136/bjsports-2019-100780
Qaseem, A., Wilt, T. J., McLean, R. M., Forciea, M. A., Clinical Guidelines Committee of the American College of Physicians, Denberg, T. D., Barry, M. J., Boyd, C., Chow, R. D., Fitterman, N., Harris, R. P., Humphrey, L.
L., & Vijan, S. (2017). Noninvasive treatments for acute, subacute, and chronic low back pain: A clinical practice guideline from the American College of Physicians. Annals of Internal Medicine, 166(7),
–530. https://doi.org/10.7326/M16-2367.
Reid, M., Eccleston, C., & Pillemer, K. (2015). Management of chronic pain in older adults. BMJ: British Medical Journal, 350. https://www.jstor.org/stable/26518254
Tanović, E., Čelik, D., Omerović, Ā., Omeragić, V. Z., Jaganjac, A., Konjo, H., Rovčanin, E., & Omerović, H.
(2021). Intermittent traction therapy in the treatment of chronic low back pain. Medicinski Glasnik, 18(1),
–163. https://doi.org/10.17392/1252-21
Vickers, A. J., Cronin, A. M., Maschino, A. C., Lewith, G., MacPherson, H., Foster, N. E., Sherman, K. J., Witt, C.
M., Linde, K., & Acupuncture Trialists' Collaboration (2012). Acupuncture for chronic pain: individual
patient data meta-analysis. Archives of Internal Medicine, 172(19), 1444–1453. https://doi.org/10.1001/archinternmed.2012.3654
Wieland, L. S., Skoetz, N., Pilkington, K., Vempati, R., D'Adamo, C. R., & Berman, B. M. (2017). Yoga treatment
for chronic non-specific low back pain. The Cochrane Database of Systematic Reviews, 1(1), CD010671. https://doi.org/10.1002/14651858.CD010671.pub2
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