Evidence-Based Evaluation of Complementary Health Approaches for Pain Management in the United States.

Author: Nahin RL1, Boineau R2, Khalsa PS2, Stussman BJ2, Weber WJ2
Affiliation: <sup>1</sup>National Center for Complementary and Integrative Health, National Institutes of Health, Bethesda, MD. Electronic address: NahinR@mail.nih.gov. <sup>2</sup>National Center for Complementary and Integrative Health, National Institutes of Health, Bethesda, MD.
Conference/Journal: Mayo Clin Proc.
Date published: 2016 Sep
Other: Volume ID: 91 , Issue ID: 9 , Pages: 1292-306 , Special Notes: doi: 10.1016/j.mayocp.2016.06.007. , Word Count: 136


Although most pain is acute and resolves within a few days or weeks, millions of Americans have persistent or recurring pain that may become chronic and debilitating. Medications may provide only partial relief from this chronic pain and can be associated with unwanted effects. As a result, many individuals turn to complementary health approaches as part of their pain management strategy. This article examines the clinical trial evidence for the efficacy and safety of several specific approaches-acupuncture, manipulation, massage therapy, relaxation techniques including meditation, selected natural product supplements (chondroitin, glucosamine, methylsulfonylmethane, S-adenosylmethionine), tai chi, and yoga-as used to manage chronic pain and related disability associated with back pain, fibromyalgia, osteoarthritis, neck pain, and severe headaches or migraines.

Copyright © 2016 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

PMID: 27594189 DOI: 10.1016/j.mayocp.2016.06.007