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Alternative therapies work without a prescription

By | July 31, 2009, 8:17 AM PDT

When my knee began hurting last year my family doctor sent me to an orthopedist, who said I was getting old and suggested drugs to ease the pain.

Then I visited a chiropractor who cleared things right up. No drugs, no waiting, and no co-pays. I just wrote a check.

Repeat that experience 354 million times per year and you have just part of what the NIH calls the Complementary and Alternative Medicine market, which it says was worth $33.9 billion in 2007.

That’s still a small part of the $2.2 trillion total health care market, but it’s growing over 6% per year. It’s now over 11% of our total out-of-pocket expenses for health care.

The NIH says all this proves we need to look more closely at the unproven claims of alternative practitioners. My chiropractor, Stephanie O’Brien, who recently moved to the building above in Scottdale, GA GA says not to bother. “We don’t want to be part of that.”

That may be the best answer to the question posed by ABC, which is why we spend so much on therapies that aren’t scientifically proven to work. Jumping through hoops is a hassle, and expensive. I know my back doesn’t hurt now.

CAM spending covers a broad swath of procedures and prescriptives, everything from dietary supplements whose uselessness is proven to a good massage, which at least makes you feel good.

The NIH divided its number into several pieces.

Some $14.8 billion went to things like fish oil pills, glucosamine, and St. John’s wort. That’s one-third of what we spent out-of-pocket on prescription drugs. About $11.9 billion went to services, like my chiropractor, along with reflexologists, massage therapists and others.

Most chiropractors also take a holistic approach to patient health, not the symptomatic attack of regular doctors, and that is also part of the appeal.

While chatting with Dr. O’Brien, just to let her know I would put her in this story, I mentioned that my feet were getting hot at night. She suggested exercise after dinner, said I’m sitting around all day writing blog posts and so blood is settling in my feet.

I’ll try that. Would my doctor make such a money-saving suggestion? Would yours?

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Dana Blankenhorn

About Dana Blankenhorn

Dana Blankenhorn was a contributing editor for SmartPlanet from 2009 to 2010.

Dana Blankenhorn

Dana Blankenhorn

Contributing Editor, Healthcare

Dana Blankenhorn has written for the Chicago Tribune, Advertising Age's "NetMarketing" supplement and founded the Interactive Age Daily for CMP Media. He holds degrees from Rice and Northwestern universities. He is based in Atlanta.

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Dana Blankenhorn

Dana Blankenhorn

Dana Blankenhorn has been a technology reporter since 1982, a business reporter since 1978, and a writer for as long as he can remember. His Schwab IRA has a few tech stocks in it, most notably some Intel and Applied Materials bought over 10 years ago. But the vast majority of his tiny fortune (emphasis on the word tiny) is invested in mutual funds. He presently writes for no one else but ZDNet, SmartPlanet and himself. But if you've got an opportunity let him know. If he takes the gig he"ll first add it to this disclosure page.

He writes for SmartPlanet and is not an employee of CBS.

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RE: Alternative therapies work without a prescription
I would like to be 100% positive about alternative therapy; however after 30 years of consorting to both modalities; I still have to side with standard old fashion medical concepts. Chiropractic has a place in society, but first line diagnosis by MD?s is critical in most cases. Alternative medicine (Naturopathic) works as long as the patient maintains his/her confidence in the application. It is mind over matter in a way; whereby praying to an almighty being may stimulate the bodies defense mechanism using the special chemistry within the brain to overcome distress. People have been known to cure their ills using meditation, therefore; when we switch on the chemistry that opposes distress, we may conquer a difficult obstacle.

Manual manipulation by a Chiropractor can do more harm than good in many cases. Massage is respectable when applied correctly; but joint management can be down right treacherous and hazardous when applied improperly. Cervical manipulation, or twisting the neck; could cause spinal cord damage and/or arthritis of the joints. Only highly trained specialists who can diagnose patient orthopedic conditions by reading high-tech radiographs or other diagnostics; should be employed for bone and joint management. Chiropractors for the most part do not have the training and clinical experience to manage orthopedic treatment. They fall short of a Doctor of Osteopathic medicine who now practice 99.9% allopathic medicine.

A Massage Therapist can alleviate tension, muscle distress, and physical pain in a soothing approach and style that is virtuous the patient. They do not twist joints, and snap or crack tendons; therefore this form of alternative medicine is positive.

I do agree that 50% of the over-the-counter products have the potential to work favorably; when 50% of these products steal from the consumer without providing any benefit whatsoever. Know what you are taking, and look for clinical trials that prove the claims made by manufactures.
Posted by Hemedinger
31st Jul 2009
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RE: Alternative therapies work without a prescription
As someone who has practiced chiropractic for 20 years and teaches at an accredited chiropractic college, I need to correct some of Hemedinger misconceptions about chiropractic treatment. First, in the hands of a competent DC (Doctor of Chiropractic), manual manipulation is remarkably safe, and is far more likely to do good than any harm. Studies in a wide variety of peer-reviewed journals have demonstrated clearly that significant complications from competent joint manipulation are extraordinarily rare, and there is no evidence that it can cause "spinal cord damage and/or arthritis" as the writer states. In my own experience, I have performed spinal manipulation during well over 25,000 patient-visits, and have never had a single patient experience a serious complication from their treatment.

Today's doctors of chiropractic are well trained to recognize the "red flags" that might indicate a serious underlying cause of musculoskeletal pain, and are taught when to refer to an appropriate medical specialist for further diagnosis and/or treatment. Most DCs practice independently, and are able to competently act as a first-line health provider who can diagnose and manage a wide variety of orthopedic conditions. The fact that malpractice insurance rates for chiropractors are one-tenth to one-fiftieth the rates paid by orthopedists and family physicians is further evidence of the intrinsic safety of our care.

I'm happy Dana Blakenhorn had a positive experience with a chiropractor, and I'm pleased that he chose to write about it. However, I'm disappointed Hemedinger has no apparent knowledge about chiropractic training (and has probably had no firsthand experience with chiropractic practice), and that he chose to write a biased and ill-informed comment as if he was an authority.

Bill Lauretti, DC
Associate Professor
Chiropractic Clinical Sciences
New York Chiropractic College
Seneca Falls, NY
Posted by Bill-L
1st Aug 2009
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RE: Alternative therapies work without a prescription
I wish all the parties involved in these disputes - the entire alternative therapeutic community (including chiropractic, accupuncture), the medical community as well as the vitamin supplement industry were willing to submit their practices and procedures to some sort of agreed upon studies as to their various degrees of efficacy. But for some reason or other, that never seems to happen. Maybe that's because many or most practitioners and manufacturers are satisfied with the amount of money they make and would rather not find out if anything they do works well or not.
Posted by msaltz
4th Aug 2009
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RE: Alternative therapies work without a prescription
Funny they advise us to "look closely" at alternative therapies but never a peep about young children and youth getting drugged by powerful, destructive psych drugs which have been definitively linked to many of the school shootings in America. Suicides and homicides and no one says a word. Big Pharma has paid off and controls the FDA, its a wonder we have any alt therapies. How long did the AMA fight Chiropractic tooth and nail? Many years. Cancer is another "death industry", FDA won't allow alternative treatments i the USA, instead we get "stone age" tech of chemo & radiation and people continue to die. Beware of Codex Alimentarius coming in Dec 2009, and try to fight now against it. New World Order folks (World Health Organization) coming to ban all Vitamins and supplements. FIGHT BACK.
Posted by shinycar10@...
6th Aug 2009
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