Transcript Alternative to Integrative medicine

Alternative to Integrative
Medicine
Ron Mosiello D.O.
Osteopathic Manipulative Medicine
Neuromuscular Medicine
Southern Maine Medical Center/Prime Care
Assistant Professor UNECOM
Alternative Medicine: Objectives
• Grown out of “grass roots” or popular desire
for a different approach to healing
• Has many forms, (Plant/Herb, Energy,
Structural Manipulation, Subconscious/Mind)
• Traditional Allopathic Medicine does not have a
monopoly on healing
• Difference between SERVING and FIXING a
patient
Incidence of Adverse Drug Reactions
in Hospitalized Patients. JAMA
1998;279(15):1200-1205.
• 106,000 hospitalized patients die
from properly prescribed drugs
• Greater than two million suffer
“serious” side effects
Geriatric Challenges and
Pharmaceuticals
• Polypharmacy
*Decrease in GFR and liver metabolism with age
*Increase in medication with age
*Acute changes in mental status
New med vs. infection, CVA,
*Pain medication: Dizziness/Falls/Mental Status
changes/Liver-Kidney toxicity/GI upset
NSAIDs, Muscle relaxants, Narcotics
Acetaminophen (Liver)
*Financial stress (fixed income)
National Health Statistics Report,
number 12, Dec 10, 2008
Complementary and Alternative
Medicine Use Among Adults and
Children: United States, 2007
• In 2007, the CAM therapies most commonly
used by U.S. adults in the past 12 months were
nonvitamin, nonmineral, natural products
(17.7%), deep breathing exercises (12.7%),
meditation (9.4%), chiropractic or osteopathic
manipulation (8.6%), massage (8.3%), and yoga
(6.1%).
History of Medicine
History of Medicine
Medicine and the Ancient World
China, Egypt, Rome, Greece, Medieval Europe,
Africa, South and North American Indians, India,
Middle East
• “Bone Setting” in early colonial and early America: folk
tradition dating from 1500’s
• Pasture (germ theory) vs. Beauchapms (host theory of
disease)
• 1900 Medical philosophies
Allopathic, Homeopathic, Osteopathic, Chiropractic,
Naturopathic, Sylvester Graham
History of Medicine
• Allopathic Medicine in 1900: Medications
Calomel (contained mercury) rapid cathartic
Lead, Arsenic, Opium, Belladonna
*Source: Merk Manual 1899
• Rockefeller, Carnegie, Vanderbilt invest in allopathic
medicine in late 1800’s early 1900’s
• Abraham Flexner’s report to US congress 1907
Financed by the Carnegie foundation
Standardized medical education and practice
1904 160 medical schools in US, 1935 only 66
Louis Pasteur 1822-1895 French
Chemist/Microbiologist
(GERM THEORY)
• Host lives in hostile
environment
• Disease invades body
through harmful Germ
• GERMS primary
invasive/destructive cause of
disease
• Adopted contemporary
medical model
• Created first vaccinations for
Rabies and Anthrax
Pierre Jacques Antoine Beauchamp
(1816-1908) Chemist Biologist
Physician
• Healthy tissue immune to
germ infection
• “Biological Terrain”
• Germs are Opportunists
• Support tissue health and
wellbeing
• Nutrition/Rest/Hygiene
Exercise/Emotional
wellbeing
• “The primary cause of
disease is in us, always in
us.”
Antoine Beauchamp, 1883
• Theory ignored and feel into
obscurity
• Have you ever wondered why only a few
people get a cold after coming in contact
with someone that already has one?
• If Pasteur’s theory was right surely we
would all ‘catch’ a cold with no exception?
HEALTH
History of Medicine: 1960’s
• Question/Distrust
authority
• Take responsibility for
ones own health
• Influx of Eastern
Philosophy/Culture
• Looked to Native
Americans guidance
*plant based medicine
*organic farming
History of Medicine (Ancient
Cultures)
• Ayurveda (INDIA)
• Chinese Medicine
• Egyptian Medicine
• African Medicine
• American Indian
• Aborigines
COMMON APROACHES
*Herbal Medicine
*Manual Medicine
*Energy Medicine
Manual Medicine
• Osteopathy/CranialSacral
(fascia/spine/organs)
• Massage (muscles/fascia)
• Chiropractic (Spinal
articulations)
• Rolfing (Fascia)
Manual Medicine
• “The rule of the artery must be absolute,
universal, and unobstructed or disease will be
the result” – A.T. Still
• Lymphatic return
• Immune function
• Neuroendocrine System/Homeostasis
• Sympathetic and Parasympathetic (ANS)
Manual Medicine: Structure and
Function
• “Disease is the result of anatomical
abnormalities followed by physiologic discord”
– A.T. Still M.D.
• Macroscopic vs. Microscopic
*sickle cell, Atherosclerosis
*cytoskeleton
*Somatic Dysfunction
(musculoskeletal or visceral restriction)
Somatic Dysfunction
• “Impaired or altered function of related
components of the somatic (body framework)
system: skeletal, authorial, and myofascial
structures and related vascular, lymphatic,
visceral and neural elements” Foundations for
Osteopathic Medicine, glossary.
Osteopathic Treatment and other
Manual Medicines
• Remove fascial restrictions
• Fascia is connective tissue
ligaments, tendons, durra, omentum,
mesentery, all body membranes
• ALL nerves, blood vessels, lymphatic vessels, are
carried throughout the body in fascia
• ALL organs (Brain, lungs, hart, intestines, stomach,
liver, ect…) are incased in fascia
• FASCIA attaches to BONE
Osteopathic Treatment: REMOVE
RESTICTIONS TO MOTION
• Improve RANGE OF MOTION of all joints
normalize muscle tension around a joint
normalize nervous input/output from a joint
• Remove restrictions to proper blood flow
venous/arterial mechanical restrictions
Autonomic nervous system imbalance
• Remove restrictions to Lymphatic Flow
extra-cellular fluid drainage
immune system reaches and removes unwanted
materials (infectious, damaged, toxic)
Types of OMT
• Balanced Ligamentous Tension (BLT)
• Soft Tissue Manipulation: Myofascial Release
Facilitated Positional Release (FPR)
Counterstrain
• Articulatory: High Velocity Low Amplitude (HVLA)
• Cranial Manipulation
• Visceral Manipulation
• Muscle Strain: Muscle Energy, Trigger Point Treatment
• Biodynamic: Fluid fields, Membranes, fascia and fluid
as one hole component
Energy Medicine
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Acupuncture
Reiki
Qigong
Therapeutic Touch
Osteopathy
(Biodynamic)
• Homeopathy
Energy Medicine
• Channels conducting
energy (Qi or Ki) life
force energy occur
through out the body
• Blocking energy channels
limits energy and
enhances entropy and
DIS-EASE
• Re-establishing energy
channel flow will
promote proper function
Energy Medicine
• Scientific/Specific placement of Acupuncture
needles
• Direction of Energy through trained touch and
intention
• Touch is light/soft
• May be augmented by specific breathing and
posture by the recipient
Energy Medicine
• American Cancer Society promotes Therapeutic Touch
for cancer patients
• Therapeutic touch abstracts for anxiety/tension
headaches/pain
• Western scientific research confirms that Qigong
reduces hypertension and the incidence of falling in the
aged population.
• The Effect of Reiki on Pain and Anxiety in
Women With Abdominal Hysterectomies: A
Quasi-experimental Pilot Study:- Holistic Nursing
Practice, 2006 - journals.lww.com
• Acupuncture is the most widely researched of all of the
energy medicine modalities
Herbal Medicine/Plant Medicine
• Common in all Cultures
• Developed from a
different
view/understanding of
Reality/Nature
Modern Science Medicine
• Objective fact Only
• Scientific Trials
• Consensus Opinion
Native Natural Medicine
• Dialogue of the INNER
and OUTER worlds
• Subjective Faculties
*Intuition
*Imagination
• Humans are apart of
Nature and the Natural
Environment
Doctrine of Signatures (Intuition and
Imagination)
• Nicolas Culpepper 1616-1654 (Botanist,
Herbalist, Physician, Astrologer) English
• Paracelsus 1493-1541(Physician, Botanist,
Astrologer, Alchemist) German-Swiss
• Emanuel Swedenborg 1688-1772
(Philosopher, Theologian, Scientist) Swedish
• Samuel Hahnemann 1755-1848 (Homeopathy,
Physician) German
Doctrine of Signatures (Intuition and
Imagination)
• INTUITION (helps us
see patterns in the world)
*Connect Herbs
from environment to a
disordered condition
• IMAGINATION
*Images generated with
oneself (Fantasies) vs.
images that come from
beyond us (Visions)
Angelica
• Found in damp shady
soil
• Effect is warming and
drying
• Removes damp and cold
from the system
• Notable for long hollow
tube of stalk
• Resembles Tubes of the
body
Angelica (Treatment Use)
• Remedy for bronchial
tubes and blood vessels
(red/purple stalks)
• Removes stagnant blood
and warms and
stimulates the circulation
• Delayed
menstruation/cramping
• UTI/urinary antiseptic
• Intestine peristalsis
Albert Einstein
• “Imagination is more
important than
knowledge. For
knowledge is limited
to all we now know
and understand, while
imagination embraces
the entire world, and
all there ever will be to
know and
understand.”
Quantum Physics
• Entanglement Theory
*All matter was
“Entangled” or
connected at the
moment of the “Big
Bang”
*Space is just a construct
that gives the illusion
that there are separate
objects
90
80
70
60
50
40
East
West
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10
0
North
1st
Qtr
2nd
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3rd
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4th
Qtr
Quantum Physics
• Heisenberg
Uncertainty Principle
*by observing something
you change it
*What is Consciousness?
*Is all Consciousness
interconnected?
The Mind
• The Subconscious Mind
emotions, imagination, memories, and
autonomic nervous system (all are very closely
interlinked)
*very powerful at dealing with many complex
instructions at one time but is not “intelligent”
*has the reasoning of a four year old
*has a strong desire to help and facilitate change
but is very naïve a to the proper way to do so.
The Subconscious Mind
• Capable of running multiple tasks
simultaneously
• IT DOES NOT JUDGE, CRITICIZE,
ANALYZE OR REJECT!
• It excepts all thoughts the conscious mind
thinks into it AND ACTS ON THEM
• Repetition reinforces the suggestion
• It is a super computer
Have you ever been Hypnotized?
• We are constantly given suggestions by
Parents, teachers, peer pressure from friends
politicians, religion,
*Newspaper and TV: advertising tries to persuade
us to do things…vote for someone, buy
something
*If you bought something from a salesman or an
ad that you never thought of buying before or
don’t really need – then you where hypnotized
What is Hypnosis
• Being open to suggestions
• A intense state of relaxation and concentration,
in which the mind becomes detached from
everyday cares and concerns
• In this relaxed state the subconscious mind is
best able to respond creatively to suggestion and
imagery.
• A state of deep relaxation and heightened
responsiveness to suggestion
So What is Hypnosis Good For?
• Reprogramming negative conditioning
irrational fears
smoking/addictions
anxiety
recalling forgotten memories
Problems with “Alternative”
Treatments
• Lack of Research and Research funding
• What works for one person may not work for
everyone
• Out of pocket expense
• Have an idea about the treatment/therapy that
you refer a patient to
• Lack of “Alternative” practitioners in a
community
Serving vs. Fixing
• Maximize homeostasis and
function
• Support Mental/ Emotional
wellbeing
• Teach and Nurture
• Encourage independence as much
as possible
• LISTEN
Alternative Medicine
• Grown out of “grass roots” or popular desire
for a different approach to healing
• Has many forms, (Plant/Herb, Energy,
Structural Manipulation, Subconscious/Mind)
• Traditional Allopathic Medicine does not have a
monopoly on healing
• Difference between SERVING and FIXING a
patient
THANK YOU