Gastrointestinal

Alternative Medicine is Becoming Mainstream as Research Provides Proof of Efficacy

For many years, alternative medicine remained outside mainstream medicine due to a paucity of scientifically validated evidence. Today, this is rapidly changing—thanks to new developments in alternative medicine research and evolving perspectives among patients and clinicians. Rather than rejecting alternatives to conventional medicine out of hand, both patients and physicians are looking to benefit from recent findings. Studies suggest that alternative medicine increasingly plays a role in the treatment of a multitude of conditions and that younger generations of patients and clinicians employ alternative treatment methods more than their predecessors. As alternative treatments increasingly move into the mainstream, patients have more options for finding relief from symptoms than ever before.

The Mainstreaming of Alternative Medicine

Alternative medicine refers to any medical treatments that fall outside the mainstream medical care. Historically, clinicians have refrained from prescribing such therapies due to lack of empirical evidence of efficacy. Patients, however, have often sought out alternative treatments on their own, and anecdotal evidence has long suggested that alternative treatments can have significant benefits for a wide variety of medical conditions.

Starting in 1999, the National Center for Complementary and Integrative Health, with the help of government funding, sought to investigate whether these anecdotal claims could be replicated on a statistically significant level in empirical studies. The result was the emergence of a still-expanding body of research demonstrating that many alternative medicine modalities are safe and effective. Such research has spurred increased integration of alternative practices in mainstream treatment environments.

Today alternative medicine is a common component of treatment for a host of medical conditions. Research suggests that alternative medicine is now used by up to 91% of oncology patients and offered by 86% of American hospices. In the field of psychiatry, alternative treatments like nutraceutical supplementation have been shown to provide meaningful relief from symptoms related to a wide variety of mental health disorders. Meanwhile, 60% of Norwegian physicians who have been properly trained use acupuncture as an analgesic, and 69% of Australian hospitals incorporate alternative treatments for cancer patients. Alternative medicine is undeniably reshaping clinical practice.

Opening Up New Avenues for the Treatment of Autism

One of the fields where alternative medicine is quickly becoming ubiquitous is in the treatment of autism spectrum disorder (ASD). Studies show that up to 95% of children with autism receive alternative treatments and alternative medicine is now an essential component of many treatment strategies. In American autism treatment programs, commonly used alternative medicine modalities include:

  • Nutritional supplements
  • Specialty diets
  • Fatty acid therapies
  • Hyperbaric oxygen therapy
  • Aromatherapy
  • Mindfulness practices
  • Experiential therapies

As the prevalence of alternative medicine in the treatment of autism shows, not all patients respond well to conventional treatments or experience adequate relief from symptoms. A growing body of both anecdotal and empirically verified evidence suggests that alternative practices can provide significant symptom relief even where conventional interventions have failed. Moreover, this research shows that some alternative practices can simultaneously improve overall quality of life for individuals with autism.

Creating Relief from GI Symptoms

Another area where alternative medicine is making significant inroads is in the treatment of gastrointestinal conditions. The prevalence of alternative medicine use in pediatric patients with GI issues, for example, is as high as 83%. Multivitamin supplementation is the most common alternative therapy used for GI issues, representing 91% of alternative medicine use. However, a number of other treatment modalities are common, including:

  • Calcium supplementation
  • Vitamin C supplementation
  • Probiotics
  • Fatty acid supplementation
  • Massage
  • Chiropractic manipulation

According to researchers, there is compelling evidence that these treatments can provide meaningful relief of gastrointestinal symptoms. For example, one research cohort found that multivitamins were perceived as helpful by 47% of parents of pediatric patients. Meanwhile, a large-scale study on adults discovered that over 80% of respondents with a GI condition reported that alternative therapies improved their symptoms. With evidence of efficacy mounting, the popularity of these treatments will likely soar as patients seek more complete resolution of symptoms and improved tolerability of treatment.

Toward Integrative Care

As interest in alternative medicine grows among both clinicians and patients, there are a number of challenges that must be addressed to ensure safe use of alternative practices. For example, patients often embark on alternative treatments independently, without the supervision of physicians. However, this can result in improper treatment and create potentially hazardous interactions with conventional therapies. In order to ensure patient safety and create effective treatment plans, physicians need to acknowledge patients’ desire to try alternative modalities and seek the expertise necessary to guide the integration of these modalities. Newly scientifically validated methodologies for certain alternative medicine practices are already providing physicians with new tools to craft meaningful treatment experiences for today’s increasingly knowledgeable and empowered patients.

The Future of Alternative Medicine Research

The mainstreaming of alternative medicine is spurred in large part by mounting evidence of efficacy. As a result, the distance between alternative therapies and mainstream medicine is closing rapidly, even in modalities where empirical evidence is only now emerging. To fully realize the potential of alternative medicine, however, further research is needed. Deeper and broader investigations into alternative practices will bring a wider array of alternative medicines into the fold of conventional medicine as the underlying science and physiological effects of alternative therapies are better understood. At the same time, empirical investigations will help us to create safe and effective treatment protocols, refine treatment selection, and shape clinician and patient expectations. With thoughtful study designs and rigorous analysis, alternative medicine research can open up new possibilities for healing and move the medical establishment toward more integrative models of care.

Foundational Medicine Review is your source for relevant, reliable information on gastrointestinal and neurological disorders, including autism. For monthly updates on the latest news, research, and analysis, join our mailing list today.

Works Cited

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Adams D, Schiffgen M, Kundu A, Dagenais S, Clifford T, et al. 2014. Patterns of Utilization of Complementary and Alternative Medicine in 2 Pediatric Gastroenterology Clinics. Journal of Pediatric Gastroenterology and Nutrition. 59:334–339. http://journals.lww.com/jpgn/Abstract/2014/09000/Patterns_of_Utilization_of_Complementary_and.11.aspx

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Briggs JP, Killen J. 2013. Perspectives on Complementary and Alternative Medicine Research. JAMA. 310:691–692. https://www.researchgate.net/publication/256291019_Perspectives_on_Complementary_and_Alternative_Medicine_Research

Canizares M, Hogg-Johnson S, Gignac MAM, Glazier RH, Badley EM. 2017. Changes in the use practitioner-based complementary and alternative medicine over time in Canada: Cohort and period effects. Plos One. 12. https://www.researchgate.net/publication/317218968_Changes_in_the_use_practitioner-based_complementary_and_alternative_medicine_over_time_in_Canada_Cohort_and_period_effects

Dossett ML, Davis RB, Lembo AJ, Yeh GY. 2014. Complementary and Alternative Medicine Use by US Adults With Gastrointestinal Conditions: Results from the 2012 National Health Interview Survey. The American Journal of Gastroenterology. 109:1705–1711. https://www.nature.com/articles/ajg2014108

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Lim E, Vardy JL, Oh B, Dhillon HM. 2016. Integration of complementary and alternative medicine into cancer-specific supportive care programs in Australia: A scoping study. Asia-Pacific Journal of Clinical Oncology. 13:6–12. https://www.ncbi.nlm.nih.gov/pubmed/27782378

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