Low Back Pain : Alternative Therapies

Low back pain (LBP) is a common complaint-second only to cold and flu as a reason why patients seek care from their family doctor. It may be a limited musculoskeletal symptom or caused by a variety of diseases and disorders that affect or extend f...

Low back pain is a common musculoskeletal symptom that may be either acute or chronic. It may be caused by a variety of diseases and disorders that affect the lumbar spine. Low back pain is often accompanied by sciatica , which is pain that involv...

The practice of acupuncture originated in China 5,000 years ago. Today it is widely used throughout the world and is one of the main pillars of Chinese medicine. There are many different varieties of the practice of acupuncture, both in the Orient and in the West. The most common forms available to westerners are as follows: traditional Chinese medicine (TCM) usually combines acupuncture with Chinese herbs. Classical acupuncture (also known as five element acupuncture) uses a different needling technique and relies on acupuncture independent of the use of herbs. Japanese acupuncture uses smaller needles than the other varieties. Medical acupuncture refers to acupuncture practiced by a conventional medical doctor. Auricular acupuncture treats the entire body through acupuncture points in the ears only. Electroacupuncture uses electrical currents attached to acupuncture needles. Aside from needles, other methods of stimulation are also considered forms of "acupuncture." These include use of heat from the burning of herbs placed on the points ("moxibustion"), and the placement of herbal pastes on specific points. Research into the effectiveness of acupuncture has special challenges. These include the diversity of approaches, the practice of individualizing treatment for each patient, differing skill levels between practitioners, and difficulty separating out the effects of acupuncture from placebo effects (i.e., how the patient's beliefs and expectations affect their perception of symptoms). Based on acupuncture's long history of use as well as the limited research available, both the World Health Organization and the National Institutes of Health have identified many conditions for which it may be recommended. However, many common uses do not yet have formal scientific evidence to support them.

Acupuncture, one of the main forms of therapy in traditional Chinese medicine (TCM), has been practiced for at least 2,500 years. In acupuncture, certain points on the body associated with energy channels or meridians are stimulated by the insertion of fine needles.

Acupuncture is one of the main forms of treatment in traditional Chinese medicine . It involves the use of sharp, thin needles that are inserted in the body at very specific points.

Acupuncture, one of the main forms of therapy in traditional Chinese medicine (TCM), has been practiced for at least 2,500 years. In acupuncture, certain points on the body are stimulated by the insertion of fine needles.

Acupuncture is one of the main forms of treatment in traditional Chinese medicine. It involves the use of sharp, thin needles that are inserted in the body at very specific points.

Water has been used medicinally for thousands of years, with traditions rooted in ancient China, Japan, India, Rome, Greece, the Americas, and the Middle East. There are references to the therapeutic use of mineral water in the Old Testament. During the Middle Ages, bathing fell out of favor due to health concerns, but by the 17th century, "taking the waters" at hot springs and spas became popular across Europe (and later in the United States). Hydrotherapy is broadly defined as the external application of water in any form or temperature (hot, cold, steam, liquid, ice) for healing purposes. It may include immersion in a bath or body of water (such as the ocean or a pool), use of water jets, douches, application of wet towels to the skin, or water birth. These approaches have been used for the relief of various diseases and injuries, or for general well being. There are other therapies that may include the use of water as a part of a technique, but are not included in this review, such as colonic irrigation/enemas, nasal irrigation, physical therapy in pools, steam inhalation/humidifiers, drinking of mineral water/"enriched" water, coffee infusions, aquatic yoga, aquatic massage (including Watsu®), or aromatherapy/baths with added essential oils. Modern hydrotherapy originated in 19th century Europe with the development of spas for "water cure" ailments, ranging from anxiety to pneumonia to back pain. Father Sebastian Kneipp, a 19th century Bavarian monk, spurred a movement to recognize the benefits of hydrotherapy. His methods were later adopted by Benedict Lust who immigrated to the United States from Germany in 1896, and founded an American school of naturopathic medicine. Lust claimed to have cured himself of tuberculosis with Kneipp's methods, and hydrotherapy was included as a component of naturopathic medicine. In modern times, a wide variety of water-related therapies are used, some of which are described below. Sitz bath : A Sitz bath is administere...

Hydrotherapy, or water therapy, is the use of water (hot, cold, steam, or ice) to relieve discomfort and promote physical well-being. Purpose Hydrotherapy can soothe sore or inflamed muscles and joints, rehabilitate injured limbs, lower fevers, soothe headaches, promote relaxation, treat burns and frostbite, ease labor pains, and clear up skin problems.

Hydrotherapy, or water therapy, is the use of water (hot, cold, steam, or ice) to relieve discomfort and promote physical well-being. Origins The therapeutic use of water has a long history.

Hydrotherapy, or water therapy, is the use of water (hot, cold, steam, or ice) to relieve discomfort and promote physical well-being. Purpose Hydrotherapy is intended to relieve pain , increase mobility, and promote a feeling of well-being.

The use of magnets to treat illness has been described historically in many civilizations, and was suggested by ancient Egyptian priests and in the 4 th century BC by Hippocrates. The 15 th century Swiss physician and alchemist Paracelsus theorized that magnets may be able to attract diseases and leach them from the body. In modern times, magnetic fields play an important role in Western medicine, including use for magnetic resonance imaging (MRI), pulsed electromagnetic fields, and experimental magnetic stimulatory techniques. Many different types, sizes, and strengths of magnets are available. Magnet therapy may be administered by a healthcare professional, or used by individuals on their own. Constant (static) magnets or pulsed electromagnetic fields may be applied to areas of the body affected by illness, or to the entire body. Devices exist which can implanted in the body or used externally to deliver pulsed electromagnetic field therapy. Self-adhesive magnetic strips, foils, belts and bracelets are available for self-treatment. Magnetic jewelry such as earrings and necklaces, shoe inserts, mattress pads, and magnet-conditioned water are commercially sold. Magnet wraps are available for thumbs, wrists, knees, thighs, ankles, elbows, shoulders, shins, back, and head, as well as for animals such as dogs, cats, and horses. Lodestones are rocks that may possess natural magnetic properties, and are sometimes sold as healthcare products. The magnetic field from permanent (static) magnets is different from electromagnetic radiation and may have different effects on the body. Scientific evidence suggests that pulsed electromagnetic fields may be useful in the healing of non-union tibia fractures. However, medical uses of stand-alone magnets (static magnetic fields) have not been sufficiently studied, and benefits for any specific condition have not been proven scientifically.

Magnetic therapy is the use of magnets to relieve pain in various areas of the body. Purpose Some of the benefits that magnetic therapy claims to provide include: pain relief reduction of swelling improved tissue alkalinization more restful sleep increased tissue oxygenation relief of stress increased levels of cellular oxygen improved blood circulation anti-infective activity Origins Magnetic therapy dates as far back as the ancient Egyptians.

Various forms of therapeutic superficial tissue manipulation have been practiced for thousands of years across cultures. Chinese use of massage dates to 1600 BC, and Hippocrates made reference to the importance of physicians being experienced with "rubbing" as early as 400 BC. There are references to massage in ancient records of the Chinese, Japanese, Arabic, Egyptian, Indian, Greek, and Roman nations. References to massage are also found in the Bible and the Vedas. Terms for massage include the French word masser , the Greek word for "knead," a Hindu word for "press," and an Aramaic word that means "to press softly." Massage spread throughout Europe during the Renaissance. The technique that is currently called Swedish massage was developed in the 19th Century by Per Henrik Ling (1776-1839) as a combined form of massage and gymnastic exercises. George and Charles Taylor, two physicians who had studied in Sweden, introduced massage therapy to the United States in the 1850s. In 1873, the term massage entered the Anglo-American medical lexicon. By the early 1930s, massage became a less prominent part of American medicine, and was displaced by a focus on the biological sciences. Interest resurged in the 1970s, particularly in athletes and as a complementary therapy to promote well-being, relaxation, pain-reduction, stress-relief, musculoskeletal injury healing, sleep enhancement, and quality of life. A common goal of therapy is to "help the body heal itself." Touch is fundamental to massage therapy and is used by therapists to locate painful or tense areas, to determine how much pressure to apply, and to establish a therapeutic relationship with clients. The term "toxic touch" refers to techniques with detrimental effects. Many different therapeutic techniques can be classified as massage therapy. Most involve the application of fixed or moving pressure or manipulation of the muscles/connective tissues of clients. Practitioners may use their hands or other areas su...

Massage therapy is the scientific manipulation of the soft tissues of the body for the purpose of normalizing those tissues and consists of manual techniques that include applying fixed or movable pressure, holding, and/or causing movement of or to the body. Origins Massage therapy is one of the oldest health care practices known to history.

Pregnancy massage is the prenatal use of massage therapy to support the physiologic, structural, and emotional well-being of both mother and fetus. Various forms of massage therapy, including Swedish, deep tissue, neuromuscular, movement, and Oriental-based therapies, may be applied throughout pregnancy as well as during labor and the postpartum period.

Massage therapy is the scientific manipulation of the soft tissues of the body, consisting primarily of manual (hands-on) techniques such as applying fixed or movable pressure, holding, and moving muscles and body tissues. Purpose Generally, massage is delivered to improve the flow of blood and lymph (fluid in lymph glands, part of immune system), to reduce muscular tension or flaccidity, to affect the nervous system through stimulation or sedation, and to enhance tissue healing.

Pregnancy massage is the prenatal use of massage therapy to support the physiologic, structural, and emotional well-being of both mother and fetus. Various forms of massage therapy, including Swedish, deep tissue, neuromuscular, movement, and Oriental-based therapies, may be applied throughout pregnancy as well as during labor and the postpartum period.

Massage therapy is the scientific manipulation of the soft tissues of the body for the purpose of normalizing those tissues and consists of manual techniques that include applying fixed or movable pressure, holding, and/or causing movement of or to the body. Purpose Generally, massage is known to affect the circulation of blood and the flow of blood and lymph, reduce muscular tension or flaccidity, affect the nervous system through stimulation or sedation , and enhance tissue healing.

Stone massage is a form of bodywork that involves the application of heated or cooled stones (thermotherapy) to the body during deep tissue massage. Origins The use of materials of different temperatures on the body to bring about healing is an ancient technique.

Russian massage is a system of therapeutic and sports massage developed in the former Soviet Union. It uses a variety of manipulations of the body ' s soft tissues to achieve benefits, including stress reduction and relief from muscle aches.

Sports massage is a form of bodywork geared toward participants in athletics. It is used to help prevent injuries, to prepare the body for athletic activity and maintain it in optimal condition, and to help athletes recover from workouts and injuries.

Various forms of meditation have been practiced for thousands of years throughout the world, with many techniques originating in Eastern religious practices. In modern times, numerous meditation types are in use, often outside of their original religious and cultural contexts. The definition of meditation is variable. A classic definition of meditation is the deliberate self-regulation of attention through which the stream of consciousness is temporarily suspended. A common goal is to attain a state of "thoughtless awareness" of sensations and mental activities occurring at the present moment. However, meditation is often popularly perceived as any activity through which a person's attention is focused on a repetitious thought or word. Meditation generally does not involve suggestion, autosuggestion, or trance. Techniques that make use of constant repetition of syllables, visualizations, or other thought forms, but do not achieve thoughtless awareness, are sometimes described as being "quasi-meditative." There are many forms and sub-types of meditation or "quasi meditation," and several techniques are described below. Mindfulness is an approach in which attention is focused on a physical sensation (such as the breath). When thoughts intrude, the individual returns to the focus. Attention is placed on the present moment, rather than on the future or past. This technique may involve a "body scan," in which one focuses on the body from head to feet, concentrating on areas of pain or illness. This is usually performed while lying down. Regular practice is suggested to enhance self-awareness. Analytical meditation differs from other forms in that the practitioner does not repeat a word over and over, but rather strives to comprehend the deeper meaning of the object of focus. Guided meditation or guided imagery is a technique that directs the imagination towards a conscious goal. Yoga nidra or yogic "sleep" is considered to be a form of guided meditation. Breath medita...

A labyrinth is a patterned path, often circular in form, used as a walking meditation or spiritual practice. A labyrinth ' s walkway is arranged in such a way that the participant moves back and forth across the circular form through a series of curves, ending at the labyrinths ' s heart or center.

Meditation is a practice of concentrated focus upon a sound, object, visualization, the breath, movement, or attention itself in order to increase awareness of the present moment, reduce stress , promote relaxation , and enhance personal and spiritual growth. Origins Meditation techniques have been practiced for millennia.

Meditation or contemplation involves focusing the mind upon a sound, phrase, prayer, object, visualized image, the breath, ritualized movements, or consciousness in order to increase awareness of the present moment, promote relaxation, reduce stress , and enhance personal or spiritual growth. Purpose Meditation can benefit people who are ill or overwhelmed by stress.

Meditation is a practice of concentrated focus upon a sound, object, visualization, the breath, movement, or attention itself in order to increase awareness of the present moment, reduce stress , promote relaxation , and enhance personal and spiritual growth. Origins Meditation techniques have been practiced for millennia.

Meditation is a practice of concentrated focus upon a sound, object, visualization, the breath, movement, or attention itself in order to increase awareness of the present moment, reduce stress , promote relaxation, and enhance personal and spiritual growth. Purpose Meditation benefits people with or without acute medical illness or stress.

Music is an ancient tool of healing that was recognized in the writings of Pythagoras, Aristotle and Plato. The modern discipline of music therapy began early in the 20th Century with community musicians visiting veterans' hospitals around the country to play for those suffering from the traumas of war. Patients' responses led to the hiring of musicians by hospitals. Music is used to influence physical, emotional, cognitive and social well-being, and improve quality of life for healthy people, as well as those who are disabled or ill. It may involve either listening to or performing music, with or without the presence of a music therapist. Music therapists are professionally trained to design specialized applications of music according to an individual's needs using improvisation, receptive listening, song writing, lyric discussion, imagery, performance or learning through music. Sessions can be designed for individuals or groups based on the specific needs of the participants. Infants, children, adolescents, adults, the elderly and even animals can all potentially benefit from music therapy. Music therapists work in psychiatric hospitals, prisons, rehabilitative facilities, medical hospitals, outpatient clinics, day treatment centers, agencies serving developmentally disabled persons, community mental health centers, drug and alcohol programs, senior centers, nursing homes, hospice programs, correctional facilities, halfway houses, schools and private practice.

Music therapy is a technique of complementary medicine that uses music prescribed in a skilled manner by trained therapists. Programs are designed to help patients overcome physical, emotional, intellectual, and social challenges.

Music therapy is a technique of complementary medicine that uses music prescribed in a skilled manner by trained therapists. Programs are designed to help patients overcome physical, emotional, intellectual, and social challenges.

The practice of applying finger pressure to specific acupoints throughout the body has been used in China since 2000 BC, prior to the use of acupuncture. Acupressure techniques are widely practiced internationally for relaxation, wellness promotion, and the treatment of various health conditions. Multiple human studies suggest effectiveness of wrist-point (P6) acupressure for treating nausea. Shiatsu means finger ( Shi ) pressure ( Atsu ) in Japanese. Shiatsu technique involves finger pressure at acupoints and along body meridians. It can incorporate palm pressure, stretching, massaging and other manual techniques. Shiatsu practitioners commonly treat musculoskeletal and psychological conditions, including neck/shoulder and lower back problems, arthritis, depression, and anxiety. Tuina (Chinese for "pushing and pulling") is similar to shiatsu but with more soft tissue manipulation and structural realignment. Tuina is a common form of Asian bodywork used in Chinese-American communities.

Shiatsu is a manipulative therapy developed in Japan and incorporating techniques of anma (Japanese traditional massage), acupressure , stretching, and Western massage. Shiatsu involves applying pressure to special points or areas on the body in order to maintain physical and mental well being, treat disease, or alleviate discomfort.

Shiatsu is a manipulative therapy developed in Japan and incorporating techniques of anma (Japanese traditional massage), acupressure , stretching, and Western massage. Shiatsu involves applying pressure to special points or areas on the body in order to maintain physical and mental well being, treat disease, or alleviate discomfort.

Shiatsu is a manipulative therapy developed in Japan and incorporating techniques of anma (Japanese traditional massage), acupressure , stretching, and Western massage. Shiatsu involves applying pressure to special points or areas on the body in order to maintain physical and mental well being, treat disease, or alleviate discom-fort.

Overview : Chiropractic is a health care discipline that focuses on the relationship between musculoskeletal structure (primarily the spine) and body function (as coordinated by the nervous system), and how this relationship affects the preservation and restoration of health. The broad term "spinal manipulative therapy" incorporates all types of manual techniques, including chiropractic. History : Spinal manipulation was used medicinally as early as 2700 B.C. in ancient Chinese medicine. Hippocrates and Galen used manipulative techniques, and the word "chiropractic" is derived from Greek chiropraktikos , meaning "effective treatment by hand." In the late 1800s, David Daniel Palmer systematized the principles upon which modern chiropractic is based, suggesting that abnormal nerve function is the primary cause of disorders, and recommending adjustment of the spine as an effective therapy. The Palmer School of Chiropractic opened in 1895, and one-third of students were physicians. Acceptance of Palmer's principles in the medical community varied, and some early chiropractors were imprisoned (including Palmer himself). A schism between chiropractors and medical doctors persisted, and between 1977-1987, an antitrust lawsuit was brought against the American Medical Association for systematic bias against the chiropractic profession (which was ultimately successful). Divisions existed within the chiropractic community as well, and during the early 20 th century, two schools of thought emerged: One group ("straights") asserted that subluxation is the underlying cause of disease. A second group ("mixers") worked in a multidisciplinary setting with physicians, and accepted other pathophysiologic theories of disease. Two different chiropractic associations were founded between 1920-1926 reflecting this division: the International Chiropractic Association (ICA) and the American Chiropractic Association (ACA), respectively. In 1972, chiropractic treatment became reimbursable ...

Spinal manipulative therapies are those that are used on the human skeleton, particularly the spinal area, to relieve muscular or skeletal pain , relieve tension, improve the mobility of joints and, in the case of the oriental therapies, to " unblock energy channels. " The idea behind spinal manipulation is that when the vertebrae are subluxated (misaligned), the resulting pressure on nerves can have negative effects on organ system function and general health, in addition to impeding proper joint motion.

Doctor of Chiropractic (DC)Chiropractic care (which comes from the Greek word meaning "done by hand") dates back to 1895. It was developed by Daniel David Palmer, a self-taught healer in Davenport, Iowa. Palmer wanted to find a cure for disease an...

Joint mobilization is a treatment technique used to manage musculoskeletal dysfunction. Most manipulative and mobilization techniques are performed by physical therapists, and fall under the category of manual therapy.

Chiropractic is from Greek words meaning done by hand. It is grounded in the principal that the body can heal itself when the skeletal system is correctly aligned and the nervous system is functioning properly.

Yoga is an ancient system of relaxation, exercise, and healing with origins in Indian philosophy. Early descriptions of yoga are written in Sanskrit, the classical literary language of India. The first known work is "The Yoga Sutras," written more than 2,000 years ago, although yoga may have been practiced up to 5,000 years ago. The initial concepts have been adapted over time through translation and scholarly interpretation, but the fundamental principles describing the practice of yoga in the quest of the soul remain largely intact. Yoga has been described as "the union of mind, body, and spirit," which addresses physical, mental, intellectual, emotional and spiritual dimensions towards an overall harmonious state of being. The philosophy of yoga is sometimes pictured as a tree with eight branches. These eight limbs are: pranayama (breathing exercises), asana (physical postures), yama (moral behavior), niyama (healthy habit), dharana (concentration), prathyahara (sense withdrawal), dhyana (contemplation), and s amadhi (higher consciousness). There are several schools of yoga practice, such as hatha yoga, karma yoga, bhakti yoga, and raja yoga. These schools vary in the proportions of the exercises of the eight limbs. However, they are all similar in working towards the goal of self-realization and control of mental, physiological, and psychological parameters through yogic experiences. In the United States and Europe, hatha yoga is commonly practiced, including pranayama and asanas . Yoga is often practiced by healthy individuals with the aim to achieve relaxation, fitness, and a healthy lifestyle. Yoga has also been recommended and used for a variety of medical conditions. Yoga techniques can be learned in classes or through videotape instruction. Classes last from 30 to 90 minutes and are offered at various skill levels. There is no widely accepted credentialing for yoga instructors.

The term yoga comes from a Sanskrit word that means yoke or union. Traditionally, yoga is a method joining the individual self with the Divine, Universal Spirit, or Cosmic Consciousness.

Yoga is an ancient system of breathing practices, physical exercises and postures, and meditation intended to integrate the practitioner ' s body, mind, and spirit. It originated in India several thousand years ago, and its principles were first written down by a scholar named Patanjali in the second century B.

The term " yoga " comes from a Sanskrit word meaning " union. " Yoga combines physical exercises, mental meditation, and breathing techniques to strengthen the muscles and relieve stress.

The term yoga comes from a Sanskrit word which means yoke or union. Traditionally, yoga is a method joining the individual self with the Divine, Universal Spirit, or Cosmic Consciousness.

Bhakti yoga is one of six major branches of yoga, representing the path of self-transcending love or complete devotion to God or the divine. A practitioner of bhakti yoga regards God as present in every person or sentient being.

The term yoga comes from a Sanskrit word which means yoke or union. Traditionally, yoga is a method joining the individual self with the Divine, Universal Spirit, or Cosmic Consciousness.