| 1.
What is alternative medicine?
The answer depends
largely on who you ask, and sometimes on their interests-a conventional
doctor might tell you that alternative medicine is a useless, possibly
dangerous waste of money, while an alternative medicine practitioner
may say its the best and only cure for anything that ails
you. The truth is somewhere in between, with the simplest answer
being that alternative medicine is any healing method not taught
in medical school. This encompasses a very broad range of diagnostic
methods, dietary and exercise programs, massage techniques and even
complete medical systems such as traditional Chinese medicine and
Ayurveda, some of which are widely recognized among the conventional
medical community as valuable, while others are largely dismissed
as anything from wishful thinking to fraud. back
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2.
What is complementary medicine?
Complementary
medicine is any alternative treatment, that is, any healing method
not taught to medical doctors, that is used alongside conventional
medicine to enhance its effect in some way. This includes anything
from massage of an injured limb to music piped into hospital rooms
to relax patients. It should always be discussed with the doctor,
since some complementary therapies can conflict with some medical
treatments; in particular, herbal remedies can be dangerous if used
while taking pharmaceuticals, and some manual body therapies can
exacerbate some injuries or conditions if employed without due care.
Nevertheless, if used properly complementary medicine can be an
excellent tool to assist and accelerate recovery from injuries and
disease, whether through a direct therapeutic effect or by alleviating
the stress of the hospital experience. back to top
3.
What is the major difference between conventional (mainstream) medicine
and alternative medicine?
The primary
difference is that alternative medicine includes any diagnostic
or therapeutic method that has not found complete acceptance within
the mainstream medical community, and is therefore not taught in
standard medical schools. In some cases this includes treatments
that are both publicly popular and highly regarded by most conventional
doctors, but have not undergone rigorous scientific study, while
in others the treatments in question are considered useless or even
dangerous by most doctors. The reasons treatments have not been
adopted by conventional medicine are as varied as the treatments
themselves; some, such as various energy medicine systems, are simply
difficult to study or quantify in scientific terms because of the
theories involved, while others may be subject to criticism from
the medical or pharmaceutical industries because they represent
an economic threat. There is also a difference in overall approach,
in that most alternative practitioners place more emphasis on the
relationship between body, mind, and spirit. back
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4.
What is integrative medicine?
Integrative
medicine is similar in concept to complementary medicine, but entails
a closer interweaving of conventional and alternative methods. Typically,
an integrative practitioner is a conventional medical doctor, dentist
or other health professional who incorporates alternative techniques
or ideas with their medical training to offer a more comprehensive,
holistic approach to treatment. This can manifest itself in a wide
variety of ways, from a doctor who is familiar with herbal remedies
and aromatherapy, to a dentist who employs cranial-sacral therapy,
to a veterinarian who recommends acupuncture or vitamin therapy
for pets. It also includes the use of alternative medicine within
conventional medical environments; for example, healing touch has
come into widespread use by nurses in hospitals. back
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5.
What is mind/body medicine?
Essentially,
mind/body medicine is any therapy that seeks to aid or accelerate
the healing process by using the power of the mind over the body.
Most focus on stress relief, whether as a way to improve overall
health and lifestyle or as a way to let the body get on with the
business of healing itself, unimpeded by negative thoughts, emotions,
and harmful stress hormones. It has been well documented that stress
increases heart rate and blood pressure, and interferes with proper
immune system function, and thus can be a major contributing factor
to a number of conditions as well as a major obstacle to recovery.
Treatments such as music therapy, meditation or hypnosis can therefore
be a tremendous help in fighting disease, healing injuries, or simply
feeling good. Some mind/body therapies, such as biofeedback and
guided imagery, take a more direct approach, employing the patients
conscious effort to combat conditions. back to top
6.
What is energy medicine?
Energy medicine
is any system of diagnosis or treatment that works from the idea
that a kind of life energy flows through the body. For example,
traditional Chinese medicine holds that health depends on the flow
of energy, called Qi (chee), through the body along channels called
meridians. Each of these meridians is associated with a part of
the body and/or an organ system, and is accessible through points
near the surface of the skin called acupoints. If this energy flow
is impeded or imbalanced in some way, often by negative thoughts
or emotions but sometimes also by outside factors, any number of
illnesses can result. An energy medicine practitioner attempts to
cure not by addressing the symptoms of the illness, but by correcting
the imbalance that caused them, whether through acupuncture, Qi
Gong or other methods. There are a number of other alternative medical
systems and treatments that employ similar theories, such as traditional
Indian medicine or Ayurveda, healing touch, and reflexology. back
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7.
What is manual body therapy?
Manual body
therapy is any healing technique which is primarily and literally
hands-on. The most familiar example and the most basic, straightforward
technique is massage, but there are a large number and variety of
manual body therapies, which in turn address a large number of medical
conditions. For example, chiropractors specialize in movement problems
or injuries related to the spine, while the Alexander Method seeks
to address similar conditions through improvement of posture and
habits of movement. Some manual body therapies incorporate elements
from other alternative medicines, such as acupressure and Shiatsu,
which operate on energy medicine principles. Others combine the
hands-on element with exercises to enhance their effectiveness,
such as Feldenkrais. Most are perfectly safe and effective if administered
properly, but some, such as chiropractic, involve some risk. back
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8.
What are some of the problems with alternative and complementary
medicine?
Alternative
healthcare has many of the same problems as conventional healthcare--
the quality and effectiveness of treatments varies widely, based
on factors such as the competence of the practitioner, the quality
of any products involved and the nature of your condition. But in
alternative medicine, these factors can be greater due to the lack
of government regulation, as well as the relative dearth of study
on the nature and efficacy of most of the methods. And of course,
most alternative medicine is not covered by health insurance and
can be very costly, especially since it usually requires treatment
over an extended period of time. Practitioners often also sell supplements,
in part as an element of a holistic approach, but also in part because
the opportunity for added profit is there. Since many of the methods
are unregulated, untested and difficult to understand, an unscrupulous
alternative practitioner could diagnose problems that dont
exist, or recommend treatments that arent needed, much more
easily than a medical doctor. The best possible way to avoid these
problems is, again, the same as in conventional medicine-get to
know as much as you can about your condition, your treatment choice,
and your practitioner. back to top
9.
How popular are complementary and alternative medicine?
Although still
thought of as unusual or outside the mainstream, alternative and
complementary medicine have exploded in popularity in the last decade
or so, and there are now at least as many Canadians who have used
them as havent. Of course, these statistics apply only to
the western world; roughly 80 percent of the worlds population
still depends on various types of traditional healing that would
be dubbed alternative by conventional medicine. But
the west is catching on fast. Use of herbal remedies grew by 380
percent between 1991 and 1997, and is still growing at a rate of
15-20 percent a year, while other alternative therapies are coming
into regular use in hospitals, as evidence grows almost daily of
their benefits, cost effectiveness, and not least popularity. This
growth in popularity, as well as the growing shift in conventional
medical opinion, stems from a number of factors: a steadily increasing
weight of anecdotal and other evidence as to their effectiveness;
the growing cost of, and receding trust in, conventional medicine;
a demographic trend toward greater multiculturalism, which has exposed
a greater part of the population to non-western healing practices;
and a large, affluent, and aging baby-boomer generation creating
ever greater pressure on the medical infrastructure, and ever greater
demand for health options. back to top
10.
Why do people opt for complementary &/or alternative medicine
(CAM)?
Conventional
medicine tends to view medicine as a science rather than an art
and a science. Physicians view the body as a complex machine and
tend to ignore the obvious connection between our thoughts, our
emotions and our spirits. Alternative practitioners are generally
more patient-oriented and more holistic in approach, providing a
more personal, comforting experience than overworked doctors and
understaffed hospitals can afford.
People turn
to alternative medicine when conventional medicine has run out of
ideas. Medicine does not always have all the answers. Conventional
medicine has been a lot less successful in treating chronic degenerative
conditions such as heart disease, cancer, arthritis, AIDS, osteoporosis
etc. For such conditions conventional medical treatment options
are limited, offer temporary relief and can cause unpleasant side
effects.
A number of
alternative therapies offer hope for a better means of coping with,
controlling or even curing some of these problems. Having more treatment
options gives a person a greater sense of control over their health
outcomes. CAM as a complement to conventional medicine has been
demonstrated to improve the effectiveness of many treatments.
Many people
have adopted complementary & alternative medicine as a first
line of defense, to improve their everyday health habits and overall
wellness, and simply preempt the need for surgery and drugs. back
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11.
I have cancer. Which complementary &/or alternative therapy
should I try?
There is not
one CAM therapy that has the same effect on everybody. Your search
for a treatment to complement your cancer therapy is an individual
decision only you can make. It is important to do all your research
and consider all the costs involved. Going with your gut feeling
might be a good place to start. back to top
12.
How safe is alternative medicine?
The answer to
this question varies considerably with the therapy in question,
as well as who you ask. Most alternative therapies are specifically
conceived and promoted as safer, more natural alternatives to conventional
medicine, but sometimes practitioners downplay significant risks
involved. In general, the safest types of alternative medicines
are mind/body and energy medicines, which use either the patients
mind or the patients energy to combat illness, which means
that there is little or no physical contact and nothing to ingest,
and therefore no risk. Herbal remedies are also generally safe,
provided they are used correctly, in the right dosage, and combinations
are used carefully or avoided altogether. Manual body therapies,
again, are safe if used properly, but can involve some risk of injury
or aggravation of existing conditions. Of course, your best defense
in any case is ensuring that you are well informed about your condition,
the treatment, and perhaps most importantly, the practitioner. Perhaps
the most significant danger involved in the use of alternative treatments
is the abandonment of conventional medical treatments that may be
necessary for a complete dependence on an alternative that may not
be reliable. back to top
13.
Should I tell my doctor what complementary or alternative therapies
I am using?
Yes. People
are often concerned that their doctor will frown upon or criticize
any alternative methods that they may be using alongside their conventional
treatment, but most doctors, if they arent exactly open-minded
about alternatives, will certainly be understanding. There are serious
risks involved in combining some alternative therapies with conventional
treatments, for example if herbal medicines are incautiously combined
with pharmaceuticals, and alternative treatments can also cause
problems associated with other conventional treatments such as surgery.
So your doctor should always be aware of anything you are doing
or taking beyond what he or she has prescribed or recommended, and
for the same reasons alternative practitioners should always be
informed of any conventional treatment you are receiving. back
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14.
What role does the Canadian government play in the regulation of
herbal products and complementary and alternative medicine?
At present,
most alternative medicine is unregulated. The federal government
is, however, taking large steps toward the regulation of herbal
products, to ensure quality and dosage, and to protect consumers
from false or exaggerated health claims. They also have a website
containing extensive information on the topic. In addition, most
alternative health practitioners regulate themselves through professional
associations, which can be contacted through this site. By and large,
the degree of regulation also varies widely from province to province
and from therapy to therapy, so it is probably wise to look into
the situation for any particular treatment in your own area, and
always a good idea to check the credentials of the practitioner.
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15.
Are any complementary or alternative medicine treatments covered
by healthcare insurance?
Coverage varies
from plan to plan, but in general alternative health practices arent
covered. Some techniques such as massage which have a considerable
track record for improving employee health and morale, and therefore
reducing days taken off work, are the most likely to be covered
by your employers benefits package, while methods still widely
regarded as fringe are not covered at all. Insurance
companies make decisions on what to cover based on the bottom line,
and since many alternative health practices are very expensive,
it is simply impractical to include them in most plans. But as demand
from consumers rises, more and more insurance companies as well
as employers are taking a close look at the potential benefits,
as well as the potential profits. back to top
16.
Can I claim my complementary and alternative medicine expenses on
my income tax?
As a general
rule, any medical expenses that you incur as a result of a visit
to a conventional doctor can be claimed on your income tax return.
Therefore, if for example a doctor refers you to an alternative
practitioner such as a massage therapist or chiropractor, then those
expenses can be claimed. Otherwise, probably not, but ask your doctor
or your accountant if they are aware of other possibilities. back
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©2001 EnerChi Health Inc. All Rights Reserved. Reproduction
in whole or in part without permission is prohibited.
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