From the Department of Orthopaedic Surgery, Johns Hopkins Medicine, Baltimore, MD (Dr. Ficke), and the Department of Orthopaedic Surgery, University of California, Irvine, CA (Dr. Moroski, Dr. Ross, and Dr. Gupta).
J Am Acad Orthop Surg. 2018 Jan 15;26(2):58-65. doi: 10.5435/JAAOS-D-16-00134.
Patients often seek nontraditional forms of treatment, including alternative/complementary medical options, such as chiropractic care and acupuncture, to meet their personal needs. In the United States, interest has grown in methods to reduce pain and improve function through Ayurvedic medicine, which uses plant-based supplements, such as turmeric. Traditional allopathic medicine attempts to provide patients with evidence-based therapeutic regimens for their musculoskeletal conditions. Integrative medicine often is used to prevent and manage the sequelae associated with injuries and illnesses; however, competitive athletes and military personnel use complementary medicine for performance enhancement. Thus, physicians should be aware of the evolving field of integrative medicine, including the reported benefits as well as any potential drawbacks, to facilitate an educated discussion with their patients.
患者通常会寻求非传统形式的治疗,包括另类/补充医疗选择,如脊椎按摩疗法和针灸,以满足个人需求。在美国,人们对通过阿育吠陀医学(使用姜黄等植物性补充剂)来减轻疼痛和改善功能的方法产生了兴趣。传统的对抗疗法试图为患者提供针对其肌肉骨骼疾病的基于证据的治疗方案。整合医学通常用于预防和管理与伤害和疾病相关的后遗症;然而,竞技运动员和军人使用补充医学来提高表现。因此,医生应该了解不断发展的整合医学领域,包括报告的益处和任何潜在的缺点,以便与患者进行有教育意义的讨论。