Which complementary and alternative therapies are used in the treatment of nonarticular rheumatism/regional pain syndromes?

Updated: Apr 04, 2018
  • Author: T P Sudha Rao, MD; Chief Editor: Herbert S Diamond, MD  more...
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Complementary and alternative methods of treatment include the following:

  • Acupuncture has been shown to be helpful in some trials. [51, 52] However, one study found acupuncture to be no better than placebo. [53]

  • Few controlled trials of herbal or homeopathic treatments have been performed. [54, 55] Many anecdotal cases report short-term benefit that wanes with time.

  • A controversial placebo-controlled trial of a homeopathic treatment (Rhus toxicodendron 6c) decreased tender points. [55] A recent trial of individualized homeopathic treatment showed modest benefits. [54]

  • A combination of malic acid (200 mg) and magnesium (50 mg) (Super Malic) in high doses did not have an effect in the controlled portion of the trial but was found to be useful in the subsequent open-label study. [56]

  • A  multicenter trial showed modest salutary effects of acetyl L-carnitine using a combination of daily oral (1000 mg/d) and intramuscular (500 mg/d) treatment for 2 weeks, followed by oral treatment (1500 mg/d) for 8 weeks. [57]

  • For further information on integrative treatment, see the chapter “Fibromyalgia Syndrome” by Muller and Selfridge in Integrative Medicine (2007). [58]

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