complementary and alternative medicine

Acupuncture is worth a try for chronic pain

Chronic pain in the muscles and joints can make life miserable. Standard treatments like ice and heat, anti-inflammatory medications, physical therapy, and appropriate exercises can often ease the pain. But when they don’t, acupuncture is an option with a good track record that’s worth considering. Research from an international team of experts adds to the evidence that it does provide real relief from common forms of pain. The team pooled the results of 29 studies involving nearly 18,000 participants. Overall, acupuncture relieved pain by about 50%. The study isn’t the last word on the issue, but it is one of the best quality studies to date and has made an impression. For new pain, an acupuncturist should not always be the first stop. It’s important to get a clear diagnosis of what is causing the pain to rule out serious medical conditions that should be treated right away—and then seek out acupuncture if appropriate.

Chelation therapy offers small, if any, benefit for heart disease

Chelation therapy removes metals that have built up in the body. It is an FDA-approved way to treat mercury, lead, and other types of heavy-metal poisoning, as well as for iron overload (hemochromatosis) and some types of anemia. It has also been touted as an alternative therapy that can cure heart disease. Results from the 10-year, $31 million Trial to Assess Chelation Therapy (TACT) show that it slightly reduced the risk of heart problems in heart attack survivors. Proponents of chelation therapy will say this proves what they’ve been preaching. But the editors of JAMA, which published the trial results say that the findings “should serve to dissuade responsible practitioners from providing or recommending chelation therapy for patients with coronary disease and should discourage patients with previous MI [heart attack] from seeking this therapy with the hope of preventing subsequent cardiovascular events.”