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Alternative Arthritis Treatments

A recent report commissioned by Arthritis Research UK reviewed 25 so-called “alternative” therapies for arthritis. They found, not surprisingly that there is little evidence to support most the studied treatments.

“There’s either no evidence that they’re effective or there’s some evidence that they are not effective.

Says lead author, Dr Gareth Jones.  It is important to note that we are not just talking about that these treatments are poorly studies, but also that to the extent they are studied the evidence is mixed or shows lack of efficacy.

I want to discuss, however, the exceptions – the treatment the report found were effective. They include acupuncture, tai chi, yoga, and massage.  Tai chi and yoga are basically forms of exercise and stretching, so it is not surprising that they are helpful in treating musculoskeletal disorders. It is deceptive, in my opinion, to even consider them “alternative” and lump them into the same artificial category as copper bracelets and magnet therapy. Exercise is not alternative – it is a very basic form of science-based activity for health, conditioning, and for musculoskeletal symptoms. The same is essentially true for massage, which is known to relax muscles (at least temporarily). Relaxation therapy should also not be considered “alternative” and existed long before this category was invented.

The only item on the list of treatment modalities that the report concluded showed some efficacy that is reasonably defined as “alternative” was acupuncture. This claim caught my attention because other reviews of the literature indicate that acupuncture is not effective for arthritis (or anything else). The report itself is not published in a peer-reviewed journal (at least not yet), but the lead author, Gareth Jones, has published prior systematic reviews.

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Posted in: Acupuncture

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Copper and Magnetic Bracelets for Arthritis

A recent study published in the journal Complementary Therapies in Medicine shows no benefit from copper or magnetic bracelets for symptomatic treatment of arthritis. While this is a relatively small study, it highlights the lack of evidence to support this billion dollar plus industry.

The study is a double-blind, controlled crossover study involving 45 subjects with osteroarthritis. Each subject wore one of four bracelets – copper, two types of magnetic bracelet, and one demagnetized, in random order each for 16 weeks. It showed no difference among the four groups.

This is only the second published controlled trial looking at copper bracelets for arthritis. The first is from 1976 and showed some benefit. Then there are no published studies (just reviews and comments) for the next 33 years, until this current study.

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Posted in: Science and Medicine

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