Posts Tagged ‘integrative medicine’

Integrative Medicine Specialists Treat Chronic Health Issues Across the U.S.

Integrative medicine is now an established part of healthcare in the United States.

More people are turning to integrative therapies to help them with health problems, particularly those with chronic health issues because of the multidimensional team approach of integrative medicine.

“With chronic health issues costing the U.S. economy more than $1 trillion a year, it’s essential to find the most effective ways to treat and prevent the most prevalent conditions,” said Donald Abrams, MD, professor of clinical medicine at the University of California San Francisco.

Dr. Abrams is co-author of the report “Integrative Medicine in America: How Integrative Medicine Is Being Practiced in Clinical Centers Across the United States,” just released by The Bravewell Collaborative.

A new survey of 29 integrative medicine centers around the U.S. that form The Bravewell Collaborative found that 75% reported success using integrative practices to treat chronic pain.

More than half reported positive results for gastrointestinal conditions, depression and anxiety, cancer and chronic stress.

The interventions prescribed most frequently by practitioners in the study, usually in combination, were: food/nutrition, supplements, yoga, meditation, traditional Chinese medicine/acupuncture, massage and pharmaceuticals.

Integrative medicine puts the patient at the center of care and addresses the full range of physical, emotional, mental, social, spiritual and environmental influences that affect health.

Practitioners of integrative medicine employ a personalized strategy that considers the patient’s unique conditions, needs and circumstances.

Then they use the most appropriate interventions from an array of scientific disciplines to heal illness and disease and help people regain and maintain optimal health.

These therapies are often used in conjunction with other medical approaches, such as chemotherapy and/or surgery to come up with an approach that is best suited for the patient, says William Stewart, MD, co-founder of The Braverwell Collaborative, and Medical Director of California Pacific Medical Center’s Institute for Health and Healing.

“This report illustrates the great potential of integrative medicine to help prevent illness and foster lifelong health,” explained Christy Mack, President of The Bravewell Collaborative.

“These approaches not only treat the whole person but also empower individuals to be active participants in their health care.”

Isolating the 8 Active Ingredients of Tai Chi

Perhaps what makes Tai Chi so special is that it is a holistic, multi-component exercise that impacts us at physical, psychological, social, and philosophical levels.

Based on his research and 35 years of Tai Chi training, Peter Wayne, PhD, Research Director for the Osher Center for Integrative Medicine jointly based at the Harvard Medical School and Brigham and Women’s Hospital, has put into words what he describes as the 8 Active Ingredients of Tai Chi.

“Like the components of a multidrug combination to lower cholesterol and blood pressure, each ingredient has a unique impact on the physiology of the body,” says Wayne.

“However, in Tai Chi, there are many more components, and each of these factors is inseparable from, and synergistic with, each other.”

In a recent blog Dan Kleiman, a fellow Tai Chi instructor in the Boston area, discussed the concept of 8 Active Ingredients with Wayne.

Here are some excerpts from that interesting discussion between the two Tai Chi instructors:

The concept of isolating active ingredients is common in other medical research. But does it really make sense to think of Tai Chi within this framework?

Great question…..and I think absolutely so.

Part of why I chose this language is to bend the ear of my medical colleagues—to try to communicate in their language.

Even if we see positive clinical effects in Tai Chi trials, without plausible mechanisms–– that is, being able to attribute clinical health effects to specific ‘active ingredients’, research results often have little traction in the medical community.

Mechanisms are part of what we call the totality of evidence.

Additionally, by using this language, we’ve been able to emphasize Tai Chi’s richness—that it includes not just one active ingredient—but many—including those related to neuromuscular control, breathing, cognitive processes, etc.

This may explain why it’s helpful for so diverse a set of health issues.

Finally, as a teacher, thinking in terms of active ingredients has helped me shape a curriculum that tries to maximize the ‘dosage’ of essential Tai Chi principles in as short a period of time as is possible.

This is key for teaching in clinical trials which are often constrained in length due to funding limitations; but also relevant to community-based classes where we want people to get a real taste of deep Tai Chi as quickly and efficiently as possible.

Living in the research world and the Tai Chi world at the same time allows Peter to apply lessons from one to the other. Here he explains how his scientific education influences the way he understands teaching Tai Chi:

My formal academic training was in evolutionary biology and ecological modeling, and my research for the first 15 years was with plants.

So shifting to medical research 12 years ago was a big change for me.

Consequently, I bring a somewhat unique perspective to the teams of medical researchers I work with.

My training to think ecologically, in terms of systems, is more like Chinese Medicine in that it focuses on ecological interactions within the body—how systems interact to create a complex whole that is greater than the sum of its parts.

In contrast, Western medicine has traditionally emphasized reductionist thinking, focusing on smaller and smaller parts, often at the cost of not seeing the whole person.

Interestingly, systems biology is being increasingly appreciated in medicine, and Tai Chi research fits beautifully into this more ecological framework of health.

Can you give an example?

Sure…breathing is a really important element in our Tai Chi and qigong training.

But there’s no way you can substantially change your breathing without changing your posture and how you hold your structure.

And your breathing deeply affects you nervous and cardiovascular system, and many aspects of your mood; it can be a great tool for focusing the ‘monkey mind’ and becoming more sensitive to the inner landscape of our body.

And of course changes in all these processes feedback on how we move and socially respond and interact with others.

All these processes are ecologically intertwined with each other.

But I also still think it’s useful to unpack the interconnected components—for example to teach breathing exercises on their own and to study the physiological impacts of breathing exercises, in isolation of the larger package of Tai Chi.

As a teacher, focusing on individual components helps brings awareness to finer scale processes, and it helps make a clearer teaching intention.

Also talking about the physiology of breathing in classes helps some students appreciate the work, and for the students, there can be a lot of power in knowing.

Most of us like to be told why we are doing a given practice in a given way.

It really helps if students are informed.

It creates buy in.

I really love building bridges between traditional practices and modern science for this reason.

Tai Chi Now Integrated into Medical Schools

Tai Chi has found its way into the curriculum of nearly all universities in China.

In the U.S., Tai Chi is beginning to make its way into colleges, medical schools, and nursing schools as part of the trend toward more mind-body training.

Dozens of academic health centers in the U.S. and Canada, as well as many others around the world, are now offering Tai Chi in their integrative medicine clinics.

Some students are coming to medical programs already interested in complementary and alternative medicine (CAM) and want to integrate Tai Chi into their future medical practices.

A new generation of doctors and nurses will have the knowledge of how and when to prescribe Tai Chi to improve the health of their patients.

More than 50 large, academic medical centers now have some program in integrative medicine.

For example, at integrative medical clinics with most hospitals affiliated with the Harvard Medical School, patients can get mind-body therapies, acupuncture, and lifestyle coaching.

At the Brigham and Woman’s Hospital Osher Clinic for Complementary and Integrative Therapies, Tai Chi is often prescribed after patients have resolved an acute episode of back pain to stabilize the back, address any underlying imbalances, and prevent a recurrence.

Tai Chi is also commonly recommended to heart disease patients as a way to get moderate exercise and reduce stress.

Perhaps most importantly, Tai Chi skills are now widely being taught in public and private schools, colleges and universities, hospitals, and senior centers.

Preventing the effects of stress through Tai Chi may have a huge impact on reducing the already high costs of health care in the future.