11) Complementary Therapies

Question 1

What is complementary medicine?

Answer 1

Involves any medical system based on a theory of disease or method of treatment other than the orthodox science of medicine as taught in medical schools

Question 2

Why do people access complementary medicines?

Answer 2

• Persistent symptoms
• Real or perceived adverse effects of conventional treatments
• Preference for ‘holistic’ approach to their problem
• May feel they receive more time and attention
• High level of satisfaction reported (probably getting conned tbh)

Question 3

What are some of the main concerns a doctor may have about patients using complementary therapies?

Answer 3

• Patients may see unqualified practitioners
• May risk missed or delayed diagnosis
• May refuse conventional treatment
• May waste money on ineffective treatments
• The mechanisms of some complementary treatments is so implausible it cannot work, e.g. homeopathy

Question 4

What are some of the issues with the evidence base for complementary medicines?

Answer 4

• Hard to generate funding
• Trial of single intervention may not reflect reality
• Difficult to make double-blind

Question 5

Suggest some reasons for NICE initiating research into complementary therapies.

Answer 5

• High public interest
• Half GPs provide access
• Could address inequalities in access/opportunity
• Should apply same standards
• NICE could stimulate more/higher quality research

Question 6

Suggest some reasons against NICE initiating research into complementary therapies.

Answer 6

• Money in NHS limited
• NICE has higher priorities
• Poor quality evidence

Question 7

Describe the process of aromatherapy.

Answer 7

The controlled use of essential oils, which have therapeutic properties such as relieving stress, easing tension, improving health and promoting a sense of wellbeing.

Question 8

Suggest how aromatherapy may work? (spoiler…it doesn’t)

Answer 8

Stimulating the limbic system of the midbrain, which releases hormones that influence mood.

Question 9

Describe some proposed benefits for clove oil, yarrow oil and basil.

Answer 9

• Basil – sharpening concentration, uplifting effect on depression, relieve headaches and migranes
• Clove oil - topical analgesic, especially useful in dentistry
• Yarrow oil - reduce joint inflammation and relieve cold and influenza symptoms