1. CAM Resources for our Patients Becky Render, D.O. February 3, 2009

2. Overview Acupuncture Acupuncture Chiropractic Chiropractic Osteopathy Osteopathy Massage Massage Community Resources Community Resources

3. Why is CAM important?

4. http://medical- dictionary.thefreedictionary.com/Accupu ncture Acupuncture Definition Acupuncture is one of the main forms of treatment in traditional Chinese medicine. It involves the use of sharp, thin needles that are inserted in the body at very specific points. This process is believed to adjust and alter the body's energy flow into healthier patterns, and is used to treat a wide variety of illnesses and health conditions. Acupuncture is one of the main forms of treatment in traditional Chinese medicine. It involves the use of sharp, thin needles that are inserted in the body at very specific points. This process is believed to adjust and alter the body's energy flow into healthier patterns, and is used to treat a wide variety of illnesses and health conditions.

5. Acupuncture Purpose The World Health Organization (WHO) recommends acupuncture as an effective treatment for over forty medical problems The World Health Organization (WHO) recommends acupuncture as an effective treatment for over forty medical problems

6. Acupuncture Including: allergies, respiratory conditions, gastrointestinal disorders, gynecological problems, nervous conditions, and disorders of the eyes, nose and throat, and childhood illnesses, among others. Including: allergies, respiratory conditions, gastrointestinal disorders, gynecological problems, nervous conditions, and disorders of the eyes, nose and throat, and childhood illnesses, among others. Acupuncture has been used in the treatment of alcoholism and substance abuse. Acupuncture has been used in the treatment of alcoholism and substance abuse. It is an effective and low-cost treatment for headaches and chronic pain, associated with problems like back injuries and arthritis. It is an effective and low-cost treatment for headaches and chronic pain, associated with problems like back injuries and arthritis.

7. Acupuncture It has also been used to supplement invasive Western treatments like chemotherapy and surgery. It has also been used to supplement invasive Western treatments like chemotherapy and surgery. Acupuncture is generally most effective when used as prevention or before a health condition becomes acute, but it has been used to help patients suffering from cancer and AIDS. Acupuncture is generally most effective when used as prevention or before a health condition becomes acute, but it has been used to help patients suffering from cancer and AIDS. Acupuncture is limited in treating conditions or traumas that require surgery or emergency care (such as for broken bones). Acupuncture is limited in treating conditions or traumas that require surgery or emergency care (such as for broken bones).

8. Acupuncture The origin of acupuncture is Chinese medicine. Chinese medicine does not draw a sharp line, as Western medicine does, between mind and body. The Chinese system believes that emotions and mental states are every bit as influential on disease as purely physical mechanisms, and considers factors like work, environment, lifestyle and relationships as fundamental to the overall picture of a patient's health. Chinese medicine does not draw a sharp line, as Western medicine does, between mind and body. The Chinese system believes that emotions and mental states are every bit as influential on disease as purely physical mechanisms, and considers factors like work, environment, lifestyle and relationships as fundamental to the overall picture of a patient's health.

9. Chiropractic Medicine Chiropractic is one of the most popular alternative therapies currently available. Some would say it now qualifies as mainstream treatment as opposed to complementary medicine. Chiropractic treatment is covered by many insurance plans and in 2004, the U.S. Department of Veterans Affairs announced full inclusion of chiropractic care for veterans. Chiropractic is one of the most popular alternative therapies currently available. Some would say it now qualifies as mainstream treatment as opposed to complementary medicine. Chiropractic treatment is covered by many insurance plans and in 2004, the U.S. Department of Veterans Affairs announced full inclusion of chiropractic care for veterans. http://medical- dictionary.thefreedictionary.com

10. Chiropractic Medicine It has become well-accepted treatment for acute pain and problems of the spine, including lower back pain and whiplash. Applications beyond that scope are not supported by current evidence, although there are ongoing studies into the usefulness of chiropractic for such problems as ear infections, dysmenorrhea, infant colic, migraine headaches, and other conditions. It has become well-accepted treatment for acute pain and problems of the spine, including lower back pain and whiplash. Applications beyond that scope are not supported by current evidence, although there are ongoing studies into the usefulness of chiropractic for such problems as ear infections, dysmenorrhea, infant colic, migraine headaches, and other conditions.

11. Chiropractic Medicine Depending on the cause and severity of the condition, options for treatment may include physical therapy, rest, medications, surgery, or chiropractic care. Chiropractic treatment carries none of the risks of surgical or pharmacologic treatment. The odds of an adverse outcome are extremely low. Depending on the cause and severity of the condition, options for treatment may include physical therapy, rest, medications, surgery, or chiropractic care. Chiropractic treatment carries none of the risks of surgical or pharmacologic treatment. The odds of an adverse outcome are extremely low.

12. Chiropractic Medicine Chiropractic has proven in several studies to be less expensive than many more traditional routes such as outpatient physical therapy. Relief from some neuromuscular problems is immediate, although a series of treatments is likely to be required to maintain the improvement. Chiropractic has proven in several studies to be less expensive than many more traditional routes such as outpatient physical therapy. Relief from some neuromuscular problems is immediate, although a series of treatments is likely to be required to maintain the improvement.

13. http://www.osteopathic.org Osteopathy What Is OMT? Osteopathic manipulative treatment, or OMT, is hands-on care. It involves using the hands to diagnose, treat, and prevent illness or injury. Using OMT, your osteopathic physician (D.O.) will move your muscles, bones and fascia using techniques that involve stretching, gentle pressure and resistance.

14. http://www.osteopathic.org Osteopathy What sorts of injuries/illness can OMT treat? In 1999, a study released in the New England Journal of Medicine noted that OMT is not only an effective and low-cost form of treatment for low back pain but also a treatment that decreased the need for medications and surgery. In addition to being used to treat low back pain and musuloskeletal abnormalities, OMT can be used to treat asthma, carpal tunnel syndrome, menstrual pain, sinus disorders, migraines and much more.

15. Osteopathy JAOA, Journal of the American Osteopathic Association, is a great resource for the latest research and techniques in practice. JAOA, Journal of the American Osteopathic Association, is a great resource for the latest research and techniques in practice. For those interested in learning manipulation, there are CME courses you can take. For those interested in learning manipulation, there are CME courses you can take. See article printed about MD’s taking OMT courses. See article printed about MD’s taking OMT courses.

16. Osteopathy How to refer to our own DO’s How to refer to our own DO’s DO clinic proposal DO clinic proposal

17. Massage I’m a huge advocate!!! I’m a huge advocate!!! Massage is good for so many reasons, everything from cancer to stress reduction. Massage is good for so many reasons, everything from cancer to stress reduction. www.amtamassage.org

18. Massage Massage therapy popular among young and lower-income Americans Massage therapy popular among young and lower-income Americans Younger age groups and lower-income Americans are the most likely to consider massage for stress and other health reasons. Younger age groups and lower-income Americans are the most likely to consider massage for stress and other health reasons. Fifty-six percent of 18-24 year olds would consider massage to manage stress. Fifty-six percent of 18-24 year olds would consider massage to manage stress. Forty-six percent of those earning less than $25,000 a year get massage for medical/health reasons; more than any other groups. Forty-six percent of those earning less than $25,000 a year get massage for medical/health reasons; more than any other groups. www.amtamassage.org

19. Community Resources Yes, we do have options for our patients. Yes, we do have options for our patients. Make sure you tell your patients to check what insurance coverage the provider takes (many referrals have been made to providers that don’t take Medi-Cal) Make sure you tell your patients to check what insurance coverage the provider takes (many referrals have been made to providers that don’t take Medi-Cal) In reality, this is an ongoing project to find resources… In reality, this is an ongoing project to find resources…

20. Community Resources Acupuncture: Acupuncture: Ori Tzvieli—Monday afternoon clinic in Martinez Ori Tzvieli—Monday afternoon clinic in Martinez Kuelewa Furaha, Lac—Wednesday afternoon, RHC Kuelewa Furaha, Lac—Wednesday afternoon, RHC Joanne Fanucchi, Lac—Oasis Acupuncture and Herbs in Concord. Wednesday 1-3pm, Thursdays 7- 9pm: low cost community clinic Joanne Fanucchi, Lac—Oasis Acupuncture and Herbs in Concord. Wednesday 1-3pm, Thursdays 7- 9pm: low cost community clinic There is a list available of others… There is a list available of others…

21. Community Resources Chiropractic: Chiropractic: Again, there is a list and it is updated annually. Again, there is a list and it is updated annually. I can’t recommend anyone at this time, but I’m open to suggestions. I can’t recommend anyone at this time, but I’m open to suggestions. Osteopaths: Osteopaths: This is a work in progress due to insurance issues. This is a work in progress due to insurance issues. I will take patients. I will take patients. Hopefully coming to a CCRMC clinic near you… Hopefully coming to a CCRMC clinic near you…

22. Community Resources Massage: Massage: Unfortunately we don’t have good resources for our patients to receive massages. Unfortunately we don’t have good resources for our patients to receive massages. There are discounts at student massage schools. There are discounts at student massage schools. National Holistic Institute (Teaching clinic in Emeryville) National Holistic Institute (Teaching clinic in Emeryville)

23. References Thank you Karen Burt, Joanne Fanucchi and many others for your help in pointing me in the right direction. Thank you Karen Burt, Joanne Fanucchi and many others for your help in pointing me in the right direction. http://medical-dictionary.thefreedictionary.com http://medical-dictionary.thefreedictionary.com www.osteopathic.org www.osteopathic.org www.osteopathic.org www.amtamassage.org www.amtamassage.org www.amtamassage.org www.medicalacupuncture.org www.medicalacupuncture.org EJ Swint: Provider Relations, 925-313-9507 EJ Swint: Provider Relations, 925-313-9507

24. Thank you!