COMPLEMENTARY AND ALTERNATIVE MEDICINE MODALITIES

Acupuncture. Acupuncture is helpful in many chronic pain conditions. Qi and meridians are important concepts in acupuncture. Meridians represent various organ systems and qi is the flow of energy across meridians. One of the accepted mechanisms is that analgesic effect of acupuncture is mediated by A-deltaafferent stimulation resulting in the initiation of a cascade of endorphin and monoamine release. This in turn facilitates the descending inhibition of nociception.

Yoga. Yoga increases strength, flexibility, and feelings of well-being and vitality. This significantly reduces pain intensity and use of pain medications. The asanas (poses) and pranayama (mindful breathing techniques) help harmonize the physiological system and initiate a relaxation response in the neuroendocrine system. As the neural discharge is modulated, the state of hyperarousal of the nervous system is attenuated. Yoga helps with affective component of chronic pain, and improves quality of life.48

 
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