Alternative Arthritis Therapies: Chiropractic and Massage

" Welcome to our web -- I'm doctor David -- Alternative or complementary medicine has become increasingly popular over the last few years especially in the treatment of arthritis. When all these alternative therapies and do they walk joining us to answer these questions. Is doctor Anna Dombrowski he's professor of medicine and public health at Cornell and really talk to the hospital for special surgery welcome David. And that's the newest doctor -- and well short doctor well. Who's an instructor at NYU school of medicine and as an attending physicians at the rusk institute. Thanks for being here and -- a different types of alternative therapies that we have to deal with."

" Well there's. A broad spectrum of therapy and intervention. And one could look at it as. They're mechanical expansion. Are mechanical instrument. And how it's going to be more common mechanically dimensions. Would be acupuncture. Massage therapy chiropractic. And more to -- clearly tax rate he expects it. Whereas some would be no mechanical interventions includes from the world -- Modalities. And -- Such as her. Glucosamine is very common. I mean let's say a supplement. And yeah."

" Let's -- clue chiropractic. How good does that for arthritis is there a place for it. There's a place for it and again the word right this needs to be recognized as a word that as a broad. Used in common. Discussion. Well this is like the -- the automobile what may what model what color what options. There are various kinds of -- That lend themselves very nicely to massage and and adjustment and I think back to the extent that massage an adjustment to provide it. Deisler Kyra actors recognized the limitations. On the giants in the limitations and differences between exercise and rest. A chiropractic can be quite helpful. Particularly and those forms of arthritis but of course I overuse resulting in the generation there is some controversy though about chiropractic care. Among the medical community correct -- there's a great deal of controversy and I'll defer to doctor Rowan parents and her -- as well. But it usually arises out of the use of and you modality beyond its indications. So I'm. When it comes to the treatment. Musculoskeletal. Conditions by manipulation. And dealing with the manipulation parts of the body I believe our crack the use appropriate action on. Button when sound go to claims about the use of chiropractic. Stimulating insulin release for the chiropractor in stimulating. I don't really I think that's where we are looking more evidence to demonstrated efficacy -- what you're doing."

" And you know I I agree I think that actually very well set. It's important once again -- to use your physician. -- Springboard you. Integrate these alternative forms in -- practice. For example in many arthritic -- the giants are unstable. And chiropractic manipulation can frankly be quite -- so it is really acne and approval so to speak and treatment are keen between the physician and the patient that you had embarked on some of these other. Therapy. Chiropractic and I -- as Allan mentioned Alan. Does use the -- and manipulation and stimulate the nerves and align the body. It is that you release muscle tension. Increased. Blood flow at times -- that and that -- to -- talking about stimulate blood -- is that how it works for arthritis. Okay then how does that work is that an interest -- concepts. That was certainly the theory that the massage a deep massage of the tissues in various -- now safety with only one approach because you can have -- and also according to a messiah and that leads to a good start to results but yes the yankees complex tunnel the -- and access to and -- all sort of had to be part. The efficacy of the staff."

" An an integral part of the therapies and probably. One of the factors involved in their success. Is the fact that all the things we've been talking about so far. The physician puts her hands on the patients. There is no substitute for putting your hand on -- And -- and patient with your compassion the concern with a gentleness of -- touch that you're going to be personally involved and Kirk yeah. And to be sent to chiropractic deserts. It is part of the efficacy of the at the massage does this was part of the ethics -- other reasons that these things work. But I believe that part of the reason they work is because they're playing in the hands of -- on the -- of these things may work for people you know. Story is that we really need to study it further. It seemed really which are effective and which ones are and when they do work or when are Haitians think they work. As long as they're not arming the patient we need to keep an open mind. I don't hate to ask me -- copper -- And my response that has. Absolutely will operate that and remembered the print on volume reaching for the medication prescribed to you because of the ocean. Is working fine print if and integrate -- therapy and I really loved that weren't thinking using it more more. -- an -- therapy does not harm. And that's the first rubric of our profession probably not harm. We really need to be more open minded and to encourage patients to make use of what works for that and it'll work thank you both for joining us and thank you for joining -- I'm doctor David good --"