Skip to main content
Top

01-01-2016 | Rheumatoid arthritis | Book Chapter | Article

14. Evidence-Based Complementary and Alternative Medical Approaches for Arthritis

Author: Diana Taibi Buchanan, PhD, RN

Publisher: Springer International Publishing

Abstract

Complementary and alternative medical (CAM) modalities are defined as healthcare approaches that are generally outside of mainstream, conventional care. Studies show that over 50 % of persons with arthritis use CAM. As patients become more informed about their care and treatment options available, providers must be prepared to assess CAM use and respond to patient preferences in this area. This chapter will provide an overview of CAM approaches that are used with the intent of modifying arthritis progression, improving function, and treating symptoms. The chapter presents research evidence on selected natural products (glucosamine, chondroitin, and topical analgesics) and mind-body practices (acupuncture, massage, tai chi, and yoga) as pertaining to osteoarthritis and rheumatoid arthritis. The chapter concludes with recommendations for addressing CAM with patients in clinical practice.
Literature
Amazaga Urruela, M., & Suarez-almazor, M. E. (2012). Acupuncture in the treatment of rheumatic diseases. Current Rheumatology Reports, 14, 589–597.CrossRef
Barnes, P. M., Bloom, B., & Nahin, R. L. (2007). Complementary and alternative medicine use among adults and children: United States. National Health Statistics Reports, 2008, 1–23.
Bartlett, S. J., Moonaz, S. H., Mill, C., Bernatsky, S., & Bingham, C. O., 3rd. (2013). Yoga in rheumatic diseases. Current Rheumatology Reports, 15, 387. doi:10.​1007/​s11926-013-0387-2.PubMedCentralCrossRefPubMed
Callahan, L. F., Wiley-Exley, E. K., Mielenz, T. J., Brady, T. J., Xiao, C., Currey, S. S., Sleath, B. L., Sloane, P. D., DeVellis, R. F., & Sniezek, J. (2009). Use of complementary and alternative medicine among patients with arthritis. Preventing Chronic Disease, 6, A44.
Cameron, M., & Chrubasik, S. (2013). Topical herbal therapies for treating osteoarthritis. Cochrane Database of Systematic Reviews, 5, CD010538. doi:10.​1002/​14651858.​CD010538.PubMedCentralPubMed
Chang, H. Y., Chang, H. L., & Siren, B. (2013). Exploring the decision to disclose the use of natural products among outpatients: A mixed-method study. BMC Complementary and Alternative Medicine, 13, 319. doi:10.​1186/​1472-6882-13-319.PubMedCentralCrossRefPubMed
Chao, M. T., Wade, C., & Kronenberg, F. (2008). Disclosure of complementary and alternative medicine to conventional medical providers: Variation by race/ethnicity and type of CAM. Journal of the National Medical Association, 100, 1341–1349.PubMedCentralPubMed
Cheung, C., Wyman, J. F., Resnick, B., & Savik, K. (2014). Yoga for managing knee osteoarthritis in older women: A pilot randomized controlled trial. BMC Complementary and Alternative Medicine, 14, 160. doi:10.​1186/​1472-6882-14-160.PubMedCentralCrossRefPubMed
Clegg, D. O., Reda, D. J., Harris, C. L., Klein, M. A., O’Dell, J. R., Hooper, M. M., Bradley, J. D., Bingham, C. O., 3rd, Weisman, M. H., Jackson, C. G., Lane, N. E., Cush, J. J., Moreland, L. W., Schumacher, H. R., Jr., Oddis, C. V., Wolfe, F., Molitor, J. A., Yocum, D. E., Schnitzer, T. J., Furst, D. E., Sawitzke, A. D., Shi, H., Brandt, K. D., Moskowitz, R. W., & Williams, H. J. (2006). Glucosamine, chondroitin sulfate, and the two in combination for painful knee osteoarthritis. New England Journal of Medicine, 354, 795–808. doi:10.​1056/​NEJMoa052771.
Corbett, M. S., Rice, S. J., Madurasinghe, V., Slack, R., Fayter, D. A., Harden, M., Sutton, A. J., Macpherson, H., & Woolacott, N. F. (2013). Acupuncture and other physical treatments for the relief of pain due to osteoarthritis of the knee: Network meta-analysis. Osteoarthritis and Cartilage, 21, 1290–1298. doi:10.​1016/​j.​joca.​2013.​05.​007.
Ebnezar, J., Nagarathna, R., Yogitha, B., & Nagendra, H. R. (2012). Effects of an integrated approach of hatha yoga therapy on functional disability, pain, and flexibility in osteoarthritis of the knee joint: A randomized controlled study. Journal of Alternative and Complementary Medicine, 18, 463–472. doi:10.​1089/​acm.​2010.​0320.CrossRefPubMed
Eisenberg, D. M., Davis, R. B., Ettner, S. L., Appel, S., Wilkey, S., Van Rompay, M., & Kessler, R. C. (1998). Trends in alternative medicine use in the United States, 1990-1997: Results of a follow-up national survey. Journal of the American Medical Association, 280, 1569–1575.
Ernst, E. (2003). The safety of massage therapy. Rheumatology, 42, 1101–1106. doi:10.​1093/​rheumatology/​keg306.CrossRefPubMed
Evans, S., Moieni, M., Lung, K., Tsao, J., Sternlieb, B., Taylor, M., & Zeltzer, L. (2013). Impact of Iyengar yoga on quality of life in young women with rheumatoid arthritis. Clinical Journal of Pain, 29, 988–997. doi:10.​1097/​AJP.​0b013e31827da381​.
Evans, S., Moieni, M., Taub, R., Subramanian, S. K., Tsao, J. C., Sternlieb, B., & Zeltzer, L. K. (2010). Iyengar yoga for young adults with rheumatoid arthritis: Results from a mixed-methods pilot study. Journal of Pain and Symptom Management, 39, 904–913. doi:10.​1016/​j.​jpainsymman.​2009.​09.​018.
Field, T. (2014). Massage therapy research review. Complementary Therapies in Clinical Practice, 20(4), 224–229. doi:10.​1016/​j.​ctcp.​2014.​07.​002.CrossRefPubMed
Field, T., Diego, M., Delgado, J., Garcia, D., & Funk, C. G. (2013). Rheumatoid arthritis in upper limbs benefits from moderate pressure massage therapy. Complementary Therapies in Clinical Practice, 19, 101–103. doi:10.​1016/​j.​ctcp.​2012.​12.​001.CrossRefPubMed
Field, T., Diego, M., Hernandez-Reif, M., & Shea, J. (2007). Hand arthritis pain is reduced by massage therapy. Journal of Bodywork and Movement Therapies, 11, 21–24.CrossRef
Field, T., Diego, M., & Solien-Wolfe, L. (2014). Massage therapy plus topical analgesic is more effective than massage alone for hand arthritis pain. Journal of Bodywork and Movement Therapies, 18, 322–325. doi:10.​1016/​j.​jbmt.​2013.​12.​002.CrossRefPubMed
Gallagher, B., Tjoumakaris, F. P., Harwood, M. I., Good, R. P., Ciccotti, M. G., & Freedman, K. B. (2014). Chondroprotection and the prevention of osteoarthritis progression of the knee: A systematic review of treatment agents. American Journal of Sports Medicine, 43(3), 734–744. doi:10.​1177/​0363546514533777​.CrossRefPubMed
Garfinkel, M. S., Schumacher, H. R., Jr., Husain, A., Levy, M., & Reshetar, R. A. (1994). Evaluation of a yoga based regimen for treatment of osteoarthritis of the hands. Journal of Rheumatology, 21, 2341–2343.PubMed
Giordano, M., Capelli, L., & Chianese, U. (1975). The therapeutic activity of 1-(p-chlorobenzoyl)-5-methoxy-2-methylindole-3-acetic acid monohydrate glucosamide in rheumatoid arthritis (double blind trial). Arzneimittel-Forschung, 25, 435–437.PubMed
Grube, B., Grunwald, J., Krug, L., & Staiger, C. (2007). Efficacy of a comfrey root (Symphyti offic. radix) extract ointment in the treatment of patients with painful osteoarthritis of the knee: Results of a double-blind, randomised, bicenter, placebo-controlled trial. Phytomedicine, 14, 2–10. doi:10.​1016/​j.​phymed.​2006.​11.​006.CrossRefPubMed
Han, A., Robinson, V., Judd, M., Taixiang, W., Wells, G., & Tugwell, P. (2004). Tai chi for treating rheumatoid arthritis. Cochrane Database Systematic Review, CD004849. doi:10.​1002/​14651858.​CD004849.
Hawk, C., Ndetan, H., & Evans, M. W., Jr. (2012). Potential role of complementary and alternative health care providers in chronic disease prevention and health promotion: An analysis of National Health Interview Survey data. Preventive Medicine, 54, 18–22. doi:10.​1016/​j.​ypmed.​2011.​07.​002.CrossRefPubMed
Henrotin, Y., Marty, M., & Mobasheri, A. (2014). What is the current status of chondroitin sulfate and glucosamine for the treatment of knee osteoarthritis? Maturitas, 78, 184–187. doi:10.​1016/​j.​maturitas.​2014.​04.​015.CrossRefPubMed
Hochberg, M. C., Altman, R. D., April, K. T., Benkhalti, M., Guyatt, G., McGowan, J., Towheed, T., Welch, V., Wells, G., & Tugwell, P. (2012). American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis Care and Research, 64, 465–474.
Hochberg, M., Chevalier, X., Henrotin, Y., Hunter, D. J., & Uebelhart, D. (2013). Symptom and structure modification in osteoarthritis with pharmaceutical-grade chondroitin sulfate: What’s the evidence? Current Medical Research and Opinion, 29, 259–267. doi:10.​1185/​03007995.​2012.​753430.CrossRefPubMed
Hoffer, L. J., Kaplan, L. N., Hamadeh, M. J., Grigoriu, A. C., & Baron, M. (2001). Sulfate could mediate the therapeutic effect of glucosamine sulfate. Metabolism, 50, 767–770. doi:10.​1053/​meta.​2001.​24201.CrossRefPubMed
Jawahar, R., Yang, S., Eaton, C. B., McAlindon, T., & Lapane, K. L. (2012). Gender-specific correlates of complementary and alternative medicine use for knee osteoarthritis. Journal of Women’s Health, 21, 1091–1099. doi:10.​1089/​jwh.​2011.​3434.PubMedCentralCrossRefPubMed
Kolasinski, S. L., Garfinkel, M., Tsai, A. G., Matz, W., Van Dyke, A., & Schumacher, H. R. (2005). Iyengar yoga for treating symptoms of osteoarthritis of the knees: A pilot study. Journal of Alternative and Complementary Medicine, 11, 689–693. doi:10.​1089/​acm.​2005.​11.​689.CrossRefPubMed
Laslett, L. L., & Jones, G. (2014). Capsaicin for osteoarthritis pain. Progress in Drug Research, 68, 277–291.PubMed
Lauche, R., Langhorst, J., Dobos, G., & Cramer, H. (2013). A systematic review and meta-analysis of tai chi for osteoarthritis of the knee. Complementary Therapies in Medicine, 21, 396–406. doi:10.​1016/​j.​ctim.​2013.​06.​001.CrossRefPubMed
Lee, H. Y., Hale, C. A., Hemingway, B., & Woolridge, M. W. (2012). Tai Chi exercise and auricular acupressure for people with rheumatoid arthritis: An evaluation study. Journal of Clinical Nursing, 21, 2812–2822. doi:10.​1111/​j.​1365-2702.​2011.​04058.​x.CrossRefPubMed
Lee, M. S., Lee, E. N., & Ernst, E. (2009). Is tai chi beneficial for improving aerobic capacity? A systematic review. British Journal of Sports Medicine, 43, 569–573. doi:10.​1136/​bjsm.​2008.​053272.CrossRefPubMed
Lee, M. S., Pittler, M. H., Shin, B. C., & Ernst, E. (2008). Tai chi for osteoporosis: A systematic review. Osteoporosis International, 19, 139–146. doi:10.​1007/​s00198-007-0486-x.CrossRefPubMed
Lee, M. S., Pittler, M. H., & Ernst, E. (2007). Tai chi for rheumatoid arthritis: Systematic review. Rheumatology, 46, 1648–1651. doi:10.​1093/​rheumatology/​kem151.CrossRefPubMed
Lee, M. S., Shin, B. C., & Ernst, E. (2008). Acupuncture for rheumatoid arthritis: A systematic review. Rheumatology, 47, 1747–1753. doi:10.​1093/​rheumatology/​ken330.CrossRefPubMed
Lee, J. A., Son, M. J., Choi, J., Jun, J. H., Kim, J. I., & Lee, M. S. (2014). Bee venom acupuncture for rheumatoid arthritis: A systematic review of randomised clinical trials. BMJ Open, 4, e006140. doi:10.​1136/​bmjopen-2014-006140.PubMedCentralCrossRefPubMed
Lee, Y. H., Woo, J. H., Choi, S. J., Ji, J. D., & Song, G. G. (2010). Effect of glucosamine or chondroitin sulfate on the osteoarthritis progression: A meta-analysis. Rheumatology International, 30, 357–363. doi:10.​1007/​s00296-009-0969-5.CrossRefPubMed
Manheimer, E., Cheng, K., Linde, K., Lao, L., Yoo, J., Wieland, S., van der Windt, D. A., Berman, B. M., & Bouter, L. M. (2010). Acupuncture for peripheral joint osteoarthritis. Cochrane Database Systematic Review, CD001977. doi:10.​1002/​14651858.​CD001977.​pub2.
Manyanga, T., Froese, M., Zarychanski, R., Abou-Setta, A., Friesen, C., Tennenhouse, M., & Shay, B. L. (2014). Pain management with acupuncture in osteoarthritis: A systematic review and meta-analysis. BMC Complementary and Alternative Medicine, 14, 312. doi:10.​1186/​1472-6882-14-312.
Nakamura, H., Masuko, K., Yudoh, K., Kato, T., Kamada, T., & Kawahara, T. (2007). Effects of glucosamine administration on patients with rheumatoid arthritis. Rheumatology International, 27, 213–218. doi:10.​1007/​s00296-006-0197-1.CrossRefPubMed
National Center for Complementary and Integrative Health. (2015). Tai chi and qi gong. Retrieved September 2, 2015, from https://​nccih.​nih.​gov/​health/​taichi/​introduction.​htm?​lang=​en
National Center for Complementary and Integrative Health. (2015). Complementary, alternative, or integrative health: What’s in a name?. Retrieved September 2, 2015, from https://​nccih.​nih.​gov/​health/​integrative-health
Park, J., McCaffrey, R., Dunn, D., & Goodman, R. (2011). Managing osteoarthritis: Comparisons of chair yoga, Reiki, and education (pilot study). Holistic Nursing Practice, 25, 316–326. doi:10.​1097/​HNP.​0b013e318232c5f9​.CrossRefPubMed
Perlman, A. I., Ali, A., Njike, V. Y., Hom, D., Davidi, A., Gould-Fogerite, S., Milak, C., & Katz, D. L. (2012). Massage therapy for osteoarthritis of the knee: A randomized dose-finding trial. PLoS One, 7, e30248. doi:10.​1371/​journal.​pone.​0030248.
Perlman, A. I., Sabina, A., Williams, A. L., Njike, V. Y., & Katz, D. L. (2006). Massage therapy for osteoarthritis of the knee: A randomized controlled trial. Archives of Internal Medicine, 166, 2533–2538. doi:10.​1001/​archinte.​166.​22.​2533.CrossRefPubMed
Quandt, S. A., Chen, H., Grzywacz, J. G., Bell, R. A., Lang, W., & Arcury, T. A. (2005). Use of complementary and alternative medicine by persons with arthritis: Results of the National Health Interview Survey. Arthritis and Rheumatism, 53, 748–755. doi:10.​1002/​art.​21443.CrossRefPubMed
Robinson, A., & McGrail, M. R. (2004). Disclosure of CAM use to medical practitioners: A review of qualitative and quantitative studies. Complementary Therapies in Medicine, 12, 90–98. doi:10.​1016/​j.​ctim.​2004.​09.​006.CrossRefPubMed
Roland, K. P., Jakobi, J. M., & Jones, G. R. (2011). Does yoga engender fitness in older adults? A critical review. Journal of Aging and Physical Activity, 19, 62–79.PubMed
Salazar, J., Bello, L., Chavez, M., Anez, R., Rojas, J., & Bermudez, V. (2014). Glucosamine for osteoarthritis: Biological effects, clinical efficacy, and safety on glucose metabolism. Arthritis, 2014, 432463. doi:10.​1155/​2014/​432463.PubMedCentralCrossRefPubMed
Sawitzke, A. D., Shi, H., Finco, M. F., Dunlop, D. D., Bingham, C. O., 3rd, Harris, C. L., Harris, C. L., Singer, N. G., Bradley, J. D., Silver, D., Jackson, C. G., Lane, N. E., Oddis, C. V., Wolfe, F., Lisse, J., Furst, D. E., Reda, D. J., Moskowitz, R. W., Williams, H. J., & Clegg, D. O. (2008). The effect of glucosamine and/or chondroitin sulfate on the progression of knee osteoarthritis: A report from the glucosamine/chondroitin arthritis intervention trial. Arthritis and Rheumatism, 58, 3183–3191. doi:10.1002/art.23973.
Sawitzke, A. D., Shi, H., Finco, M. F., Dunlop, D. D., Harris, C. L., Singer, N. G., Bradley, J. D., , Silver, D., Jackson, C. G., Lane, N. E., Oddis, C. V., Wolfe, F., Lisse, J., Furst, D. E., Bingham, C. O., Reda, D. J., Moskowitz, R. W., Williams, H. J., & Clegg, D. O. (2010). Clinical efficacy and safety of glucosamine, chondroitin sulphate, their combination, celecoxib or placebo taken to treat osteoarthritis of the knee: 2-year results from GAIT. Annals of the Rheumatic Diseases, 69, 1459–1464. doi:10.​1136/​ard.​2009.​120469.
Sharma, M. (2014). Yoga as an alternative and complementary approach for arthritis: A systematic review. Journal of Evidence-Based Complementary and Alternative Medicine, 19, 51–58. doi:10.​1177/​2156587213499918​.CrossRefPubMed
Singh, V. K., Bhandari, R. B., & Rana, B. B. (2011). Effect of yogic package on rheumatoid arthritis. Indian Journal of Physiology and Pharmacology, 55, 329–335.PubMed
Taibi, D. M., & Vitiello, M. V. (2011). A pilot study of gentle yoga for sleep disturbance in women with osteoarthritis. Sleep Medicine, 12, 512–517. doi:10.​1016/​j.​sleep.​2010.​09.​016.PubMedCentralCrossRefPubMed
Telles, S., Naveen, K. V., Gaur, V., & Balkrishna, A. (2011). Effect of one week of yoga on function and severity in rheumatoid arthritis. BMC Research Notes, 4, 118. doi:10.​1186/​1756-0500-4-118.PubMedCentralCrossRefPubMed
Uhlig, T., Fongen, C., Steen, E., Christie, A., & Odegard, S. (2010). Exploring tai chi in rheumatoid arthritis: A quantitative and qualitative study. BMC Musculoskeletal Disorders, 11, 43. doi:10.​1186/​1471-2474-11-43.PubMedCentralCrossRefPubMed
Wandel, S., Juni, P., Tendal, B., Nuesch, E., Villiger, P. M., Welton, N. J., Reichenbach, S., & Trelle, S. (2010). Effects of glucosamine, chondroitin, or placebo in patients with osteoarthritis of hip or knee: Network meta-analysis. British Medical Journal, 341, c4675. doi:10.1136/bmj.c4675.
Wang, C. (2008). Tai Chi improves pain and functional status in adults with rheumatoid arthritis: Results of a pilot single-blinded randomized controlled trial. Medicine and Sport Science, 52, 218–229. doi:10.​1159/​000134302.CrossRefPubMed
Wang, C., de Pablo, P., Chen, X., Schmid, C., & McAlindon, T. (2008). Acupuncture for pain relief in patients with rheumatoid arthritis: A systematic review. Arthritis and Rheumatism, 59, 1249–1256. doi:10.​1002/​art.​24009.CrossRefPubMed
Wayne, P. M., Berkowitz, D. L., Litrownik, D. E., Buring, J. E., & Yeh, G. Y. (2014). What do we really know about the safety of tai chi?: A systematic review of adverse event reports in randomized trials. Archives of Physical Medicine and Rehabilitation, 95(12), 2470–2483. doi:10.​1016/​j.​apmr.​2014.​05.​005.CrossRefPubMed
Widrig, R., Suter, A., Saller, R., & Melzer, J. (2007). Choosing between NSAID and arnica for topical treatment of hand osteoarthritis in a randomised, double-blind study. Rheumatology International, 27, 585–591. doi:10.​1007/​s00296-007-0304-y.CrossRefPubMed
Yan, J. H., Gu, W. J., Sun, J., Zhang, W. X., Li, B. W., & Pan, L. (2013). Efficacy of tai chi on pain, stiffness and function in patients with osteoarthritis: A meta-analysis. PLoS One, 8, e61672. doi:10.​1371/​journal.​pone.​0061672.PubMedCentralCrossRefPubMed
Yang, S., Dube, C. E., Eaton, C. B., McAlindon, T. E., & Lapane, K. L. (2013). Longitudinal use of complementary and alternative medicine among older adults with radiographic knee osteoarthritis. Clinical Therapeutics, 35, 1690–1702. doi:10.1016/j.clinthera.2013.09.022.CrossRefPubMed