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Journal of Thai Traditional & Alternative Medicine Vol. 5 No. 3 September - December 2007 ÚÚÛ

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Abstract
The Problem of Pain in Complementary and Alternative Medicine
Pradit Prateepavanich*, Niphon Poungvarin †
*Department of Physical Medicine and Rehabilitation Medicine
† Department of Medicine, Faulty of Medicine Siriraj Hospital, Bangkok 10700
Pain is the most common problem encountered in clinical practice. Pain, particularly chronic pain and
that experienced by cancer patients, is the most common group using complementary and alternative medi-
cine (CAM). Most CAM is not evidence-based; instead, it is experience-based. Surprisingly more and more
Americans are turning to complementary and alternative medicine to help manage and treat their pain. Also,
many medical schools in North America include the study of CAM in modern medicine as integrative medi-
cine. In this context, it is necessary for us to understand the general concept of CAM (holistic), and classifica-
tion (alternative medicine system, mind-body intervention, biologically based therapy, manipulative and body-
based therapy, and energy therapy). In predicting the benefits to be derived from CAM and the safety of
CAM, it is based on many things, for example the beliefs of the patient, the skill of the therapist, which
dimension of holistic (body, mind, social, or spiritual) that CAM can help, contraindications and precautions,
and cost. The mix and match with integrative medicine is individual-to-individual depending on each patient.
It is fundamental to assess the individual and holistic profile of each patient.
Key words: pain, chronic pain, complementary medicine, alternative medicine