The Role of Traditional Chinese Medicine in the Management of Chronic Pain: A Biopsychosocial Approach

Burns, John R.; Mullen, Tiffany A

doi:10.17294/2330-0698.1206

Cited by 3 publications

(3 citation statements)

References 21 publications

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“…They commented that Chinese medicine practitioners were more caring than GPs. Given the concept of blood, Qi, and meridian in traditional Chinese medicine, Chinese medicine practitioners need to pay attention to all signs and symptoms of patients to identify potential disturbance in the body [ 53 ]. (To maintain individual’s health, traditional Chinese medicine emphasizes the interaction or associations among body, mind, emotions, and environment.…”

Section: Discussionmentioning

confidence: 99%

Challenges, Concerns, and Experiences of Community-Dwelling Older Women with Chronic Low Back Pain—A Qualitative Study in Hong Kong, China

Wong

Lee

et al. 2023

Healthcare

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Background and Objectives: Although chronic low back pain (CLBP) is known to negatively affect multiple aspects of the lives of older people, prior qualitative studies mainly focused on the lived experiences of older people with CLBP in Western countries. Given cultural and contextual differences and poor understanding of CLBP in older women with CLBP, it is important to better understand the concerns and lived experiences of Chinese older women with CLBP. The current study aimed to investigate the experiences, challenges, concerns, and coping strategies of older women with CLBP in Hong Kong. Research Design and Methods: A total of 15 community-dwelling older women with CLBP aged ≥60 years were recruited from a physiotherapy clinic or a community center for semi-structured interviews. The interviews were audio recorded and transcribed ‘verbatim’. The transcription was imported to NVivo 12 software. Thematic analysis was conducted using Braun and Clarke’s method. Results: Five themes were identified: (1) physical impacts of CLBP on daily life; (2) psychological influences of CLBP; (3) management of CLBP; (4) family support; and (5) social activities and support. Discussion and implications: Negative physical and psychosocial impacts of CLBP were common among older women, and they adopted diverse pain management strategies, although some of their treatment options were influenced by the Chinese culture. Misbeliefs and responses of family and friends also affected their management strategies. Elderly community centers are a significant source of social support for older women with CLBP, making it an ideal platform for establishing self-help groups to facilitate their self-management of CLBP.

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Section: Discussionmentioning

confidence: 99%

Challenges, Concerns, and Experiences of Community-Dwelling Older Women with Chronic Low Back Pain—A Qualitative Study in Hong Kong, China

Wong

Lee

et al. 2023

Healthcare

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“…Also published herein, Dr. John Burns and I review the contemporary use of traditional Chinese medicine as a biopsychosocial model for chronic pain management, 6 specifically highlighting the mindbody relationship aspects of traditional Chinese medicine and how this approach differentiates it from the traditional biomedical model.…”

Section: • All Factors That Influence Health Wellness and Disease Armentioning

confidence: 99%

Integrative Medicine: In With the New

Mullen¹

2015

Journal of Patient-Centered Research and Reviews

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“…Traditional Chinese medicine (TCM) interventions have been adopted as an alternative approach to pain management in many healthcare settings [ 7 , 8 ]. These usually include acupuncture, moxibustion, Chinese massage, cupping, and Chinese herbal medicine.…”

Section: Introductionmentioning

confidence: 99%

Evaluating Traditional Chinese Medicine Interventions on Chronic Low Back Pain Using Goal Attainment Scaling

Zhang

Ren

Liu

et al. 2020

Evidence-Based Complementary and Alternative Medicine

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Background. Extensive studies have been conducted to evaluate the pain relief effect of traditional Chinese medicine (TCM) interventions on patients with low back pain, including in China. However, there is a dearth in the literature documenting the diverse goals of TCM interventions, let alone the overall effect of such interventions. In this study, the goal attainment scaling (GAS) method was adopted to evaluate individualised TCM interventions on chronic low back pain. Methods. A pre-post intervention study was conducted on patients with chronic low back pain who received individualised TCM interventions in community health services. The study was undertaken in three community health centres in Hangzhou of China. A total of 165 eligible patients were invited, and 150 participated in the study, including 136 who completed both pre- and postintervention surveys. Each participant was asked to identify three to five intended goals from a pool of 26 outcome indicators and their corresponding expectations of these goals prior to the TCM interventions. Their conditions were rated against the selected indicators on a self-report five-point Likert scale before and after the TCM interventions, respectively. Gaps between the actual conditions and the expected goals were summed up for each participant and converted into a standardised GAS score, with a higher score indicating higher achievements, and 50 indicting patient expectations were met. Linear regression models were established to determine the factors associated with the pre-post GAS changes after adjustment for variations in other variables. Results. On average, an increase of 14.99 (SD = 9.81) in the GAS scores was achieved. This resulted in a mean GAS score of 48.33 (SD = 9.74) after the TCM interventions, falling slightly short (<2) of patient expectations. The multivariate linear regression models revealed that local residents, the retired, and those who perceived lower professional competency of their attending doctors had a smaller increase in the GAS scores after adjustment for variations in other variables. Conclusion. The individualised TCM interventions can help patients with low back pain to achieve their expected goals as measured by the GAS. Further studies are needed to better understand how patients set up their goals and the professional competency requirements to meet patient expectations.

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The Role of Traditional Chinese Medicine in the Management of Chronic Pain: A Biopsychosocial Approach

Cited by 3 publications

References 21 publications

Challenges, Concerns, and Experiences of Community-Dwelling Older Women with Chronic Low Back Pain—A Qualitative Study in Hong Kong, China

Challenges, Concerns, and Experiences of Community-Dwelling Older Women with Chronic Low Back Pain—A Qualitative Study in Hong Kong, China

Integrative Medicine: In With the New

Evaluating Traditional Chinese Medicine Interventions on Chronic Low Back Pain Using Goal Attainment Scaling

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