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Integrative Medicine as an Adjunct to Orthopaedic Surgery

Ficke, James, R., MD; Moroski, Nathan, M., MD; Ross, Steven, D., MD; Gupta, Ranjan, MD

JAAOS - Journal of the American Academy of Orthopaedic Surgeons: January 15, 2018 - Volume 26 - Issue 2 - p 58–65
doi: 10.5435/JAAOS-D-16-00134
Review Article

Patients often seek nontraditional forms of treatment, including alternative/complementary medical options, such as chiropractic care and acupuncture, to meet their personal needs. In the United States, interest has grown in methods to reduce pain and improve function through Ayurvedic medicine, which uses plant-based supplements, such as turmeric. Traditional allopathic medicine attempts to provide patients with evidence-based therapeutic regimens for their musculoskeletal conditions. Integrative medicine often is used to prevent and manage the sequelae associated with injuries and illnesses; however, competitive athletes and military personnel use complementary medicine for performance enhancement. Thus, physicians should be aware of the evolving field of integrative medicine, including the reported benefits as well as any potential drawbacks, to facilitate an educated discussion with their patients.

From the Department of Orthopaedic Surgery, Johns Hopkins Medicine, Baltimore, MD (Dr. Ficke), and the Department of Orthopaedic Surgery, University of California, Irvine, CA (Dr. Moroski, Dr. Ross, and Dr. Gupta).

Dr. Ficke or an immediate family member serves as a board member, owner, officer, or committee member of the American Academy of Orthopaedic Surgeons, the American Orthopaedic Association, and the Southern Orthopaedic Association. Dr. Ross or an immediate family member serves as a board member, owner, officer, or committee member of the California Orthopaedic Association. Dr. Gupta or an immediate family member serves as a board member, owner, officer, or committee member of the American Academy of Orthopaedic Surgeons, the American Society for Surgery of the Hand, and the Orthopaedic Research Society. Neither Dr. Moroski nor any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article.

Received February 16, 2016

Accepted July 17, 2016

© 2018 by American Academy of Orthopaedic Surgeons
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