Traditional and complementary medicine use for knee osteoarthritis

Year 2022, Volume: 8 Issue: 5, 619 - 628, 04.09.2022

Sevinç Külekçioğlu

https://doi.org/10.18621/eurj.1055602

Abstract

Objectives: This study aims to determine the traditional and complementary medicine (TCM) use in patients with knee osteoarthritis, by whom these methods are recommended, which methods provide the patients with the best outcome, and to contribute to the awareness of physicians about TCM methods.

Methods: One hundred four patients over the age of 40 who were diagnosed with knee osteoarthritis and had complaints for at least 6 months were included in the study. The TCM applications in the previous treatments of the patients, and whether they used additional medications or not, and finally, the TCM method they benefited from the most, and who recommended and applied these methods were questioned and recorded.

Results: In our study, we found that the most commonly used treatments were phytotherapy products and supportive drugs, in line with the literature. We did not find the use of hypnosis, hirudotherapy, reflexology, homeopathy, osteopathy, chiropractic, maggot applications, apitherapy, or music therapy methods. TCM methods of patients, we determined that they learned from their families and close circles rather than the doctors they applied to.

Conclusions: Patients diagnosed with knee osteoarthritis commonly use TCM methods, phytotherapy being in the first place.

Keywords

Alternative treatment, phytotherapy, pain, musculoskeletal diseases, degenerative diseases, arthralgia

References

• 1. McAlindon TE, Bannuru RR, Sullivan MC, Arden NK, Berenbaum F, Bierma-Zeinstra SM, et al. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis Cartilage 2014;22:363-88.
• 2. Bijlsma JW, Berenbaum F, Lafeber FP. Osteoarthritis: an update with relevance for clinical practice. Lancet 2011;377:2115-26.
• 3. Nguyen US, Zhang Y, Zhu Y, Niu J, Zhang B, Felson DT. Increasing prevalence of knee pain and symptomatic knee osteoarthritis: survey and cohort data. Ann Intern Med 2011;155:725-32.
• 4. Cross M, Smith E, Hoy D, Nolte S, Ackerman I, Fransen M, et al. The global burden of hip and knee osteoarthritis estimates from the global burden of disease 2010 study. Ann Rheum Dis 2014;73:1323-30.
• 5. World Health Organization. Traditional and complementary medicine. 2017 (cited 2016 January 10): (5 screens). Available from: URL: http://who.int/medicines/areas/traditional/definitions/en/.
• 6. Zhang W, Moskowitz RW, Nuki G, Abramson S, Altman RD, Arden N, et al. OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidencebased, expert consensus guidelines. Osteoarthritis Cartilage 2008;16:137-62.
• 7. Schurman DJ, Smith RL. Osteoarthritis: current treatment and future prospects for surgical, medical, and biologic intervention. Clin Orthop Relat Res 2004;427:S183-9.
• 8. Krishnamurthy A, Lang AE, Pangarkar S, Edison J, Cody J, Sall J. Synopsis of the 2020 US Department of Veterans Affairs/US Department of Defense Clinical Practice Guideline: The Non-Surgical Management of Hip and Knee Osteoarthritis. Mayo Clin Pro 2021;96:2435-47.
• 9. WHO. Traditional, complementary, and integrative medicine. https://www.who.int/healthtopics/traditional-complementary-and-integrative-medicine. Available from: 13.04.2020.
• 10. Complementary and Alternative Medicine. https://www.nlm.nih.gov/tsd/acquisitions/cdm/subjects24.html US. National Library of Medicine. National Institutes of Health (cited 201707.05.2017).
• 11. WHO. Global report on traditional and complementary medicine 2019;15-28.12. Official Gazette (2014a) Regulation on Traditional and Complementary Medicine Practices. Date: 27.10.2014; Issue: 29158.
• 12. Kellgren JH, Lawrence JS. Radiological assessment of Osteo-arthrosis. Ann Rheum Dis 1957;16:494-502.
• 13. Hochberg MC, Altman RD, April KT, Benkhalti M, Guyatt G, McGowan J, et al. American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis Care Res (Hoboken) 2012;64:465-74.
• 14. Iversen MD, Schwartz TA, Heideken JV, Callahan LF, Golightly YM, Goode A, et al. Sociodemographic and clinical correlates of physical therapy utilization in adults with symptomatic knee osteoarthritis. Phys Ther 2018;98:670-8.
• 15. Yeh HJ, Chou YJ, Yang NP, Huang N. Receipt of physical therapy among osteoarthritis patients and its influencing factors. Arch Phys Med Rehabil 2015;96:1021-7.
• 16. Hagglund KJ, Clark MJ, Hilton SA, Hewett JE. Access to healthcare services among persons with osteoarthritis and rheumatoid arthritis. Am J Phys Med Rehabil 2005;84:702-11.
• 17. Antonelli M, Donelli D, Fioravanti A. Effects of balneotherapy and spa therapy on quality of life of patients with knee osteoarthritis: a systematic review and meta-analysis. Rheumatol Int 2018;38:1807-24.
• 18. Mennuni G, Fontana M, Perricone C, Nocchi S, Rosso R, Ceccarelli F, et al. A meta-analysis of the effectiveness of mud-bath therapy on knee osteoarthritis. Clin Ter 2021;172:372387.
• 19. Han SB, Seo IW, Shin YS. Intra-articular injections of hyaluronic acid or steroids associated with better outcomes than platelet-rich plasma, adipose mesenchymal stromal cells, or placebo in knee osteoarthritis: a network meta-analysis. Arthroscopy 2021;37:292-306.
• 20. Wong WH, Litwic AE, Dennison EM. Complementary medicine use in rheumatology: a review. World J Rheumatol 2015;5:142-7.
• 21. Fautrel B, Adam V, St-Pierre Y, Joseph L, Clarke AE, Penrod JR. Use of complementary and alternative therapies by patients self-reporting arthritis or rheumatism: results from a nationwide Canadian survey. J Rheumatol 2002;29:2435-41.
• 22. Lorenc A, Feder G, MacPherson H, Little P, Mercer SW, Sharp D. Scoping review of systematic reviews of complementary medicine for musculoskeletal and mental health conditions. BMJ Open 2018;8:e020222.
• 23. Zhang W, Robertson WB, Zhao J, Chen W, Xu J. Emerging trend in the pharmacotherapy of osteoarthritis. Front Endocrinol (Lausanne) 2019;10:431.
• 24. Hall H, Leach M, Brosnan C, Collins M. Nurses' attitudes towards complementary therapies: a systematic review and meta-synthesis. Int J Nurs Stud 2017;69:47-56.
• 25. Parker PA, Urbaner D, Fisch MJ, Fellman B, Hough H, Miller J, et al. A multisite, community oncology‐ based randomized trial of a brief educational intervention to increase communication regarding complementary and alternative medicine. Cancer 2013;119:3514-22.
• 26. Biçer İ, Yalçın Balçık P. [Traditional and complementary medicine: iInvestigation of Turkey and the selected countries]. Hacettepe Journal of Health Administration 2019;22:245-57. [Article in Turkish]
• 27. Paltiel O, Avitzour M, Peretz T, Cherny N, Kaduri L, Pfeffer RM, et al. Determinants of the use of complementary therapies by patients with cancer. J Clin Oncol 2001;19:2439-48.
• 28. Frass M, Strassl RP, Friehs H, Müllner M, Kundi M, Kaye AD. Use and acceptance of complementary and alternative medicine among the general population and medical personnel: a systematic review. Ochsner J 2012;12:45-56.
• 29. Şimşek B, Yazgan-Aksoy D, Calik-Basaran N, Taş D, Albasan D, Kalaycı MZ. Mapping traditional and complementary medicine in Turkey. Eur J Integr Med 2017;15:68-72.
• 30. Karadağ A. Alternative medicine and complementary treatment methods in rheumatic diseases. Sivas Cumhuriyet University Faculty of Medicine, Master Thesis, 2012.
• 31. Ulusoy H, Güçer TK, Aksu M, Arslan Ş, Habiboğlu A, Akgöl G, et al. [The use of complementary and alternative medicine in Turkish patients with rheumatic diseases]. Turk J Rheumatol 2012;27:31-7. [Article in Turkish]
• 32. Dikici A, Ulah AM, Cevik H, Eroglu S, Solak O, Dündar D. [Use of complementary and alternative medicine in patients with degenerative osteoarthritis]. Euras J Fam Med 2015;4:126-30. [Article in Turkish]
• 33. Yang S, Dubé CE, Eaton CB, McAlindon TE, Lapane KL. Longitudinal use of complementary and alternative medicine among older adults with radiographic knee osteoarthritis. Clin Ther 2013;35:1690-702.
• 34. Zhang Y, Dennis JA, Bishop FL, Cramer H, Leach M, Lauche R, et al. Complementary and alternative medicine use by US adults with self-reported doctor-diagnosed arthritis: results from the 2012 National Health Interview Survey. PM R 2019;11:1059-69.
• 35. Khan MU, Jamshed SQ, Ahmad A, MABA B, Siddiqui MJ, Al-Shami AK. Use of complementary and alternative medicine among osteoarthritic patients: a review. J Clin Diagn Res 2016;10:l-6.
• 36. Lim YZ, Hussain SM, Cicuttini FM, Wang Y. Nutrients and dietary supplements for osteoarthritis. In: Bioactive food as dietary interventions for arthritis and related inflammatory diseases. Watson R, Preedy V, eds., 2th ed., Elsevier, 2019: pp.97-137.
• 37. Van Vijven JP, Luijsterburg PA, Verhagen AP, Van Osch GJVM, Kloppenburg M, BiermaZeinstra SMA. Symptomatic and chondroprotective treatment with collagen derivatives in osteoarthritis: a systematic review. Osteoarthr Cartil 2012; 20:809-821.
• 38. Tekçi A. Research assistant physicians in traditional, complementary and knowledge and attitudes about alternative medicine practices. Dicle University Medicine Faculty of Family Medicine Specialization, Master Thesis, 2017.