The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog ran from 2006 to 2016 and was intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

  • Recent Posts

  • Recent Comments

    Extensive review of fibromyalgia

    Dr. Daniel Clauw from the University of Michigan in Ann Arbor has published a continuing education review on Medscape, with recommendations for CAM.

    A comprehensive approach including both nonpharmacologic and pharmacologic interventions is important for effective control of fibromyalgia (FM) symptoms.

    Exercise and cognitive behavioral therapy (CBT) have the most support for patients with FM. Both are effective when patients are compliant with treatments.


    • Improves pain and has other positive benefits.
    • The goal is to maintain the ability to perform everyday activities.
    • Should include components of strength training, aerobic (endurance) conditioning, developing flexibility, and balance.


    • Helps patients understand the effect that thoughts, beliefs, and expectations have on their symptoms.
    • Strong evidence to support this approach.

    There is strong evidence to support the effectiveness of organized patient education programs to improve symptoms and facilitate changes in behavior, particularly when it is used in combination with CBT and exercise.

    Other alternative therapies with less supporting data.

    • Trigger-point injections
    • Chiropractic manipulation
    • Acupuncture (also see here and here)
    • Myofascial release therapy

    The bottom line?
    One of the most important contributions of alternative therapies, according to Dr. Clauw, is that they may “give patients a greater sense of control over their illness; if this is the case, then they are beneficial.”

    The European League Against Rheumatism (EULAR) has issued guidelines for treating FM.

    More on exercise can be found here, and on CBT here.

    6/4/08 16:46 JR

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