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.

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  • Recent Comments

    Physiotherapist-led pain management classes

    In this study from King’s College London in the UK, it appears to be a “cost-effective alternative to usual outpatient physiotherapy.”

    First, the details.

    • 212 patients with chronic low back pain were randomly assigned to usual outpatient physiotherapy, spinal stabilization classes, or physiotherapist-led pain management classes.
    • Primary outcome was the Roland Disability Questionnaire score 18 months from the start of the study.

    And, the results.

    • There were similar results for each group based on the Roland Disability Questionnaire score.
    • Pain, quality of life, and time off from work also improved, with no between-group differences.
    • Average healthcare costs were €474 ($959) for individual physiotherapy, €379 ($769) for spinal stabilization, and €165 ($334) for pain management.

    The bottom line?

    • The pain management program included up to 8 sessions of 90 minutes supervised by a senior physiotherapist and physiotherapy assistant.
    • It included structured back pain education with paced general strengthening, stretching, and light aerobic exercises.
    • The objective was to reduce fear of movement and reinjury, and encourage self-management with goal-setting and positive coping strategies.

    The researcher concluded, “A more widespread adoption of physiotherapist-led pain management could result in considerable cost savings for healthcare providers.”

    8/7/07 22:50 JR

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