[...]... ways to meet growing interest in applying CAM therapies to pain management This review addresses some of the key legal issues and liability risk management strategies that may be helpful in integrative pain management From: Contemporary Pain Medicine: Integrative Pain Medicine: The Science and Practice of Complementary and Alternative Medicine in Pain Management Edited by: J F Audette and A Bailey ©... Rather than think of From: Contemporary Pain Medicine: Integrative Pain Medicine: The Science and Practice of Complementary and Alternative Medicine in Pain Management Edited by: J F Audette and A Bailey © Humana Press, Totowa, NJ 19 20 Part II / Future Trends in CAM Research pain as a single system functioning to give unpleasant warnings, perhaps a better way to perceive pain is as one product of. .. acupuncture and traditional oriental medicine, chiropractic, herbal medicine, massage therapy, and mind-body therapies such as hypnotherapy and guided imagery) may be more common in pain management as compared with other clinical specialties, because of medical recognition that pain has psychological (and perhaps even spiritual) and physical dimensions Nonetheless, the integration of CAM therapies into pain management. .. any kind of care for their health problems,” and that “a full and frank discussion of the risks and benefits of all medical practices is in the patient’s best interest” (26) In trying to assess whether an integrative care practice is violative and should trigger physician discipline, the guidelines ask whether the therapy selected is: • Effective and safe? (having adequate scientific evidence of efficacy... as pain by the central nervous system; this typically is due to the activation of powerful inhibitory systems in the spinal cord and brainstem Conversely, pain can be perceived in the brain in the absence of any peripheral nociception—a situation that can be fostered by powerful facilitating system in the brainstem Perception of pain in the absence of peripheral generators lies at the root of numerous... not licensed and is practicing within a state that lacks legislation authorizing non-licensed practice of the healing arts Just as the unlicensed practice of medicine is a crime in all states, similarly “aiding and abetting” unlicensed medical practice can Chapter 1 / Legality and Ethics in Pain Management 5 also be considered criminal (4) For example, aiding and abetting unlicensed medical practice could... chiropractic” as defined in the statute (7) Furthermore, the statute provides that “physical therapy” includes “(a) The performance of tests and measurements as an aid to evaluation of function and the administration, evaluation, and modification of treatment and instruction, including the use of physical measures, activities, and devices, for preventive and therapeutic purposes; and (b) The provision of consultative,... complex, interoceptive system, recording events as they occur in the tissue of the body and informing the brainstem and cerebrum, particularly the limbic system, of conditions within our body In fact, pain could simply be one extreme representation of an interoceptive system that is reporting regularly on the current state of our tissue (1), with the central nervous system providing feedback by adjusting the. .. exaggerated claims and lacks even minimum standards of training and skill might be considered negligent referral to a “known incompetent.” And finally, integrative pain management suggests a sufficiently high degree of coordination between the referring provider and the one receiving the referral that a court could find the joint treatment necessary for shared liability (9,17) In this regard, ensuring that referred-to... educational, and other advisory services for the purpose of reducing the incidence and severity of physical disability, bodily malfunction, and pain. ” (7) The physical therapist in this case might be able to argue that craniosacral therapy is not the practice of chiropractic (or medicine) ; is similar to other modalities regularly taught in the educational curriculum for physical therapists and tested on the . y0 w1 h0" alt="" Integrative Pain Medicine Contemporary Pain Medicine Integrative Pain Medicine: The Science and Practice of Complementary and Alternative Medicine in Pain Management Series. pain management. From: Contemporary Pain Medicine: Integrative Pain Medicine: The Science and Practice of Complementary and Alternative Medicine in Pain Management Edited by: J. F. Audette and. integrated back into the whole of consciousness and being, but is left to atrophy. In this pain management quagmire, Integrative Pain Medicine: The Science and Practice of Complementary and Alternative