Alternative & Integrative Health Archive

Bed rest, once a key part of treating back pain, has a limited role in healing sore backs. In very small doses, bed rest can give you a break when standing or sitting causes severe pain. Too much may make back pain worse. Here is how to do bed rest "right."

To get the most from staying in bed, limit the time you are lying down to a few hours at a stretch, and for no longer than a day or two. You can rest on a bed or sofa, in any comfortable position. To ease the strain on your back, try putting pillows under your head and between your knees when lying on your side, under your knees when lying on your back, or under your hips when lying on your stomach. These positions reduce forces that sitting or standing impose on the back — especially on the discs, ligaments, and muscles.

Electroacupuncture may be an effective alternative to medication for relieving hot flashes causing sleep disturbances in postmenopausal women.

It appears that electroacupuncture may be a treatment option for people with chronic severe functional constipation.

Massage therapy can help relieve pain, speed recovery from injury or surgery, and reduce stress.

Image: Jacob Wackerhausen /Thinkstock

Men may think of massage as an occasional treat or a vacation indulgence, but this type of therapy could be a natural way to stay healthy and pain-free.

One of the most common health issues for older men is chronic pain, defined as pain that lasts more than 12 weeks. This includes back pain, headache, cancer pain, and arthritis pain. Then there are the everyday aches from daily living. All of these act as barriers to a healthy lifestyle.

 Scientific evidence doesn’t support taking cranberry extract to prevent urinary tract infections.

Stress reduction expert Jon Kabat-Zinn recommends the body scan mindfulness exercise as the best form of mindfulness meditation for pain conditions.

He advises practicing it every day for 45 minutes, even if it seems boring or doesn't seem to be helping. "You don't have to like it, you just have to do it," he explains in his book. "Whether you find the body scan to be very relaxing and interesting or difficult and uncomfortable or exasperating is irrelevant to whether it will serve you well." The goal of the body scan is not to relieve the pain completely, but to get to know it and learn from it so you can manage it.

Mindfulness can be an effective adjunct to medication for chronic pain.

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For a long time, people with chronic pain have had to make a trade-off—enduring the discomfort stoically or taking medications that pose additional health risks, including dependence and addiction. But in the last few years, medicine has added another approach that has no troubling side effects: mindfulness.

"Mindfulness is basically paying attention to the present moment without judging," says Dr. Sara Lazar, a neurologist at Harvard-affiliated Massachusetts General Hospital. It is a component of many relaxation techniques, including yoga, deep breathing, tai chi, massage, reflexology, journaling, and prayer.

News Briefs

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A small study published in March 2016 in The Journal of the American Medical Association appears to support two nondrug options for treating chronic lower back pain. Researchers found that mindfulness-based stress reduction (MBSR), which includes yoga and mindfulness meditation (focusing on the moment), and cognitive behavioral therapy (CBT), which redirects pain-related thoughts and behaviors, were better at lowering back pain than usual care (other treatments received, if any).

Researchers randomly assigned more than 300 people (average age 49) to usual care or to eight weekly sessions of either MBSR or CBT. Six months later, researchers found that 45% of both the MBSR and CBT groups had less back pain, compared with 27% of the usual-care group, and about 60% of both MBSR and CBT participants had more back function, compared with 44% of those getting usual care.

Research We’re Watching

Cognitive behavioral therapy has been shown to be effective in treating chronic back pain, but it requires regular visits with a psychotherapist and can be expensive. A team from the University of Washington designed a study to determine whether mindfulness stress reduction—a technique that can be learned and practiced on one's own—is as effective in relieving pain and restoring function as cognitive behavioral therapy or conventional treatment with drugs and physical therapy.

The researchers enrolled 342 people ages 50 to 70—two-thirds of whom were women—who'd had back pain for an average of more than seven years. They randomly assigned the participants to one of three equal groups: one group was taught to practice mindfulness stress reduction, the second received cognitive behavioral therapy, and the third received conventional treatment as needed.

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A heart attack or unstable angina (sudden chest pain that happens at rest) usually requires a hospital stay. After such events—which doctors call acute coronary syndromes—about one in five people ends up back in the hospital with heart disease or dies in the following year. But there's a bright side: new research suggests that survivors with an optimistic attitude are less likely to be readmitted to the hospital with heart problems.

The study, published in the January 2016 Circulation: Cardiovascular Quality and Outcomes, included 164 people, mostly men, who were hospitalized for acute coronary syndromes. Two weeks after the event, they filled out questionnaires designed to measure their sense of optimism and gratitude.