Our Paradigm Shifting Natural & Integrative Medicine Approach To Sub-acute and Chronic Pain

 

Suffering from chronic pain or know someone who is?
We invite you to review the following hopeful information and to book an appointment to experience the paradigm shifting benefits of natural & integrative medicine pain relief.

 

Our program combines a wide range of low-risk natural pain relief strategies into 
one super power integrative program.

The therapies utilized have been endorsed, and continue to toward greater extents, by a wide range of major public health organization due to an ever growing body of research evidence linking these therapies to similar benefits as conventional treatment yet with lower side effect risk.

Even more importantly, evidence shows that combining these therapies into one program can produce up to 2-3 fold benefits over conventional treatments alone. 

*see comprehensive research summary below for more details about this evidence and the natural therapies involved

 

OUR COMPREHENSIVE, EFFECTIVE, NATURAL & INTEGRATIVE MEDICAL APPROACH TO OVERCOMING PAIN, INCLUDING:

 

 

  • Low Back Pain

  • Osteoarthritis of Knee, Hip, Neck, Back, Hand, Wrist and Others

  • Autoimmune conditions including rheumatoid arthritis, IBD, multiple sclerosis, lupus and other conditions

  • Neck Pain

  • Extremity Pain including Shoulder, Elbow, Ankle/foot, Hand/wrist and Hip Pain

  • Fibromyalgia

  • Extremity Pain including Shoulder, Elbow, Ankle/foot, Hand/wrist and Hip Pain

  • Headaches

  • Irritable Bowel Syndrome and Other Functional Gastrointestinal Disorders

  • Inflammatory bowel diseases like crohns and ulcerative colitis

  • Gastro-esophageal Reflux

  • Carpal Tunnel syndrome

  • Neurological Pain

  • Pelvic pain

  • Insomnia related to pain and otherwise

  • Facial pain including temporomandibular joint disorder

  • Overuse of opioids, nsaids and other medications with strong side effect risk

  • Other forms of chronic pain

 

    PHYSICAL THERAPIES INCLUDE:
 

  • Mobilizations, Manipulations, Cranial Sacral Therapy and Other Manual Therapies

  • Acupuncture/Acupressure

  • Massage Therapy

  • Home Based Education On Managing Acute And Chronic Pain

  • Therapeutic Exercise

  • Weight Loss

  • Yoga, Tai Chi, Pilates And Qi Gong

  • Hot/Cold Packs And Other Water Therapies

  • Dead Sea Salt/Mud Packs and Baths

  • Inflammatory and Autoimmune Modulation Via Nutrition

  • Low Level Laser Therapy

  • Instrumented Assisted Soft Tissue Mobilization aka Gua Sha

  • Herbal Medicines

  • Homeopathy

  • TENS

  • Transcranial Electric Nerve Stimulation

  • Sleep Optimization

  • Nutritional Supplements

  • TH1/TH2 Immune Modulation

  • Detoxification

  • Postural Balancing Exercise

  • Whole Person Naturopathic, Chinese and Integrative Medicine

    In addition to mind-body medicines which are essential for for helping to overcome chronic pain, including:
     

  • Cognitive Behavioral Therapy

  • Meditation

  • Mindfulness

  • Emotional Freedom Technique

  • Hypnotherapy

  • Gut Directed Hypnotherapy

  • Stress Management

  • Exercise

  • Yoga and Tai Chi

  • Progressive Relaxation

  • Visualization

  • Spiritual Counseling

  • Forgiveness Counseling

  • Neuro Emotional Technique

  • Neurotransmitter Support

  • Life Coaching

 

Introduction:

 

 

Pain is the most common reason people visit doctors including complementary and integrative health providers. A growing body of evidence suggests that many complementary and integrative approaches can help effectively manage painful conditions with lower side effect risks than conventional medicines like drugs and surgery. More so, bundling these natural therapies together using an integrative model produces effects that can be 2-3 x more effective than conventional care alone. This is particularly important due low effectiveness of conventional approaches to chronic pain, which resulted in the “opioid crisis” currently impacting millions of lives worldwide (i.e., physician started relying on opioids to treat chronic pain, despite their ineffectiveness for most forms of chronic pain). Importantly, side effects from other drugs, such as ibuprophen, are becoming more substantiated (i.e., the FDA has issued warnings that it increases the risk of heart attacks, strokes, gastrointestinal bleedings, delayed healing, and renal failure). Based on these findings, the research on complementary and integrative approaches for chronic pain continue grow and we are learning more and more about effective management of pain through complementary and integrative approaches.

 

 

Based on this growing evidence, major public health groups have endorsed the usage of complementary and integrative medicines for pain including:

 

 

  • Oregon Health Authority

  • Federal Drug Administration

  • World Health Organization

  • National Institutes of Health (multiple agencies)

  • Centers for Disease Control and Prevention

  • American Medical Association

  • American College of Physicians

  • Institute of Medicine

  • Joint Commission

  • Department of Workers Compensation

  • Department of Defense

  • United States Department of Veterans Affairs

  • Institute for Health and Care Excellence, United Kingdom

  • American Pain Society

  • American College of Rheumatology

  • American College of Gastroenterology

  • American Academy of Neurology

  • American Headache Society

 

 

For example:

 

 

In 2019, Oregon Health Authority encouraged, and nearly required, that all patients taking opioids for chronic pain receive complementary and integrative treatments to help them wean of these drugs and provide improved pain relief. In their guidelines, it states, “Opioids may lack efficacy in relieving chronic non-cancer pain long-term, and are inferior to sleep restoration, manipulation therapy, acupuncture, massage, mindfulness training/CBT, and physical exercise in providing long-term benefit to patients.

 

 

In May 2017, the Federal Drug Administration (FDA) recommended that physician be aware of the availability of complementary approaches for musculoskeletal and chronic pain conditions. This same year the the FDA Education Blueprint For Health Care Providers Involved In The Management or Support of Patients with Pain suggests acupuncture among a range of available therapies as part of a multidisciplinary approach to pain management.

 

 

In July 2017, The Joint Commission for hospital credentialing started to rank hospital on whether they offered nonpharmacological options for pain including complementary and integrative approaches.

 

 

In
February 2017, American College of
Physicians published new guidelines (based on evidence grading system) for
the management of non-specific (i.e., non-radicular) low back pain. These
guidelines recommend that several complementary and integrative medical
approaches be used as first-line therapies for acute, subacute and chronic low
back pain (see low back pain section for further details). These guidelines
also recommend that drugs be used for chronic low back pain (i.e., NSAIDS and
opioids) only when nonpharmacological approaches do not provide adequate
relief, and that acute and subacute low back pain indicated drugs (i.e., NSAIDs
and skeletal muscle relaxants) be used only when pharmacological treatments are
desired by clinician and patient.

 

 

In April, 2017, several complementary and integrative therapies were included within new standard of care guidelines for guidelines for the treatment of osteoarthritis of the knee by the U.S. Department of Health and Human Services.

 

 

In 2016, the Center for Disease Control and Prevention (CDC) Guideline For Prescribing Opioids For Chronic Pain focused on the use on nonpharmacologic approaches for chronic pain including several complementary and integrative approaches such as cognitive behavioral therapy and exercise.

 

 

A September 2016 Mayo Clinic Proceedings review publication authored by the National Center of Complementary and Integrative Medicine (NCCIH) of the National Institutes of Health (NIH)reported,

 

 

“Medications may provide only partial relief from chronic pain and can be associated with unwanted side effects. As a result, many individuals turn to complementary health approaches as part of their pain management strategy . . . Based on preponderance of positive versus negative studies, certain complementary and integrative medicine approaches may help some patients manage their painful health conditions.”

 

 

In November 2016, the Journal of American Medical Association published a follow-up article entitled “As Opioid Epidemic Rages, Complementary Health Approaches to Pain Gain Traction,” where the previous article’s finding were described as, “Welcome news as health care professionals and agencies grapple with the crisis of opioid abuse.”

 

 

Since 2002, World Health Organization has published global strategies for the implementation of traditional (or non-conventional) and complementary medical approaches within healthcare. It describes traditional and complementary medicines as being either a mainstay of healthcare delivery or complement to it in nearly every country, with demand for its services increasing. It also describes how countries are increasingly recognizing the contributions that these approaches can make to health and well being, as well as the need to develop a cohesive and integrative approach to healthcare. A portion of WHO 2014-2023 strategy includes increased integration and access of traditional and complementary medicines into national and primary healthcare. The clinical and economic efficacy of complementary and integrative
approaches for pain was also highlighted in this report.

 

 

For over a decade, NCCIH has been involved with other NIH consortiums and federal agencies to investigate and develop national strategies for pain, including leading development of the most recent standards for back pain research. In 2014, NCCIH, National Institute of Drug Abuse and Department of Veterans Affairs funded thirteen 5-year studies to address pain and related conditions using non-drug approaches in U.S. military personnel, veterans, and their families. In 2017, this important partnership expanded to include additional populations and Department of Defense and additional NIH agencies (National Institute of Neurological Disorders and Stroke, National Institute of Alcohol Abuse and Alcoholism, National Institute of Child Health and Human Development, Office of Research on Women’s Health, and National Institute of Nursing Research). The overall goal of this jointly supported initiative is to develop the capacity to implement cost-effective, large-scale clinical research in military and veteran health care delivery organizations focusing on nonpharmacologic approaches to the management of pain and comorbid conditions.

Institute of Medicine’s 2011 national blueprint for pain includes multiple references to the potential value of integrative health strategies. The report emphasized a model of ‘integrated, interdisciplinary pain assessment and treatment’ that includes complementary and alternative medicine.

 

 

Standard of care guidelines by Department of Workers Compensation recommend that patients be referred for complementary and integrative therapy when the patient’s cultural background, religious beliefs, or personal concepts of health suggest that these medical approaches might assist in the patient’s recovery or when the physician’s experience and clinical judgment support these approaches.

 

 

*Additional endorsement details are described in condition specific areas below.

 

 

What is our Integrative Medicine Based Pain Relief Program?

Supporting the global trend endorsing complementary and integrative approaches for pain, our program offers and wide range of natural or complementary and integrative forms of medicine into one superpower program. We generally follow the consortium guidelines for pain management, yet offer additional therapies.

Our pain relief program combines within one program the most proven forms of complementary and integrative medicines for pain relief including:

 

Manual Therapies are a non-surgical type of pain management that includes different skilled hands/fingers-on techniques directed to the patient’s body (spine, extremities, joints, musculature, etc.) for the purpose of assessing, diagnosing, and treating a variety of symptoms and conditions. Our manual therapies include spinal and joint manipulation, mobilization (gentle non-thrust manipulation), massage, cranial sacral therapy, myofascial release, energy medicine, postural training, post isometric relaxation, strain-counterstrain, acupressure, Bowen and other manual therapies. Our practitioners design and implement patient specific manual therapy approaches based on patient’s preference and condition specific needs. Our manual therapist are licensed naturopathic doctors or massage therapist, each with a decade or more of experience incorporating manual therapies. Our practitioners have received training by a very diverse range of manual therapy professionals include naturopathic doctors, doctors of osteopathy, chiropractic doctors, medical doctors – orthopedists and physiatrists, physical therapist, oriental medicine doctors, licensed massage therapist and others.

 

Weight loss involving our award winning program (1st Place by North Haven Citizen) involving nutritional counseling, assessment and correction of underlying endocrine, metabolic and nutrient deficiency conditions, metabolic typing, genetic testing, purification methods, therapeutic exercise, food intolerances, nutritional supplements and mind-body medicines. Practically all obese/overweight patients taking part in our program (particularly those with osteoarthritis) are offered the option weight-loss and additional nutritional services.

Mind-body Medicines are a variety of techniques that empower the mind’s functions (e.g., attention, thoughts, perceptions, decisions, emotions, understanding, self-knowledge and self-care) to improve mental, physical, behavioral, social and spiritual health. TLCPRP includes the most proven forms of mind-body medicines including cognitive behavioral therapy, mindfulness, world’s top meditation techniques, hypnosis, progressive relaxation, emotional freedom technique, yoga, tai chi, breathing exercises, and additional relaxation methods. The TLCPRP offers mind-body medicine services to practically all patients with chronic pain including complements to conventional medical care for patients with mental health disorders. TLCPRP can also provide additional mental health based strategies to support pain relief including herbal medicines, transcranial electric stimulation, therapeutic exercise, nutritional supplements and nutritional counseling, which meta-analyses report are about as effective as conventional treatments for mental health yet with lower side effect risk compared to prescription medications.

Therapeutic Exercise including condition specific exercises and comprehensive programs combining low to high intensity cardiovascular training, strength training, balance and mobility exercises, stretching, agility and other self care strategies. A licensed personal trainer with 20+ years of experience provides these services in conjuction with our naturopathic physicians. Our strategies incorporate recommendations based on guidelines by U.S. Preventive Services, Osteoartritis standards, and American Colleges of Sports Medicine, Cardiology, Rheumatology and Neurology in combination with novel integrative methods.

Tai chi, yoga, qi gong, and other forms of mindful movements are ancient to modern exercise and lifestyle practices. These practices are designed to help people cultivate greater awareness and peace, and move more gracefully and purposely. They can help improve pain, inflammation, balance, strength, muscle engagement, overall physical and mental health, mindfulness, and other health outcomes. They are also standard of care treatments for low back and potentially other forms of pain. 

 

Acupuncture, acupressure, gua sha, Oriental herbal medicine, and other Eastern medical approaches. Acupuncture is a medical technique that involves insertion of tiny, hair-thin needles in particular locations of the body and can help relieve tension and improve circulation of blood, chi and other subtle energies. Acupuncture is amongst the most popular forms of medicine worldwide and it has been practiced in Asia and other continents for a few thousand years. Research is showing that it is particular helpful for the management of chronic pain, addictions and gastrointestinal health. Gua sha is an ancient oriental technique that can improve circulation, range of motion and healing of connective tissue. Gua sha is nearly identical to the modern orthopedic practices of instrument assisted soft tissue technique as well as Graston technique.

 

Self Care/Home Management Education including prevention and management of acute, subacute and chronic pain, as well as strategies to overcome side effects of prolonged sitting. These include use of hot-cold packs and baths, stretches and movements to engage in and avoid dependent on condition state, wrapping and bracing techniques, and pain/inflammation reduction and muscle relaxation through nutrition, herbal medicine, nutritional supplement, mind-body medicines and over the counter medications.

 

Autoimmune disease assessment and “paradigm shifting (several Nature and additional publications)” treatment strategies addressing lectin avoidance, inflammation, intestinal barrier function, t-helper cell immune modulation, and anti-oxidant function plus general dietary, pain and lifestyle factors through nutrition, herbal medicines, nutritional supplements, mind-body medicines, exercise, manual therapies, physiotherapies and naturopathic medicine.

 

 

Nutritional Counseling including condition specific strategies for pain, inflammation, autoimmune diseases, weight loss, blood pressure reduction, cholesterol reduction, heart disease, mental health, cancer, migraines, allergies, irritable bowel syndrome, inflammatory bowel diseases, gout and fertility.

 

Physiotherapies including low level laser therapy, gua sha/instrumental assisted soft-tissue technique, transcranial electric stimulation, TENS machine, microcurrent, postural correction, mobilization and application of heat/cold therapies. These low-risk techniques may help improve tension, pain, mobility, inflammation, cellular regeneration, joint healing and mental health outcomes, include long-term benefits.

Hot/Cold, Herbal, particular Mud and Mineral Packs/Baths applied during in office visits and at home, which safely help to improve pain and function and are proven standard of care treatments for low back pain, osteoarthritis and other forms of pain.

Herbal medicine, nutritional supplements and homeopathy for pain, inflammation, joint health, and other medical conditions based on evidence based strategies and traditional usage.

 

Inflammation, homocysteine, autoimmune and other nutrient assessment through blood testing and reduction through nutrition, nutritional supplements, cholesterol reduction, microbiome modulation, and mind-body medicines.

 

Sleep optimization through cognitive behavioral therapy, additional behavioral and relaxation techniques, nutritional counseling, and herbal and nutritional supplements.

 

Energy medicine including cranial sacral therapy, Reiki, pranic healing, chakra balancing, and other energy medicine techniques. These technique use very gentle hands-on to non-touch procedures to relax, coordinate, strengthen and mobilize bones, muscles, nerves, circulation and other subtle energies.

 

Whole system naturopathic, Western, traditional Chinese and homeopathic medicine plus additional integrative strategies for all underlying medical conditions that may be influencing pain and overall health – along with referrals as deemed appropriate.

Effectiveness of Multidisciplinary Integrative Models (similar to our program)

Importantly, multidisciplinary integrative approaches, similar albeit generally less comprehensive our program have been shown to consistently and substantially improve outcomes when added to usual care treatment.

For example:

 

 

– In 2017, Rhode Island’s integrative pain Medicaid pilot study reported 2-3 fold benefits by using a multidisciplinary integrative approach versus usual care treatment alone for chronic pain. In this study, high-risk opioid users (i.e., four of more ER visits in 12-month period) became eligible to receive acupuncture, spinal manipulation/mobilization and massage services through management of an integrative nurse practitioner. Participation resulted in reduced per member year medial costs by 27%, ER visits by 61%, opioid prescriptions by 86%, $2.71 medical expense savings for every $1 spent on complementary and integrative services, and high functional improvements.

 

 


Florida Medicaid Integrative Therapies Pilot Project (2003-2004, continued in
subsequent years), which reported 16 to 24% improvements in functional
outcomes, 20% reduction versus 23% increase in prescriptions, 94% participant
report of pain reduction, and 25% lower costs compared to usual care – after
two years, by allowing patients to seek spinal manipulation/mobilization,
acupuncture or massage services through coordination by a nurse practitioner. 

 

 


Blue Cross Blue Shield’s integrative medicine primary care pilot on 70,000
participants in Chicago reported 60% decreases in hospital admittance, 59%
decrease hospital days, outpatient procedural cost decreases by 62% and pharmaceutical
cost decreases of 56% over 7-years (with increasing benefits afterward) by
allowing primary care referrals to “natural medicine” MD and DOs, broad-scope
primary care oriented” chiropractic, massage, homeopathy, herbal medicine,
nutrition, Ayurvedic, Chinese, mind-body medicine and cranial sacral therapy
practitioners.

 

 


A 2015 BMJ meta-analysis from 41 studies involving 6,858 people with chronic
back pain determined that a multidisciplinary approach – addressing biological,
psychological and social dimensions of pain – was also more effective at
reducing pain and helping people return to active lives than any single usual
care approach. More so, in two of these studies, the multidisciplinary approach
proved as effective as surgery in regards to pain and functional outcomes – yet
with far lower side effect risk and financial cost.

 

 

 

 

Restoration Health PLLC

Monday:                 8:00 am - 7:00 pm

Tuesday:                 9:00 am -7:00 pm
Wednesday:           Closed
Thursday:                9:00 am -7:00 pm

Friday:                      9:00 am -7:00 pm

Saturday:                Closed

Sunday:                   Closed

12 Village Street Ste 3

North Haven, Connecticut 06473

203-239-3400



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