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Long Island Spine Specialists, P.C.
763 Larkfield Road
2nd Floor
Commack, NY 11725
Ph: (631) 462-2225
Fax: (631) 462-2240






Child Orthopedics
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Pain Management
Spine - Cervical
Spine - General
Spine - Lumbar
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My cousin emailed me and suggested I try homeopathic treatment for my back pain. I figure I've tried everything else, why not? Is there any evidence that these remedies actually work? Or is it all the placebo effect?

In a recent study from Germany (where homeopathic treatment has been practiced and studied for over 200 years), patients with chronic low back pain treated with homeopathic remedies reported four beneficial effects. These included decreased pain, improved quality of life, reduced use of prescription or over-the-counter drugs, and reduced use of health care visits. In the study, 129 adults with low back pain from any cause were treated by 48 homeopathic-trained physicians in many different centers across Germany. Before treatment, the patients wrote down all of their symptoms and rated their pain intensity from zero (no pain) to 10 (worst pain). They also filled out two other surveys of questions related to physical and mental function as well as quality of life. Most patients received an average of six homeopathic remedies over a period of three to 12 months. Everyone had chronic (longstanding) low back pain. Some patients also had other symptoms such as headache, hay fever, trouble sleeping, fatigue, or skin problems. A wide range of different remedies was used but most of them boiled down to one of 10 basic categories. Everyone was followed by phone consultation and/or personal follow-up visits for up to two years. At the end of the two years, one fourth of the group was fully cured (no back pain). About 20 per cent said they were at least 50 per cent better. The rest experienced some, but not as much, improvement. No one said they got worse. But the authors were quick to point out that there are some important things to consider when reviewing these results. First of all, the patients in this study were seeking homeopathic care. It was not a randomized controlled trial where some patients are randomly placed in two or more groups. In a randomized controlled trial, some are treated one way (e.g., conventional means) and other patients are treated another (e.g., homeopathic treatment). The methods used in this current study didn't control for the placebo effect. Placebo means the patient expects to get treatment that will be helpful, so even when they are getting a sugar pill, they get good results. The fact that the patients in this study were self-selecting homeopathic care was examined more closely. It turns out that these patients were better educated and with higher incomes than traditionally treated patients. One other observation: the patients in this study had been treated conventionally and turned to homeopathy when the results were unsatisfactory. This set of patient characteristics called demographics may be important and bear further study. It was also the case that only physicians with certification and experience in classic homeopathy were included in this study. And only about one per cent of the certified practitioners were included. So there's lots of room for different results in the general population depending on who they are and who they see for care.

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