Understanding Complementary and Alternative Medicine
Complementary and alternative medicine (CAM) is a misunderstood therapy. It involves some practices, products and procedures that are not considered conventional cancer treatments because they are not all based on scientific evidence.
However, some cancer patients, including those with mesothelioma, may turn to these treatments. But these should be considered only under the advice of their doctors because CAM may interfere with medications and other conventional treatments.
You may have seen this terminology before, but you may not know what the words “complementary” and “alternative” mean in the context of health care.
Complementary medicine or complementary therapy refers to approaches used in combination with conventional medicine.
Alternative medicine refers to approaches used in place of conventional medicine.
Alternative medicine is not commonly used by people with mesothelioma. Most cancer patients avoid alternative medicine and choose to combine proven complementary therapies with conventional medicine.
No alternative treatment has ever been proven to cure mesothelioma or improve survival rates. The use of some alternative treatments may negatively impact a patient by delaying or avoiding a more scientifically proven form of treatment.
What Is Integrative Medicine?
Integrative medicine is a type of CAM that unites conventional medicine with complementary therapies to address the health of the whole person. When this approach is used in cancer care it is called integrative oncology.
A doctor practicing integrative oncology may recommend exercise and nutritional counseling to cancer patients undergoing chemotherapy, for example.
Integrative oncology only uses evidenced-based complementary therapies. This means the therapies have been proven safe and successful in cancer research.
Integrative Oncology Programs at Mesothelioma Cancer Centers
Some mesothelioma cancer centers offer complementary therapies through integrative oncology programs.
These programs unite clinically proven complementary therapies with conventional medicine. They treat the whole person, not just the disease.
The programs offer a variety of complementary therapies. Some of these include massage, acupuncture, yoga, tai chi, meditation and nutritional counseling.
Mesothelioma Specialty Centers with Integrative Oncology Programs
Does Integrative Medicine Improve Mesothelioma Survival?
Integrative oncology doesn’t promise a cure for mesothelioma, nor does it consistently improve survival.
In some cases, complementary therapies may help patients better tolerate conventional mesothelioma treatments.
For example, some patients find it hard to finish all cycles of chemotherapy prescribed to them because of side effects. Complementary therapies for nausea and vomiting may help patients better tolerate chemotherapy for longer periods of time, which could have a positive impact on survival.
However, a 2018 study published in JAMA Oncology by researchers from Yale School of Medicine found many cancer patients who used complementary therapies were more likely to skip out on at least one aspect of their conventional treatment plan, which negatively impacted patient survival in the study.
Types of Complementary Therapies
Many of the following complementary therapies are used in palliative medicine to control mesothelioma symptoms or alleviate treatment side effects.
Adequate and balanced nutrition is important before, during and after cancer treatment.
Oncologists are promoting the importance of a healthy diet in cancer care, especially to accommodate symptoms such as nausea and difficulty swallowing. Some cancer centers even employ registered oncology dieticians to help mesothelioma patients create personalized meal plans and offer guidance on dietary supplements.
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Cancer doctors recommend gentle exercise to patients because research shows it improves quality of life, lessens the side effects of cancer treatment and lowers the risk of cancer mortality and recurrence. Studies also show it lessens fatigue, improves physical function and boosts mood.
Herbal medicines are made from plants and administered in capsules, powders, teas, creams and tinctures. Examples of herbal medicine include Essiac tea, mistletoe extracts and turmeric.
Some scientific research suggests certain herbs may improve cancer symptoms and reduce side effects of treatment, while other herbs may interfere with cancer treatment. Plant-based medications are an essential part of traditional Chinese medicine.
Medical marijuana is considered an herbal medicine, and research shows it may help relieve pain and chemotherapy-induced nausea in cancer patients. Scientific studies also suggest it may improve appetite during chemotherapy and help cancer patients with insomnia.
Mental Health Therapies
Coping with the mental, emotional and social aspects of a mesothelioma diagnosis is challenging. Many cancer centers now offer counseling and support groups to cancer patients and their families.
Mental Health Counseling: Counseling is a therapy that helps people facing cancer better cope with the experience. Counselors help people process their emotions with constructive and effective techniques such as cognitive behavioral therapy. Many cancer centers offer free counseling services to patients.
Support Groups: Cancer support groups unite people who face similar challenges. They give patients a space and opportunity to talk through their personal struggles with others who truly understand. The emotional support and compassion found in cancer support groups is difficult to find elsewhere.
Pet Therapy: Pet therapy involves spending time with animals with the goal of improving the mood of a patient. Dogs and cats are most commonly present at pet therapy sessions, but nearly any animal can bring comfort to someone dealing with cancer. Ask your treatment center if pet therapy is available.
Certain mind-body therapies have been scientifically studied in cancer patients, including yoga, tai chi, qigong and meditation.
While the following studies report on the benefits of yoga for cancer patients, not every form of yoga is safe for people with cancer to practice. Mesothelioma patients should avoid aggressive or hot styles of yoga, such as Bikram or power yoga, and instead opt for gentler versions of yoga such as hatha or yin yoga.
A 2017 review published in Supportive Care in Cancer studied the effects of yoga among cancer patients actively undergoing treatment. Patients in the study reported that yoga improved sleep, lessened fatigue, reduced distress and eased anxiety and depression.
A 2013 study published in the Journal of Complementary and Integrative Medicine reported that practicing yoga improved respiratory function in lung cancer patients by increasing the amount of air they could exhale over a 14-week period.
A 2012 study published in the Journal of Alternative Complementary Medicine found that yogic breathing techniques helped cancer patients cope with the side effects of chemotherapy in addition to improving sleep, anxiety levels and mental quality of life.
Tai Chi and Qigong
Qigong and tai chi are similar mind-body disciplines that unite flowing, slow-motion movement with breathing and mindfulness. These mind-body practices are gentle and considered safe for people with mesothelioma to practice.
A 2014 review published in Complementary Therapies in Medicine looked at 13 controlled trials studying the effects of tai chi or qigong in cancer patients. The review found that tai chi and qigong improved quality of life and mental health, lessened fatigue, reduced inflammation and even improved survival rates in liver cancer patients.
A 2015 study published in Annals of Behavioral Medicine found that tai chi and qigong significantly improved fatigue among breast cancer survivors within a short amount of time. The study also reported continued practice of tai chi or qigong improved depression and sleep quality.
At its core, meditation is simply a practice of awareness. Some forms of meditation are spiritually focused, while others focus on mindfulness. Meditation is considered safe for people with mesothelioma to practice, but patients should not participate in any form of meditation that requires fasting from food or water.
A 2013 study published in Complementary Therapies in Medicine investigated the effects of practicing meditation among breast cancer patients undergoing radiation therapy. It reported that meditation reduced anxiety, lessened fatigue and improved quality of life.
A 2001 study published in Supportive Care in Cancer followed 89 cancer patients in a seven-week Mindfulness-Based Stress Reduction program. Participants reported immediate improvements in their sleep quality, fatigue, stress and mood, and maintained these benefits through their six-month, follow-up visit.
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Miscellaneous Types of Complementary Therapies
Several other types of complementary therapies have been scientifically studied in cancer care.
Transcutaneous Electrical Nerve Stimulation, known as TENS therapy, uses low-voltage electrical current to relieve pain. Cancer patients can safely use TENS therapy from the comfort of their home. They do not have to visit a medical center to receive this therapy.
A 2015 study published in Pain Medicine found that TENS therapy significantly relieved cancer-related pain for roughly 70% of participants.
Acupuncture and Acupressure
Acupuncture is an ancient Chinese treatment in which thin needles are inserted into the skin to relieve pain and stress built up in the body. Acupressure is similar to acupuncture, but it uses finger pressure instead of needles to stimulate acupuncture points.
The World Health Organization reports that acupuncture can relieve adverse reactions to chemotherapy and radiation therapy.
A 2013 study published in the Journal of Clinical Oncology that found auricular (ear) acupuncture significantly reduced the intensity of pain felt by cancer patients over a two-month period.
A 2000 study published in Oncology Nursing Forum reported significant anxiety reduction among lung cancer patients who received reflexology, a form of acupressure applied to the feet.
Therapeutic and Lymphatic Massage
Though some perceive a massage as a luxurious way of relaxing, massage therapy can actually be a form of medical treatment. For example, lymph drainage therapy, also known as lymphatic massage, is a technique used after cancer surgery that helps relieve fluid buildup in lymph nodes.
There are dozens of categories of massage, but not all are appropriate for cancer patients. Certain conditions may be worsened by deep pressure or physical manipulation commonly used in deep tissue massage or sports massage. Mesothelioma patients should consult a doctor who can help them find a practitioner who specializes in the type of massage best used for their condition and prognosis.
According to the American Cancer Society, several studies of massage specifically designed for cancer patients suggest that it can significantly decrease common symptoms of cancer and its treatment, including pain, stress, depression, anxiety and fatigue.
A 2007 review published in Current Oncology reported that massage provided approximately 50% reduction in pain, fatigue, stress, anxiety, nausea and depression among cancer patients.
Energy therapies include a variety of techniques that intend to heal a person using “energy.” These therapies are based on a belief in a form of energy known as “life force energy,” which hasn’t been proven to exist in scientific studies. It is important to note that while energy therapies may be used as a complementary therapy, there is no scientific evidence to support their use in cancer care.
The primary energy therapies used by people facing cancer include music and sound therapy, Therapeutic Touch and reiki.
Talk to Your Doctor About Complementary Medicine
It is important to talk to your mesothelioma doctor before trying any kind of complementary therapy.
Research every therapy you are considering so you can understand how it works, and the potential risks and side effects. Bring this research to your doctor. It is important to fully explore the pros and cons of each complementary therapy with your doctor.
You should also discuss prescribed dosages and any drug interactions with your oncologist.
Investigate every practitioner’s training and background before you schedule an appointment.
The FDA issues warnings on fake cancer treatments that you can research on their website. Research every therapy for health warnings, product recalls and potential side effects.
While no cancer treatment can cure mesothelioma, certain treatments, such as surgery and chemotherapy, have been proven to help patients live longer. Combining the most effective conventional mesothelioma treatments with complementary therapies is safer than taking an alternative approach.
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Mesothelioma Survivors Who Used CAM
Mesothelioma patients often turn to complementary and alternative medicine to live longer, better lives. Some of the nation’s top mesothelioma cancer centers are now using integrative oncology to help patients recover from surgery and cope with the side effects of chemotherapy. You should consult your doctor before using any complementary therapy or alternative treatment.
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Last Modified November 22, 2019