Why I would not recommend complementary or alternative therapies: A physician's perspective

The use of complementary or alternative therapies by patients with rheumati c diseases is widespread and under-reported by patient to physician. The mo st commonly used forms of therapy ate herbal/nutrient supplements, chiropra ctic, homeopathy, and acupuncture. The use of these therapies for treatment of rheumatic disease is not substantiated by review of the available medic al literature. Furthermore, these therapies are expensive and potentially t oxic. Incorporation of these treatments into the therapeutic armamentarium of the rheumatologist cannot be recommended until they are shown to be effe ctive, safe, and affordable.