Complementary and Alternative Medicine in Cancer Rehab: What Works?

As an oncophysiotherapist, I frequently encounter patients exploring complementary and alternative medicine (CAM) to support their cancer rehabilitation. CAM includes a variety of practices and products not traditionally part of standard medical treatments.

In this article, I will delve into some evidence-based CAM practices—acupuncture, herbal supplements, and yoga—discussing their potential benefits and risks.

Acupuncture

Acupuncture is a well-known complementary therapy often used to support cancer patients during recovery. By stimulating specific points on the body with thin needles, this ancient practice aims to promote natural healing and alleviate common symptoms associated with cancer treatments.

Let’s explore the evidence-based benefits of acupuncture and the potential risks to consider.

Pain Management

Acupuncture has long been recognised for its effectiveness in pain relief. Several studies have demonstrated its ability to reduce pain levels in cancer patients, particularly those undergoing chemotherapy or recovering from surgery. The process involves the insertion of thin needles into specific points on the body, which may help to promote the body’s natural pain relief mechanisms.

Nausea and Vomiting

Acupuncture has also been found to be effective in reducing chemotherapy-induced nausea and vomiting. By stimulating acupuncture points like P6 (Neiguan), the body’s digestive system can be regulated, offering relief from these distressing symptoms.

Fatigue

Research shows that acupuncture may help reduce cancer-related fatigue, offering patients an energy boost and improving their overall quality of life. It can be particularly helpful for those who experience persistent exhaustion despite adequate rest.

Potential Risks

• Infection: Although rare, there is a risk of infection if needles are not properly sterilised. It is important to always seek a licensed and experienced acupuncturist to ensure safety.
• Bruising or Soreness: Some patients may experience minor bruising or soreness at the needle insertion sites. This is typically temporary and resolves quickly.

Herbal Supplements

Herbal supplements have gained popularity as a natural way to support cancer recovery. Many believe that specific herbs can enhance immune function, reduce inflammation, and ease digestive issues commonly faced during cancer treatments.

Let’s look at the evidence-based benefits of herbal supplements and highlight the potential risks to be aware of.

Immune Support

Certain herbal supplements, such as astragalus and echinacea, are believed to enhance the immune system, helping the body combat infections and recover from the side effects of cancer treatments.

Anti-Inflammatory Effects

Herbs like turmeric (curcumin) and ginger are known for their anti-inflammatory properties. These herbs can help reduce the inflammation and pain associated with both cancer and its treatments, potentially providing relief to patients during recovery.

Digestive Health

Supplements like peppermint and ginger have been shown to alleviate common digestive issues, such as nausea and constipation, which often occur as side effects of chemotherapy.

Potential Risks

• Interactions with Medications: Herbal supplements may interact with conventional cancer treatments, potentially reducing their effectiveness or increasing their toxicity. Always consult with a healthcare provider before starting any herbal supplements to avoid unwanted interactions.
• Quality and Purity: The quality and purity of herbal supplements can vary. To ensure safety, it’s essential to use supplements from reputable sources, as some may contain contaminants or ineffective dosages.

Yoga

Yoga is a holistic practice that combines physical movement, breathing techniques, and mindfulness, making it a powerful tool for cancer rehabilitation. It has been shown to offer significant benefits, including stress reduction, improved flexibility, and fatigue management.

In this section, we’ll explore how yoga can support cancer recovery, while also considering potential risks to be mindful of.

Stress Reduction

Yoga is well-known for its ability to reduce stress and anxiety. It combines physical postures, controlled breathing, and meditation, all of which can help cancer patients manage their stress and improve their mental well-being. Research shows that yoga can promote relaxation and improve mood, which is crucial for those navigating the emotional challenges of cancer recovery.

Improved Flexibility and Strength

Regular yoga practice can enhance flexibility, strength, and balance—attributes often compromised during cancer treatment. Incorporating yoga into rehabilitation can aid in regaining strength and mobility.

Fatigue Management

Studies show that yoga can help reduce cancer-related fatigue, allowing patients to feel more energised and capable of participating in daily activities. By gradually increasing physical activity through yoga, patients can reclaim energy and confidence during their recovery.

Potential Risks

• Physical Strain: Some yoga poses may be too intense for certain cancer patients, particularly those with limited mobility or balance issues. It is important to consult a certified yoga instructor with experience in cancer rehabilitation to ensure that poses are adapted as needed.
• Overexertion: While yoga is generally gentle, pushing too hard during practice can lead to injury. It is crucial to listen to your body and avoid any movements that cause discomfort or pain.

Expert Tips for Integrating CAM into Cancer Rehabilitation

• Consult Your Healthcare Team: Before beginning any CAM practices, always discuss them with your oncologist and healthcare team. This ensures that they are safe, appropriate, and complementary to your ongoing cancer treatment.
• Choose Certified Practitioners: Whether you’re considering acupuncture, herbal supplements, or yoga, work with certified and experienced practitioners who specialise in cancer care. This ensures the best possible outcomes and minimises risks.
• Monitor Your Progress: Keep track of how CAM practices affect your symptoms and overall well-being. Regularly sharing this information with your healthcare team can help you make informed decisions and optimise your rehabilitation plan.
• Stay Informed: Research and stay updated on the latest evidence regarding CAM practices. Peer-reviewed journals, reputable health organisations, and cancer support groups are reliable sources for up-to-date information.

Conclusion

Complementary and alternative medicine can offer valuable support during cancer rehabilitation, enhancing recovery and improving quality of life. Acupuncture, herbal supplements, and yoga are among the most studied CAM practices that show promise in managing cancer-related symptoms and promoting overall well-being. However, it’s important to approach these therapies with caution and always combine them with conventional medical treatments for the best results.

For more information on integrating CAM into your cancer rehabilitation or to schedule a consultation, contact us at [email protected]. We are here to support you every step of the way.

Share Your Experience

Have you had any experiences with complementary and alternative medicine, either positive or negative? Comment below and share your story. Your experience could help others considering CAM as part of their rehabilitation journey.