HealthDay News — Many patients with chronic pain use alternative therapies, such as acupuncture, don’t discuss these treatments with their doctors, according to research published in the American Journal of Managed Care.

Charles Elder, MD, MPH, an affiliate investigator at the Kaiser Permanente Center for Health Research and physician lead for Kaiser Permanente’s complementary and alternative medicine program, and colleagues surveyed 6,068 patients in Oregon and Washington. All of the study volunteers had three or more outpatient visits for chronic pain within 18 months. Fifty-eight percent of people with chronic pain had used chiropractic care, acupuncture, or both to treat their pain.

The researchers found that many patients informed their primary care doctors about their use of these alternative therapies. But 35% of those who had acupuncture and 42% of those who had chiropractic care didn’t mention the treatments to their doctor. However, nearly all of those patients said they’d gladly share the information if their doctor asked.

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“The problem is that too often, doctors don’t ask about this treatment, and patients don’t volunteer the information,” Elder said in a Kaiser news release. “We want our patients to get better, so we need to ask them about the alternative and complementary approaches they are using. If we know what’s working and what’s not working, we can do a better job advising patients, and we may be able to recommend an approach they haven’t tried.”


  1. Elder C et al. Acupuncture and Chiropractic Care: Utilization and Electronic Medical Record Capture. Am J Manag Care. 2015;