Alternative, complementary or orthodox: What is real medicine?

Abstract

The division between orthodox and CAM approaches to musculoskeletal (MSK) problems is blurred. Manipulative medicine and acupuncture are recognized treatment options for some MSK conditions. These therapies are increasingly evidence based with well-defined mechanisms and are provided by a number of registered professional practitioners, whose ethics and practice is overseen and ultimately regulated, by the Professional Standards Authority. Some practitioners may be considered historically as CAM providers (Osteopaths, Chiropractors and Acupuncturists) and some orthodox practitioners (Physiotherapists and Doctors). If both CAM and orthodox practitioners are providing the same therapies for the same conditions, we believe that this represents good evidence based medical practice. Consequently in this situation, the historical and artificial boundaries between CAM and orthodox medicine cease to be meaningful either clinically or ethically. We should reasonably assume that CAM and orthodox practitioners, in this context, are practicing ethically.