Endocrine Abstracts

Issues: No specific centre in asia for Osteoporosis patients treatment/rehabilitation. We used locally available Complementary Indian Medicines [CAM] for providing home based care in rural/tribal areas.

Aims: To provide CAM to poor patients in collaboration with Traditional-faith-hearers. Evaluated cost-efficacy of CAM & response of pain of fractures to CAM alongside analgesics.

Methods: This was a cross sectional, observational analysis study. from April 2014 to November 2018, 122 patients [n=122] of RA aged 34–67 years enrolled. 68% females, 32% males. 43% returned to villages after prolonged therapy in city hospitals on allopathic drugs. 12% physical deformities. self report questionnaire distributed to patients attending NGO clinics with consent from state ethics committee and patient’s consent\..Our NGO nurses treated patients with TFH in providing CAM. Mud therapy 21%, Bach-flower remedy 40%, Accupressure/Accupuncture 57%, Hydrotherapy 24%, Hypnotherapy 75%, ayurvedic therapy 82%, 26% on Unani Medicines, 61% on Homeopathic medicines, 72% on Herbal-Oil-TFH massage therapy, 58% Aromatherapy.

Results: We treated patients in 16 sessions CAM. feedback Performa given to subjects & responses evaluated periodically to modify treatment methodology. Our free NGO clinic module in functioning stages shown graphically to IOF-2010 conference participants. Average pain recorded weekly on a scale of 1 to 10. mean score pain fell from 8.2 (S.D. 1.4) to 3.8 (S.D. 2.7) points, which is highly significant (P<0.001). Symptom relief (n=90), Gr-1 wanting to find alternatives to drugs (n=95). Cost of CAM 52% cheaper compared to Allopathic medicines & islocally & has high acceptance

Conclusion: 122 of patients used & preferred CAMs. Cost wise cheaper & patient compliance better. 12% dropped out of sheer frustration/fatigue. Patients need Psychosocial-Rx, Palliative-care-centers. Realizing divergent versions of CAM, multicentre study on this burning issue must be carried out. At ECE-2019, We shall form group with researchers from USA/Europe to substantially improve CAM approach. We NGO-representatives from developing nations need exposure to research technicalities/methodologies used by European/American experts in management of osteoporosis. This is indeed possible by my participation at 2019 ECE congress.