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The ACG found only weak evidence that any of these approaches may be helpful.
For more information, see the Health Professional Information section of NCCIH’s Web page on Pain.
The annual economic cost of chronic pain in the United States, including both treatment and lost productivity, has been estimated at nearly 5 billion.
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Chronic pain is pain that lasts more than several months (variously defined as 3 to 6 months, but certainly longer than “normal healing”). Results from the 2012 National Health Interview Survey show that: Chronic pain becomes more common as people grow older, at least in part because health problems that can cause pain, such as osteoarthritis, become more common with advancing age.
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More information The American College of Rheumatology mentions several complementary approaches in its guidelines for the management of osteoarthritis of the hip or knee.
For osteoarthritis of the knee, the guidelines mention tai chi as one of several nondrug approaches that might be helpful.
The same guidelines, however, discourage using the dietary supplements glucosamine and chondroitin for osteoarthritis of the hip or knee.
The American College of Gastroenterology (ACG) included probiotics/prebiotics, peppermint oil, and hypnotherapy in its evaluation of approaches for managing irritable bowel syndrome.
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