[Omeo33] Art 0994 - Homeopathy, 2009, 98 (2), 77-82

[Gino Santini]

Healthcare provided by a homeopath as an adjunct to usual care for  
Fibromyalgia (FMS): results of a pilot Randomised Controlled Trial
Clare Relton, C. Smith, J. Raw, C. Walters, A.O. Adebajo, K.J. Thomas  
and T.A. Young

Objectives - To assess the feasibility of a Randomised Controlled  
Trial (RCT) design of usual care compared with usual care plus  
adjunctive care by a homeopath for patients with Fibromyalgia syndrome  
(FMS).
Methods - In a pragmatic parallel group RCT design, adults with a  
diagnosis of FMS (ACR criteria) were randomly allocated to usual care  
or usual care plus adjunctive care by a homeopath. Adjunctive care  
consisted of five in depth interviews and individualised homeopathic  
medicines. The primary outcome measure was the difference in  
Fibromyalgia Impact Questionnaire (FIQ) total score at 22 weeks.
Results - 47 patients were recruited. Drop out rate in the usual care  
group was higher than the homeopath care group (8/24 vs 3/23).  
Adjusted for baseline, there was a significantly greater mean  
reduction in the FIQ total score (function) in the homeopath care  
group than the usual care group (−7.62 vs 3.63). There were  
significantly greater reductions in the homeopath care group in the  
McGill pain score, FIQ fatigue and tiredness upon waking scores. We  
found a small effect on pain score (0.21, 95% CI −1.42 to 1.84); but  
a large effect on function (0.81, 95% CI −8.17 to 9.79). There were  
no reported adverse events.
Conclusions - Given the acceptability of the treatment and the  
clinically relevant effect on function, there is a need for a  
definitive study to assess the clinical and cost effectiveness of  
adjunctive healthcare by a homeopath for patients with FMS.

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