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Magnet therapy

Date updated: March 08, 2007
Natural Standard Research Collaboration

Synonyms

Alternating current (AC) sinusoidal waveform, bioelectromagnetics, bioenergy informatics principles, bioenergy therapy, chronobiology, electromagnetic field therapy, electromagnetism, gauss (G) units, lodestones, magnetic field therapy, pulsed electromagnetic field therapy (PEMF), pulsed electromagnetic fields, pulsed signal therapy (PSTTM), scintigraphy, static magnets, tai ki biomagnets.

This monograph does not include an evidence review of transcranial magnetic stimulation (TMS), which has been studied as a technique to diagnosis or treat Parkinson's disease.

Background

The use of magnets to treat illness has been described historically in many civilizations, and was suggested by ancient Egyptian priests and in the 4th century BC by Hippocrates. The 15th century Swiss physician and alchemist Paracelsus theorized that magnets may be able to attract diseases and leach them from the body. In modern times, magnetic fields play an important role in Western medicine, including use for magnetic resonance imaging (MRI), pulsed electromagnetic fields, and experimental magnetic stimulatory techniques.

Many different types, sizes, and strengths of magnets are available. Magnet therapy may be administered by a healthcare professional, or used by individuals on their own. Constant (static) magnets or pulsed electromagnetic fields may be applied to areas of the body affected by illness, or to the entire body. Devices exist which can implanted in the body or used externally to deliver pulsed electromagnetic field therapy. Self-adhesive magnetic strips, foils, belts and bracelets are available for self-treatment. Magnetic jewelry such as earrings and necklaces, shoe inserts, mattress pads, and magnet-conditioned water are commercially sold. Magnet wraps are available for thumbs, wrists, knees, thighs, ankles, elbows, shoulders, shins, back, and head, as well as for animals such as dogs, cats, and horses. Lodestones are rocks that may possess natural magnetic properties, and are sometimes sold as healthcare products.

The magnetic field from permanent (static) magnets is different from electromagnetic radiation and may have different effects on the body. Scientific evidence suggests that pulsed electromagnetic fields may be useful in the healing of non-union tibia fractures. However, medical uses of stand-alone magnets (static magnetic fields) have not been sufficiently studied, and benefits for any specific condition have not been proven scientifically.

Theory

There are numerous published theories regarding the possible medicinal value of static magnets or electromagnetic fields, although high quality scientific research is lacking. Proposed mechanisms include effects on blood vessels (improvements in blood circulation, increases in oxygen content of the blood, alkalinization of bodily fluids, decreases in blood vessel wall deposition of toxic materials or cholesterol plaques, relaxation of blood vessel (due to effects on cellular calcium-channels), effects on the nervous system (alterations in nerve impulses, blockage of nerve-cell conduction, reduction of edema (fluid retention), increases in local tissue oxygen, increases in endorphins, relaxation of muscles, changes in cell membranes, or stimulation of acupoints (similar to the proposed activity of acupuncture needles). In some types of traditional Chinese medicine, magnets are believed to set up specific patterns of flow of the body's life force or chi (qi).

Evidence

Non-union of fractures/fracture healing (general)

Several studies report that pulsed electromagnetic fields may improve healing of fractures that have not healed properly, including long bone, scaphoid, metatarsal (foot bone), and vertebral fractures. The most well-studied bone is the tibia (the main long bone in the lower leg). Failure to heal ("non-union") is usually diagnosed after six to nine months with an x-ray. Pulsed electromagnetic field therapy has been used in Europe and the United States, but remains controversial. It is not clear if this therapy is equal to or better than other therapies, such as bone grafting. This type of treatment requires special equipment and expertise.

In theory, pulsed electromagnetic fields may assist with the management of other types of fractures that have failed to heal completely. However, there is insufficient evidence to evaluate the use of electrical stimulation for fracture nonunions of other bones in the body other than the long bones. Further research is necessary before a firm conclusion can be drawn.


Grade: B

Chronic pelvic pain

Preliminary research reports reductions of pain in women with chronic refractory pelvic pain using magnet therapy. Well-designed studies are needed in this area before a conclusion can be drawn.


Grade: C

Denture aid

A few case reports show that incorporation of dental magnets into dentures may be useful for patients with limited ability to tolerate or control removable dentures. Further research is needed to confirm these results.


Grade: C

Diabetic foot pain

Initial research reports significant reductions in foot burning, numbness, tingling, and walking-induced foot pain with the use of static magnetic shoe insoles. Despite methodologic weaknesses with the design and reporting of available studies, these findings are promising. Effects are reported to take three to four months to be noted. High quality research is necessary in this area before a firm conclusion can be drawn.


Grade: C

Fibromyalgia

The effectiveness of magnet therapy as an additive treatment for fibromyalgia has been assessed in preliminary studies (including the use of magnetic sleep pads). Results of recent research suggest that magnetic fields may not be helpful for this condition. Better study is necessary before a firm conclusion can be drawn.


Grade: C

Multiple sclerosis (MS)

Initial studies of electromagnetic field therapy for MS report varied results, with one trial suggesting improvement in spasticity but not other symptoms, and a different study finding improvement in a combined rating for bladder control, cognitive function, fatigue level, mobility, spasticity, and vision (but no change in overall symptom score). Due to methodologic weaknesses of these studies, it remains unclear if electromagnetic field therapy is beneficial in patients with MS.


Grade: C

Neck pain

Pulsed electromagnetic therapy and magnetic "necklaces" have been used and studied in people with chronic neck pain. Research is limited and not well designed. Better studies are necessary before a firm conclusion can be drawn.


Grade: C

Osteoarthritis (knee, shoulder, spine)

Several studies have evaluated the use of magnetic field therapy applied to areas of osteoarthritis or degenerative joint disease. In particular, this research has focused on knee osteoarthritis. However, most studies have been small or not well designed or reported, and efficacy remains clear. Notably, one promising small study published in 2004 by Wolsko et al. reported some benefits. Larger and better quality studies are needed before a recommendation can be made in this area.


Grade: C

Post-polio pain

Preliminary research reports improved muscle strength and pain in post-polio patients receiving therapy with static magnetic fields. Additional study is necessary before a firm conclusion can be drawn.


Grade: C

Rheumatoid arthritis pain

Initial evidence has failed to show improvements in knee pain with the use of magnet therapy. However, due to methodologic weaknesses with this research, the conclusions cannot be considered definitive.


Grade: C

Tinnitus (ringing in the ears)

There are several small studies of electromagnetic stimulation for tinnitus. Some trials report no benefits, while one study reports significant improvements in symptom severity. A different trial reports no significant benefits of ear canal magnets. Most research in this area has not been well designed or reported, and it remains unclear if magnet therapy is useful for this condition.


Grade: C

Urinary incontinence

Several small preliminary studies have been conducted using electromagnetic stimulation therapy in patients with urinary incontinence (including both stress and urge incontinence). The premise of this approach is that by seating individuals into a chair unit which incorporates a magnetic coil, electromagnetic pulses can be created which induce contractions of pelvic floor muscles. A course of therapy may involve up to two 20-minute treatments per day over eight weeks. The available studies have not been randomized, placebo controlled, or adequately blinded, and the number of involved patients has been small. Therefore, although the initial results are promising, better quality studies are necessary before a clear conclusion can be drawn. Nonetheless, patients with persistent incontinence who have failed other approaches, and who have been evaluated by a urologist, may wish to pursue this approach with a qualified health care professional (who can explain the potential benefits and risks).

Incontinence may occur for various reasons, some which are potentially serious, and women or men experiencing incontinence should be evaluated by a qualified healthcare practitioner.


Grade: C

Carpal tunnel syndrome

Preliminary evidence suggests that a magnet attached via a bracelet to the wrist for 45 minutes does not improve pain in people with carpal tunnel syndrome.


Grade: D

Chronic low back pain

The use of permanent or harnessed bipolar magnets in the treatment of chronic back pain is controversial. Early evidence with stronger magnets (up to 2000 gauss strength) reported benefits, while more recent study with lower strength (450 gauss strength) noted no effects. Additional research is necessary in this area before a firm conclusion can be drawn.


Grade: D

No Evidence

Achilles tendonitis, ankle pain, anxiety, arthritis, asthma, back pain, bedsores, blood flow stimulation, bunions, bursitis, cancer chemotherapy, cardiovascular problems, carpal tunnel syndrome, cellular metabolism enhancement, cerebral palsy, Charcot joint, chronic pelvic pain, circulatory disorders, depression, diarrhea, edema, energy enhancement, epilepsy, esophagitis, fertility, fatigue, hair loss, heel spurs, hemorrhage, high blood pressure, immune system stimulation, improving sports performance, increasing blood circulation, increasing well-being, inflammation, insomnia, jet lag, knee pain, knee replacement surgery healing improvement/settling prosthetic implants, lower back pain, menopausal symptoms, menstrual cramps, migraine headache, muscle soreness, neck pain, neurological disorders, nerve regeneration, obstructive sleep apnea, orbicular muscle paralysis, osteochondrosis, osteopathy, peripheral neuropathy, respiratory (breathing) disorders, restless leg syndrome, retinitis pigmentosa, sciatica, shoulder pain, snoring, soft tissue injuries, strength, stress reduction, synovitis, tendonitis, tennis elbow, traumatic reticulitis, vitality, whiplash, wound healing.

 

Safety

People with implantable medical devices such as heart pacemakers, defibrillators, insulin pumps, or hepatic artery infusion pumps should avoid exposure to magnets, as magnets may affect the functioning of some equipment.

Some publications discourage the use of static magnets or electromagnetic field therapy during pregnancy or in people with myasthenia gravis or bleeding disorders, and suggest that magnets may cause dizziness, nausea, or prolong poor wound healing or bleeding. Scientific research is limited in these areas.

Magnet therapy is not advised as the sole treatment for potentially serious medical conditions, and should not delay the time to diagnosis or treatment with more proven methods. Patients are advised to discuss magnet therapy with a qualified healthcare provider before starting treatment.

Attribution

This information is based on a professional level monograph edited and peer-reviewed by contributors to the Natural Standard Research Collaboration (www.naturalstandard.com).

Bibliography

 

  1. Abeed RI, Naseer M, Abel EW. Capacitively coupled electrical stimulation treatment: results from patients with failed long bone fracture unions. J Orthop Trauma 1998;12(7):510-513.
  2. Alfano AP, Taylor AG, Foresman PA, et al. Static magnetic fields for treatment of fibromyalgia: a randomized controlled trial. J Altern Complement Med 2001;7(1):53-64.
  3. Allen PF, Ulhuq A, Kearney J. Strategic use of a new dental magnet system to retain partial and complete overdentures. Eur J Prosthodont Restor Dent 2005;13(2):81-86.
  4. Barker AT, Dixon RA, Sharrard WJ, et al. Pulsed magnetic field therapy for tibial non-union. Interim results of a double-blind trial. Lancet 1984;1(8384):994-996.
  5. Barker AT, Cain MW. The claimed vasodilatory effect of a commercial permanent magnet foil: results of a double-blind trial. Clin Phys Physiol Meas 1985;6(3):261-263.
  6. Basford JR. A historical perspective of the popular use of electric and magnetic therapy. Arch Phys Med Rehabil 2001;82(9):1261-1269.
  7. Bassett CA, Mitchell SN, Gaston SR. Treatment of ununited tibial diaphyseal fractures with pulsing electromagnetic fields. J Bone Joint Surg (American Volume) 1982;63-A(4):511-523.
  8. Bassett CA, Valdes MG, Hernandez E. Modification of fracture repair with selected pulsing electromagnetic fields. J Bone Joint Surg Am 1982;64(6):888-895.
  9. Bassett CA, Mitchell SN, Schink MM. Treatment of therapeutically resistant non-unions with bone grafts and pulsing electromagnetic fields. J Bone Joint Surg Am 1982;64(8):1214-1220.
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  18. Caselli MA, Clark N, Lazarus S, et al. Evaluation of magnetic foil and PPT Insoles in the treatment of heel pain. J Am Podiatr Med Assoc 1997;87(1):11-16.
  19. Chandi DD, Groenendijk PM, Venema PL. Functional extracorporeal magnetic stimulation as a treatment for female urinary incontinence: 'the chair'. BJU Int 2004;93(4):539-542.
  20. Colbert AP, Markov MS, Banerji M, et al. Magnetic mattress pad use in patients with fibromyalgia: a randomized double-blind pilot study. J Back Musculoskeletal Rehab 1999;13:19-31.
  21. Coles R, Bradley P, Donaldson I, et al. A trial of tinnitus therapy with ear-canal magnets. Clin Otolaryngol 1991;16(4):371-372.
  22. Collacott EA, Zimmerman JT, White DW, et al. Bipolar permanent magnets for the treatment of chronic low back pain: a pilot study. JAMA 2000;283(10):1322-1325.
  23. Cruess RL, Kan K, Bassett CA. The effect of pulsing electromagnetic fields on bone metabolism in experimental disuse osteoporosis. Clin Orthop 1983;(173):245-250.
  24. De Haas WG, Watson J, Morrison DM. Non-invasive treatment of ununited fractures of the tibia using electrical stimulation. J Bone Joint Surg Br 1980;62-B(4):465-470.
  25. Dexter D, Jr. Magnetic therapy is ineffective for the treatment of snoring and obstructive sleep apnea syndrome. Wis Med J 1997;96(3):35-37.
  26. Dobie RA, Hoberg KE, Rees TS. Electrical tinnitus suppression: a double-blind crossover study. Otolaryngol Head Neck Surg 1986;95(3 Pt 1):319-323.
  27. Dunn AW, Rush GA, III. Electrical stimulation in treatment of delayed union and nonunion of fractures and osteotomies. South Med J 1984;77(12):1530-1534.
  28. Fiedler SC, Pilkington H, Willatt DJ. Electromagnetic stimulation as a treatment of tinnitus: a further study. Clin Otolaryngol 1998;23:270.
  29. Foley-Nolan D, Barry C, Coughlan RJ, et al. Pulsed high frequency (27MHz) electromagnetic therapy for persistent neck pain. A double blind, placebo-controlled study of 20 patients. Orthopedics 1990;13(4):445-451.
  30. Foley-Nolan D, Moore K, Codd M, et al. Low energy high frequency pulsed electromagnetic therapy for acute whiplash injuries. A double blind randomized controlled study. Scand J Rehabil Med 1992;24(1):51-59.
  31. Frykman GK, Taleisnik J, Peters G, et al. Treatment of nonunited scaphoid fractures by pulsed electromagnetic field and cast. J Hand Surg [Am] 1986;11(3):344-349.
  32. Garland DE, Moses B, Salyer W. Long-term follow-up of fracture nonunions treated with PEMFs. Contemp Orthop 1991;22(3):295-302.
  33. Gossling HR, Bernstein RA, Abbott J. Treatment of ununited tibial fractures: a comparison of surgery and pulsed electromagnetic fields (PEMF). Orthopedics 1992;15(6):711-719.
  34. Heckman JD, Ingram AJ, Loyd RD, et al. Nonunion treatment with pulsed electromagnetic fields. Clin Orthop Relat Res 1981;(161):58-66.
  35. Holmes GB, Jr. Treatment of delayed unions and nonunions of the proximal fifth metatarsal with pulsed electromagnetic fields. Foot Ankle Int 1994;15(10):552-556.
  36. Hong CZ, Lin JC, Bender LF, et al. Magnetic necklace: its therapeutic effectiveness on neck and shoulder pain. Arch Phys Med Rehabil 1982;63(10):462-466.
  37. Hotta SS. Electrical bone-growth stimulation and spinal fusion. Health Technology Review 1994;(8)
  38. Ieran M, Zaffuto S, Bagnacani M, et al. Effect of low frequency pulsing electromagnetic fields on skin ulcers of venous origin in humans: a double-blind study. J Orthop Res 1990;8(2):276-282.
  39. Jacobson JI, Gorman R, Yamanashi WS, et al. Low-amplitude, extremely low frequency magnetic fields for the treatment of osteoarthritic knees: a double-blind clinical study. Altern Ther Health Med 2001;7(5):54-59.
  40. Leclaire R, Bourgouin J. Electromagnetic treatment of shoulder periarthritis: a randomized controlled trial of the efficiency and tolerance of magnetotherapy. Arch Phys Med Rehabil 1991;72(5):284-287.
  41. Macklis RM. Magnetic healing, quackery, and the debate about the health effects of electromagnetic fields. Ann Intern Med 1993;118(5):376-383.
  42. Madersbacher H, Pilloni S. Efficacy of Extracorporeal Magnetic Innervation Therapy (EXMI) in comparison to standard therapy for stress, urge and mixed Incontinence: A randomized prospective trial (unpublished abstract). 2003;
  43. Miller SK. Magnet therapy for pain control. An analysis of theory and research. Adv Nurse Pract 2004;12(5):49-52.
  44. Mooney V. A randomized double-blind prospective study of the efficacy of pulsed electromagnetic fields for interbody lumbar fusions. Spine 1990;15(7):708-712.
  45. Nielsen JF, Sinkjaer T, Jakobsen J. Treatment of spasticity with repetitive magnetic stimulation; a double-blind placebo-controlled study. Mult Scler 1996;2(5):227-232.
  46. O'Connor D, Marshall S, Massy-Westropp N. Non-surgical treatment (other than steroid injection) for carpal tunnel syndrome. Cochrane Database Syst Rev 2003;(1):CD003219.
  47. Parnell EJ, Simonis RB. The effect of electrical stimulation in the of non-union of the tibia. J Bone Joint Surg (British Volume) 1991;73-B(11 Suppl):178.
  48. Pinzur MS, Michael S, Lio T, et al. A randomized prospective feasiblity trial to assess the safety and efficacy of pulsed electromagnetic fields therapy (PEMF) in treatment of stage I Charcot arthropathy of the midfoot in diabetic individuals [abstract]. Diabetes 2002;51(Suppl 2):A542.
  49. Quittan M, Schuhfried O, Wiesinger GF, et al. [Clinical effectiveness of magnetic field therapy--a review of the literature]. Acta Med Austriaca 2000;27(3):61-68.
  50. Richards TL, Lappin MS, Acosta-Urquidi J, et al. Double-blind study of pulsing magnetic field effects on multiple sclerosis. J Altern Complement Med 1997;3(1):21-29.
  51. Roland NJ, Hughes JB, Daley MB, et al. Electromagnetic stimulation as a treatment of tinnitus: a pilot study. Clin Otolaryngol 1993;18(4):278-281.
  52. Rubin CT, McLeod KJ, Lanyon LE. Prevention of osteoporosis by pulsed electromagnetic fields. J Bone Joint Surg Am 1989;71(3):411-417.
  53. Sandyk R. Treatment with electromagnetic fields reverses the long-term clinical course of a patient with chronic progressive multiple sclerosis. Int J Neurosci 1997;90(3-4):177-185.
  54. Scott G, King JB. A prospective, double-blind trial of electrical capacitive coupling in the treatment of non-union of long bones. J Bone Joint Surg Am 1994;76(6):820-826.
  55. Segal NA, Toda Y, Huston J, et al. Two configurations of static magnetic fields for treating rheumatoid arthritis of the knee: a double-blind clinical trial. Arch Phys Med Rehabil 2001;82(10):1453-1460.
  56. Sharrard WJ. A double-blind trial of pulsed electromagnetic fields for delayed union of tibial fractures. J Bone Joint Surg Br 1990;72(3):347-355.
  57. Steizinger C, Yerys S, Scowcroft N, et al. The effects of repeated magnet treatment on prolonged recovery from exercise induced delayed onset muscle soreness. Medicine & Science in Sports & Exercise 1999;31(5 Supplement):S208.
  58. Szor JK, Topp R. Use of magnet therapy to heal an abdominal wound: a case study. Ostomy Wound Manage 1998;44(5):24-29.
  59. Trock DH, Bollet AJ, Dyer RH, Jr., et al. A double-blind trial of the clinical effects of pulsed electromagnetic fields in osteoarthritis. J Rheumatol 1993;20(3):456-460.
  60. Trock DH, Bollet AJ, Markoll R. The effect of pulsed electromagnetic fields in the treatment of osteoarthritis of the knee and cervical spine. Report of randomized, double blind, placebo controlled trials. J Rheumatol 1994;21(10):1903-1911.
  61. Unsal A, Saglam R, Cimentepe E. Extracorporeal magnetic stimulation for the treatment of stress and urge incontinence in women--results of 1-year follow-up. Scand J Urol Nephrol 2003;37(5):424-428.
  62. Vallbona C, Hazlewood CF, Jurida G. Response of pain to static magnetic fields in post-polio patients: a double-blind pilot study. Arch Phys Med Rehabil 1997;78(11):1200-1203.
  63. Varcaccio-Garofalo G, Carriero C, Loizzo MR, et al. Analgesic properties of electromagnetic field therapy in patients with chronic pelvic pain. Clin Exp Obstet Gynecol 1995;22(4):350-354.
  64. Weintraub M. Chronic submaximal magnetic stimulation in peripheral neuropathy: is there a beneficial therapeutic relationship? Am J Pain Management 1998;8:9-13.
  65. Weintraub MI, Wolfe GI, Barohn RA, et al. Static magnetic field therapy for symptomatic diabetic neuropathy: a randomized, double-blind, placebo-controlled trial. Arch Phys Med Rehabil 2003;84(5):736-746.
  66. Wolsko PM, Eisenberg DM, Simon LS, et al. Double-blind placebo-controlled trial of static magnets for the treatment of osteoarthritis of the knee: results of a pilot study. Altern Ther Health Med 2004;10(2):36-43.
  67. Yamanishi T, Sakakibara R, Uchiyama T, et al. Comparative study of the effects of magnetic versus electrical stimulation on inhibition of detrusor overactivity. Urology 2000;56(5):777-781.
  68. Yerys S, Steizinger C, Scowcroft N, et al. The acute effects of magnet treatment on delayed onset of muscle soreness (doms). Medicine & Science in Sports & Exercise 1999;31(5 Supplement):S209.
  69. Yokoyama T, Nishiguchi J, Watanabe T, et al. Comparative study of effects of extracorporeal magnetic innervation versus electrical stimulation for urinary incontinence after radical prostatectomy. Urology 2004;63(2):264-267.
  70. Zizic TM, Hoffman KC, Holt PA, et al. The treatment of osteoarthritis of the knee with pulsed electrical stimulation. J Rheumatol 1995;22(9):1757-1761.
©2007 Natural Standard Research Collaboration

 

Date updated: March 08, 2007
Natural Standard Research Collaboration

Synonyms

Alternating current (AC) sinusoidal waveform, bioelectromagnetics, bioenergy informatics principles, bioenergy therapy, chronobiology, electromagnetic field therapy, electromagnetism, gauss (G) units, lodestones, magnetic field therapy, pulsed electromagnetic field therapy (PEMF), pulsed electromagnetic fields, pulsed signal therapy (PSTTM), scintigraphy, static magnets, tai ki biomagnets.

This monograph does not include an evidence review of transcranial magnetic stimulation (TMS), which has been studied as a technique to diagnosis or treat Parkinson's disease.

Background

The use of magnets to treat illness has been described historically in many civilizations, and was suggested by ancient Egyptian priests and in the 4th century BC by Hippocrates. The 15th century Swiss physician and alchemist Paracelsus theorized that magnets may be able to attract diseases and leach them from the body. In modern times, magnetic fields play an important role in Western medicine, including use for magnetic resonance imaging (MRI), pulsed electromagnetic fields, and experimental magnetic stimulatory techniques.

Many different types, sizes, and strengths of magnets are available. Magnet therapy may be administered by a healthcare professional, or used by individuals on their own. Constant (static) magnets or pulsed electromagnetic fields may be applied to areas of the body affected by illness, or to the entire body. Devices exist which can implanted in the body or used externally to deliver pulsed electromagnetic field therapy. Self-adhesive magnetic strips, foils, belts and bracelets are available for self-treatment. Magnetic jewelry such as earrings and necklaces, shoe inserts, mattress pads, and magnet-conditioned water are commercially sold. Magnet wraps are available for thumbs, wrists, knees, thighs, ankles, elbows, shoulders, shins, back, and head, as well as for animals such as dogs, cats, and horses. Lodestones are rocks that may possess natural magnetic properties, and are sometimes sold as healthcare products.

The magnetic field from permanent (static) magnets is different from electromagnetic radiation and may have different effects on the body. Scientific evidence suggests that pulsed electromagnetic fields may be useful in the healing of non-union tibia fractures. However, medical uses of stand-alone magnets (static magnetic fields) have not been sufficiently studied, and benefits for any specific condition have not been proven scientifically.

Theory

There are numerous published theories regarding the possible medicinal value of static magnets or electromagnetic fields, although high quality scientific research is lacking. Proposed mechanisms include effects on blood vessels (improvements in blood circulation, increases in oxygen content of the blood, alkalinization of bodily fluids, decreases in blood vessel wall deposition of toxic materials or cholesterol plaques, relaxation of blood vessel (due to effects on cellular calcium-channels), effects on the nervous system (alterations in nerve impulses, blockage of nerve-cell conduction, reduction of edema (fluid retention), increases in local tissue oxygen, increases in endorphins, relaxation of muscles, changes in cell membranes, or stimulation of acupoints (similar to the proposed activity of acupuncture needles). In some types of traditional Chinese medicine, magnets are believed to set up specific patterns of flow of the body's life force or chi (qi).

Evidence

Non-union of fractures/fracture healing (general)

Several studies report that pulsed electromagnetic fields may improve healing of fractures that have not healed properly, including long bone, scaphoid, metatarsal (foot bone), and vertebral fractures. The most well-studied bone is the tibia (the main long bone in the lower leg). Failure to heal ("non-union") is usually diagnosed after six to nine months with an x-ray. Pulsed electromagnetic field therapy has been used in Europe and the United States, but remains controversial. It is not clear if this therapy is equal to or better than other therapies, such as bone grafting. This type of treatment requires special equipment and expertise.

In theory, pulsed electromagnetic fields may assist with the management of other types of fractures that have failed to heal completely. However, there is insufficient evidence to evaluate the use of electrical stimulation for fracture nonunions of other bones in the body other than the long bones. Further research is necessary before a firm conclusion can be drawn.


Grade: B

Chronic pelvic pain

Preliminary research reports reductions of pain in women with chronic refractory pelvic pain using magnet therapy. Well-designed studies are needed in this area before a conclusion can be drawn.


Grade: C

Denture aid

A few case reports show that incorporation of dental magnets into dentures may be useful for patients with limited ability to tolerate or control removable dentures. Further research is needed to confirm these results.


Grade: C

Diabetic foot pain

Initial research reports significant reductions in foot burning, numbness, tingling, and walking-induced foot pain with the use of static magnetic shoe insoles. Despite methodologic weaknesses with the design and reporting of available studies, these findings are promising. Effects are reported to take three to four months to be noted. High quality research is necessary in this area before a firm conclusion can be drawn.


Grade: C

Fibromyalgia

The effectiveness of magnet therapy as an additive treatment for fibromyalgia has been assessed in preliminary studies (including the use of magnetic sleep pads). Results of recent research suggest that magnetic fields may not be helpful for this condition. Better study is necessary before a firm conclusion can be drawn.


Grade: C

Multiple sclerosis (MS)

Initial studies of electromagnetic field therapy for MS report varied results, with one trial suggesting improvement in spasticity but not other symptoms, and a different study finding improvement in a combined rating for bladder control, cognitive function, fatigue level, mobility, spasticity, and vision (but no change in overall symptom score). Due to methodologic weaknesses of these studies, it remains unclear if electromagnetic field therapy is beneficial in patients with MS.


Grade: C

Neck pain

Pulsed electromagnetic therapy and magnetic "necklaces" have been used and studied in people with chronic neck pain. Research is limited and not well designed. Better studies are necessary before a firm conclusion can be drawn.


Grade: C

Osteoarthritis (knee, shoulder, spine)

Several studies have evaluated the use of magnetic field therapy applied to areas of osteoarthritis or degenerative joint disease. In particular, this research has focused on knee osteoarthritis. However, most studies have been small or not well designed or reported, and efficacy remains clear. Notably, one promising small study published in 2004 by Wolsko et al. reported some benefits. Larger and better quality studies are needed before a recommendation can be made in this area.


Grade: C

Post-polio pain

Preliminary research reports improved muscle strength and pain in post-polio patients receiving therapy with static magnetic fields. Additional study is necessary before a firm conclusion can be drawn.


Grade: C

Rheumatoid arthritis pain

Initial evidence has failed to show improvements in knee pain with the use of magnet therapy. However, due to methodologic weaknesses with this research, the conclusions cannot be considered definitive.


Grade: C

Tinnitus (ringing in the ears)

There are several small studies of electromagnetic stimulation for tinnitus. Some trials report no benefits, while one study reports significant improvements in symptom severity. A different trial reports no significant benefits of ear canal magnets. Most research in this area has not been well designed or reported, and it remains unclear if magnet therapy is useful for this condition.


Grade: C

Urinary incontinence

Several small preliminary studies have been conducted using electromagnetic stimulation therapy in patients with urinary incontinence (including both stress and urge incontinence). The premise of this approach is that by seating individuals into a chair unit which incorporates a magnetic coil, electromagnetic pulses can be created which induce contractions of pelvic floor muscles. A course of therapy may involve up to two 20-minute treatments per day over eight weeks. The available studies have not been randomized, placebo controlled, or adequately blinded, and the number of involved patients has been small. Therefore, although the initial results are promising, better quality studies are necessary before a clear conclusion can be drawn. Nonetheless, patients with persistent incontinence who have failed other approaches, and who have been evaluated by a urologist, may wish to pursue this approach with a qualified health care professional (who can explain the potential benefits and risks).

Incontinence may occur for various reasons, some which are potentially serious, and women or men experiencing incontinence should be evaluated by a qualified healthcare practitioner.


Grade: C

Carpal tunnel syndrome

Preliminary evidence suggests that a magnet attached via a bracelet to the wrist for 45 minutes does not improve pain in people with carpal tunnel syndrome.


Grade: D

Chronic low back pain

The use of permanent or harnessed bipolar magnets in the treatment of chronic back pain is controversial. Early evidence with stronger magnets (up to 2000 gauss strength) reported benefits, while more recent study with lower strength (450 gauss strength) noted no effects. Additional research is necessary in this area before a firm conclusion can be drawn.


Grade: D

No Evidence

Achilles tendonitis, ankle pain, anxiety, arthritis, asthma, back pain, bedsores, blood flow stimulation, bunions, bursitis, cancer chemotherapy, cardiovascular problems, carpal tunnel syndrome, cellular metabolism enhancement, cerebral palsy, Charcot joint, chronic pelvic pain, circulatory disorders, depression, diarrhea, edema, energy enhancement, epilepsy, esophagitis, fertility, fatigue, hair loss, heel spurs, hemorrhage, high blood pressure, immune system stimulation, improving sports performance, increasing blood circulation, increasing well-being, inflammation, insomnia, jet lag, knee pain, knee replacement surgery healing improvement/settling prosthetic implants, lower back pain, menopausal symptoms, menstrual cramps, migraine headache, muscle soreness, neck pain, neurological disorders, nerve regeneration, obstructive sleep apnea, orbicular muscle paralysis, osteochondrosis, osteopathy, peripheral neuropathy, respiratory (breathing) disorders, restless leg syndrome, retinitis pigmentosa, sciatica, shoulder pain, snoring, soft tissue injuries, strength, stress reduction, synovitis, tendonitis, tennis elbow, traumatic reticulitis, vitality, whiplash, wound healing.

 

Safety

People with implantable medical devices such as heart pacemakers, defibrillators, insulin pumps, or hepatic artery infusion pumps should avoid exposure to magnets, as magnets may affect the functioning of some equipment.

Some publications discourage the use of static magnets or electromagnetic field therapy during pregnancy or in people with myasthenia gravis or bleeding disorders, and suggest that magnets may cause dizziness, nausea, or prolong poor wound healing or bleeding. Scientific research is limited in these areas.

Magnet therapy is not advised as the sole treatment for potentially serious medical conditions, and should not delay the time to diagnosis or treatment with more proven methods. Patients are advised to discuss magnet therapy with a qualified healthcare provider before starting treatment.

Attribution

This information is based on a professional level monograph edited and peer-reviewed by contributors to the Natural Standard Research Collaboration (www.naturalstandard.com).

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