Research Shows Acupuncture Effective for Chronic Pain

http://www.medpagetoday.com/PrimaryCare/AlternativeMedicine/34673

Of course this research comes as no surprise, but it’s nice to read that the authors of a meta-analysis concluded that “acupuncture provides more relief from various types of chronic pain than does usual care and should be considered a valid therapeutic option.” Research based on my patient base suggests the same results.

During my monthly call in radio show, people always have questions on pain. Whether it be neck, shoulder, back or migraine pain, many want to know if there are other options to hydrocodone, topomax, or even extra strength tylenol.

Part of the problem with acupuncture research is that results show benefits but the mechanism of action is very hard to define or measure. In Western style research, scientists like to be able to explain how and why the treatment works. The difficulty in part is trying to measure an abstract form of energy, we can Qi (chi). You can feel Qi, but cannot readily see it or measure it beyond feeling for it in the pulses. In spite of the mechanism of action not being completely understood, results of this study showed that acupuncture treatment for pain relief was statistically better when compared to sham acupuncture and even higher for no acupuncture.

Many researchers like to attribute the beneficial results of acupuncture due to placebo effect. To challenge that point, I often refer to veterinary acupuncture which started many years ago on race horses who were lame. More often than not, the horses and now dogs and cats, move better after being treated with acupuncture. No matter how lovable and smart our animals are, they do not have the capacity to fake it (to please their owners). Either they are limping or they are not after a treatment. The results speak for itself.

Because it is so difficult to define the mechanism of action, many researchers continue to report that treatments remain “highly controversial.” But to be fair, many results are inconclusive due to poor study parameters such as too few subjects and inconsistency of quality and reliability of studies. But it’s also worth considering whether positive results of studies should be disregarded solely due to uncertainty as to mechanisms of action.

This study however, included almost 18,000 subjects and “conducted an individual patient data meta-analysis based exclusively on high quality randomized trials that their findings should be considered “both clinically and scientifically important.” In addition, their finding of “true acupuncture having significantly greater effect than the sham procedure indicates that the effects of the procedure do extend beyond placebo.” They conclude that this is “of major importance for clinical practice,” meaning that acupuncture should be considered “a reasonable referral option for patients with chronic pain.”

Dr. Avins, one of the authors of the study wrote: “The ultimate question is: does this intervention work (or, more completely, do its benefits outweigh its risks and justify its cost)?” “For acupuncture, the current meta-analysis offers “some robust evidence” that acupuncture does provide greater chronic pain relief than usual care, mechanisms of effect aside.”

For many of my patients, this research will be consistent with their experience. But Chinese medicine will only be considered a valid form of medicine with medical doctors when clinically solid studies show clear benefit. More and more studies are being conducted that show thousands of years of medicine from China as being a consistently effective and safe option of treatment for many health concerns. If you are interested in reading more research on acupuncture, you can look at studies from the National Institutes of Health Complementary and Alternative Medicine Office.

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Follow up article on cupping for Olympic athletes

The price of Gold: Chinese athletes left with huge spots after ‘cupping’ therapy in quest for Olympic glory
By KATY HASTINGS

Wang Qun’s cupping marks are clear to see while she trains at the National Aquatics Centre with just a few days to the games to go.

It might look like a giant case of chicken pox but in fact this Olympic swimmer is hoping her spots will lead her to a place on the medal podium.

Chinese swimmer Wang Qun was doing some last minute training in Beijing with marks left by cupping – a Chinese medicine technique to relieve ailments including back neck and shoulder pain.

Wang Qun’s cupping marks are clear to see while she trains at the National Aquatics Centre with just a few days to the games to go.
The procedure is said to move the energy, or ‘qi’, in the body and is used widely in folk medicine in eastern European and Asia.
It is performed by placing cups onto the skin by way of either heat or suction.

The spots are a tell tale sign of the treatment.

The swimmer limbers up at the pool following her treatment. The technique is said to help shoulder pain which swimmers in particular can be susceptible to.
The technique works by creating a vacuum inside a cup by inserting a flame, removing it and quickly placing the cup on to the body before the vacuum is lost.

The suction anchors the cup to the body and the skin covered is drawn up into it by a few millimetres.

Cupping is an ancient therapy which is said to help back complaints and draw toxins from the skin.
The cups are left on the body while the area beneath is treated and the energy, or qi, is moved.
Mild reddening is common, however this disappears after a few days.

Gwyneth Paltrow includes cupping as one of the many alternative therapies she uses.
A number of celebrities are fans of this form of acupuncture including Geri Haliwell Paris Hilton and Gwyneth Paltrow – who have even been spotted sporting the tell-tale circular marks herself.
Miss Paltrow made no secret of her preference for the remedy when she appeared at a New York premiere several years ago covered in the large circular spots.

Read more: http://www.dailymail.co.uk/news/article-1041370/The-price-Gold-Chinese-athletes-left-huge-spots-cupping-therapy-quest-Olympic-glory.html#ixzz21pBudL6z

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Acupuncture for Migraines Provides Significant Benefits

As I’ve written before, I really enjoy treating migraines and headaches because I used to suffer from headaches for many years. When patients respond so well and so quickly to acupuncture to reduce or eliminate headaches, it’s a wonderful feeling for me. It’s a daily reminder that I really love what I do.

Since many health care practitioners and patients alike are curious about research in the area of Chinese medicine, I thought I would reprint this article from Acupuncture Today.  In reality, there’s a lot of research being done on the efficacy of acupuncture and one only needs to search under complementary medicine under the NIH (National Institutes of Health) to see all the articles.

Acupuncture Provides Significant Benefits for Migraine Patients

by Michael Devitt

A new report published in the online version of the British Medical Journal has found that acupuncture is a useful, cost-effective treatment for chronic headaches, particularly migraines. The report found that over a 12-month period, headache patients who received regular acupuncture sessions reported fewer headaches, had a higher quality of life, missed fewer days from work, used less medication, and made fewer visits to a general practitioner than patients given standard treatment for headaches.

The research was conducted at a series of single acupuncture practices and general practices in Wales and Great Britain. In the study, the authors recruited 401 patients who suffered from chronic headaches, predominantly migraine headaches. The patients were randomized to receive either acupuncture or “usual care” from a general practitioner. In the acupuncture group, subjects standard care for headaches, and were also treated with acupuncture up to 12 times over a three-month period. Treatment patterns were individualized to each patient, and different points were used based on the discretion of the acupuncturist providing care. In the usual care group, patients received standard headache care from their general practitioner, but were not referred out for acupuncture.

At various times throughout the study, patients used a daily diary to track the frequency and severity of headache pain, and any related medication use. Headache severity was measured four times a day on a six-point scale, with the total summed to give a headache score. In addition, the patients completed the SF 36 Health Status Questionnaire at the start of the study, and at three months and 12 months after treatment. Patients also completed a series of questionnaires every three months that monitored use of different headache treatments, days missed from work due to illness, and other usual activities.

Initially, there was not much difference between patients in either group. By the 12-month interval, however, striking differences were noted in terms of frequency of headache, doctor visits and medication use:

  • Patients given acupuncture had an average of 1.8 less days with headaches over the first four weeks of the study compared to the control group. When projected over 52 weeks, the authors estimated that acupuncture would result in an average 22 fewer days of headaches per year.
  • The effects of acupuncture appeared to be long-lasting. At the start of treatment, the average weekly headache score among acupuncture patients was 24.6. Three months after the start of the study, the average score had dropped to 18.0; at 12 months, it had dropped by more than 34 percent, to 16.2. In the standard care patients, weekly headaches scores dropped only 16 percent over the course of the year.
  • Results from the SF-36 questionnaire showed significant benefits for acupuncture patients in terms of physical role functioning, energy levels and changes in health. Over the course of a year, physical role functioning, energy and health change scores increased an average of 9.6, 7.4 and 10.3 points, respectively, for those in the acupuncture group. These scores also increased in usual care patients, but at much lower levels.
  • Acupuncture patients used an average of 15 percent less medication to treat headaches than patients receiving only usual care. They also made 26 percent fewer visits to a general practitioner, and missed fewer days from work due to sickness.

“Acupuncture in addition to standard care results in persisting, clinically relevant benefits for primary care patients with chronic headache, particularly migraine, compared with controls,” the researchers commented. “We also found improvements in quality of life, decreases in use of medication and visits to general practitioners, and reductions in days off sick.”

In their conclusion, the researchers admitted they could not rule out the occurrence of a placebo effect, as the study did not include a sham acupuncture group. In addition, since the patients knew which treatment group they were assigned to, there remained the possibility that patients could give somewhat biased assessments of their treatments. However, the authors noted that the results of their study were similar to results seen in blinded, placebo-controlled trials, which “provides further evidence that bias does not completely explain the apparent effects of acupuncture.”

The authors recommended that their findings should be taken into account by policymakers when assessing the most cost-effective ways of treating patients. They also called for an expansion of acupuncture services for the treatment of chronic headaches in the National Health Service, which provides health care to millions of Britons each year.

In an interview with the BBC, Dr. Mike Cummings, the medical director for the British Medical Acupuncture Society, called the study “innovative” and agreed with the authors’ assertions.2

“It is very positive for us,” he said of the research. “This should help to lift acupuncture out of what is seen to be alternative to mainstream medicine É It should be made available in primary care to treat pain and to prevent costly referrals to hospitals.”

References

1. Vickers AJ, Rees RW, Zollman CE, et al. Acupuncture for chronic headache in primary care: large, pragmatic, randomized trial. British Medical Journal Online First; doi:10.1136/bmj.38029.421863.EB. Published March 15, 2004. Available at www.bmj.com.

2. Acupuncture beats headache pain. BBC News, March 15, 2004.

Reposted with permission from Acupuncture Today

If you suffer from headaches or migraines, or know of anyone who does, encourage them to give acupuncture a try. It’s really a great way to manage or eliminate headaches and migraines without the side effects of drugs.

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Digestion Issues and Acupuncture in Houston

Good digestion is key to good health. If you think about what takes place during digestion, it is important for food (aka fuel, aka nutrition) to be broken down and absorbed properly in order for our body to get what it needs from our food intake. When our digestive processes are disturbed we miss out on the health benefits from the food we eat. Digestion issues like constipation, diarrhea, gastritis, nausea, crohns and colitis affect our overall health because our bodies are not working well enough to ulitlize the nutrition from the food we eat. The good news is that quite frequently acupuncture can help manage or resolve many digestion problems.

My recent trip to China was an eye opener. Digestive problems like gastritis was very common place. General complaints of stomach discomfort seemed almost universal, whether it was in the internal medicine, gynecology or pain clinics I attended. The doctors used mainly herbal formulas to treat digestive issues, although it was also addressed along with other complaints in the acupuncture clinics.

During my three week stay in China, there were people everywhere, everyplace. It was very crowded. Millions of people in the cities (23 million in Beijing, 20 million people in Shanghai and 8 million in the city of Hangzhou where I studied). Try to imagine Houston growing to accomodate 20 million people within the city itself. Think of how we would incorporate all the people, the cars, the pollution, the apartments and office buildings. Imagine driving with cars, buses, bicycles and motor bikes coming in all directions paying little attention to traffic lights, order or lanes in the street. Your hands would be gripping the steering wheel while focusing on avoiding someone on a bike or another car. In short, it is a very stressful way of life.

In my practice, I have seen how stress affects digestion. Stress can create a blockage in liver energy which disrupts the actions of the liver, spleen and stomach energy. When these channels are disturbed, it can cause the stomach energy to rebel making it flow or move upwards toward the esophagus (ie-gastritis, reflux), rather than the normal path of downward to the intestines (normal BM’s). Stress can also deplete our spleen energy causing us to feel tired, sluggish, bloated and swollen. The liver energy that becomes stuck can cause gas, bloating, abdominal pain, irregular bowel movements and depression. In addition, it is quite common to see concurrent issues of sleep problems, anxiety, low energy and high blood pressure along with digestive problems.

If any of this sounds or feels familiar, you are not alone. If you have struggled with digestive issues, acupuncture might just be what you need to resolve or reduce your problems. When all that Western medicine can do is give you drugs to work on the symptoms, remember that acupuncture may very well have an explanation that does not equate with Western terminology. That results in addressing the problem, even if it has been a life long issue. The bottom line is, if nothing else has worked, you have nothing to lose. Try acupuncture. The worst case scenario is that you feel less stressed. Not too bad…

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