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Gavin Erickson

Gavin Erickson

Wednesday, 08 February 2012 11:25

Can acupuncture help carpal tunnel?

Although a number of studies, such as

 

 

http://www.ncbi.nlm.nih.gov/pubmed/19590482

 

have shown some interesting and positive results for the treatment of carpal tunnel syndrome, the more recent systematic review

 

http://www.ncbi.nlm.nih.gov/pubmed/21093382

 

is not that encouraging. In many cases it is the methodological flaws in the studies themselves which mean that they cannot be taken as solid evidence. Anecdotally the BAcC is aware that some patients benefit considerably from their treatment, but there are just as many for whom the treatment does not appear to work and for whom steroid injections and/or an operation are the only options which offer some help.

 

The best advice, since from a Chinese medicine perspective all cases are unique and different, is to see if you can arrange a short consultation with a practitioner local to you to get their view on whether your particular case may be amenable to treatment. If you did so and opted to go ahead with treatment we would recommend that the outcomes are very clear, as well as the interim review periods. Obstinate conditions, of which this is one, sometimes lend themselves to the development of 'habit treatment' where progress is minimal but hope gets the better of experience.

Wednesday, 08 February 2012 11:07

Can acupuncture help stress?

The BAcC home page section marked Research has a sub-heading 'fact sheets' in which you can find an assessment of the value of acupuncture for treating stress in general and anxiety as one of its most common manifestations.

 

 

Factsheet on stress is viewable here

 

Factsheet on anxiety is viewable here

 

Acupuncture used to be very widely regarded as no more than a technique for reducing stress and pain, but opinion was sharply divided between those who thought the benefits were largely non-specific - being given time and attention, being listened to, lying down relaxing for half an hour - as much as the needles themselves. This is still the case now, and the words 'placebo effect' are used somewhat disparagingly about apparent successes of acupuncture. As one of the senior medical acupuncturists in the UK said, however, if both acupuncture and the 'sham' acupuncture used in a major trial outperform conventional treatment, that has got to be worth investigating.

Stress is such a wide-ranging and inclusive term that it is very difficult to give a blanket answer. In most cases we advise people to seek advice locally and in person for their specific needs, except in those cases where we are sure that acupuncture will not help or may even be contra-indicated, but in this case that is the only answer we can give. How stress presents in your life and what the main presenting causes are can have a huge bearing on how well it can be treated. If someone is trapped in a job they hate with an unpleasant boss whom they have to put up with to pay a large mortgage, there is nothing that treatment can do to change the material circumstances and possibly the best it can manage is to reduce the impact of these day to day vexations. Where the causes are more internal it may be possible to achieve more. Speaking directly to one of our members is the best course of action.

Acupuncture should not be used as the primary treatment for cancers of any kind. Our advice to members is that if they treat people with cancers the treatment cannot be described as helping to treat the cancer, nor should they create any expectations in the patient that cure or remission are possible. We would be extremely concerned if anyone did not avail themselves of all the possible support available from conventional medicine because they had been led to believe that acupuncture could replace the normal treatment.

 

 

It is true, however, that many people choose to use acupuncture alongside the conventional treatment as a part of their strategy for dealing with the disease, and there are some symptoms arising from the cancers for which there is evidence that acupuncture is beneficial. One of the leading American acupuncturists and authors, Bob Flaws, has published a number of articles such as

 

http://www.acupuncturetoday.com/mpacms/at/article.php?id=28009

 

which describe how a Chinese medicine practitioner may use herbal medicine alongside conventional treatment for lymphomas. He is something of a visionary and trailblazer, however, and the research which we quotes is as yet very limited. There is undoubted scientific interest in this kind of approach, with the Chinese in particular looking at the integrated use of traditional and conventional medicine.

Friday, 03 February 2012 14:02

can acupuncture help elbow bursitis?

 

Q. Can acupuncture help elbow bursitis?

 

A. Elbow bursitis has not been researched as much as tennis elbow, so there isn't a great deal that we can say that is backed up by research. In general terms, although Chinese medicine has a large number of very subtle diagnostic categories and observations some of its basic premises are expressed in very much more simple terms. This are described 'in excess' or 'deficient', or 'blocked', and often the parts of the body which generate symptoms are classified according to whether there is 'heat', 'cold' or 'dampness' in the area. This may sound rather alien to the western ear, but these categories are often wonderfully descriptive of things look and feel to the sufferer, and of course they are backed by treatment protocols which aim to correct them.
 
Bursitis can be understood within Chinese medicine by employing this kind of categorisation, and if you visit a properly trained practitioner who can both examine how things are and perhaps how the problem arose in the first place they can give you an honest assessment about whether your specific case is amenable to treatment

 

Q. I have persistent tingling and numbness in my right hand not painfull but very irritating.. Had scans, tests to no avail would acupuncture help?

 

A. Practitioners in the BAcC often have patients come to them after all the western tests have been done and nothing has been found, because they've heard or read that the symptoms which they describe are a part of the disease patterns understood within Chinese medicine. It is certainly the case that some patterns describe numbness and tingling in the hands as a symptom, but equally true that many people experience symptoms like these where none of the usual accompanying signs occur and for which treatment would not be as straightforward or as likely to be of benefit.
 
Chinese medicine has developed over thousands of years, and offers many different ways of intervening to put someone's system back in order. Symptoms such as yours may be evidence of local disturbance which might benefit from local treatment, or they may result from major functional imbalances and require more work. The best way to establish whether acupuncture would be appropriate would be to visit a BAcC member who can offer you a better assessment based in their own observations about whether your particular case has some clearcut features which suggest that acupuncture might work well.

 

Q. Have sucessfully had acupuncture for fertility issues. Now in peri- menopause and can't get on with HRT or Prozac. Now cold turkey and hot flashes few and far between. Major issue is the mood swings - I am becoming increaslingly difficult to live with (ask my husband, kids and dog!). Can acupuncture help in this area?

 

A. There's no doubt that the research for treating menopausal symptoms is not conclusive, as our factsheet shows but with the wide variety of symptoms which women experience designing good trials is not that straightforward.
 
One of the great strengths of Chinese medicine, though, is that it can offer an understanding of groups of symptoms in a way which would make no sense in western medicine but which would be immediately clear from the Chinese understanding of functions in the body and their relative levels of balance. A skilled practitioner may be able to make sense of what you are experiencing and attempt to adjust the balance to reduce the severity of the symptoms.
 
The fact that you have had acupuncture before and that it has worked for you is very encouraging. Many people find that they are very receptive to one form of treatment over others, and this can often transfer to new symptoms which arise.

The first ever Acupuncture Awareness Week launches on Monday 27 February 2012 and will attempt to dispel the many myths still surrounding acupuncture.
 
Recent research has revealed that over 21 per cent of the British public think acupuncture needles are as large as the needles used for regular injections. Not true! But it just goes to show that in spite of Chinese medicine’s ever increasing popularity, there are still a whole host of common misconceptions surrounding this ancient form of treatment.

 

Q. My niece suffers from epilipsey and i wondering if Acupuncture might be able to help her?

 

A. The current evidence for the treatment of epilepsy with acupuncture is not that encouraging. A revised Cochrane Review
 
http://www.ncbi.nlm.nih.gov/pubmed/18843676
 
of trials and studies concludes that there is not a great deal of success, and other more recent trials tend to say the same. Anecdotally there are reports of patients coming off medication with the help of their practitioners and the consent of their GPs, but epilepsy manifests in many forms and it would be impossible to offer any general advice. The best course of action would be, if your niece is on medication, to discuss with the GP whether a reduction or change in medication was possible at all, as a first step, and then discuss with a well-trained practitioner how they might support that process.
 
The treatment of any condition for which a person may be taking essential prescribed medication has to be handled with great care. The BAcC often gets questions from people who have been taking medications for many years to control their epilepsy and believe that they would probably be OK without it, based on periods where they have simply neglected to take it and not suffered any ill effects. Our advice has always been that in this particular case, it is absolutely essential that the person's GP be involved in any discussion about changes to the medication. One highly salient point is that many people only continue to hold driving licences on the basis that they are fit-free and on medication. Any reduction in medication which led to a fit and caused an accident would probably invalidate their insurance and constitute a criminal offence.
 
As far as using acupuncture as a primary treatment for epilepsy is concerned, however, we would be reluctant to endorse its use as a primary and sole therapy. However, there is no evidence to suggest that acupuncture interferes with the treatment of controlled epilepsy, whether that control is through medication, diet or lifestyle, and many people use acupuncture treatment alongside their existing routines. It might be beneficial to seek the advice of a BAcC member local to your niece to see what they might be able to offer. As you will see from the answers to many of the questions on this site, acupuncture works from an entirely different perspective from western treatment, and there may be ways in which a practitioner may feel that they can help from within that perspective. 

 

Q. Can acupuncture help if you are trying to conceive?

 

A. Just as every magazine and sunday newspaper runs regular articles on how best to prepare yourself for conception and childbirth it won't come as a surprise to know that Chinese medicine has equivalent ideas about what counts as the best possible health and what might remove some of the impediments to conception. Most of these are independent of specific cultures and just straightforward common sense - eat well, sleep well, don't work to hard, don't try to make the process happen when you don't actually feel like, and so on.
 
Chinese medicine is founded on notions of balance and harmony in good health, however, rather more than the absence of disease. This is not unique to Chinese medicine; an increasing amount of NHS resource is now directed towards healthy living. In the Chinese medical model, though, the practitioner can do a great deal to achieve states of better balance which they believe will make the person as a whole - body, mind and spirit - function much better. BAcC members are trained in depth in how to use Chinese medicine in this way, and any normal process in life should, in theory, be improved by being in better balance.
 
There are obviously no guarantees, and no-one will claim to be able to influence the process of conception to that extent. However, it appears that a growing number of women seem to have found that having acupuncture treatment while they were trying to conceive has been beneficial if only for the relaxation which treatment seems to encourage.

Thursday, 02 February 2012 14:54

Can acupuncture help with snoring?

Q. Can acupuncture help with snoring?

 

 

A. I'm afraid the evidence for using acupuncture to help with snoring is very thin on the ground. Occasionally a study on a related technique in which acupuncture is used as a test intervention shows that some specific points have an effect, as in
 
http://www.ncbi.nlm.nih.gov/pubmed/2485457
 
there are no trials of which we are aware which provide anything like the evidence which we would need to give a defintive answer. We hear of individual cases where someone's snoring has been reduced or stopped, but there may have been other factors at play. Let's face it, families will usually suggest the sufferer tries everything at the same time to give everyone a break.
 
The strength of Chinese medicine, however, is that it looks at each individual patient as someone with a unique pattern of energy, and the practitioner's understanding of this pattern may offer a different take on what is going on. The Chinese had a very simple belief that if everything was in balance symptoms would disappear, and there is always a chance that something specific, understood in Chinese terms, might be correctible and offer some relief.
 
As in all cases of slightly less well documented problems, it is important to establish with a reputable practitioner before starting treatment whether they think they can help, and if treatment does commence to set very clear outcomes and review dates.