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Q:  What is the BAcC'S attitude to Battleground acupuncture? I suffer from peripheral neuropathy. An acupuncturist known to me offered to give me a free session of battleground acupuncture which I accepted. The result was that I was left with incredibly bad pain in my knees, much worse than before.

A:  We do not have any formal view about Battlefield Acupuncture. We did invite Richard Niemtzow, the originator of the technique, to address our Conference over a decade ago, and there was a flurry of interest, but from our perspective it is not a mainstream traditional acupuncture technique. Some of our members decided to incorporate it within their work as they would with any other postgraduate training, and all that we can do is to insist that if they use it they are properly trained in the use of the technique to ensure that there is no risk to the patient.

As far as the worsening of your symptoms is concerned, we think that it is highly unlikely that this has been caused by the acupuncture. In our experience, experience which is backed up by extensive research, there are very few side effects from acupuncture treatment which persist for more than a day or two, and most of these are relatively minor. Conditions do occasionally get a little worse, but this is almost always a precursor to an improvement. Short of actual physical damage caused by the needle, which again is very rare, acupuncture does not make problems worse.

However, there is no doubt that your symptoms are worse, and the first person you should consult for advice is the practitioner who applied the needles. Our understanding of Battlefield Acupuncture techniques is that they involve stud needles in the ear, and so we are discounting the possibility that there has been local damage from the needles themselves. If there is no local damage, then the practitioner will be able to assess whether the use of the needles has caused any energetic changes which may result in the symptoms getting worse. If there appears to be no reason for the change, then the next avenue to follow is to discuss the matter with your GP. We know how distressing peripheral neuropathy can be, and there may be treatment options or investigations which your GP can offer which cast light on what has happened to make your situation worse.

A:We think there are two elements to this question. The first is whether it is safe to treat someone who is thirteen weeks pregnant. The answer is that when the treatment is offered by a properly trained and qualified practitioner, as all our members are, then acupuncture in the first trimester is perfectly safe. There are a number of points which are forbidden during pregnancy as a whole and during specific stages of pregnancy, but all practitioners are well aware of these and either avoid their use or find safe alternatives which have the same function. It is fair to say that very few western-trained practitioners use needle techniques vigorous enough to cause any problems, but we have always erred on the side of caution.

There is an increasing number of members who now focus their time and practice on treating women through pregnancy and undertake postgraduate training in all aspects of fertility, conception and childbirth. We are just in the final stages of a process which will define the qualifying standard for laying claim to expertise in this area, after which we may be able to make specific recommendations. In the interim most members who have this treatment focus usually make this very clear in their website materials. The reason we say this is that while all members can safely treat migraines in pregnancy, the later stages can present some interesting energetic changes, and if treatment does continue over the nest few months, there may be some advantage in seeing a practitioner with additional expertise in this field.

As far as migraines themselves are concerned, there is now a considerable body of evidence suggesting that acupuncture treatment may have a beneficial effect. As out factsheet shows

there have now been a large number of trials which show that acupuncture treatment does have an effect greater than no treatment or conventional treatment, and once you look at the wider picture of the treatment of all headaches even NICE has now accepted that acupuncture is in some circumstances a frontline treatment. From a Chinese medicine perspective there is actually a comprehensive list of types of headache where the headache/migraine itself will be a part of a wider picture of imbalance in the system, and this will enable the practitioner to do what we think is the real strength of Chinese medicine, treat the person with the illness rather than simply treat the illness as defined by a broad label. There are as many different headaches as there are people suffering from them.

The best advice that we can give is that you look at the websites of BAcC members local to you to see which ones have a focus in their practice on treating the pregnant woman. This may be your daughter's best option, but at this stage of the pregnancy it is highly likely that the problem will be brought under control long before the beginning of the third trimester, and any of our members will be able to offer effective treatment at this stage.

Q:  Please could you forward details of an acupuncturist qualified to treat lingual nerve damage. The nerve was severed during a routine wisdom tooth operation.  I subsequently had microsurgery to rejoin the nerve.  Although the nerve was rejoined I still suffer continual chronic pain on the left side of my tongue

A:  We are afraid that we cannot give specific recommendations for individual practitioners, although using our postcode search function on our home page will generate a significant number of names. The more important point, though, is that from a Chinese medicine perspective, there are very few areas where we acknowledge specialist practice. At the moment the three categories of patient for which we believe it may be possible to define expert practice are children, pregnant women and people with mental health problems. For all other patients, every BAcC member is equally well qualified to treat any patient because the skills of Chinese medicine rest in treating the person, not the named conditon. Indeed, ancient China the generalist practitioner was held in much greater esteem than the specialist who was seen as markedly inferior in the narrowness of the focus of their practice.

As far as your specific problem is concerned, there are many studies for the use of acupuncture in the treatment of chronic pain, as our factsheet shows:

but very few studies which we can trace for the use of acupuncture in the treatment of lingual nerve damage. There are a number of studies which look at sensory deficit after dental surgery, but only one which were able to trace which appeared to indicate that acupuncture has been used for this specific problem but with unclear results.

However, it is fair to say that much of the research into conditions like this is conducted within conventional medical research facilities which use a far less sophisticated form of acupuncture than that used by Chinese medicine practitioners. There are a number of different ways of addressing problems such as yours, from a local problem caused by energetic disruption inherent in any surgery through to level of shock caused by the procedure through to a more widespread weakness in the system which impairs healing throughout. The skill of the Chinese medicine practitioner lies in making sense of the complex pattern which each individual represents, and treating with the best focus for achieving sustainable change.

The best advice that we can give is that you visit a BAcC member local to you and ask for a brief face to face assessment of what they think they might be able to achieve. In cases like yours which are quite rare it would be sensible, if you did decide to go ahead with treatment, to set some very clear review stages at set points to assess progress, and also to try to set measurable outcomes. This avoids the course of treatment meandering on without apparent benefit, which in our experience invariably leads to bad feeling.

Q: I have pulsatile tinnitus, it is extrely distracting as I can hear my heartbeat in my ear constantly. The only thing that eases it is putting pressure on my neck near my ear. Would acupuncture be of any help to me?

A:  Although our factsheet on tinnitus is relatively upbeat
our own clinical experience of treating the condition is that unless it relates to one or two very specific syndromes, tinnitus can be one of the more intractable conditions. There is no doubt in our minds that acupuncture treatment can often make the tinnitus sufferer better able to handle the problem, but shifting the problem itself is a more difficult problem. As the various support group magazines ably demonstrate, there is always something which works for some people but nothing that works for all people, so you will often read articles that suggest that almost anything you may name can work. Cynics tend to take the view that tinnitus can often disappear of its own accord, and like pass the parcel, whatever someone happened to be doing as a treatment at the time is given the credit. This may not always be far of the mark.
However, pulsatile tinnitus is a much more specific presentation, and although tracing which blood vessels may be causally related to the condition is difficult, from a Chinese medicine perspective the sense that there is blockage and constriction in an area is one with which a practitioner could work from a Chinese medicine perspective. One of the strengths of Chinese medicine is being able to take the symptoms which a patient experiences together with some of the signs with which they present and make a diagnosis of patterns of imbalance within the system which treatment may be able to adjust or correct. This can result in improvement.
To make this assessment, however, someone would have to see you face to face, and the best option is to use our find a practitioner option on the home page www.acupuncture, and arrange to see a BAcC member local to you for a brief assessment. We also think that you might want to hold in reserve a possible referral to a cranial osteopath. If there has been some change in the subtle structure of the skull this may be affecting blood vessels locally and causing the condition. Cranial osteopathy may be another possible modality for trying to address this problem.

Q:  My husband has had sciatica on and off over the past 2 years.  He has had a lot if private physiotherapy and  is under the GP for the pain.  He is taking  all sorts of strong painkillers.  He had to go to A&E due to the amount  of pain he was in. He has had an MRI scan and is waiting for the results but over the last 3 days he has been in agony. He  seems to be taking lots of different painkillers without any effect on the pain. He is running out of options would acupuncture be of any help to him?

A:Our first advice would always be to see what the scan reveals before committing to treatment. Acupuncture treatment may be able to help relieve some of the pain he is in - this was, after all, one of the main effects of treatment which came to notice in the West and into which a great deal of encouraging research has been done - but if the scan reveals something more substantial either damaged or out of alignment this may well need sorting out by conventional means. Acupuncture may well be useful for pain relief while he awaits the next option, but may not be able to sort out the underlying problem.

However, we are quite used to being the treatment of last resort, and it is not uncommon for us to have patients who come to us with pains which defy explanation by all of the sophisticated testing now available. One of our first tasks is often to describe the basics of Chinese medicine to explain how pain can arise as a blockage in the energy of the body, called 'qi' by the Chinese, and how we set about resolving blockages. This can sometimes mean treating in the area where the pain is, but is almost invariably accompanied by treatment to help the body re-establish proper energetic flow and balance. This can sometimes mean needles a long way from the site of the pain, which can confuse patients, but from a Chinese medicine perspective most local symptoms, however extreme, are often an indicator that the body's ability to sort its own problems out is not functioning as well as it might, and treating the root as well as the branch is often necessary.

Sciatica is, in fact, one of the named conditions for which considerable research has been done, and although our factsheet is cautious in summarising the results of studies

it is one of the more frequent conditions for which people seek help from BAcC members, and anecdotally one which tends to respond well. It is certainly a condition which this expert approaches with some confidence. One of the great strengths of Chinese medicine is that it takes particular care to understand exactly how the problem manifests, and this means that each treatment is often unique to the individual, even though there are a few frequently used points for all cases. We tend to find that the term sciatica is used rather loosely in conventional medicine for a wide range of problems even in orthodox treatment, and we believe that the differentiation which we do as a matter of course can often pinpoint what is going on in a way which enables us to deal with the exact manifestation.

As always, our advice is to visit a BAcC member local to you for advice. Because the term sciatica is used as a catch-all for a number of problems, it is always best to see someone face to face who can give you a much more precise assessment of whether treatment may be beneficial. Most members are more than happy to give up 20 minutes without charge to ensure that if someone books in it is with a clear idea of the possible outcome and time scale for treatment.