Cupping Massage

A few months ago I ran across this massage technique while looking over the menu of services at Canyon Ranch Spa Club in Las Vegas. After a bit of googling, I came across the website and decided to pick up the DVD from Lhasa OMS along with a few new cupping sets.

The technique is adapted for body workers and uses much lighter suction than TCM cupping. The theory is that the lighter suction stimulates the lymph system to loosen adhesions and pull stuck fluid into the lymph system where it is easier to eliminate. I started utilizing massage cupping in my practice and found it is great to help loosen up the body before doing traditional cupping techniques. It is not as effective for those with significant stagnation, but it is great for those with mild blockages who also need a little detoxification and TLC.

I just had this done last week and found it wonderfully relaxing on areas of mild tension, but in the parts that need a lot of work, I was yearning a bit for some strong stationary cupping. If I could have followed it up with some acupuncture, it would have been perfect - I even fell asleep a bit during the treatment.

I contacted the founder and encouraged her to get certified as an NCCAOM CEU provider. The system is easy to learn and a great addition to practices that focus on the individual patient.

Cupping Massage

A few months ago I ran across this massage technique while looking over the menu of services at Canyon Ranch Spa Club in Las Vegas. After a bit of googling, I came across the website and decided to pick up the DVD from Lhasa OMS along with a few new cupping sets.

The technique is adapted for body workers and uses much lighter suction than TCM cupping. The theory is that the lighter suction stimulates the lymph system to loosen adhesions and pull stuck fluid into the lymph system where it is easier to eliminate. I started utilizing massage cupping in my practice and found it is great to help loosen up the body before doing traditional cupping techniques. It is not as effective for those with significant stagnation, but it is great for those with mild blockages who also need a little detoxification and TLC.

I just had this done last week and found it wonderfully relaxing on areas of mild tension, but in the parts that need a lot of work, I was yearning a bit for some strong stationary cupping. If I could have followed it up with some acupuncture, it would have been perfect - I even fell asleep a bit during the treatment.

I contacted the founder and encouraged her to get certified as an NCCAOM CEU provider. The system is easy to learn and a great addition to practices that focus on the individual patient.

H1N1 Updates

I found this snippet about Chinese Medicine and H1N1 prevention/treatment, but the article also has some good stuff about other CAM therapies. I have been doing monthly acupuncture "flu shot" treatments on a lot of my patients using a blend of acupuncture and herbal therapies and so far, no flu!

Holistic treatments boost defense against H1N1
By Laura LaDue, LAc
from WillametteLive, Section Wellness
Posted on Sat Oct 31, 2009 at 10:17:14 PM PDT

This flu season, H1N1 is particularly prevalent. In addition to being a nasty virus, it carries with it a lot of cultural baggage in the form of fears and misconceptions.

Like seasonal flu, H1N1 is spread mainly person-to-person through coughing or sneezing of infected people. Symptoms include fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills and fatigue. Some people may have vomiting and diarrhea. It is possible to be infected and have respiratory symptoms without a fever.

Most people who have been sick with 2009 H1N1 virus have recovered without needing medical treatment. However, hospitalizations and deaths from infection with this virus have occurred. You should seek urgent medical care if you experience severe symptoms, such as difficulty breathing, chest pain, or persistent vomiting.

How does Chinese medicine prevent and treat the H1N1 virus?

From the perspective of Chinese medicine, swine flu is not so different from other types of flu and can most certainly be prevented and treated by means of Chinese medicine. Traditional Chinese medicines for H1N1 do not attack the virus. Rather, they try to remove those internal conditions in the body that enable the virus to take hold and multiply. "There is no medicine to directly kill the virus. A virus is like a seed: it needs things like temperature and water to grow," Dr. Xu Wenbing, Chairman of the Hope Institute of Chinese Medicine in Beijing, said. "When you take away these conditions, the body will cure itself."

Acupuncture helps by bringing the body back into balance, making it more resistant to potential invading viruses. There are specific acupuncture points for boosting the immune system, including points for increasing your white blood cell count. If one is already ill, acupuncture can speed recovery and lessen the symptoms of illness.

Read More

H1N1 Updates

I found this snippet about Chinese Medicine and H1N1 prevention/treatment, but the article also has some good stuff about other CAM therapies. I have been doing monthly acupuncture "flu shot" treatments on a lot of my patients using a blend of acupuncture and herbal therapies and so far, no flu!

Holistic treatments boost defense against H1N1
By Laura LaDue, LAc
from WillametteLive, Section Wellness
Posted on Sat Oct 31, 2009 at 10:17:14 PM PDT

This flu season, H1N1 is particularly prevalent. In addition to being a nasty virus, it carries with it a lot of cultural baggage in the form of fears and misconceptions.

Like seasonal flu, H1N1 is spread mainly person-to-person through coughing or sneezing of infected people. Symptoms include fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills and fatigue. Some people may have vomiting and diarrhea. It is possible to be infected and have respiratory symptoms without a fever.

Most people who have been sick with 2009 H1N1 virus have recovered without needing medical treatment. However, hospitalizations and deaths from infection with this virus have occurred. You should seek urgent medical care if you experience severe symptoms, such as difficulty breathing, chest pain, or persistent vomiting.

How does Chinese medicine prevent and treat the H1N1 virus?

From the perspective of Chinese medicine, swine flu is not so different from other types of flu and can most certainly be prevented and treated by means of Chinese medicine. Traditional Chinese medicines for H1N1 do not attack the virus. Rather, they try to remove those internal conditions in the body that enable the virus to take hold and multiply. "There is no medicine to directly kill the virus. A virus is like a seed: it needs things like temperature and water to grow," Dr. Xu Wenbing, Chairman of the Hope Institute of Chinese Medicine in Beijing, said. "When you take away these conditions, the body will cure itself."

Acupuncture helps by bringing the body back into balance, making it more resistant to potential invading viruses. There are specific acupuncture points for boosting the immune system, including points for increasing your white blood cell count. If one is already ill, acupuncture can speed recovery and lessen the symptoms of illness.

Read More

I wanted to sneak this in here because after walking around the polytrauma unit in the VA this week, my aspirations to use my nurse practitioner and acupuncture skills in this population grew exponentially. The Louisville VA is one of the best in the country - the staff is always smiling and polite and the hospital itself is holding up well when they could have let it go to pot since plans are in the works for a new facility. The time may be ripe for a proposal, especially since it is a growing trend.

Acupuncture Today November, 2009, Vol. 10, Issue 11

Comprehensive Military PTSD Treatment Programs

By Joe C. Chang, MAOM, Dipl. OM, LAc

So far, there are four comprehensive posttraumatic stress disorder (PTSD) and combat stress treatment programs in the U.S. Army that have incorporated different CAM approaches in their treatment programs.

Many of these comprehensive programs started as a result of the Ft. Bliss Restoration and Resilience Center, near El Paso, Texas. This integrative approach treats many of the symptoms of PTSD that are not addressed through the standard mental health protocols that included cognitive-behavioral therapy and pharmacotherapy. The Ft. Bliss program incorporated medical massage, meditation, yoga, acupuncture, marital/family therapy and Reiki with standard treatment protocols . Additionally, soldiers go through a daily 45-minute "power walk" and play water polo three times a week.

At the Warrior Combat Stress Reset Program at Ft. Hood (near Killeen, Texas), their intensive, combat-stress three-week program focuses on the reduction of hyperarousal and reactivity. Reducing these core symptoms of combat stress and posttraumatic stress disorder allows other treatments to be more effective. The program includes group counseling, biofeedback, individual counseling and alternative therapies (massage, acupuncture, yoga and Reiki).

Read More

I wanted to sneak this in here because after walking around the polytrauma unit in the VA this week, my aspirations to use my nurse practitioner and acupuncture skills in this population grew exponentially. The Louisville VA is one of the best in the country - the staff is always smiling and polite and the hospital itself is holding up well when they could have let it go to pot since plans are in the works for a new facility. The time may be ripe for a proposal, especially since it is a growing trend.

Acupuncture Today November, 2009, Vol. 10, Issue 11

Comprehensive Military PTSD Treatment Programs

By Joe C. Chang, MAOM, Dipl. OM, LAc

So far, there are four comprehensive posttraumatic stress disorder (PTSD) and combat stress treatment programs in the U.S. Army that have incorporated different CAM approaches in their treatment programs.

Many of these comprehensive programs started as a result of the Ft. Bliss Restoration and Resilience Center, near El Paso, Texas. This integrative approach treats many of the symptoms of PTSD that are not addressed through the standard mental health protocols that included cognitive-behavioral therapy and pharmacotherapy. The Ft. Bliss program incorporated medical massage, meditation, yoga, acupuncture, marital/family therapy and Reiki with standard treatment protocols . Additionally, soldiers go through a daily 45-minute "power walk" and play water polo three times a week.

At the Warrior Combat Stress Reset Program at Ft. Hood (near Killeen, Texas), their intensive, combat-stress three-week program focuses on the reduction of hyperarousal and reactivity. Reducing these core symptoms of combat stress and posttraumatic stress disorder allows other treatments to be more effective. The program includes group counseling, biofeedback, individual counseling and alternative therapies (massage, acupuncture, yoga and Reiki).

Read More

Hallelujah, Proof Is Here!

Some said they did not believe in bacteria until they saw it under a microscope. Later others doubted the atom until the advent of the electron microscope. Now, we have the chance to prove meridians exist through light conduction studies. Can proof og Qi be far behind? We shall see!

New scientific breakthrough proves why acupuncture works

New groundbreaking research shows that the insertion of an acupuncture needle into the skin disrupts the branching point of nerves called C fibres. These C fibres transmit low-grade sensory information over very long distances by using Merkel cells as intermediaries. Dr. Morry Silberstein of the Curtin University of Technology will publish his research in the Journal of Theoretical Biology later this year.

Dr. Silberstein mentions that they have known, for some time, that the acupuncture points show lower electrical resistance than other nearby areas of the skin. His research specifically pinpoints that the C fibres actually branch exactly at acupuncture points. Scientists don’t know exactly what role C fibres play in the nervous system, but Dr. Silverstein theorizes that the bundle of nerves exists to maintain arousal or wakefulness. The insertion of the acupuncture needle disrupts this circuit and numbs our sensitivity to pain.”

Russian researchers in 1991 at The Institute for Clinical and Experimental Medicine in Novosibirsk, USSR, in a research project lasting several years, discovered how the human body conducts light. They found that the light conducting ability of the human body exists only along the meridians, and can enter and exit only along the acupuncture points. Dr. Kaznachejew, a professor of physics said:

“This seems to prove that we have a light transferal system in our body somewhat likeoptical fiber. It appears that the light can even travel when the light canal is bent, or totally twisted. The light appears to be reflected from the inner surface, appearing to go in some sort of zigzag track. You can explain this through traditional electromagnetic light theory as it is used in optical fiber communications.”

This finding has been confirmed by a 1992 study in the Journal of Traditional Chinese Medicine and a 2005 study in the Journal of Alternative and Complementary Medicine where moxibustion and infrared thermography were used to trace meridian pathways.

Read More

Hallelujah, Proof Is Here!

Some said they did not believe in bacteria until they saw it under a microscope. Later others doubted the atom until the advent of the electron microscope. Now, we have the chance to prove meridians exist through light conduction studies. Can proof og Qi be far behind? We shall see!

New scientific breakthrough proves why acupuncture works

New groundbreaking research shows that the insertion of an acupuncture needle into the skin disrupts the branching point of nerves called C fibres. These C fibres transmit low-grade sensory information over very long distances by using Merkel cells as intermediaries. Dr. Morry Silberstein of the Curtin University of Technology will publish his research in the Journal of Theoretical Biology later this year.

Dr. Silberstein mentions that they have known, for some time, that the acupuncture points show lower electrical resistance than other nearby areas of the skin. His research specifically pinpoints that the C fibres actually branch exactly at acupuncture points. Scientists don’t know exactly what role C fibres play in the nervous system, but Dr. Silverstein theorizes that the bundle of nerves exists to maintain arousal or wakefulness. The insertion of the acupuncture needle disrupts this circuit and numbs our sensitivity to pain.”

Russian researchers in 1991 at The Institute for Clinical and Experimental Medicine in Novosibirsk, USSR, in a research project lasting several years, discovered how the human body conducts light. They found that the light conducting ability of the human body exists only along the meridians, and can enter and exit only along the acupuncture points. Dr. Kaznachejew, a professor of physics said:

“This seems to prove that we have a light transferal system in our body somewhat likeoptical fiber. It appears that the light can even travel when the light canal is bent, or totally twisted. The light appears to be reflected from the inner surface, appearing to go in some sort of zigzag track. You can explain this through traditional electromagnetic light theory as it is used in optical fiber communications.”

This finding has been confirmed by a 1992 study in the Journal of Traditional Chinese Medicine and a 2005 study in the Journal of Alternative and Complementary Medicine where moxibustion and infrared thermography were used to trace meridian pathways.

Read More

Acupuncture for Caesarean Prevention and Healthy Delivery

Given the generous litigation latitude in Kentucky that is driving competent OBGYNs out of the state and preventing Midwifes from practicing in it at all, I doubt we will see acupuncturists in the hospital delivery room here anytime soon. With an unpublished C-section rate of 40% in one of our area hospitals and a total disdain for natural childbirth from many staff members (I have actually heard comments such as "there is nothing natural about natural childbirth" and "you have to push harder, I don't have all day"), I abhor having to tell moms to be that I can't help them out with pain management on the special day. With hope, there will be more advocates like Debra Betts who can help women have safe, healthy childbirth without having to go under the knife.

Oct 09, 2009 03:30 ET

Studies Show That Acupuncture Decreases Caesarean Rates

Acubalance Wellness Centre of Vancouver presents Debra Betts, an international expert, educator and author of the Essential Acupuncture for Pregnancy and Childbirth.

There are more and more studies showing that acupuncture can decrease the rates of caesarean delivery. This fits right into the new campaign launched by the Society of Obstetricians and Gynaecologists of Canada (SOGC) to 'normalize' childbirth and reduce Canada's soaring caesarean section rate."

The SOGC claims 20% fewer caesarean sections could be performed if doctors and hospitals followed guidelines aimed at lowering unnecessary surgeries and if women had support during labour.

Studies have shown that women receiving prebirth acupuncture compared to a control group had:

- An overall 35% reduction in the number of inductions (for women having their first baby this was a 43% reduction)

- A 31% reduction in the epidural rate

- A 32% reduction in emergency caesarean delivery

Breech birth, where the baby is delivering bottom-first rather than head first, is one area under scrutiny by the SOGC. They say that women should have an option to deliver vaginally with a breech presentation rather than have an automatic caesarean delivery. Moxibustion, an ancient Chinese treatment that involves heating acupuncture points with the Chinese herb called mugwort, has been used to turn breech babies for centuries. A study published in the Journal of the American Medical Association showed that, at 35 weeks gestation, 75.4% of the babies in the intervention group (whose mothers had received moxibustion) had changed to a head-down position versus 47.7% in the control group.

According to Betts, acupuncture during pregnancy helps numerous conditions, including: nausea, high blood pressure, back pain and cervical ripening (which helps shorten labour), and can naturally induce labour.

One thing that Betts is particularly excited about teaching is acupressure for pain management during labour. "We know that if women can manage their pain there is less drugs, less intervention and far fewer C sections." says Betts. "What's important is that these acupressure points are easy to use, can be used at the beginning of labour by the support people, and that there are consistent effects. From my own clinical followup, 86% used it successfully in labour to significantly reduce their pain."

Read More

Acupuncture for Caesarean Prevention and Healthy Delivery

Given the generous litigation latitude in Kentucky that is driving competent OBGYNs out of the state and preventing Midwifes from practicing in it at all, I doubt we will see acupuncturists in the hospital delivery room here anytime soon. With an unpublished C-section rate of 40% in one of our area hospitals and a total disdain for natural childbirth from many staff members (I have actually heard comments such as "there is nothing natural about natural childbirth" and "you have to push harder, I don't have all day"), I abhor having to tell moms to be that I can't help them out with pain management on the special day. With hope, there will be more advocates like Debra Betts who can help women have safe, healthy childbirth without having to go under the knife.

Oct 09, 2009 03:30 ET

Studies Show That Acupuncture Decreases Caesarean Rates

Acubalance Wellness Centre of Vancouver presents Debra Betts, an international expert, educator and author of the Essential Acupuncture for Pregnancy and Childbirth.

There are more and more studies showing that acupuncture can decrease the rates of caesarean delivery. This fits right into the new campaign launched by the Society of Obstetricians and Gynaecologists of Canada (SOGC) to 'normalize' childbirth and reduce Canada's soaring caesarean section rate."

The SOGC claims 20% fewer caesarean sections could be performed if doctors and hospitals followed guidelines aimed at lowering unnecessary surgeries and if women had support during labour.

Studies have shown that women receiving prebirth acupuncture compared to a control group had:

- An overall 35% reduction in the number of inductions (for women having their first baby this was a 43% reduction)

- A 31% reduction in the epidural rate

- A 32% reduction in emergency caesarean delivery

Breech birth, where the baby is delivering bottom-first rather than head first, is one area under scrutiny by the SOGC. They say that women should have an option to deliver vaginally with a breech presentation rather than have an automatic caesarean delivery. Moxibustion, an ancient Chinese treatment that involves heating acupuncture points with the Chinese herb called mugwort, has been used to turn breech babies for centuries. A study published in the Journal of the American Medical Association showed that, at 35 weeks gestation, 75.4% of the babies in the intervention group (whose mothers had received moxibustion) had changed to a head-down position versus 47.7% in the control group.

According to Betts, acupuncture during pregnancy helps numerous conditions, including: nausea, high blood pressure, back pain and cervical ripening (which helps shorten labour), and can naturally induce labour.

One thing that Betts is particularly excited about teaching is acupressure for pain management during labour. "We know that if women can manage their pain there is less drugs, less intervention and far fewer C sections." says Betts. "What's important is that these acupressure points are easy to use, can be used at the beginning of labour by the support people, and that there are consistent effects. From my own clinical followup, 86% used it successfully in labour to significantly reduce their pain."

Read More

Acupuncture Use in the United States

I have often joked that it takes 18 months for someone who says they are interested in trying acupuncture to actually go through with it. Unfortunately this is often after an occasional stiffness and twinge in the back has tuned into a chronic and severe pain both limiting mobility and requiring hydrocodone four times a day. The following was published a couple of years ago but I find the data relevant in my practice. I am certainly getting more physician referrals as they hear their patients tell them about success with musculoskeletal pain. Natural seems to be in. With the surge of natural prescription medications like Loveza (omega-3s) and Florastore (probiotic), I am waiting for shan zha and chuan xiong to be marketed by Pfizer!

Acupuncture use in the United States: findings from the National Health Interview Survey.

Burke A, Upchurch DM, Dye C, Chyu L.

Institute for Holistic Healing Studies, San Francisco State University, San Francisco, CA 94132, USA. aburke@sfsu.edu

OBJECTIVE: Acupuncture has become an important provider-based complementary and alternative medicine (CAM) treatment. To improve understanding of its role in personal health care, an analysis of national data was conducted to examine user sociodemographics, conditions treated, and the relationship of use with conventional Western medical care.

DESIGN: A nationally representative cross-sectional survey.

SETTING: The 2002 National Health Interview Survey (NHIS), conducted in all 50 states and the District of Columbia.

PARTICIPANTS: Thirty-one-thousand and forty-four (31,044) adults who completed the NHIS Sample Adult Core.

OUTCOME MEASURES: The primary outcome measure was recent use of acupuncture, defined as use within the previous 12 months.

RESULTS: In the 2002 NHIS sample, 4.1% of the respondents reported lifetime use, and 1.1% (representing 2.13 million Americans) reported recent use of acupuncture. Recent use (n = 327) was positively associated with being an Asian female, living in the West or Northeast, having poorer self-reported health status, a higher level of education, and being an ex-smoker. Among recent users, the most typical treatment regimen was two to four treatments (34.5%), with musculoskeletal complaints being the most frequently reported conditions, led by back pain (34.0%). Reports of perceived benefit were generally high. Respondents indicated that acupuncture was used both as an alternative and as a complementary therapy. A reasonable number also reported being referred to acupuncture by a conventional medical professional (25.3%). The cross-sectional nature of the data precluded analysis of transitions in health care use (between conventional and CAM treatments) over time.

CONCLUSIONS: Utilization of acupuncture was somewhat lower than expected given its significant national and international recognition and its visibility in the media. This may in part be a function of provider availability and cultural factors.

Acupuncture Use in the United States

I have often joked that it takes 18 months for someone who says they are interested in trying acupuncture to actually go through with it. Unfortunately this is often after an occasional stiffness and twinge in the back has tuned into a chronic and severe pain both limiting mobility and requiring hydrocodone four times a day. The following was published a couple of years ago but I find the data relevant in my practice. I am certainly getting more physician referrals as they hear their patients tell them about success with musculoskeletal pain. Natural seems to be in. With the surge of natural prescription medications like Loveza (omega-3s) and Florastore (probiotic), I am waiting for shan zha and chuan xiong to be marketed by Pfizer!

Acupuncture use in the United States: findings from the National Health Interview Survey.

Burke A, Upchurch DM, Dye C, Chyu L.

Institute for Holistic Healing Studies, San Francisco State University, San Francisco, CA 94132, USA. aburke@sfsu.edu

OBJECTIVE: Acupuncture has become an important provider-based complementary and alternative medicine (CAM) treatment. To improve understanding of its role in personal health care, an analysis of national data was conducted to examine user sociodemographics, conditions treated, and the relationship of use with conventional Western medical care.

DESIGN: A nationally representative cross-sectional survey.

SETTING: The 2002 National Health Interview Survey (NHIS), conducted in all 50 states and the District of Columbia.

PARTICIPANTS: Thirty-one-thousand and forty-four (31,044) adults who completed the NHIS Sample Adult Core.

OUTCOME MEASURES: The primary outcome measure was recent use of acupuncture, defined as use within the previous 12 months.

RESULTS: In the 2002 NHIS sample, 4.1% of the respondents reported lifetime use, and 1.1% (representing 2.13 million Americans) reported recent use of acupuncture. Recent use (n = 327) was positively associated with being an Asian female, living in the West or Northeast, having poorer self-reported health status, a higher level of education, and being an ex-smoker. Among recent users, the most typical treatment regimen was two to four treatments (34.5%), with musculoskeletal complaints being the most frequently reported conditions, led by back pain (34.0%). Reports of perceived benefit were generally high. Respondents indicated that acupuncture was used both as an alternative and as a complementary therapy. A reasonable number also reported being referred to acupuncture by a conventional medical professional (25.3%). The cross-sectional nature of the data precluded analysis of transitions in health care use (between conventional and CAM treatments) over time.

CONCLUSIONS: Utilization of acupuncture was somewhat lower than expected given its significant national and international recognition and its visibility in the media. This may in part be a function of provider availability and cultural factors.

Fibromyalgia: Traditional vs Sham Acupuncture Success

In the past year there have been several studies that confirm acupuncture is more effective for back pain than the typical lortab, physical therapy, epidural, and surgery regimen touted by western pain management specialists. The studies included a fake or "sham" acupuncture treatment group along with a real or "traditional" acupuncture treatment group. The problem with these designs was the lack of studies comparing traditional and sham acupuncture. When the results of the studies showed statistically insignificant difference in effectiveness, the conclusions make the reader think all you have to do is stick some needles randomly in your back, not necessarily by a qualified acupuncturist, and the placebo effect will take over from there. The following abstract was pulled from Pub Med and discusses the short and long term effects of traditional acupuncture on pain receptors in the brain for fibromyalgia.

Traditional Chinese acupuncture and placebo (sham) acupuncture are differentiated by their effects on mu-opioid receptors (MORs).

Department of Anesthesiology, University of Michigan, Ann Arbor, MI 48109, USA. reharris@med.umich.edu

Controversy remains regarding the mechanisms of acupuncture analgesia. A prevailing theory, largely unproven in humans, is that it involves the activation of endogenous opioid antinociceptive systems and mu-opioid receptors (MORs). This is also a neurotransmitter system that mediates the effects of placebo-induced analgesia. This overlap in potential mechanisms may explain the lack of differentiation between traditional acupuncture and either non-traditional or sham acupuncture in multiple controlled clinical trials. We compared both short- and long-term effects of traditional Chinese acupuncture (TA) versus sham acupuncture (SA) treatment on in vivo MOR binding availability in chronic pain patients diagnosed with fibromyalgia (FM). Patients were randomized to receive either TA or SA treatment over the course of 4 weeks. Positron emission tomography (PET) with (11)C-carfentanil was performed once during the first treatment session and then repeated a month later following the eighth treatment. Acupuncture therapy evoked short-term increases in MOR binding potential, in multiple pain and sensory processing regions including the cingulate (dorsal and subgenual), insula, caudate, thalamus, and amygdala. Acupuncture therapy also evoked long-term increases in MOR binding potential in some of the same structures including the cingulate (dorsal and perigenual), caudate, and amygdala. These short- and long-term effects were absent in the sham group where small reductions were observed, an effect more consistent with previous placebo PET studies. Long-term increases in MOR BP following TA were also associated with greater reductions in clinical pain. These findings suggest that divergent MOR processes may mediate clinically relevant analgesic effects for acupuncture and sham acupuncture.

Fibromyalgia: Traditional vs Sham Acupuncture Success

In the past year there have been several studies that confirm acupuncture is more effective for back pain than the typical lortab, physical therapy, epidural, and surgery regimen touted by western pain management specialists. The studies included a fake or "sham" acupuncture treatment group along with a real or "traditional" acupuncture treatment group. The problem with these designs was the lack of studies comparing traditional and sham acupuncture. When the results of the studies showed statistically insignificant difference in effectiveness, the conclusions make the reader think all you have to do is stick some needles randomly in your back, not necessarily by a qualified acupuncturist, and the placebo effect will take over from there. The following abstract was pulled from Pub Med and discusses the short and long term effects of traditional acupuncture on pain receptors in the brain for fibromyalgia.

Traditional Chinese acupuncture and placebo (sham) acupuncture are differentiated by their effects on mu-opioid receptors (MORs).

Department of Anesthesiology, University of Michigan, Ann Arbor, MI 48109, USA. reharris@med.umich.edu

Controversy remains regarding the mechanisms of acupuncture analgesia. A prevailing theory, largely unproven in humans, is that it involves the activation of endogenous opioid antinociceptive systems and mu-opioid receptors (MORs). This is also a neurotransmitter system that mediates the effects of placebo-induced analgesia. This overlap in potential mechanisms may explain the lack of differentiation between traditional acupuncture and either non-traditional or sham acupuncture in multiple controlled clinical trials. We compared both short- and long-term effects of traditional Chinese acupuncture (TA) versus sham acupuncture (SA) treatment on in vivo MOR binding availability in chronic pain patients diagnosed with fibromyalgia (FM). Patients were randomized to receive either TA or SA treatment over the course of 4 weeks. Positron emission tomography (PET) with (11)C-carfentanil was performed once during the first treatment session and then repeated a month later following the eighth treatment. Acupuncture therapy evoked short-term increases in MOR binding potential, in multiple pain and sensory processing regions including the cingulate (dorsal and subgenual), insula, caudate, thalamus, and amygdala. Acupuncture therapy also evoked long-term increases in MOR binding potential in some of the same structures including the cingulate (dorsal and perigenual), caudate, and amygdala. These short- and long-term effects were absent in the sham group where small reductions were observed, an effect more consistent with previous placebo PET studies. Long-term increases in MOR BP following TA were also associated with greater reductions in clinical pain. These findings suggest that divergent MOR processes may mediate clinically relevant analgesic effects for acupuncture and sham acupuncture.

Boost your immunity and fight off the flu before it fights you!

With concern over the effectiveness and availability of the H1N1 and influenza immunizations, the best treatment to combat these viruses is prevention. Throughout the flu season, September-March, Jing Acupuncture is offering $25 acupuncture sessions designed to help keep you healthy through the fall and winter. It is the perfect introduction for those curious to learn about the benefits of acupuncture and for acupuncture veterans to have a mini-treatment added on to a regular session.

Don't forget to follow these tips:

Practice good hand hygiene by washing your hands with soap and water, especially after coughing and sneezing. Alcohol based hand cleaners are also effective but can be a bit harsh to the skin. Bath and Body Works has an excellent alcohol-free spray hand sanitizer that I love.

Practice respiratory etiquette by covering your mouth and nose with a tissue when you cough or sneeze. Avoid touching your eyes, nose, or mouth; germs are spread this way.

Know the signs and symptoms of the flu. A fever is a temperature that is equal to or greater than 100 degrees Fahrenheit. Look for signs of a fever if the person feels very warm, has a flushed appearance, or is sweating or shivering. Remember, if there is no fever, there is no flu!

Stay home if you have flu or flu like symptoms for at least 24 hours after you no longer have a fever; this should be determined without the use of fever reducing medications (medications that contain acetaminophen or ibuprofen). This is hard for a lot of people who feel they need to "fight through it," but taking the day off and getting good rest, hydration, and nourishment will not only speed your recovery, but will keep you from spreading your illness to friends, family, and colleges.

Boost your immunity and fight off the flu before it fights you!

With concern over the effectiveness and availability of the H1N1 and influenza immunizations, the best treatment to combat these viruses is prevention. Throughout the flu season, September-March, Jing Acupuncture is offering $25 acupuncture sessions designed to help keep you healthy through the fall and winter. It is the perfect introduction for those curious to learn about the benefits of acupuncture and for acupuncture veterans to have a mini-treatment added on to a regular session.

Don't forget to follow these tips:

Practice good hand hygiene by washing your hands with soap and water, especially after coughing and sneezing. Alcohol based hand cleaners are also effective but can be a bit harsh to the skin. Bath and Body Works has an excellent alcohol-free spray hand sanitizer that I love.

Practice respiratory etiquette by covering your mouth and nose with a tissue when you cough or sneeze. Avoid touching your eyes, nose, or mouth; germs are spread this way.

Know the signs and symptoms of the flu. A fever is a temperature that is equal to or greater than 100 degrees Fahrenheit. Look for signs of a fever if the person feels very warm, has a flushed appearance, or is sweating or shivering. Remember, if there is no fever, there is no flu!

Stay home if you have flu or flu like symptoms for at least 24 hours after you no longer have a fever; this should be determined without the use of fever reducing medications (medications that contain acetaminophen or ibuprofen). This is hard for a lot of people who feel they need to "fight through it," but taking the day off and getting good rest, hydration, and nourishment will not only speed your recovery, but will keep you from spreading your illness to friends, family, and colleges.

Acupuncture and Cancer

A couple of new studies have appeared concerning the effect of acupuncture treatment on breast cancer, ovarian cancer, and side effects of radiation or chemotherapy treatment. I am happy more of the studies are looking not just at sham acupuncture vs. real acupuncture vs. no acupuncture, but actually looking at the longevity of the therapies used. Here are a couple of abstracts:

Breast Cancer; New breast cancer research from J. Hervik and colleagues discussed

In a prospective, controlled trial, 59 women suffering from hot flashes following breast cancer surgery and adjuvant oestrogen-antagonist treatment (Tamoxifen) were randomized to either 10 weeks of traditional Chinese acupuncture or shamacupuncture (SA). Mean number of hot flashes at day and night were recorded prior to treatment, during the treatment period as well as during the 12 weeks following treatment. A validated health score (Kupperman index) was conducted at baseline, at the end of the treatment period and at 12 weeks following treatment. During the treatment period mean number of hot flashes at day and night was significantly reduced by 50 and almost 60%, respectively from baseline in the acupuncture group, and was further reduced by 30% both at day and night during the next 12 weeks. In the sham acupuncture group a significant reduction of 25% in hot flashes at day was seen during treatment, but was reversed during the following 12 weeks. The researchers concluded: "This treatment effect seems to coincide with a general health improvement measured with the validated Kupperman index."

Hervik and colleagues published the results of their research in Breast Cancer Research and Treatment (Acupuncture for the treatment of hot flashes in breast cancer patients, a randomized, controlled trial. Breast Cancer Research and Treatment, 2009;116(2):311-316).

Ovarian Cancer; New ovarian cancer research from W.D. Lu and colleagues discussed

A standardized acupuncture protocol was employed with manual and electrostimulation. The frequency of treatment was 2-3 times per week for a total of 10 sessions, starting 1 week before the second cycle of chemotherapy. The setting was two outpatient academic centers for patients with cancer. Twenty-one (21) newly diagnosed and recurrent ovarian cancer patients were the subjects. WBC count, ANC, and plasma granulocyte colony-stimulating factor (G-CSF) were assessed weekly. The median leukocyte value in the acupuncture arm at the first day of the third cycle of chemotherapy was significantly higher than in the control arm after adjusting for baseline value (8600 cells/mu L, range: 4800 12,000 versus 4400 cell/mu L, range: 2300-10,000) (p=0.046). The incidence of grade 2-4 leukopenia was less in the acupuncture arm than in the sham arm (30% versus 90%; p=0.02). However, the median leukocyte nadir, neutrophil nadir, and recovering ANC were all higher but not statistically significantly different (p=0.116-0.16), after adjusting for baseline differences. The researchers concluded: "A larger trial is warranted to more definitively determine the efficacy of acupuncture on clinically important outcomes of chemotherapy-induced neutropenia.."

Lu and colleagues published their study in the Journal of Alternative and Complementary Medicine (Acupuncture for Chemotherapy-Induced Neutropenia in Patients with Gynecologic Malignancies: A Pilot Randomized, Sham-Controlled Clinical Trial. Journal of Alternative and Complementary Medicine, 2009;15(7):745-753).

Acupuncture and Cancer

A couple of new studies have appeared concerning the effect of acupuncture treatment on breast cancer, ovarian cancer, and side effects of radiation or chemotherapy treatment. I am happy more of the studies are looking not just at sham acupuncture vs. real acupuncture vs. no acupuncture, but actually looking at the longevity of the therapies used. Here are a couple of abstracts:

Breast Cancer; New breast cancer research from J. Hervik and colleagues discussed

In a prospective, controlled trial, 59 women suffering from hot flashes following breast cancer surgery and adjuvant oestrogen-antagonist treatment (Tamoxifen) were randomized to either 10 weeks of traditional Chinese acupuncture or shamacupuncture (SA). Mean number of hot flashes at day and night were recorded prior to treatment, during the treatment period as well as during the 12 weeks following treatment. A validated health score (Kupperman index) was conducted at baseline, at the end of the treatment period and at 12 weeks following treatment. During the treatment period mean number of hot flashes at day and night was significantly reduced by 50 and almost 60%, respectively from baseline in the acupuncture group, and was further reduced by 30% both at day and night during the next 12 weeks. In the sham acupuncture group a significant reduction of 25% in hot flashes at day was seen during treatment, but was reversed during the following 12 weeks. The researchers concluded: "This treatment effect seems to coincide with a general health improvement measured with the validated Kupperman index."

Hervik and colleagues published the results of their research in Breast Cancer Research and Treatment (Acupuncture for the treatment of hot flashes in breast cancer patients, a randomized, controlled trial. Breast Cancer Research and Treatment, 2009;116(2):311-316).

Ovarian Cancer; New ovarian cancer research from W.D. Lu and colleagues discussed

A standardized acupuncture protocol was employed with manual and electrostimulation. The frequency of treatment was 2-3 times per week for a total of 10 sessions, starting 1 week before the second cycle of chemotherapy. The setting was two outpatient academic centers for patients with cancer. Twenty-one (21) newly diagnosed and recurrent ovarian cancer patients were the subjects. WBC count, ANC, and plasma granulocyte colony-stimulating factor (G-CSF) were assessed weekly. The median leukocyte value in the acupuncture arm at the first day of the third cycle of chemotherapy was significantly higher than in the control arm after adjusting for baseline value (8600 cells/mu L, range: 4800 12,000 versus 4400 cell/mu L, range: 2300-10,000) (p=0.046). The incidence of grade 2-4 leukopenia was less in the acupuncture arm than in the sham arm (30% versus 90%; p=0.02). However, the median leukocyte nadir, neutrophil nadir, and recovering ANC were all higher but not statistically significantly different (p=0.116-0.16), after adjusting for baseline differences. The researchers concluded: "A larger trial is warranted to more definitively determine the efficacy of acupuncture on clinically important outcomes of chemotherapy-induced neutropenia.."

Lu and colleagues published their study in the Journal of Alternative and Complementary Medicine (Acupuncture for Chemotherapy-Induced Neutropenia in Patients with Gynecologic Malignancies: A Pilot Randomized, Sham-Controlled Clinical Trial. Journal of Alternative and Complementary Medicine, 2009;15(7):745-753).