Re: Acupuncture
Chiming in late and trying to ignore some of the things posted because my reply would be pages long. Yrs ago I worked in a large teaching hospital in Boston. They had some pts on my floor who were part of an acupuncture study. The results were incredible. The medical staff, including the attending, residents and PT were all in agreement that for the thing they were studying the results were amazing.
Cool. They should publish the results to share these findings with the rest of the world. I am not trying to be particularly mean but you should know this type of thing convinces only the credulous in the medical field.
Anecdotally I have seen some improbable results with acupuncture treatment, some of my patients have had great relief from treatment after failing other methods. Many of the patients I see who have had acupuncture do not think they are 'cured'. They do feel better overall and more able to handle the sx they are experiencing.
Largely, an anecdote is worthless with regards to advancing knowledge. It can be useful to illustrate a point, among other things, but if someone were to use an anecdote to justify a treatment during rounds you **** well better duck because the attending (if he or she is worth their salt) will come swinging.
Of course the studies I have read over the yrs may have been 'greatly flawed' but it is my understanding they have found increase levels of endorphins and cortisol when the person is treated correctly. They have found that correct placement of needles causes the micro-electric currents in the fascia to alter. This last bit of info was imparted at a MEDICAL conference by a medical Dr. who was not pushing acupuncture at all.
Medical doctors are just as susceptible to confirmation biases and human shortcomings. We overcome this largely with the scientific method.
It is telling that this was at a conference. This is not peer reviewed. I have heard much bull**** at a "MEDICAL conference by a medical Dr." Publish it. Let others critique it, replicate it, and build on it.
I have read most every major paper on acupuncture over the last decade. I, and others, have made these conclusions. Please let me know which you disagree with and if possible, provide a paper, review article or expert opinion.
1. There is no convincing evidence that meridians exist. When acupuncture has an effect, it does not correlate to any particular belief system in acupuncture and the needle location does not make a difference.
2. The better one controls the study, the less of effect one sees
3. Acupuncture works best on subjective metrics like pain and feelings of shortness of breath but fails to provide objective improvement in areas like pulmonary function tests
4. In some studies, it does not even matter if acupuncture needles are inserted at all, the effect is still seen. Toothpicks work better than acupuncture for lower back pain.
Reference: Arch Intern Med. 2009;169(9):858-866 A Randomized Trial Comparing Acupuncture, Simulated Acupuncture, and Usual Care for Chronic Low Back Pain
I have never told a patient they will be cured. The acupuncturists in our community are very careful to tell patients they can't cure everything and have the list generated by the WHO regarding when acupuncture would be appropriate. They also will tell people they are not a replacement for medical care.
I have a hard time giving blanket dismissal of 'alternative' medicine practices. In every discipline you are going to have charlatans and great practitioners. Anyone that says they are going to cure you, no problem, should be scary what ever their title.
I do not have a blanket dismissal of alternative medicine. I find it fascinating. I read about it in my spare time and I know a fair bit about most types. I do, however, require evidence. I agree every discipline has charlatans and great practitioners but solid evidence is a **** good way to determine the difference.