Because it occurs when the median nerve gets entrapped, researchers can actually measure the transmission rate of an impulse sent across the wrist and determine whether a given treatment improves that rate. And to further make the case, participants who had needles inserted right at the wrist did indeed improve even more than those who received distal needle acupuncture. The nerve damage in the wrist creates a sort of blurring in the brain in terms of its ability to process signals from the hand.
But a study in the New England Journal of Surgery studied three groups of knee osteoarthritis patients: one group underwent the arthroscopic lavage procedure, another did the saline, and a third underwent a sham surgery—doctors essentially made an incision and then stitched the person back up.
And yet, NICE lists both of the procedures examined in the study as recommended therapies for knee osteoarthritis. In many scientific studies, something known as a P value tells us that a relationship is statistically significant—that is, that aspirin might fight heart disease, or cheese makes us happy.
The Effect Size is the magnitude of the difference between the two groups— how happy does cheese make you? The researchers ask a simple question: if most of the recommended treatments fail to meet this threshold, why is acupuncture excluded while arguably more invasive procedures are included?
You are just not going to get the same experience from someone who only had a quarter of the training. I often see this with elderly patients who identify with their disease. They are so used to identifying as their disease that it is all they know how to be. Many people find this to be a problem when they begin to see results, they are almost afraid of who they might be without their illness.
Many people also have emotional things preventing them from getting better. Whether people realize it or not, the mind and body are connected. If you are someone who is always in pain with no real answer as to why, this might be the cause. Many people experience symptoms like this: vivid dreams, menstrual cramps and clots, pain, headaches and depending on the type of emotions, colds, asthma and cough.
I always tell patients to find a way to release their emotions: journaling, running, walking, screaming, crying, singing. Whatever makes the patient feel their best and releases all that emotion is what is going to help them in the long run. Now listen, I have had patients that were skeptical when they came in and easily made them see the magic and beauty of acupuncture, but they wanted to be there and they wanted to get better.
I always remember the story my professor told me about the couple he had coming in. The woman wanted her husband to come in and he wanted no part of it. He came in, barely answered any questions and expected a miracle. Going back to what we just said in the last bullet point, mind matters. This one is so important! People often think that just because I am an acupuncturist I hate all kinds of western medicine and pharmacology. That is not true at all! One example of this is the reduction of caffeine, sugar and alcohol in menopausal symptoms.
Those that rejoice in great improvement, quickly start to go back to their previous lifestyle and symptoms return. Acupuncture may not be the treatment for you. Acupuncture is absolutely magical, but it's not always the answer. For example, if the patient is seeking help for weight gain, they are consuming takeaways for breakfast lunch and dinner then acupuncture might not be my number one choice.
Seeking a dietician or nutritionalist may be a preferred approach. Acupuncture may help here with cravings, and even recognise and help with the desire to self sabotage. You went back to the situation that caused the issue in the first place. In some instances, it can be very clear what caused someones presenting main complaint.
If we manage to reduce the pain and the patient then returns to that initial activity such as excessive weight lifting , you may experience a return of the main complaint. Another example could be the distress of somebody leaving an abusive relationship. Acupuncture could help to reduce anxiety and support the person in finding their confidence once more.
If the patient then returns back to the abusive relationship, you may then see a return of anxiety and distress. Acupuncture has its limitations as with every modality, there are short falls in every system of medicine which is why there are many different practices of medicine and healing. There is no panacea, but for many acupuncture can provide relief from troubling symptoms.
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