Monday, February 15, 2010

Acupuncture for TMD & Chronic Pain

When you’re suffering from TMJ pain or a full-blown TM Joint Disorder (TMD), with its tangle of head, face, jaw, neck and shoulder pain, getting rid of that pain is always the first priority. Ideally, this is accompanied by treatment of what’s causing the pain so that it stops.

The easiest thing to do, of course, is to take drugs to mask the pain, but this measure is stop-gap at best, potentially expensive and not conducive to true health. Consequently, a good number of people opt not to go that route and instead turn to any number of nontoxic therapies for pain-reduction.

One of the most commonly used is acupuncture, which is the focus of a new study in the Journal of Alternative and Complementary Medicine. For it, researchers reviewed studies in four different databases, selecting only those studies published in scientific journals between 1997 and 2008 that used randomized controlled trials, acupuncture treatment and subjects with TMD of muscular origin. Four studies were found to be acceptable, and of those, three demonstrated “short-term improvement of TMD signs and symptoms of muscular origin.” The remaining study showed no significant difference between acupuncture and sham treatment.

These are promising results, but of course limited, both in terms of understanding acupuncture’s long-term effects and the relative lack of research.

Clearly, more work needs to be done in this area, even as other research continues to provide evidence that acupuncture can be an effective treatment for all sorts of pain.

For instance, another recent meta-analysis – this one published in Pain Practice – reviewed eight eligible studies published between 2003 and 2008 on acupuncture for chronic pain. The authors found that

For short-term outcomes, acupuncture showed significant superiority over sham for back pain, knee pain, and headache. For longer-term outcomes (6 to12 months), acupuncture was significantly more effective for knee pain and tension-type headache but inconsistent for back pain (one positive and one inconclusive). In general, effect sizes (standardized mean differences) were found to be relatively small.

Thus, they conclude that, “The accumulating evidence from recent reviews suggests that acupuncture is more than a placebo for commonly occurring chronic pain conditions. If this conclusion is correct, then we ask the question: is it now time to shift research priorities away from asking placebo-related questions and shift toward asking more practical questions…?”

In light of this, as well as other exciting research showing the effects of acupuncture on the brain – specifically, those areas that process pain – we say, “Absolutely.”

 

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[Via http://drvee.wordpress.com]

Friday, February 5, 2010

How did your internship in China influence your practice?

As the first American to study at the Xi Yuan Hospital in Beijing, I was honored to be mentored by some of China’s most experienced doctors.   I  worked in a setting where Chinese Medicine and Western Medicine were integrated and serious conditions were effectively treated with acupuncture and herbal medicine in the hospital setting.  Today in my clinic I still draw on the wisdom and practical tips from my teachers in China. A favorite line of one of my teachers was, “One disease, long life.  No disease, short life,”  that is, it usually takes an illness for people to learn good self-care which is essential for longevity.

[Via http://acucenter.wordpress.com]

Wednesday, February 3, 2010

Wednesday, February 3, 2010

Wednesday, February 3, 2010

Waning Moon

Mars Retrograde

Snowy and cold

We had about four inches of snow overnight. The roads look pretty clear, so I think I can hold on to my original intent to go to Greenwich Library after lunch to do some research.

Linkage stuff to share: My SDR blog is up “The Intersection of Life and Fiction.” The new issue of THE SCRUFFY DOG REVIEW is out, with my Literary Athlete column on workshops. Kim Smith kindly awarded me a “Prolific Blogger” award last week, and I haven’t had the chance to pay it forward, although I plan to in the next few days.

Acupuncture was great yesterday, and I felt so much better once I was done. Driving to and from Long Island wasn’t all that bad, either.

The writing went very well, so that was a relief. Switching between the long WIP I’ve been working on (tentatively titled POWER OF WORDS) and the dark piece (REDEMPTION KILL) works because they’re very different, and yet, they feed off each other in a weird way. Hey, I’m not going to argue, I’m just going to roll with it.

Two very interesting and different conversations yesterday re: scriptwriting jobs for which I’d pitched. The first really liked my samples, but they need someone local (in LA) to be on-site doing topical revisions — it’s the monologue for a small, daily show. They hired someone to fit that, but wanted to talk to me anyway about future projects. They’re in negotiations for a development deal for some scripted web projects, and wanted to know if they could keep me on file and contact me if and when they had funding for something like that. That project could be done mostly remotely, but, if and when they needed me present, they’d also have the funds to bring me out west as needed, whereas this project doesn’t have the budget. Everything’s an “if”, but they came across as having integrity, and should the opportunity come up, I think we’d work together well. If the opportunity doesn’t come up, at least we had a good talk! ;)

The second conversation was more typical. They like the samples, but wanted me to write a project-specific script for them to “help them make their decision.” Without pay. I refused. I said I’d write a partial at a specially-negotiated rate, but I don’t do free project-specific samples. I know that road — the “employer” sends out different “samples” to different individuals, tells everyone they’ve hired someone else and gets the whole project for free, not paying anyone. I didn’t just fall off the turnip truck. They also said that, although, in the ad, they’d listed a per-script rate (which I found acceptable but not brilliant), they’d decided that was the rate they were paying for ALL the scripts, not just one. I said no, thank you. These are NOT people I’d want to work with in the future.

So, I watched the premiere of LOST’s final season. I didn’t watch the narrated pre-show explanation — I stand by my belief that if you have to keep explaining things, you’re not telling the story well. I enjoyed seeing old, familiar faces from the first season, the season I liked. I enjoyed the scenes from “the plane didn’t crash” section. I see where they’re going with the rest of it, and I’m just sighing and shaking my head. As I’ve said frequently when I’ve dipped into it once I stopped watching regularly, I enjoy the scene work, but not the overall arc, and I don’t trust the creators to lead me on a fulfilling journey. I’m glad the show gets the support it does, it is truly innovative on so many levels, and I’m glad so many people are fanatically loyal to it — that helps everyone creatively, the show’s creators, the writers, the actors — and, once the knock-offs run out of steam, will hopefully open the door to more innovation. But LOST lost me at the top of Season 3 and never won me back. It’s really well done, and, in spite of it, I feel like they’re over-manipulating the audience. To me, that’s a turn-off. I’ll probably watch it here and there over the coming weeks, and I want to see the series finale to see if my speculations are correct. But I’m certainly not planning my week around it.

Imbolc ritual was lovely, honoring the stirring of what is to come.

Good first writing session this morning. The word count is low, but I’m writing a scene that’s both physically and emotionally complex and I’d rather take my time with it than rush through it. It’s pivotal to the rest of the book, so I’d rather get it mostly right (there’s always room for improvements during revision) than rush through it, blow it, and then not have built a strong foundation for the rest of the piece.

Back to the page for a bit, and then I’m headed off to the library.

Devon

[Via http://devonellington.wordpress.com]

Monday, February 1, 2010

Exercise, Nutrition & Needles - not sewing ones

I ordered an exercise bike on Thursday which arrived on Saturday. Last night I unpacked it and the very last bit I got out which was the main part looked like it had been charged by a rhino. The company are sending me a new casing and in the meantime I’m going to put the rest of it together to see if it works because I need to get this fat shifting.

I have received from the nurse at Myeloma UK a couple of leaflets on stretching and strengthening exercises for people with Myeloma. They are really good but a little basic compared to the Oxygen magazine I subscribe too but then I thought well they were probably originally designed with an older age group in mind and I need to consider my collapsed vertebra (just the one fortunately) so maybe no handstands yet. The professor we meet re the stem cell transplant said no lower body exercises, that walking or cycling should be enough but I really liked doing squats and I don’t think I’m yet ready to part with my 7ft barbell. Don’t tell hubby I’m even thinking about the barbell.

I’ve started going back to an acupuncturist. I went when my back problem was thought to be muscular. And am going to try eating from a ‘Traditional Chinese Food Energetics’ viewpoint to improve my overall health. We had a very nice lamb dish yesterday which would benefit my Qi, Blood, Spleen and Kidney. I’m not going to even pretend I know how it works but apparently it does (10 squillion Chinese can’t be wrong).

When I fell off my bike two years ago and needed nine stitches under my knee we were chatting with the orthopaedic surgeon who stitched me up (Eleanor). (The A&E doctor wouldn’t do it and wanted someone from plastics obviously thinking I had very attractive knees.) Anyway whilst we were chatting we got onto the subject of alternative therapies and Eleanor was saying that acupuncture is one that western medicine has proven scientifically to work but doesn’t know how. So that’s good enough for me.

I also need to eat better because I am becoming a small round pudding. I got on the scales last night and I am 64kg. I have bought (on ebay auction) a dress mannequin to photograph my seductively draped scarves on for my etsy shop and also to make clothes. I did not get an adjustable one but a fixed one – 36 26 36 because they look better and are cheaper AND as I am currently (I can’t believe I am going to put my current measurements in hard print but figure it will shame me into action) 39.5 34 39!!!!!!!!!!!!!!!!!!!!!

[Via http://feresaknit.wordpress.com]

Wednesday, January 27, 2010

Battlefield Acupuncture

WTF?

First, let me say that I am not a huge believer in the healing power of acupuncture.  I believe there is a significant placebo effect associated with acupuncture, and I know that some people who believe in the power of acupuncture report relief from some disease symptoms after receiving acupuncture.  But, not having read the medical literature myself I can’t gripe too loudly about the practice’s shortcomings.  I’ll leave that to others at SBM, Whats the Harm, JREF, Quackwatch, Lay Scientist, etc.

But you know what’s fun?  If you start to write a google search “Acupuncture is…”, you’ll get “scam” and “bullshit” before “effective” and “safe”.

In a recent study, acupuncture did not fair any better than the placebo treatments(1).  Therefore (according to this study), acupuncture does not work…at least in the sense that acupuncture proponents are trying to explain it.  But fine…I like to pay exorbitant amounts of money to have people touch me all over my body (I refer to the ancient art of massage, of course.  Not the ancient art of…nevermind), and if you want to pay someone to poke you with needles because you think it makes you feel better, who am I to judge?

But I get offended when a sleaze ball practitioner claims that acupuncture can do more for you than makes sense.  And when those sleaze balls influence really sick people to choose acupuncture as an alternative to traditional, proven medication or medical supervision, really bad things can happen.  AIDS can not be cured by acupuncture.  However, Hepatitis B infection can be spread by poorly administered acupuncture.

And now Battlefield Acupuncture.  I heard about battlefield acupuncture being used to treat wound pain on Mark Crislip’s Quackcast, episode 41.  Why acupuncture, when one has a perfectly legitimate excuse to get morphine…?  If you’ve just lost your legs, do you really need to worry about keeping a clear head?  When I was browsing around the interwebs in a completely random, uncontrolled, google-ish way for more information I found a fictional scenario of battlefield acupuncture being administered in the field, written by Dr. David Gorski in 2008 for science-based medicine.  He follows that up with a nice review of the information available at the time.  Take it away, Dr. Gorski!

But acupuncture isn’t just for the battlefield!  With Wounded Warrior Acupuncture (WWA), our  honored veterans can take advantage of acupuncture to treat conditions not limited to back pain, neck pain, joint pain, neuropathies, post-traumatic stress disorders (PTSD), insomnia, anxiety, depression, brain injuries, phantom limb pain, etc.  Of course in the next paragraph, WWA is quick to point out that “our treatment is in no way intended as a replacement for medical care. WWA can be used as a complementary therapy or used as a stand-alone treatment for certain mild to moderate conditions.”  Yes folks, mild-to-moderate conditions such as PTSD and associated illnesses.  As long as your problem isn’t too problematic, we can take a stab at it (ha!).  No gain, no foul, right?

(1) “A Randomized Trial Comparing Acupuncture, Simulated Acupuncture, and Usual Care for Chronic Low Back Pain” Arch Intern Med. 2009;169(9):858-866  See Respectful Insolence for a very good write up of this study and the hype surrounding it.

[Via http://biodork.wordpress.com]

Monday, January 25, 2010

Spring in Winter

Now today is a spring like day! In the 60s and warm and sunny with a brisk wind. Last night the wind blew in a short storm and we could hear it blowing around the corners of the house. If this weather keeps up then I will have to go and weed my garden. This is a very warm winter and February better bring us back to winter weather and fast. For now relish the warmth and thin sunlight while it is here.

I now have four items on Etsy and hope in the four months I have that I will sell something. My beloved husband believes I should be selling thousands of dollars worth of cabochons and collage packs. I can’t thank him enough for believing in me. And then there is a Dear Friend that has spent hours on the phone and IMing trying to help me when the computer goes funny. Everyone needs some support structure and If you start your own business all by your own lonesome then hope to God you have a dog or cactus to talk to. I have checked my sight for miss spellings and to make sure the pictures look right. I made a light drum to show the transparency of the cabs and the best part is that you cant see how jury rigged it really is when you look at the picture.

I have a writers group every two weeks and I would like to say that you have never met a more talented group of people determined to get published. We read a new page or chapter every meeting and this forces us to write or to correct our stories . You have to keep righting and you have to keep working on a home business. Yesterday I created a sales ledger and put two more items up on the shop. Writers can have a hard time. Not only do you have to be good but to get published you have to rewrite your story and be told about your mistakes repeatedly. At least art is objective. (And yes I understand that Artists have it tough too. But today I am sympathizing with my fellow unpublished writers.)

I just went to my acupuncturist today and would like to sing the praises of TRADITIONALLY trained from China Acupuncturists: We love You!! For all of us in pain and with sleepless nights tired of swilling pain killers, you doctors are wonderful. And a thousand thanks to my beloved’s buddy that told him about acupuncture. And if you say “Oh no I’m scared of needles.” They aren’t really needles they are pins. Hey, I tend to get squeamy around needles and I fall asleep on the acupuncture table.

If you are down here in the South East, enjoy the warm weather for a while. Rocks and Sun to everyone.

[Via http://earthsbones.wordpress.com]

Friday, January 15, 2010

Portsmouth Drug Interventions Programmes

The Portsmouth Drug Intervention Programmes webpage contains good info on many available addiction services and I found most of this info there There is also wide range of other addiction access points, advocacy and other services not specifically ACT based.

ACTinAddiction is available at:

Baytrees residential detoxification unit:

St James’ Hospital

Locksway Road

Portsmouth PO4 8LD

Tel: 023 9268 3370

Fax: 023 9268 3389

Kingsway House

130 Elm Grove

Southsea

Portsmouth P05 1LR,

Tel: 02392 291607

* also offer an ACT for Anxiety course.

Cranstoun CDA

67 Kingston Road

Portsmouth P05 1LR,

Tel: 02392 291607

* run an Open Access Service which is based at Fratton Community Centre.  Yoga classes 1.30pm to 3. Also offers acupuncture and many other services.

PUSH OFFICES

157 Elm Grove

Southsea

Hampshire

PO5 1LJ

Tel: 02392 297 364

Mobile: 07847 176 933

Email: info@pushingchange.org

** Best first point of reference for anyone.

PUSH is a user self help organization, offering advocacy and support services.

E’s up

130 Elm Grove

Southsea

PO5 1LR.

023 9282 5140 (there is a confidential answer phone outside normal office hours)

A users support organisation, for under 19’s.

PS. John Pounds Centre in Portsea have a great gym and various other health classes including Kung Fu, aerobics and Kundalini yoga.

[Via http://actinaddiction.wordpress.com]