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Sunday, September 21, 2008

About Acupuncture

This material has been forwarded to me, with author unknown:

If there is one area that acupuncture can claim to have an effect it's in pain relief. Although most evidence supporting acupuncture can be dismissed as anecdotal, trials have been done where acupuncture does show a pain relieving effect above placebo. The effect is not large, of the same magnitude as taking Aspirin or Ibuprofen, but nonetheless it's there and cannot be ignored. That's not to say that there are not problems with such claims however. Pain is an entirely subjective experience; it cannot be directly measured and the severity felt depends to a large extent on the patient's state of mind; which can be influenced by the practitioner giving the treatment. This leads on to the problem of blinding procedures with acupuncture. The practitioner is always aware of whether he's giving real or sham acupuncture and which patients he's giving them to. The pain relief effect does seem to exist; however, it's not clear whether it's a real effect of acupuncture or a strong placebo effect that's induced in the patient by the elaborate procedure of an acupuncture treatment.

Possible problems: Hematoma may result from the accidental puncture of a circulatory structure. Nerve injury can result from the accidental puncture of any nerve. Brain damage or stroke is possible with very deep needling at the base of skull. Also rare, but possible, is pneumothorax from deep needling into the lung, and kidney damage from deep needling in the lower back. Needles that are not properly sterilized can transfer diseases such as HIV and hepatitis. There is also the danger, common to all alternative therapies, of not seeking proper medical treatment because of an over reliance on alternatives. Most acupuncturists are not doctors and will not have the capability of diagnosing a serious illness from its typical symptoms.
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