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Research Update: Acupuncture and postoperative nausea and vomiting

Postoperative nausea and vomiting, often caused by the body’s response to anesthesia, is a very common symptom. Depending on the severity, this can prolong a patient’s recovery time and the length of their hospital stay as well as cause complications to the surgery depending on the type and extent of nutrient-depletion caused by the vomiting.

Medications aimed at treating nausea are expensive and can cause side effects of their own, but a growing body of research is showing acupuncture can be an effective alternative.

A 2013 report published in the Public Library of Sciences measured the efficacy of acupuncture in treating postoperative nausea and vomiting by statistically analyzing the results from over 1200 patients. Acupuncture was determined to be a safe, efficient and economic prevention and treatment method.

In 2017, a study published by the National Institutes of Health looked at the effectiveness of the specific acupuncture point, P6, in treating postoperative nausea and vomiting for women after gynecological surgeries. In the study, 47 women were given a wristband that applied pressure to P6 during the first 12 hours after their operation. Fifty other women, the control group, were given traditional nausea medication during and after their operation.

The study found the wristbands were effective in preventing vomiting, and even more effective in significantly reducing the intensity of the nausea the women experienced. The researchers concluded wristband P6 acupressure application is an excellent alternative to pharmaceutical methods of treatment.

Other studies have shown acupuncture is effective in treating nausea caused by chemotherapy, gag-reflexes induced during dental work that can limit the ability of dentists to provide care, and morning sickness during the beginning of a woman’s pregnancy term.

Acupuncture and acupressure are natural methods of treating nausea, allowing people to limit the amount of pharmaceuticals entering their system, which can be especially beneficial in the case of postoperative care or chemotherapy, where the body is already being bombarded with synthetic drugs. With acupuncture, patients can avoid complicating their health by introducing further side effects that can arise from synthetic drug use.

Acupuncture can also be done in conjunction with Western treatments, which can reduce the dosage of pharmaceuticals a patient needs and provide even better overall results. Acupuncture is also often used as part of a multifaceted treatment plan that can include Chinese herbal tonics and exercise or movement plans. Traditional Chinese Medicine, TCM, often employs these three practices together to get the best results. Traditional Chinese medical thought looks at the body holistically, and therefore addresses ailments holistically, treating the root problem instead of just the presenting symptoms.

By learning more about the uses and availability of acupuncture, you can make personalized decisions about your healthcare should you find yourself in one of these circumstances. If you would like to learn more, or to seek treatment for yourself or a loved one, contact a licensed acupuncturist in your region.

 

https://www.healthcmi.com/AcupunctureContinuingEducationNews/1742-acupuncturebeatsdrugforindigestionrelief

 

https://www.ncbi.nlm.nih.gov/pubmed/30449440

 

 

 

Patient Help Sheet – Acupuncture for IBS

Irritable bowel syndrome, or IBS, is the most common functional gastrointestinal disorder in the world. Although gastroenterologists diagnose IBS frequently, many people don’t even recognize the symptoms. Symptoms may include pain in the abdomen, change in bowel habits, constipation, diarrhea, indigestion, nausea, excessive gas, abdominal cramping and loss of appetite.

This is where Traditional Chinese Medicine (TCM) can help. TCM treats every individual holistically, taking into account their well-being, both physically and psychologically. TCM incorporates many different modalities to treat a patient, but the most common are acupuncture, Chinese herbs and nutrition.

Acupuncture for IBS:  In TCM, the spleen, liver and gallbladder all play vital roles in gastrointestinal health. The spleen is in charge of digestion and stress, which weakens the energy of the spleen and can then lead to disharmony of the gastrointestinal tract.  The liver keeps all the energy in the body flowing smoothly. Stress also affects the liver and can lead to liver Qi (pronounced “chee”) stagnation. Qi is the equivalent of energy.  The gallbladder is the sister organ of the liver, and it often gets involved too. When treating IBS, a licensed acupuncturist will address any imbalances in these three energetic systems, while also treating any other underlying issues. Things like excess heat and dampness will be removed from the body through the use of acupuncture.  These two manifestations are the primary causes of IBS according to TCM.

Acupuncture Points for IBS:

  • Large Intestine 4 – This point is located on the back of the hand bilaterally, between the thumb and forefinger, where the mound of flesh is the thickest. Large intestine 4 is the source point for the large intestine channel and it is great for aiding in digestive disorders.
  • Stomach 25 – Found bilaterally on either side of the belly button, about 2 thumb widths away from the center of the navel. This point helps move abdominal blood, which can alleviate gastrointestinal disorders.
  • Ren 6 – Located 2 finger widths below the belly button on the midline of the body, this point strengthens the large intestine and helps relieve constipation and abdominal cramping.

Chinese Formulas for IBS:

Another integral part of TCM is the use of herbs and herbal formulas. Many times the herbs can be used alone, but there is more of a synergistic effect when the single herbs are combined to make a formula. One formula used frequently is Tong Xie Yao Fang, which includes herbs that smooth the disharmony between the liver and spleen, such as Chen Pi and Bai Zhu. Another popular formula used to treat the damp heat form of IBS is Ma Zi Ren Wan. This formula contains Ma Zi Ren and Xing Ren, which help drain damp heat from the intestines.

Dietary Recommendations for IBS:

Nutrition, the third leg of TCM treatments, is very important in the treatment of IBS.  Most people who suffer from IBS need to increase their intake of fiber. So foods like bananas, almonds, blueberries and avocados are all great choices. It is also recommended to avoid excessive gluten intake. Gluten is found in most breads and pastas. For some, gluten needs to be eliminated altogether. Processed, greasy and fried foods are also not good choices for IBS sufferers, as they disrupt the gut microbiome and are hard to digest.

Seeking help from a locally licensed acupuncturist is a great way to handle IBS. Traditional Chinese Medicine can guide you along the path to wellness and can work cooperatively with your gastroenterologist’s regimen to give you the best chance of success.

 

 

 

 

Research Update: Acupuncture and Pain Management

A study published in the Annals of Internal Medicine examined how acupuncture can be used to treat low back pain. The researchers looked at multiple trials to determine that acupuncture shows great promise in relieving chronic low back pain. The trials were inconclusive about acupuncture for acute low back pain. Since chronic low back pain is more common, it makes sense the majority of the trials scrutinized found more evidence to support acupuncture usage for this condition.

Pain affects everybody at some point in their lives. It may be either acute or chronic.  But regardless of the type of pain, it can be debilitating. According to the National Center for Health Statistics, nearly 100 million Americans have suffered from pain that lasts more than 24 hours and millions more suffer from acute pain. Chronic pain is the most common cause of long-term disability in the United States also, which ultimately affects not only the pain sufferer, but also those around him or her.

Many people go to see their regular doctor when they have pain. Many more go to the emergency room. But the treatments received don’t always provide relief. Everything from pain pills to surgery may be suggested to help pain sufferers. And because of over-prescription of pain medications, there is now an epidemic in the United States.  Opioids, one class of prescription painkillers, has turned into a legitimate killer, causing more and more people to overdose and die. According to the National Institute on Drug Abuse, it is estimated that nearly 2.1 million people in the U.S. are suffering from substance abuse disorders directly related to opioid pain relievers.

This is where acupuncture comes in. Acupuncture is part of a nearly 3,000 year old medical system known as Traditional Chinese Medicine. Acupuncture uses hair-thin needles to stimulate specific pressure points on the body. By invigorating these points, the brain is triggered to release endorphins, which are natural painkillers. The energy within the body is also moved and adjusted. According to TCM medical theory, when the energy is blocked or weak, then pain and illness can attack the body.

One of the advantages of utilizing acupuncture to treat pain is the acupuncturist doesn’t need to diagnose the cause of the pain before treating it. Since acupuncture has no real adverse side effects when performed by a qualified and professionally licensed practitioner, pain relief can begin the very first time a patient is treated.

The treatments are very customizable because this medicine is not a “one size fits all” type of solution. This means that as the pain shifts and changes, the patient will receive customized treatments that not only address the pain and inflammation, but they also work on resolving the root of the problem. Most patients who are dealing with pain also have added stress, insomnia and depression or anxiety. Acupuncture is great at treating all of these conditions. So the patient gets more than just pain relief.

Acupuncture is so effective at treating and relieving pain now showing up in hospitals and emergency rooms. In fact, Abbott Northwestern Hospital in Minneapolis, Minnesota is now successfully using acupuncture in its emergency room to treat conditions ranging from car accident injuries to kidney stones. Their initial results show pain scores are just as low with acupuncture as they are with those given analgesic painkillers. Another positive action regarding the utilization of acupuncture came just recently. The Food and Drug Administration released proposed changes that plan to educate health care providers about treating pain. The new guidelines recommend doctors get information about acupuncture and suggest it to their patients before prescribing opioids.

With these kinds of recommendations and testimonials, it is hard to believe only about 10 percent of Americans have ever tried acupuncture. But that statistic is slowly changing as more and more people are seeking natural and alternative methods of dealing with pain and disease. Why not check it out for yourself? Contact me to find out more information.

SOURCE: http://annals.org/aim/articleabstract/718336/metaanalysisacupuncturelowbackpain

Research Update: Acupuncture and Migraines

In a 2017 study published in JAMA Internal Medicine, researchers tested the efficacy of regular acupuncture treatments as a preventative measure to reduce the number of migraine headaches their subjects experienced. From a group of 249 participants, ages 18 – 65 years old, the researchers split up the participants into three groups. One group received verified acupuncture once a day for four weeks, one group received so-called “scam acupuncture” during that time and one group was told they had been placed on a waiting list and would receive free acupuncture eventually.

The group that received regular true acupuncture treatments experienced a significant reduction in the number of migraines they experienced compared with members of the other two groups. Researchers also conducted follow-up interviews with all participants for 24 weeks after the treatment ended and found the frequency of migraines, the number of days people had a migraine and the intensity of the pain of those migraines were significantly lower for the group that had true acupuncture treatments than for those in each of the other groups. This study suggests acupuncture can be a powerful preventative measure for migraine headaches as well as a method of reducing the intensity of migraine pain.

In Western medical circles, the jury is still out on the cause of migraines, but doctors largely agree on a few of the factors that can contribute. Many researchers and doctors believe migraines involve some kind of inflammatory response by the body. Acupuncture is often used to manage inflammation in the body. Some researchers have suggested a connection between serotonin production and migraines. Acupuncture can be used to balance serotonin production in the body, thus helping to prevent a migraine from developing. Pain, including migraines, is often connected to reduced blood circulation in the body, which can also be restored through acupuncture.

To be most effective, acupuncture is often combined with herbal medicine and prescribed exercises, such as Tai Chi. Some common herbs, easily found in Western grocery stores, have also historically been used to address headaches. Ginger, peppermint, coriander seed, caffeine and rosemary all have headache-mediating properties. None of these herbs or roots are proven to prevent headaches on their own, however. If you’re curious, contact a licensed acupuncturist for a personalized prescription based on your symptoms.

Overall, acupuncture and Traditional Chinese Medicine seek to address the causes of pain and migraines rather than medicating their symptoms. By reducing inflammation, balancing serotonin production and increasing blood flow, regular acupuncture can help prevent migraines and mitigate their intensity. If you or someone you know suffers from regular migraine headaches, maybe acupuncture can help them! Contact a licensed acupuncturist in your area for more information.

Study: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2603492

 

How Can Meditation Help Me?

Life is full of ups and downs. And everybody tends to get overwhelmed at times. But there are many ways of dealing with what happens. Some people go to the gym to workout. Others meet up with friends and enjoy a nice meal with lots of conversation.  But sometimes it comes down to what we can do by ourselves, for ourselves. Many things are beyond our control. However, we can take responsibility for the state of our mind and meditation is a wonderful tool that helps us do that.

Meditation has been around for millennia. The earliest written records of meditation come from the Hindu traditions around 1500 BCE. Other forms of meditation developed in Taoist China and Buddhist India around the sixth and fifth centuries.  The exact origins are subject to debate. But regardless of the origin, meditation practices have stood the test of time and are used all over the world.

Meditation is a way to transform the mind. Meditation practices can increase concentration, emotional positivity, clarity and a sense of calmness. Meditation can also give us the ability to see the true nature of things around us. There are many different forms of meditation, but they all have the same purpose, to calm the mind and help us find our center. When we engage in a particular form of meditation, we learn the habits and patterns of our minds and then we can actually change old habits.

Scientific research tends to focus on two types of meditation, mindful meditation and focused-attention meditation. Through the use of MRIs, scientists have developed a more thorough understanding of what actually takes place in our brains when we meditate. The most dramatic effect is that our brains stop processing information like they normally would. The frontal lobe, which is responsible for reasoning, planning, emotions and self-consciousness, tends to stop functioning during meditation. The parietal lobe, which processes sensory information, slows down. The thalamus, which is the area that focuses our attention by interpreting sensory information, actually shows a slowing of incoming information. So all of these things combined, allows our brains to relax.

Meditation is a practice of focusing our attention and being aware of when it meanders and because of this, meditation can improve our focus when we are not meditating also.  It’s a lasting effect that comes from regular meditation practices.

Another positive effect of meditation is that it allows us to have less anxiety and stress.  The more we meditate, the looser the connections of certain neural pathways become.  The area of the brain that triggers strong reactions becomes less “tight” and in contrast, the frontal lobe strengthens, allowing us to more easily look at things rationally.  For example, sometimes when we experience pain, our minds go to the worst possible scenario and we become anxious. The more a person meditates, the more rational their thinking becomes and thus the feelings of anxiety decrease.

Probably the most studied benefit of meditation is compassion. People who practice meditation regularly have been shown to have more empathy. The part of the brain that processes emotional stimuli, the amygdala, normally slows down during meditation. But just like the aforementioned lasting effects of meditation, compassion and empathy are also affected long-term. Thus those who practice regular meditation tend to look at others differently and show them more understanding and compassion.

Memory is another area that is helped through the regular practice of meditation.  Studies have shown that those who meditate are able to adjust the brain waves that screen our distractions and therefore increase their productivity. Part of this is because meditation actually increases the amount of grey matter in the brain. The greater the amount of grey matter, the more positive the emotions, the less age-related diseases affect us and the less our cognitive functioning decreases.

Over time, meditation can greatly improve the quality of life in numerous ways.  Researching the different forms of meditation is the best way to get started. Try as many as possible and go with the one that resonates best with you. Your body will definitely thank you.

 

 

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