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Showing posts with label difficult. Show all posts
Showing posts with label difficult. Show all posts

Monday, July 4, 2011

Spine Acupuncture for chest pain

The pain of the thoracic spine is sometimes difficult to help than the rest of backache. Some patients with type B, localized pain in the thoracic vertebrae, spines, and in these cases, the periosteal needling of these works well. Needling remote and the back, arm, or ulnar border of the Palm (SI 3) can also help the thoracic spinal pain. Chest pain usually does well, the local needling over the painful area itself is effective.


Most acupuncture treating musculoskeletal disorders. Acupuncture can also be used to treat a variety of ailments that are not - or not openly - related to the musculoskeletal system.

This is critical both for forensic purposes and future reference. In practice, tend to use a mixture of traditional and modern terminology to describe my treatment. If a traditional acupuncture points on the site I used, I note that if you use a description based on Western anatomical terminology. I also save the side (L or R) and other relevant information such as length of the needle (rare) and the effects, if any.
Note that in many cases it is not possible to assign a formal diagnosis for a patient has symptoms or other label used (eg "OA") is quite regrettable. This is not to arrive at a pathological diagnosis is not relevant, but rather that acupuncture can be used in cases where no formal diagnosis has been found despite extensive studies.

Friday, July 1, 2011

Antidepressants

I’m not surprised when a patient tells me she doesn’t want to take antidepressants.They make some people gain weight, and some lose their interest in sex or find it more difficult to have an orgasm. Others just don’t want to take a drug that mucks with their brains. So my interest was piqued by a recent article in The Wall Street Journal that discussed a “backlash against antidepressants sparked by concerns about their safety, efficacy, and side effects [that] is helping drive patients to alternative methods.”

Given what I do for a living (check the byline), my own bias is in the direction of therapies that have been rigorously tested for safety and effectiveness. However, for patients who can’t, won’t, or simply prefer not to go with conventional medicine, a prudent trial of an alternative therapy, like acupuncture or valerian, might be worth considering. But are these alternative approaches truly effective? That’s a tough question, and it depends on what you mean by “effective.”

For a drug to be effective it should work better than a placebo, but in most drug studies the placebo itself often has a measurable success rate—often around 20 percent. Thus, even if an alternative therapy is no more effective than a placebo, you’re still left with a one in five chance of feeling better at the end of the day. For some people, even this 20 percent chance of feeling better is worth it.
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