Category Archives: J. CONDITIONS TO TREAT

Acupuncture/ pressure, Pain

Acupuncture as effective long-term pain control

A 2003 technology assessment by the U.S. Department of Health and Human Services concluded, “The currently available evidence is insufficient to determine whether acupuncture has a specific beneficial effect in osteoarthritis.”

Since then, two studies reported benefits with acupuncture in patients with osteoarthritis of the knee. In the first study, 570 patients were treated for 26 weeks. Those treated with true acupuncture experienced significantly greater improvement as measured by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain and function scores at 8 weeks and 26 weeks vs. those treated with sham acupuncture.

In the second study, 294 patients were assigned to 8 weeks of acupuncture, minimal acupuncture (superficial needling at non-acupuncture points), or an education control group. Pain and joint function measured by WOMAC improved significantly with acupuncture vs. the other treatments at the end of 8 weeks. However, the benefits decreased over time, with no difference between groups at 52 weeks.

Thus, the quandary. Chronic acupuncture treatments are expensive. How do we maintain the benefit of acupuncture over the long term? Is it possible that acupuncture can be self-administered successfully? The results of a retrospective audit of 52 patients who had a positive response to acupuncture previously found that 8 out of 10 patients continued to have pain reduction with self-acupuncture. Quality of life was also improved, and no serious adverse effects were reported.

The investigators concluded that self-acupuncture has considerable potential to reduce clinic waiting lists and appointment times for patients.

One would anticipate cost savings as well.

7/3/06 22:22 JR

Cancer, Vitamins

Vitamin C, antioxidants, and cancer treatment

Just in time for the berry harvest, two articles published on Friday (6/13/06) revisit vitamin C and antioxidants and their role in the treatment or prevention of cancer. The MSNBC “feel good” article is about vitamin C and antioxidants such as ellagic acid and pterostilbene, which are found in berries. “Do normal portions of berries give us enough phytochemicals to get protective benefits?” After 9 paragraphs the author discloses that we just don’t know, and ? you guessed it ? “more research is needed”.

On the same day, the Kansas City Star published an article that wondered if the two government-sponsored studies intended to test the claims of Linus Pauling, the Nobel laureate-turned-vitamin C advocate, might have succeeded if vitamin C had been administered directly into the vein rather than taken by mouth.

Not sure how this applies to berries bought at Stop & Shop, but at least we are reassured that more research on vitamin C is ongoing.

It has been three decades since Dr. Pauling and his collaborators first reported (first 4 citations listed here) beneficial effects of high-dose vitamin C (ascorbic acid) therapy for patients with terminal cancer. It might be another 30 years before we can say that research has clarified its role.

Until then, I’ll have strawberries on my corn flakes, please, because I like them and not because the antioxidants they contain make them an unsung cancer weapon.

6/26/06 18:14 JR