Showing posts with label acupuncture. Show all posts
Showing posts with label acupuncture. Show all posts

Friday, February 21, 2014

My Experience with Acupuncture Treatment


Recently I read couple of books on alternative medicine, see book titles below.

Both books basically said alternative medicine don’t offer any real benefit, any perceived benefit is purely a placebo effect.  I was especially interested in the section on acupuncture and herbal medicine because I had some personal experiences on both.  Following were three different conditions that I have treated with acupuncture and Chinese herbal medicine with mixed result.

Hypertension


My first experience I had with Traditional Chinese Medicine (TCM) was in mid-1990.  I was taking couple of medication to control my high blood pressure.   While the medication worked fairly well but I really hated the side effects.   I happen to read an article about TCM and its effectiveness on high blood pressure.  Even though I was very skeptical about how the Chi, a.k.a life energy, would affect one's health, I gave TCM a try just in case it really works.

During the first session the TCM doctor took my pulse on the wrist, looked at my tongue and declared me I had kidney deficiency, which would affect my blood pressure.  .  The TCM doctor didn’t even check my blood pressure or ask what medication I was taking.  She prescribed acupuncture, cupping, and Chinese herbal medicine to treat my kidney deficiency.  When I ask her how soon would I see improvement, she just said everyone is different, and I might take many acupuncture sessions to see improvement. 

During the first session, I had about two dozens of needles placed all over my body front and back.  Couple of needles was connected to some sort of electronic device for electric stimulation.  I also had cupping done on the back of my body.  At the end of the session I was given a bottle of pills for kidney health.   I was told not to take my medication and the Chinese herbal pill at the same time. 

I went for three more acupuncture and cupping sessions.  I had a very accurate blood pressure monitor at home and I didn’t see much change in my reading between sessions.  When I question the result, she just said TCM treatment is very gentle and may take long time to work for some people and told me keep coming for the treatment.  She also said I have to have faith in acupuncture in order for it to work.  What the heck? Is TCM a religion?

I decided not to continue with TCM treatment after four sessions because I didn’t see any tangible result for my money.  Who know, TCM might work for me in few more sessions but it is getting too costly for me.  Beside my medication and exercise regiment seem to control my blood pressure fairly well at much lower cost.

Tinnitus and Vertigo


In early 2000, I began to have ringing in my ear, a condition known as tinnitus.  I also experienced fullness in the ear, which often time caused vertigo attack.  The vertigo attack could happen at anytime with little warning.  The severity of the vertigo attack could very mild, which only cause slight sense of losing balance to very severe, which I couldn’t even stand up. 

To make the story short, an ENT specialist treated me for the first few months without any success.  The vertigo was getting worst and I missed many work days.  Some thime I couldn’t even get out of bed because I had the sensation of everything spin around me.  I had a MRI on my head and ear and everything were normal.  I tried few medications and had no relief from the vertigo.  The ENT thought I might have meniere's disease but he need to do more tests to confirm it.  By then I was sick and tire of all the tests and medications.  I had the feeling the doctor had no clue on what’s wrong with my ear. 

Out of desperation,  I went to see a TCM doctor for help.  This is a different TCM doctor, he was a MD as well as TCM doctor.  After he checked my blood pressure, took my pulse, and looked at my tongue, he said I have kidney deficiency.  He said acupuncture and Chinese medicine should help my condition.  He also said I should see improvement in about 10 treatments.

I noticed some improvement with tinnitus after the first acupuncture treatment.   I had two treatments per week.  I had about dozen of needles in my body at each acupuncture session.  Couple of needles were attached to an electronics device.  After six treatments, my innitus was completely gone.  I haven’t had any major vertigo attack for years.  I still have very mild dizziness once in a long while.  So, if this is a placebo effect, I like it and money well spent.  However, I don't think my cure had anything to do with acupuncture, but rather  probably  coincident with unexplained remission, there still a lot we don't know about our body.  The doctor might be just lucky to hit a nerve to turn off my problems.  The next person who sought this treatment might not be that lucky.

    Over Active Bladder

Last year, I start having over active bladder issue.  After trying five different medications, I finally found one that was somewhat helpful but I don’t really like the side effects.  So I gave TCM another try.

The TCM doctor who treated my tinnitus and vertigo had moved to another city and I found another TCM doctor who said one of her specialty was treating bladder issue.  On my first visit, she took my pulse and looked at my tongue and declared me I had kidney deficiency,  what the heck?  BTW, as part of medical exam, my kidneys were checked by my urologist and they were normal.  I did some checking, it seem that kidney deficiency got blamed for  many ailments.

I had four acupuncture treatments with this doctor and had no improvement at all.  In all four acupuncture sessions, she placed couple needles at my lower abdominal area, my ankles, and wrists.  The needles at my abdominal were hooked up to electrodes.  I had strong contraction with my bladder when the electrodes were on and had very strong urge to pee.  I thought that was good sign because my bladder was reacting to the acupuncture but it didn’t really improve my situation after treatments.   The doctor urged me to try few more sessions but I decided to stop because I don’t think it would help. 

My bladder problem was later determined caused by enlarged prostate and was treated with GreenLight laser surgery.  I talk about the surgery in this later blog post.
 

Would I try acupuncture treatment on retinitis Pigmentosa?  Probably not but I keep the option open. The challenge is to find a local acupuncturist who know how to treat RP.   I had mentioned to the last two TCM doctors that I have RP, but they just gave me a questioning look.  Apparently they never heard of RP let alone knowing how to treat it.  Anyway, if the next TCM doctor I find say my RP is due to kidney deficiency, I probably just walk out.   

 Couple of small studies seem to suggest acupuncture might help RP.  See my blog post on RP treatment.

  Books

If you have access to BARD, you can download the following 2 books.  They are very informative about alternative medicine.

  • Trick or Treatment: The Undeniable Facts about Alternative Medicine.  By Edzard Ernst and Simon Singh.  Book Review
  • Do You Believe In Magic?: The Sense and Nonsense of Alternative Medicine.  By Paul Offit, MD.      Book Review

 

                                                           

 

Thursday, October 10, 2013

Retinitis Pigmentosa Treatments

At this time, there is no proven effective treatment for RP.  However, there are many alternative treatments in the market.   Here are just a small samples, you will find a lot more info on the web. I think most eye doctors are very conservative, and some have the a"not invented here" mentality.  When you ask your doctor for RP treatment option, they would probably just say there is no treatment or would suggest you try vitamin A or cataract surgery.  I guess the doctors don't want to give you false hope.  So, it  is totally up to you if you want to try any of the following alternatives.
 
Here is an article of various alternative treatments for RP.
Trick or Treatment: The Undeniable Facts about Alternative Medicine

Please keep this following in mind:
  •   Alternative medicine is not aproven medicine.  Have a healthy dose of skepticism with any testimonials on any alternative medicine.  If it sounds too good to be true, it probably is.
  • What seems to work on a mice model might not work on human.
  • Try one thing at a time, so you know which one is the magic bullet for your RP condition.
  • Be aware of placebo effect and confirmation bias.
  • Know when to stop trying and move on.  There is no shame to accept the fact that what you tried is not working.
  • Be sure to consult a qualified medical professional if not sure about the treatment.
  • Good luck.  Please share your experience.
 

Vitamin A
According to one well-design study, people who take 15,000IU of Vitamin A Palmitate seem to have a slower rate of retina damage.  This is not a cure, but seem to help some people preserve their vision for few more years if they do this early on.  

In a follow up study, taking fish oil seem to boost the effectiveness of vitamin  A.  Some people shouldn't take high dose of vitamin A, besure to check with your doctor first.
Updated Vitamin A Study
 
Cataract surgery 
Although cataract surgery is not a treatment for RP, but removing the cataracts, even a small one, would improve acurity and reduce glares for most people with RP.   Depends on the type of lens you choose, you would become near sighted or far sighted after the surgery.  Multifocus lens is generally not recommended for people with RP.
 
Often time, the vision would reverse back to your pre-surgery level after months or even years of improved vision.   One of the cause is due to the thickening of the lens capsule which hold the lens in place.  If this is the cause, your doctor would use a laser to "drill" a hole on the lens capsule to let the light through thus resstore your vision again.  
    
 Like any surgerical procedure, cataract surgery does not guarantee visual improvement for everyone who has it done.   According the to report below, many people would be benefited by this surgery.
 
 
      
Acupunture
If you search on the web, you would find many many doctors offer acupunture treatment for RP.  Supposely acupunture would increase "Chi" to the retina thus restore its visual function.   Some people who have tried it claimed they could feel some warmth in the eyes during the treatment.   Some have claimed they noticed vision improvement in three treatments.  
 
There was a small study awhile back that seem to suggest that acupunture would help some people  with RP.  John Hopkins University is also doing a short clinical trial with acupuncture to treat RP.  Depends on the outcome of this short clinical trial, a longer study might follow.  
Acupunture Treatment For RP
JHU acupunture clinical trial info
FFB's comment on acupunture
An FFB member's experience with acupuncture treatment
 
TUDCA (Synthetic Bear Bile)
Bear bile has been part of Traditional Chinese Medicine (TCM) to treat various diseases for thousand of years. Recent researches have suggested that a component in the bear bile called TUDCA may have the potential to treat RP.
      
Microcurrent Stimulation
Same idea as accupunture but using microcurrent electrodes instead of needles.  There is no scientific evidence this would work.
 

Cuba  RP Surgery
   There is no effective surgery at this time to slow down or reverse RP. But there is a rumor of such surgery procedure available in Cuba. This probably a scam. 
Cuban Treatment for RP

 

Stem Cell Treatment
From what I read so far, stem cell treatment seem promising.  A lot of info on this subject on the web.  Here is one informative video.
  Stem Cell Treatment for RP
 Mice treated with strem cell 
 
Nanoparticles Treatment
Research by Mayo Clinic doctors offer potential treatment for RP using nanoparticles.  More info at the link
   
Bionic Eye
Advanced in microelectronics has enabled engineer to design an implantable bionic eye.  The recently FDA approved bionic eye designed by Second Sight would restore enough vision to people with advanced RP to walk independently.   However, bionic eye is still too expensive and have too much limitation for general used.