Blogging Blahs and Alternative Medicine

I’m in the blogging blahs.  Which is odd because I love this blog and I love learning that people are reading and enjoying it.  I think I’m more in the Everything blahs.  I am so tired!  Owl is sleeping but BRK is not (insert creepy photo of toddler standing by my bed at 4 AM).  And so, I am tired.  And we are at that 6-month mark with Owl which is kind of its own sigh of relief — I’m feeling some of that postpartum mania relax away and grant space to the fatigue.

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Used to be able to write at 5 AM “before everyone woke up” except now people wake up at 4.

(I did ask BRK last night to please stay in her room when she wakes up.  To please not come into our room and wake me up.  And she said, “Well, what if I’m really quiet?” and I said “No, I really don’t want you to come into our room in the middle of the night.” And then she said, softly, “But . . . sometimes I just want to see you.”  This is what they do.  They wear you down and then they say something like that and all you want to do is snuggle them forever.)

I’m going to do a little post today even though I am tired and blah-feeling.  And try to get back to regular Tuesday and Friday posts.

Have you tried acupuncture?  I have.  And I really like it.  So I was intrigued by a recent article in Popular Science about the efficacy of acupuncture and more broadly, what it takes for alternative medicine to cross the threshold to mainstream medicine.  The article sums up a recent study that set out to determine if acupuncture “really works”.  Patients with carpal tunnel syndrome were divided into three groups.  Group 1 received acupuncture at the site of the pain.  Group 2 received acupuncture at distal sites, sites that are allegedly energetically connected to the painful sites.  And Group 3 received what sounds like needles inserted willy-nilly.

All three groups reported amelioration of symptoms, in the form of, “I feel better.”  Huh.  Here’s where it gets cool, and why doing this with carpal tunnel syndrome was key.  Unlike most painful conditions for which improvement is judged by a person saying they feel better, carpal tunnel syndrome can be objectively measured by observing the rate of impulse transmission across a particular nerve.  When this was measured, only the groups that received actual acupuncture, (Groups 1 and 2) showed improvement.  And the improvement was the greatest for Group 1, the group receiving acupuncture at the site of pain.

The article goes on to discuss placebos in general, and how willy-nilly acupuncture is still a physical intervention, and so not quite as placebo-y as a sugar pill.  The article cites other examples involving knee pain in which physical interventions (debridement, arthroscopic lavage) are done because patients report improvement in pain, even though these interventions are often short-lived and far from cures.

My favorite part of the article comes next.  The author states:

“. . . despite the fact that there wasn’t any evidence that they actually worked, the surgical procedures were routinely done because patients reported feeling better. Ironically, that is the exact opposite of the stance that we take with acupuncture—even though it’s less invasive.”

Here is an example of alternative medicine being held to a higher standard than traditional, mainstream medicine.  And should it be?  I’m not sure.  Probably? Maybe? No? I don’t know.  But it’s certainly interesting to think and talk about.  And important if we are talking insurance coverage and all that real stuff.  Because, as the author goes onto to say, despite a 2002 study reported in the New England Journal of Medicine showing that debridement, arthroscopic lavage, and “sham surgery” (making a cut, doing nothing, and then sewing it back up) all resulted in an equal reduction in pain, the UK’s National Institute for Health and Care Excellence (NICE) lists both debridement and arthroscopic lavage as “recommended therapies” for knee osteoarthritis.  I wonder what US doctors recommend and insurers cover.

Probably not relevant in the case of the knee interventions, but with acupuncture, I wonder about the benefits of simply taking a nap!  Because that’s what you do.  Someone sticks needles in you and you get all warm and cozy and take a nap.  Maybe just the indulgence of a nap during the day has some real benefits.  Ahhhh.  A nap during the day . . . . .

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