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acupuncture facelift

 
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last goodbye



Joined: 13 Aug 2006

PostPosted: Sun Jul 13, 2008 3:45 am    Post subject: acupuncture facelift Reply with quote

Anyone here tried this or know any info about it (as in where, how much)? I saw a poster for it really far up on the #3 line, but never around gangnam, etc...
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mindmetoo



Joined: 02 Feb 2004

PostPosted: Sun Jul 13, 2008 5:24 am    Post subject: Reply with quote

There is very little biologic plausibility that you can gain collagen by putting small needles into your skin. Good controlled studies of acupuncture for pain real show sham acupuncture is as good as "real" acupuncture.

It's magical thinking. That's all.
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squinchboy



Joined: 16 Dec 2006

PostPosted: Sun Jul 13, 2008 5:32 pm    Post subject: Reply with quote

Mindmetoo, please go pester some Creationists. You seem to know the topic of Evolution and Creationism very well--unlike acupuncture.


Though I don't believe a true facelift could be performed using acupuncture, acupuncture has been shown to be effective in reducing pain and not just from a placebo effect.

I have quoted below an interesting scientific study.

[/quote]New data from a randomized, controlled trial found that acupuncture provided significant reductions in pain, dysfunction, and dry mouth in head and neck cancer patients after neck dissection. The study was led by David Pfister, MD, Chief of the Head and Neck Medical Oncology Service, and Barrie Cassileth, PhD, Chief of the Integrative Medicine Service, at Memorial Sloan-Kettering Cancer Center (MSKCC). Dr. Pfister presented the findings today at the annual meeting of the American Society for Clinical Oncology.

Neck dissection is a common procedure for treatment of head and neck cancer. There are different types of neck dissection, which vary based on which structures are removed and the anticipated side effects. One type �- the radical neck dissection �- involves complete removal of lymph nodes from one side of the neck, the muscle that helps turn the head, a major vein, and a nerve that is critical to full range of motion for the arm and shoulder.

"Chronic pain and shoulder mobility problems are common after such surgery, adversely affecting quality of life as well as employability for certain occupations," said Dr. Pfister. Nerve-sparing and other modified radical techniques that preserve certain structures without compromising disease control reduce the incidence of these problems but do not eliminate them entirely. Dr. Pfister adds, "Unfortunately, available conventional methods of treatment for pain and dysfunction following neck surgery often have limited benefits, leaving much room for improvement."

Seventy patients participated in the study and were randomized to receive either acupuncture or usual care, which includes recommendations of physical therapy exercises and the use of anti-inflammatory drugs. For all of the patients, at least three months had elapsed since their surgery and radiation treatments. The treatment group received four sessions of acupuncture over the course of approximately four weeks. Both groups were evaluated using the Constant-Murley scale, a composite measure of pain, function, and activities of daily living.

Pain and mobility improved in 39 percent of the patients receiving acupuncture, compared to a 7 percent improvement in the group that received usual care. An added benefit of acupuncture was significant reduction of reported xerostomia, or extreme dry mouth. This distressing problem, common among cancer patients following radiotherapy in the head and neck, is addressed with only limited success by mainstream means.

"Like any other treatment, acupuncture does not work for everyone, but it can be extraordinarily helpful for many," said Dr. Cassileth. "It does not treat illness, but acupuncture can control a number of distressing symptoms, such as shortness of breath, anxiety and depression, chronic fatigue, pain, neuropathy, and osteoarthritis."

"Cancer patients should use acupuncturists who are certified by the national agency, NCCAOM [National Certification Commission for Acupuncture and Oriental Medicine], and who are trained, or at least experienced, in working with the special symptoms and problems caused by cancer and cancer treatment," she added.

Acupuncture, a component of Traditional Chinese Medicine, originated more than 2,000 years ago. Treatment involves stimulation of one or more predetermined points on the body with needles, heat, pressure, or electricity for therapeutic effect. A report published by the Centers for Disease Control (CDC) indicated that more than 8 million Americans use acupuncture to treat different ailments.

Acupuncture is being used in the palliative care of cancer to alleviate pain and chronic fatigue and to reduce postoperative chemotherapy-induced nausea and vomiting.

The study was funded in part from a grant by the National Cancer Institute. In addition to Drs. Pfister and Cassileth, other MSKCC contributors to the study include: Dr. Andrew Vickers, Dr. Gary Deng, Dr. Jennifer Lee, Mr. Donald Garrity, Dr. Nancy Lee, Dr. Dennis Kraus, Dr. Ashok Shaha, and Dr. Jatin Shah.

Source:

Memorial Sloan-Kettering Cancer Center
(http://www.mskcc.org) [/quote]
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mindmetoo



Joined: 02 Feb 2004

PostPosted: Sun Jul 13, 2008 6:27 pm    Post subject: Reply with quote

Quote:
Seventy patients participated in the study and were randomized to receive either acupuncture or usual care, which includes recommendations of physical therapy exercises and the use of anti-inflammatory drugs. For all of the patients, at least three months had elapsed since their surgery and radiation treatments. The treatment group received four sessions of acupuncture over the course of approximately four weeks. Both groups were evaluated using the Constant-Murley scale, a composite measure of pain, function, and activities of daily living.

Pain and mobility improved in 39 percent of the patients receiving acupuncture, compared to a 7 percent improvement in the group that received usual care. An added benefit of acupuncture was significant reduction of reported xerostomia, or extreme dry mouth. This distressing problem, common among cancer patients following radiotherapy in the head and neck, is addressed with only limited success by mainstream means.


First problem is the patients weren't blinded. They knew they were getting acupuncture. The second problem is the results are self reporting. Pain is a highly subjective experience. Patients know what they're supposed to report. Third, the study lacked a placebo group. It's simply not good science. Sorry.

Review:

http://cat.inist.fr/?aModele=afficheN&cpsidt=13644717

Quote:
Acupuncture was superior to the control condition (physiotherapy) regarding pain intensity (P = 0.000), pain disability (P = 0.000), and psychological distress (P = 0.020) at the end of treatment. Compared to sham-acupuncture, acupuncture reduced psychological distress (P = 0.040) only. At 9-month follow-up, the superiority of acupuncture compared to the control condition became less and acupuncture was not different to sham-acupuncture. We found a significant improvement by traditional acupuncture in chronic LBP compared to routine care (physiotherapy) but not compared to sham-acupuncture. The trial demonstrated a placebo effect of traditional acupuncture in chronic LBP.


There's very good research to indicate very radical forms of treatment have very powerful placebo effects. Sticking needles in someone is a very radical intervention and well in keeping with the established phenomenon. Why did "real" acupuncture reduce psychological stress more than sham? Again, we have a problem with double blinding. In a double blind trial, the person administering the procedure doesn't know if he's giving the real or placebo. Clearly this is impossible for acupuncture in most experimental designs. You know pretty much whether you're giving it or you're not. The person who knows they're giving the "real" acupuncture is more likely to be more soothing and all the things people like from SCAM (supplemental and complimentary alternative medicine).

You'll note I said:

Quote:
Good controlled studies of acupuncture for pain real show sham acupuncture is as good as "real" acupuncture.


You cited me a study that didn't compare "real" and sham at all. Ummmm... Non sequitur fallacy. This is like me saying "there are no blue carrots" and then you showing me a picture of a blueberry.

Quote:
Mindmetoo, please go pester some Creationists. You seem to know the topic of Evolution and Creationism very well--unlike acupuncture.


Sorry. You're mistaken. Got anything else for me?


Last edited by mindmetoo on Mon Jul 14, 2008 5:42 am; edited 4 times in total
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ED209



Joined: 17 Oct 2006

PostPosted: Sun Jul 13, 2008 6:35 pm    Post subject: Reply with quote

They must leave the pins in or something. Just use the office stapler or a bulldog clip.

Also in the medical report above how did they avoid the placebo effect? They don't even mention sham acupuncture. It's very difficult to perform these kind of tests without the patient knowing if they are receiving acupuncture or not. The overall results suggest that acupuncture is no better than an aspirin and 100x more expensive.

Quote:
Seventy patients participated in the study and were randomized to receive either acupuncture or usual care


I can't see any mention of a double blind test here. Patients knew if they were getting acupuncture or not.
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mindmetoo



Joined: 02 Feb 2004

PostPosted: Sun Jul 13, 2008 6:54 pm    Post subject: Reply with quote

http://www.guardian.co.uk/science/2007/sep/29/acupuncture

Here's a good article about a very well controlled study.

Quote:
Firstly, 27% of the medical treatment group improved: this is an impressive testament to the well-known healing power of simply "being in a trial", since medical treatment hadn't helped these patients for the preceding eight years. Meanwhile, 47% of the acupuncture group improved, but the sting is this: 44% of the fake acupuncture group improved too. There was no statistically significant difference between proper, genuine acupuncture and fake, "bung a needle in, anywhere you fancy, with a bit of theatrical ceremony" acupuncture.
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ED209



Joined: 17 Oct 2006

PostPosted: Sun Jul 13, 2008 8:18 pm    Post subject: Reply with quote

I wonder if the 'doctor' doing these face lifts is like the bald doctors running those hair clinics. "of course it works, I'm a doctor!" "But you're bald?" "Eh...my wife likes bald men"
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dr. love



Joined: 09 Oct 2007
Location: Seoul

PostPosted: Sun Jul 13, 2008 8:55 pm    Post subject: Reply with quote

I've never heard of acupuncture facelifts. Acupuncture is used in the treatment of Bell's palsy. It is extremely effective and is one of our busiest centers in the hospital.

Like any treatment, I believe it has its limits.

I don't think it is wise to completely write off acupuncture as a placebo.
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mindmetoo



Joined: 02 Feb 2004

PostPosted: Mon Jul 14, 2008 2:52 am    Post subject: Reply with quote

dr. love wrote:
I don't think it is wise to completely write off acupuncture as a placebo.


When good studies show real and sham have the same effect, I think you need to err on the side of placebo. Your other claims I'd like to see you document with peer reviewed research that have been controlled at least with sham. A search on pubmed only turns up studies like the other poster reported. Acupuncture vs some other treatment without a sham group. It's pretty clear that the placebo effect is more pronounced depending on intervention. For example, a big red expensive looking sugar pill results in lowered pain than a small white pill. A needle with salt water is better than any pill. A sham surgical procedure is better than a needle. This is dry, factual science.
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mindmetoo



Joined: 02 Feb 2004

PostPosted: Mon Jul 14, 2008 2:23 pm    Post subject: Reply with quote

Cochrane Reviews is a pretty good place to go for the straight dope on acupuncture. I don't see a lot there.

For example regarding Bell's palsy:

Quote:

Authors' conclusions

The quality of the included trials was inadequate to allow any conclusion about the efficacy of acupuncture. More research with high quality trials is needed.


http://www.cochrane.org/reviews/en/ab002914.html
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IlIlNine



Joined: 15 Jun 2005
Location: Gunpo, Gyonggi, SoKo

PostPosted: Mon Jul 14, 2008 3:39 pm    Post subject: Reply with quote

<shrug>

As long as it's not actually causing you physical harm (and, after centuries of practice, qualified acupuncturists are pretty good at that), then the only result can be neutral or better. (barring freak complications).

I've had positive experience with it, as have many others on this board. If you, mindmetoo, are telling us that we would have had the same result taking a sugarpill... well, maybe we should have doctors dispensing sugarpills more often.
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mindmetoo



Joined: 02 Feb 2004

PostPosted: Mon Jul 14, 2008 5:28 pm    Post subject: Reply with quote

IlIlNine wrote:
If you, mindmetoo, are telling us that we would have had the same result taking a sugarpill... well, maybe we should have doctors dispensing sugarpills more often.


One, doctors should consider that unethical. That involves deception. Doctors go by the maxim of informed patient consent.

Two, placebo doesn't necessarily work in terms of real results, just in self reporting of subjective experiences.

Three, if you're pursuing treatments that are not effective you might be delaying better, effective care.
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