Adventures in Wooland - Back and Forth With an Acupuncture Instructor

Langis

Critical Thinker
Joined
May 2, 2007
Messages
253
I posted a topic a while back about some medical bunk being printed in a local news magazine that prompted me to write in and complain.

An acupuncture instructor at a local college sent me an email after the whole debacle, addressed not only to me but to others, including the newspaper in question.

His (or her; I can't equate a gender with the name) initial email read as follows:

Carlos Alexandre,
Someone forwarded your email to VUE Weekly dated on November 26, 2007. I was surprised you use medical bunk to describe Complementary and Alternative medicine. From your email, we can see you are not only narrow-minded, but also science blinded. Before we start arguement, let me teach you some basic science. If Penicillin did not cure your Pneumonia, you could not conclude Penicillin does not work for Pneumonia; if a MD fail to treat you common cold, you could not conclude Western Medicine does not work for common cold. This is logic, it is the base for science and research.

Acupuncture has more than 5000 years of history. It saves and helps millions of people all over the world, from arthritis, facial paralysis, to stroke, sports injury...... World Health Orgnization (WHO) has recommended 100 kinds of diseases can be helped by Acupuncture(www.who.int). Extensive research has been show Acupuncture works through brain, spine and organ/tissue levels. B-endophine, NA, 5-HT, ACTH etc. has been regulated by Acupuncture which cope with pain, stress and inflammation in 1997, National Institute of Health (NIH) consensus development conference gathering top researchers in the world to study Acupuncture, and the panel concluded that " there is sufficient evidence of acupuncture's value to expand its use into conventional medicine". NIH set a special office for CAM research, there are $70 million funding available every year. So far, there are 18 research centers has been established all over the states. To your surprise, It has been estimated that by 1993 over 15 million Americans had experienced acupuncture treatment. In 1996, 60 million Americans used herbs. Herbal medical sales increased nearly 59% in 1997. Do not always suspect people's judgement. Our current medical system is in a major transition. 79% of the GPs in England agreed that they would like to see acupuncture available on the NHS.

Recent research from German shows that Acupuncture is twice effective than conventional medicine in treating chronic low back pain(CBC News, sept 24, 2007). If Alternative medicine is just a "placebo effect", could you conclude that conventional medicine is even worse that placebo effect?

From medical history, we know in the early time of surgery, it killed more people than the people it saved because of blood transfusion. But no people blamed it "scientifically unproven and dangerous" surgery. The real people continue to develop the technique until it save more people now. No thing is perfect. I admit there is something incorrect in CAM, just like conventional medicine. That is why all science need to continue developing.

By the way, the correct word for alternative medicine should be Complementary and Alternative Medicine(CAM). I wish you research more on the topic before you make any comments on such serious issue. Website is not a research paper, do not cite bunk website. For medical research, you should go on Medline or Pubmed. The website you provided www.quackwatch.org also advocates anti-immunization. "The vaccine is more dangerous than the disease".

Jiulin Wang, R.Ac.
Instructor and Clinical supervisor
Acupuncture Program
Grant MacEwan College

Really, this wasn't anything I hadn't heard a million times before, and I know that deep down I'm probably wasting my time replying... but reply I did:

Hello, Jiulin. Please pardon the late reply; I've been terribly busy the last three days due to the holidays and I haven't checked my email.

Jiulin, I'll be brief in my reply; show me the evidence. If there is scientific proof, as you say, then present to me the scientific papers and journals for my perusal.

If you can point me to websites where I can find this material, send me the links in a reply. If you have this material in computer files, let me know and I will give you an alternate email address to send them to (as this email address cannot accept very large attachments). If you have this material on paper and can mail me a copy, I will provide you with my mailing address.

Please and thanks in advance.

-- Carlos

I felt that was fair: no point in arguing until he brings evidence to the table.

Well, here was the reply:

Carlos,
I have listed all the source of evidence in my reply. It is not difficult for a scientific adult to find out the website or materials based on the information provided. But again, the Acupuncture consensus development statement can be found at http://consensus.nih.gov/1997/1997acupuncture107html.htm; the CBC news can be found www.cbc.ca/news. Acupuncture changes neurotransmitters can be searched through pubmed or medline (www.ncbi.nlm.nih.gov/sites/entrez/).
Enjoy your searching

Jiulin Wang, R.Ac.
Instructor and Clinical supervisor
Acupuncture Program
Grant MacEwan College

My next (and latest) reply follows:

Jiulin: you told me that I was "science-blinded" and that you would teach me some "basic science," but then you proceed to ask me to find your evidence for you. Unacceptable; if you have studied even the basics of science, you would know, full well, that the onus of proof falls on the one making a claim. You are telling me that acupuncture is a valid and proven medical treatment: therefore, it is you, not me, who has to back up that statement.

As for the links you have sent me:

Your first link is a decade old. In addition, the research on that page states that further studies are required. Finally, it does not actually contain details of specific experiments and testing; conditions of test patients used, what is used as a placebo, whether the tests are single- or double-blind, etc.

The second link simply loads of CBC News's home page, and not any specific article. However, even if it had, I question why you would send me such a link, after telling me, "Website is not a research paper." The third link is similar; it leads me to a page that tells me I have to register with Pubmed.

As I said before, you are making the claim that acupuncture is real medicine. I ask again for your proof, which, according to the rules of science and to plain old common sense, is to be provided the person making the claim: you. Real, valid medicine can back up its claims. If acupuncture is real and valid, it can do the same.

I await your reply.

-- Carlos

Time will tell if I get the proof I have asked for. Nonetheless, I kinda wanted to share this little conversation I'm having with this instructor. More to come as it happens.
 
I'm shocked... SHOCKED that courses from Grant MacEwan weren't transferred as easily to the UofA for a friend of mine as advertised...

:D
 
Langis, you poked a woo woo merchant :) keep it up, some sense might seep in through the holes.

From Jiulin Wang
let me teach you some basic science. If Penicillin did not cure your Pneumonia, you could not conclude Penicillin does not work for Pneumonia; if a MD fail to treat you common cold, you could not conclude Western Medicine does not work for common cold. This is logic, it is the base for science and research.

If ALL the evidence we had was that Western Medicine (WM) consisted of penicillin failing to cure pneumonia and MDs failing to cure the common cold we would be very skeptical of WM. However if after 200 years we could not point to one clear cut clinical trial of any of a multiple of treatments we would be illogical if we concluded it worked, in fact we would probably call it homeopathy.

And as for a homeopath to try and teach anyone basic science is so laughable.
 
Langis, you poked a woo woo merchant :) keep it up, some sense might seep in through the holes.

From Jiulin Wang


If ALL the evidence we had was that Western Medicine (WM) consisted of penicillin failing to cure pneumonia and MDs failing to cure the common cold we would be very skeptical of WM. However if after 200 years we could not point to one clear cut clinical trial of any of a multiple of treatments we would be illogical if we concluded it worked, in fact we would probably call it homeopathy.

And as for a homeopath to try and teach anyone basic science is so laughable.


And not only that - we know HOW Penicillin works, and it's only really been used commercially for 60 or so years. Add in that from seeing how that works we now have a whole range of antibiotics from the same 'family', whether other natural products or synthesised in the labs. What's acupuncture got to show for it's 2000 years?


ETA - Ben Goldacre casts an eye on the back pain paper here
 
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Hoo boy, now it's getting ugly.

I received a reply back from the instructor, where he replied to parts of my email in caps. Sorry for how this looks:

Carlos,
PLEASE READ THE COMMENTS IN CAP. LETTERS.

Jiulin Wang, R.Ac.
Instructor and Clinical supervisor
Acupuncture Program
Grant MacEwan College

>>> "Carlos Alexandre" <admin@triplepeeps.com> 17/12/2007 10:20 am >>>

Jiulin: you told me that I was "science-blinded" and that you would teach me some "basic science," but then you proceed to ask me to find your evidence for you. Unacceptable; if you have studied even the basics of science, you would know, full well, that the onus of proof falls on the one making a claim. You are telling me that acupuncture is a valid and proven medical treatment: therefore, it is you, not me, who has to back up that statement.
IF YOU ACCEPT YOU ARE SCIENCE-BLINDED, THERE IS NO NEED TO ARGUE ANY MORE.

As for the links you have sent me:

Your first link is a decade old. In addition, the research on that page states that further studies are required.
NIH HAS JUDGEMENT A DECADE AGO, WHY DO NOT YOU STILL GET IT. COULD YOU TELL ME WHICH SCIENCE DO NOT NEED FURTHER STUDY? HORMONE REPLACED THERAPY WAS USED LONG TIME FOR MENOPAUSE, BUT IT IS NO LONGER RECOMMENDED NOW. MEDICAL TEXTBOOKS HAS BEEN CHANGED SIGNIFICANTLY EVERY FIVE YEARS.
Finally, it does not actually contain details of specific experiments and testing; conditions of test patients used, what is used as a placebo, whether the tests are single- or double-blind, etc.
THIS IS PANEL STATEMENT BASED ON THE INFORMATION THEY RECEIVED. THEY ARE 12 WORLD LEADING SCIENTISTS WHO REVIEWED THE DETAILS OF SPECIFIC EXPERIMENTS AND TESTING BEFORE THEY MADE CONCLUSION. THEY DO NOT WANT MAKE CONCLUSION HUNDREDS OF PAGES.
The second link simply loads of CBC News's home page, and not any specific article. However, even if it had, I question why you would send me such a link, after telling me, "Website is not a research paper."
IN MY FIRST EMAIL, I TOLD YOU IT IS CBC NEWS ON SEPT. 24, 2007. AFTER YOU FIND THE CBC NEWS WEBSITES, SIMPLY FIND THE SPET.24 ISSUE. FROM THAT NEWS, YOU CAN FIND ORIGINAL GERMAN STUDY, OR AT LEAST CONCLUSION. WEBSITE CAN NOT BE CITED IN RESEARCH PAPER, BUT THE ORIGINAL RESEARCH CAN. THERE ARE SOME GOOD WEBSITE FOR INFORMATION. THE WEBSITE YOU PROVIDED IS NOT SERIOUS ONE. READ THE FOLLOWING INFORMATION. http://www.canlyme.com/quackwatch.html
http://www.chirobase.org/01General/sbinterview.html

The third link is similar; it leads me to a page that tells me I have to register with Pubmed.
EVERYONE CAN USE PUBMED FOR RESEARCH. THIS IS A BASIC TOOL FOR SOMEONE WORKING IN BIOMEDICAL FIELD. YOU CAN GET ABSTRACT OF ALL PUBLISHED PAPER.

As I said before, you are making the claim that acupuncture is real medicine. I ask again for your proof, which, according to the rules of science and to plain old common sense, is to be provided the person making the claim: you. Real, valid medicine can back up its claims. If acupuncture is real and valid, it can do the same.
BOTH YOU AND ME COULD NOT MAKE ACUPUNCTURE REAL OR NOT REAL MEDICINE, IT IS THE NATURE OF ACUPUNCTURE ITSELF. IT IS THE FACT. IF YOU WANT TO FIND THE FACT, YOU CAN READ THE FOLLOWING BOOKS: THE BIOLOGY OF ACUPUNCTURE; NEURO-ACUPUNCTURE; ACUPUNCTURE: EFFICACY, SAFTY AND PRACTICE; ACUPUNCTURE: IS THERE A PHYSIOLOGICAL BASIS. THEY WILL GIVE YOU THE PROOF YOU NEED.

This person is a college instructor, which actually aggravates me.

And this fellow coming up was on the emails Reply to All list, and decided to weigh in. Note that he accuses me of the same mindset as a global warming denier, the same thing I accused Connie Howard of in the original letters I sent the newspaper:

Dear Mr. Alexandre,
I have been the recipient of the e-mailing that has been going on as a result of your request for an apology. I am too busy to engage in this kind of endless discussions, but I will voice my opinion for once, even though I have not much hope that I will be able to convince you to become more open-minded, as you appear to be one of those people who would deny global warming until there is not even a need for evidence to prove it, and until it is too late. In stead of giving you extensive evidence on a silver platter, I will give you some starting points to do the work yourself to find out that there are very good reasons to give credibility to a health care system that is taken seriously by institutions such as the WHO, the NIH and respectable universities like Harvard and, why not mention U of A, where they teach acupuncture in their continuing education program. Maybe you can start with the excellent, yes, maybe a little older book: Acupuncture efficacy: A summary of controlled clinical trials; subtitled: A compendium of controlled clinical trials, by Stephen Birch and Richard Hammerschlag, published by Tarrytown, NY: National Academy of Acupuncture and Oriental Medicine in 1996. You could have a look at the randomized controlled trial on acupuncture for osteo-arthritis of the knee that I attach with this e-mail. I think that you have not put a lot of effort in researching the subject of Complementary and Alternative Medicine, therefore it may be quite a surprise to you to read that an Australia-based research study, involving nearly 3,500 women in several countries suggests an overall superiority of Chinese Medicine to placebo, no treatment, NSAID's, OCP's, acupuncture and heat compression. I suspect that you will argue the validity of this research, but for your information, the Cochrane Library journal - which as you hopefully know has very high research methodology standards, had positive remarks for this study.
So maybe you will realize that Vue Weekly and Ms. Howard does not need to apologize to anyone, if anything, it should be you apologizing to the acupuncture and CAM community.
Sincerely,

Marc Raedschelders, R.Ac., Dipl. Ac. (NCCAOM)

Wow. He also attached a PDF from bmj.com about acupuncture (though I haven't read it yet).

I haven't replied yet, but I will later or tomorrow.

I knew of the Germany study for some time before it was brought up, but haven't had the heart to point out exactly why it's the placebo effect in action. I honestly wonder how they'll react.
 
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...a health care system that is taken seriously by institutions such as the WHO, the NIH and respectable universities like Harvard and, why not mention U of A, where they teach acupuncture in their continuing education program.
If it is real medicine, why don't they offer it in the Health Sciences/Medicine faculty instead of continuing education?
 
Yup. Good ol' continuing education/extension division. What they can get members of the public to pay for... Receive a university education in the evenings! You'll learn:

- How to use MS Word
- Accupuncture
- Pottery 1
- Balance your chequebook
- and many more...

:rolleyes:
 
Tell them you won't debate further until one of these two geniuses can write a grammatically correct paragraph with no run-on sentences.
 
Tell them you won't debate further until one of these two geniuses can write a grammatically correct paragraph with no run-on sentences.

Ah, come on. There's no point in trying to get them to use the king's English; it's obviously a second language for them. Let's see if anyone here could handle the emporer's Chinese, how about it?

However, if usage leads to a problem, them the ball's in their court for making themselves understood. Their tone and their misuse and misunderstanding of science shines right through their English problem, and that's what needs the attention.

Taking a quick look at the study, it is single-blinded, adequate in a some cases but particularly deficient in cases with controversial results, where the practitioners may be biased. That doesn't, of course, say they are, but biases can be covert in single-blind but can be found out in double-blind.
 
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Tell them you won't debate further until one of these two geniuses can write a grammatically correct paragraph with no run-on sentences.

To be fair, it is entirely possible that a) English is not their first language, and b) even if English is their first language, their English skills are not very good. Neither is a crime IMO, and I'm looking past that in my discussion with them.

Ah, come on. There's no point in trying to get them to use the king's English; it's obviously a second language for them. Let's see if anyone here could handle the emporer's Chinese, how about it?

However, if usage leads to a problem, them the ball's in their court for making themselves understood. Their tone and their misuse and misunderstanding of science shines right through their English problem, and that's what needs the attention.

Taking a quick look at the study, it is single-blinded, adequate in a some cases but particularly deficient in cases with controversial results, where the practitioners may be biased. That doesn't, of course, say they are, but biases can be covert in single-blind but can be found out in double-blind.

Agreed re: the single-blind test, and I noted that in the reply I sent. I also pointed out that the patients were also on a drug whilst receiving either the "real" or "sham" treatment.

My reply:

Marc and Jiulin: I'm going to reply to both of you in one email to avoid clutter. Also, I will not send this as a Reply to All; that way, anybody who doesn't want to deal with this discussion doesn't have to (sorry about using it so liberally before). If either of you wishes to forward this reply to anybody else, go right ahead.

Jiulin:

I have known, since well before our emails back and forth began, about the study in Germany you cited. I didn't respond to it because I wanted to see if you would actually send it to me, but you didn't, and you continue to use it as proof. It is time to put that to rest. To ensure we're on the same page, you're talking about this study, correct? http://archinte.ama-assn.org/cgi/content/abstract/167/17/1892 (If this is not the one, let me know.)

Let's talk about the numbers this test presented. At 6 months, 47.6% of the group of patients receiving acupuncture responded positively. But only 27.4% of the group of patients receiving conventional physical therapy responded positively. Most acupuncture supporters use these numbers as their argument. What they forget is that the third group of patients, the patients receiving so-called "sham" acupunture (acupuncture performed improperly, if you will), reported an astonishing 44.2% positive response. I think you'll agree that the difference between 47.6% and 44.2% is, in this case, virtually irrelevant; for all intents and purposes, regardless of whether or not acupuncture was performed properly, the same amount of people responded positively to both "real" and "sham" acupuncture. Tell me, Jiulin: how is it possible that acupuncture worked when it wasn't even performed in adherence with its described methods and principles? Is it not correct to say that if acupuncture were indeed real, that "sham" acupunture would not have nearly as much positive results? That, and that alone, should be sufficient not only to dismiss this particular experiment as proof of acupuncture's validity, but also as further proof of the placebo effect at work.

However, that is not the only questionable element in this experiment. We do not know what prior treatment, if any, the subjects of this experiment had during their 8 years of back pain. We have no confirmation that pain-killers or other drugs were not taken before or after each 30-minute session. Finally, the data ends after six months, giving us no confirmation that the relief found from acupuncture (both real and sham, remember) lasted. Considering all that, along with other problems that should be obvious to a critical thinker, the Germany study is, at best, inconclusive, and, at worst, more evidence that acupuncture is a placebo.

I ask you again for real evidence. I will not look for it for you. Sending me links about defamation suits, interviews, and titles of books I'm not going to buy is not evidence. Send me the real scientific papers (or the links to them), the real documentation of real experiments, and ensure that they are up-to-date and relevant. You are making the claim that acupuncture is real medicine. I say again: prove it beyond a reasonable doubt.

Marc:

I find it mildly amusing that you would compare me to a global warming denier, considering the key difference between global warming and alternative medicines. Global warming, unlike acupuncture, homeopathy, and other quack practices, has been continuously and consistently proven, with real evidence backing it up. If I were to deny global warming, I would be a fool, doing so in the face of overwhelming evidence. I also find it mildly amusing that you would make that comparison so relatively soon after I made the same accusation in a letter to Connie Howard of VUE Weekly. But that I'll chalk it up to coincidence.

And I need not evidence given to me on a silver platter: just the evidence will do, no silver platter required. The onus lies with you, the person making the claim. I'm not going to find your evidence for you, nor do I care how many others do or don't agree with that evidence you claim exists; I'm a skeptic, and I look at claims with doubt until they prove their validity. Speaking of which, thank you for sending me the PDF. I've looked it over. Two things stand out to me: the first was that the test was single-blinded, which lends itself towards experimenter's bias, and the second was the use of the drug Diclofenac, which impacts the validity of the results. I cannot accept that as proof. If you have other scientific materials to send, or can send me links to the material, I would be happy to look it over.
 
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Agreed re: the single-blind test, and I noted that in the reply I sent. I also pointed out that the patients were also on a drug whilst receiving either the "real" or "sham" treatment.

Well, I said earlier that you were wasting your breath with letters-to-the-editor at the Vue.

You able to take this to the next level? Will you present your email exchanges to U of A, or Grant MacEwan admin? Will they be willing to take criticism of 'cash cow' courses? Maybe someone has merely neglected to provide adequate oversight for these, and it's about time...
 
Well, I said earlier that you were wasting your breath with letters-to-the-editor at the Vue.

You able to take this to the next level? Will you present your email exchanges to U of A, or Grant MacEwan admin? Will they be willing to take criticism of 'cash cow' courses? Maybe someone has merely neglected to provide adequate oversight for these, and it's about time...

And you were right to tell me I was wasting my time; I only hope that I managed to convince at least one reader to use his or her noggin'.

As for your question... I don't know. I haven't had a good streak lately; I've failed to convince friends, family, and co-workers who swear by alternative medicines to stop and get real help (I genuinely worry about them). I can pretty much picture how a conversations with higher-ups of colleges and universities will go (hey, I should apply for the MDC!), and I wonder if it will be a waste.

I'll get back to you when I've decided.

EDIT - The instructor has responded:

Carlos,
You have not answered all my questions in the previous email. As I requested before, one of the questions is how do you explain the western medicine group is much worse than "placebo" groups? Do you attack western medicine as "scientifically unproven and dangerous" medicine? You keep emphasis the gold standard of randomized, double-blind, placebo-controlled studies.Gold standard does play an important role in science, but it faces to the challenge as well in the current research world. Could you design a randomized, double-blind, placebo-controlled study for liver transportation surgery? No, you could not simply because of technical difficulty and ethnic issue. But can you say surgery is not a science because it was not tested by gold standards? So many drugs which had been tested by gold standards are withdrawn now. Secondly, science is not the only way to reach to the truth. Our knowledge is limited. Compare to what we know so far, much much more we do not know. That is why we need a open mind.
By the way, I am curious what is you background. Are you working in the medical field, or research area?

Jiulin Wang, R.Ac.
Instructor and Clinical supervisor
Acupuncture Program
Grant MacEwan College

My reply:

I am neither a scientist nor a practitioner of medicine. If you intend to use that to dismiss me, so be it, but the questions I ask are valid. My background is irrelevant; I am capable of reading and of logical thought. If you are asking out of sheer curiosity, however, I'm a technical and corporate writer; I research and write user documentation, white papers, and other such materials for a local software company.

As for "western" vs. "eastern" medicine: origin is irrelevant. If medicine works, if it continues to pass the majority of properly controlled scientific tests designed to prove it works, than it doesn't matter how old it is or where it came from: it works. There is nothing "western" or "eastern" about it; those labels are meaningless when testing claims. Any so-called "western" treatment that cannot prove itself is bunk until proven otherwise, no different than any "eastern" treatment. And any so-called "eastern" medicine that can consistently prove it works in controlled experiments is likely valid, no different than "western" medicine.

Drugs that have been withdrawn have been found to contain side-effects or have other problems that were not evident before. Science is not doctrine, Jiulin, it is not dogma. Science changes; when new evidence is presented, and if that new evidence is proven true time and time again, science accepts it and either modifies or discards old evidence. That is how science works. New problems to old, previously thought-to-be safe and effective medicines will arise. And so will new methods of treatment.

If science and critical thinking is not the only way to teach "the truth," Jiulin, then, pray tell, what is? Science is about making observations, crafting experiments to test those observations, and coming to conclusions. Human knowledge is always improving, and I know full well that there are many things we do not understand about our universe and our reality. But any new claims about that reality must be subject to scrutiny, experimentation, testing, and retesting. It is how science makes the uncertain certain, and it is why science is responsible for pretty much every great advancement made by humankind, from landing on the moon to the internet, from transportation technology to up-and-coming artificial bone that bonds with your own bone structure, and much more. If you have better methods to "teach the truth," Jiulin, I'd like to hear them.

If acupuncture were truly real, it would pass scientific testing with a high rate of success, instead of the other way around. Magic, chi, meridians, those things don't exist. Or, rather, it is more correct to say that in all of human history we have never successfully proven their existence. If you still rightfully believe that I'm being unfair, and that acupuncture is in fact a valid form of medicine, I very strongly urge you to apply for the Million Dollar Challenge offered by the James Randi Education Foundation (JREF; their website is www.randi.org). If you can prove that acupuncture does work, you stand to gain a million dollars and legitimize your practice in a huge way, as does anybody who can prove supernatural claims to be true in a proper scientific test. Keep in mind that nobody has won the prize yet...

To end this reply, I'll say this: there is a very, very fine line between open-mindedness and gullibility.
 
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Unfortunately, I don't have anything really productive to add to your efforts. You already seem to know much more about this than I do...
 
Jiulin Wang:-
Secondly, science is not the only way to reach to the truth.
LOL, wasn't this the guy who wanted to teach Langis the basics of science.:jaw-dropp

Langis, please ask these two to put forward their ideas on this forum. I get the feeling they wrongly thought you were inexperienced in the area. I suspect they will become unresponsive if they appreciate you are not only solid in your analysis but also have good backup.
 
Just a personal comment based on my experience:


I don't know what the whole background and claims acupuncture makes. I'll tell you from my own experience with an acupuncturist: I went there because I was suffering from some muscle pains in my arms. The acupuncturist explained to me that these needles stimulated the nerves so that the muscle would release tension. He also explained that this could also be achieved by massaging the muscle a lot, but it would be a lot harder because it would require more time and work and it would probably not be achieved to the same extent. He said that acupuncture was simply a more efficient way to do the same thing. No woo, no talk about spirits. Simply put like that.

I don't claim to have the criteria to determine if this is true or not. I'm open to comments on the matter.
 
The German study cited above shows that acupuncture is just as good as placebo. Regardless of the mechanism it uses, if it works it works. A placebo (temporarily) works against pain, so why the hell not?

On another note, the explanation of acupuncture given to you is quite different from the "regular" explanation which involves the movements around the body of "chi". Putting needles into certain "meridians" changes the "chi balance" and it is through the manipulation of "chi" that the acupuncturists usually claim its efficacy.
 
Just a personal comment based on my experience:


I don't know what the whole background and claims acupuncture makes. I'll tell you from my own experience with an acupuncturist: I went there because I was suffering from some muscle pains in my arms. The acupuncturist explained to me that these needles stimulated the nerves so that the muscle would release tension. He also explained that this could also be achieved by massaging the muscle a lot, but it would be a lot harder because it would require more time and work and it would probably not be achieved to the same extent. He said that acupuncture was simply a more efficient way to do the same thing. No woo, no talk about spirits. Simply put like that.

I don't claim to have the criteria to determine if this is true or not. I'm open to comments on the matter.


Well, it just shows that this guy knows nothing about massage therapy or bodywork modalities in general.

When you are performing massage, you are not just working on the muscles, but the fascia that surrounds the muscle as well. He is probably referring to Trigger Points in what he is talking about and massage can de-activate TrP's just as effectively.

In my practice as a physical therapist, I do perform massage and myofascial work. I always include active client movement, as this helps both the muscles and fascia to release more effectively and results are lasting. It is really about working with muscle balance and being able to see and feel which muscles are short and tight and releasing these. I also work with postural re-education, as people who have desk jobs develop poor postural patterns that stay with them.

I would say that your acupuncturist is incorrect. Massage done in the way he describes will not be effective. However, if you work to stretch out short and tight muscles and fascia and include active client movement, then it is extremely effective and can start to bring the whole musculoskeletal system back into balance.
 
In my practice as a physical therapist, I do perform massage and myofascial work.

Very interesting.

The prevailing attitude around here seems to be that physiotherapists do good work, but chiropractors and acupuncturists dilute this contribution to society by adding in supernatural bunkum. Has this been your experience?

ETA: I have no doubt that someone has felt better after seeing an acupuncturist. The issue of placebo has been brought up here, and that's fine, too. My main objection in all of this is that science is somehow made to be some kind of culprit. That is, there's some kind of bogeyman of Western Medicine which is oppressing people around the world. Their tactics reflect a simple misunderstanding of science at best and are malicious at worst. Ignorance or infamy... it was ever thus.
 
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