Stars and Athletes Who Use Acupuncture!!

acu in kneeI’ve often heard that many famous athletes and stars use Acupuncture. Recently, I saw a list in the publication, Acupuncture Today. They tell us that athletes use acupuncture to “recover from soreness and fatigue faster, to feel stronger and feel more balanced.”  That inspired me to look further online, and I found that using Acupuncture and Traditional Chinese Medicine (TCM) is actually a trend among many stars!  This highlights the fact that Acupuncture and Chinese herbs can be used even if you are feeling healthy, to promote optimal well-being, or to recover from minor injuries.   These are just a few of the most famous athletes and stars.  Follow some of the links I’ve embedded to read about many, many more!

Kobe Bryant –  This NBA superstar actually posted photos of his leg with acupuncture needles in it on his social media platforms.  He wanted to show his fans he was using  Eastern medicine along with conventional therapies to recover form a recent injury.

Mickael Pietrus –  Another famous NBA player originally from France, Mickael was treated while at the Shaolin Temple in China! Afterwards, he said he no longer had any pain in his knee and was ready to go back to play earlier than expected.

Sandra Bullock –  It’s well-known that Sandra gets acupuncture regularly, and even requires that it be included in her contract!  It’s her “secret weapon” for staying younger looking and keeping up vitality.

Robert Downy, Jr. –  My girlfriends and I have had a crush on Robert for a long time, and now I know why!  He uses TCM regularly, and says it has “had a profound a profound impact in all areas of his life for many years.”  He even does Qi Gong, and was given an award for his advocacy of TCM.  Maybe I felt his energy all along!

Jason Hammel  –  A pitcher for the Baltimore Orioles at the time (now he’s with the Cubs), Jason used Acupuncture at the suggestion of his wife, and said he was “astonished” at how good it made him feel!  It helped his energy, to enliven a “dead arm,”, and he also went in to use it as an alternative to medications for cholesterol.  The cholesterol meds had given him body aches and hampered his abilities.

Finally, many Olympic athletes use Acupuncture and TCM.  Kevin Overland, a Canadian speed skater, used it to recover from a hip injury and won a Bronze medal, according to Acupuncture Today.  Many athletes in the London Olympics also used Acupuncture.  Five time Olympian high jumper Amy Acuff uses Acupuncture to heal from injuries and regulate her nervous system.  And there are many, many more!  In summary, Acupuncture is becoming known for being good for what ails you.


The Placebo Effect and the Effectiveness of Acupuncture

Recently, a patient sent me an article from the New Yorker by Michael Specter, “The Power of Nothing.” The article is largely about the placebo effect, but it refers to acupuncture in a way I think needs to be addressed. The patient who sent it to me is a longtime client who has benefited considerably from acupuncture and Chinese herbs. I thought this person also deserved a response, and this is what I wrote:

Thank you so much for alerting me to this article and for sending it to me. It’s an interesting article about placebo effect, but it concerns me considerably in the way the article treats Acupuncture and Chinese Medicine. It’s interesting in that Specter, the author, does give a very thorough review of what we know about the placebo effect and why and how people are studying it today. He gives a review of research, quotes researchers themselves, and gives summaries of research articles. The main interviewee, Ted Kaptchuk, an Acupuncturist and Herbalist, says he thinks there’s nothing “wrong” with the placebo effect, it does help people sometimes, and so he wants to understand it better.

I’m basically in agreement with that part. It’s obvious to just about any practitioner that a certain amount of benefit is derived for patients just from the practitioner-patient interaction. However, as one reader who commented on the article a month later points out, it is also known that the placebo effect can only go so far, and for so long. Deeper reaching changes and recoveries need more: “Experienced physicians know that sympathetic concern and reassurance can often allay subjective symptoms—at least temporarily—but only appropriate medical treatment has a chance of curing physical disease.”

The even more disturbing side of this article is that these same people, Specter and Kaptchuk, discount acupuncture in a harmful way, with just a few sentences, and with no proof or clarifications whatsoever! After such a careful elucidation of the placebo effect, why would they do this to acupuncture? At least one statement is not even true.

The article opens by saying that Ted Kaptchuk practiced acupuncture for many years, and then turned to research. There’s an implication that he thought acupuncture didn’t work, and yet later he’s quoted as saying he helped thousands of people. His quoted reasoning is that it wasn’t the needles, but something to do with him personally! This is a pretty big presumption to make without any reasonable evidence presented.

One example is given (the only example) of a patient Kaptchuk said he treated for chronic bronchitis, who then came back saying her ovaries were “cured” as well because of his treatments. Ted says there’s no way the acupuncture and herbs could have done this, but how does he know that? They give no facts, and leave things very vague. How many times did he treat her? Was the woman actually diagnosed with an ovarian disorder, or were they going only to investigate (they say she cancelled her surgery because the pain was gone). Perhaps she just had pain. If just pain, perhaps it was actually related to the chronic coughing, but referred, and clearing the bronchitis cleared that pain as well. If she did have an ovarian cyst, the most likely cause of ovarian pain, cysts are almost always due to what we call “dampness” (think of the fluid inside), and chronic bronchitis is, too (think of the phlegm and inflammation in the lungs). If he cleared this for the lungs, to me it is very likely that it cleared the ovaries as well. We even sometimes use some of the same herbs and points.

Later in the article, Specter states in just one partial sentence that clinical studies don’t demonstrate the effectiveness of acupuncture. Despite the thorough citing of sources elsewhere in the article, here there are no sources or references to research at all. And, in fact, the statement is not even true. A large number of studies have demonstrated the effectiveness of acupuncture, to the point that, ten years ago, the National Institute of Health (NIH) recommended acupuncture for a long list of conditions (PDF). The NIH doesn’t recommend things lightly, and in fact, they said they recommended acupuncture because enough evidence already existed at the time to show its effectiveness. Since then, even more studys have been completed that show the effectiveness of acupuncture.

What is also true is that a number of studies on acupuncture have not been able to show effectiveness, but if these are what Specter is referring to, here again, there is no questioning in his article of why the studies fail; whereas in examining the placebo effect, the article does question the formats of the studies. It has been my experience that many acupuncture studies are not drawn up in a way that can accurately measure the effectiveness of acupuncture and Chinese medicine. In order to fit the current research paradigm, many studies treat everyone with the same disorder with the exact same treatment. This is not how Chinese Medicine works, which is part of its beauty.

It is a statement of fact in Chinese Medicine that each symptom or disorder might be treated by a number of different point prescriptions or herbal prescriptions because every human body is unique. In TCM, we treat based on each individual’s pattern. One person may have menopausal symptoms for one reason, and another person might have a different imbalance that exhibits the same symptoms. Treating them both with the same points and herbs might make one better and the other not, or might even make them worse!Other difficulties in doing research on acupuncture is, in fact, having an effective “placebo” treatment to use as a control. To date, no one has come up with something that feels to all patients like they are getting acupuncture, but which is not acupuncture. No wonder some studies aren’t able to show anything! Add to this that acupuncture is just not a big money maker, so no one wants to put much money into research (a big problem with all research today), and you start to touch on the difficulties.  We need to come up with a new paradigm.

This is something I’ve thought a lot about, having a B.A. in Biochemistry, having worked in research in the biotech industry, and having taught research methodology at TCM schools. (But to go into depth about it is a subject for another article.) Unfortunately, however, I think Michael Specter’s article has some serious flaws that need to be addressed and I’m a bit surprised that Ted Kaptchuk allowed the article to be published; however, not really knowing the man, it’s hard to say. Coincidentally, I happened to just meet someone who is also involved at the Harvard Institute, an insider, who mentioned that several of Kaptchuk’s colleagues were also upset with him about this article. While I understand the need to study the placebo effect, and I also can understand changing from clinical practice after 40 years (it’s hard work) to something that gives more prestige and millions of dollars in grants, I don’t understand why Specter and Kaptchuk felt they had to discredit acupuncture in the process. The nature of the article belies the rigor they say they are trying to promote.

How acupuncture works

My last post, about coping with change, raised the question, “How does acupuncture work, anyway?” I mentioned that inserting certain needles can “open the floodgates” and many people asked, “How?” This is the “million dollar” question, isn’t it? Everyone wants to know how acupuncture really works.

The truth is that, from a Western science point of view, no one knows for sure. The Chinese Medicine explanation is more consistent, and more poetic, something I like. As I do for patients in my office, I’ll give you both.

Importantly, science has proven that acupuncture does work, even though no one has come up with the detailed mechanism. Numerous studies have shown that acupuncture reduces pain in osteoarthritis and fibromyalgia, reduces chemotherapy induced nausea, increases success rate for in-vitro fertilizations, helps asthma and bladder control problems, and on and on. Studies have also shown that acupuncture “somehow” causes the release of neurotransmitters like serotonin and others, anti-inflammatory agents such as prostaglandins, eventually increasing C-reactive protein (an indicator of less inflammation in the body), and that it can modulate the immune system, increasing white or red blood cells, or decreasing reactivity in allergy cases.

Many postulate that acupuncture does this by affecting the central nervous system. The needles sometimes come close to nerve pathways, and scientists have seen increased activity in certain areas of the brain by MRI when acupuncture points are stimulated. However, this had not been able to explain all the effects of acupuncture. We now know that acupoints are areas where there are increased numbers of not only nerve endings, but also certain types of cells and vessels. Stimulating these areas with needles causes a large and complex cascade of events that is difficult to unravel and explain, but has a marked effect!

Recently, I also came across another explanation. Electrical charges are found everywhere, and in every cell in our bodies. At acupoints and along the meridians that acupuncturists say exist, there is less electrical resistance, meaning it is easier for electricity to flow through those areas. In areas where an acupoint is out of balance, the electrical charges in the cells in that area are often scrambled. When an acupuncture needle is inserted, the charges line up. Research in this area is ongoing, but recent studies have shown promising results.

This last corresponds more closely to the way Chinese Medicine says acupuncture works. For thousands of years, Chinese Medicine practitioners have intimately examined the workings and feelings of their own and other’s bodies. They discovered that there is something they decided to name “Qi” (pronounced “Chee”), that also exists everywhere, but tends to run through 14 major channels or meridians in the body. The pathways of these meridians have been mapped out or charted, and the major acupuncture points lie along these pathways.

Human body meridians (source: Wikipedia)

In a very healthy, pain free person, the flow of Qi in these channels runs smoothly, but when there is pain or imbalance in health, the Qi is often blocked, or sometimes weak or excessive. Inserting needles in the appropriate points along the channels “magnetizes” the Qi (in Chinese Medicine, we speak of the sensation sometimes felt when a needle is inserted as “De Qi”, the arrival of Qi), and thereby clears any blockages, opening the flow. With certain kinds of techniques and a good practitioner, the amount of Qi can also be reduced or increased. When the flow is opened or modulated, it can relieve pain in that area, and it also allows flow along the pathway to internal organs, to promote all kinds of other health benefits, depending on the channel stimulated.

So that’s it, ladies and gentlemen. That’s what we know about how acupuncture works in a nutshell. Maybe that’s already more than you need, “TMI,” as my daughter would say. Or, if you find your interest piqued, there is now a plethora of information if you Google the science of acupuncture, or how acupuncture works. I’m also happy to answer any questions you might have as best I can, so please contact me either through this blog, in person, or by phone. Please don’t hesitate to speak up; expressing yourself also helps the flow of Qi!