19 e-Letters

  • Dry Needlers Gone Wild
    Evan Mahoney

    This is a case of 'dry needlers gone wild'. Dry needling should only be practised on thick muscle tissue. It is a completely inappropriate technique for thin muscle or cartilage area. I believe this is evidence of dry needling ineptitude, a result of overzealous needling. I think this shows little regard for patient safety or comfort. The instructor should have shown restraint and known better than to perform this dangerous t...

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  • Re:Worst Infection Control Ever
    Andrew Whitelaw

    Hygiene is very important.

    As important or more important, than hygeine, is not piercing the organs- - especially the lung. Every student of acupuncture is taught never to needle the thorax in a perpendicular angle.

    Medical Doctors have high insurance rates, because it is common for them to injure patients. Not so for licensed acupuncturist (LACs) whose liability coverage cost is comparatively miniscule....

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  • Re:To whom it may concern
    Yi M. Xie

    The images of the needle tips shown in the paper had a magnification of 5000 times. At such a high magnification, any needle would show some "defects", not just the acupuncture needles examined in this study. One could easily find scanning electron microscope (SEM) images on the Internet of commonly used hypodermic needles which look just as awful, or even more frightening, when the magnification goes beyond 1000.

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  • Re: Worst Infection Control Ever
    Mike Cummings

    Infection control is of course an important aspect of safe practice in acupuncture and dry needling.

    The British Medical Acupuncture Society (BMAS) does not recommend the use of gloves for acupuncture: it is not easy to see how gloves confer an advantage to either the patient or the practitioner in the absence of sufficient blood to form a droplet that might come into contact with a nail bed, and hence expose th...

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  • Worst Infection Control Ever
    Mark A Crislip

    Procedures have complications. It happens. But the video has the worst adherence to infection control you could ever want to see:

    No gloves.

    No sterilization of the site where the needle is going to go.

    His ungloved hands wander all over the patients back before placing the needle.

    He uses the tube in which the sterile needle sits as a pointer, touching his fingers with the end of it...

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  • Still waiting for pragmatic research designs
    Michael Barr

    I wonder whether a 6-week time point for evaluation of differences between dual-therapy (acupuncture + (initial) SSRI) and mono-therapy (initial SSRI therapy alone) is useful, given that these medicines typically take a minimum of 4 weeks to begin working, with substantial improvements often not occurring until well after that (6-8 weeks).*

    I would suggest that what this trial is comparing is daily acupuncture...

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  • To whom it may concern
    Fran A. Harrington
    I was shocked and dismayed at the appearances of the acupuncture needles, particularly those from the Chinese company. I had always presumed that single use needles were safe to use. I don't know who does their quality control testing, but I don't think they are doing their job properly. Is there some way of knowing which companies make these needles??

    Conflict of Interest:

    None declared...

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  • Different ancient dosage forms in the treatment of headache
    Seyed hamdollah Mosavat

    Ancient medical knowledge can be considered as a rich source for modern medical researches hypothesis formation. It is interesting that the herbal dosage forms were not only oral ones. For example Avicenna wrote multiple route of herbal plants administration in treatment of headache in his book. Avicenna, a Persian physician, was one of the most outstanding medical scientists and practitioners ever [1]. His most famous med...

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  • Gate control pain modulation theory permits successful therapeutic infiltration of tender points only with sterile water!
    Stavros Saripanidis

    Dear Editors,

    The dorsal horns are not merely passive transmission stations but sites at which dynamic activities (inhibition, excitation and modulation) occur. [18]

    Via a series of filters and amplifiers, the nociceptive message is integrated and analysed in the cerebral cortex, with interconnections with various areas. [1]

    The processing of pain takes place in an integrated matrix throughout...

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