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Lloyd I. Sederer, MD

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When To Consider Acupressure: An M.D.'s Prescription

Posted: 03/10/2011 8:46 am

You can think of acupressure as "acupuncture without needles." It is a branch of the practice of traditional Chinese Medicine, with its various components that promote the proper flow of energy, the fundamental life energy in all of us, using the hands, or herbs, or acupuncture needles.

Perhaps you have heard the term "Qi (or Chi)", or Ki, or Gi, Chinese or Japanese or Korean terms for the energy inherent in our bodies. Eastern 'medicine' for millennia has held that when the flow of Qi is obstructed or hindered all varieties of malaise and illness befall us. Problems with Qi flow can manifest in troubles as diverse as musculoskeletal pain and stiffness, headaches, digestive and sleep disorders, not to mention emotional stress and distress. The task of the Eastern practitioner, thus, is to relieve the Qi blockage, hence helping the patient heal and feel energetically revived.

The branch devoted to the use of pressure points to restore energy flow is called the practice of acupressure. In Japan, it is called Shiatsu, in Korea, Sugi. Sugi literally means hand and energy. Acupressure is different in two principal ways from the many bodywork techniques available today: First, it does not use oils and lotions that bodywork typically employs to aide gliding and kneading strokes on bare skin and the underlying musculature; instead the practitioner applies finger pressure on specific sites of the body. Second, and more importantly, acupressure is directed by a carefully studied and intricate system of some 360 points and 12 meridians on the human body, the same orientations used in acupuncture and considered functional (and externally available) extensions of our internal organs.

I recall the first time I had Shiatsu in a small, spa town in Japan many years ago. A middle aged, dowdy looking Japanese woman with a purse from another era over her arm came to my room. After about a ½ hour I had to stop, and it took me a couple of days to recover from the pain. I attribute that pain to the fact that I was not prepared to let myself relax and let the pressure do its work. Once in Thailand another pressure practitioner began to walk on my back, all 110 pounds of her. It was an experience that I knew I wanted to repeat -- but with someone whose study was as exacting and whose skills were as able as that of any doctor or therapist I would consult here in the U.S..

As a practitioner of Western medicine, I have seen the marvels that science has brought to remedying disease. But we all have seen, as well, how the limits of Western medicine have prompted the growth, in many countries outside of Asia, of what is called alternative and complementary medicine. That's because we seek more than what western medicine has to offer.

If I have an infection, I want an antibiotic -- give me a western approach to my disease. But when I have stress, a pill is not what I want. And even when I am taking a pill or other western treatment for many a condition I want to give my body the resilience and strength it needs to recover. Wellness is truly complementary to treating illness. One does not exclude the other. What so many people now seek are techniques that release the body's energy to help clear the mind, relieve the body's ails and knots, and improve our mood. Practitioners are more likely available in cities but not only there. A website that nicely explains Sugi Acupressure is www.sugiacupressure.com.

Rousseau was said to have exhorted "bring me medicine, not the doctor." But that was before the east began to join the west, before western medicine could be combined with complementary eastern techniques. Now we don't have to choose just one.

.............
The opinions expressed herein are solely my own as a psychiatrist and public health advocate.

Dr. Sederer receives no support from any pharmaceutical or device company.

Visit Dr. Sederer's website at www.askdrlloyd.com - for questions you want answered, reviews and stories.

 
 
 
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HUFFPOST SUPER USER
Paul Robertson
03:27 AM on 03/13/2011
The title of the article promises to present "An M.D.'s prescription", yet within the text, there is nothing remotely approaching an evidence-based assessment. Perhaps acupressure does indeed offer superior relief for stress, but all we are presented with is an anecdotal experience with the only reported effect of acupressure being lasting pain. What support do you have for your conclusion? I expect more from an M.D.
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HUFFPOST SUPER USER
NotEve
Facts are of no use against the irrational
10:14 PM on 03/12/2011
Alternative/traditional forms of healing certainly have their place in the holistic/integrative evidence based practice of medicine. However, until their methodologies are supported by the same evidence based principles that are the bedrock of modern medicine their role is in the psycho-social context of providing peace of mind and spiritual support based on an individual patient's preferences.

In no way should they be considered equal to or in place of evidence based medical treatments. Just like any other medical treatment their credibility should be judged based on independent and credible research/evidence.
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Muirwoods
My Micro-bio is empty........meh
12:26 AM on 03/13/2011
Evidence based medicine - are you kidding??? The minute the Obama administration mentioned EBM, the right wing medico-pharmaco-insurance company industrial complex went nuts. That is the last thing "modern medicine" wants. There is sooooo much money being made keeping medicine within the status quo. Huge profits for everyone at the top at the expense of the middle class. It will never change.
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HUFFPOST SUPER USER
NotEve
Facts are of no use against the irrational
01:26 AM on 03/13/2011
As far as clinical practice is concerned EBM is the gold standard.

Other stakeholders in the healthcare industry may have competing motives - particularly since we have a profit driven healthcare industry, but that doesnt change the credibility and ideal of EBM
HUFFPOST SUPER USER
Paul Robertson
03:35 AM on 03/13/2011
I'm not sure you understand what is meant by evidence based medicine. As far as the "big pharma" interests go, the usual accusation is actually the opposite of the one you're making. Complying with the "gold standard" is expensive and it is a common accusation that these costs grant the establishment an effective hegemony. It's not clear to me why "the right wing medico-pharmaco-insurance company industrial complex" would object to EBM.

http://en.wikipedia.org/wiki/Evidence-based_medicine
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StThomas
Not until I see the holes of the nails....
06:59 PM on 03/11/2011
Second try: Before promoting this, could you prove that qi, actually has some kind of existence outwith the imagination?
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babybecks
"because I am involved in Mankind;"
04:15 PM on 03/12/2011
I couldn't resist pointing out, that it's ironic that someone using the username and pic you do, is asking the question, "could you prove...actually has some kind of existence outwith the imaginatio­n?"
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StThomas
Not until I see the holes of the nails....
06:56 PM on 03/12/2011
"Except I shall see in his hands the print of the nails, and put my finger into the print of the nails, and thrust my hand into his side, I will not believe."
HUFFPOST SUPER USER
Paul Robertson
06:59 PM on 03/12/2011
It's a deliberate irony in the name
http://www.huffingtonpost.com/social/StThomas/what-is-acupressure_b_829432_80490972.html
HUFFPOST SUPER USER
David4FreePress
I am a volunteer, Tong Ren distant energy healer.
09:31 AM on 03/11/2011
Thank you Dr. Sederer for being this open.
I think that an ancillary point to your article is the importance of doing what is best for the patient.
Whether a particular discipline is better than another is irrelevent. The very question itself may only arise because of commerical competition.
Someone who uses regular eastern practices for stress reduction is less likely to have a weakened immune system when exposed to an infection, and is also less likely to suffer from many other medical problems.
I submit that it is this commercial aspect of eastern and hollistic practice that is the real source of distain for eastern practices by the western medical establishment. The direct care providers, like doctors, are not the cause of this problem.
Fanned.
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StThomas
Not until I see the holes of the nails....
07:42 PM on 03/11/2011
If you're doing what is the best for the patient, then whether a particular discipline is better, is very, very relevant.
"Someone who uses regular eastern practices for stress reduction is less likely to have a weakened immune system when exposed to an infection, and is also less likely to suffer from many other medical problems."

Evidence?

Show that eastern practices work better than drugs, then any British Health Board would be very interested indeed. That it hasn't happened in the non commercial setting of the NHS may be significant.
HUFFPOST SUPER USER
David4FreePress
I am a volunteer, Tong Ren distant energy healer.
11:26 AM on 03/12/2011
Thank you for the response StThomas. We may have much more in common than you think.
I am a distant energy healer and I believe in the power of prayer to heal because it appears to increase subtle energy flow. Haven't you seen a greater resilience in consistent worshipers? I have seen it in people that do energy healing practices on a regular basis.
I think that we are working with similar subtle energies. I worked on a minister once who felt much greater energy flow when he prayed. He even started doing energy healing on his own. I should check back with him.
I do Tong Ren distant energy healing and I think that it would be very productive to combine that with prayer sessions to help the ailing. I would be happy to give you a demonstration via Skype if you are open to it. It could give religion in the UK a real boost if they could start helping the National Health Service.
In my mind there isn't any one superior discipline. They are all different tools available to doctors and others to apply based upon the situation. Christians stand a much better chance of being helped by prayer, at least for stress, because it is a real source of energy for them.
Let me know what you think.
Dave
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David4FreePress
I am a volunteer, Tong Ren distant energy healer.
06:17 PM on 03/12/2011
As reported in the journal Psychosomatic Medicine, Davidson and Jon Kabat-Zinn, a medical professor at the University of Massachusetts, Amherst, conducted a small controlled study of "mindfulness meditation" training for employees of a small biotech firm. Four months after an eight-week meditation course, the researchers found that emotional and immune system benefits persisted-with just 15-minute meditation sessions only two or three times a week.
03:26 PM on 03/12/2011
David4FreePress: I would LOVE to see your evidence that eastern practices for stress reduction are less likely to result in a weakened immune system than than western practices.

Articles like this one, as well as comments like yours, really do a disservice to those of us who suffer from mental disorders. You all seem to think we don't deserve honest, actual medical advice and care. I would hate to think that someone who is suffering (like I was a little over a year ago in the grips of a severe anxiety/depression breakdown) would see this blog and think this is all that is out there for them.
10:31 PM on 03/10/2011
Here we go again.
HUFFPOST SUPER USER
DakkonA
www.DisentangledReality.com
08:43 PM on 03/10/2011
How about you talk about how it ACTUALLY works? You know, possibly by manipulating the connective tissue.
HUFFPOST SUPER USER
David4FreePress
I am a volunteer, Tong Ren distant energy healer.
12:04 PM on 03/11/2011
Unfortunately, energy work, such as acupuncture and acupressure, is not open to western reductionist analysis. The article mentions that the obstruction of energy flow causes illness. However, the meridans that are successfully used for treatment don't have a corporal existence. They are located among nerves, and blood vessels and the endocrine system, and subtle energy, chi, is thought to include bioelectricity, blood and hormones. So it is possible that the interaction of these elements at the treatment points is key to understanding how it actually works. I don't know that this can be measured.
We know from practice that finding and clearing these obstructions helps the body to function better and to heal itself. Many illnesses have treatment points (obstructions) which frequenty repeat for different patients. Many of the obstructions present as sore spots when pressed, and manipulation can often relieve the obstructions.
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HUFFPOST SUPER USER
NotEve
Facts are of no use against the irrational
07:30 PM on 03/11/2011
What you are describing, David4FreePress, is the Eastern philosophy behind how these techniques work, not necessarilly how they actually work.

I must reject your assertion that these techniques operate outside "Western reductionist analysis." Praying nuns and monks don't get their benefits from prayer simply because God grants it to them, but instead scientific analysis has been able to significantly explain their meditative and spiritual experiences.

This isn't magic, and although there hasn't been sufficient research looking at these techniques, we actually do have a pretty good understanding/hypotheses of how they actually work.
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HUFFPOST SUPER USER
Jimmy B
Atheism is a non-prophet organization
07:38 PM on 03/11/2011
And I have a dragon living in my garage, would you like to see it?
07:53 PM on 03/10/2011
acupressure is pretty cool. eastern medicine is where it's at. I have never actually had acupuncture done, though I would like to, I have received acupressure. It feels really good. (= I would highly recommended getting it done if you haven't tried it before.

it seems to ease the tension in your whole body. you just relax and kind of melt...ha its sweet.

one of the things you can do to maintain a healthy lifestyle for sure. Quigong is also an excellent addition along with yoga, exercise, and eating right. This combination is a recipe for dankness. You will feel amazing living like this. If you want more energy and power in your life than this is definitely the way to go. If you want to kick it up another level you'd want to check out some super foods.

More info about eating a dank combination of super foods at:

http://www.michaelstagg.com/brightearthfood
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HUFFPOST SUPER USER
NotEve
Facts are of no use against the irrational
08:08 PM on 03/12/2011
Yeah, it makes you feel really good - just like a massage (and with the same therapeutic benefits).
06:42 PM on 03/10/2011
Thanks for this article. I really appreciate and have great respect for a traditionally trained MD recommending acupressure. I am a traditionally trained pharmacist that is totally into holistic healing. Many of my Crohn's clients go through cyclical acupressure sessions and really benefit from it. http://www.journey-with-crohns-disease.com/
01:31 PM on 03/10/2011
Lloyd, great to have open-minded professionals like you advocating a range of treatments. Acupressure and acupuncture have been critical contributors to maintaining health and wellbeing for me.
12:31 PM on 03/10/2011
It's great to see more MDs are open to Chinese medicine. I need to add that acupuncture and herbs are great for treating and preventing infection. If an infection is life threatening, than take Western drugs. For more on how Chinese medicine can benefit more than stress and aches & pains- www.livenaturallivewell.com
03:29 PM on 03/12/2011
Did you ever stop to think that severe depression and certain other mental disorders can be life threatening? And that if someone saw these types of blogs and thought 'hey, I don't really need my drugs because this guy says they don't work and I just need acupuncture' went off their medication it can have dangerous consequences?
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David4FreePress
I am a volunteer, Tong Ren distant energy healer.
06:07 PM on 03/12/2011
Hi GH.
I saw your similar response to me but it hasn't appeared here yet.
I'm not saying that drugs don't work and I would never tell someone to stop taking them.
I advise people to tell their doctors that they are doing energy healing.
I have helped many people with stress and depression, and I have told many people to ask their doctor about different issues. Energy healing is a complementary tool that can be used, and it is good to see that some doctors are open to it.
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HUFFPOST COMMUNITY MODERATOR
Mirabai305
Are you Jeff Vader?
04:11 PM on 03/14/2011
Any acupuncturist treating mental health issues should be very alert to patients who go off their meds (something that happens all too often regardless of whether or not Eastern medicine is in the mix) and be in close contact with their other practitioners.

no acupuncturist worth his salt would recommend that a patient stop taking pharmaceuticals or continue treating a patient that is non-compliant with his medications without doing something about it.
12:01 PM on 03/10/2011
Thanks for this, Dr. Sederer. These are important points about the benefits and shortcomings of Western medicine. I talk about this topic a lot over at my blog if you want to check it out. http://acutakehealth.com

Thanks,
Sara
10:35 AM on 03/10/2011
As a university student who is engaged in both Eastern and Western philosophies of health, I always enjoy finding combination practitioners. But it is also important to keep in mind that everyone needs to do their own research about health modalities. My student standing gives me access to NaturalStandard.com and I use it all the time to educate myself.
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HUFFPOST SUPER USER
Vajara
vajara
09:38 AM on 03/10/2011
Excellent orientation about the use of acupressure for health. We use this intervention in our stress management and health promotion programs with the military and with injured warriors and their families identified with PTSD. http://jerryvest.pages.qpg.com