Acupuncture use in the military

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

CorpsmanToMO

Full Member
10+ Year Member
Joined
Sep 6, 2009
Messages
13
Reaction score
0
Interesting article, just wondering what everyone thoughts on exploring other medical options other then over medicating our troops and sailors. Has anyone been at a command where they have seen the use of acupuncture for treating members? What are everyones feeling on the use of acupuncture?

CAMP LEATHERNECK, Afghanistan - The U.S. military is applying an ancient Chinese healing technique to the top modern battlefield injury for American soldiers, with results that doctors here say are "off the charts."
"Battlefield acupuncture," developed by Air Force physician Col. Richard Niemtzow, is helping heal soldiers with concussions so they can return more quickly to the front lines.
At Camp Leatherneck, an enormous Marine Corps base in southern Afghanistan's Helmand province, a military doctor's consulting room has dim little Christmas lights arranged across the ceiling and new age music playing.
Commander Keith Stuessi asks his patients to relax in his darkened chamber and then gently inserts hair-thin needles into special points on their body: between the eyebrows, in the ear lobe, on the top of the head, into the webbed part of the hand between the thumb and fingers, and on top of the feet between the first and second metatarsal. The needles may look gruesome but don't hurt.
Stuessi, a naval doctor whose rank is equivalent to Lieutenant Colonel, treats concussions, also known as mild brain trauma.
"I'm seeing pretty incredible results," said Stuessi, who's based at the Marine Corps' Camp Pendleton, near San Diego, and is originally from Wales, Wis. "In my heart I think this will, down the road, become one of the standards of care."
Homemade bombs called improvised explosive devices, or IEDs, are the leading killer of coalition troops in the Afghan war. Even those without visible injury, but who were close to a blast, can feel the pressure wave from the explosion rush through their bodies. A concussion is caused by the pressure wave traveling through the brain, without anything necessarily hitting the head.
Some are knocked unconscious, and ruptured eardrums aren't uncommon. Even those who don't black out can have the same debilitating after-effects: dizziness, loss of balance, ringing in the ear, crushing insomnia, an aversion to light and a pounding headache. It typically takes two weeks to recover from the concussion, Stuessi said.
Gunnery Sgt. Williams, a 36-year-old Marine from Brunswick County, N.C., who said he wouldn't give his first name out of superstition, was 10 days in from a concussion he received in Musa Qala, in the north of Helmand, when he arrived in Stuessi's office. Climbing down off a roof, during a mission to set up a new patrol base, a soldier 3 feet in front of him stepped on an IED - and had to have both legs amputated below the knee.
Williams was knocked unconscious for about 10 seconds, and sustained a Grade III concussion, the most severe, though he was otherwise unhurt. Others realized something was wrong when he started talking nonsense, and he was airlifted to a hospital.
The next day, Williams had all the symptoms of concussion: a severe headache, poor balance, dizziness and excess sensitivity to light. Worse, he couldn't sleep. On the fourth day after the incident, the most grueling day for the headache, Stuessi suggested he try acupuncture.
"I didn't know much about acupuncture, but I was willing to try anything to get back (to duty)," Williams said. "That night, I slept for about 10 hours, and when I woke, the headache wasn't as severe."
Williams has had four acupuncture sessions with Stuessi, and is sleeping well. Sleep is the most important cure for concussion.
"It (acupuncture) relaxes me a lot. I always feel good after the treatment," Williams said. "The headache is gone. There's still some ringing in my ear, and I'm still working on the balance. But hopefully this week, I'll return to full duty, get back to my Marines."
Stuessi has treated 50 patients with acupuncture, at the specialist Concussion Restoration Care Center at Camp Leatherneck, and describes the results as "phenomenal." After one treatment, patients are often getting a full night's sleep and the headache is greatly reduced in intensity.
"People will always be skeptical. I may not be able to explain what's happening at a cellular level, and some of the affect could be placebo, but if the pain goes away, I don't care too much about that," Stuessi said.
Scientific studies on acupuncture haven't been able to prove its effectiveness. But Stuessi isn't alone in using it in the U.S. military. The Navy alone has now trained about 50 doctors in acupuncture, Stuessi said. The Air Force, for instance, uses the technique to dampen the pain on the long flights for evacuating wounded soldiers back to the U.S. Stuessi thought it worked by adjusting the "neural pathways" in the body.


"It's like rewiring a computer; you're hitting certain nerves in the body. So instead of sending up a pain signal to the brain, they send up a signal saying everything's OK. It's almost like faking out the brain," Stuessi said.

Though it's not a technique that's part of conventional Western medicine, the National Institutes of Health is examining acupuncture as a means of speeding recovery for soldiers.
Last week in Washington, Defense Department personnel met with researchers and members of the NIH's National Center for Complementary and Alternative Medicine to discuss the military's continued exploration of acupuncture.
Karen J. Sherman, an NIH-funded acupuncture researcher with the Group Health Research Institute in Seattle who attended the meeting, said that despite skepticism, the military remains interested.
"There's no doubt about it," Sherman said. "The addition of acupuncture to usual care seems to be beneficial, at least in the short term," from six to 12 months after treatment.
---
(Shah is a McClatchy special correspondent. Tony Pugh contributed to this report from Washington.)
 
Complimentary and Alternative Medicine, practiced by a physician, is probably allowed in most places. I don't see the services running out and recruiting acupuncturists wholesale into the MSC though.

Interesting article.
 
Several of the Anesthesiology Pain and PM&R folk at WRAMC and NNMC utilize accupuncture on both inpts and outpts. I have done it myself a couple of times (back pain), and I know several patients who swear by it for their back pain, nausea, constipation, headaches, phantom limb pain, etc.
 
I know at least one Air Force has a doc using it at David Grant at Travis AFB. He was sent by the Air Force to attend a course to get certified and now does it all day a couple of days per week in a clinic designed for that purpose. Gets good results.
 
Whatever happened to evidence based medicine? In the article the doc states that he's seen some really great results. Is that it? That's your proof? Show me some trials. Acupuncture is all about placebo effect. Only the Navy would pay to train 50 docs in an unproven modality.
 
http://nccam.nih.gov/health/acupuncture/

Lots of evidence of varying quality referenced here. The NEJM clinical therapeutics review isn't a bad place to start. http://www.nejm.org/doi/full/10.1056/NEJMct0806114

I rx all sorts of medications with significant placebo effects (read any IBS or IBD trial) and use those effects to benefit the patient. Most of them have some degree of clinical benefit beyond placebo (the exceptions being simethicone and surfak).

I realize that the issue here is indication. But, the patient feels relaxed, kinda like a massage. There is absolutely no chance of harm based on all the prior studies (in strong contrast to the work of chiropractors) and no one gets a bill. If its placebo and anecdotal medicine, thats probably ok in this case.
 
Whatever happened to evidence based medicine? In the article the doc states that he's seen some really great results. Is that it? That's your proof? Show me some trials. Acupuncture is all about placebo effect. Only the Navy would pay to train 50 docs in an unproven modality.

Oriental medicine (non-traditional medicine) has been around for few thousand years and its benefits have been enjoyed by countless patients more than we can imagine or appreciate. When you visit to Korea try visit a OMD for your chronic back pain or chronic fatigue in Seoul and experience their treatment. OMDs in asian countries spent 6-7 years to learn the art and their trainings are very comprehensive even requiring a korean OMD to learn the chinese characters. Just like U.S. for D.O and M.D. in asian countries OMD and MD work together to take care of patients. As for evidence based medicine and designing a such trial in U.S. there exisit some limitations....such as skills of acupuncturist! I wonder if a western doctor (MD) can truly learn the acupucture over a weekend seminar?😀
 
Whatever happened to evidence based medicine? In the article the doc states that he's seen some really great results. Is that it? That's your proof? Show me some trials. Acupuncture is all about placebo effect.
There's an irony in the same post decrying "show me EBM" while calling a modality all about the placebo effect without any evidence.

A quick pubmed or up-to-date search will show you research. There definitely is less research on acupuncture than say an SSRI (wonder why that is, eh?), but the research out there shows acupuncture is effective for some treatments and not for others.
 
As for evidence based medicine and designing a such trial in U.S. there exisit some limitations....such as skills of acupuncturist!
That isn't as much of a limitation. There are a fair number of great OMDs practicing in any major U.S. city, at least on the coasts. The limitation is that there isn't a big financial backer for such a study. Pfizer ain't going to front it, and a bunch of U.S. OMD schools that have an interest don't have the finances.
I wonder if a western doctor (MD) can truly learn the acupuncture over a weekend seminar?😀
Doubt it. You could possibly learn a single modality or somesuch, but not much beyond that.

There are a few courses designed for physicians to lead them to a acupuncture license. It involves several weekend seminars and hundreds of hours of videos and tutored practice. Helms institute or something? It's shorter than a full MA or somesuch, based on the idea that as an MD or DO, you already have good basis in anatomy, physiology, disease process, etc.
 
The Air Force is indeed having their physicians and in some cases dental corps docs trained in acupuncture.

I processed more than a few when i worked in the credentials office in Wilford Hall on Lackland AFB in Texas.

Mostly being used in forward/deployed locations from what i hear. As to efficacy? Can't speak to that.

I firmly feel if a patient thinks they are recieving a treatment ( just speaking to the patients mental state and their own desire to get better) and the mind over matter, brain-body connection works for them then hey, another warfighter into the mix or not committing suicide.
 
Last edited:
Top