Acupuncture starts to penetrate sports world
Although group rhythmic gymnastics wasn’t an Olympic sport back when Sonia Tan was competing, the Vancouver resident represented Canada at a number of international events in the early ’90s. Tan knows firsthand about the gruelling physical and mental demands that high-stakes competitions like the Olympics place on athletes. She can also attest to the price athletes pay when they’re not in top health.
“In my early 20s, I had trouble finishing my routines because I was gasping for air,” Tan explains in a phone interview with the Georgia Straight. “As a child I developed exercise-induced asthma, and I also had allergies that required weekly injections and daily medication.”
Growing up in Toronto, she and her family mostly turned to western medical treatments, even though her grandfather used traditional Chinese medicine with great success. But with an international competition fast approaching, Tan was frustrated by the lack of relief she was getting from conventional approaches.
Out of desperation she tried acupuncture and Chinese herbs. She couldn’t believe how much better she felt so fast.
“I was ready for that competition, and I did fine,” she says. “After about six months, I didn’t need my medication anymore at all. I was completely symptom-free. It was really eye-opening.”¦I credit it for giving me the gift of my health back.”
In fact, Tan found the whole experience with the centuries-old therapies so profound that, after completing a degree in kinesiology with a specialty in athletic injuries, she went on to study at Vancouver’s International College of Traditional Chinese Medicine. Tan, 36, has lived here since 2002 and has been in private practice since 2004.
With the Olympics in full swing, she’s hoping that, just as she did during her intense days of gymnastics training, other athletes will reap the benefits of traditional therapies. Tan is volunteering as an acupuncturist at one of the Olympic and Paralympic Games’ Polyclinics—multidisciplinary health-care centres in Vancouver and Whistler. Besides emergency and primary care, among other health services, the clinics provide physiotherapy, massage therapy, and chiropractic treatments to athletes, Vanoc officials, and media.
Acupuncture as a treatment for sports ailments gained widespread recognition during the 2008 Summer Games in Beijing, when the service was offered for free to athletes and officials in the Olympic Village. Canadian speed skater Kevin Overland has reportedly used it to beneficial effect, as have hockey great Jaromír Jágr and former NFL player Marcellus Wiley.
The treatment involves the insertion of tiny needles along the body’s meridians, which practitioners believe conduct qi, or energy, which regulates physical, spiritual, mental, and emotional harmony. The theory is that illness results when qi is “blocked” or imbalanced. By stimulating certain points in the body, acupuncture seeks to unblock and balance a person’s energy.
Acupuncture’s benefits for athletes and people who are physically active are many, Tan claims, particularly if they’re dealing with musculoskeletal problems. It helps reduce pain and inflammation and increase circulation. Combined, these effects boost the body’s ability to heal from injury and enhance the overall feeling of well-being.
“Acupuncture restores people’s energy to an optimal state of balance,” Tan says. “For me, I had weekly treatments of acupuncture, and my body felt completely different after. I was on so much medication that I felt like I was in a fog; with acupuncture, I felt more strong, more natural.”
That brings up another point about the benefit of the technique for Olympic athletes: it doesn’t involve ingesting any potentially harmful or banned substances. “When it comes to anyone who’s active and who’s conscious about what they’re taking, acupuncture gives them natural relief for pain and inflammation.”
She says it can also help reduce stress and alleviate insomnia, two things that are common among men and women preparing for the race of their lives.
“The mental preparation and stress is huge,” Tan says. “It’s a whole different psyche.”
According to a 2005 medical review of the effectiveness of acupuncture on sports injuries by the U.K.–based Acupuncture Research Resource Centre, acupuncture has been shown to successfully treat ankle sprains, plantar fasciitis pain, and patellofemoral pain syndrome, among other conditions. However, the review noted that more research is needed because there have been few studies to date, and these have varied in quality.
Local acupuncturist Ian Dunsmuir, manager of acupuncture services at the Games’ Polyclinics, explains that this is the first time in the history of the Olympics that such fully integrated health care has been offered. That speaks to the effectiveness and acceptance of techniques like acupuncture.
“Having it during the Olympics is building acupuncture’s integrity and popularity,” Dunsmuir says in a phone interview. “It will create more awareness.”
Whether a person is aiming for a gold medal in alpine skiing or simply running a few times a week, acupuncture can help improve range of motion, loosen tight muscles, align the pelvis, and improve balance, he adds.
Dunsmuir notes that a lot of people don’t like the idea of acupuncture because they’re scared of needles.
“That’s really a myth,” he explains. “The needles are very, very thin, nowhere near as big as ones used when you get a vaccination or have blood taken.
“Most people are very relaxed during a treatment,” he says. “Some people fall asleep.”





#1 The focus person claims that the true medical establishment failed her.
#2 The miracle cure for her recovery came via acupuncture.
#3 Anecdotal evidence is offered.
#4 Details of acupuncture are supplied, including reference to its thousands of years of use.
#5 Qi/Chi is explained with slippery, unmeasurable, undefined words such as "energy" and "balance".
#6 More anecdotal evidence is given.
#7 An acupuncture expert is quoted.
#8 The "conclusion" is that acupuncture is becoming increasingly accepted by mainstream medicine.
With the exception of step #8, the same process can be used to justify the four humors, crystal therapy, and phrenology yet none of those receives the serious consideration granted to acupuncture by The Straight. Why? There is no more evidence for the existence of Qi than for the validity of those aformentioned treatments so why grant acupuncture a free pass?
The reason acupuncture isn't banned by international sporting bodies is because other than the possible (stressing the "possible") effect of relief from lower back pain, acupuncture has no effect on the body. It's junk medicine offering little more than the placebo effect. Being "accepted" by the public doesn't authenticate a practice. Millions of people read and believe their horoscope every day but that doesn't mean that astrology accurately predicts the future. Confirmation bias, anecdotal evidence and the belief of millions does not make something "true" or "real" so please, stop legitimizing acupuncture and bury it with the rest of the archaic, discredited medical practices.
Thanks for your comments. The World Health Organization, WHO, did a systematic review of acupuncture and its effects. They found that a LOT more than just back pain can be successfully treated with acupuncture.
http://apps.who.int/medicinedocs/pdf/s4926e/s4926e.pdf
Absense of evidense is not evidense of absence. Just because Qi has not yet been quantified does not necessarily mean it doesn't exist, it can also point to the limitation of modern scientific measurement.
In Chinese Medicine the mind-body connection is important and valid. The subjective sensation of energy travelling down meridian lines is consistent and repeatable, and my guess is that you have not experienced that sensation, yet, Matthew.
I always find it interesting, the implication that the most ancient yet fully intact culture (ie the Chinese culture) suffers from some sort of mass delusion, believing in Qi. Perhaps it would be more prudent for us to listen to their wisdom instead of insisting it doesn't exist becuase we don't fully understand it yet.
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Hypocrite \hi-pe-krit\ - noun
"A person who acts in contradiction to his stated beliefs or feelings".
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Maybe you should make use of a dictionary because there's no hypocrisy in my remarks as I've in no way contradicted myself. If I have, please point it out.
Word definitions aside, I have tried acupuncture. Afterward, the pain in my lower back transformed from a sensation of mild discomfort to pure agony. You never hear such stories, do you? Of an acupuncture treatment resulting in greater discomfort or pain. But it's an absolute truth; that really did happen to me.
Don't believe me or think I'm exaggerating for the sake of argument? Why don't you believe me? And if you don't believe me why do you chose to believe Sonia Tan's claims and not mine? You don't know either of us so there's no reason to trust one person's claims over another. Maybe I'm lying. Maybe she is. Perhaps I'm misinformed. Perhaps she is. And even if you DO know and trust one of us, it still doesn't validate the claims.
Stating it once again, anecdotal evidence is absolutely worthless when evaluating the validity of any medicine or medical procedure. If you can't understand why anecdotes are of no use then let me give a second illustrative example:
My brother had a nasty cold. He told me that while coughing he unintentionally swallowed a fly. Two days later his symptoms began to clear. A week later he was 100% healthy. From now on he says that every time he has a bad cold, he's going to swallow a fly to aid his recovery.
Now, here's my question:
Was it the fly that cured his cold?
If you can answer that correctly, then apply the same interpretation to acupuncture and you'll understand why claims such as, "Acupuncture fixed my knee. Acupuncture gave me additional 'energy.' Acupuncture healed my asthma,' are invalid.
Thanks for clearing up my assumption that you had not experienced acupuncture before. I am sorry to hear your pain got worse after treatment, but to me it seems like acupuncture, then, DID have an effect on your body, did it not?
I would expect that if Qi did not exist, and therefore acupuncture did not influence that flow of energy, and if the effects of acupuncture were merely placebo, then you as someone who is skeptical of acupuncture's effect should have had no effect from it. Yet, by your words, your pain got worse. To me that sounds more like an incorrect choice of acupuncture points, not validation that acupuncture has no effect. Indeed it did seem to have an effect on your body, unfortunately just not the pain relief you were seeking.
the rational, scientific model is one of reductionism, which assumes that breaking down concepts into the relationship between its smallest parts (for example studying molecular biology to assess the disease process) can be extrapolated BACK to its whole. the chinese medicine theory is holistic - which assumes, in a way, that humans are more than just a sum of their parts. this makes it hard, actually, to study it from a scientific model without altering its theoretical foundation.
the Chinese Medicine disease model is not a biomedical one, therefore it has not been created for, or extensively analyzed by, a scientific, reductionist, evidense based paradigm of western medical research. however this is happening more and more as Chinese Medicine is becoming more popular in the west.
If Chinese medicine cannot be analyzed or tested how do you know it works?
If Chi is real (i.e. not a mass delusion - your words) then how is measured or even detected?
Sham acupuncture has a variety of practices. It can include inserting needles in non-traditional points/sites or faking the sensation of needles being inserted into a test subject at traditional points/sites.
Why is sham acupuncture been proven to be as effective as real acupuncture?
Finally, what is your response to my "brother ate a fly...cured his cold" example?
a)i did not say chinese medicine cannot be analyzed or tested, i said it is difficult to do, simultaneously satisfying scientific rigour and tcm holism. "knowing" something works according to what i think i understand to be your definition of i"knowing" mplies using the scientific methodology, which is what the sumary of WHO analyzed research i quoted earlier indicates and answers your question. my personal experience with it is that it works becuase i regularly get acupuncture treatments, and i know how my health is effected when i do or don't maintain treatment. by definition my own opinion can only be anecdotal, because i am only an N of 1. so, evidense based research (WHO, scientifically valid) and my own perception (integration of body-mind, TCM valid)
2) chi is just another word for energy. it is accepted in western physiology that the nervous system works with chemical and electrical principles. some of the most reduced levels at which we analyze neurology is done by electro-physiologists. i am not saying that chi is electricy, or at least exclusively electricity. But what i am saying is that maybe we have simply not figured out how to measure that form of energy, yet. it is traditionally detected, as i mentioned before, by both the perception of the person receiving the acupuncture, and the perception of the person administering the acupuncture. this mind-body connection, as i also mentioned earlier, is valid in chinese medicine theory.
Modern day MRI and functional MRI (fMRI) research has shown that some acupuncture points activate pain control centres in the brain. Other research has shown that points like SP6 SanYinJiao and the CiLiao points on the sacrum cause uterine contractions.
a) “sham” acupuncture indicates that it has been proven to have no effect over the “control” group. However, the reality is that 99.5% of acupuncture research which involves sham acupuncture did NOT, in fact, verify independently that the sham itself has no effect vs. the control group. Typical example: Control group result = 1. Sham group result –=5. Acupuncture group result =6. Because there is no statistical difference between sham group and acupuncture group, they must both be placebo. The fault in the logic of that research structure is that BOTH groups had an effect over the control group. That invalidates the sham is not neutral and isn't another “control”, by definition. See the next point.
b) In other words, there is a VERY large assumption that doing acupuncture on “non-acupoints” does not effect the body. Any acupuncturist will tell you that every time you are piercing the skin layer you are affecting the person, regardless of whether it is on the meridian you intend or not. In fact even touching the acupoints and not puncturing the skin at all has been shown (statistically) to influence results. You can search the newest research on IVF pregnancy success rates using a control group, a laser group, and an acupuncture group to see an example of that.
So to answer that question, I would say that in chinese medicine theory there is no such thing as "sham" acupuncture. in biomedicine's interpretation, "sham" acupuncture = neutral treatment. this is an example of how difficult it is to satisfy both medical research models.
4) in answer to your brother eating the fly story, I would answer like this. Let’s say he did believe it was the fly that cured him, then a whole bunch of people started eating flies when they got colds and it cured them, too. So even though they would have gotten better in 2 days anyway, they ate the flies. Specious reasoning. But over time, some of them would have decided to not eat the fly, and realized they got better anyway. Then they would start to question the whole fly-cold fighting myth. Over many years, generations, centuries, millennia, the debate of the fly-cold relationship would have been debated, and analyzed, and reviewed. There would be a much deeper understanding developed about the fly, and it’s nature, and its parallels in the universe. And of the cold, and its properties, and its characteristics. This is kind of a good description of how a collection of anecdotal evidence, properly reviewed and analyzed, could be used to help decipher the reality of the fly and the cold.
Anyone interested may check out the different clinical report posted over here
http://www.imeghealth.com/resource-center.html
Make sure go to the end of the paper and follow the reference listed at the end.
1) I have examined the WHO article you submitted and find it, like so many analysis and trails of acupuncture, to be severely flawed. To begin with, a proper analysis should be undertaken by an unbiased party which Dr. Zhu-Fan Xie is not as he is a professor and director of integrated medicine.
Second, within the report itself, it is claimed that "controlled, clinical trials of acupuncture are extremely difficult to conduct, particularly if they have to be blind in design." So the author is already absolving himself from the use of double-blind testing methods. This is unfortunate because double-blind testing is the best, most accurate, and only unbiased way to test the efficacy of medical claims.
Dr. Zhu-Fan Xie also declares that, "if rapid improvement can be achieved in the treatment of a long-standing, chronic disease...the effect of acupuncture should be viewed in a more favorable light, even when a well-designed, controlled study has not been carried out." This is blatant confirmation bias and is completely unacceptable when testing the efficacy of any treatment or claim.
Therefore, this article is scientifically invalid.
2) The central nervous system does, indeed, operate through electrochemical waves. These waves can be measured and their effects tested and observed by neurons travelling along axons which cause detectable chemicals called neurotransmitters to be released at synapses. However, chi/qi/ki/prana (call it what you will) touted by TCM practitioners is part of a metaphysical, not an empirical, belief system.
You claim that chi is detected by both the person receiving and administering the acupuncture. Where is the proof to support the existence of this "energy"?
If an MRI shows that being pricked by an acupuncture needle activates pain centres in the brain, so what? Stabbing myself with a pencil, burning my hand on a hot stove, or pinching my earlobe will also activate pain centres. So using acupuncture needles does not validate the existence of some unseen "out-of-balance" energy field.
to be continued...
3) Sham acupuncture IS the control group. For example, In a drug trial, the group receiving the drug is the treatment group and the group receiving a placebo is the control group. The same holds true for testing acupuncture claims: one group receives the "real" acupuncture, the second receives the fake treatment.
Strangely, you admit that there is no difference between the effects of true acupuncture and of sham acupuncture so you've just proved my point: whether or not a person actually receives acupuncture has no relation to the result. Therefore, it's purely the placebo effect at work.
4) You recognize the specious reasoning that comes from my "brother-fly" example. Just because my brother ate a fly it does not mean that consuming the fly cured his cold. It MAY have cured him but perhaps he just got better through his body's natural healing processes. The truth can only be proven by double-blind testing.
Yet you can not see the same logic (or lack thereof) in acupuncture. "My asthma was acute. I had needles placed in my body. My asthma-symptoms improved. Therefore the needles healed me." How can one be certain?
Continuing to follow your addition to the "brother-fly" model, you wrote "Over many years, generations, centuries, millennia, the debate of the fly-cold relationship would have been debated, and analyzed, and reviewed." Why waste thousands of years if one can find much quicker results through the use double-blind testing trials?
Finally, you wrote, "This is kind of a good description of how a collection of anecdotal evidence, properly reviewed and analyzed, could be used to help decipher the reality of the fly and the cold."
The problem with most anecdotal evidence is that it is NOT properly reviewed or analyzed. It is taken on faith. The examples are endless.
"You feel a cold coming on? Take echinacea. It stops my colds dead!" (trials have indicated that echinacea does not prevent cold or infections)
"Don't eat chocolate! If you eat chocolate, it'll give you zits, like it did me!" (chocolate causing acne has been discredited)
Anecdotes/testimonials are one of the most popular and convincing forms of evidence supplied for any result or belief but they are unreliable. Stories are prone to contamination by bias, later experiences, feedback, selective attention to details, and so on. Most stories get distorted in the telling and the retelling. Events get exaggerated. Time sequences get confused. Details get muddled. Memories are imperfect and selective; they are often filled in after the fact.
The testimonial MAY be true but without proper testing, there's no way to be sure. Acupuncture and the bulk of TCM relies heavily on anecdotes without subjecting itself to proper testing and is the reason why unwarranted health claims continue to propagate.