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Acupuncture.doc

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Acupuncture TheChinesetherapyofacupuncturehasbeenusedformillenniatotreatarangeofailments.NowitlookslikeWesternmedicineisgettingthepoint. Acupuncturehasbecomeoneofthemostpopular–andaccepted–unconventionaltherapieswithintheUnitedStates.Anestimated15millionAmericanshavetriedthisneedletherapy.It'sofferedinmanychronicpainclinics,andiscoveredbysomeinsurersandmanagedheathorganizations.TheWorldHealthOrganizationrecommendsitformorethan40conditionsasdiverseasasthmaandchronicpain.TheFoodandDrugAdministrationregulatesacupunctureneedlesasmedicaldevices,thesameasitdoessurgicaltools.Andin1997,aNationalInstitutesofHealthpanelfoundacupuncturetobeanacceptabletreatmentformanypainconditions,includingfibromyalgiaandgeneralmusculoskeletalpain.And,no,itusuallydoesn'thurtafteraninitial"pinch"orsting.Soit'snosurprisethatsomerheumatologistsaresuggestingacupuncture,alongwithmoreconventionaltreatments,totheirarthritispatients–andafewevengiveacupuncturetreatmentsthemselves. "It'sreallyalmostmainstreamnow,"saysStuartS.Kassan,MD,arheumatologistinprivatepracticeinDenverwhobecameanacupuncturistin1996."It'ssafewhendoneproperly,andcanbeveryhelpfulforpain." However,Dr.Kassansays,manydoctorsdoremainskeptical."Somerolltheireyesandsaytheycan'tbelieveI'mdoingacupuncture,"hesays."Butrheumatologistsseealotofpatientswithproblemswecan'tdoanythingabout,especiallychronicpain.Weallbecomeveryfrustrated.Andthisiswhereacupuncturemakesitsgreatestimpact:withpatientswhohavefailedconventionaltreatment." DonL.Goldenberg,MD,chiefofrheumatologyatNewton-WellesleyHospitalandprofessorofmedicineatTuftsUniversitySchoolofMedicineinBoston,agrees.Afibromyalgiaspecialist,heoftenworksinconjuctionwithamedicaldoctortrainedinacupuncture,whichhefindsoftengivesgoodresultswhenusedinadditiontomoreconventionaltreatments."Acupunctureclearlycanhelplotsofchronicpainissues,includingfibromyalgia,"hesays. Butitdoesn'tworkforeveryone."Somepeoplerespondspectacularly–butnotall,"saysWendellHatfield,MD,aDenverrheumatologistwhoisalsoatrainedacupunct