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In this video, Dr. Borten discusses more ways to manage your own pain, including hydration and electrolytes, how to use visualization to dissolve your discomfort, and the benefits of massage and acupuncture.
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Last week I wrote about the theory of homeopathy. Homeopathy is the practice of prescribing specially prepared homeopathic remedies made from extremely dilute natural substances. In many cases, a remedy is used to treat the symptoms that a larger dose of the same substance would cause. For instance, chopping onions may cause redness, burning and tearing of the eyes, and a runny nose. A homeopathic preparation of onion (Allium cepa) is used to treat these conditions, such as when they occur due to a cold or allergies.
Today I want to clarify some points and explore homeopathy’s conundrum. First, since people sometimes confuse the terms, homeopathic is different than holistic, which refers to any treatment that aims to consider and support the whole individual. Acupuncture and naturopathic medicine are examples of holistic systems, though most acupuncturists don’t practice homeopathy, and homeopathy is usually a relatively small fraction of what most naturopathic physicians do.
Second, most of the scientific community believes homeopathy is pseudoscience and no more effective than a placebo. Indeed, there are numerous studies that invalidate homeopathy. Advocates of homeopathy point out that the unfavorable studies involve giving subjects a homeopathic remedy matched to a particular symptom or medical condition without utilizing the specificity that’s essential in effective homeopathic diagnosis. Homeopaths contend that when a remedy is matched not only to the dominant symptoms, but the whole picture of the individual, the rate of success is much higher.
As I said in the last article, I’ve witnessed many cases in which homeopathy did nothing useful – though at least it was entirely harmless and without side effects – and I have also witnessed cases in which it was remarkably effective. Could it have been a placebo effect? Sure. But if it was “merely” a placebo effect, it was a profound placebo effect: a perfect medicine that was entirely beneficial, painless to administer, palatable, with zero downside. One should be asking, “How can we reproduce this?”
Homeopathy is vastly popular around the world. Its use is especially prevalent in France, Italy, India, Switzerland, Mexico, Germany, England, and the U.S. 29% of the EU population uses homeopathy on a daily basis. About half of Germans have used homeopathic medicines and about 70% say they are satisfied with its effects. 1 History shows us that sheer number of adherents doesn’t make something correct or morally right, but we’re smarter than ever and have more options.
So, what’s going on here? Why do so many people use it if it’s a sham? Well, there are two possibilities. 1) The thousands of practitioners and roughly 200 million people who use homeopathy on a regular basis are fooling themselves. They think homeopathy is useful but it’s just a placebo and/or wishful thinking. Or 2) There is actual benefit to homeopathy which can’t be substantiated by current science and is not accurately reflected by the research.
Trust me, as a scientist, it’s hard to understand its validity, but I also know what I’ve seen. Are there other systems of medicine with higher rates of success? Probably. To be frank, it is not my go-to modality except for a small number of conditions for which I consistently get good results with homeopathic remedies. However, I’m a mediocre homeopath and I have more training and skill in other forms of medicine.
But when it works, it works. And I have seen cases where several medicines were tried but only the homeopathic one succeeded, including numerous instances in which the patient was highly skeptical of homeopathy. If it were a placebo effect, why would the other medicines not have produced a benefit equal to that of homeopathy? Why would a skeptical patient have a placebo effect when the basis for a placebo response is an expectation of benefit? Should science have the ability to invalidate someone’s subjective experience of benefit?
I don’t have the answers to these questions. I know some incredibly intelligent doctors who practice homeopathy, and I have seen it and them derided by the medical mainstream. Skeptics’ concern, they say, is that people might not get effective medical help because they’re using homeopathics instead. I agree that if someone isn’t getting a benefit from a chosen medical modality, it might be useful to consider other options. I also believe it’s everyone’s right to manage their health in whatever way they wish – even if it hastens their demise. For perspective, it’s important to note that, according to a recent Johns Hopkins study, 250,000 Americans die each year due to medical errors, making mainstream medicine the third leading cause of death after heart disease and cancer. I have seen people killed by mainstream medical treatments. A modality’s safety is no small thing.
While there are plenty of people who are averse to biomedicine, we tend to treat the mainstream with a greater degree of respect than is extended to alternative fields. For instance, when we hear that a particular drug or procedure doesn’t work, most people conclude that this particular intervention wasn’t effective. We don’t say, “Well, biomedicine doesn’t work.” In contrast, when an alternative medicine fails to benefit a certain condition, a common conclusion is that the entire modality is worthless. I can’t tell you how many times I’ve seen an author cite a single failed acupuncture study as proof that acupuncture is bunk. It’s an unfortunate reflection of the tendency for the mainstream to squash its rivals, even when they don’t truly threaten it.
It's important, therefore, that we all keep our eyes wide open and practice critical thinking (and not just when it comes to medicine). Be your own advocate, trust your intuition, listen to your body, and don’t assume that just because someone has a degree they know what’s right for you.
Be well,
Dr. Peter Borten
https://www.hri-research.org/resources/essentialevidence/use-of-homeopathy-across-the-world/ ; https://en.wikipedia.org/wiki/Regulation_and_prevalence_of_homeopathy ; https://homeopathyeurope.org/
[post_title] => Are We Fooling Ourselves When We Believe in Alternative Medicine?
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About 25 years ago I worked for a company that made high end sports goggles. Though the front of the building was covered with posters of pro swimmers and skiers and often felt like a party, my days were spent in a back office, sorting and filing paperwork. It was disappointing, but I met a nice guy there and our conversations helped break up the monotony.
Then he started missing work. A day here and a day there. Then a few days at a time. Then he was absent more than he showed up. I knew something was wrong, but I didn’t want to pry. Finally, on one of his rare appearances at work he told me he had been having severe migraine headaches. They were so crippling he was considering quitting his job.
This was just before I started grad school in Chinese Medicine and I didn’t have anything useful to say. I just remember feeling bad for him and being surprised that migraines could be that debilitating. I wish I knew then what I know now. I believe most cases are completely treatable with natural medicine. Here are some of the key treatments that can make a huge difference:
Acupuncture . I’d estimate I can control 80% of migraine cases with acupuncture alone. Other acupuncturists may fare better or worse than that. (You might ask if this is an area of focus for an acupuncturist you’re considering.) Migraines can result from several underlying patterns, but there is always a condition of stagnation in the head (and sometimes neck and upper torso) – which acupuncture is excellent at releasing.
Massage . Get regular deep tissue massages. Have them focus on your head overall (including your face, jaw, and the base of your skull), the sides and back of your neck, your upper back and chest, your hands, feet, lower back, and abdomen. Between massages do self-massage with a lacrosse ball. Lie on your back on a carpeted floor with bent knees, and place the ball under you, against the inside edge of your shoulder blade. Moving the ball inch by inch, find every single tender spot, and relax into the ball for a minute or two before moving onto the next one.
Hydrate . Divide the number of pounds you weigh in half and drink that many ounces of water each day, evenly over the course of the day. (For instance, if you weigh 200 pounds, drink 100 ounces of water a day.)
Avoid Caffeine. Even though caffeine is an ingredient in some headache medications (because it constricts the blood vessels in the head, making them smaller) it’s also a known trigger of migraines for some people. Many migraine cases improve when caffeine is cut out altogether.
Figure Out What Foods You’re Sensitive to and Avoid Them. The most reliable way to figure out your food sensitivities is by doing an elimination diet (there are numerous books and websites that explain the process) and then systematically reintroducing foods, one at a time, to see what your reaction is. It’s a good idea to reintroduce foods at least 2 days apart, since the migraine may be delayed by a day. Figuring out your sensitivities and eliminating those foods is often a total cure for migraines. It’s worth the work.
Clean Up Your Diet. Cut out processed foods and eat more live, fresh, healthy, chemical-free foods, prepared by you or someone with a good heart.
Avoid Aspartame (Nutrasweet / Equal). Some migraines are triggered by this artificial sweetener. I recommend avoiding it even if it doesn’t give you headaches.
Consider Avoiding MSG . Although it’s been demonized for decades, most people have no trouble at all with MSG. That said, some find they have fewer headaches when they avoid it. You might see it listed in the ingredients as monosodium glutamate, hydrolyzed vegetable protein or soy, or yeast extract. Analogs of MSG also occur naturally in many foods, including hard cheeses, tomatoes, soy sauce, and even breast milk.
Avoid Getting Hypoglycemic. Many migraines are triggered by a drop in blood sugar. This is common a few hours after eating a meal with lots of simple carbs or sugar. In some folks, the blood sugar goes way up and then comes crashing down, in what is known as “reactive hypoglycemia.” Besides potentially triggering migraines, reactive hypoglycemia can be an early precursor to diabetes, so there are multiple reasons to get this under control. Eat protein with every meal, and eliminate juice and sweets.
Reduce Your Stress Level . Exercise, breathe, meditate, do yoga, have fun, get counseling, take breaks, get acupuncture and massage . . . just do whatever you have to do to reduce the impact of your stress.
Try Magnesium . Many migraine sufferers have low levels of magnesium. Try taking 600 mg (you can gradually go up to 1000 mg) in divided doses over the course of each day. The easiest form for most people to take is dissolvable powder such as Natural Calm brand and others. (Watch out for bowel loosening. If it gives you loose bowels, reduce the dose, spread it out more evenly over the course of the day, or try the form known as magnesium glycinate, which is easier on the digestion.)
Try Direct Pressure on Your Head. One study had participants with migraines wrap an elastic band (with Velcro at the ends so that it could be secured tightly) around their head, covering the most tender spots. They would then place soft rubber discs under the head band at the places of greatest discomfort to apply extra pressure to these spots. 80% of the people reported a major improvement.
Take a Good B Vitamin Complex. Several of the B vitamins have been shown to be useful for migraines. Just take all of them in one capsule, once or twice a day.
Try a Chinese Herbal Formula . A practitioner who specializes in Chinese herbal medicine can write you a personalized formula (usually consisting of 8-12 herbs) to resolve the specific underlying pattern(s) implicated in your migraines. I’ve had many patients report great relief or total resolution of their migraines with a good, customized herbal formula.
Take Frequent Breaks When Looking at Screens . Eyestrain and overexposure to bright light, especially in the blue range, is a common trigger of migraines. Sometimes blue-blocking glasses can help.
Improve Your Posture . The mechanical stress of poor posture can cause tension in the head and neck that contributes to migraines. This is especially common when looking down for hours at a phone, laptop, tablet, or book. Tuck your chin slightly, drop your shoulders and bring them back, relax your chest, and imagine you’re being lifted by a string from the very top of your head (in line with the tops of your ears).
If you get migraines, I hope these tips are helpful. They aren’t the only useful approaches, of course. I had a patient who used to stick Q-tips up her nose – the whole way up – and felt that made a huge difference. Others like essential oils, cold compresses, or decapitation. I encourage you to give my suggestions a try. Then let me know what happens, or share your own favorite remedies in the comments section below.
Be well,
Dr. Peter Borten
[post_title] => 16 Ways to Treat Migraines Naturally
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In this video, Dr. Borten discusses more ways to manage your own pain, including hydration and electrolytes, how to use visualization to dissolve your discomfort, and the benefits of massage and acupuncture.
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