RIX sham and cultural differences

Stimulated by Garcia et al 2019.[1] Photo by Wolfgang Hasselmann on Unsplash. This is rather a unique and striking study, published this week in an open access JAMA journal. It is the first large (n=399) three arm clinical trial in RIX (Radiotherapy-Induced Xerostomia), the first trial that performed the acupuncture from the start of radiotherapy, and the first … Continue reading RIX sham and cultural differences

Co-occurrence of pain syndromes

Stimulated by Affaitati et al 2019.[1] Photo by Aiony Haust on Unsplash. This paper popped up on a very recent search, but not because it mentions acupuncture, in fact it doesn’t. I also search every day for the latest research in myofascial pain. I had a look at this one because of the last author … Continue reading Co-occurrence of pain syndromes

Opioids and IM

Stimulated by Hassan et al 2019.[1] Photo by Alexandru G Stavrică on Unsplash.Woman in a field of poppies... another plant-based former-alternative medicine 😉 This is a systematic review that asks the question: Does integrative medicine (IM) reduce prescribed opioid use for chronic pain? Obviously, I needed to look, having recently highlighted a similar topic on … Continue reading Opioids and IM

Mike’s minerva 1

Stimulated by recent letters in Acupuncture in Medicine.[1–4] Artist is Elihu Vedder (1836–1923). Photographed in 2007 by Carol M. Highsmith (1946–).Minerva is the Roman goddess of poetry, medicine, wisdom, strategic warfare, commerce weaving and the crafts. Her Greek equivalent is Athena... In the last week or so we have published several letters online, and they … Continue reading Mike’s minerva 1

Sensory testing again

Stimulated by Dimitrova et al 2019 & Zheng et al 2019.[1,2] Photo by Aliona Gumeniuk on Unsplash. I first came across the acronym QST some years ago in one of the big national or international pain conferences where there are always numerous companies exhibiting extraordinarily expensive pieces of kit. QST devices appeared to be just … Continue reading Sensory testing again

Retroperitoneal abscess with pylephlebitis

Stimulated by Lee et al 2019.[1] Photo by Anton Nikolov on Unsplash.My favourite place to get images is Unsplash. It doesn’t have anything on the retroperitoneum or abscesses, so I went with loin, and then kidney, and found this lovely image of a kidney shaped lake. The title may sound to you like another adverse … Continue reading Retroperitoneal abscess with pylephlebitis