Doctor who is passionate about acupuncture

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Leading acupuncture specialist for facial rejuvenation, pain relief, stress relief, fertility, fatigue, anxiety.
Based at Kensington and Chelsea at Central London. Qualified as a medical doctor in Western medicine in China with a Medical degree from Beijing, China and a PhD degree from the UK. Many year research and clinical experiences. This blog is for information only.

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https://anamayahealth.blogspot.com/2018/03/dr-maggie-ju-talks-about-vulvodynia.html

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M Ju. (2015) What Part Does Acupuncture Play in IVF?
The Journal of Chinese Medicine And Acupuncture Volume 22 Issue 1 March 2015 P21
M Ju (2014) Current opinion in acupuncture on stroke rehabilitation
The Journal of Chinese Medicine And Acupuncture Volume 21 Issue 1 September 2014 P9

Monday, 12 February 2018

Suffer from painful urination? acupuncture can help

Acupuncture reduces bladder pain

Bladder is located in the lower abdomen and it is for storing urine. As the urine goes into the bladder, bladder muscles relax so that it can expand. As the bladder empties during urination, the muscles contract to squeeze the urine out through the urethra. Some condition can cause bladder pain. It is very painful as urinate. The most common condition causing urination pain is interstitial cystitis. Interstitial cystitis (IC) is a chronic condition in which the bladder becomes inflamed and irritated. The inflammation stiffens the bladder wall, and makes it difficult for the bladder to fully expand when filling with urine. Patients with IC have painful urination and have to urinate more frequently and have a feeling of urgency to urinate, though there is no much urine each time. The main symptom of IC is pain which is generally located in the lower back, abdomen or groin region. Bladder pain is often recurring. Acupuncture can help to release bladder pain and stop it recurring.

A recent research studied the effect of acupuncture for bladder pain. 12 female patients with bladder apin received 10 sessions of acupuncture twice a week.

The following signs were monitored including visual analog score (VAS), interstitial cystitis symptom index (ICSI), interstitial cystitis problem index (ICPI), O'Leary-Saint symptom score (OSS), Patient Health Questionnaire (PHQ9), Pelvic pain and urgency & frequency patient symptom scale tests (PUF) and maximum voided volume (MVV) was completed in 1st, 3rd, 6th and 12th months following the treatment. The results have shown that t here was a statistically significant decrease in all of the scores evaluated at first month compared with the baseline. While the change in VAS score in 1, 3, 6 and 12th months were found statistically significant, measurements of ICSI, OSS and PUF scores and MVV values in the 6th and 12th months. The results of this study suggest that acupuncture appears to be an effective, useful, non-invasive method in IC/BPS patients. It can be used as an appropriate treatment method not only in refractory but also in IC patients since it is rather advantageous compared to other treating agents.

Recurrent urinary tract infections, acupuncture can help

Acute lower urinary tract infections (UTIs) are common in adult women, and as many as 6% of members of the adult female population experience 3 or more episodes during a given year. Women with frequently recurrent cystitis may need prophylactic antibacterial treatment, however if the infection is recurring and this causes development of antimicrobial resistance. Acupuncture is used to treat UTIs. Recently there was a research from Norway which studied the effect of acupuncture on recurring UTIs in women. In this study, it included women aged 18-60 year old who had to have had 3 or more episodes of distal urinary symptoms (i.e., dysuria and frequent urination or suprapubic discomfort) during the previous 12 months, and at least 2 of these episodes had to have been diagnosed and treated as acute lower UTIs by a medical doctor. Acupuncture was offered twice a week for 4 weeks. Following treatment, 73% of women in the acupuncture group were free of UTIs during the 6-month observation period. Several episodes of acute distal urinary symptoms were noted in which bacterial cultures either were not obtained or were negative. One third as many episodes per person-month occurred in the acupuncture group as in the control group. Women in the acupuncture group experienced a 50% reduction in residual urine after 6 months relative to baseline, whereas women in the untreated group exhibited no significant change in residual urine. This study indicated that acupuncture treatment may be effective in preventing recurrent lower UTIs .

Overactive bladder, acupuncture can help

Overactive bladder is one of the most common urinary tract problems in women. Women have to go to bathroom frequently, feeling severe urge to urinate and feeling fullness of the bladder. This condition is not life threatening, but it affects quality of life in women.At minimum, 11 to 16 million women in the United States cope on a daily basis with symptoms that include sudden strong urges to urinate, difficulty delaying voids, frequent urination, and in many cases involuntary loss of urine when urgency strikes. This causes much stress in women. However the treatments are not satisfactory. Study has shown that acupuncture can help reducing the symptoms. Wang S et al studied long-term effect of acupuncture for overactive bladder. At least 5 years were evaluated. 106 patients participated the study. Evaluation was based on a questionnaire including questions on storage, voiding, and postmictutrition syndromes. The mean treatment sessions were 21.2. The results showed that complete resolution was 42.5% and 50% improvement was 85.5%. 62 patients were followed up for 5-10 years. 35 of these 62 patients maintained the posttreatment effect; 18 changed from better to complete resolution; 7 got back to less than 50% improvement; 4 changed less 25% improvement.

Acupuncture is effective for leaking urine

Urinary incontinence is the involuntary leakage of urine from the bladder. It affects 10% of the population. Women are more commonly affected. The most common types of leaking urine are stress incontinence and urge incontinence. Stress incontinence is when urine leaks out at times when the bladder is under pressure, such as coughing, sneezing, heavy lifting exercising and laughing. Stress incontinence is usually the result of the weakening of or damage to the muscles used to prevent urination, such as the pelvic floor muscles and the urethral sphincter. Urge incontinence is when urine leaks as a sudden, intense urge to pass urine is needed. Urge incontinence is usually the result of overactivity of the muscles, which control the bladder. It is also known as overactive bladder. Pelvic floor muscle training is one of the treatments used to treat this condition. Acupuncture is also used to treat this condition. Research on leaking urine with acupuncture treatment is emerging. For example

Recently Xu et al investigated the effectiveness of acupuncture on stress urinary incontinence. Before treatment a 72-hour bladder diary recorded by participants at baseline (week 0) and then acupuncture treatment was applied and the bladder diary was recorded during the treatment period (weeks 2, 4 and 6) and follow-up period (weeks 15–18 and weeks 27–30). In the bladder diary, the participants recorded in detail the time and frequency of UI, activity that occurred at the time of leak, and the type and volume of liquid intake. 80 women participated the study and they reported significant improvement after 6, 18, and 30 weeks acupuncture treatments.

References
Sonmez MG and Kozanhan B Ginekol Pol (2017) 88(2):61-67. doi: 10.5603/GP.a2017.0013.
Hartmann KE Evid Rep Technol Assess (Full Rep) (2009) 187:1-20
Wang S Int Urogynecol J 2013 [Epub ahead of print]
Liu Z et al Trials 2013 14:315
Alraek T et al Am J Public Health (2002) 92:1609
Xu et al PloS One ( 2016) 11(3):e0150821.

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