Can acupressure improve chronic lower back pain?

Following on form last week's article where I explained that I believe in complementary medicine rather than alternative medicine, I wanted to share some scientific evidence. Between June 2015 to February 2016 a randomised clinical trail was carried out in the US looking at how effective reflexology was in assisting patients with colorectal cancer who received chemo radiotherapy.  60 patients were split into 3 groups.  The first group received massage using classical massage techniques.  The second group received reflexology.  The final group, the control group, only received hospital standard care.  All patients received were provided with the same clinic routine care. The researchers collectd data using an introductory form and the European Organisation for Research and Treatmend of Cancer quality of life questerionaires (C30 & CR29). The first group who receive classical massage found it was

• effective in reducing pain levels
• effective in reducing distension incidence

• effecitve in reducing pain levels
• effective in reducing fatigue levels
• lower incidence of distension
• lower incidence of urinary frequency
• improved quality of life

There are lots of "natural" sugars, and as I said before how do you know the ones to avoid?  Here is my guide to the ones I try to avoid and why. Evaporated Cane Juice The new kid on the block of "natural" sugars.  It is a sugar syrup from partially refined sugar which is very similar to ordinary sugar.  The FDA (US Food and Drug Administration) has warned of mislabelling with this product. Fructose This no longer has the goodness and fibre of fruit.  Unlike sucrose and glucose it won't spike your insulin levels, but it will cause weight gain around the middle.  It also interferes with the production of hormones related to hunger and satiety (feeling full) and hence increases appetite.  On top of this it gets converted to unhealthy fats e.g. LDL ("bad" cholesterol) and triglycerides.  Remember fructose is fine when naturally occuring withing fruit but I recommend avoiding it when its a white powder added to food. Agave This is essentially up to 90% refined fructose (see above).  There is no way of distinguishing between commercially and traditionally produced produced products. Molasses This has the least amount of sugar and the highest level of vitamins and minerals.  Half its sugar content is fructose and glucose in equal amounts while the other half is sucrose.  So it will spike your insulin levels which causes the body to create fat.  It may contain high levels of pesticides and other chemicals use in the processing. Xylitol Sold as a white powder considered natural as it occurs in plants but needs a lot of refining.  Low in calories, it doesn't spike insulin levels so useful for diabetics.  It is on my avoid list because it requires a lot of processing to produce and because it ferments in the gut causing diarrhoea and bloating. Sorbitol Used in foods for diabetics at it triggers little or no insulin production.  I would avoid it as it is heavily processed as it is hard on the digestive system just like Xylitol. Honey A simple sugar up to 40% glucose and fructose so it affects your blood sugar levels very quickly.  If you must use it, I mix it with lemon and ginger when I have a sore throat, cold or flu then by organic and I perfer manuka for its healing properties. References Natural Alternatives to Sugar by Dr M Glenville (Lifestyle Press 2016)    

In our day to day lives, during the times when we are deciding what to eat or whether to watch TV or take a walk, who is more likely to be around us, our family, friends, flat mates or a doctor?  Even for individuals living with a chronic condition who will probably only spend a few hours a year with medical professionals compared to the thousands of waking hours with family and friends. Recently researches discovered that women are more likely to survive breast cancer if they have a strong social network of friends and family, whereas those who are more isolated are twice as likely to die of the disease. University of Pennsylvania have found that good health is more likely if people see fewer doctors and more of their family and friends especially if they get their support and help.  They discovered that people are more likely to make healthier choices - like going for a walk over watching TV if they are around family and friends.  In addition people are more likely to go to the gym if they have someone to go with. Being part of a group e.g. family, friends, book club, tennis club, social group, religious/spiritual practice seems to aid our motivation to be healthier in terms of diet, exercise, smoking or drinking.  This could be because being part of a group enhances your sense of meaning in life, which in turn leads you to better take care of yourself.  Or it could be down to feeling a sense of responsibility towards other or even just wanting to fit in. References D A. Asch, and R Rosin, Engineering Social Incentives for Health, N Engl J Med 2016; 375:2511-2513 Kroenke, C. H., Michael, Y. L., Poole, E. M., Kwan, M. L., Nechuta, S., Leas, E., Caan, B. J., Pierce, J., Shu, X.-O., Zheng, Y. and Chen, W. Y. (2017), Postdiagnosis social networks and breast cancer mortality in the After Breast Cancer Pooling Project. Cancer, 123: 1228–1237. doi:10.1002/cncr.30440 Tarrant, M., Warmoth, K., Code, C., Dean, S., Goodwin, V. A., Stein, K., & Sugavanam, T. (2016). Creating psychological connections between intervention recipients: development and focus group evaluation of a group singing session for people with aphasia. BMJ Open, 6(2), e009652.