Integrative Care for Breast Cancer: Oncologists Approve
Acupuncture Today Staff
| DIGITAL EXCLUSIVE
The American Society of Clinical Oncology (ASCO), representing an estimated 40,000 oncology physicians from all subspecialties, has endorsed the Society for Integrative Oncology's 2017 evidence-based guideline on the use of acupuncture and related integrative therapies during and after breast cancer treatment.
An ASCO expert panel reviewed the guideline contents and recommendations, determining "that the recommendations in the SIO guideline ... are clear, thorough, and based on the most relevant scientific evidence."
Key recommendations in the guideline as endorsed by the ASCO include the following, published in the society's online guideline section and the Journal of Clinical Oncology, an ASCO publication:
"Music therapy, meditation, stress management, and yoga are recommended for anxiety/stress reduction.
"Meditation, relaxation, yoga, massage, and music therapy are recommended for depression/mood disorders.
"Meditation and yoga are recommended to improve quality of life.
"Acupressure and acupuncture are recommended for reducing chemotherapy-induced nausea and vomiting.
"Acetyl-L-carnitine is not recommended to prevent chemotherapy-induced peripheral neuropathy because of a possibility of harm.
"No strong evidence supports the use of ingested dietary supplements to manage breast cancer treatment–related adverse effects."
Click here to review the ASCO endorsement as published in the Journal of Clinical Oncology. Click here to access the SIO 2017 guideline. (Note that the ASCO did not endorse the SIO guideline in totality and added several discussion points.)
Whether you accept it, avoid it or live somewhere in between, insurance coverage has become a defining issue for our profession. Patients increasingly expect to use their benefits, practitioners want to be compensated fairly for their time and expertise, and the system itself remains – at best – fragmented. The encouraging news is that coverage has expanded in meaningful ways. The challenging news is that reimbursement, across the board, remains inadequate.
While the formation of erythema and ecchymosis is an anticipated skin response to cupping therapy, the appearance of post-treatment vesicles remains less discussed in clinical literature. This article presents a case study of vesicle formation following cupping therapy, explores underlying pathophysiology, and offers management guidelines to support practitioners in addressing this phenomenon safely and effectively.
Facial movements are essential for communication, expression and function. But when these movements become involuntary, they can lead to conditions that are not only physically uncomfortable, but also socially and emotionally distressing. Today, we’re taking a closer look at three common facial motor disorders – blepharospasm, hemifacial spasm and facial tics – and how both Western medicine and TCM view and treat them.