Archive for July, 2010

“It’s Just Arthritis”

Saturday, July 31st, 2010

Recently I’ve seen a few older patients who have had pain in their hips. Often they have put up with the pain for quite a while, reasoning that it is “just arthritis”. Often this seems to go along with the idea that as you get older you will inevitably get arthritis, and there is nothing much you can do about it, short of stoical endurance or a hip replacement operation. Some of these patients therefore have been somewhat surprised to find that the pain has substantially reduced, or even disappeared, after just one or two treatments. Sometimes I have been a little surprised myself, given that often I have just done a simple acupuncture treatment involving just a few needles judiciously placed in the hip area and one or two further down the leg, perhaps backed up by a little bit of cupping therapy, which seems to have virtually got rid of a pain that has been there for several years. One of these patients was indeed on the verge of having a hip replacement operation, but now finds that he may not need it.

So one of the morals of this story is, just because you are old does not mean you need to be in pain. Of course not all pain will be as easy to get rid of as in these cases, and probably these patients will need to come in every now and then to keep their pain levels low or non-existent. Also I can’t help from wondering how many people are having expensive and complicated operations for things like arthritis of the hip or knee, when in fact they could have a few relatively inexpensive acupuncture treatments instead. I know what I’ll be doing when I’m getting on a bit (more!), and my hip starts to ache (although I also know that my hip is less likely to ever ache if I get enough of the right kind of exercise!).

The Hedgehog and the Fox

Saturday, July 31st, 2010

Apparently there are two different kinds of people; people who are like hedgehogs and people who are like foxes. People who are like hedgehogs organise their lives around one big idea, one central theme; whereas people who are like foxes hold many divergent ideas and beliefs, some of which might even contradict each other. Having discovered this, I remarked to someone that I thought one of my colleagues was definitely a hedgehog. This got back to him, and he took the trouble of telling me that he thought he was not a simple hedgehog, but also had fox-like tendencies.

This is an example of how we generally do not like to be pigeon-holed (or, in this case, hedgehog-holed). We resist being categorised and over-simplified. This morning on the radio there was a news item about the DSM classification of mental disorders, and how this is being revised, and I noticed in myself an immediate hostility to the very idea of such a classification. Like my colleague, I am wary of even the suggestion of being categorised and classified.

Nowhere more than in the field of healthcare, perhaps, do we need to be more aware of this issue. In fact when people complain about poor experiences of healthcare, often this is what they are complaining about – not being seen as a unique, individual, really quite complex, person, but being shoe-horned into this or that medical category. And when the treatment itself more or less ignores our unique individuality and is just prescribed for the category we have been stuck in, then we are right to worry.

In Chinese Medicine we have the saying “Different diseases, same treatment; same disease, different treatments”, which reminds us that just because two people have the same disease – the same label – we do not necessarily give them the same treatment. In our practice at The Sean Barkes Clinic, we always endeavour to get beyond the label and understand just how the person in front of us, the patient, is not as healthy as they could be.

Take tennis elbow (lateral epicondylitis) as an example. This basically refers to pain on the lateral elbow, the outside of the elbow. There is no way that there can be a standardised “one-size fits all” treatment for what might be thought as a relatively simple condition. In some people, for example, tight muscles in the neck may be partly responsible, as they can obstruct the nerve supply to the elbow from the spinal chord. In many people, some of the various muscles of the upper arm will be involved. Often there is inflammation where the extensor muscles of the forearm connect to the elbow. If someone has impaired digestion, or poor circulation, the muscles and tendons involved will not be, perhaps, getting the nourishment from the blood that they need to stay healthy. In some people the pain feels hot and inflamed; in others it is worse in cold weather. This list could go on and on, and what the patient needs is a skilled therapist who can identify, the often quite complex, set of conditions which have given rise to the pain; not just a bog-standard “tennis elbow treatment”, whatever that might be.

‘Fighting’ cancer or other life-thereatening diseases

Sunday, July 11th, 2010

I was just reading a Telegraph article today entitled “Socialising with others ‘can help fight cancer’”. The headline led me to ‘put pen to paper’.

From my clinical experience, one of the most prevalent causes of disease, whether it be a bad back or whether it be heart disease, is the unconscious refusal or inability to freely and honestly express ourselves as we truly are. The most common example of this is in the work we choose to engage in to earn a living.

The whole idea of recovering from a life-threatening disease, like cancer, being a ‘fight’, I find difficult to get my mind round. My appreciation of disease processes is clearly influenced by my style of medicine, Traditional Chinese Medicine (TCM) with its range of therapeutic techniques, such as acupuncture. TCM is holistic in its approach to healthcare. Holism states that body and mind are inextricably linked so what happens to one will have an inevitable knock-on effect on the function of the other. Holism understands that disease is not some random, chance occurrence that we have little or no control over. Even geneticists attribute only 25% of our state of health to our inheritance. My own personal experience of scrutinising my state of health, and intermittent fall from good health over the years, has yielded a clear connection between this and my thought processes. Scrutinising the health of thousands of others in my professional capacity, and studying research and the clinical experience of others far more experienced and talented than me, has corroborated my conclusions.

Gradually, modern medicine is starting to fully appreciate the huge influence our state of mind has on our health. This is really well summarised in Adrian Leader and    book “Why do People get Ill?” ), available from our online shop. Literally, we are what we think. It is becoming increasingly evident that our thought processes create our diseases, whether they involve physical or mental symptoms, or both. We can say that our heart condition has been brought on by working intensely under stressful circumstances for a prolonged period of time, but what thought processes have led us to work like this in the first place. For example, if during our upbringing, we have thought, for whatever reason, that we needed to ‘achieve’ in order to gain ‘acceptance’ or ‘love’ from our parents, then this might have trained the habit of ‘flogging’ ourselves in our work life.

Holistic healthcare is about helping each individual bring their unconscious motivations into conscious awareness whilst using tried and tested techniques to facilitate recovery from the current disease-state. We do this by stimulating the body’s own, already amazingly well-equipped self-preservation systems. When an individual understands their disease process as part of who they are, they see that there can be no ‘fight’ against cancer because the cancer is a part of them. There is no external ‘enemy’ to fight. They have literally created their circumstances by their thoughts words and deeds in their life to date. Therefore, the only long-term, sustainable solution is through new thoughts, words and deeds. So, in my mind, self-understanding is the key. As far as I can see, achieving self-understanding is a process, often long and arduous, which is why we are often well-advised to seek external help when experiencing a life-threatening disease state.

The word ‘fight’ often implies a struggle. Because of the negative connotations this idea holds, this is just likely to make the process of recovery that much more difficult. So, I believe that our best chance of survival is to embrace the symptoms we are suffering as messages sent from deep inside us as an aid to reaching fullness. This way we can utilise the healing power of love, love of our self and the people around us and of life. Being diagnosed with a life-threatening illness is probably one of the best wake-up calls we will ever get in helping us to express ourselves as we truly are. So let’s embrace it. Or, as the motif on one of the Tai Chi students in my class says: “make tea, not war!”

NHS or “NIS” – a matter of perspective

Wednesday, July 7th, 2010


I received a leaflet through the post this week, the cover looking like the above. Now, I’m not one to shun something free (once an accountant, always an accountant!) but the image and wording on the front cover just reminded me of how I feel a change of perspective in healthcare is desperately needed in this country.

Look at the cover! Whilst it calls itself “The National Health Service”, what it actually is is a National Illness Service. Rather than encouraging the constant striving towards better health and vitality by wise lifestyle choices, the NHS proposes that we constantly run in fear of disease; that disease is some random act of chance that is unavoidable and ‘in your genes’.

Even geneticists agree that less than a quarter of the factors responsible for our state of health are genetic in origin.

So, maybe we should spend less on pharmaceutical drugs, as a nation, and more on education, sporting and exercise facilities and other opportunities for improving the nations health. Certainly, the current approach seems not to be working for the NHS. So, let’s try something new…or didn’t the ancient Chinese already understand this?