Dear Lynda,
Please share if you have used other herbal preparations or other
applications for arnica w/ ultrasound in your clinic.
Many thanks.
Sarah Fern Striffler, PT
Lynda Bennett wrote:
> Re treating gout
> no research project, but if evidence is actually seeing the benefit... I
> have treated my husband with ice packs - soothes for a short time; arnica
> ointment after the ice lasts a bit longer as an anti-inflammatory; but the
> best is ultrasound using the arnica as the contact medium. I have trialled
> it with several other patients as well - all with almost instant relief.
> This does not replace medications, but, as an adjunct, it does give a great
> deal of reduction in pain and consequent improvement in return to full
> function. Isn't that what physio is about? Trying things out is how we
> discover things. If it doesn't help your patients, the question needs to be
> asked "is it the treatment or the method of application, or the person
> applying it that is the problem?"
> Lynda Bennett
> Australia.
>
> >From: "Goh Ah Cheng" <[log in to unmask]>
> >Reply-To: [log in to unmask]
> >To: <[log in to unmask]>, "'Bruce Gray'" <[log in to unmask]>
> >CC: <[log in to unmask]>
> >Subject: EPA and evidence based practice
> >Date: Wed, 18 Oct 2000 20:26:56 +0900
> >
> >Dear Bruce,
> >You certainly seem to be on a crusade, for some reason or other. It seems
> >my colleagues on the EPA mail-list feels that your comments should not go
> >unchallenged. At the very least, your condescending and inflammatory (no
> >pun intended) language deserves some sort of a response.
> >Yes, there is a parallel mail-list on mailbase dealing solely with
> >electrophysical agents and evidence based practice. Believe it or not,
> >there is actually evidence behind those "ping" machines that you've chosen
> >to banish to an un-named storeroom in your department. Believe it or not,
> >also, most of us on the EPA list aren't "a bunch of conservative old women
> >who know no better". But let's not dwell on beliefs alone.... lets look at
> >the evidence.
> >If you really are interested in "finding truth", perhaps you can spend some
> >of the time that you've saved from abandoning a "flawed anachronistic
> >paradigm", do a MEDLINE or CINAHL or PEDro search and come back to the
> >list
> >with something more constructive than "electrotherapy sucks".
> >Any self-respecting Physical Therapist in any corner of the world can tell
> >you that there are problems with some of the modalities that we use (but
> >perhaps not in the language that you've chosen to taunt us with). No one
> >can deny that there are many issues that needs further investigation
> >regarding its clinical application. Indeed, I can even agree with you that
> >some of the modalities currently in use (I won't be so bold as to name
> >them)
> >should be similarly banished to your un-named storeroom. If you wanted to
> >draw attention to any of this, all you had to do was to be a bit more
> >specific. But like the Razor (who or what the hell is Occam??!!) that you
> >were so willing to brandish, your sweeping generalizations had the reverse
> >effect. There is no way anyone can respond to your comments without
> >producing a thesis. This, I am sure, would not go down well with the rest
> >of the members on PHYSIO or any mailing list. So, instead of giving you
> >counter arguments that could confine me to this chair I am sitting on for
> >the rest of my life, let me instead direct you to the Electrophysical
> >Agents
> >Home Page at http://health.shinshu-u.ac.jp/PT/electro/index.htm . You
> >won't
> >find all the answers there of course (unlike you, no one can claim to have
> >all the answers). But at least, you will find some of the evidence for and
> >some against the modalities that all of us have taken for granted.
> >Finally, may I just add that it is my firm belief that often it is not the
> >modality that is ineffective, but the inappropriate and sloppy application
> >of the modality that dooms the treatment from the start.
> >Best regards,
> >Goh Ah Cheng, MAppSc (Sydney), PhD candidate (Curtin)
> >Department of Physical Therapy
> >School of Allied Medical Sciences
> >Shinshu University, JAPAN
> >EPA mail-list co-owner
> >Webmaster, EPA Home Page
> >(http://health.shinshu-u.ac.jp/PT/electro/index.htm)
> >Webmaster, EMG Home Page (http://health.shinshu-u.ac.jp/PT/emg/index.htm)
> >Webmaster, Singapore Physiotherapy Association Home Page
> >(http://www.physiotherapy.org.sg)
> >
> >
> > > -----Original Message-----
> > > From: Bruce Gray [mailto:[log in to unmask]]
> > > Sent: 17 October 2000 09:11
> > > To: [log in to unmask]
> > > Subject: RE: evidence based practice...
> > >
> > >
> > > Just to get the thread back on topic, I am the sole OPD physio at a Qld
> > > country 90 bed hospital in Australia. I recently put all the machines
> >that
> > > go "ping" into the back storage room, and there are many other hospital
> > > storerooms like this.
> > >
> > > So to affirm my point, electrotherapy sucks. There is no convincing
> > > comparative invivo studies that show it is a better treatment then the
> > > intelligent appn of ice/heat, rest/movement, and anti-inflamms. I am
> >talking
> > > everything from US to SWD to laser. My litmus test for the benefits of
> > > electrotherapy is to go and try the putated anti-inflamm properties of
> >US
> >on
> > > an acute gout attack.......any of you out there charging good money to
> >treat
> > > inflammation with electrotherapy instead of encouraging your patients to
> >go
> > > and get a script for NSAIDs cannot call yourselves scientifically
> >trained.
> > >
> > > If you think 30 mins of electrotherapy 2x/wk (if you are lucky) can do
> > > anything significant to fibroblast or leucocyte function, then you are a
> > > captive of the dogma of a conservative bunch of old women who know no
> > > better.
> > >
> > > I urge you all to come join the revolution- throw your placebo "ping"
> > > machines away, draw out Occam's Razor and slash the ties that bind you
> >to
> >a
> > > flawed anachronistic paradigm.....choose instead to never compromise on
> > > finding truth again......
> > >
> > >
> > >
> >
>
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