Archive for the ‘Hypnosis and Medicine’ Category

Hypnosis ‘eases cancer op pain’

Thursday, July 15th, 2010

Breast cancer patients need less anaesthetic during operations if they have been relaxed by hypnosis beforehand, US research suggests.

Patients in the study of 200 women by the Mount Sinai School of Medicine also reported less pain afterwards.

Breast cancer surgery patients often suffer severe side-effects such as pain, nausea and fatigue during and after their operations.

UK experts said more research was needed to prove hypnosis worked.

The side-effects from breast cancer surgery can sometimes mean a longer stay in hospital, extra drugs, or even a return to a hospital ward when patients should be recovering at home.

The Journal of the National Cancer Institute paper is just the latest to conclude hypnosis can help with operations.

Dr Guy Montgomery, who led the research, recruited 200 women to receive either 15 minutes of hypnosis or just a conversation with a psychologist before their surgery.

The women undergoing hypnosis were given suggestions for relaxation and pleasant mental images, and instructions on how to use hypnosis themselves.

Patients who had received hypnosis needed less anaesthetic than the others, and reported less pain, nausea, fatigue and emotional distress after the operation.

Money saving

The researchers said this was not just better for the patients, but it added up to cash savings for the hospital, as operations took less time on the hypnotised patients, and less was spent on medication and readmission of patients.

Dr David Spiegel, from Stanford University School of Medicine, wrote in the journal: “You have to pay attention to pain for it to hurt, and it is entirely possible to substantially alter pain perception during surgical procedures by inducing hypnotic relaxation, transforming perception in parts of the body, or directing attention elsewhere.

“The key concept is that this psychological procedure actually changes pain experience as much as many analgesic medications and far more than placebos.”

Dr Sarah Cant, from Breakthrough Breast Cancer, said: “This is an interesting study and anything that can help reduce the side-effects of breast surgery for breast cancer patients is to be welcomed.

“However, further, larger studies are needed before we can come to any firm conclusions about the benefits of hypnosis prior to breast surgery.

“Anyone interested in using hypnosis should discuss this with their breast care team first and ensure that they are using an appropriately trained and experienced hypnotherapist.”

From BBC News 
http://news.bbc.co.uk/1/hi/health/6969298.stm

British surgeons should hypnotise patients for some operations, says academic

Thursday, July 15th, 2010

British surgeons should be taught to hypnotise patients to control pain for some operations rather than rely on general anaesthetics, according to a leading American academic.

Professor David Spiegel, of the Department of Psychiatry and Behavioural Sciences at Stanford University, wants the National Institute for Health and Clinical Excellence (Nice) to sanction sweeping changes.

He will tell the Royal Society of Medicine on Monday that Nice should add hypnotherapy to its list of approved therapeutic techniques for the treatment of conditions ranging from allergies and high blood pressure to the pain associated with cancer treatment and bone marrow transplantation.

Nice has already approved the technique for the treatment of irritable bowel syndrome.

“It is time for hypnosis to work its way into the mainstream of British medicine,” says Professor Spiegel.

“There is solid science behind what sounds like mysticism and we need to get that message across to the bodies that influence this area.

“Hypnosis has no negative side-effects. It makes operations quicker, as the patient is able to talk to the surgeon as the operation proceeds, and it is cheaper than conventional pain relief. Since it does not interfere with the workings of the body, the patient recovers faster, too.

“It is also extremely powerful as a means of pain relief. Hypnosis has been accepted and rejected because people are nervous of it. They think it’s either too powerful or not powerful enough, but, although the public are sceptical, the hardest part of the procedure is getting other doctors to accept it.”

Last year, the Daily Telegraph reported how a pensioner had knee surgery using just hypnosis to control the pain.

Trained hypnotist Bernadine Coady, 67, was wide awake for the one-hour operation, which is usually performed under a general anaesthetic.

A spokesman for the National Council for Hypnotherapy said of her case that the technique has been used for centuries for pain relief.

He added: “It is used often other countries, for example Belgium, as an alternative to anaesthetics and patients report that it is very successful, that they feel no pain during their operations.”

The theory behind medical hypnosis is that the body’s brain and nervous system cannot always distinguish an imagined situation from a real occurrence. As a result the brain can act on any image or verbal suggestion as if it were reality.

Hypnosis puts patients into a state of deep relaxation that is very susceptible to imagery; the more vivid this imagery, the greater the effect on the body.

Nice said it would welcome submissions for hypnotherapy to be considered as an approved therapeutic technique on the NHS if it could be cost-effective and consistent delivery could be guaranteed.

But Professor Steve Field, who chairs the Royal College of General Practitioners, said he was sceptical as to whether hypnotherapy could meet these standards.

“It is a useful tool used by some GPs and patients for relaxation, but I don’t think it is something that we should support being rolled out to all medical students and all doctors,” he said.

“We can’t call on the NHS to support it without there being a firm medical and economic basis, and I’m not convinced those have been proved to exist.”

By Daily Telegraph Reporter
Published: 3:15PM BST 07 Jun 2009
http://www.telegraph.co.uk

Pensioner has knee surgery under hypnosis

Thursday, July 15th, 2010

A pensioner has undergone knee surgery using just hypnosis to control the pain.

Bernadine Coady, 67, was wide awake for the one-hour operation, which is usually performed under a general anaesthetic.

Mrs Coady hypnotised herself before the “keyhole” surgery, an arthroscopy, in which a surgeon drills into a patients knee and inserts a camera to look for possible causes of pain.

She went home the same day “looking very happy”, according to a spokesman for the private Orthopaedics and Spine Specialist Hospital, in Peterborough, Cambridgeshire.

Ms Coady, from March, Cambridgeshire, has been a trained hypnotist for 15 years.

She used her training to hypnotise herself before going under the surgeon’s knife.

It is not the first time that the pensioner has forgone traditional medicine for a pain free operation.

Ten years ago she underwent an operation which involved a surgeon sawing into the bone of her foot, using only hypnosis.

At the time she said: “I said to myself that if I had any pain I was going to liken it to waves lashing against a sea wall.

“Every time it happened, I thought it was the pain going away, like the tide. I always thought that it was possible and I am proof that it is.

“I think it could be used for any operation – even heart surgery. If I ever need another operation, I won’t be using anaesthetics.” Mrs Coady, originally from Belize, moved to Britain to train as a nurse more than 40 years ago.

She gained a diploma at the British School of Hypnosis in 1994.

A spokesman for the hospital, where her surgeon was Ahmed Shair, said: “It’s the third time she has been operated on by Mr Shair in this way – the first two were for foot problems.

“She has known Mr Shair for a long time and she came with the express wishthat she wanted to be operated using self hypnosis.

“She has gone home looking very happy so I presume it was a success.”

The spokeswoman added: “Ms Coady is the only patient we’ve operated on in this way.

If anyone else wanted to come along and have the procedure we would look at it on an individual basis.”

Patients can hypnotise themselves by concentrating on feeling extremely relaxed, in much the same way as traditional hypnotherapy. A spokesman for the National Council for Hypnotherapy said that the technique has been used for centuries for pain relief.

He added: “It is used often other countries, for example Belgium, as an alternative to anaesthetics and patients report that it is very successful, that they feel no pain during their operations.”

By Kate Devlin ,Medical Correspondent
Published: 9:11PM BST 07 Jul 2008
http://www.telegraph.co.uk