● Herpes zoster. ● Acne. ● Facial paralysis. ● Cervical osteoarthritis.
following the standard practice of using single-use, sterile acupuncture needles, this risk is greatly decreased (NIOSH, 2015). The NIOSH notes: ● The wet cupping procedure used at DIAOM extracts three to five milliliters of blood and the cupping jars, gauze, and gloves used by the practitioner can be contaminated with blood from this procedure, posing another potential risk for infection with BBPs. ● In addition, they noted that sharps containers were located beyond easy reach of the practitioner during treatments. ● Ozone generator was occasionally used in the clinic for odor control. ● Transfer of viral infections, including HIV, HBV, and HCV, may occur between patients or from patients to practitioners if needles are not properly sterilized between uses. ● The cupping jars, gauze, and gloves used by the practitioner were contaminated with blood during cupping procedures. ● The protective sheath around the acupuncture needles provides some protection from needle sticks but there is still a potential for needle sticks after the needle is removed from the patient’s skin. ● Latex and non-latex gloves are stored outside the treatment rooms and not within easy reach when needed (NIOSH, 2015). The NIOSH offer several recommendations for decreasing the risk of occupational exposures to the employees at DIAOM: ● Insist that employees report all exposures to blood or body fluids. ● Offer Hepatitis B vaccination to employees. ● Refer employees who have had blood or body fluid exposures to a physician who is familiar with bloodborne pathogen exposures. ● Reduce exposure to latex as much as possible by providing non-latex gloves or powder-free, low protein gloves. ● Stop using ozone generators. ● Move gloves and sharps containers closer to the practitioner during procedures. ● As soon as possible after a blood exposure, see a physician who is familiar with bloodborne pathogen exposures. ● When using gloves, wear non-latex gloves whenever possible. What DIAOM employees can do: ● Report all blood exposures. There have not been significant scientific research studies conducted and many reviews of research findings indicate bias and flawed research procedures One report, published in 2015 in the Journal of Traditional and Complementary Medicine, notes that it could help with acne, herpes zoster, and pain management (WebMD, 2016). It included reports from Australian and Chinese researchers who reviewed 135 studies on cupping and concluded that cupping therapy may be effective when people also get other treatments, like acupuncture medications, for the diseases and conditions below: ● Get the Hepatitis B vaccination. What does the research show?
But those researchers noted many of the studies they reviewed could have been biased and that better clinical studies are needed. The British Cupping Society[2016] says that cupping therapy is used in the UK to treat: ● Blood disorders such as anemia and hemophilia. ● Rheumatic diseases such as arthritis and fibromyalgia. ● Fertility and gynecological disorders. ● Skin problems such as eczema and acne. ● High blood pressure. ● Migraines. ● Anxiety and depression. ● Bronchial congestion caused by allergies and asthma. ● Varicose veins. It is important to note that there is not sufficient research evidence to support these claims. The National Institute of Health has reviewed the practice of cupping and came to the following conclusions: ● No serious adverse effects were reported in the studies. ● The quality and quantity of research on cupping therapy appears to be improved during the past fifty years in China, and majority of studies show potential benefit herpes zoster and other diseases. ● There is some evidence suggesting that any therapeutic benefit from cupping may be the result of a placebo effect, but the concluded that cupping could be effective in treating the pain and disability associated with chronic neck pain and chronic low-back pain in the short term [WebMD,2016]. ● Cupping is considered generally safe for healthy people when performed by a trained health professional; however, bruising, soreness, burns, discomfort, and skin infections are possible. ● Cupping should not be performed on people with underlying health conditions, as more serious side effects can occur. ● People considering cupping should not delay conventional treatment for their condition or use cupping in place of conventional treatment. ● Further rigorously designed research trials in relevant conditions are warranted to support their use in practice. (National Institute of Health, 2016) Recommendations The massage and bodywork practitioner will need specialized training and practice before proceeding with cupping therapy. Before implementing cupping, and all modalities of therapy, it is important to discuss the risks and benefits with the client and include this information on the informed consent forms. If the client is unsure of whether they should proceed with cupping, a shared decision making process might be in order. Topics to cover in the decision making process include: ● Options for standard treatments for the condition. ● Conditions that may indicate cupping.
● The risks and benefits of cupping. ● The form of cupping to be used. ● Possible side effects. ● Expected outcomes. ● The number of treatments required.
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Book Code: MTX1325
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