Posted: Jan 08, 2014 4:28 pm
by Weaver
GenesForLife wrote:
Weaver wrote:
GenesForLife wrote:

A female patient with multiple chemical sensitivity and previous anaphylactoid reactions to local anaesthetics was admitted for removal of a thigh skin tumour under hypnosis as sole anaesthesia. The hypnotic protocol included hypnotic focused analgesia and a pre-operative pain threshold test. After inducing hypnosis, a wide excision was performed, preserving the deep fascia, and the tumour was removed; the patient's heart rate and blood pressure did not increase during the procedure. When the patient was de-hypnotised, she reported no pain and was discharged immediately. Our case confirms the efficacy of hypnosis and demonstrates that it may be valuable as a sole anaesthetic method in selected cases. Hypnosis can prevent pain perception and surgical stress as a whole, comparing well with anaesthetic drugs.
© 2013 The Association of Anaesthetists of Great Britain and Ireland.

Single case, not a comparative study. Relaxation techniques have been proven effective for pain management, so I'm not surprised that this "hypnosis" is effective as well - and other literature suggests that hypnotherapy (stated as a combination of relaxation techniques and cognitive-behavioral therapy) were effective for chronic pain management.

Still not an indicator that there's anything to "hypnosis" beyond relaxation techniques.

I'd like to see you demonstrate that bog standard relaxation is, even in isolated cases, as effective as/comparable to anaesthetics.

There isn't a lot, just as there isn't a lot for hypnosis. There are a couple studies which showed possible effectiveness, but others found none.

J Adv Nurs. 1998 Mar;27(3):466-75.
Relaxation techniques for acute pain management: a systematic review.
Seers K, Carroll D.
Author information
This review aims to document the effectiveness of relaxation techniques, when used alone for the management of acute pain, after surgery and during procedures. A systematic review of randomized controlled trials (RCTs) was undertaken. Seven studies involving 362 patients were eligible for this review. One hundred and fifty patients received active relaxation as the sole intervention. Reports were sought by searching MEDLINE, psycLIT, CINAHL, and the Oxford Pain Relief Database. The outcome measures used were pain and psychological factors. A meta-analysis was not possible, due to lack of primary data. Three of the seven studies demonstrated significantly less pain sensation and or pain distress in those who had relaxation. Four studies did not detect any difference. There was some weak evidence to support the use of relaxation in acute pain. However, this was not conclusive and many of both the positive and the negative studies suffered from methodological inadequacies. Well designed and executed randomized controlled trials are needed before the clinical use of relaxation in acute pain management can be firmly underpinned by good quality research evidence. Until this evidence is available we recommend that the clinical use of relaxation in acute pain settings is carefully evaluated and not used as the main treatment for the management of acute pain.

More, and more rigorous, studies are needed - but it appears there are at least as many anecdotal / isolated cases with effectiveness for both hypnosis and relaxation. All are low-number values, which could of course be due to a large number of other causes.