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Severe chest pain can be relieved by hypnotherapy

Posted April 2006

Research at Manchester’s Wythenshawe Hospital has indicated how hypnotherapy can help relieve severe chest pain not caused by a heart condition.

Details of the study were published in the medical journal Gut which reported on a small scale study of 28 randomly selected patients suffering from non-cardiac chest pain (NCCP).

The study's aim was to assess the efficacy of hypnotherapy within a selected group of patients with angina- like chest pain and where coronary angiography was normal and oesophageal reflux was not contributory.

One group of 15 patients received 12 sessions of hypnotherapy over 17 weeks while the control group of 13 patients were given "supportive therapy" plus dummy medicine.

Prof Peter Whorwell

Among those receiving hypnotherapy, twelve patients (80 per cent) reported significant improvements in their symptoms while only three out of 13 (23 per cent) being treated by listening and a dummy drug, reported an improvement in pain. In neither group was there was any change in the frequency of bouts of pain.

Hypnotherapy was also found to significantly improved the sense of overall wellbeing and reduced the use of painkillers and other drugs prescribed to control the condition. By contrast, the control group, treated with supportive therapy, increased their drug intake.

Non-cardiac chest pain is notoriously difficult to treat and approximately one third of patients with chest pain thought to be caused by coronary artery disease turn out to have no identifiable cause for their pain.

Frequently patients are severely incapacitated by their condition - despite assurances from coronary specialists that there is nothing to worry about.

The study's conclusion stated: "Hypnotherapy appears to have utility in this highly selected group of NCCP patients and warrants further assessment in the broader context of this disorder."

The research was headed by Professor Peter Whorwell  who more than 20 years ago pioneered the use of gut directed hypnotherapy for the treatment of irritable bowel syndrome.

The success of hypnotherapy in reducing NCCP was, he suggested, achieved by reducing the sensitivity of the gullet, or the strength of its contractions but it was also likely hypnotherapy helped patients to relax.

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