Bee Sting Therapy for Multiple Sclerosis
Questionable Benefits and Definite Risks Associated With Using Bee's Venom
Bee sting therapy, also referred to as “bee venom therapy,” is pretty
much just what it sounds like—getting stung by bees in a controlled
setting.
More specifically, bee
sting therapy is a type of “apitherapy,” a term which refers to the use
of bee products to treat medical conditions. Other forms of apitherapy
include the use of bee pollen, propolis (a waxy substance produced by
bees), raw honey, and royal jelly.
How Bee Therapy Works
It's believed that bee sting therapy works by using the patient's own
body to reduce inflammation. The theory is that because the bee stings
produce inflammation, the body mounts an anti-inflammatory response.
Presumably, this would then work to reduce inflammation in other parts
of the body, such as in the brain and spinal cord where the protective
myelin sheath surrounding nerve fibers is attacked by the immune system
in a person with MS.
What Happens During Treatment
Bee
sting practitioners include nurses, acupuncturists, naturopaths, and
interested laypersons, including beekeepers. Although, some people just
order some bees and perform the sessions themselves. Bee sting therapy
can also be given by physicians—they use venom in an injectable form,
administering it under the skin, rather than live bees.
Before
the treatment begins, the therapist may inject you with a weak form of
the venom to test for an allergic reaction. A bee (usually a honeybee)
is held with tweezers up to a part of the body. The stinger is left in
for up to 15 minutes and then removed with tweezers. Between 20 to 40
stings are done each session, and a person typically undergoes three
sessions a week.
Effectiveness of Bee Sting Therapy
Bee
sting therapy has been studied on a limited basis for MS. A couple of
studies used bee sting therapy in mice who had experimental allergic
encephalomyelitis (EAE), a condition that resembles MS in humans. The
treatment not only showed no benefit, but some of the mice receiving bee
stings seemed to have worsening symptoms.
In addition, a study
was conducted in the Netherlands among 24 people with either
relapsing-remitting MS or secondary progressive MS. While the bee sting
treatment was well-tolerated, no beneficial effects were seen on the
MRIs. The participants also noted no improvement in their disability,
fatigue, or quality of life.
Despite a lack of scientific
evidence, bee sting therapy has been reported anecdotally by some people
with MS to increase stability, as well as reduce fatigue and
spasticity, which are common symptoms of MS.
Risks of Bee Sting Therapy
Pain is one of the biggest drawbacks with bee sting therapy. In
addition to the discomfort of being stung by 40 bees, most people
experience some degree of swelling and redness at the sting site. This
swelling and pain can generally be eased by applying ice before and
after the stings.
Other adverse effects reported include:
Itching
Hives
Fatigue
Anxiety
Cough
Headache
Loss of appetite
Yellowing of the white part of the eyes (called jaundice)
Severe pain in the left shoulder and arm and chest wall
Muscle weakness of the left arm and hand.
Rarely, these very serious and severe effects below have also been reported:
Death
A small number of people (less than 100) die every year from reactions
to bee stings. These deaths could be due to anaphylaxis (severe allergic
reactions) or heart attacks brought on by a mild allergic reaction in
combination with other factors like dehydration or a preexisting heart
condition. It's important that an Epi-Pen Autoinjector is available in
case of an allergic reaction.
Optic Neuritis
Inflammation
of the optic nerve (optic neuritis) may occur in people (regardless if
they have MS or not) when bee stings are given on or near the eye area,
including the temple or eyebrow area. This is why it's important to
avoid all bee stings in this area.
Acute Disseminated Encephalomyelitis
This is a rare form of inflammation of the central nervous system, which is very similar to that which occurs in MS.
A Final Word
A couple take-home points to keep in mind is that bee sting therapy is
meant to be a complementary MS therapy, meaning that it should not be
used as a substitute for disease-modifying therapies.
Secondly,
at this time, there simply is not enough robust evidence (there are no
long-term studies) to support bee sting therapy as an effective
treatment for MS. In other words, more clinical studies are needed to
really understand its benefit (if any) in MS. In the end, if you are
interested in a complementary MS therapy, please talk with your
neurologist. Perhaps, a therapy that is more relaxing, peaceful, and
scientifically supportive, like yoga or progressive muscle relaxation,
would be best.
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