15. February 2018 · Comments Off · Categories: Acupuncture, TMD

Acupuncture appears to relieve myofascial pain in temporomandibular disorder (TMD) report the Portuguese authors of a systematic review. A total of four randomised trials using acupuncture for TMD treatment were included. Results for acupuncture were observed to be similar to those for treatment with occlusal splints and significantly superior to those for placebo acupuncture.

Acupuncture in Temporomandibular Disorder Myofascial Pain Treatment: A Systematic Review. J Oral Facial Pain Headache. 2017 Summer;31(3):225-232.

Acupuncture is an effective and safe treatment for gastro-oesophageal reflux disease (GORD/GERD) according a systematic review by authors from the USA and China. A total of 12 trials involving 1235 patients were included in their meta-analyses, which demonstrated that patients receiving (manual or electro-) acupuncture combined with Western medicine (WM) demonstrated superior global symptom improvement compared with those receiving WM alone. In addition, recurrence rates for those receiving acupuncture alone were found to be lower than those receiving WM alone, while global symptom improvement and symptom scores were similar for both therapies. Acupuncture was also observed to improve quality of life in patients with GORD.

Acupuncture for the treatment of gastro-oesophageal reflux disease: a systematic review and meta-analysis. Acupunct Med 2017;0:1–6.

15. February 2018 · Comments Off · Categories: Acupuncture, Community Acupuncture, Pain

A feasibility study carried out by a US research team suggests that acupuncture offered in a group setting is effective for reducing pain and depression in patients with chronic pain or osteoarthritis. In a non-randomised, quasi-experimental trial, 113 subjects with chronic pain of the neck, back, shoulder, or osteoarthritis of any region, received eight weekly acupuncture therapy sessions in a group setting. Acupuncture therapy included a combination of acupuncture, tui na, gua sha and auricular treatment. The results showed a statistically and clinically significant decrease in pain severity, pain interference and depression in the study population over eight weeks of treatment. This benefit was sustained through follow up at 24 weeks with no additional intervention. The authors conclude that group acupuncture may be considered an effective treatment option for chronic pain, capable of producing clinically relevant and long-lasting pain reduction, in a setting that potentially improves access for patients of a lower socioeconomic status.

Acupuncture Therapy in a Group Setting for Chronic Pain. Pain Med. 2017 Jun 8. doi: 10.1093/pm/pnx134. [Epub ahead of print].

15. February 2018 · Comments Off · Categories: Acupuncture, Dermatology, Warts
15. February 2018 · Comments Off · Categories: Acupuncture, Periods

Investigators from Australia and New Zealand report that acupuncture treatment can reduce menstrual pain intensity, and that its effects can still be felt one year later. A randomised controlled trial was performed with 74 women randomly assigned to one of four treatment arms: low frequency manual acupuncture (LF-MA), high frequency manual acupuncture (HF-MA), low frequency electro-acupuncture (LF-EA) and high frequency electro-acupuncture (HF-EA). A clinical manual-based protocol was used to allow individualised treatment, with a maximum of seven points used per treatment and a total of 12 treatments performed over three menstrual cycles, either once per week (LF groups) or three times per week (HF groups), in the week prior to menstruation. All groups also received a treatment in the first 48 hours of their period. Acupuncture was found to reduce menstrual pain intensity and duration after three months of treatment, and this was sustained for up to one year after the start of the research. The mode of stimulation or frequency of treatment was not found to be significant, although the authors suggest that this may be due to a lack of statistical power. During the treatment period and nine month follow-up all groups showed statistically significant reductions in peak and average menstrual pain compared to baseline, but there were no differences between groups. Health-related quality of life increased significantly in six domains in groups with a high frequency of treatment compared to only two domains in low frequency groups. Manual acupuncture groups required less analgesic medication than electro-acupuncture groups. HF-MA was most effective in reducing secondary menstrual symptoms compared to both-EA groups.

The role of treatment timing and mode of stimulation in the treatment of primary dysmenorrhea with acupuncture: An exploratory randomised controlled trial. PLoS One. 2017 Jul 12;12(7):e0180177.

15. February 2018 · Comments Off · Categories: Acupuncture, Tennis Elbow

Acupuncture can reduce pain and pathological thickness of the common extensor tendon (CET) in patients with lateral epicondylitis (LE). Ultrasound evaluation of the CET in a patient with LE may reveal increased tendon thickness, which correlates with the severity of the LE. Turkish clinicians randomly assigned 41 patients to acupuncture and control groups. All received conventional treatment, and the acupuncture group also received needling at six acupoints (an ashi point, Shousanli L.I.-10, Quchi L.I.-11, Chize LU-5, Hegu L.I.-4 and Weiguan SJ-5) for 25 minutes per session, two or three times a week for four weeks (a total of 10 sessions). Subjective pain and hand function scores improved in both groups, but pressure pain threshold and CET thickness only improved in the acupuncture group.

Ultrasonographic Evaluation of Acupuncture Effect on Common Extensor Tendon Thickness in Patients with Lateral Epicondylitis: A Randomized Controlled Study. J Altern Complement Med. 2017 Jun 7. doi: 10.1089/acm.2016.0370. [Epub ahead of print].

15. February 2018 · Comments Off · Categories: Acupuncture, Emotional, Phsycological, Stress

An American group has found that acupuncture can significantly and persistently reduce stress in university students and staff. Their study included 111 participants with high self-reported stress levels who either studied or worked at a large urban university. Participants were randomised into a verum or sham acupuncture group, and both groups received treatment once a week for 12 weeks.

The treatment group received needling at a predetermined set of points: Baihui DU-20, Yintang, Shanzhong REN-17, Qihai REN-6, unilateral Shenmen HE-7, Neiguan P-6, Hegu L.I.-4, LIV-3 and Zusanli ST-36, plus auricular points Shen Men, Liver, Point Zero and Heart. The control group received needling without manipulation at three non-acupuncture points. While participants in both groups showed a substantial initial decrease in perceived stress scores, at 12 weeks post-treatment the verum acupuncture group showed a significantly greater treatment effect than the sham group. This study indicates that acupuncture may be successful in decreasing the perception of stress in students and staff at a large urban university, and this effect persists for at least three months after the completion of treatment.

Effectiveness of Acupuncture Therapy on Stress in a Large Urban College Population. J Acupunct Meridian Stud. 2017 Jun;10(3):165-170.

15. February 2018 · Comments Off · Categories: Acupuncture, Pain Management

The Acupuncture Now Foundation (a non-profit organisation dedicated to educating the public, healthcare providers and health policymakers about acupuncture) has submitted an extensive document to the Food and Drug Administration (FDA – the US government agency responsible for protecting and promoting public health). The 34-page position paper summarises the most pertinent information regarding the potential of acupuncture for treating common pain conditions and reducing dependency on harmful medications. They review the current body of research as well as providing an overview of the potential benefits and limitations of expanding acupuncture’s role in pain management. The paper contains up-to-date research summaries on chronic and acute pain, plus summaries of four landmark studies. The authors intend it to be a useful resource for those preparing evidence summaries to government agencies, health insurance companies and health policy decision-makers.

Acupuncture in Pain Management: Strengths and Weaknesses of a Promising Non-Pharmacologic Therapy in the Age of the Opioid Epidemic. 2017.

15. February 2018 · Comments Off · Categories: Acupuncture, Pain

The largest-ever pragmatic randomised trial of acupuncture carried out in hospital emergency departments has found that it is a safe and effective alternative to pain-relieving drugs for acute pain. A total of 1964 patients presenting at four Australian hospital emergency departments with back pain, migraine and ankle sprain were randomised to acupuncture alone, acupuncture plus pharmacotherapy or pharmacotherapy alone. The results showed that although neither acupuncture nor standard pharmacotherapy afforded patients clinically relevant reduction in pain within an hour, patients still found both treatments to be acceptable, and the effectiveness of acupuncture alone was comparable with that of pharmacotherapy.

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non-inferiority trial. Med J Aus. 2017; 206 (11): 494.

A systematic review by American authors also supports acupuncture as an effective treatment for acute pain in the hospital emergency department. Meta-analyses were performed on data from 14 randomised controlled trials (representing 1210 patients) which compared acupuncture with sham, acupuncture with standard analgesia and acupuncture as an adjunct to standard care. Acupuncture was judged to be more clinically effective compared to sham and non-inferior to conventional drug therapy for acute pain. Limited data was also found that indicated superior results if acupuncture was added as an adjunct to standard analgesia. Acupuncture was also associated with improved patient satisfaction, lower cost and fewer adverse effects.

Does acupuncture have a role in providing analgesia in the emergency setting? A systematic review and meta-analysis. Emerg Med Australas. 2017 Jul 26. [Epub ahead of print].

15. February 2018 · Comments Off · Categories: Acupuncture, Pain

Acupuncture is still effective for pain relief a year after treatment has ended, according to a paper by Prof Hugh MacPherson and international colleagues from the Acupuncture Trialists’ Collaboration. Using a large individual patient data set from high-quality randomised trials of acupuncture for chronic pain (20 trials, including 6376 patients) the authors determined the trajectory of pain scores over time, after acupuncture for conditions including musculoskeletal pain (low back, neck, shoulder), osteoarthritis of the knee and headache. In trials comparing acupuncture to a no-acupuncture control, effect sizes diminished by a nonsignificant amount (0.011 SD per three months) after treatment ended. This suggests that approximately 90 percent of the benefit of acupuncture relative to controls would be sustained at 12 months. For trials comparing acupuncture to sham, they observed a smaller, but still significant, reduction in effect size (0.025 SD per three months), suggesting approximately a 50 percent diminution at 12 months. The authors recommend that studies of the cost-effectiveness of acupuncture should take these findings into account.

The persistence of the effects of acupuncture after a course of treatment: a meta-analysis of patients with chronic pain. Pain. 2017 May;158(5):784-793.