29. August 2017 · Comments Off · Categories: Acupuncture, Fybromyalgia

Fibromyalgia patients who exhibit greater sensitivity to pain are more likely to respond to sham acupuncture, and more likely to experience a worsening of pain after verum acupuncture, report US researchers. A cohort of 114 fibromyalgia patients received baseline pressure pain testing and were then randomised to either verum or sham acupuncture. Verum acupuncture consisted of needling nine acupuncture points (Baihui DU-20, right ear Shenmen, left Quchi L.I.-11, right Hegu L.I.-4, left Yanglingquan GB-34, left Zusanli ST-36, left Sanyinjiao SP-6 and right Taichong LIV-3), while sham treatment involved needling at non-acupuncture points. Participants received one to three treatments a week week for a total of 18 treatments. Participants who had higher pressure pain thresholds at baseline demonstrated a greater reduction in clinical pain following verum acupuncture, while participants who had lower baseline pain pressure thresholds showed a better analgesic response to sham acupuncture. In addition, patients with lower pressure pain thresholds reported exacerbated pain following verum acupuncture.
Evoked Pressure Pain Sensitivity Is Associated with Differential Analgesic Response to Verum and Sham Acupuncture in Fibromyalgia. Pain Med. 2017 Mar 15. doi: 10.1093/pm/pnx001. [Epub ahead of print].

14. July 2016 · Comments Off · Categories: Acupuncture, Fybromyalgia

Tai chi is more effective at relieving the pain and other symptoms of fibromyalgia than conventional stretching exercises, according to a randomised controlled trial carried out by American investigators. Sixty-six patients were randomly assigned to twice-weekly 60-minute sessions of either Yang-style tai chi or a control intervention consisting of wellness education and stretching, over a 12 week period. All 33 patients in the tai chi group reported improvements in fibromyalgia symptom scores and quality of life. These improvements were significantly greater than those seen in the stretching group and were maintained at 12-week follow-up. (A randomized trial of tai chi for fibromyalgia. N Engl J Med. 2010 Aug 19;363(8):743-54).

A systematic review of TCM therapies for treatment of fibromyalgia has concluded that they appear to be effective. The authors looked at twenty-five RCTs (1516 participants) of which ten were eligible for meta-analysis. Acupuncture reduced pain scores and number of tender points compared with conventional medication, however it showed no significant effect on pain reduction compared with sham acupuncture. A combination of acupuncture and cupping therapy was better than conventional medication for reducing pain and for improving depression scores. Other individual trials demonstrated positive effects of Chinese herbal medicine on pain reduction compared with conventional medication. (Traditional Chinese Medicine for treatment of fibromyalgia: a systematic review of randomized controlled trials. J Altern Complement Med. 2010 Apr;16(4):397-409).