22. February 2018 · Comments Off · Categories: Acupuncture, Knee Osteoarthritis, Surgery

A systematic review by American authors has concluded that acupuncture and electrotherapy can reduce opioid consumption after total knee arthroplasty. Thirty-nine randomised trials (2391 patients), which examined the use of various drug-free interventions (passive motion, preoperative exercise, cryotherapy, electrotherapy and acupuncture), were included in their meta-analysis. Moderate-certainty evidence showed that electrotherapy reduced the use of opioids and that acupuncture delayed opioid use. There was also low-certainty evidence that acupuncture improved pain, based on visual analogue scores. None of the other therapies studied showed any significant effects on either pain or opioid use.

Drug-Free Interventions to Reduce Pain or Opioid Consumption After Total Knee Arthroplasty: A Systematic Review and Meta-analysis. JAMA Surg. 2017 Aug 16:e172872.

06. September 2016 · Comments Off · Categories: Acupuncture, Surgery

Acupuncture may be useful to patients suffering from neck and shoulder pain following surgical treatment for cervical lymphatic metastases. Italian clinicians randomly assigned 48 patients with chronic pain or dysfunction attributed to neck dissection to either weekly acupuncture or usual care (physical therapy, analgesia, and/or anti-inflammatory drugs) for five consecutive weeks. Shoulder pain and function scores improved more in the acupuncture group, and a statistically significant improvement in site-specific quality of life was also reported following acupuncture.

Acupuncture in shoulder pain and functional impairment after neck dissection: A prospective randomized pilot study. Laryngoscope. 2016 Mar 24. doi: 10.1002/lary.25921. [Epub ahead of print).