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Maggie Ju (2014) Current opinion in acupuncture on stroke rehabilitation
The Journal of Chinese Medicine And Acupuncture Volume 21 Issue 2 September 2014 P9
Maggie Ju. (2015) What Part Does Acupuncture Play in IVF?
The Journal of Chinese Medicine And Acupuncture Volume 22 Issue 1 March 2015 P21
Maggie Ju (2020) The Potentiality of COVID-19 Treatment with Chinese Herbal Medicine in the UK
The Journal of Chinese Medicine And Acupuncture Volume 27 Issue 2 November 2020 P9
Thursday, 5 April 2018
Suffer from wrist pain? Acupuncture can help
Treatments for carpal tunnel syndrome include surgical and non surgical options. The current beneficial non surgical treatments include steroid use, acupuncture and splinting. Nonsurgical treatments such as wrist splints and corticosteroid injections are recommended for mild to moderate cases of CTS. The effect of acupuncture is as effective as steroids and splinting. Acupuncture reduces pain dramatically. Acupuncture could reduce the pain completely or could reduce pain over 50% in some cases.
Research has shown that acupuncture could be an effective treatment for CTS and has greatly improved the symptoms in patients with CTS. Khosrawi S et al studied the acupuncture treatment for CTS using a randomised controlled trial. In this trial they recruited 64 patients who received 8 sessions of acupuncture treatment over 4 week period. They found that acupuncture improved the overall symptoms of CTS in these patients and nerve conduction velocity was improved as well. Another study by Kumnerddee W and Kaewtong A showed that 10 sessions of acupuncture over 5 weeks have better effect than that for night splinting in pain reduction. Yang CP observed the long term (1 year) effect of acupuncture on CTS. The patients with mild to moderate CTS received 8 sessions of acupuncture treatment over 4 week period. 1-year follow-up result showed that acupuncture treatment group had a significantly better improvement in overall symptoms, distal motor lantencies and distal sensory latencies compared to steroid group. These studies suggested that acupuncture has short term and long term effect in patients with CTS and acupuncture is a treatment option for patients with CTS.
Recently Maeda Y et al in Massachusetts General Hospital USA studied how brain contributes to the response to acupuncture in pain relief in patients with CTS. Brain response to electroacupuncture was assessed with functional MRI. The patients were allocated into three groups: local acupoints group, distal acupoint group and sham acupuncture group. In local acupoint group, two acupoints PC7 and TW5 on the affected wrist were used. In distal acupoint group, SP6 to LV4 acupoints were used. Sham acupoints were performed at nonacupoints locations on the affected wrist. They found that patients in the local and distal group reported reduced pain. Acupuncture group has greater reduction of abnormal sensation changes compared to sham group. Compared to sham group, local acupuncture produced greater activation in insula and S2 and greater deactivation in ipsilateral S1, while distal acupuncture produced greater activation in S2 and deactivation in posterior cingulated cortex. Brain activation in prefrontal cortex, SMA and S1 region was associated with analgesia.
Acupuncture is believed to stimulate the nervous system releasing neurochemical molecules to reduce pain. Acupuncture stimulates limb network in the brain and alter sensory process. Acupuncture reduces inflammation which may contribute to the mechanism.
Khosrawi S et al J Res Med Sci (2012) 17:1-7
Kumnerddee W and Kaewtong A J Med Assoc Thai (2010) 93:1463-9
Yang CP et al J Pain (2011) 12: 272-9
Maeda Y et al. Evid Based Complement Alternat Med (2013) Jun 17
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