Is acupuncture effective in improving pain relief for low back pain? What do medical doctors say about it?

-

Acupuncture is an effective treatment for relief from low back pain, even when compared with other interventions (sham acupuncture, usual care, or no treatment), with stronger effects observed immediately after treatment. Clinically significant reduction in pain is more reliably observed in chronic rather than acute low back pain (strength of recommendation: A, based on systematic review and meta-analysis of randomized controlled trials [RCTs]).

The American College of Physicians issued a clinical practice guideline recommending acupuncture as a first-line therapy for acute and chronic nonradicular low back pain along with other nondrug therapy including stretching, heat application, massage, and manual spinal manipulation.5 The National Institutes of Health’s National Center for Complementary and Integrative Health considers acupuncture to be a safe treatment when done by trained acupuncturists using sterile needles.

Research evidence from systematic reviews

Systematic review and meta-analysis involved in 6656 participants comparing acupuncture with other treatments (sham acupuncture, no treatment, transcutaneous electrical nerve stimulation, medications, usual care) found that acupuncture was clinically superior to sham acupuncture in pain reduction for patients with chronic low back pain (CLBP) immediately after and up to 3 months following treatment. Further, acupuncture provided more pain relief in CLBP compared with no treatment and usual care, which typically consisted of nonacupuncture care like physical therapy, massage, and medication.

Systematic reviews involved in 11 682 participants comparing acupuncture with sham acupuncture, no treatment, or acupuncture plus conventional treatment, which included physical therapy, exercise, and medication, revealed inconsistent evidence of benefit in acute low back pain. Acupuncture was consistently found to provide superior pain relief for CLBP lasting greater than 3 months in the short term.

Systematic reviews involved in 7958 participants analysed acupuncture versus sham acupuncture for chronic low back pain and found that acupuncture significantly reduced pain intensity immediately and 12 weeks after treatment. Compared with medications (nonsteroidal anti-inflammatory drugs, muscle relaxants, or analgesics), acupuncture provided greater pain relief and improved function.

Neuroimaging Studies of Acupuncture on Low Back Pain suggested that improving abnormal structure and functional activities in the brain of the LBP patient is an important mechanism of acupuncture treatment for LBP. The brain regions involved in acupuncture analgesia for LBP were mainly located in the pain matrix, default mode network (DMN), salience network (SN), and descending pain modulatory system (DPMS).

References

Roselyn Clemente Fuentes et al Can Fam Physician. 2020 Mar; 66(3): 186–187.

Qiao Wen et al Front Neurosci. 2021; 15: 730322.

Location: Union Ct, Richmond TW9 1AA, UK

Popular posts from this blog

The Connection Between Facial Expression Muscles and Wrinkles: Understanding the Aging Process

-
Introduction: Facial expressions are an integral part of human communication, allowing us to convey a wide range of emotions and connect with others on a deeper level. However, over time, the repeated contraction of facial muscles can contribute to the formation of wrinkles. In this article, we will explore the relationship between facial expression muscles and wrinkles, shedding light on the aging process and providing insights into ways to maintain a youthful appearance. Understanding Facial Expression Muscles: The human face is equipped with a complex network of muscles responsible for producing facial expressions. These muscles are connected to the skin and work in harmony to create various movements, such as smiling, frowning, and raising eyebrows. While these expressions are crucial for non-verbal communication, the repetitive use of facial muscles can lead to the development of wrinkles. The Role of Collagen and Elastin: Collagen and elastin are two essential proteins
Read more

Having foot drop? Tried acupuncture?

-
 Acupuncture helps improving foot drop Foot drop, sometimes called drop foot is a muscular weakness or paralysis that makes it difficult to lift the front part of your foot and toes. This causes the toes to drag along the ground while walking. To avoid dragging the toes, people with foot drop may lift their knee higher than normal. Or they may swing their leg in a wide arc. Foot drop can happen to one foot or both feet at the same time. Foot drop is a symptom rather than a condition. The causes could be muscle disorders, nerve damage in the leg, or brain and/or spinal injury. Muscles disorders including muscular dystrophy, amyotrophic lateral sclerosis and polio cause the muscles to progressively weaken causing foot drop. Some conditions including sports injuries, diabetes, spending long hours sitting cross-legged or squatting, hip or knee replacement surgery, childbirth etc could cause peroneal nerve damage or compressed causing foot drop. Brain or spinal disorders including stroke, m
Read more