Category: Pain

A feasibility study undertaken at the Northern Hospital Emergency Department, Melbourne, Australia, shows that acupuncture can provide patients with effective relief from pain and nausea. The study drew on data from 400 people visiting the department with these symptoms. The acupuncture group comprised 200 patients who received usual care plus acupuncture. For comparison, retrospective data was gathered on 200 closely matched patients who had received usual care alone.

A satisfaction score of 10/10 was given by 57% of patients receiving acupuncture; 52% responded “definitely yes” for their willingness to use it again, and a further 32% said “probably yes”. Adverse events were rare and mild. Pain scores reduced from a mean 7.0 before acupuncture, to 4.7 afterwards. Nausea scores dropped from 2.6 to 1.4. Musculoskeletal conditions were most commonly treated, followed by abdominal or flank pain.

The researchers conclude acupuncture in the emergency department appears safe and acceptable for patients with pain and/or nausea and that combined care may provide effective pain and nausea relief. Further studies evaluating the cost-effectiveness and efficacy of the add-on effect of acupuncture are recommended.

(Acupuncture and standard emergency department care for pain and/or nausea and its impact on emergency care delivery: a feasibility study. Acupuncture in Medicine, 7 March 2014, epub ahead of print.)

A small UK pilot study suggests acupuncture may hold promise as a treatment for the pain of multiple sclerosis (MS). Twenty MS patients attending a nurse-led complementary therapy clinic, were invited to evaluate the service using a questionnaire: there were 25 questions concerning pain relief, sleep pattern, mood improvement, energy levels, mobility issues, and analgesic medication use. All patients had received acupuncture to help with pain relief, and all had attended the clinic for between three and twenty-four months. Most patients received acupuncture at six-weekly intervals, 85% were female, and their ages ranged from 20 to 60. They had had their diagnosis for between one and 29 years.

All patients reported some pain reduction, nine reporting pain relief of 8/10 or better. Eighteen of the twenty patients obtained pain relief for four or more weeks, although nine noted a temporary pain increase first. Three patients managed to stop using pain-killing medication altogether. Sleep patterns, mood, energy levels and mobility were also reported as improving. The authors conclude that this study demonstrates clear benefit from acupuncture as a treatment for pain in MS patients.

(Acupuncture is an effective treatment for pain and other MS symptoms. Journal of Neurology, Neurosurgery & Psychiatry, 2013.)

Researchers in the US have found that weekly acupuncture is associated with improvements in pain and quality of life, when included in the usual care of chronic pain patients in urban health centres. In a trial, 226 patients selected from four health centres in the Bronx, New York, began receiving acupuncture. Osteoarthritis, back and neck pain were usually the reason for referral to the trial. Patients were frequently older (mean age 54), receiving disability payments, in poor or fair overall health, and with high baseline pain levels.

Following a mean of 9.7 acupuncture treatments on a weekly basis, there was a significant improvement in pain severity and physical wellbeing at 12 and 24 weeks, compared to baseline levels.

(Outcomes of acupuncture for chronic pain in urban primary care. Journal of the American Board of Family Medicine, Nov-Dec 2013.)

A study undertaken in Germany has shown acupuncture offers significant benefits to patients who have undergone coronary bypass surgery. Impaired breathing and depressed lung function as a side-effect of opioid pain killers, are common complications of the sternotomy procedure, in which a longitudinal incision is made along the sternum or breastbone.

A total of 100 such patients at Heidelberg University Hospital were randomly allocated to one of three groups:
– group 1 received standard pain relief plus acupuncture at sub-optimal acupuncture points to act as a control;
– group 2 received standard pain relief plus acupuncture at optimal acupuncture points chosen according to traditional Chinese medicine as appropriate to the condition being treated;
– group 3 received standard pain relief alone.

Both acupuncture groups experienced statistically significant pain relief, but whereas group 1 experienced an 18% pain reduction, group 2 experienced a 71% reduction. In addition to recording subjective pain scores, the researchers also studied patients’ forced vital capacity, an objective measure of analgesia-related improvement in the ability to expand the rib cage. In group 1, this increased by a statistically insignificant 30ml, whereas in group 2, the increase was 306ml. The researchers conclude acupuncture provides clinically significant pain relief resulting in improved breathing. Due to the difference in results between groups 1 and 2, they also believe the choice of acupuncture points is of crucial importance, showing the technique to be much more effective than might be expected from placebo alone.

(Objectifying acupuncture effects by lung function and numeric rating scale in patients undergoing heart surgery. Evidence-Based Complementary & Alternative Medicine, 2013.)

An American military research team has undertaken a feasibility study to assess the effectiveness and acceptability of acupuncture for pain control in injured personnel. Ear acupuncture was given to patients experiencing pain during evacuation by air from Germany to a base in Maryland, USA. Patients reported statistically significant reductions in pain following treatment: average pain scores fell from 4.07 prior to treatment, to 2.17 one hour after treatment, and 2.76 one hour after the flight.

(Moving Acupuncture to the Frontline of Military Medical Care: A Feasibility Study. Medical Acupuncture, February 2013.)