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ABSTRACT OBJECTIVE To observe the clinical efficacy of bloodletting therapy and acupuncture at Jiaji points for treating upper back myofascial pain syndrome (MPS), and compare this with lidocaine blocktherapy. METHODS A total of 66 upper back MPS patients were randomly assigned to either the treatment group or the control group in a 1∶1 ratio.The treatment group (n= 33) were treated with bloodletting therapy at local myofascial trigger points and acupuncture at Jiaji (EX-B 2) points; one treatment course consisted of five, single 20-min-treatments with a 2-day break between each treatment. The control group (n= 33) were treated with a lidocaine block...
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A study which compared auricular press needles inserted at specific points for hip pain (hip joint, lung, Shenmen, thalamus) with similar needles inserted in auricular non-points, in 61 patients one day before and for three days after total hip arthroplasty surgery, found that the true points group used 32% less analgesics than the non-point group. (Pain 2005; 114: 320-7). Quelle: www.jcm.co.uk
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ABSTRACT Objective Ear acupuncture might be the form of acupuncture best suited to improving acute pain management in the emergency department (ED). The primary aim of this review was to assess the analgesic efficacy of ear acupuncture in the ED. Secondary outcomes included measures of patient satisfaction, adverse effects, cost, administration techniques, and reduction of medication usage. Methods Seven databases and Google Scholar were searched up to April 27, 2017, using MeSH descriptors for three overarching themes (ear acupuncture, pain management, and emergency medicine). Meta-analyses were performed in 3 comparator groups: (1) ear acupuncture versus sham; (2) ear acupuncture-as-adjunct to...
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ABSTRACT Objective To observe the efficacy of I-shaped acupuncture therapy for treatment of cervical spondylosis. Methods I-shaped acupuncture therapy (penetration needling from Fēngchí (GB 20) to Fēngfû (GV 16), under the C3–C6 spinous process, Dàzhuī (GV 14), Jiānzhōngshù (SI 15), Jiānwàishù (SI 14), and I-shaped acupoint selection way) was adopted for treatment of 80 cases of cervical spondylosis, needling manipulation was conducted for once every 10 min, and the needles were retained for 30 min. The treatment was carried out for once a day, and treatment for 10 times was considered as 1 course of treatment. Results Sixty-seven patients were...
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Caffeine can inhibit the analgesic effect of acupuncture, according to animal studies carried out in Brazil. Mice subjected to plantar incision surgery were treated with both manual acupuncture and electro-acupuncture at the acupoint Sanyinjiao SP-6 after administration of acute or chronic doses of caffeine. Researchers found that acute pre-administration of caffeine completely reversed acupuncture-induced analgesia (AA) for both types of acupuncture. The investigators also used doses that mimicked the average daily caffeine consumption in both Western countries and China. The Western dose of caffeine (70mg/kg/day) administered for eight days in drinking water reversed AA, while the Chinese dose (4mg/kg/day) administered...
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An update of the landmark 2012 study by the international Acupuncture Trialists‘ Collaboration reinforces the evidence that acupuncture is effective for the treatment of chronic musculoskeletal pain and that its benefits cannot be explained solely in terms of placebo effects. The new individual patient data meta-analysis analysed data from an additional 13 trials, giving a total data set of 20,827 patients from 39 trials. Acupuncture was superior to both sham and no-acupuncture control for all four chronic pain conditions examined (back and neck pain, osteoarthritis, chronic headache and shoulder pain). Patients receiving acupuncture had less pain. When compared with sham,...
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ABSTRACT Background Since 2001, Battlefield Acupuncture (BFA), an auricular acupuncture protocol, has been used to treat members of the U.S. Military who have acute and chronic pain conditions. One of the many pain issues treated is the pain associated with traumatic brain injury (TBI), which may manifest anywhere in the body. Case A 65-year old man with a 6-year history of severe TBI was treated with BFA for back pain after signing an informed consent form. Results: This patient experienced resolution of his back pain, an unexpected recovery from most of the incurred cognitive sequelae, as well as from a...
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ABSTRACT A wide range of herbs for pain conditions are discussed, with detailed information on their safe clinical application. Aconitum spp. (aconite, fuzı) and a formula featuring it, Gosha-jinki-gan (Niu ´ Che She`nQı`Wa´n), are particularly good examples of powerful analgesics that are far too little used in North American prescribing. The global use of various species of aconite is particularly compelling. However, this herb should only be recommended by experienced clinicians (as with most of the other herbs discussed herein). Similarly, Clematis spp. (clematis, virgin’s bower) and Anemone spp. (pasque flower) of various types are used for pain around the...
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In der Studie von Zhao et al. (2017) wurde untersucht, ob eine Behandlung mit Akupunktur zu einer langfristigen Prophylaxe von Migräneattacken beitragen kann. Dazu wurde die Wirkung von richtiger Akupunktur mit einer Schein-Akupunktur und einer Kontrollgruppe (Patienten auf der Warteliste für die Behandlung) verglichen. Die Studie (randomisiert, kontrolliert) dauerte insgesamt 24 Wochen lang an, dabei betrug die Behandlungsdauer 4 Wochen und die Nachbeobachtung umfasste 20 Wochen. Es waren 249 Patienten im Alter von 18 bis 65 Jahren in die Studie eingeschlossen, die 2- bis 8-Mal pro Monat an Migräne (ohne Aura) litten. Die Patienten in der Gruppe mit richtiger Akupunktur...
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Eine aktuelle Meta-Analyse überprüfte die Evidenz der fünf Therapieverfahren Passive Bewegung, Präoperative Bewegungstherapie, Kältetherapie, Elektrotherapie und Akupunktur. Weltweit zählt die totale Knie-Arthroplastie zu den häufigsten operativen Eingriffen. In Deutschland werden pro Jahr über 150.000 künstliche Kniegelenke implantiert. Diese sollen den beispielsweise von starker Arthrose betroffenen Patienten zu einem Leben ohne Schmerzen und mit mehr Mobilität verhelfen. Postoperativ bringt der Eingriff jedoch zunächst starke Schmerzen mit sich, die konventionell mit Analgetika wie Opioiden und Nicht-steroidalen Entzündungshemmern (NSAID) behandelt werden. Aufgrund des Risikos von Nebenwirkungen und einer Medikamenten-Abhängigkeit, insbesondere von Opioiden, wird eine Minimierung und Verkürzung der Einnahme starker Schmerzmittel angestrebt. Als...
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