Acupuncture Applied at Local or Distal Acupoints Reduces Pain Related to Temporomandibular Disorders in Female Patients

Katekawa, Lena; Iwasaki, Angela Cristina; Shinkai, Rosemary Sadami Arai; Campos, Tomie T de

doi:10.11607/ijp.7095

Cited by 7 publications

(4 citation statements)

References 15 publications

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“…Distal acupoint selection is to perform acupuncture at a site farther from the disease location, which is based on the meridian theory. 31 Figure 2 shows the selected acupoints in the head, such as GV20 and GV29, and extremity end acupoints, such as KI15, KI13, etc., for OAB treatment. Interestingly, most of these acupoints belong to the meridians of du and kidney.…”

Section: Discussionmentioning

confidence: 99%

Acupuncture for Women with Overactive Bladder: Perspective of Traditional Chinese Medicine and Related Mechanism

Wang¹,

Lei²

2023

IJGM

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Purpose Overactive bladder (OAB) syndrome is one of the most common diseases in urology and affects quality of life. Although the current treatment for OAB is based on oral medications, there are limitations and many patients have difficulty accepting drug-induced adverse effects. This review aimed to analyze the efficacy of acupuncture and its related mechanisms and provide a preliminary therapeutic regimen. Methods Two authors independently searched PubMed, Embase, and Cochrane Library up to April 2022. They searched related English literature and extracted the data under a standard form based on the search strategy. Clinical trials which included OAB women with the treatment of acupuncture were included. Common acupuncture alone without other pharmacotherapy, external treatments was in the treatment group. The control interventions may include any active treatments, sham placebo, or no establishment of a control group. Outcomes included 3-day or 24-hour voiding diary, overactive bladder symptom score, etc. The Cochrane risk of bias tool was also used to assess the methodological quality of the randomized controlled trials (RCTs). Results We analyzed five RCTs and one comparative study on acupuncture for OAB to review and discuss the acupoint location, treatment course, and retention time based on clinical evidence and treatment ideas in traditional Chinese medicine. Additionally, we used the available evidence to reveal and discuss the acupuncture mechanisms for OAB. Acupuncture may regulate bladder function by inhibiting C-fibers, modulating nerve growth factors and reducing spontaneous contractions of the detrusor muscle. Conclusion Combined with the available evidence, the combination of local acupoints and distal acupoints should be necessary to consider, especially the lumbosacral acupoints, the small abdomen acupoints and the lower limb acupoints. Among them, acupuncture at SP4, CV4 and KI3 are strongly recommended. The treatment course of acupuncture should be no less than 4 weeks and maintain the frequency of acupuncture no less than once a week. The duration of each session should be no less than 20 minutes. In addition, investigations remain necessary to verify acupuncture’s efficacy and precise mechanism for OAB treatment in further exploration.

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Section: Discussionmentioning

confidence: 99%

Acupuncture for Women with Overactive Bladder: Perspective of Traditional Chinese Medicine and Related Mechanism

Wang¹,

Lei²

2023

IJGM

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“…However, local stimulation, i.e., chronic electrical stimulation on the facial nerve induced hyperactivity of the facial nucleus ( 45 ), which may aggravate spasms. In terms of pain relief, local and distal stimulation with acupuncture ( 46 ), transcutaneous peripheral nerve stimulation ( 47 ), or vibratory stimulation ( 48 ) also showed a strong analgesic effect, but differed in stimulus parameters, such as intensity and frequency ( 47 , 48 ). What's more, stimuli at distal or local acupoints can change the excitability in specific brain regions.…”

Section: Discussionmentioning

confidence: 99%

Electroacupuncture on Hemifacial Spasm and Temporomandibular Joint Pain Co-Morbidity: A Case Report

et al. 2022

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Hemifacial spasm (HFS) and temporomandibular joint (TMJ) pain are common facial diseases which cause depression, anxiety, insomnia, and poor quality of life. However, currently there are still no effective therapies to treat HFS and TMJ. Electroacupuncture (EA) has advantages of safety, rapid work, easy operation and convenience. Here, we reported a case of a 50-year-old woman who presented with irregular spasm of eyelids and facial muscles on the left side, and TMJ pain on the right side. The patient had been treated with carbamazepine (20mg per day) and alternative therapies for a year, but still not much improvement in the symptoms. The scores of the Jankovic Rating Scale (JRS), global rating scale (GRS), and visual analog scale (VAS) were 7, 60, and 7 points, respectively. The EMG test showed that the spastic side had higher R1 amplitude, longer R2 duration, and larger R2 area than the non-spasmodic side, and the occurrence rate of the lateral spread responses (LSR) in the Orbicularis oris and the Orbicularis oculi muscle was 60% and 40%, respectively. We considered this patient had left HFS and right TMJ pain. EA was successfully undertaken for two periods over 30 weeks. After EA, JRS and VAS were reduced sharply, and the symptoms of HFS were stable without recurrence. However, the frequency of the lower eyelid increased gradually during the 6-month follow-up. These findings reveal that EA with the frequency of 2 Hz and intensity of ~ 1–2 mA may be a benefit for alleviating symptoms of HFS and TMJ pain without adverse reaction. The potential mechanisms of EA in HFS and TMJ pain co-morbidity involve brain stem mechanism and DNIC mechanism for distal acupuncture and segmental mechanism for local acupuncture analgesia.

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“…Acupuncture applied at local or distal acupoints reduces pain related to temporomandibular disorders in female patients (Katewaka, et al, 2021) To evaluate two protocols of local and distal acupuncture for pain relief in patients with temporomandibular disorders (TMD) Clinical trial. With 3 groups: G1 -Control (n=48); G2 -local acupuncture (head, neck, n=32) and G3distal points (n=22) and pain intensity were recorded before and after the acupuncture session (6 to 10 weeks).…”

Section: N=20mentioning

confidence: 99%

Integrative and complementary practices in dentistry: acupuncture in temporomandibular disorders

Castro

Lima

Isoldi

2022

RSD

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The temporomandibular disorder (TMD) consists of the functional alteration of the orofacial muscles, the temporomandibular joints, or both. Among the therapeutic options available for treating TMD, acupuncture appears as a relevant therapy to relieve pain and reduce the symptoms of clicking and discomfort of the temporomandibular joint. This study investigated the use of acupuncture as an auxiliary therapy in pain management in patients with TMD. A narrative review of the literature was performed using PubMed, Scielo, Bireme, LILACS, the American Association of Pain and the descriptor acupuncture, temporomandibular joint disorders, quality of life, dentistry, limited to the Portuguese, Spanish and English covering the publication period of 2012 to 2022. The highest prevalence rate of TMD is among women (about 80%) and the dysfunction appears after the age of 30. The main causes of TMD are related to behavioral, psychosocial and hormonal factors. Studies evaluating acupuncture for TMD treatment are limited. In contrast, significant short-term pain improvement was expressed in 26% of the articles. Taking into account that the disorder is mainly characterized by pain (algia), the reduction of this condition is of paramount importance.

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Acupuncture Applied at Local or Distal Acupoints Reduces Pain Related to Temporomandibular Disorders in Female Patients

Cited by 7 publications

References 15 publications

Acupuncture for Women with Overactive Bladder: Perspective of Traditional Chinese Medicine and Related Mechanism

Acupuncture for Women with Overactive Bladder: Perspective of Traditional Chinese Medicine and Related Mechanism

Electroacupuncture on Hemifacial Spasm and Temporomandibular Joint Pain Co-Morbidity: A Case Report

Integrative and complementary practices in dentistry: acupuncture in temporomandibular disorders

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