Acupuncture for Chronic Neck Pain - a Cohort Study in An Nhs Pain Clinic

Blossfeldt, Patrick

doi:10.1136/aim.22.3.146

Cited by 22 publications

(13 citation statements)

References 18 publications

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“…Fifteen (15) studies [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] were excluded for the reasons defined in the exclusion criteria (Table 1). Hence, 14 RCTs 2,26-38 were included in this review, and their main study characteristics are summarized in Table 2.…”

Section: Characteristics Of Studiesmentioning

confidence: 99%

Randomized Controlled Trials of Acupuncture for Neck Pain: Systematic Review and Meta-Analysis

2009

The Journal of Alternative and Complementary Medicine

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Section: Characteristics Of Studiesmentioning

confidence: 99%

Randomized Controlled Trials of Acupuncture for Neck Pain: Systematic Review and Meta-Analysis

2009

The Journal of Alternative and Complementary Medicine

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“…It is always good to have a catchy, memorable 'sound-bite' summary of the research somewhere in the report, and the abstract is a good place because it is seen by most people: something like: '49% of the patients who completed treatment had maintained benefit after six months'. 1 Report the exact wording of any questionnaire (unless it is a very common one that all readers are likely to know) and the available responses, preferably in the results section. Giving a reference is not sufficient because many readers will not have access to that article.…”

Section: Reporting the Projectmentioning

confidence: 99%

Conducting and Reporting Case Series and Audits - Author Guidelines for Acupuncture in Medicine

White

2005

Acupunct Med

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This article aims to give guidance on the conduct and reporting of case series and audits of acupuncture, based on common problems that have arisen in the past. This type of project, and particularly the prospective case series or pre-post-intervention study, may give valuable evidence of the overall effectiveness of acupuncture -for example in different situations and in different conditions -and provides one step in the research pathway before generating an hypothesis. The project should be designed with the aim of reducing bias as much as possible. Careful and detailed planning is essential for the project to produce worthwhile results that readers can evaluate and replicate. Ethical issues should be considered and formal approval may be necessary. The patient group should be recruited systematically and baseline data obtained. The treatment given should be systematic and decisions to change or end treatment made explicit. The outcome should be measured in ways that are known to be reliable and valid. Musculoskeletal problems can be evaluated with scales for pain and confirmed by measuring one other symptom such as stiffness or one other aspect such as bothersomeness. Global change scores also provide supporting information, and the MYMOP (Measure Yourself Medical Outcome Profile) measure is popular when patients with different conditions are included. The design of questionnaires for beliefs and attitudes is a specialised area that should not be attempted without expert help. Adverse events should also be recorded. Analysis of the data and the best way of summarising and presenting the results are also discussed.

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“…An audit highlighted the effi cacy of acupuncture in providing pain relief lasting for more than a year in 40% of patients with chronic neck pain. 10 Our patient responded well to acupuncture and obtained pain relief and functional neck mobility, which has been sustained for the past 18 months. Both the severity of her episodes and the general pain level decreased markedly since her acupuncture treatment began.…”

Section: Discussionmentioning

confidence: 97%

Effectiveness of Acupuncture in Cervical Dystonia

2010

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This case describes the successful addition of acupuncture to treat a patient with cervical dystonia previously managed with Botox (botulinum toxin) injections. This resulted in reduced pain and muscle spasm relief and to the authors' knowledge is the fi rst case to be reported using this treatment combination. The patient was diagnosed with the idiopathic variant of cervical dystonia and had been treated with regular Botox injections for almost a year and half. She was then referred for a course of acupuncture to manage pain and reduce excessive muscle tone. She had excellent benefi t from the acupuncture and she continued to get top-ups of acupuncture every 8-10 weeks. Requirement for Botox injections had decreased thus reducing its long-term side effects. CASE REPORTThis case report details the successful use of acupuncture in conjunction with Botox injections for the management of cervical dystonia.A 65-year-old woman presented to our clinic with an 8-year history of torticollis, mainly affecting her left side, forcing her to adopt an awkward posture. This reduced neck mobility was suffi cient to stop her driving. Figure 1 shows the patient's usual posture before acupuncture treatment. She complained of pain in her left lower cervical area. Movements were reduced and painful particularly when she attempted right lateral fl exion and rotation. This had been steadily worsening over the past few years and by 2005 she was not able to lift her head most of the time. There was no signifi cant aetiology to explain the onset of symptoms and after confi rming diagnosis of an idiopathic variant of cervical dystonia, she was referred to the neuro-rehabilitation doctor in 2005 for a course of Botox (500 units type A toxin -Dysport) injections into her left trapezius, sternocleidomastoid and splenius capitis muscles. This initially gave her excellent benefi t. After two further repeat injections she was referred in February 2006 for a course of acupuncture to manage pain and reduce excessive muscle tone.Her past history included ischaemic heart disease, refl ux oesophagitis, Figure 1 Before acupuncture treatment -simulated views. thalassaemia minor and hypertension. Her drug treatment included aspirin, clopidogrel, atenolol, baclofen, losartan, bendrofl umethiazide, simvastatin, esomeprazole and amitriptyline. ExaminationOn examination she sat with her head turned to the left and her neck in forward and lateral fl exion. All movements of her neck were restricted. Turning her head to the right, lateral rotation to the right and lateral fl exion were almost impossible. The superior and middle fi bres of her left trapezius were very fi rm, tight and tender on palpation. She also had diffuse tenderness on the left side of her neck and over the left supra scapular and infra scapular area (fi gure 2). TreatmentThe normal practice in our acupuncture clinic, dictated by time constraints, is to administer four weekly sessions of Western medical acupuncture followed by top-ups (consisting of single sessions) if the initial...

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Acupuncture for Chronic Neck Pain - a Cohort Study in An Nhs Pain Clinic

Cited by 22 publications

References 18 publications

Randomized Controlled Trials of Acupuncture for Neck Pain: Systematic Review and Meta-Analysis

Randomized Controlled Trials of Acupuncture for Neck Pain: Systematic Review and Meta-Analysis

Conducting and Reporting Case Series and Audits - Author Guidelines for Acupuncture in Medicine

Effectiveness of Acupuncture in Cervical Dystonia

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