Acupuncture for neuropathic pain in adults

Ju, Zi Yong; Wang, Ke; Cui, Hua; Yao, Yibo; Liu, Shimin; Zhou, Jia; Chen, Tong Yu; Xia, Jun

doi:10.1002/14651858.cd012057.pub2

Cited by 74 publications

(62 citation statements)

References 111 publications

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“…Chinese medical formulations such as aconitum may improve neuropathic pain, but overall there is little evidence to support the use of traditional Chinese medicine for neuropathic pain [ 17 ]. A recent Cochrane review concluded that there is currently insufficient evidence to support or refute the use of acupuncture for neuropathic pain [ 18 ]. Despite the lack of supporting evidence, the popularity of traditional Chinese medicine for chronic NP observed here may be due to cultural influences and the difficulty in effectively reducing neuropathic pain with conventional treatment [ 1 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

A comparison of chronic pain with and without neuropathic characteristics in a Hong Kong Chinese population: An analysis of pain related outcomes and patient help seeking behaviour

2018

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ObjectiveIn Western countries, chronic pain patients with neuropathic characteristics have more intense pain, greater negative impact in quality of life and worse psychological well-being. The aim of this study was to compare the outcomes, impact, and health seeking behaviours in Chinese chronic pain patients with and without neuropathic characteristics in Hong Kong.MethodsRandom telephone survey was conducted on the general Hong Kong population, and based on the Nuprin Pain Report. Specific questions on chronic and neuropathic pain were included. Respondents with pain lasting three months or more were asked to indicate their two most painful sites. Chi-square and Mann-Whitney U-test were used to investigate differences between variables in patients with and without neuropathic characteristics. P<0.05 was regarded as significant.ResultsThe response rate was 32.3%. Chronic pain patients with neuropathic characteristics reported higher pain scores and longer duration of pain (p = 0.0001). They reported greater negative impact on work and effect on daily life (p = 0.0131); were significantly more likely to consult pain specialists (p = 0.0006), Chinese medicine practitioners (p = 0.0203), and psychiatrists (p = 0.0212); and were significantly less likely to be prescribed oral analgesics (p = 0.0226), to feel ‘very satisfied’ (p = 0.0263) with prescribed treatment and to find oral analgesics ‘very useful’ (p = 0.0215). There was no difference in oral analgesic medications taken.ConclusionChinese individuals having chronic pain with neuropathic characteristics had worse pain related outcomes. Differences in help-seeking behaviour were observed. Lack of appropriate analgesic prescription suggests that identification and management of chronic neuropathic pain in Hong Kong needs to be improved.

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Section: Discussionmentioning

confidence: 99%

A comparison of chronic pain with and without neuropathic characteristics in a Hong Kong Chinese population: An analysis of pain related outcomes and patient help seeking behaviour

2018

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“…High PDQ scores are frequent in patients with FMS, and in these patients, high PDQ is probably a measure of pain centralization rather than an expression of injury to the somatosensory system [30][31][32]. In any case, neuropathic pain features are classically difficult manifestations to treat, both pharmacologically and with acupuncture [33]. is study has shown that through acupuncture, sensations that evoke the presence of neuropathic pain undergo a significant improvement.…”

Section: Discussionmentioning

confidence: 99%

Acupuncture for Fibromyalgia: An Open‐Label Pragmatic Study on Effects on Disease Severity, Neuropathic Pain Features, and Pain Catastrophizing

Carlo

Beci

Salaffi

2020

Evidence-Based Complementary and Alternative Medicine

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The treatment of fibromyalgia syndrome (FMS) is still far from being optimally coded, and pharmacological strategies are often unsatisfactory. Acupuncture plays a role among nonpharmacological intervention approaches; however, there is still no clarity as to when to integrate it into therapy. The objective of this study is to explore the role of acupuncture, in terms of efficacy on main disease severity measures and pain features, in patients with nonresponsive disease, defining nonresponsive FMS characterized by a revised Fibromyalgia Impact Questionnaire (FIQ-R) ≥39 and a Patient Health Questionnaire 15-item (PHQ15) ≥5 despite optimal drug therapy. Patients were treated with weekly sessions, for a total of eight acupuncture sessions. At the baseline and at the end of the treatment cycle, a comprehensive clinical evaluation was carried out to evaluate improvements in terms of disease severity and impact on neuropathic pain features (measured with the painDETECT questionnaire (PDQ)) and pain catastrophizing (measured with the Pain Catastrophizing Scale (PCS)). At the end of the eight-week treatment, patients experienced a significant improvement in all evaluated parameters (for FIQ-R, PDQ, and PHQ15 p<0.0001, for PCS p=0.001). Of particular note is the effectiveness on manifestations that are difficult to treat such as neuropathic pain features and on negative psychological perceptions such as pain catastrophizing. It can be stated that acupuncture can be proposed also in phases of high severity of disease. Intervention with multimodal strategies, including acupuncture, could be of great benefit to patients.

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“…Acupuncture is considered to be one of the most popular complementary interventions and it is increasingly used for treatment of chronic pain. However, the Cochrane review of Ju et al (Ju et al, 2017) about benefits and harms of acupuncture for neuropathic pain indicated that currently available evidence shows no clear difference between acupuncture treatment and tested comparators among adults with chronic neuropathic pain. Difference in pain intensity between manual acupuncture and sham acupuncture was minimal and based on one study only.…”

Section: What Are the Implications Of The Cochrane Evidence For Practmentioning

confidence: 99%

“…For this reason, healthcare workers in the field of rehabilitation should be familiar with the current evidence about benefits and harms of acupuncture for various conditions. A Cochrane review addresses analgesic efficacy as well as safety of acupuncture for chronic neuropathic pain in adults (Ju et al, 2017):…”

Section: Introductionmentioning

confidence: 99%

Can acupuncture help adults suffering from neuropathic pain? – A Cochrane review summary with commentary

Puljak

2019

NRE

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Acupuncture for neuropathic pain in adults

Cited by 74 publications

References 111 publications

A comparison of chronic pain with and without neuropathic characteristics in a Hong Kong Chinese population: An analysis of pain related outcomes and patient help seeking behaviour

A comparison of chronic pain with and without neuropathic characteristics in a Hong Kong Chinese population: An analysis of pain related outcomes and patient help seeking behaviour

Acupuncture for Fibromyalgia: An Open‐Label Pragmatic Study on Effects on Disease Severity, Neuropathic Pain Features, and Pain Catastrophizing

Can acupuncture help adults suffering from neuropathic pain? – A Cochrane review summary with commentary

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