Acute Pressure Block of the Sciatic Nerve Relieves Clinical Pain But Not Cold Pressor Pain

He, Jianqiao; Jiang, Xianrong; Bi-hua, Zhao; Xu, Shilian; Zhang, Fenglin; Wei, Pingniu; Qiu, Chen

doi:10.1097/ajp.0b013e3181c8fc68

Cited by 5 publications

(17 citation statements)

References 57 publications

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“…Acute pressure block of the sciatic nerve is a newly reported analgesic method,6–10 based on a current neuroscience concept: stimulation of the peripheral nerves increases the pain threshold. The method works well to alleviate various types of clinical pain but not experimental cold pressor pain or intense pain 6,7,9.…”

Section: Introductionmentioning

confidence: 99%

“…The method works well to alleviate various types of clinical pain but not experimental cold pressor pain or intense pain 6,7,9. Some physicians, patients, and scientists have interpreted this method as another approach for delivering the previously described analgesic method, acupressure.…”

Section: Introductionmentioning

confidence: 99%

“…Acupressure uses pressure to stimulate specific acupuncture points for therapeutic purposes 4. In contrast, acute pressure block of the sciatic nerve method uses pressure to stimulate the sciatic nerve 6–9. The stimulation site is an area rather than a point, and stimulation of a larger area provides better pain relief.…”

Section: Introductionmentioning

confidence: 99%

“…The amount of pressure required is usually approximately 10 kg to 20 kg per hand area for a man of average size 6–9. Therefore, although the thumbs, fingers, or elbows are ideal for stimulating the acupuncture points in the acupressure method, they are not ideal for acute pressure block of the sciatic nerve, because the area required for this method is much larger.…”

Section: Introductionmentioning

confidence: 99%

“…According to reports, the acute pressure block method is most effective for dental pain, which originates far from the sciatic nerve, compared with pain resulting from other diseases 6,8. This observation shows that the working mechanisms may be different for the two methods.…”

Section: Introductionmentioning

confidence: 99%

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A comparison between acute pressure block of the sciatic nerve and acupressure: methodology, analgesia, and mechanism involved

Luo¹,

Wang²,

He³

2013

JPR

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Acupressure is an alternative medicine methodology that originated in ancient China. Treatment effects are achieved by stimulating acupuncture points using acute pressure. Acute pressure block of the sciatic nerve is a newly reported analgesic method based on a current neuroscience concept: stimulation of the peripheral nerves increases the pain threshold. Both methods use pressure as an intervention method. Herein, we compare the methodology and mechanism of these two methods, which exhibit several similarities and differences. Acupressure entails variation in the duration of manipulation, and the analgesic effect achieved can be short-or long-term. The acute effect attained with acupressure presents a scope that is very different from that of the chronic effect attained after long-term treatment. This acute effect appears to have some similarities to that achieved with acute pressure block of the sciatic nerve, both in methodology and mechanism. More evidence is needed to determine whether there is a relationship between the two methods.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A comparison between acute pressure block of the sciatic nerve and acupressure: methodology, analgesia, and mechanism involved

Luo¹,

Wang²,

He³

2013

JPR

Self Cite

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General Responses to Questions Regarding Acute Pressure Stimulation of Sciatic Nerve for Pain Relief

Qiu

2010

Pain Med

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A Self-Administered Method of Acute Pressure Block of Sciatic Nerves for Short-Term Relief of Dental Pain: A Randomized Study

Wang

Zhao²,

Wang³

et al. 2014

Pain Med

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ObjectivesWhile stimulation of the peripheral nerves increases the pain threshold, chronic pressure stimulation of the sciatic nerve is associated with sciatica. We recently found that acute pressure block of the sciatic nerve inhibits pain. Therefore, we propose that, the pain pathology-causing pressure is chronic, not acute. Here, we report a novel self-administered method: acute pressure block of the sciatic nerves is applied by the patients themselves for short-term relief of pain from dental diseases.DesignThis was a randomized, single-blind study.SettingHospital patients.PatientsPatients aged 16–60 years with acute pulpitis, acute apical periodontitis, or pericoronitis of the third molar of the mandible experiencing pain ≥3 on the 11-point numerical pain rating scale.InterventionsThree-minute pressure to sciatic nerves was applied by using the hands (hand pressure method) or by having the patients squat to force the thigh and shin as tightly as possible on the sandwiched sciatic nerve bundles (self-administered method).OutcomesThe primary efficacy variable was the mean difference in pain scores from the baseline.ResultsOne hundred seventy-two dental patients were randomized. The self-administered method produced significant relief from pain associated with dental diseases (P ≤ 0.001). The analgesic effect of the self-administered method was similar to that of the hand pressure method.ConclusionsThe self-administered method is easy to learn and can be applied at any time for pain relief. We believe that patients will benefit from this method.

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Acute Pressure Block of the Sciatic Nerve Relieves Clinical Pain But Not Cold Pressor Pain

Abstract: Our study indicated that cold pressor pain and clinical pain responded differently to acute pressure blockade of the sciatic nerve. Our findings indicate that caution should be exercised when attempting to extrapolate cold pressor pain findings to clinical pain.

Cited by 5 publications

References 57 publications

A comparison between acute pressure block of the sciatic nerve and acupressure: methodology, analgesia, and mechanism involved

A comparison between acute pressure block of the sciatic nerve and acupressure: methodology, analgesia, and mechanism involved

General Responses to Questions Regarding Acute Pressure Stimulation of Sciatic Nerve for Pain Relief

A Self-Administered Method of Acute Pressure Block of Sciatic Nerves for Short-Term Relief of Dental Pain: A Randomized Study

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