Neurology Superficial acupuncture in the relief of chronic low back pain

Macdonald, Alexander; MacRae, K D; Master, B.; Rubin, Alan

doi:10.1016/0304-3959(85)90300-8

Cited by 54 publications

(71 citation statements)

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“…In fact, the shams used in these 2 RCTs (45, 47) were judged to be probably physiologically active and inappropriate as controls in another recent systematic review (24). Weak physiologic activity of superficial or sham needle penetration is suggested by several lines of research (53), including RCTs showing larger effects of a superficial needlepenetrating acupuncture than those of a nonpenetrating sham control (44,60), positron emission tomography research indicating that sham acupuncture can stimulate regions of the brain associated with natural opiate production (61), and animal studies showing that sham needle insertion can have nonspecific analgesic effects through a postulated mechanism of "diffuse noxious inhibitory control" (62). Indeed, superficial needle penetration is a common technique in many authentic traditional Japanese acupuncture styles (63).…”

Section: Discussionmentioning

confidence: 99%

Meta-analysis: Acupuncture for Osteoarthritis of the Knee

et al. 2007

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Section: Discussionmentioning

confidence: 99%

Meta-analysis: Acupuncture for Osteoarthritis of the Knee

et al. 2007

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“…Other studies have either refused to use a placebo control group on the grounds that this is unethical [7], used a dummy stimulator as we have [28,33,48], simulated acupuncture treatments by stimulating with less than therapeutic intensities (nail-prick [17], low electrical intensity with needles [29,35], or simulated acupuncture but used non-acupuncture points [6,17]). Melzack et al [34] have used a different treatment all together (massage) rather than a sham acupuncture treatment as a control.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of electroacupuncture and tens in the rehabilitation of chronic low back pain patients

Lehmann¹,

Russell²,

Spratt³

et al. 1986

Pain

173

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SummaryFifty-four patients treated in a 3-week inpatient rehabilitation program were randomly assigned to and accepted treatment with electroacupuncture (n = 17) TENS (low intensity transcutaneous nerve stimulation, n = 18) and TENS deadbattery (placebo, n = 18). Outcome measures included estimates of pain (on a Visual Analogue Scale) and disability by both physician and patient, physical measures of trunk strength and spine range of motion, as well as the patient's perceptions of the relative contribution of the education, exercise training, and the electrical stimulation. Analyses of variance were utilized to determine effects of treatment (electroacupuncture, TENS, placebo) across time (admission, discharge, and return) for the outcome measures. There were no significant differences between treatment groups with respect to their overall rehabilitation. All 3 treatment groups ranked the contribution of the education as being greater than the electrical stimulation. However, the electroacupuncture group consistently demonstrated greater improvement on the outcome measures than the other treatment groups. For the visual analogue scale measure of average pain, there was a statistical trend at the return visit suggesting that the acupuncture group was experiencing less pain.

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“…After 6 weeks, the superficial dry needling group had significantly less pain compared with the no-intervention group and significantly higher pressure threshold measures compared with the active stretching-only group. In a single-blind placebocontrolled trial of 17 participants with chronic lumbar MTrPs, Macdonald et al 29 found that superficial dry needling was significantly better than the placebo in reducing pain.…”

Section: Deep Versus Superficial Needlingmentioning

confidence: 99%

Dry Needling in the Management of Musculoskeletal Pain

Kalichman

Vulfsons²

2010

The Journal of the American Board of Family Medicine

207

130

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Myofascial pain is a common syndrome seen by family practitioners worldwide. It can affect up to 10% of the adult population and can account for acute and chronic pain complaints. In this clinical narrative review we have attempted to introduce dry needling, a relatively new method for the management of musculoskeletal pain, to the general medical community. Different methods of dry needling, its effectiveness, and physiologic and adverse effects are discussed. Dry needling is a treatment modality that is minimally invasive, cheap, easy to learn with appropriate training, and carries a low risk. Its effectiveness has been confirmed in numerous studies and 2 comprehensive systematic reviews. The deep method of dry needling has been shown to be more effective than the superficial one for the treatment of pain associated with myofascial trigger points. However, over areas with potential risk of significant adverse events, such as lungs and large blood vessels, we suggest using the superficial technique, which has also been shown to be effective, albeit to a lesser extent.Additional studies are needed to evaluate the effectiveness of dry needling. There also is a great need for further investigation into the development of pain at myofascial trigger points. (J Am Board Fam Med 2010;23:640 -646.)

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Neurology Superficial acupuncture in the relief of chronic low back pain

Cited by 54 publications

References 0 publications

Meta-analysis: Acupuncture for Osteoarthritis of the Knee

Meta-analysis: Acupuncture for Osteoarthritis of the Knee

Efficacy of electroacupuncture and tens in the rehabilitation of chronic low back pain patients

Dry Needling in the Management of Musculoskeletal Pain

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