Sensory Stimulation (Acupuncture) for the Treatment of Idiopathic Anterior Knee Pain

Näslund, Jan; Näslund, Ulla-Britt; Odenbring, Sten; Lundeberg, Thomas

doi:10.1080/165019702760279233

Cited by 43 publications

(57 citation statements)

References 26 publications

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“…Naslund and colleagues 30 compared the effect of deep versus superficial needling (which they considered to be placebo) in a group of 58 individuals with idiopathic anterior knee pain. The authors found no statistical difference between the 2 methods.…”

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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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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“…108 This would suggest that there is a difference between experimental and clinical pain and probably between different pain states.…”

mentioning

confidence: 99%

Is it All about Sex? Acupuncture for the Treatment of Pain from a Biological and Gender Perspective

Lund

Lundeberg

2008

Acupunct Med

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Pain is a unique personal experience showing variability where gender and sex related effects might contribute. The mechanisms underlying the differences between women and men are currently unknown but are likely to be complex and involving interactions between biological, sociocultural and psychological aspects. In women, painful experimental stimuli are generally reported to produce a greater intensity of pain than in men. Clinical pain is often reported with higher severity and frequency, longer duration, and present in a greater number of body regions in women than in men. Women are also more likely to experience a number of painful conditions such as fibromyalgia, temporomandibular dysfunction, migraine, rheumatoid arthritis and irritable bowel syndrome. With regard to biological factors, quantitative as well as qualitative differences in the endogenous pain inhibitory systems have been implicated, as well as an influence of gonadal hormones. Psychosocial factors like sex role beliefs, pain coping strategies, and pain related expectancies may also contribute to the differences. Being exposed to repeated painful visceral events (eg menses, labour) during life may contribute to an increased sensitivity to, and greater prevalence of, pain among women. When assessing the outcome of pharmacological and non-pharmacological therapies in pain treatment, the factors of gender and sex should be taken into account as the response to an intervention may differ. Preferably, treatment recommendations should be based on studies using both women and men as the norm. Due to variability in results, findings from animal studies and experiments in healthy subjects should be interpreted with care.

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“…5 Fifty eight patients, clinically and radiologically examined, were randomly assigned to either deep or minimal superficial acupuncture treatment. The patients were treated twice weekly for a total of 15 treatments.…”

mentioning

confidence: 99%

Some of the Effects of Acupuncture in Knee Pain May be Due to Activation of the Reward System

Lundeberg

2006

Acupunct Med

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Acupuncture is an ancient therapy with a variety of different explanatory models. A cascade of physiologic effects has been reported, both in the peripheral and the central nervous system, following the insertion of a needle. Clinical trials testing the specific claims of acupuncture have generally tried to focus on testing the efficacy of applying specific techniques and/or specified points. However, different conditions may respond differently to different modes of stimulation. Also, insertion of needles into the body can stimulate effects not dependent on the locations of stimulation. Recently, it was demonstrated that both superficial and deep needling (with de qi/Hibiki) resulted in amelioration of patellofemoral pain and an increased feeling of wellbeing. One area in the brain that is affected by acupuncture stimulation is the limbic system. The limbic system consists of a group of brain structures, including the hippocampus, amygdala, and their interconnections, and connections with the hypothalamus, septal area, and portions of the tegmentum. It contains many of the centres related to emotion and reward.The pleasurable aspect of the acupuncture experience has largely been ignored as it has been considered to be part of its antinociceptive effects. It has previously been reported that physical exercise and electroacupuncture in animals result in modulation of the peptidergic content in limbic structures. These results are supported by recent animal studies in Japan that have clearly demonstrated that acupuncture results in the activation of the reward system. These findings are supported by positron emission tomography studies in patients, which showed that the insula ipsilateral to the site of needling was activated, as well as the dorsolateral prefrontal cortex, the anterior cingulate and the midbrain.Taken together, these results suggest that acupuncture, as well as the patient's expectation and belief regarding a potentially beneficial treatment, modulate activity in the reward system.

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Sensory Stimulation (Acupuncture) for the Treatment of Idiopathic Anterior Knee Pain

Cited by 43 publications

References 26 publications

Dry Needling in the Management of Musculoskeletal Pain

Dry Needling in the Management of Musculoskeletal Pain

Is it All about Sex? Acupuncture for the Treatment of Pain from a Biological and Gender Perspective

Some of the Effects of Acupuncture in Knee Pain May be Due to Activation of the Reward System

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