Emergency doctors are using Acupuncture to treat pain, now here’s the evidence

Emergency medicine is not all about life and death situations and high-tech solutions. Our study, the largest of its kind in the world, shows using acupuncture in the emergency department can relieve acute pain.

The study, published today in the Medical Journal of Australia, finds acupuncture is as effective as medication in treating pain for lower back pain and ankle sprain. But it took more than an hour for either to provide adequate pain relief.

Our study builds on previous research to show the effectiveness of acupuncture to treat chronic (long-term) pain.

Yet, there are several barriers to using acupuncture routinely in emergency departments.

What is acupuncture and who practices it?

Using acupuncture to relieve pain involves placing needles in various parts of the body to stimulate the release of endorphins and other neurochemicals, which can act as the body’s naturally occurring pain relievers.

For generations various cultures around the world have used acupuncture to treat multiple conditions, including providing pain relief. And in Australia, it is reimbursed through the Medicare Benefits Schedule when administered by a medical doctor.

Further reading: Modern acupuncture: panacea or placebo?

Acupuncture is one of the most accepted forms of complementary medicine among Australian general practitioners. It also appears in treatment guidelines for doctors in how to manage pain.

Why we ran the study and what we did

Anecdotally, we were aware that several emergency department doctors, in both public and private hospitals in Australia, were treating patients’ pain with acupuncture. But until this large federally-funded study, no-one had set up a trial like it to show how effective it was.

Our trial was an “equivalence” study, which means we aimed to see if the different treatments were equivalent rather than seeing if they were better than placebo. We did this as it would not be ethical to give a placebo to people coming to an emergency department for pain relief.

So, we randomly assigned more than 500 patients to receive standard painkillers, standard painkillers plus acupuncture, or acupuncture alone when they presented with back pain, migraine or ankle sprain at four Melbourne hospitals (some private, some public). While the patients knew which treatment they had, the researchers involved in assessing their pain didn’t (known as a single-blind study).

The type of acupuncture we used included applying needles at specific points on the body for each condition, as well as along points chosen by the treating acupuncturist. This was to reflect what would happen during regular clinical practice.

Doctors who were also qualified medical acupuncturists and practitioners of traditional Chinese medicine (registered in Victoria with the Chinese Medicine Registration Board of Australia) performed the acupuncture.

After treatment, we assessed patients’ pain after an hour, and every hour until discharge. We also rang them for an update 24-48 hours after being discharged.

What we found

We found acupuncture, either alone or with painkillers, was equivalent to drugs-alone in providing pain relief for lower back pain, ankle sprain, but not for migraine.

When patients looked back on their treatment, the vast majority (around 80%) were satisfied with their treatment regardless of which treatment they had.

However, no treatment provided good pain relief until after the first hour.

What are the implications?

Our findings suggest acupuncture may be a viable option for patients who come to the emergency department for pain relief. This is especially important for those who cannot or choose not to have analgesic drugs.

This is also an important finding in light of the potential for side effects and abuse with opioid analgesics, which might otherwise be used to relieve pain in the emergency department.

Previous research shows using acupuncture to treat chronic pain is comparable to morphine, is safer and doesn’t lead to dependence. Our findings suggest acupuncture also has a role in treating acute pain.

However, our research raises several issues, not only about conducting such research but also in implementing our findings in practice.

We had to overcome many ethical, policy and regulatory issues before we started. These included issues around the qualifications of medical and non-medical acupuncturists and employing traditional Chinese medicine practitioners to deliver acupuncture in a western medical hospital.

And to more widely implement our findings, we need to discuss the type of practitioners best placed to deliver acupuncture in hospital, what type of training they need to work in the emergency department and what type of conditions they should treat.

Hopefully, our study will spark further research to address these issues and lead to the development of safe and effective protocols for acute pain relief that may involve combining both modern and ancient forms of medicine to achieve rapid and effective analgesia for all emergency department patients.

This article originally appeared on theconversation.com

Meet Our New Acupuncturist: Céline Sandberg

Céline Sandberg, R. Ac. completed MacEwan University’s 3-year acupuncture program, and is registered with the CAAA to practice acupuncture in Alberta. She also completed a 3-week internship at the Beijing Hospital of TCM to study the integration of TCM with Western medicine. Having grown up leading a very active lifestyle being involved in different sports, she has made it her passion to help people return to health after injury. Whether you’re suffering from post-concussion syndrome, other traumatic injuries or a repetitive strain injury to anything in between, she has the training to help your body recover from these injuries. What drew her to TCM acupuncture was the holistic approach to healing; she strongly believes in the power of the mind-body connection and strives to help you achieve mental, emotional, and physical health. 

She has a special interest in treating sports injuries, concussions, migraines and headaches, as well as mental health, gynecological and digestive problems.

Céline is adept with testing and effectively treating your symptoms to produce global effects in the body. She provides strategies for improving your health, consulting you on lifestyle, dietary, and exercise changes. Complimenting tools are integrated in to her treatments to treat specific issues thoroughly:

Myofascial / Fire cupping – same idea as suction cupping, only heat (fire) is used to create the vacuum seal rather than a suction pump. A small flame is inserted to a glass cup long enough to heat the air inside, and then quickly removed before the cup is placed on the skin. As the air cools, a vacuum is created, and the cups are either left stationary, or can be moved around. This technique has both Western and TCM applications.
When used in TCM, the cups are generally used along the acupuncture channels, or on specific points to elicit a certain response. It is beneficial in a multitude of conditions including: pain, digestive disorders. When used with Western ideologies, the cups are often placed around target musculo-skeletal areas. This is perfect for a variety of bone/joint injury or discomfort.

Auricular therapy – this is a type of reflexology using the external ear as a micro system to treat most disorders. This is extremely effective in helping with quitting smoking, and also enhancing and complimenting the treatment done on the rest of the body. Either needles are used, or ear seeds are used in the style of acupressure.

Gua sha – is also known as “skin scraping” or “coining”; either a gua sha tool or a soup spoon is used to “scrape” or massage the skin to remove adhesions and muscle tightness, or can be used along certain acupuncture channels to relieve pain, headaches, and increase mobilization of joints.

IMS/dry needling – are combined with TCM style acupuncture to help treat muscle imbalances. Trigger point and motor point release are used to increase mobility, strength, and flexibility. These techniques are used alongside TCM acupuncture to treat using a more systemic approach. Combining the two results in a prolonged effect due to the reduction of inflammation, the activation of the immune system and a more normalized endocrine system.

Meet the rest of our Reset Wellness Team here.

What Does Acupuncture Treat?

According to the World Health Organization (WHO) acupuncture has been found effective in treating the following conditions:

Musculoskeletal: muscle/joint pain and weakness, sprains, injuries, sciatica pain, arthritis, rheumatism

Circulatory: high blood pressure, angina pectoris, arteriosclerosis, anemia

Gastrointestinal: constipation, diarrhea, abdominal pain, ulcers, nausea, vomiting, colitis, spastic colon, food allergies, hemorrhoids, irritable bowel syndrome (IBS)

Neurological: headaches, migraines, facial paralysis, post operative rehabilitation, multiple sclerosis, neuralgia, bell's palsy, cerebral palsy

Emotional: insomnia, depression, nervousness, anxiety

Dermatological: eczema, psoriasis, acne, herpes zoster, skin rashes

Immune Disorders: candida, chronic fatigue, HIV and AIDS, epstein barr virus, allergies, lupus, hepatitis, rheumatoid arthritis

Gynecological/Genitourinary: menopausal symptoms, PMS, infertility, menstrual irregularities, endometriosis, fibroids, morning sickness, complications in pregnancy, chronic bladder infection, kidney stones, sexual dysfunction, impotence

Respiratory: rhinitis, sinusitis, cold, bronchitis, asthma

Other conditions: addictions, stress management, weight loss, fatigue, chemotherapy/radiation side effects, diabetes.

Acupuncture is a gentle and sophisticated approach for unlocking stress built up in your body. It's application is excellent as preventative care and works in conjunction with other therapies to compliment a wide range of treatment plans.

Céline is available at Reset Wellness Mondays, Thursdays, Fridays and Saturdays. Book Online.

Does Acupuncture Work?

For certain conditions—particularly pain—there’s evidence it works. Exactly how it works is an open question.

You hear the term “acupuncture,” and visions of needles may dance in your head. But the 3 million Americans (and counting) who have tried it know there’s a lot more to the treatment than pokes and pricks.

A typical visit to an acupuncturist might begin with an examination of your tongue, the taking of your pulse at several points on each wrist and a probing of your abdomen. “They didn’t have MRIs or X-rays 2,500 years ago, so they had to use other means to assess what’s going on with you internally,” says Stephanie Tyiska, a Philadelphia-based acupuncture practitioner and instructor.

These diagnostic procedures inform the placement of the needles, Tyiska says. But a visit to an acupuncturist could also include a thoughtful discussion of your diet and personal habits, recommendations to avoid certain foods or to take herbal supplements and an array of additional in-office treatments—like skin brushing or a kind of skin suctioning known as “cupping”—that together fall under the wide umbrella of traditional Chinese medicine.

But does it work? Figuring out whether each one of these practices may be therapeutically viable is a challenge, and determining how all of them may work in concert is pretty much impossible. Combine them with acupuncturists’ frequent references to “qi,” or energy flow, and it’s easy for a lot of people to dismiss the practice as bunk.

This article originally appeared on time.com and was written by Markham Heid

Ask Smithsonian: Does Acupuncture Work?

Carpal Tunnel Pain and How Acupuncture Helps

If you see someone wearing a wrist splint, it's likely due to carpal tunnel syndrome (CTS). Many attribute the rise of CTS to poor computer ergonomics or uncomfortable body positioning for long hours.

Symptoms include hand weakness, numbness and/or tingling of thumb and fingers except the little finger, and pain from the wrist area throughout the palm side of your forearm.

The carpal tunnel is a tube bound by bones and ligaments in the wrist area on the palm side of the hand. It is roughly the diameter of the thumb, and it houses and channels the median nerve, veins, and tendons for hand and finger mobility.

Whether by physical forces or injury compressing the carpal tunnel or by internal neurological inflammation or damage, CTS amounts to a pinched median nerve, blood vessel, or tendon damage in the carpal tunnel.

Although similar symptoms to CTS may arise from different types of work with arms and hands poorly positioned, if those symptoms dissipate quickly and easily it's probably not CTS, at least it's not serious.

Simply taking breaks, and shaking your arms and hands, then re-positioning your hands, arms, and general posture better should keep you from needing medical intervention.

But if the symptoms persist away from the job or after long hours of typing, you should seek medical attention.
 

Conventional modalities of medical attention

Conventional medicine offers adjustable splints that can be taken off and on at will. Many CTS sufferers wear them during work, but wearing the splint during sleep is also recommended.

Non-steroid anti-inflammatory drugs (NSAIDs) are usually recommended. Some have to be prescribed while others can be purchased over the counter (OTC). These only relieve pain with side effects. Sometimes cortisone injections are used to relieve the pressure from swelling on the median nerve.

If these don't help enough, surgery is used. Endoscopic surgery, involving a narrow tube inserted into small incisions, is the least invasive. It's sometimes used for injured knees. Open surgery, as the name implies, is the most invasive, requiring more anesthesia.
 

Acupuncture - A non-pharmaceutical, non-surgical CTS intervention

Acupuncture, which works on the energy (chi) distribution along the body's mapped out meridians, has been used for centuries for both optimizing good health and reversing bad health, acute or chronic.

Lately, acupuncture has been used successfully for healing maladies from sports injuries. A dramatic example occurred just before the Super Bowl in 1986 when Chicago Bears controversial quarterback Jim McMahon underwent acupuncture treatments for a severely bruised back that wasn't responding to conventional treatment.

After his acupuncture treatments, Jim said he felt 200 percent better, and he and the Bears blew out the Patriots in that Super Bowl. This news event raised eyebrows among classic medical skeptics, spiking acupuncture's burgeoning public acceptance in America.

A recent acupuncture for CTS study by an Iranian university's neurological department was published in January 2012's Journal of Research in Medical Sciences as "Acupuncture in treatment of carpal tunnel syndrome: A randomized controlled trial study."

64 sufferers of moderate CTS were divided into a control group receiving vitamins B1 and B6 with fake acupuncture. The other group received two acupuncture treatments weekly over a four week period and wore wrist splints nightly.

Guess which group tested better neurologically and had lower GSS (global symptom scores) reported for pain, weakness, tingling, and numbness. Yep, the acupuncture guys, of course.

The researchers concluded: "Our findings indicated that the acupuncture can improve the overall subjective symptoms of carpal tunnel syndrome and could be adopted in comprehensive care programs of these patients."

The complete study report is available in the sources below.

Sources for this article include:

http://www.mayoclinic.com/health/carpal-tunnel-syndrome/DS00326

http://www.apnewsarchive.com

http://www.vitasearch.com/get-clp-summary/40537

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3523426/

Learn more: http://www.naturalnews.com/038939_carpal_tunnel_acupuncture_treatment.html#ixzz40PI0IGZe