Document Detail


Acupuncture in the treatment of rheumatic diseases.
MedLine Citation:
PMID:  23055010     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Acupuncture has been used for millennia in traditional Chinese medicine as a technique believed to restore the balance of energy in the body caused by disease through the use of needles inserted into specific points or energy channels. This energy is called the de qi. The use of acupuncture for the treatment of pain in musculoskeletal disorders is increasing. Some patients seek alternative therapies because of lack of improvement with conventional treatments. The potential physiological effects of acupuncture on pain relief have been attributed to biochemical processes, such as the release of endorphins into the limbic structures, subcortical areas and brain stem, mechanisms that are also present in placebo-induced analgesia. In addition, pain relief with acupuncture is also associated with patient expectations, beliefs, and interactions with their acupuncturists. In this review, we summarize the latest evidence on the treatment of musculoskeletal conditions including rheumatoid arthritis, fibromyalgia, neck pain, shoulder pain, low back pain, and knee pain with traditional Chinese acupuncture (TCA), electroacupuncture (EA), and the use of moxibustion. Acupuncture is relatively safe, but there are still reports of serious and fatal side effects that must be taken into account when recommending this therapy. Many of the latest trials assessing the benefits of acupuncture in rheumatic diseases found that acupuncture was not better than sham acupuncture, implying that the analgesic effects observed are related to a strong placebo response. While the literature on this topic is extensive, many of the studies lack methodological rigor, and additional large, well-controlled, high quality trials are still needed to determine if acupuncture might be useful in the treatment of chronic rheumatic diseases.
Authors:
Matxalen Amezaga Urruela; Maria E Suarez-Almazor
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Review    
Journal Detail:
Title:  Current rheumatology reports     Volume:  14     ISSN:  1534-6307     ISO Abbreviation:  Curr Rheumatol Rep     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-10-26     Completed Date:  2013-05-20     Revised Date:  2013-12-04    
Medline Journal Info:
Nlm Unique ID:  100888970     Medline TA:  Curr Rheumatol Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  589-97     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Acupuncture Analgesia
Acupuncture Therapy / methods*
Electroacupuncture
Humans
Moxibustion
Musculoskeletal Pain / etiology,  therapy*
Rheumatic Diseases / complications,  therapy*
Treatment Outcome
Grant Support
ID/Acronym/Agency:
K24 AR053593/AR/NIAMS NIH HHS; K24AR053593/AR/NIAMS NIH HHS; R01 AR049999/AR/NIAMS NIH HHS
Comments/Corrections

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