Document Detail

Is acupuncture an useful tool for pain-treatment in ophthalmology?
MedLine Citation:
PMID:  12638737     Owner:  NLM     Status:  MEDLINE    
Pain that does not respond to conventional treatment procedures makes it necessary to look for alternative methods. Acupuncture is an ancient procedure with empirical effects on pain. Previous studies established the increased output of messengers at neuronal junctions in spinal cord and hypothalamic locations, especially of endorphins which inhibit the perception of pain. We treated several painful symptoms with acupuncture and evaluated the outcome of the treatment. Patients with various kinds of therapy-refractory pain and patients in whom conventional treatment methods could not be applied were included in the study. The diagnoses included glaucoma. Tolosa-Hunt-Syndrome, ophthalmic migraine, blepharospasm, and dry eyes. In one case acupuncture was used for analgesia during surgery. Acupuncture was performed with sterile disposable needles, at points known to have an empirical analgesic effect. The stimulation was adapted to the patient's individual needs. VAS assessments before and after acupuncture were compared. The t-test was used for statistical evaluation. Acupuncture had no side effects, but reduced pain to a variable extent. Especially in cases of severe pain and in surgery, very effective pain reduction was achieved. In general, pain was significantly reduced in all patients by the use of acupuncture. A statistically significant effect was noted (p < 0.05). Further studies should be conducted to demonstrate the specific effect in larger patient populations. Monitoring neurotransmitter activity will possibly help to illustrate the effect.
Johannes Nepp; Kerstin Jandrasits; Joerg Schauersberger; Gebtraud Schild; Andreas Wedrich; Gräser Lang Sabine; Anna Spacek
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acupuncture & electro-therapeutics research     Volume:  27     ISSN:  0360-1293     ISO Abbreviation:  Acupunct Electrother Res     Publication Date:  2002  
Date Detail:
Created Date:  2003-03-17     Completed Date:  2003-05-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7610364     Medline TA:  Acupunct Electrother Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  171-82     Citation Subset:  IM    
Division for dry eyes, Dept. of Ophthalmology, University Vienna, Austria.
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MeSH Terms
Acupuncture Analgesia*
Blepharospasm / complications,  therapy
Dry Eye Syndromes / complications,  therapy
Eye Diseases / complications*
Glaucoma / complications,  therapy
Middle Aged
Migraine Disorders / complications,  therapy
Pain / etiology,  therapy*
Pain Measurement
Strabismus / complications,  therapy

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