Acute & Chronic Pain & Fibromyalgia
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Acupuncture is well known to be an effective treatment for acute and chronic pain; most commonly, patients come for treatment of fibromyalgia, back pain, joint pain, neck pain and headache.
Acupuncture has been and is being studied for its efficacy in alleviating many kinds of pain, including:
- Fibromyalgia. Dr. Wasserman has put together a 200 page clinical manual regarding the treatment of fibromyalgia. His approach involves a comprehensive program which includes cutting-edge testing, supplements, exercise, and other modalities. Also see his articles on fibromyalgia: Fibromyalgia: Have you really tried everything? and Fibromyalgia: Ten tests your doctor might not have considered.
- Headache/migraine Study results on acupuncture for headache are mixed. A 2008 review of randomized trials on acupuncture highlighted a few well-designed trials whose findings indicate that acupuncture reduces migraine symptoms and is as effective as headache medications. In addition, a 2009 review found that acupuncture may help relieve tension headaches. See more on headaches.
- Low-back pain See more on back pain.
- Foot pain See more on foot pain
- Neck pain Studies of acupuncture for chronic neck pain have found that acupuncture provided better pain relief than some simulated treatments. See more on neck pain.
- Sports and work injuries
- Acupuncture may also be helpful for
- postoperative dental pain,
- carpal tunnel syndrome,
- myofascial pain,
- osteoarthritis, and
- tennis elbow.
Most back pain is muscular in nature. Muscle pain perpetuates what is known as the pain cycle, a phenomenon of which the back is particularly susceptible. In the pain cycle, pain causes a muscle to spasm, which may distort the discs, joints and nerves of the spine. This spasm leads to further pain, leading to further spasm, which compounds the original problem.
Acupuncture can be very helpful in the reduction or elimination of back pain by breaking the pain cycle, reducing recovery time and preventing a chronic condition from developing. Why? Acupuncture treatment addresses the pain cycle in two ways:
- It causes the body to produce natural steroids, which decrease inflammation.
- It promotes the production of natural endorphins which kill pain.
By reducing acute back pain, acupuncture may also reduce the chances of chronic back pain from occurring. It can help avoid the need for costlier and more invasive surgical procedures. And if back pain can be significantly reduced with acupuncture, it also lowers the need for painkillers or other medications that can either cause unwanted side-effects or prolong a patient’s condition.
A large, rigorously designed clinical trial reported in May 2009 found that actual acupuncture and simulated acupuncture were equally effective in treating acute low back pain-and both were more effective than conventional treatment-for relieving chronic low-back pain.
The foot is one of the most complex parts of the body. It consists of 38 bones connected by numerous joints, muscles, tendons and ligaments, and is susceptible to many stresses. Foot problems may be caused by pain, inflammation or injury, thereby limiting a person’s range of motion and quality of life.
Acupuncture has been shown to be effective in relieving some types of foot pain, in some cases by addressing the pain cycle in the case of strain or injury, and in some cases by increasing blood flow to the foot and lower leg.
Headaches fall into three main categories: tension-type, migraine and cervicogenic. Tension-type headaches are the most frequent- with mild to moderate pain on both sides of the head. While migraines have a much shorter duration, their symptoms are much more severe, with pain that usually occurs on one side of the head. Cervicogenic headaches may be caused by pain in the neck or spine that is transferred to the head and often go undiagnosed.
TCM has an ancient and consistent understanding of headache causes, physiology, diagnosis and treatment strategy. Acupuncture is not only effective for migraine headaches, but also works very well with:
- tension headaches,
- cluster headaches,
- post-traumatic headaches, and
- disease-related headaches that might be due to sinus problems, high blood pressure or sleeping disorders
The greatest advantage of acupuncture over Western medicine is that it has no side effects, unlike some medications, and it is non-invasive.
The knee is the largest joint in the body tying together the femur, tibia and kneecap, and containing muscles which straighten the leg and bend the leg at the knee; tendons, which attach the muscles to the bones; ligaments, which help control motion by connecting bones; and cartilage, which serves to cushion the knee or help it absorb shock during motion
“Studies have shown acupuncture to be effective in relieving certain types of knee pain, especially arthritic conditions of the knee and knee joint. A 1999 study comparing electroacupuncture to ice massage and transcutaneous nerve stimulation (TENS) for subjects with osteoarthritis found that acupuncture decreased pain and stiffness levels and increased muscle strength and flexion in the knee. Another study published that same year suggested that patients with patellofemoral pain syndrome might benefit from weekly acupuncture treatments. Smaller studies have confirmed that acupuncture is beneficial in reducing knee pain, stiffness and physical disability in patients with knee and knee-related problems. It can ease the discomfort some subjects feel while waiting for knee surgery, and in some cases, it may even be considered an alternative to surgery.”
Neck pain may be caused by tension and fatigue accumulated in neck, shoulder and back muscles as the result of long hours without whole-body movement, such as being on the computer or long-distance driving. It can result from stress and fatigue arising from stressful or traumatic situations. It may result from sudden force (such as an automobile accident), or a medical condition (swelling, disease, tumors, bleeding, inflammation, etc.)
Acupuncture has been shown to be effective in relieving certain types of neck pain, particularly those caused by whiplash. Some studies suggest acupuncture can treat degenerative neck disorders, and in many cases, acupuncture has worked for patients whose conditions could not be solved using conventional approaches.
Acupressure and herbal medicine are sometimes used in conjunction with acupuncture for neck pain. Applying acupressure to the neck muscles can reduce spasm and lessen pain, leading to a relaxed state and a heightened sense of well-being. Depending on the patient’s condition, certain herbal products can be used to improve circulation and blood flow and ease muscle contraction.