Acupuncture for chronic pain: an update and critical overview

Purpose of review: Acupuncture is now recommended for several chronic pain conditions. Despite supportive evidence of its effectiveness, this ancient approach is often misunderstood, and may still be underused in mainstream practice. A critical review on its effectiveness and practice integration, and mechanisms of action is essential to the medical community that is continuing to seek nonopioid therapies for chronic pain. Recent findings: Mounting evidence supports the effectiveness of acupuncture to treat chronic low back, neck, shoulder, and knee pain, as well as headaches. Additional data are emerging that support the use of acupuncture as an adjunct or alternative to opioids, and in perioperative settings. Findings related to its mechanisms of action include transient receptor potential cation channel vanilloid 1 activation in the periphery, microglial suppression in the cerebral cortex and spinal cord, and regulation of cytokines and other key inflammatory factors in the spinal cord. Incremental integration of acupuncture into pain medicine practices and training programmes continues to grow. Summary: Acupuncture is effective, safe, and cost-effective for treating several chronic pain conditions when performed by well-trained healthcare professionals. Further studies on its use as an adjunct or alternative to opioids, and in perioperative settings are needed.
Source: Current Opinion in Anaesthesiology - Category: Anesthesiology Tags: PAIN MEDICINE: Edited by Thomas E. Buchheit Source Type: research

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Discussion “Chiropractic is a health care profession concerned with the diagnosis, treatment, and prevention of disorders of the neuromusculoskeletal system and the effects of these disorders on general health.” Some people look at chiropractic care solely as spinal manipulative therapy (SMT) or manipulation. Chiropractic physicians also offer a variety of other treatments including nutritional advice, dietary or herbal supplements, therapeutic exercise, posture correction and behavioral counseling. Spinal muscle therapy or spinal manipulation is one of the most common complementary, integrative, and alternati...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
Have you ever heard of the term biofeedback, or read it somewhere and wondered what it actually was? Biofeedback is a technique that involves using visual or auditory feedback to gain control over our involuntary bodily functions, or functions we don’t even think about consciously on a daily basis. This may include gaining voluntary control over such things as heart rate, muscle tension, blood flow, pain perception and blood pressure. The ultimate goal is to help you improve your well-being and quality of life. During a biofeedback session, electrodes are attached to your skin, and therefore they are non-invasive. Fi...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Brain and Behavior Mental Health and Wellness Stress Treatment Biofeedback stress reduction Source Type: blogs
Conclusion Among women who underwent HS and LS, pre-existing pain conditions and AUB were associated with higher rates of CPP and AUB postprocedure, respectively, and both pre-existing conditions were associated with a greater frequency of subsequent hysterectomy.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Authors: Cichowski SB, Rogers RG, Komesu Y, Murata E, Qualls C, Murata A, Murata G Abstract Introduction: Chronic pelvic pain (CPP) affects an estimated 30% of women Veterans. Previous research shows high rates of narcotic abuse in the women Veteran population. Narcotics are not recommended for the treatment of CPP. Understanding how CPP impacts narcotic prescribing in the women Veteran population is critical to addressing the public health crisis of opioid abuse. Our objective was to compare chronic opioid therapy (COT) prescribed 5 yr prior to and following CPP diagnosis and to identify predictors of COT as well ...
Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research
Migraines are throbbing headaches often associated with light or sound sensitivity and nausea. They can be a severely debilitating, with an estimated 13% of US adults experiencing them and 2-3 million of whom are classified as chronic sufferers. Alth...
Source: Medgadget - Category: Medical Devices Authors: Tags: Medicine Neurology OTC Source Type: blogs
You have a chronic illness that is debilitating and requires meticulous management. Which is hard enough. But you also have an invisible illness—like fibromyalgia, diabetes, Lyme disease, IBS, or something very rare. On the outside, on most days, you look fine, even perfectly healthy. But on the inside, you’re struggling with unbearable migraines, knock-you-off-your-feet fatigue, dangerous digestive issues, severe pain and much more. Because people don’t see these symptoms, they misunderstand what’s going on, which leads you to feel judged and lonely. And these people might include everyone from med...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Disorders General Health-related Inspiration & Hope Mental Health and Wellness Self-Help Chronic Illness Chronic Pain Coping Skills Resilience Source Type: blogs
Sickle cell anemia is a form of anemia in which there aren’t enough healthy red blood cells to carry enough oxygen throughout your body. General symptoms include fatigue and joint pain with periods of intense pain that can last either hours or weeks. Revee Agyepong, a 17-year-old from Edmonton, Canada, suffered from sickle cell anemia with symptoms of chronic bone and joint pain, irregular heartbeat, kidney stones and shortness of breath. “I thought that everyone would go out for recess and play, then come back with a terrible headache and body pain, couldn’t breathe … eventually I&n...
Source: Cord Blood News - Category: Perinatology & Neonatology Authors: Tags: blood disorder Cord Blood medical research stem cells Source Type: blogs
Do genetic tests help in preparing for potential future health issues or open Pandora’s box full of concerns, worries and hypochondriac thoughts? Would you want to know your genetic fate? Whether you are at risk for Alzheimer’s or a chronic disease 30 years in advance? Would you want to live with this kind of information? Would you take the BRCA test to find out that you are at risk for breast cancer? What would you do if you were? The Medical Futurist team contemplated situations requiring hard, life-altering decisions. What would you do? Our genetic heritage carries secrets that are difficult to process In Se...
Source: The Medical Futurist - Category: Information Technology Authors: Tags: Bioethics Genomics alzheimer disease DNA dna testing doctor-patient doctor-patient relationship DTC future genetics Huntington's patient empowerment personal genomics Source Type: blogs
Purpose of review Monoclonal antibodies (mAbs) targeting the calcitonin-gene-related peptide (CGRP) pathway have been developed for episodic and chronic migraine prevention, either through binding the CGRP ligand (eptinezumab, fremanezumab, galcanezumab) or the CGRP receptor (erenumab). We provide an update on published Phase 2 and Phase 3 trials, safety/tolerability data, pharmacokinetics and mechanism of action of these biologicals. Recent findings The efficacy data from Phase 2 trials are corroborated by those from published Phase 3 trials, with a multitude of publications expected in 2018. Review of safety data co...
Source: Current Opinion in Neurology - Category: Neurology Tags: HEADACHE: Edited by Peter Goadsby Source Type: research
Conclusion Chronic pain is common among the Canadian population and is associated with substantial disability. Results demonstrated that GAD is prevalent among chronic pain conditions, and comorbidity is associated with greater pain severity. GAD in the context of migraines, in particular, may represent an important treatment target to reduce disability.
Source: Journal of Anxiety Disorders - Category: Psychiatry Source Type: research
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