Acupuncture for sciatica and a comparison with Western Medicine (PEDro synthesis)

Fernandez, Matthew; Ferreira, Paulo H.

doi:10.1136/bjsports-2016-096203

Cited by 6 publications

(8 citation statements)

References 6 publications

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“…As a result, some patients turn to acupuncture for which there is some evidence of efficacy in treating painful symptoms associated with sciatica [8]. Acupuncture has been shown to be minimally invasive [9] and safe [10].…”

Section: Discussionmentioning

confidence: 99%

Treatment of Sciatica Following Uterine Cancer with Acupuncture: A Case Report

et al. 2018

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For women, gynaecological or obstetrical disorders are second to disc prolapse as the most common cause of sciatica. As not many effective conventional treatments can be found for sciatica following uterine cancer, patients may seek assistance from complementary and alternative medicine. Here, we present a case of a woman with severe and chronic sciatica secondary to uterine cancer who experienced temporary relief from acupuncture.

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Section: Discussionmentioning

confidence: 99%

Treatment of Sciatica Following Uterine Cancer with Acupuncture: A Case Report

et al. 2018

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“…Higher scores indicated a better QOL. The WHOQOL-BREF had four subscales: (1) physical domain (score range, 4-20); (2) psychological domain (score range, 4-20); (3) social domain (score range, [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]; and (4) environmental domain (score range, [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. The total score ranged from 8 to 80 points, with higher values indicating better outcomes.…”

Section: Outcome Measuresmentioning

confidence: 99%

“…17 Qiu et al also demonstrated that acupuncture may stimulate the sciatic nerve trunk and effectively relieve pain in patients with discogenic sciatica. 18 Moreover, acupuncture may reduce sciatica pain intensity, increase the pain threshold, 19 enhance the effects of drug, and improve outcomes. 20,21 The benefits of acupuncture in treating sciatica are well known; however, the possible doserelated response has not been sufficiently explored.…”

Section: Introductionmentioning

confidence: 99%

<p>Therapeutic Efficacy and the Impact of the “Dose” Effect of Acupuncture to Treat Sciatica: A Randomized Controlled Pilot Study</p>

Liu

Kung²,

Lin

et al. 2019

JPR

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Purpose: To investigate the required sample size for and feasibility of a full-scale randomized controlled trial examining the impact of the "dose" effect of acupuncture in treating sciatica. Patients and methods: Fifty-seven patients with sciatica, aged 35-70 years, were recruited and screened. Thirty-one participants were randomly assigned to receive "lowdose" manual acupuncture (MAL) (n= 15) or "high-dose" manual acupuncture (MAH) (n=16). The acupuncture treatment was administered twice weekly for 4 weeks. The primary outcome was the visual analog scale (VAS) score at baseline and after 4 weeks of acupuncture treatment. Secondary outcomes included the Roland Disability Questionnaire for Sciatica (RDQS), the Sciatica Bothersomeness Index (SBI), and the World Health Organization Quality of Life in the Brief Edition (WHOQOL-BREF) scores at baseline and after 4 weeks of acupuncture treatment. Results: Thirty patients completed the study. For all patients, acupuncture achieved significant improvement in the VAS (5.48±2.0, p<0.001), RDQS (3.18±2.83, p=0.004), and SBI (2.85±3.23, p=0.008) scores, but not in the WHOQOL-BREF scores. In the between-group analysis, the assessed scales showed no significant differences between the MAL and MAH groups. However, based on the level of chronicity, the MAH group demonstrated greater improvement in the outcomes and a significant benefit in the physical subscale of the WHOQOL-BREF (p<0.05). Conclusion: Results of this pilot study indicate that acupuncture is safe and may effectively relieve symptoms and disability in patients with non-acute sciatica. MAL was as effective as MAH in treating sciatica. A subsequent trial with a larger sample size (estimated at n=96) is required to confirm whether patients with a high level of chronicity would benefit from MAH treatment. Trial registration: NCT03489681.

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“…For example, a recent systematic review of acupuncture in the management of sciatica has suggested that it is a safe and effective treatment 3. However, in contrast, the UK's National Institute for Health and Care Excellence has just removed its recommendation for the use of acupuncture in the management of low back pain and sciatica from its guidelines owing to a lack of evidence 4…”

Section: Confusing Evidencementioning

confidence: 99%

Acupuncture: what's the point?

Meakins

2016

Br J Sports Med

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Acupuncture for sciatica and a comparison with Western Medicine (PEDro synthesis)

Cited by 6 publications

References 6 publications

Treatment of Sciatica Following Uterine Cancer with Acupuncture: A Case Report

Treatment of Sciatica Following Uterine Cancer with Acupuncture: A Case Report

<p>Therapeutic Efficacy and the Impact of the “Dose” Effect of Acupuncture to Treat Sciatica: A Randomized Controlled Pilot Study</p>

Acupuncture: what's the point?

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