Effectiveness of Acupuncture for Low Back Pain

Yuan, Jing; Purepong, Nithima; Kerr, Daniel; Park, Jong-Bae; Bradbury, Ian; McDonough, Suzanne

doi:10.1097/brs.0b013e318186b276

Cited by 149 publications

(115 citation statements)

References 80 publications

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“…The majority of trials examined in this systematic review were already included in the 2005 Cochrane systematic review update; however, Ammendolia et al contributed three novel trials of interest. 30,31,32 26 Yuan and colleagues were in accordance with Ammendolia et al, concluding that acupuncture did not differ from sham in pain reduction or functional improvement. They also affirmed previous findings that acupuncture is more effective than no treatment at all, and that acupuncture improves outcomes as an adjunct to other therapy.…”

Section: Resultssupporting

confidence: 71%

“…11,15,22,23,24,25,26 One of these only included studies already mentioned in the 2005 Cochrane systematic review, and was subsequently omitted from the present summary. 11 The present article summarizes the six remaining systematic reviews published since 2005; these systematic reviews described nine studies not included in the Cochrane systematic review update (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…24 Rubenstein et al published a systematic review of three common CAM therapies for chronic low back pain: acupuncture, herbal medicine, and spinal manipulation. All eighteen studies included in their acupuncture analyses were previously discussed by Yuan et al 26 Based on one study alone, 30 Rubenstein and colleagues hesitantly concluded that acupuncture is more effective than no treatment at short term pain relief. Moreover, they determined that acupuncture has a statistically significant advantage over sham in terms of pain relief and functionality at short-and intermediate-term follow-up; however, these effect sizes were too small to be considered clinically significant.…”

Section: Systematic Review 4: Yuan Et Al (2008)mentioning

confidence: 99%

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Acupuncture in the Treatment of Chronic Low Back Pain

Wong¹

2012

DMJ

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Section: Resultssupporting

confidence: 71%

Section: Resultsmentioning

confidence: 99%

Section: Systematic Review 4: Yuan Et Al (2008)mentioning

confidence: 99%

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Acupuncture in the Treatment of Chronic Low Back Pain

Wong¹

2012

DMJ

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“…Although the optimum dosage 50,51,83,85,124 (frequency of treatment sessions per week or month), duration (length of time the needles should remain in situ), and intensity (the number of needles used and degree of manual manipulation or electrical stimulation) has yet to be determined 23,24,50,51,83,85,114,135,174 for many neuromusculoskeletal conditions, the vast majority of 'dry' needling randomized controlled trials attempt to elicit a deqi response. 175,176 Deqi has been defined as a dull ache, heaviness, distension, numbness, tingling, cramping, pressure, fullness, spreading, warmth, or coolness.…”

Section: Multiple Needles Should Be Left In Situ For 10-30 Minutesmentioning

confidence: 99%

Dry needling: a literature review with implications for clinical practice guidelines

2013

Phys. Ther. Rev.

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“…Acupuncture is another commonly practiced pain treatment strategy that is being explored for treating chronic pain [33]. The extent of its effects, however, is unknown, and requires more research; and one study noted the placebo effect could be an important "driving factor" in the treatment regimen [34]. However, alone as monotherapies, this, as well as the other techniques just reviewed, are not as effective as interdisciplinary care such as FR [18].…”

mentioning

confidence: 99%

The Chronic Low Back Pain Epidemic in Older Adults in America

Bevers¹,

Hulla²,

Rice³

et al. 2017

J Pain Relief

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Chronic low back pain is a debilitating condition affecting millions of Americans annually. Older-adult populations suffer a high prevalence of this continually painful state, and further face a unique set of challenges to manage short-and long-term biopsychosocial functioning. As the population ages, and the proportion of older adults grow, it is essential to explore and develop the most effective interdisciplinary strategies to care for older adults who are chronic pain sufferers. In this Commentary, we highlight some of the special challenges that the older-adult population encounters, and their influence on pain management strategies.Keywords: Low back pain; Chronic pain; Biopsychosocial; America; Older adults CommentaryChronic low back pain (CLBP) is a widely prevalent condition affecting more than 25 million Americans [1]. In a recent 2014 report by the National Health Interview Survey (NHIS), it was noted that low back pain was the most prevalent reported pain site, exceeding joint conditions, headache/migraines, neck, and facial, or jaw pain [2]. Roughly one third (34%) of adults aged 65-74, and adults aged 75 and over (34.9%), reported low back pain in the last 3-months [2]. As the population ages, CLBP reports are expected to rise, further necessitating the need to develop interdisciplinary pain management strategies for this growing part of the population [3].In addition to CLBP, older adult populations often have multiple conditions that can complicate and limit traditional pain management therapies. As a result, they face distinctive challenges regarding healthcare regimens, including adherence, physical ability, psychological and social conditions, age-related mental decline, agerelated physical decline, and pharmacological intake concerns. Furthermore, general physical decline due to aging often limits the patient's ability to participate in physical interventions, such as exercise and more vigorous physical therapies. Often, simple stretching techniques or light exercise may not be a viable option [4]. Additionally, psychosocial status must be evaluated for adherence and well-being. Chronic pain patients often experience depression, anxiety, and sleep disorders [5], as well as dementia, Alzheimer's, and other ailments that can impede proper care.Medications are widely prescribed to help combat pain, particularly when these physical limitations are present. On average, older Americans consume multiple medications daily [6]. The large volume of prescription medication consumption certainly influences the available and appropriate treatment options to both avoid side-effects and maintain good quality-of-life. Considering these astonishing figures, it is vital to develop comprehensive, interdisciplinary preventive measures and pain management strategies in order to account for the unique concerns of the older-adult population. This Commentary aims to highlight some of the special challenges the older-adult population faces, and the importance of implementing interdisciplinary treatment strate...

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Effectiveness of Acupuncture for Low Back Pain

Abstract: Acupuncture versus no treatment, and as an adjunct to conventional care, should be advocated in the European Guidelines for the treatment of chronic LBP.

Cited by 149 publications

References 80 publications

Acupuncture in the Treatment of Chronic Low Back Pain

Acupuncture in the Treatment of Chronic Low Back Pain

Dry needling: a literature review with implications for clinical practice guidelines

The Chronic Low Back Pain Epidemic in Older Adults in America

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