Effectiveness of Acupuncture for Nonspecific Chronic Low Back Pain

Lam, Megan; Galvin, Rose; Curry, Philip A.

doi:10.1097/01.brs.0000435025.65564.b7

Cited by 103 publications

(73 citation statements)

References 10 publications

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“…For both chronic non-specific and acute low back pain, acupuncture is found to be useful in reducing pain and improving function. 35,36 Similarly, acupuncture is found to be helpful in managing tension type headache or migraine. 9,19 But for fibromyalgia, effectiveness of acupuncture is more controversial, as suggested by a recent Cochrane review.…”

Section: Characteristicsmentioning

confidence: 97%

Characteristics of acupuncture users among internal medicine patients in Germany

Cramer¹,

Chung²,

Lauche³

et al. 2015

Complementary Therapies in Medicine

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Section: Characteristicsmentioning

confidence: 97%

Characteristics of acupuncture users among internal medicine patients in Germany

Cramer¹,

Chung²,

Lauche³

et al. 2015

Complementary Therapies in Medicine

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“…There is a growing evidence base in support of the effectiveness of acupuncture for a range of musculoskeletal conditions11 12; however, despite its widespread use by participants13 there has been limited evidence for acupuncture as an effective treatment option for depression 14. Patients with strong preferences for psychotherapy or counselling for depression are not likely to engage in antidepressant treatment,15 yet the evidence for counselling as a treatment for depression is limited16 despite widespread utilisation in primary care in the UK, with around 90% of general practices providing on-site counselling services 17.…”

Section: Introductionmentioning

confidence: 99%

Patients’ experiences of acupuncture and counselling for depression and comorbid pain: a qualitative study nested within a randomised controlled trial

2014

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IntroductionDepression and pain frequently occur together and impact on outcomes of existing treatment for depression. Additional treatment options are required. This study aimed to explore patients’ experiences of depression, the processes of change within acupuncture and counselling, and the elements that contributed to longer-term change.MethodsIn a substudy nested within a randomised controlled trial of acupuncture or counselling compared with usual care alone for depression, semistructured interviews of 52 purposively sampled participants were conducted and analysed using thematic analysis.ResultsDifferences were reported by participants regarding their experience of depression with comorbid pain compared with depression alone. Along with physical symptoms often related to fatigue and sleep, participants with depression and comorbid pain generally had fewer internal and external resources available to manage their depression effectively. Those who had physical symptoms and were receiving acupuncture commonly reported that these were addressed as part of the treatment. For those receiving counselling, there was less emphasis on physical symptoms and more on help with gaining an understanding of themselves and their situation. Over the course of treatment, most participants in both groups reported receiving support to cope with depression and pain independently of treatment, with a focus on relevant lifestyle and behaviour changes. The establishment of a therapeutic relationship and their active engagement as participants were identified as important components of treatment.ConclusionsParticipants with and without comorbid pain received acupuncture or counselling for depression, and reported specific identifiable treatment effects. The therapeutic relationship and participants’ active engagement in recovery may play distinct roles in driving long-term change. Patients who present with depression and physical symptoms of care may wish to consider a short course of acupuncture to relieve symptoms prior to a referral for counselling if needed.Trial registration numberISRCTN63787732.

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“…Data from the United States suggests that the number of adults who used acupuncture increased from 2 million to 3 million between 2002 and 2007, and it was estimated that 4% of the United States population and 12% of the Canadian population had used acupuncture at any time in their lives (1)(2)(3). Acupuncture is used for a variety of conditions including stroke (4), anxiety and depression (5), irritable bowel syndrome (6), and pain (7).…”

mentioning

confidence: 99%

“…It was used on ~150,000 children (0.2%) and provided as a part of services in onethird of pediatric pain centers in the United States (7,8). Acupuncture in children has been widely used for asthma, autism spectrum disorder (ASD), cerebral palsy, and complications of cancer (9)(10)(11)(12).…”

mentioning

confidence: 99%

Efficacy and safety of acupuncture in children: an overview of systematic reviews

et al. 2015

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Effectiveness of Acupuncture for Nonspecific Chronic Low Back Pain

Abstract: 1.

Cited by 103 publications

References 10 publications

Characteristics of acupuncture users among internal medicine patients in Germany

Characteristics of acupuncture users among internal medicine patients in Germany

Patients’ experiences of acupuncture and counselling for depression and comorbid pain: a qualitative study nested within a randomised controlled trial

Efficacy and safety of acupuncture in children: an overview of systematic reviews

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