Efficacy of Fu’s Subcutaneous Needling in Treating Soft Tissue Pain of Knee Osteoarthritis: A Randomized Clinical Trial

Chiu, Po-En; Fu, Zhonghua; Sun, Jian; Jian, Guan-Wei; Li, Te‐Mao; Chou, Li‐Wei

doi:10.3390/jcm11237184

Cited by 9 publications

(16 citation statements)

References 52 publications

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“…The described protocol was implemented in a clinical setting at the China Medical University Hospital of Taiwan, and its feasibility and outcomes were assessed in a recently published clinical study 25 . The study enrolled a total of 31 participants (10 males, 21 females) to complete the intervention.…”

Section: Representative Resultsmentioning

confidence: 99%

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Fu's Subcutaneous Needling for Knee Osteoarthritis Pain

Chiu

Zhang

Sun

et al. 2023

JoVE

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Fu's subcutaneous needling (FSN) is a new acupuncture and dry needling technique based on traditional Chinese medicine. It rapidly produces long-lasting effects in soft tissue injuries, particularly in painful musculoskeletal conditions, by providing stimulation primarily in the subcutaneous area. Osteoarthritis (OA) is the most common joint disease in adults worldwide and is often accompanied by a painful syndrome of structural changes in the peripheral joints of the knee. However, the etiology of OA pain is not fully understood, though myofascial trigger points (MTrPs) are commonly found in the lower limb muscles (so-called "tightened muscles") of patients with knee OA.FSN has been used in many fields for the treatment of acute pain problems and can relieve muscle contraction from MTrPs, thereby improving the local circulation. This study recruited patients with pain from knee OA into an FSN group or a transcutaneous electrical nerve stimulation (TENS) group with three treatment sessions and a followup over the course of 2 weeks. The results showed that FSN was effective in treating soft tissue pain around the knee with OA. This study aimed to establish and visualize three key technical indicators during FSN therapy, including the FSN needle insertion point and layer; the frequency and duration of the swaying movement; and the manipulation of the reperfusion approach. These findings have great potential for future applications in myofascial pain treatment, especially for pain management.

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Section: Representative Resultsmentioning

confidence: 99%

“…25 . Abbreviations: FNS = Fu's subcutaneous needling; TENS = transcutaneous electrical nerve stimulations; PPT = pain pressure threshold; tx = treatment; F/U = follow-up.…”

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Fu's Subcutaneous Needling for Knee Osteoarthritis Pain

Chiu

Zhang

Sun

et al. 2023

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“…This therapy is based on concepts of pathologically tight muscles and beneficial reperfusion activity and emphasises the myofascial trigger point. 10 It uses a special disposable needle to sweep the superficial subcutaneous fascia around the localised pain, combined with reperfusion activities to improve local circulation and eliminate ischaemia. Recently, FSN therapy has become popular in China for pain treatment, 11–13 and cancer pain management.…”

Section: Introductionmentioning

confidence: 99%

“…It is based on traditional academic acupuncture practice combined with modern medical treatment. This therapy is based on concepts of pathologically tight muscles and beneficial reperfusion activity and emphasises the myofascial trigger point 10. It uses a special disposable needle to sweep the superficial subcutaneous fascia around the localised pain, combined with reperfusion activities to improve local circulation and eliminate ischaemia.…”

Section: Introductionmentioning

confidence: 99%

Effect of Fu’s subcutaneous needling for cancer pain management: protocol for a pragmatic randomised controlled trial

Xu¹,

Yu²,

Cai³

et al. 2023

BMJ Open

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IntroductionPain is a common symptom in patients with cancer, and pain management is crucial for these patients. Fu’s subcutaneous needling (FSN) is a modern acupuncture therapy based on basic medicine commonly used in patients with pain. However, evidence of its effectiveness in treating cancer pain has not been systematically proven. Therefore, this pragmatic randomised controlled trial aims to evaluate the effectiveness and safety of FSN for cancer pain management.Methods and analysisOverall, 120 eligible patients will be recruited and randomly assigned into two groups using block randomisation. Both groups will be administered analgesic drugs according to the National Comprehensive Cancer Network guidelines. The treatment group will receive FSN therapy one time a day for 6 days. Additionally, we will assess analgesic consumption as the primary outcome and the Numerical Rating Scale, outbreak pain, symptom assessment and adverse events as secondary outcomes to evaluate the effect and safety of FSN in treating cancer pain. The incidence of adverse events will be monitored to assess the safety of FSN.Ethics and disseminationEthics approval was obtained from the Ethics Committee of the First Affiliated Hospital of Guangzhou University of Chinese Medicine (approval No: K(2021)096). The results will be published in a peer-reviewed journal, and trial participants will be informed via email and/or phone calls.Trial registration numberChiCTR2200056348.

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