Is acupuncture effective in treating chronic pain after spinal cord injury?

Nayak, Sangeetha; Shiflett, Samuel C.; Schoenberger, Nancy E.; Agostinelli, Sandra; Kirshblum, Steven; Averill, Allison; Cotter, Ann C.

doi:10.1053/apmr.2001.26624

Cited by 55 publications

(29 citation statements)

References 33 publications

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“…Even though no signifi cant differences were seen between the two groups, immediately after the treatment course more individuals on acupuncture reported this amount of pain alleviation. Forty per cent (six of 15) versus 13% (two of 15) were responders regarding ratings of present and general pain intensity, fi gures similar to those found by Nayak et al 12 in SCI and central neuropathic pain. Those authors found that 42% (fi ve of 12 individuals) reported a decrease of at least two units on an NRS following 15 treatment sessions with acupuncture.…”

Section: Discussionsupporting

confidence: 82%

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Acupuncture and Massage Therapy for Neuropathic Pain following Spinal Cord Injury: An Exploratory Study

Norrbrink

Lundeberg

2011

Acupunct Med

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ObjectiveThe study sought to explore the possibility of using acupuncture and massage therapy for relieving neuropathic pain following spinal cord injury (SCI). Design 30 individuals with SCI and neuropathic pain were assigned to treatment of either massage or acupuncture, with 15 individuals in each group. Both groups received treatment twice weekly for 6 weeks. Treatments were evaluated at the end of treatment and 2 months later (follow-up).

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Section: Discussionsupporting

confidence: 82%

“…12 Still, in 42% of those individuals, pain intensities were alleviated by at least two units on a 0-10 numerical rating scale (NRS)-which is not a negligible effect in this patient group.…”

mentioning

confidence: 74%

Acupuncture and Massage Therapy for Neuropathic Pain following Spinal Cord Injury: An Exploratory Study

Norrbrink

Lundeberg

2011

Acupunct Med

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“…One study showed no significant effect on chronic pain intensity in patients with SCI-related pain or chronic musculoskeletal pain; nonresponders were all from the central pain population. 70 In another study, 8 of 15 patients with SCI-related NP responded to acupuncture. 52 A retrospective observational case series of patients with traumatic or nontraumatic SCI found a significant improvement in pain for bilateral, for bilateral, symmetric, burning or constant pain compared with unilateral, asymmetric, atypical or intermittent pain.…”

Section: Intravenous Lidocainementioning

confidence: 98%

The CanPain SCI Clinical Practice Guidelines for Rehabilitation Management of Neuropathic Pain after Spinal Cord: Recommendations for treatment

et al. 2016

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Study design: Clinical practice guidelines. Objectives: To develop the first Canadian clinical practice guidelines for treatment of neuropathic pain in people with spinal cord injury (SCI). Setting: The guidelines are relevant for inpatient and outpatient SCI rehabilitation settings in Canada. Methods: The CanPainSCI Working Group reviewed the evidence for different treatment options and achieved consensus. The Working Group then developed clinical considerations for each recommendation. Recommendations for research are also included. Results: Twelve recommendations were developed for the management of neuropathic pain after SCI. The recommendations address both pharmacologic and nonpharmacologic treatment modalities. Conclusions: An expert Working Group developed recommendations for the treatment of neuropathic pain after SCI that should be used to inform practice.

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“…71 However positive evidence of efficacy is limited, particularly with below-level neuropathic pain. 72,73 Other neurostimulation techniques are very invasive with limited evidence of efficacy. Spinal cord stimulation may provide relief although a greater effect is obtained in those with at-level neuropathic pain and incomplete lesions.…”

Section: Neurostimulationmentioning

confidence: 99%

Management of neuropathic pain following spinal cord injury: now and in the future

2008

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Objective: To provide an overview of our current understanding of the problem of neuropathic pain following spinal cord injury (SCI) and to suggest possible therapeutic options in the near future. Methods: Original research articles, reviews and book chapters on the subject of pain and SCI. Results: Neuropathic pain following SCI has presented a challenge not only for traditional concepts of how pain occurs but also for more recent conceptualizations. We have made substantial progress in identifying the common types of pain that occur following SCI, determining the prevalence and characteristics of pain, investigating some of the pathophysiological changes in the nervous system that may contribute to the presence of neuropathic SCI pain and examining the effectiveness of some treatments. However major challenges remain. We still need to reach consensus on an SCI pain taxonomy; our understanding of mechanisms and the relative contribution of changes in the periphery, spinal cord and brain is incompletely understood; there are few studies that indicate effective treatment options, particularly for neuropathic SCI pain; and treatment of the biological and psychological contributors to pain is often fragmented. Conclusion: Recent studies suggest the potential usefulness of new treatment approaches such as selective pharmacological agents, application of novel neurostimulation techniques and the use of cognitive approaches to modify the pain experience. Our increasing understanding of the problem combined with the promise of these new approaches offers hope for improved management of neuropathic pain following SCI in the near future.

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Is acupuncture effective in treating chronic pain after spinal cord injury?

Cited by 55 publications

References 33 publications

Acupuncture and Massage Therapy for Neuropathic Pain following Spinal Cord Injury: An Exploratory Study

Acupuncture and Massage Therapy for Neuropathic Pain following Spinal Cord Injury: An Exploratory Study

The CanPain SCI Clinical Practice Guidelines for Rehabilitation Management of Neuropathic Pain after Spinal Cord: Recommendations for treatment

Management of neuropathic pain following spinal cord injury: now and in the future

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