Alternative Medicine and Acupuncture

By Spencer Schreckengaust
Categories: , , ,

Macro detail of a hand stimulating acupuncture needles along the back

Alternative medicine usually refer to non-traditional or non-Western medical practices for the promotion of health. Over the past two decades, individuals are looking for other medical sources for their well-being and health have reached a prevalence rate between 30-50%. One of these alternative medicine has been acupuncture. What is acupuncture? Acupuncture is an ancient Chinese technique developed ~2500 years ago which uses the belief of a life-energy known as chi or qi along specific paths or meridians to “cure disease, relieve pain or promote healing”.  In the varied techniques of acupuncture, small and thin needles are inserted at various meridian points in the body to balance the chi or qi.  At times, a low current can be directed to flow through those needles in the skin which is called electroacupunture.

Acupuncture has been purported to help a variety of issues such as chronic pain, low back and neck pain, headaches and migraines, labor pain, back pain with pregnancy, osteoarthritis, tinnitus, stress, anxiety and even shoulder stiffness known as adhesive capsulitis or frozen shoulder. However, most individuals seek acupuncture for symptom and pain management, especially for low back pain. The use of acupuncture in conjunction with other Western, traditional practices such as physical therapy, pain medication and exercise has been suggested as well for a quicker recovery.

What are the risks?

While usually acupuncture is a safe treatment, it is still highly recommended that you seek a trained practitioner with the proper certification. The practitioner should be using the clean needle technique with sterile, single-use needles. However, the contraindications for acupuncture include:

  • Unexplained weight loss
  • Neurological deficits
  • Serious spinal disease (cancer or infections)
  • Blood disorders like hemophilia
  • Bleeding disorders
  • Blood-thinner use like warfarin
  • Liver disease
  • Skin infection or trauma (burns)
  • Pacemaker as cannot allow electrical stimulation with electroacupuncture
  • Severe psychiatric disorders.

What to typically expect?

After the subjective exam or interview of the patient, the practitioner will usually palpate or touch various structures of the body like the radial artery and other areas but will also potentially inspect the tongue and even recommend herbal medicines. Next, the practitioner will insert the needles at the various meridian points while allowing the needles to remain at that location for 15-30 minutes. Also, the practitioner could manipulate or turn the needles to create a dull, localized ache and possibly connect a low current to the needles for electroacupuncture.

How many visits?

Acupuncturists will not recommend only one session but could recommend between 10-12 sessions. If the patient’s symptoms do not improve by the 12th session, the clinician would most likely stop the treatment for ineffectiveness.

Are there side effects to acupuncture?

Despite having only 0.1% of serious side effects such as dizziness, fainting, nausea and vomiting, most of the accidents or infections can be attributed to the neglect of the practitioner. Furthermore, the patient might encounter mild-moderate pain, superficial bleeding and a hematoma at the needle insertion site.

Are you a candidate?

Prior to engaging in any acupuncture treatment, it is recommended to speak to your physician.

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References

  1. Berman BM et al. Acupuncture for chronic low back pain. The New England Journal of Medicine. July 2010; 363 (5): 454-61.
  2. Bishop KC et al. Acupuncture in Obsetrics and Gynecology. Obstet Gynecol Surv. 2019 Apr;74(4):241-251.
  3. Burns JR et al. Utilization of Acupuncture Services in the Emergency Department Setting: A Quality Improvement Study. J Patient Cent Res Rev. 2019 Apr 29; 6 (2): 172-178.
  4. Chen CK et al. Effectiveness of Laser Acupuncture in alleviating chronic insomnia: a single-blinded randomized controlled trial. Evid Based Complement Alternat Med. 2019 Jun 13; 2019; 8136967.
  5. Chen YY et al. Acupuncture versus propranolol in migraine prophylaxis: an indirect treatment comparison meta-analysis. J Neurol. 2019 Aug 21 doi: 10.10071s00415-019-09510-x.
  6. Ernst E et al. Acupuncture: what does the most reliable evidence tell us? Journal of Pain and Symptom Management. April 2009: 37 (4): 709-714.
  7. Ernst E et al. Acupuncture: does it alleviate pain and are there serious risks? A review of reviews. Pain. April 2011: 152 (4): 755-764.
  8. Frass M et al. Use and acceptance of complementary and alternative medicine among the general population and medical personnel. A systematic review. Ochsner Journal. March 2012: 12 (1): 45 – 56.
  9. Gao L et al. Clinical trial of treatment of frozen shoulder by intensive moxibustion plus acupuncture. Zhen Ci Yan Jiu. 2019 April 25; 44 (4) : 297 – 301.
  10. Grant S et al. Acupuncture for the treatment of adults with posttraumatic stress disorder: a systematic review and meta-analysis. J Trauma Dissociation. 2018 Jan-Feb; 19 (1): 39-58.
  11. Kinsling LA and Steigman RA. Alternative medicine StatPearl (Internet) Treasure Island (FL) StatPearl Publishing; 2019-2019 Feb 4.
  12. Liang YF. Comparison of the therapeutic effect of soft-tissue relaxing needling and electroacupuncture for knee osteoarthritis. Zhen Ci Yan Jiu. 2019 June 25; 44(6): 439-42.
  13. Moura CC et al. Auricular acupuncture for chronic back pain in adults: a systematic review and metanalysis. Rev Esc Enferm USP. 2019 Aug; 53:e03461.
  14. Novella S. What is traditional Chinese Medicine? Sciencebasedmedicine.org. Society for Science Based Medicine. Jan 25, 2012.
  15. Sajadi S et al. Cervical trigger point acupuncture for treatment of somatic tinnitus. J Acupuncture Meridian Stud. 2019 July 19; pii: S2005-2901 (19) 30003-2.
  16. Schroder S et al. Immediate Pain Relief in Adhesive Capsulitis by Accupuncture- a randomized controlled double-blinded study. Pain Med. 2017 Nov 1; 18 (11): 2235-2247.
  17. https://www.merriam-webster.com/dictionary/acupuncture

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