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Acupuncture Proven Effective For Chronic Pain Management

Imagine starting each day without the shadow of chronic pain—a reality that seems almost too good to be true for millions of Americans. Chronic pain is more than just a physical burden; it’s an unyielding companion that disrupts every facet of life, from personal relationships to professional aspirations. As healthcare providers, we frequently confront the challenge of finding solutions that go beyond the limitations of conventional medicine.

Acupuncture, an ancient practice, has emerged as a  path to healing, offering relief where other treatments may falter.

Understanding Acupuncture

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Acupuncture is an ancient practice with modern scientific validation, proving its effectiveness in pain management.

Definition and Practice

  • Involves inserting thin needles into specific points on the body.
  • Aims to balance the body’s energy flow or qi (pronounced “chee”).
  • Rooted in traditional Chinese medicine, practiced for thousands of years.

Scientific Validation

  • Modern studies show acupuncture stimulates nerves, muscles, and connective tissues.
  • Enhances the body’s natural painkillers and increases blood flow.

Effectiveness

  • A meta-analysis published in the Journal of Pain included data from 20,827 patients across 39 trials.
  • Found significant pain reduction and effects persisted over time, not solely due to placebo​ ​​​.
  • Another study reported patients experienced a 50% reduction in pain with acupuncture compared to those without it​​.

Study Overview

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The Journal of Pain research updated a previous meta-analysis published by the same group of authors in 2012. In the 2012 meta-analysis, the researchers included patient data from randomized controlled trials (RCTs) published through November 2008. The new meta-analysis included eligible RCTs published between December 2008 and December 2015.

Eligibility Criteria

  • Patients experienced one of four chronic pain conditions (nonspecific back or neck pain, shoulder pain, chronic headache, or osteoarthritis).
  • Duration of pain lasted at least four weeks for musculoskeletal disorders.
  • At least one patient group in each trial received acupuncture, and one group received no acupuncture or sham acupuncture.
  • The primary endpoint was measured at least four weeks after the initial acupuncture treatment session.
  • Patient allocation concealment was determined unambiguously to be adequate.

Thirteen RCTs met the eligibility criteria, with individual patient data received from 10 RCTs, representing 2,905 patients. When combined with the 2012 research, the new meta-analysis incorporated data from 20,827 patients over 39 trials​​.

Results Of The Study

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1. Effectiveness of Acupuncture

The study confirmed and strengthened previous findings that acupuncture has a significant and clinically relevant effect when compared to no acupuncture control.

2. Duration and Persistence of Effects

These beneficial effects were found to persist for at least 12 months after the initial acupuncture treatments, demonstrating long-term efficacy.

3. Comparison with Placebo

The study concluded that the benefits of acupuncture could not be solely attributed to placebo effects. Factors beyond the specific effects of needling at correct acupuncture point locations contributed to the observed benefits, indicating that acupuncture has intrinsic therapeutic value.

Implications for Family Physicians

Family physicians play a crucial role in managing their patients health and well being but for chronic pain most aren’t trained in nonpharmacologic treatments such as acupuncture. This gap in knowledge can impact their ability to provide anything other than a prescription for a pill of some sort that may come with some nasty unwanted side effects. 

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Current Attitudes

  • Many family physicians are open to alternative therapies like acupuncture.
  • A significant number of physicians feel they need more training and guidance on the benefits and risks of acupuncture.
  • Internal Medicine practitioners would like to have more resources to refer their patients to great acupuncturists.

Training and Education

  • Organizations like the American Academy of Medical Acupuncture offer workshops and courses to train physicians in medical acupuncture​​. 
  • Integrative medicine clinics within some practices allow for referrals to specialized family physicians with expertise in acupuncture.

Insurance Coverage Issues

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  • Most insurance plans do not cover acupuncture, which limits patient access.
  • Family physicians should be aware of high-quality acupuncture providers in their area to provide their patients quality referrals​​​​.

Overall, while acupuncture presents a viable option for chronic pain management, more efforts are needed to educate and train family physicians. Additionally, addressing insurance coverage barriers is essential to make this effective treatment accessible to more patients.

Future Prospects

Acupuncture presents a viable option for chronic pain management. This time-tested practice has shown significant benefits in modern scientific studies, for many who suffer from chronic pain. The meta-analysis published in the Journal of Pain and other studies have demonstrated that acupuncture is not only effective but also offers long-lasting relief for pain that persists for more than a year​​. 

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Article Written By

Richard Koffler, MD

NPI Number- 1467557264
  • Dr. Koffler is a Physiatrist, specializing in Physical Medicine & Rehabilitation.
  • Graduated from the Sackler School of Medicine at Tel Aviv University in 1993 Dr. Koffler completed a one-year internship in internal medicine at Roosevelt Hospital in New York City.
  • Residency in Physical Medicine and Rehabilitation at the Rusk Institute at NYU Medical Center in New York City. Board certified in 1998.
  • Trained in acupuncture at Helms Medical Institute at UCLA His medical practice incorporates proven conventional western medicine integrating eastern alternative practices.
  • Medical Director of several medical clinics in NYC, Stamford CT, and Miami Beach, FL.
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