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Acupuncture treatment for idiopathic trigeminal neuralgia: A longitudinal case-control double blinded study

Chinese Journal of Integrative Medicine

Chinese Journal of Integrative Medicine

Chinese Journal of Integrative Medicine

November 2017, Volume 23, Issue 11, pp 829–836

  • Michelle Cristina Ichida
  • Mariana Zemuner
  • Jorge Hosomi
  • Hong Jin Pai
  • Manoel Jacobsen Teixeira
  • José Tadeu Tesseroli de Siqueira
  • Silvia R. D. T. de Siqueira

Objective

To evaluate the treatment effect of acupuncture on patients with idiopathic trigeminal neuralgia (ITN) by case-control longitudinal blinded study.

 

Methods

Sixty ITN patients and 30 healthy subjects were included. The ITN patients were randomly assigned to acupuncture group (15 cases), sham-acupuncture group (15 cases) and carbamazepine group (30 cases), respectively. Clinical orofacial evaluation (including pain intensity and medication doses), research diagnostic criteria for temporomandibular disorders (RDC/TMD) and Helkimo indexes (for functional evaluation of the masticatory system), and quantitative sensory testing for sensory thresholds (gustative, olfactory, cold, warm, touch, vibration and superficial and deep pain) were evaluated before treatment, immediately after treatment, and 6 months after treatment.

 

Results

The mean pain intensity by the Visual Analogue Scale only decreased in the acupuncture group at the last evaluation (P=0.012). Patients in the sham-acupuncture group had an increase in carbamazepine doses according to the prescriptions (P<0.01). There was a reduction in secondary myofascial pain and mandibular limitations at the acupuncture and sham-acupuncture groups, however only the acupuncture group kept the changes after 6 months (P<0.01, P=0.023). There was a decrease in mechanical thresholds in the acupuncture group (tactile, P<0.01; vibration, P=0.027) and an increase in deep pain thresholds in both acupuncture and sham-acupuncture groups (P=0.013).

 

Conclusions

Acupuncture can be an option in the treatment of ITN due to its analgesic effect in both ITN and secondary myofascial pain associated with it. Keywords acupuncture idiopathic trigeminal neuralgia orofacial pain temporomandibular disorders quantitative sensory testing case-control study.

Holiday greetings and office hours

May the Holiday season fill your home with joy, your heart with love, and your life with laughter.Have a healthy, happy, and peaceful New Year.

 

Important Information for Private Health Fund Members – massage therapy, acupuncture and chiropractic

The New Year is fast approaching and for many Private Health Fund Members it signals the expiry of your insurance entitlements for 2018.

Many Health Fund Providers run on a calendar year and they tend not to carry over unused funds to the following year. Now is not only the time to check that you are taking full advantage of your Health Insurance entitlements, but also to ensure that you are keeping fit, healthy and pain free for the festive season.

Almond Wellness Centre is dedicated to helping you reach your health potential; guiding you to a lifetime of freedom, good living and a better quality of life.

Take advantage of your remaining Private Health benefits for 2018 before they are gone.

Call  03 8802 1519 or 03 9378 9479 to make your next appointment now.

 

Holiday office hours

During the Holiday Season our clinic will have the following schedule:

2018 December 23rd – 26th Closed

2018 December 27th – 29th OPEN

2018 December 30th, – 2019 January 2nd Closed

We will reopen on Thursday January 3rd and resume regular office hours.

Electroacupuncture for fatigue, sleep, and psychological distress in breast cancer patients with aromatase inhibitor-related arthralgia: a randomized trial

Cancer. 2014 Dec 1;120(23):3744-51. doi: 10.1002/cncr.28917. Epub 2014 Jul 30.

Mao JJ1, Farrar JT, Bruner D, Zee J, Bowman M, Seluzicki C, DeMichele A, Xie SX.

 

Background

Although fatigue, sleep disturbance, depression, and anxiety are associated with pain in breast cancer patients, it is unknown whether acupuncture can decrease these comorbid symptoms in cancer patients with pain. The objective of this study was to evaluate the effect of electroacupuncture (EA) on fatigue, sleep, and psychological distress in breast cancer survivors who experience joint pain related to aromatase inhibitors (AIs).

 

Methods

The authors performed a randomized controlled trial of an 8-week course of EA compared with a waitlist control (WLC) group and a sham acupuncture (SA) group in postmenopausal women with breast cancer who self-reported joint pain attributable to AIs. Fatigue, sleep disturbance, anxiety, and depression were measured using the Brief Fatigue Inventory (BFI), the Pittsburgh Sleep Quality Index (PSQI), and the Hospital Anxiety and Depression Scale (HADS). The effects of EA and SA versus WLC on these outcomes were evaluated using mixed-effects models.

 

Results

Of the 67 randomly assigned patients, baseline pain interference was associated with fatigue (Pearson correlation coefficient [r]=0.75; P < .001), sleep disturbance (r=0.38; P=.0026), and depression (r=0.58; P < .001). Compared with the WLC condition, EA produced significant improvements in fatigue (P=.0095), anxiety (P=.044), and depression (P=.015) and a nonsignificant improvement in sleep disturbance (P=.058) during the 12-week intervention and follow-up period. In contrast, SA did not produce significant reductions in fatigue or anxiety symptoms but did produce a significant improvement in depression compared with the WLC condition (P=.0088).

 

Conclusions

Compared with usual care, EA produced significant improvements in fatigue, anxiety, and depression; whereas SA improved only depression in women experiencing AI-related arthralgia.

Acupuncture for ovulation induction in polycystic ovary syndrome: a randomized controlled trial

Am J Physiol Endocrinol Metab. 2013 May 1;304(9):E934-43. doi: 10.1152/ajpendo.00039.2013. Epub 2013 Mar 12.

Johansson J1, Redman L, Veldhuis PP, Sazonova A, Labrie F, Holm G, Johannsson G, Stener-Victorin E.

 

Abstract

Acupuncture has been demonstrated to improve menstrual frequency and to decrease circulating testosterone in women with polycystic ovary syndrome (PCOS). Our aim was to investigate whether acupuncture affects ovulation frequency and to understand the underlying mechanisms of any such effect by analyzing LH and sex steroid secretion in women with PCOS. This prospective, randomized, controlled clinical trial was conducted between June 2009 and September 2010. Thirty-two women with PCOS were randomized to receive either acupuncture with manual and low-frequency electrical stimulation or to meetings with a physical therapist twice a week for 10-13 wk. Main outcome measures were changes in LH secretion patterns from baseline to after 10-13 wk of treatment and ovulation frequency during the treatment period. Secondary outcomes were changes in the secretion of sex steroids, anti-Müllerian hormone, inhibin B, and serum cortisol. Ovulation frequency during treatment was higher in the acupuncture group than in the control group. After 10-13 wk of intervention, circulating levels of estrone, estrone sulfate, estradiol, dehydroepiandrosterone, dehydroepiandrosterone sulfate, androstenedione, testosterone, free testosterone, dihydrotestosterone, androsterone glucuronide, androstane-3α,17β-diol-3-glucuronide, and androstane-3α,17β-diol-17-glucuronide decreased within the acupuncture group and were significantly lower than in the control group for all of these except androstenedione. We conclude that repeated acupuncture treatments resulted in higher ovulation frequency in lean/overweight women with PCOS and were more effective than just meeting with the therapist. Ovarian and adrenal sex steroid serum levels were reduced with no effect on LH secretion.

The Most Commonly Treated Acupuncture Indications in the United States: A Cross-Sectional Study.

Am J Chin Med. 2018 Oct 9:1-33. doi: 10.1142/S0192415X18500738.

Wang H1,2, Yang G3, Wang S4,2, Zheng X5,2, Zhang W6, Li Y2.

Author information

1 * School of Medicine, Shanghai Jiaotong University, Shanghai, P. R. China.
2 ∥ American TCM Society, New York City, New York, USA.
3 † Department of Specialty Medicine, Ohio University, Athens, Ohio, USA.
4 ‡ New York Acupuncture & Chinese Herbs Clinic, New York City, New York, USA.
5 § Pacific College of Oriental Medicine, New York City, New York, USA.
6 ¶ Center for Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.

Abstract

Acupuncture has been a popular alternative medicine in the United States for several decades. Its therapeutic effects on pain have been validated by both basic and clinical researches, and it is currently emerging as a unique non-pharmaceutical choice for pain against opioid crisis. However, the full spectrum of acupuncture indications remains unexplored.In this study, we conducted a cross-sectional survey among 419 acupuncturists nation-wide to investigate the top 10 and top 99 acupuncture indications in private clinics in the United States.We found the top 10 indications to be:lower back pain, depression, anxiety, headache, arthritis, allergies, general pain, female infertility, insomnia, neck pain and frozen shoulder.Among the top 99 indications, pain represents the largest category; and mental health management, especially for mood disorders, is in greatest demand.The following popular groups are: immune system dysfunctions, gastrointestinal diseases, gynecology and neurology. In addition, specialty index, commonality index, and the potential to become medical specialties were estimated for each indication. Demographic analysis suggests that China trained acupuncturists tend to have broader indication spectrums, but the top conditions treated are primarily decided by local needs. Also, gender, resident states, age and clinical experience all affect indication distributions.Our data for the first time outlines the profile of acupuncture treatable conditions in the US and is valuable for strategic planning in acupuncture training, healthcare administration and public education.