Acupuncture Effective for Treating Lower Back Pain
A large number of individuals endure back pain in the UK, and it is one of the best reasons individuals look for treatments such as Acupuncture to help their back pain. Back pain is actually a very common reason to seek out acupuncture. In any case, does acupuncture truly help these patients? Analysts from the University of Maryland School of Medicine and the Peninsula Medical School, Plymouth, U.K., examined many studies from around the globe on acupuncture for back pain. The results of this examination will be distributed in the April 19 issue of the Annals of Internal Medicine.
"For individuals with chronic back pain, this examination demonstrates that acupuncture is unmistakably powerful in giving impressive relief from discomfort," said Eric Manheimer, research paper author and director of database and evaluation for the University of Maryland Center for Integrative Medicine. "The exploration likewise demonstrated that acupuncture gave genuine relief from pain. The advantage was not only because of placebo."
Systematic Review- Acupuncture for Low Back Pain
The commentators scoured the medicinal writing for all research exploring acupuncture for the treatment of back pain. To minimize bias, the American and British groups created unequivocal criteria for assessing the investigations and did the assessments autonomously. Their investigation included just randomized controlled trials, the highest quality level examination for assessing the effect of an intervention.
Thirty-three research papers including in excess of 2,100 patients met the criteria for audit. After applying the selection criteria, the authors utilized 22 of these papers for their investigation. Every one of the 22 assessed acupuncture for chronic back pain, characterized as pain that has been on-going for over three months. The other 11 research papers were excluded due to difficulties being able to collate and access their data, they just included patients with acute back pain or pregnancy-related back pain or they included types of acupuncture other than conventional Chinese acupuncture.
Manheimer says, "We needed to use the studies that met the highest standard. In order to account for the possibility of placebo, we included studies where there was a sham acupuncture control, where acupuncture needles were embedded very superficially or in the wrong place."
High Quality Acupuncture Research
The sham acupuncture studies used were twofold blinded, which means neither the scientists nor the members knew who was accepting the genuine or the sham treatment. When examining the studies, the researchers found the differences in pain evaluations demonstrated a huge contrast between the genuine acupuncture and the sham acupuncture, showing that the advantage of acupuncture over sham was was not only because of placebo.
Acupuncture Effective for Chronic Low Back Pain
"From our investigation, the message for individuals with chronic back pain is that acupuncture is a effective treatment that gives relief from pain," says Manheimer. "Patients with low back pain have numerous choices for treatment including pharmaceutical, chiropractic, physiotherapy and back activities. Be that as it may, these approaches are only modestly effective."
The scientists assessed the impacts of acupuncture both for the time being (characterized as three weeks after the last needle therapy treatment) and its effects in the longer term. They discovered acupuncture was helpful with pain both in the short term, and this alleviation seemed, by all accounts, to be managed over the more extended term. In any case, they say it's too soon to be sure of longer term impacts, and more investigations are in progress.
For patients with acute back pain (characterized as enduring under three months), the commentators observed the information to be inadequate and uncertain. The proof contrasting acupuncture with different treatments was likewise uncertain.
Past endeavors to incorporate data on acupuncture and for low back pain gave mixed results. Be that as it may, since 1999, the production of five fantastic, vast scale papers about has included new confirmation for the research paper. This up to date examination incorporates these more recent papers, and prior research excluded in past audits.
On the whole, this investigation contains more than twice the same number of papers as prior audits and incorporates reports in English, Chinese, Japanese, Korean and in addition Germanic and Romance dialects. For this investigation, the analysts got financing from the National Center for Complementary and Alternative Medicine, a piece of the National Institutes of Health.
Acupuncture For Low Back Pain Research Abstract
Background: Low back pain limits activity and is the second most frequent reason for physician visits. Previous research shows widespread use of acupuncture for low back pain.
Purpose: To assess acupuncture's effectiveness for treating low back pain.
Data Sources: Randomized, controlled trials were identified through searches of MEDLINE, Cochrane Central, EMBASE, AMED, CINAHL, CISCOM, and GERA databases through August 2004. Additional data sources included previous reviews and personal contacts with colleagues.
Study Selection: Randomized, controlled trials comparing needle acupuncture with sham acupuncture, other sham treatments, no additional treatment, or another active treatment for patients with low back pain.
Data Extraction: Data were dually extracted for the outcomes of pain, functional status, overall improvement, return to work, and analgesic consumption. In addition, study quality was assessed.
Data Synthesis: The 33 randomized, controlled trials that met inclusion criteria were subgrouped according to acute or chronic pain, style of acupuncture, and type of control group used. The principal measure of effect size was the standardized mean difference, since the trials assessed the same outcome but measured it in various ways. For the primary outcome of short-term relief of chronic pain, the meta-analyses showed that acupuncture is significantly more effective than sham treatment (standardized mean difference, 0.54 [95% CI, 0.35 to 0.73]; 7 trials) and no additional treatment (standardized mean difference, 0.69 [CI, 0.40 to 0.98]; 8 trials). For patients with acute low back pain, data are sparse and inconclusive. Data are also insufficient for drawing conclusions about acupuncture's short-term effectiveness compared with most other therapies.
Limitations: The quantity and quality of the included trials varied.
Conclusions: Acupuncture effectively relieves chronic low back pain. No evidence suggests that acupuncture is more effective than other active therapies.
Source: Annals of Internal Medicine April 2005