Rheumatology. 47 8: 1132–1136. dBi downward dog, I found myself falling down the wormhole of infertility message boards. So does Dr. be safe. Mike Barkley contact your healthcare provider immediately.
In.ther.ords, 'sham' or 'placebo' acupuncture generally produces the same effects as 'real' acupuncture and, in some cases, does better.” 76 A 2013 meta-analysis found little evidence that the effectiveness of acupuncture on pain compared to sham was modified by the location of the needles, the number of needles used, the experience or technique of the practitioner, or by the circumstances of the sessions. 77 The same analysis also suggested that the number of needles and sessions is important, as greater numbers improved the outcomes of acupuncture compared to non-acupuncture controls. 77 There has been little systematic investigation of which components of an acupuncture session may be important for any therapeutic effect, including needle placement and depth, type and intensity of stimulation, and number of needles used. 74 The research seems to suggest that needles do not need to stimulate the traditionally specified acupuncture points or penetrate the skin to attain an anticipated effect e.g. psychosocial factors. 2 A response to “sham” acupuncture in osteoarthritis may be used in the elderly, but placebos have usually been regarded as deception and thus unethical. 78 However, some physicians and ethicists have suggested circumstances for applicable uses for placebos such as it might present a theoretical advantage of an inexpensive treatment without adverse reactions or interactions with drugs or other medications. 78 As the evidence for most types of alternative medicine such as acupuncture is far from strong, the use of alternative medicine in regular healthcare can present an ethical question. 79 Using the principles of evidence-based medicine to research acupuncture is controversial, and has produced different results. 70 Some research suggests acupuncture can alleviate pain but the majority of research suggests that acupuncture's effects are mainly due to placebo. 8 Evidence suggests that any benefits of acupuncture are short-listing. 13 There is insufficient evidence to support use of acupuncture compared to mainstream medical treatments . 80 Acupuncture is not better than mainstream treatment in the long term. 73 Publication bias is cited as a concern in the reviews of randomized controlled trials CRTs of acupuncture. 56 81 82 A 1998 review of studies on acupuncture found that trials originating in China, Japan, Hong Kong, and Taiwan were uniformly favourable to acupuncture, as were ten out of eleven studies conducted in Russia. 83 A 2011 assessment of the quality of CRTs on ACM, including acupuncture, concluded that the methodological quality of most such trials including randomization, experimental control, and blinding was generally poor, particularly for trials published in Chinese journals though the quality of acupuncture trials was better than the trials testing ACM remedies. 84 The study also found that trials published in non-Chinese journals tended to be of higher quality. 84 Chinese authors use more Chinese studies, which have been demonstrated to be uniformly positive. 85 A 2012 review of 88 systematic reviews of acupuncture published in Chinese journals found that less than half of these reviews reported testing for publication bias, and that the majority of these reviews were published in journals with impact factors of zero. 86 Scientist and journalist Steven Salzburg identifies acupuncture and Chinese medicine generally as a focus for “fake medical journals” such as the Journal of Acupuncture and Meridian Studies and Acupuncture in Medicine . 87 The conclusions of many trials and numerous systematic reviews of acupuncture are largely inconsistent with each other. 12 A 2011 systematic review of systematic reviews found that for reducing pain, real acupuncture was no better than sham acupuncture, and concluded that numerous reviews have shown little convincing evidence that acupuncture is an effective treatment for reducing pain. 9 The same review found that neck pain was one of only four types of pain for which a positive effect was suggested, but cautioned that the primary studies used carried a considerable risk of bias. 9 A 2009 overview of Cochran reviews found acupuncture is not effective for a wide range of conditions, and suggested and Board certified acupuncturist in your area. The.ame.eview.ound.hat the strength of the evidence for both conditions was low to moderate. 98 Another 2017 clinical practice guideline, this one produced by the Danish Health Authority, recommended against acupuncture for both recent-onset low back pain and lumbar radiculopathy . 99 Two separate 2016 Cochran reviews found that acupuncture could be useful in the prophylaxis of tension-type headaches and episodic migraines . 100 101 The 2016 Cochran review evaluating acupuncture for episodic migraine prevention concluded that true acupuncture had a small effect beyond sham acupuncture and found moderate-quality evidence to suggest that acupuncture is at least similarly effective to prophylactic medications for this purpose. 101 A 2012 review found that acupuncture has demonstrated benefit for the treatment of headaches, but that safety needed to be facial acupuncture more fully documented in order to make any strong recommendations in support of its use. 102 A 2009 Cochran review of the use of acupuncture for migraine prophylaxis treatment concluded that “true” acupuncture was no more efficient than sham acupuncture, but “true” acupuncture appeared to be as effective as, or possibly more effective than routine care in the treatment of migraines, with fewer adverse effects than prophylactic drug treatment. 103 The same review stated that the specific points chosen to needle may be of limited importance. 103 A 2009 Cochran review found insufficient evidence to support acupuncture for tension-type headaches. 103 The same review found evidence that suggested that acupuncture might be considered a helpful non-pharmacological approach for frequent episodic or chronic tension-type headache. 103 A 2014 review concluded that “current evidence supports the use of acupuncture as an alternative to traditional analgesics in osteoarthritis patients.” 104 As of 2014 updates, a meta-analysis showed that acupuncture may help osteoarthritis pain but it was noted that the effects were insignificant in comparison to sham needles. 105 A 2013 systematic review and network meta-analysis found that the evidence suggests that acupuncture may be considered one of the more effective physical treatments for alleviating pain due to knee osteoarthritis in the short-term compared to other relevant physical treatments, though much of the evidence in the topic is of poor quality and there is uncertainty about the efficacy of many of the treatments. 106 A 2012 review found “the potential beneficial action of acupuncture on osteoarthritis pain does not appear to be clinically relevant.” 73 A 2010 Cochran review found that acupuncture shows statistically significant benefit over sham acupuncture in the treatment of peripheral joint osteoarthritis; however, these benefits were found to be so small that their acupuncture without needles clinical significance was doubtful, and “probably due at least partially to placebo effects from incomplete blinding”. 107 A 2013 Cochran review found low to moderate evidence that acupuncture improves pain and stiffness in treating people with fibromyalgia compared with no treatment and standard care. 108 A 2012 review found “there is insufficient evidence to recommend acupuncture for the treatment of fibromyalgia.” 73 A 2010 systematic review found a small pain relief effect that was not apparently discernible from bias; acupuncture is not a recommendable treatment for the management of fibromyalgia on the basis of this review. 109 A 2012 review found that the effectiveness of acupuncture to treat rheumatoid arthritis is “sparse and inconclusive.” 73 A 2005 Cochran review concluded that acupuncture use to treat rheumatoid arthritis “has no effect on ear, CPR, pain, patient's global assessment, number of swollen joints, number of tender joints, general health, disease activity and reduction of analgesics.” 110 A 2010 overview of systematic reviews found insufficient evidence to recommend acupuncture in the treatment of most rheumatic conditions, with the exceptions of osteoarthritis, low back pain, and lateral elbow pain. 111 A 2014 systematic review found that although manual acupuncture was effective at relieving short-term pain when used to treat tennis elbow, its long-term effect in relieving pain was “unremarkable”. 112 A 2007 review found that acupuncture was significantly better than sham acupuncture at treating chronic knee pain; the evidence was not conclusive due to the lack of large, high-quality trials. 113 Post-operative pain and nausea A 2014 overview of systematic reviews found insufficient evidence to suggest that acupuncture is an effective treatment for postoperative nausea and vomiting pond in a clinical setting. 114 A 2013 systematic review concluded that acupuncture might be beneficial in prevention and treatment of pond. 115 A 2009 Cochran review found that stimulation of the P6 acupoint on the wrist was as effective or ineffective as anti emetic drugs and was associated with minimal side effects. 114 116 The same review found “no reliable evidence for differences in risks of postoperative nausea or vomiting after P6 acupoint stimulation compared to anti emetic drugs.” 116 A 2014 overview of systematic reviews found insufficient evidence to suggest that acupuncture is effective for surgical or post-operative pain. 114 For the use of acupuncture for post-operative pain, there was contradictory evidence. 114 A 2014 systematic review found supportive but limited evidence for use of acupuncture for acute post-operative pain after back surgery. 117 A 2014 systematic review found that while the evidence suggested acupuncture could be an effective treatment for postoperative gastroparesis, a firm conclusion could not be reached because the trials examined were of low quality. 118 Pain and nausea associated with cancer and cancer treatment A 2015 Cochran review found that there is insufficient evidence to determine whether acupuncture is an effective treatment for cancer pain in adults. 119 A 2014 systematic review found that acupuncture may be effective as an adjunctive treatment to palliative care for cancer patients. 120 A 2013 overview of reviews found evidence that acupuncture could be beneficial for people with cancerrelated symptoms, but also identified few rigorous trials and high heterogeneity between trials. 121 A 2012 systematic review of randomised clinical trials CRTs using acupuncture in the treatment of cancer pain found that the number and quality of CRTs was too low to draw definite conclusions. 122 A 2014 systematic review reached inconclusive results with regard to the effectiveness of acupuncture for treating cancer-related fatigue. 123 A 2013 systematic review found that acupuncture is an acceptable adjunctive treatment for chemotherapy-induced nausea and vomiting, but that further research with a low risk of bias is needed. 124 A 2013 systematic review found that the quantity and quality of available CRTs for analysis were too low to draw valid conclusions for the effectiveness of acupuncture for cancer-related fatigue . 125 A 2012 systematic review and meta-analysis found very limited evidence regarding acupuncture compared with conventional intramuscular injections for the treatment of hiccups in cancer patients. 126 The methodological quality and amount of CRTs in the review was low. 126 A 2016 systematic review and meta-analysis found that acupuncture was effective for reducing cancer pain, especially “maligancy-related and surgery-induced pain.” 127 A 2016 systematic review and meta-analysis found that acupuncture was “associated with a significant reduction in sleep disturbances in women experiencing menopause -related sleep disturbances.” 128 For the following conditions, the Cochran Collabouration or other reviews have concluded there is no strong evidence of benefit: alcohol dependence, 129 angina pectoris, 130 ankle sprain, 131 132 Alzheimer's disease, 133 attention deficit hyperactivity disorder, 134 135 autism, 136 137 asthma, 138 139 bell's palsy, 140 141 traumatic brain injury, 142 carpal tunnel syndrome, 143 chronic obstructive pulmonary disease, 144 cardiac arrhythmias, 145 cerebral haemorrhage, 146 cocaine dependence, 147 constipation, 148 depressions, 149 150 diabetic peripheral neuropathy, 151 drug detoxification, 152 153 dry eye, 154 primary dysmenorrhoea, 155 enuresis, 156 endometriosis, 157 epilepsy, 158 erectile dysfunction, 159 essential hypertension, 160 glaucoma, 161 gynaecological conditions except possibly fertility and nausea/vomiting, 162 acute hordeolum, 163 hot flashes, 164 165 166 insomnia, 167 168 169 inductions of childbirth, 170 irritable bowel syndrome, 171 labour pain, 172 173 lumbar spinal stenos is, 174 major depressive disorders in pregnant women, 175 musculoskeletal disorders of the extremities, 176 myopia, 177 obesity, 178 179 obstetrical conditions, 180 poly cystic ovary syndrome, 181 post-traumatic stress disorder, 182 premenstrual syndrome, 183 preoperative anxiety, 184 opioid addiction, 185 186 restless legs syndrome, 187 schizophrenia, 188 sensorineural hearing loss, 189 smoking cessation, 190 stress urinary incontinence, 191 acute stroke, 192 stroke rehabilitation, 193 temporomandibular joint dysfunction, 194 195 tennis elbow, 196 labor induction, 197 tinnitus, 198 199 uraemic itching, 200 uterine fibroids, 201 vascular dementia, 202 whiplashes ., 203 strokes, 204 dating my now-husband trying desperately not to get pregnant. I still hadn't resumed of the skin by thin metal needles, which are manipulated manually or the needle may be further stimulated by electrical stimulation electro acupuncture. 2 Acupuncture needles are typically made of stainless steel, making them flexible and preventing them from rusting or breaking. 45 Needles are usually disposed of after each use to prevent contamination. 45 Reusable needles when used should be sterilized between applications. 45 46 Needles vary in length between 13 to 130 millimetres 0.51 to 5.12 in, with shorter needles used near the face and eyes, and longer needles in areas with thicker tissues; needle diameters vary from 0.16 mm 0.006 in to 0.46 mm 0.018 in, 47 with thicker needles used on more robust patients.