1 / 10

Acupuncture – Barak Gaster, MD

Acupuncture – Barak Gaster, MD. Acupuncture. One part of the ancient, rich system of Traditional Chinese Med, generally combined w/ Chinese herbs Yin-Yang - opposing forces in the body. Goal of acupuncture is to restore their balance.

tucker
Télécharger la présentation

Acupuncture – Barak Gaster, MD

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Acupuncture – Barak Gaster, MD

  2. Acupuncture • One part of the ancient, rich system of Traditional Chinese Med, generally combined w/ Chinese herbs • Yin-Yang - opposing forces in the body. Goal of acupuncture is to restore their balance. • Qi - Life energy. Runs along channels (meridians). Acupuncture relieves blockages, improves flow • Overarching goal: rebalance, redistribute Yin-Yang and allow Qi to flow more freely. • Western Acup – needles only (without Chinese herbs)

  3. Acupuncture for OA • Large RCT in the Annals (Berman, 2004) • Patients (n=570) were randomized into three arms: 1) true acup 2) sham acup 3) control - educ only • Elaborate sham acupuncture: pressure on random points - without skin puncture. • 2 months of full treatment, followed for 6 months. • Successful blinding (equal number guessed they got “sham” in both arms). Berman. Ann Intern Med 2004:141:901

  4. Acupuncture for OA P=.003 Reduction in Pain Score Ann Intern Med 2004:141:901

  5. Acupuncture for Chronic HA’s • Two large high quality studies done in Germany, both published in 2005. • One studied patients with migraine HA’s (n=302). Other studied patients with tension HA’s (n=270). • Patients were randomized to receive: true acupuncture vs. “sham” needling vs. wait list. • “Sham” needling involved superficial / minimal needling of non-acupuncture points Linde: JAMA 2005 - PMID 15870415 Melchart: BMJ 2005 - PMID 16055451

  6. Acupuncture for Migraines p<.001 HA days per month Linde: 2005 - PMID 15870415

  7. Acupuncture for Tension HA’s p<.001 HA days per month Melchart: 2005 - PMID 16055451

  8. Other high quality RCTs of acupuncture • Fibromyalgia: true acupuncture no better than sham acupuncture - no observation arm Assefi et al. Ann Intern Med 2005;143:10 • LBP: true acupuncture and minimal needling both equally better than no treatment at all Haake et al. Arch Intern Med 2007;167:1892-8 • LBP: large NIH-funded RCT based in Seattle to be published in next few months

  9. Acupuncture - Take Home Points • Past 3 years: there’s suddenly good evidence that people with osteoarthritis or chronic headaches feel better after getting acupuncture. • BUT: positive effects (which persisted) were not too different in patients who got “minimal needling” to random non-acupuncture points. • Still a mystery: how / why do patients get better after acupuncture. Is it just a placebo? • Or are there also positive physiologic effects from minimal needling of non-acupuncture points which are used in the ‘control’ groups?

More Related