The American Physicians made recommendations both for acute and chronic low back pain. For the acute situation they suggest heat treatment has the best evidence, followed by massage, acupuncture and manipulation. For chronic back pain (and this is the situation for most of our patients) they recommend acupuncture and also exercise, multidisciplinary rehabilitation and mindfulness as being best evidenced. Another nine recommended treatments have somewhat less sound evidence. What particularly stands out here is that these are all non-drug treatments; the drugs are held as back-up if the non-drug approaches don’t work. The authors explain that since there is no clear evidence for one treatment being better than another it makes sense to recommend those with the lowest harms and costs.
Delighted to be based at the beautiful Stretford Public Hall. Looking forward to building a holistic and wellbeing programme in this iconic building,
A meta analysis of 29 high quality clinical trials with a total of 17,922 patients has concluded that acupuncture is significantly more effective than sham acupuncture than true acupuncture in reducing chronic (longterm) pain. This rules out the placebo effect.
Even larger benefits were found compared to usual care. And for patients with worse baseline scores the effect was greater. In other words patients with higher pain levels had a greater drop in their pain.
The full review is available here: http://www.ncbi.nlm.nih.gov/pmc/articles/pmc3373337/
Annoushka is a acupuncturist working in Manchester. Interested in the potential benefits of the integration of Chinese and biomedical medicine.