Chronic Pain

Information from the British Acupuncture Council about chronic pain suggests that acupuncture can be effective in many cases.

 

Persistent (chronic) pain is a widespread problem that affects around 8 million people of all ages in the UK (Chronic Pain Policy 2010). In 22% of cases,chronic pain leads to depression

Lie down man and some 25% of those diagnosed with chronic pain go on to lose their jobs (Chronic Pain Policy 2010). In fact, around £3.8 billion a year is spent on incapacity benefit payments to those diagnosed with chronic pain (Chronic Pain Policy 2010).

An early systematic review of acupuncture for chronic pain found very limited evidence to support it (Ezzo 2000), but numerous large, well conducted studies in the last 10 years have substantially changed the picture. Recent reviews have shown that it is more effective than no treatment or usual care for chronic back pain, osteoarthritis, or headache (Sherman 2009). There is also evidence that it is more effective than sham acupuncture for chronic knee pain or headache and, at least in the short term, for chronic back pain (Hopton 2010). Other conditions have been less well researched.

Acupuncture may help relieve chronic pain by:stimulating nerves located in muscles and other tissues, which leads to release of endorphins and other neurohumoral factors (e.g. neuropeptide Y, serotonin), and changes the processing of pain in the brain and spinal cord (Pomeranz 1987, Han 2004, Zhao 2008, Zhou 2008, Lee 2009, Cheng 2009);

  • stimulating nerves located in muscles and other tissues, which leads to release of endorphins and other neurohumoral factors (e.g. neuropeptide Y, serotonin), and changes the processing of pain in the brain and spinal cord (Pomeranz 1987, Han 2004, Zhao 2008, Zhou 2008, Lee 2009, Cheng 2009);
  • increasing the release of adenosine, which has antinociceptive properties (Goldman 2010);
  • modulating the limbic-paralimbic-neocortical network (Hui 2009);
  • reducing inflammation, by promoting release of vascular and immunomodulatory factors (Kavoussi 2007, Zijlstra 2003);
  • improving muscle stiffness and joint mobility by increasing local microcirculation (Komori 2009), which aids dispersal of swelling.
  • Acupuncture may help relieve chronic pain by:stimulating nerves located in muscles and other tissues, which leads to release of endorphins and other neurohumoral factors (e.g. neuropeptide Y, serotonin), and changes the processing of pain in the brain and spinal cord (Pomeranz 1987, Han 2004, Zhao 2008, Zhou 2008, Lee 2009, Cheng 2009).