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Updated: Jun 30, 2026

Clinical Effects of Ultrasound-Guided Acupotomy in Knee Osteoarthritis Treatment
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Setting up an acupuncture knee clinic under Practice Based Commissioning.

Jonathan Freedman1, Marion Richardson

  • 1Parkbury House Surgery, St Albans, Hertfordshire, UK.

Acupuncture in Medicine : Journal of the British Medical Acupuncture Society
|September 27, 2008
PubMed
Summary

A new UK primary care service offers acupuncture for severe knee osteoarthritis. This high-volume clinic, funded by Practice Based Commissioning, provides a potential model for widespread adoption.

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Area of Science:

  • Integrative Medicine
  • Primary Care Services
  • Musculoskeletal Health

Background:

  • Osteoarthritis of the knee is a prevalent condition causing significant pain and disability.
  • Access to effective, non-pharmacological treatments in primary care remains a challenge.
  • The Practice Based Commissioning initiative supports innovative healthcare models.

Purpose of the Study:

  • To describe the establishment of a novel acupuncture service within UK primary care.
  • To detail the operational model of a high-volume acupuncture clinic for knee osteoarthritis.
  • To assess the feasibility and potential replicability of this service model.

Main Methods:

  • Outlining the service setup process in a primary care setting.
  • Describing the funding mechanism through Practice Based Commissioning.

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  • Characterizing the patient population with severe knee osteoarthritis.

    • Main Results:

    • Successful implementation of a new acupuncture service.
    • Establishment of a high-volume clinical practice.
    • Demonstration of a unique service model within the UK's National Health Service.

    Conclusions:

    • The described acupuncture service offers a viable model for managing knee osteoarthritis in primary care.
    • This initiative represents a pioneering approach to integrated musculoskeletal care in the UK.
    • The model has the potential for scalability and adoption in similar healthcare settings.