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Acupuncture for acute low back pain: a systematic review
Jun-Hwan Lee1, Tae-Young Choi, Myeong Soo Lee
1Department of Oriental Rehabilitation Medicine, College of Korean Medicine, Seoul, Korea.
The Clinical Journal of Pain
|December 28, 2012
Summary
Acupuncture may offer benefits for acute low back pain (LBP), potentially improving symptoms more than medication and relieving pain better than sham treatments. Further research is needed to confirm these findings for LBP management.
Area of Science:
- Integrative Medicine
- Pain Management
- Evidence-Based Practice
Background:
- Acupuncture is a common treatment for acute nonspecific low back pain (LBP).
- Existing systematic reviews show limited and inconclusive evidence regarding acupuncture's effectiveness for acute LBP.
Purpose of the Study:
- To critically evaluate the existing evidence for and against the use of acupuncture in treating acute LBP.
- To synthesize findings from randomized-controlled trials (RCTs) on acupuncture for acute LBP.
Main Methods:
- Systematic review and meta-analysis of RCTs involving acupuncture for acute/subacute LBP.
- Searched multiple databases (Medline, Central, Embase, Chinese databases) and trial registries.
- Assessed risk of bias and acupuncture intervention adequacy; used random-effects model for analysis.
Main Results:
- Eleven RCTs (1139 participants) were included.
- Acupuncture showed potential for greater symptom improvement compared to nonsteroidal anti-inflammatory drugs (NSAIDs).
- Evidence suggests acupuncture may relieve pain more effectively than sham acupuncture, but not improve function.
Conclusions:
- Current evidence suggests acupuncture may be more effective than medication for symptom improvement in acute LBP.
- Acupuncture may provide better pain relief than sham acupuncture for acute LBP.
- Future studies with improved methodology are required to confirm these encouraging findings.