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Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:

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Needling Interventions for Sciatica: Choosing Methods Based on Neuropathic Pain Mechanisms-A Scoping Review.

Thomas Perreault1, César Fernández-de-Las-Peñas2,3, Mike Cummings4

  • 1Northern New England Spine Center, Department of Physical Therapy, Wentworth Douglass Hospital, Dover, NH 03820, USA.

Journal of Clinical Medicine
|June 2, 2021
PubMed
Summary
This summary is machine-generated.

Acupuncture effectively treats sciatica pain, but current methods often overlook underlying neuropathic pain (NP) mechanisms. Further research is needed to explore if considering NP mechanisms enhances needling therapy effectiveness for sciatica.

Keywords:
acupuncturedry needlingmechanismsneuropathic painsciatica

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Area of Science:

  • Neurology
  • Pain Management
  • Integrative Medicine

Background:

  • Sciatica frequently involves neuropathic pain (NP).
  • Acupuncture is a recognized treatment for sciatica, but its application may not consistently address NP mechanisms.
  • The role of NP mechanisms in needling interventions for sciatica requires clarification.

Purpose of the Study:

  • To evaluate the efficacy and effectiveness of needling therapies for sciatica.
  • To identify common needling practices used for sciatica.
  • To investigate whether neuropathic pain mechanisms are considered in these treatments.

Main Methods:

  • A scoping review of literature on needling interventions for sciatica.
  • A review of literature on NP mechanisms and needling.
  • Searches conducted on PubMed, MEDLINE, CINAHL, and Cochrane databases up to August 2020.

Main Results:

  • Ten articles were included, all focusing on acupuncture; no studies on dry needling were found.
  • Acupuncture is supported as effective for sciatica, but studies did not consider NP mechanisms.
  • The rationale for acupuncture use was inconsistent across trials.

Conclusions:

  • Neuropathic pain mechanisms are not routinely integrated into acupuncture approaches for sciatica.
  • While acupuncture shows efficacy for sciatic pain, further research should investigate the impact of incorporating NP mechanisms.
  • Optimizing needling interventions for sciatica may benefit from a mechanistic approach to NP.