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Integrative Medicine: Acupuncture.

Paul F Crawford¹, David A Moss², Matthew K Hawks¹

¹F. Edward Hébert School of Medicine at the Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814.

|June 15, 2021

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Acupuncture effectively manages pain and various conditions by influencing brain signaling and natural pain relief. Strong evidence supports its use for chronic back pain and knee osteoarthritis.

Area of Science:

Integrative Medicine
Pain Management
Neurology

Background:

Acupuncture is a therapeutic technique utilized for pain relief and managing diverse medical and psychological ailments.
It influences nociceptive pathways in the brain, impacting neuropeptide and purinergic signaling, and stimulating endogenous opioid production.

Purpose of the Study:

To review the efficacy and scope of practice for acupuncture in the United States.
To outline the conditions commonly treated, contraindications, and adverse effects associated with acupuncture.

Main Methods:

Review of existing evidence on acupuncture's effectiveness for various conditions.
Analysis of common acupuncture modalities and their applications.
Examination of regulatory status and insurance coverage in the US.

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Main Results:

Traditional acupuncture demonstrates significant benefits for chronic low back pain and osteoarthritis-related knee pain.
Commonly treated conditions in the US include low back pain, depression, anxiety, headaches, and arthritis.
While generally safe, contraindications include infection, and rare serious adverse effects like pneumothorax have been reported.

Conclusions:

Acupuncture is a valuable therapeutic option for numerous conditions, particularly chronic pain.
Regulatory frameworks and insurance coverage, such as Medicare for chronic low back pain, are expanding.
Understanding contraindications and potential risks is crucial for safe patient care.