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Updated: Jul 1, 2025

Author Spotlight: Methodologies and Advancements of Chronic Pain Management Research
Published on: January 5, 2024
Laser auriculotherapy associated with cupping therapy in chronic spinal pain: Randomized controlled clinical trial
Ana Paula Aparecida Mantuani1, Erika de Cássia Lopes Chaves2, Flavia da Silva Menezes1
1Post Graduate Program in Rehabilitation Sciences, Federal University of Alfenas (UNIFAL), 2600, Avenida Jovino Fernandes Sales, CEP: 37133-840, Alfenas, Minas Gerais, Brazil.
Background:
Musculoskeletal spine disorders are common causes of chronic pain and impair functionality. Laser auriculotherapy and cupping has played a significant role in the treatment of chronic pain.
Objective:
to evaluate the effect of laser auriculotherapy associated with cupping at systemic acupuncture points on chronic spinal pain.
Methods:
Randomized controlled clinical trial. Volunteers underwent three evaluations: an initial evaluation, a final evaluation immediately after the last intervention session, and a 15-day follow-up. The pain was identified using the numeric pain scale. The pain threshold was also evaluated against mechanical stimulation using a Digital Dynamometer at specific points in the cervical, thoracic and lumbar regions. Fifty individuals with chronic spinal pain, randomized into groups: experimental (n = 25), submitted to 10 sessions of auriculotherapy with laser and cupping therapy and control (n = 25).
Results:
The experimental group achieved pain intensity reduction between pre and post and follow-up moments (p < 0.0001), of greatest pain in the last seven days among all moments (p < 0.0001), of least pain in the pre with post moment (p = 0.006) and follow-up (p = 0.002), and an increased pain threshold between pre and post (p = 0.023). The control group achieved a reduction in the nociceptive threshold between pre and post (p = 0.001) and follow-up (p < 0.0001). The experimental group showed reduced pain intensity (p = 0.027) and greater pain (p = 0.005) after intervention and in pain intensity (p = 0.018), greater (p < 0.0001) and less pain (p = 0.025) at follow-up, compared to the control group.
Conclusion:
Auriculotherapy with laser associated with cupping therapy may effectively reduce pain intensity and increase the nociceptive threshold.

