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Published on: June 23, 2023
Recent advances in acupuncture for pain relief
Supranee Niruthisard1, Qiufu Ma2, Vitaly Napadow3,4
1Pain Management Research Unit, Department of Anesthesiology, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Acupuncture therapy offers a low-risk, non-pharmacological approach to pain relief, supported by extensive research. Its mechanisms involve modulating pain signals and brain networks, making it a valuable option for managing acute and chronic pain.
Area of Science:
- Integrative Medicine
- Pain Management
- Neuroscience
Background:
- Acupuncture therapy is globally recognized for its role in health promotion and pain management.
- Growing evidence supports acupuncture's efficacy for both acute and chronic pain conditions.
Purpose of the Study:
- To provide an updated review of the evidence base for acupuncture analgesia in research and clinical practice.
- To elaborate on the 2023 International Association for the Study of Pain's focus on acupuncture for pain relief.
Main Methods:
- Review of existing evidence and best practices for acupuncture analgesia.
- Elaboration on the 2023 International Association for the Study of Pain's "Factsheet Acupuncture for Pain Relief".
Main Results:
- Acupuncture analgesia involves local physiological responses, modulation of nociceptive signaling, and release of endogenous opioids.
- Neuroimaging studies show acupuncture modulates brain networks involved in sensory, affective, and cognitive pain processing.
- Acupuncture may target pain sources like inflammation by modulating autonomic pathways, and its effectiveness is influenced by technique and provider expertise.
Conclusions:
- Acupuncture is a safe and effective complementary therapy for various pain disorders.
- Despite heterogeneous evidence quality, acupuncture's cost-effectiveness and low risk profile support its consideration as a non-pharmacological pain therapy.
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