Arthritis hip
Acupuncture is believed to correct imbalances in this energy flow, by targeting acupuncture points distributed along the meridians. arthritis hip Stomache pain. Although puncturing the skin with thin long needles is the standard approach, there are many variations including the use of heat, pressure, friction, suction, or electrical stimulation. Osteoarthritis (OA)Rheumatoid Arthritis (RA)SummaryOsteoarthritis (OA)A number of controlled trials have been conducted during the past several decades suggesting that acupuncture is effective for the pain associated with osteoarthritis. Although multiple studies have suggested the effectiveness of acupuncture for osteoarthritis, these studies have lacked sufficient power to detect a significant difference between placebo and acupuncture treated groups. arthritis hip Garden tools arthritis. Berman et alref 2 recently completed a pilot study and a follow up of a larger, single blind randomized trial on the effect of acupuncture on OA of the knee in an elderly population. Patients in the pilot study (N=12) showed significant improvement in pain scores and self-reported function, and in performance measures of function after 8 weeks of acupuncture treatment. Scores of the outcome measures at 12 weeks showed improvement over baseline scores. arthritis hip Stiff neck pain. In the larger (N=58) follow up trial, which examined the effect of acupuncture added to NSAID oral medication management, the acupuncture treated group had significant improvement in self reported pain and disability scores compared with controls. (top of section)(top of page) Rheumatoid Arthritis (RA)There have been a number of studies in the literature reporting that acupuncture is effective in treating rheumatoid arthritis. Only one of these was a true randomized controlled trial, however. This study used 10 patients with symmetric joint involvement and treated one knee with sham acupuncture and one knee with real acupuncture. The investigators reported that there was a significant improvement in pain relief in the knee treated with real acupuncture compared with the knee treated with sham acupuncture. Perhaps the most important finding of this study is that the average pain-free duration in the acupuncture-treated knee was 1 to 3 months versus less than 10 hours in the sham acupuncture-treated knew. This is a small group of patients and more studies assessing the effectiveness of acupuncture for rheumatoid arthritis are warranted. (top of section)(top of page) SummaryAlthough there is not yet definitive evidence from a large scale randomized controlled trial (RCT) that acupuncture is effective for treating rheumatological conditions, there is moderately strong evidence from the above studies to support the use of acupuncture as an adjunctive therapy for osteoarthritis. On the other hand, the only RCT of acupuncture for rheumatoid arthritis employed too small a sample size for any statistically significant result to emerge. Physicians should be willing to discuss with their patients the potential use of acupuncture as a means of pain management.
Arthritis hip
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