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Break the cycle. Live life without pain.

Headache & Migraine

Migraine, headache, or regular discomfort in your head and neck, can be debilitating, making even the simplest tasks a challenge.

Acupuncture is effective at treating both migraine and headache (tension-type and chronic) being able to alleviate pain, and prevent migraines and headaches from coming back.

A 2015 review of large and well-designed trials of acupuncture for migraine prevention as well as the effectiveness of acupuncture against proven migraine preventative medications, found that acupuncture was at least as effective as conventional drug preventative therapy for migraine and is safe, long lasting, and cost-effective (22).

Furthermore, a brief review (2016) of the current, published evidence (systematic reviews and meta-analyses) demonstrated that acupuncture is associated with improved clinical outcomes compared to routine care only, medical management, and sham acupuncture 2 months after randomization role (23).

Recent high quality analysis of the current research on acupuncture for chronic pain concluded that ‘acupuncture is effective for the treatment of chronic… headache. Treatment effects of acupuncture persist over time and cannot be explained solely in terms of placebo effects. Referral for a course of acupuncture treatment is a reasonable option for a patient with chronic pain’ (16).

16. Vickers AJ, Vertosick EA, Lewith G, MacPherson H, Foster NE, Sherman KJ, et al. Acupuncture for Chronic Pain: Update of an Individual Patient Data Meta-Analysis. J Pain Off J Am Pain Soc. 2018 May;19(5):455–74
22. Da Silva AN. Acupuncture for migraine prevention. Headache. 2015 Mar;55(3):470–3. 
23. Coeytaux RR, Befus D. Role of Acupuncture in the Treatment or Prevention of Migraine, Tension-Type Headache, or Chronic Headache Disorders. Headache. 2016 Jul;56(7):1238–40
 

Musculoskeletal Pain

Acupuncture is an effective treatment for musculoskeletal pain and injury.

At Byron Bay and Bangalow Acupuncture and Chinese Medicine we love treating

–– sciatica
–– lower back pain
–– temporomandibular joint (pain) TMJ
–– neck pain
–– frozen shoulder
–– knee pain
–– myofascial pain
–– osteoarthritis pain

Acupuncture is safe to use immediately after injury, and immediately after surgery for post-operative pain (14) when practised by a suitably qualified professional.

Electro – acupuncture is particularly effective for pain management as extensive studies over the last decade have found that it alleviates both sensory and affective inflammatory pain, and inhibits inflammatory and neuropathic pain by activating a variety of bioactive chemicals through peripheral, spinal and supraspinal mechanisms (15).

Acupressure, massage and cupping feel great are also routinely incorporated into musculoskeletal treatments.

Recent high quality analysis of the current research on acupuncture for chronic pain concluded that ‘acupuncture is effective for the treatment of chronic musculoskeletal…and osteoarthritis pain. Treatment effects of acupuncture persist over time and cannot be explained solely in terms of placebo effects. Referral for a course of acupuncture treatment is a reasonable option for a patient with chronic pain’ (16).

The latest research

  • A 2013 network meta-analysis comparing physical treatments for osteoarthritis of the knee found that, when looking at high quality studies, acupuncture had the largest effect compared to usual care out of the conditions evaluated, out-performing exercise, sham acupuncture, and weight-loss (17) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3769860/
  • A 2015 network meta-analysis comparing treatments in addition to exercise for shoulder impingement syndrome found that acupuncture was the most effective adjunctive treatment out of 17 interventions, outperforming all other adjuncts such as steroid injection, NSAIDs, and ultrasound therapy (18) https://www.ncbi.nlm.nih.gov/pubmed/25761173
  • A 2016 comparison of 20 treatments for sciatica ranked acupuncture as 2nd most effective after the use of biological agents, outperforming manipulation, epidurals, disc surgery, opioids, exercise, and an invasive procedure called radiofrequency denervation, which came in last (19) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4575738/
  • A systematic review and meta-analysis of 13 RCTs in 2016, found that acupuncture, electro-acupuncture (EA) and transcutaneous electrical acupoint stimulation (TEAS) improved pain on day one after surgery and reduced opioid use (20) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4784927/
  • A randomised control trial on acupuncture for pain after total knee arthroplasty found that acupuncture was superior to sham in post-operative fentanyl use, time to first request for fentanyl and pain intensity (21) https://www.ncbi.nlm.nih.gov/pubmed/25158837

14. The Acupuncture Evidence Project - A Comparative Literature Review 2017 [Internet]. Acupuncture.org.au. [cited 2018 Nov 6]. Available from: https://www.acupuncture.org.au/resources/publications/the-acupuncture-evidence-project-a-comparative-literature-review-2017/
15. Zhang R, Lao L, Ren K, Berman BM. Mechanisms of acupuncture-electroacupuncture on persistent pain. Anesthesiology. 2014 Feb;120(2):482–503.
16. Vickers AJ, Vertosick EA, Lewith G, MacPherson H, Foster NE, Sherman KJ, et al. Acupuncture for Chronic Pain: Update of an Individual Patient Data Meta-Analysis. J Pain Off J Am Pain Soc. 2018 May;19(5):455–74.
17. Corbett MS, Rice SJC, Madurasinghe V, Slack R, Fayter DA, Harden M, et al. Acupuncture and other physical treatments for the relief of pain due to osteoarthritis of the knee: network meta-analysis. Osteoarthritis Cartilage. 2013 Sep;21(9):1290–8.
18. Treatments for shoulder impingement syndrome: a PRISMA systematic review and network meta-analysis. - PubMed - NCBI [Internet]. [cited 2018 Nov 28]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25761173
19. Ji M, Wang X, Chen M, Shen Y, Zhang X, Yang J. The Efficacy of Acupuncture for the Treatment of Sciatica: A Systematic Review and Meta-Analysis. Evid-Based Complement Altern Med ECAM [Internet]. 2015 [cited 2016 Mar 22];2015. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4575738/
20. Wu M-S, Chen K-H, Chen I-F, Huang SK, Tzeng P-C, Yeh M-L, et al. The Efficacy of Acupuncture in Post-Operative Pain Management: A Systematic Review and Meta-Analysis. PLoS ONE [Internet]. 2016 Mar 9;11(3). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4784927/
21. Chen C-C, Yang C-C, Hu C-C, Shih H-N, Chang Y-H, Hsieh P-H. Acupuncture for pain relief after total knee arthroplasty: a randomized controlled trial. Reg Anesth Pain Med. 2015 Feb;40(1):31–.