Monday, October 28, 2013

Acupuncture Treatment for Tension-type Headache


Nowadays Acupuncture Treatment is applying for tension-type headache widely.

At 2009, in Cochrane review,authors conclude that acupuncture could be a valuable non-pharmacological tool in patients with frequent episodic or chronic tension-type headaches. Besides, at 2012 in U.K. guideline "Consider a course of up to 10 sessions of acupuncture over 5~8 weeks for the prophylactic treatment of chronic tension-type headache"

The research that conducted in Australia, 2013 gives us which acupuncture treatment is effective for Tension-type headache, so I'm going to introduce to you.

"Electro-acupuncture, twice a week, 30mins"




http://www.ncbi.nlm.nih.gov/pubmed/23075410

Factors associated with conflicting findings on acupuncture for tension-type headache:Qualitative and quantitative analyses

Abstract

OBJECTIVES:

This study aimed to identify the factors that might have contributed to the conflicting outcomes about the efficacy of acupuncture for tension-type headache (TTH) through systematically reviewing relevant randomized controlled trials.

METHODS:

Thirteen (13) databases were searched from their inception until August 2010. There were no restrictions on language or year of publication. Included studies were randomized controlled trials comparing real with sham acupuncture, with patient selection guided by the International Headache Classification, and reported headache days. Meta-analyses and subgroup analyses were undertaken to compare the effects of real and sham acupuncture interventions and the effects of acupuncture with various needling techniques and treatment modes.

RESULTS:

Forty-three (43) studies were retrieved for further assessment from 120 potential studies. Finally, five studies of high methodological quality were included in this review. Standard mean difference (SMD) of the included studies showed no statistical significance between real and sham acupuncture (-0.31; 95% confidence interval [CI] -0.72 to 0.09), however, the heterogeneity among the studies was high (I(2)=81%). Subgroup analyses reduced heterogeneity, and showed that electro-acupuncture (SMD-1.60; 95% CI -2.33 to -0.88) to be more efficacious than manual acupuncture (SMD -0.13; 95% CI -0.41 to 0.14); needle retention with 30 minutes (SMD-0.46; 95% CI -0.87 to -0.06) being better than no needle retention (SMD 0.45; 95% CI -0.11, 1.01); and twice-a-week treatment (SMD -0.46; 95% CI -0.87 to -0.06) was better than once-a-week treatment (SMD 0.45; 95% CI -0.11, 1.01).

CONCLUSIONS:

Acupuncture stimulation mode, needle retention, and treatment frequency could be important factors contributing to the outcome of acupuncture for TTH. Further studies are warranted to determine treatment parameters to ensure effective translation of RCTs outcomes of acupuncture for patients with TTH.

Sunday, October 27, 2013

Acupuncture Treatment is an effective method for Migraine patients.

The numbers of migraine patient is growing every year. It affects patient's ordinary life. sometimes, It reduces the quality of life seriously.

Now I'm going to show some good news to the people who has been suffering migraine for a long time.

1.

Traditional acupuncture in migraine: a controlled, randomized study.http://www.ncbi.nlm.nih.gov/pubmed/17868354

CONCLUSIONS:

TA was the only treatment able to provide a steady outcome improvement in comparison to the use of only Rizatriptan, while RMA showed a transient placebo effect at T1.

in this paper TA is True Acupuncture treatment.

2.

Acupuncture versus valproic acid in the prophylaxis of migraine without aura: a prospective controlled study.

http://www.ncbi.nlm.nih.gov/pubmed/23511357 

 

CONCLUSION:

Our data show a lower pain intensity and lower Rizatriptan intake at six-months follow-up with no adverse events in acupuncture patients compared to those treated with valproic acid.

3.

[Migraine without aura treated by comprehensive auricular acupuncture: a multicentral controlled study]

http://www.ncbi.nlm.nih.gov/pubmed/23213978 

 

CONCLUSION:

The comprehensive auricular acupuncture reduces apparently the headache score for migraine without aura and relieves the clinical symptoms of migraine. It is the simple and effective therapy for migraine without aura.

4.

Somatic acupuncture versus ear acupuncture in migraine therapy: a randomized, controlled, blind study.

http://www.ncbi.nlm.nih.gov/pubmed/23409612 

  These results, though preliminary, are quite promising in supporting the effectiveness of ear acupuncture for treatment of migraine without aura.

How Fear of acupuncture affect to patient?

Some patients have fear of needles or needling, as known as needle phobia.
If you have needle phobia. You'd better avoid acupuncture treatments. Because It can over activate sympathetic nerve. so needling can cause dizziness, muscle contraction, hyperventilation.

This study was conducted in South Korea, 2012. and It proved fear of needle over-activates sympathetic nerve.

http://www.ncbi.nlm.nih.gov/pubmed/23644719