Balancing Tradition and Science: Acupuncture in Pain Control
DOI:
https://doi.org/10.12775/JEHS.2024.74.56645Keywords
acupuncture, therapy, pain management, complementary therapies, traditional chinese medicineAbstract
Introduction: Pain management is a critical component of healthcare, addressing acute and chronic conditions that significantly impact quality of life. Traditional pharmacological approaches, while effective, often present side effects and dependency risks. Acupuncture, rooted in traditional Chinese medicine, has emerged as a complementary and alternative therapy, leveraging the body’s natural mechanisms to alleviate pain through the strategic insertion of fine needles at acupoints.
Purpose of Work: This research investigates the role of acupuncture in pain management, examining its efficacy across various pain conditions, understanding its physiological mechanisms, and evaluating its integration into modern medical practice. It seeks to assess the scientific evidence supporting acupuncture and its potential as a non-pharmacological pain management strategy.
State of Knowledge: Studies have demonstrated acupuncture's effectiveness in reducing pain intensity for conditions such as migraines, osteoarthritis, fibromyalgia, and postoperative pain. Mechanistic research highlights its role in modulating neural pathways, enhancing endogenous opioid release, and reducing inflammation. Guidelines from health organizations now recognize acupuncture as a viable option in multidisciplinary pain management.
Material and methods: The study methodology entailed defining the objectives, conducting a systematic literature search, and implementing a structured process for screening relevant studies. The research encompassed a comprehensive search across scientific databases, such as PubMed and Google Scholar.
Summary: Acupuncture presents a promising, evidence-supported intervention for pain management. By combining traditional techniques with modern scientific insights, acupuncture addresses the growing need for holistic, safe, and effective approaches to alleviating pain and enhancing patient well-being.
References
Manchikanti, L., Singh, V., Kaye, A. D., & Hirsch, J. A. (2020). Lessons for Better Pain Management in the Future: Learning from the Past. In L. Manchikanti, V. Singh, A. D. Kaye, & J. A. Hirsch, Pain and Therapy (Vol. 9, Issue 2, p. 373). Adis, Springer Healthcare. https://doi.org/10.1007/s40122-020-00170-8
Cheatle, M. D. (2015). Biopsychosocial Approach to Assessing and Managing Patients with Chronic Pain. In M. D. Cheatle, Medical Clinics of North America (Vol. 100, Issue 1, p. 43). Elsevier BV. https://doi.org/10.1016/j.mcna.2015.08.007
Lin, J., Kotha, P., & Chen, Y. (2022). Understandings of acupuncture application and mechanisms. In J. Lin, P. Kotha, & Y. Chen, PubMed (Vol. 14, Issue 3, p. 1469). National Institutes of Health. https://pubmed.ncbi.nlm.nih.gov/35422904
Lim, M. Y., Huang, J., Zhao, B., & Ha, L. (2015). Current status of acupuncture and moxibustion in China. In M. Y. Lim, J. Huang, B. Zhao, & L. Ha, Chinese Medicine (Vol. 10, Issue 1). BioMed Central. https://doi.org/10.1186/s13020-015-0041-1
Kovalenko, O., Chizhikova, M. Ye., & Коваленко, А. Л. (2018). The Phenomenon of Neuroplasticity and Neurophysiological Aspects of Acupuncture in Clinical Practice. In O. Kovalenko, M. Ye. Chizhikova, & А. Л. Коваленко, Journal of Acupuncture and Meridian Studies (Vol. 11, Issue 4, p. 235). Elsevier BV. https://doi.org/10.1016/j.jams.2018.08.146
Liu, L., Tian, T., Li, X., Wang, Y., Xu, T., Ni, X., Li, X., He, Z., Gao, S., Sun, M., Liang, F., & Zhao, L. (2021). Revealing the Neural Mechanism Underlying the Effects of Acupuncture on Migraine: A Systematic Review. In L. Liu, T. Tian, X. Li, Y. Wang, T. Xu, X. Ni, X. Li, Z. He, S. Gao, M. Sun, F. Liang, & L. Zhao, Frontiers in Neuroscience (Vol. 15). Frontiers Media. https://doi.org/10.3389/fnins.2021.674852
Cai, R.-L., Shen, G.-M., Wang, H., & Guan, Y. (2017). Brain functional connectivity network studies of acupuncture: a systematic review on resting-state fMRI. In R.-L. Cai, G.-M. Shen, H. Wang, & Y. Guan, Journal of Integrative Medicine (Vol. 16, Issue 1, p. 26). Elsevier BV. https://doi.org/10.1016/j.joim.2017.12.002
Liu, L., Skinner, M. A., McDonough, S., & Baxter, D. (2017). Acupuncture for chronic low back pain: a randomized controlled feasibility trial comparing treatment session numbers. In L. Liu, M. A. Skinner, S. McDonough, & D. Baxter, Clinical Rehabilitation (Vol. 31, Issue 12, p. 1592). SAGE Publishing. https://doi.org/10.1177/0269215517705690
Vickers, A. J., Vertosick, E., Lewith, G., MacPherson, H., Foster, N. E., Sherman, K. J., Irnich, D., Witt, C. M., & Linde, K. (2017). Acupuncture for Chronic Pain: Update of an Individual Patient Data Meta-Analysis. In A. J. Vickers, E. Vertosick, G. Lewith, H. MacPherson, N. E. Foster, K. J. Sherman, D. Irnich, C. M. Witt, & K. Linde, Journal of Pain (Vol. 19, Issue 5, p. 455). Elsevier BV. https://doi.org/10.1016/j.jpain.2017.11.005
Trinh, K., Graham, N., Irnich, D., Cameron, I. D., & Forget, M. (2016). Acupuncture for neck disorders. In K. Trinh, N. Graham, D. Irnich, I. D. Cameron, & M. Forget, Cochrane database of systematic reviews. Cochrane. https://doi.org/10.1002/14651858.cd004870.pub4
Linde, K., Allais, G., Brinkhaus, B., Fei, Y., Mehring, M., Vertosick, E., Vickers, A. J., & White, A. R. (2016). Acupuncture for the prevention of episodic migraine. In K. Linde, G. Allais, B. Brinkhaus, Y. Fei, M. Mehring, E. Vertosick, A. J. Vickers, & A. R. White, Cochrane library (Vol. 2018, Issue 4). Elsevier BV. https://doi.org/10.1002/14651858.cd001218.pub3
Chen, C., Yang, C.-C., Hu, C.-C., Shih, H., Chang, Y., & Hsieh, P. (2014). Acupuncture for Pain Relief After Total Knee Arthroplasty. In C. Chen, C.-C. Yang, C.-C. Hu, H. Shih, Y. Chang, & P. Hsieh, Regional Anesthesia & Pain Medicine (Vol. 40, Issue 1, p. 31). BMJ. https://doi.org/10.1097/aap.0000000000000138
Kelly, R. B., & Willis, J. (2019). Acupuncture for Pain. In R. B. Kelly & J. Willis, PubMed (Vol. 100, Issue 2, p. 89). National Institutes of Health. https://pubmed.ncbi.nlm.nih.gov/31305037
Wu, X., Chung, V. C., Hui, E. P., Ziea, E. T., Ng, B. F.-L., Ho, R. S. T., Tsoi, K. K. F., Wong, S. Y. S., & Wu, J. C. (2015). Effectiveness of acupuncture and related therapies for palliative care of cancer: overview of systematic reviews. In X. Wu, V. C. Chung, E. P. Hui, E. T. Ziea, B. F.-L. Ng, R. S. T. Ho, K. K. F. Tsoi, S. Y. S. Wong, & J. C. Wu, Scientific Reports (Vol. 5, Issue 1). Nature Portfolio. https://doi.org/10.1038/srep16776
Smith, C., Collins, C. T., Levett, K. M., Armour, M., Dahlen, H., Tan, A. L., & Mesgarpour, B. (2020). Acupuncture or acupressure for pain management during labour. In C. Smith, C. T. Collins, K. M. Levett, M. Armour, H. Dahlen, A. L. Tan, & B. Mesgarpour, Cochrane library. Elsevier BV. https://doi.org/10.1002/14651858.cd009232.pub2
Zhang, X.-C., Chen, H., Xu, W., Song, Y., Gu, Y., & Ni, G.-X. (2019). Acupuncture therapy for fibromyalgia: a systematic review and meta-analysis of randomized controlled trials. In X.-C. Zhang, H. Chen, W. Xu, Y. Song, Y. Gu, & G.-X. Ni, Journal of Pain Research (p. 527). Dove Medical Press. https://doi.org/10.2147/jpr.s186227
Li, J., Li, Y., Luo, L.-J., Ye, J., Zhong, D., Xiao, Q., Zheng, H., Geng, C., Jin, R., & Liang, F. (2019). The effectiveness and safety of acupuncture for knee osteoarthritis. In J. Li, Y. Li, L.-J. Luo, J. Ye, D. Zhong, Q. Xiao, H. Zheng, C. Geng, R. Jin, & F. Liang, Medicine (Vol. 98, Issue 28). Wolters Kluwer. https://doi.org/10.1097/md.0000000000016301
Patil, S., Sen, S., Bral, M., Reddy, S., Bradley, K. K., Cornett, E. M., Fox, C. J., & Kaye, A. D. (2016). The Role of Acupuncture in Pain Management. In S. Patil, S. Sen, M. Bral, S. Reddy, K. K. Bradley, E. M. Cornett, C. J. Fox, & A. D. Kaye, Current Pain and Headache Reports (Vol. 20, Issue 4). Springer Science+Business Media. https://doi.org/10.1007/s11916-016-0552-1
Zhang, C. S., Tan, H. Y., Zhang, G. S., Zhang, A. L., Xue, C. C., & Xie, Y. M. (2015). Placebo Devices as Effective Control Methods in Acupuncture Clinical Trials: A Systematic Review. In C. S. Zhang, H. Y. Tan, G. S. Zhang, A. L. Zhang, C. C. Xue, & Y. M. Xie, PLoS ONE (Vol. 10, Issue 11). Public Library of Science. https://doi.org/10.1371/journal.pone.0140825
Saramago, P., Woods, B., Weatherly, H., Manca, A., Sculpher, M., Khan, K., Vickers, A. J., & MacPherson, H. (2016). Methods for network meta-analysis of continuous outcomes using individual patient data: a case study in acupuncture for chronic pain. In P. Saramago, B. Woods, H. Weatherly, A. Manca, M. Sculpher, K. Khan, A. J. Vickers, & H. MacPherson, BMC Medical Research Methodology (Vol. 16, Issue 1). BioMed Central. https://doi.org/10.1186/s12874-016-0224-1
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Alicja Grzelak

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 60
Number of citations: 0