5000 year old system of medicine provides pain relief for people with osteoarthritis of the knee

A 5000 year old system of medicine, acupuncture provides pain relief and improves function for people with osteoarthritis of the knee and serves as an effective complement to standard care.

This landmark study was funded by the National Center for Complementary and Alternative Medicine (NCCAM) and the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), both components of the National Institutes of Health.

Acupuncture stimulates, disperses, or regulates the flow of the vital energy, or chi, to help bring about a balance of energy. Specific points along energy channels-the body’s vital pathways-relate to specific organs and systems of the body. The practitioner manipulates these points with fine needles or the use of heat, cold, pressure, or minute electrical currents

The findings of the study — the longest and largest randomized, controlled phase III clinical trial of acupuncture ever conducted — were published in the December 21, 2004, issue of the Annals of Internal Medicine.

The multi-site study team, including rheumatologists and licensed acupuncturists, enrolled 570 patients, aged 50 or older with osteoarthritis of the knee. Participants had significant pain in their knee the month before joining the study, but had never experienced acupuncture, had not had knee surgery in the previous 6 months, and had not used steroid or similar injections. Participants were randomly assigned to receive one of three treatments: acupuncture, sham acupuncture, or participation in a control group that followed the Arthritis Foundation's self-help course for managing their condition. Patients continued to receive standard medical care from their primary physicians, including anti-inflammatory medications, such as COX-2 selective inhibitors, non-steroidal anti-inflammatory drugs, and opioid pain relievers.

"For the first time, a clinical trial with sufficient rigor, size, and duration has shown that acupuncture reduces the pain and functional impairment of osteoarthritis of the knee," said Stephen E. Straus, M.D., NCCAM Director. "These results also indicate that acupuncture can serve as an effective addition to a standard regimen of care and improve quality of life for knee osteoarthritis sufferers. NCCAM has been building a portfolio of basic and clinical research that is now revealing the power and promise of applying stringent research methods to ancient practices like acupuncture."

"More than 20 million Americans have osteoarthritis. This disease is one of the most frequent causes of physical disability among adults," said Stephen I. Katz, M.D., Ph.D., NIAMS Director. "Thus, seeking an effective means of decreasing osteoarthritis pain and increasing function is of critical importance."

During the course of the study, led by Brian M. Berman, M.D., Director of the Center for Integrative Medicine and Professor of Family Medicine at the University of Maryland School of Medicine, Baltimore, Maryland, 190 patients received true acupuncture and 191 patients received sham acupuncture for 24 treatment sessions over 26 weeks. Sham acupuncture is a procedure designed to prevent patients from being able to detect if needles are actually inserted at treatment points. In both the sham and true acupuncture procedures, a screen prevented patients from seeing the knee treatment area and learning which treatment they received. In the education control group, 189 participants attended six, 2-hour group sessions over 12 weeks based on the Arthritis Foundation's Arthritis Self-Help Course — a proven, effective model.

On joining the study, patients' pain and knee function were assessed using standard arthritis research survey instruments and measurement tools, such as the Western Ontario McMasters Osteoarthritis Index (WOMAC). Patients' progress was assessed at 4, 8, 14, and 26 weeks. By week 8, participants receiving acupuncture were showing a significant increase in function and by week 14 a significant decrease in pain, compared with the sham and control groups. These results, shown by declining scores on the WOMAC index, held through week 26. Overall, those who received acupuncture had a 40 percent decrease in pain and a nearly 40 percent improvement in function compared to baseline assessments.

"This trial, which builds upon our previous NCCAM-funded research, establishes that acupuncture is an effective complement to conventional arthritis treatment and can be successfully employed as part of a multidisciplinary approach to treating the symptoms of osteoarthritis," said Dr. Berman.

Comments

  1. Angela Johnson Angela Johnson United States says:

    I suffer daily excrutiating pain,in extremitie,atropying muscles, copd adn because I contracted  mrsa during last trip and am more likely to easily have respiratory problems the rest of my life.  Neurosurgeon says he can do nothing now no surgery cause rest of the discs have finished rupturing.  Meanwhile cannot walk without a cane not working and cannote get disability.  I am not looking for new drugs, I have to be coherent.  Picking up people taking to work and to school.  
    What else can I do?  I believe strongly that the sciatic nerve is being pinched somewhere.  Where can I get a doctor who gives a damn?

  2. Tom Hennessy Tom Hennessy Canada says:

    You should look into this.

    "Cupping Therapy- Effective Natural Treatment for Rheumatoid Arthritis"

    "Immunomodulatory Effects of Blood Letting Cupping Therapy in Patients with Rheumatoid Arthritis"

    You can buy all the equipment to do this yourself off the web.
    "Chinese Cupping Set"

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.
Post a new comment
Post
You might also like...
Inflammation plays a key role in resolving pain