Acupuncture for chronic pain: an update and critical overview.

Published

Journal Article (Review)

Acupuncture is now recommended for several chronic pain conditions. Despite supportive evidence of its effectiveness, this ancient approach is often misunderstood, and may still be underused in mainstream practice. A critical review on its effectiveness and practice integration, and mechanisms of action is essential to the medical community that is continuing to seek nonopioid therapies for chronic pain.Mounting evidence supports the effectiveness of acupuncture to treat chronic low back, neck, shoulder, and knee pain, as well as headaches. Additional data are emerging that support the use of acupuncture as an adjunct or alternative to opioids, and in perioperative settings. Findings related to its mechanisms of action include transient receptor potential cation channel vanilloid 1 activation in the periphery, microglial suppression in the cerebral cortex and spinal cord, and regulation of cytokines and other key inflammatory factors in the spinal cord. Incremental integration of acupuncture into pain medicine practices and training programmes continues to grow.Acupuncture is effective, safe, and cost-effective for treating several chronic pain conditions when performed by well-trained healthcare professionals. Further studies on its use as an adjunct or alternative to opioids, and in perioperative settings are needed.

Full Text

Duke Authors

Cited Authors

  • Yin, C; Buchheit, TE; Park, JJ

Published Date

  • October 2017

Published In

Volume / Issue

  • 30 / 5

Start / End Page

  • 583 - 592

PubMed ID

  • 28719458

Pubmed Central ID

  • 28719458

Electronic International Standard Serial Number (EISSN)

  • 1473-6500

International Standard Serial Number (ISSN)

  • 0952-7907

Digital Object Identifier (DOI)

  • 10.1097/aco.0000000000000501

Language

  • eng