In May 2012 I was asked to write an article for the PainAustralia group, Painaustralia is a national not-for-profit body established to improve the treatment and management of pain in Australia. Finally the article came out in their latest news letter. It was a delight to see it. I am very proud of the up to date referencing too!
Here's the link to the article on their site and the full article below!
http://www.painaustralia.org.au/media-news/e-news.html#acupunture
Here's the link to the article on their site and the full article below!
http://www.painaustralia.org.au/media-news/e-news.html#acupunture
Acupuncture and
the use of Chinese medicine for the treatment of pain: Who is using it and how
does it work?
By Damien
Bodnarchuk B.Hlth Sc Trad Chinese Med(UTS)/Cert
Trad Chinese Med (Beijing)/Dip
Nat Hlth Yoga (NCC)/ M.AACMA
Background
In China,
where Western and Eastern medicine are combined in all major hospitals under
the term ‘integrated medicine’, it is used by millions of people. In the wards
which I visited in Beijing,
I witnessed it used with oncology, rheumatology, dermatology and range of other
issues.
Chinese
medicine is based on ancient information written 2000 years ago, from the
second century BC. This information was condensed and systemised in the
beginning of the 20th century, at the time of China’s cultural revolution. The four-year
undergraduate course in acupuncture in the 21st century contains the
same basic information from 2000 years ago, using the same main reference
materials.
Acupuncture
was first approved by the World Health Organisation (WHO) as a method for
treating pain in 1979 and today it is endorsed by health services worldwide.
In the UK
the National Health Service (NHS) offers acupuncture, and in the US it is
recognised by the National Institute for Health (NIH), the primary agency of
the United States government responsible for biomedical
and health-related
research.
In Australia,
acupuncture has been reimbursed by the Australian National Health System under
the Medicare Benefits Scheme (MBS) (Items 173, 193, 195, 197 and 199) since
1984, and it is one of the most accepted forms of complementary medicine among
Australian GPs.1
It is also increasingly used by patients, with a 2008 study
finding that 9.2 percent of Australians had used acupuncture in the 12-month
study period, with back pain the most common condition treated. 2
Pain
Conditions Responsive to Acupuncture
The WHO
lists the following pain conditions as those that can be successfully treated
with acupuncture:
·
neurological
pain (such as headaches, migraines and facial neuralgia);
·
musculoskeletal
issues (such as back pain, osteoarthritis, sciatica, shoulder and elbow pain);
and
·
many
types of sporting injuries.3
New research from Australia has shown acupuncture can
also be effective in the management of acute pain.4
Understanding Acupuncture through
Western Medicine
Western
medicine addresses the complex multiple system effects of acupuncture on the
body. There are studies ranging from effective noticeable brain changes under
MRI scans, nerve pathway theories, hormone release changes (opioid systems
activated in the brain), blood flow changes and even placebo effects, although
there are many demonstrated physiological responses.5
The most
recent study, a meta-analysis of 17,922 patients published in September 2012,
showed significant differences between true and sham acupuncture trials. The
study concluded that cupuncture is more than just a placebo,
effective for the treatment of chronic pain and therefore a reasonable referral
option for doctors.6
Another
study conducted by the University of York, UK, investigated the economic value
afforded by acupuncture for the treatment of lower back pain, neck pain,
dysmenorrhea, migraines, arthritis, and headaches, concluding it to be a
cost-effective intervention.7
There are
many studies available and there are many in-progress that suggest a range of
effects, with a 2007 German pain trial finding acupuncture reduces lower back pain
twice as much as conventional therapy (compared to drugs, physical therapy and
exercise).8
In 2005, an RMIT trial examined the effect of acupuncture
for pain relief on more than 1,000 patients at the Emergency Department of the Northern Hospital
in Melbourne, and
it was shown to be a potentially effective therapy for acute pain management.
This led to a three-year NHMRC-funded project to treat acute migraine, back
pain and ankle injuries currently underway, led by Professor Marc Cohen and
Professor Charlie Xue.9,10
Research
into acupuncture is continuing in Australia,
particularly through the University of
Western Sydney and the University of Sydney,
as well as the RMIT in Melbourne.
Understanding Acupuncture
through Eastern Medicine
The
eastern medicine understanding is based around the concept of energy. Good
health is understood to be the smooth flow of energy through meridians or
pathways in the body. Pain is stated as being energy that is stuck and the use
of acupuncture needles inserted in the body moves this stuck energy and helps
the body heal itself. The source of energy is still elusive, and there is no current
scientific definition for it.
Diagnosis and Treatment
Process
Diagnosis
is conducted with the visible signs and symptoms of an issue and then
interpreted according to Chinese medicine theory, and treatment is given
accordingly. Most patients report some sensation in the body with acupuncture.
This can be a dullness, heat, muscle spasm or feeling at the point of
insertion, or at other areas in the body where there are no needles. Often
straight after a treatment a patient will feel physically, emotionally or
mentally noticeably different for a short period of time.
Damien Bodnarchuk is a professional
Chinese medicine physician, previous president of the UTS Chinese medicine
society and is on the Australian Acupuncture and Chinese Medicine
Association NSW
State board. He practices
in rooms at Gp on Ebley medical centre in Bondi Junction and can be contacted
through their website or on 9387 1171.
References
1http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3339354/
2 Xue et. al.
2008 www.biomedcentral.com/1471-2458/8/105/
3 WHO acupuncture web page www.apps.who.int/medicinedocs/en/d/Js4926e/5.html
WHO
4http://rmit.mobi/print;ID=a5i60aogsrp71;LOCATION=RMIT%20News%252FNews%252FHealth%252Fby%
20title%252FE%253BID%253Da5i60aogsrp71%253BSTATUS%253DA;STATUS=A
5 Huang W, Pach D, Napadow V, Park K,
Long X, et al. (2012) Characterizing Acupuncture
Stimuli Using Brain Imaging with fMRI - A Systematic Review and Meta-Analysis
of the Literature. PLoS ONE 7(4): e32960. doi:10.1371/journal.pone.0032960
April 9, 2012
6Vickers et.
al.2012/http://archinte.jamanetwork.com/article.aspx?articleid=1357513
7http://www.healthcmi.com/index.php/acupuncturist-news-online/607-acupunctureceuscostsavingspainrelief
8 Michael Haake, PhD, MD et al. Arch
Intern Med.
2007;167(17):1892-1898.
9http://www.nhmrc.gov.au/_files_nhmrc/file/nics/material_resources/july_2009_newsletter.pdf
10http://www.trialsjournal.com/content/pdf/1745-6215-12-241.pdf
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