Acupuncture for chronic low back pain.

@article{Berman2010AcupunctureFC,
  title={Acupuncture for chronic low back pain.},
  author={Brian M. Berman and Helene M. Langevin and Claudia M Witt and Ronald Dubner},
  journal={The New England journal of medicine},
  year={2010},
  volume={363 5},
  pages={
          454-61
        }
}
A 45-year-old construction worker with a 7-year history of intermittent low back pain is seen by his family physician. The pain has gradually increased over the past 4 months, despite pain medications, physical therapy, and two epidural corticosteroid injections. The pain is described as a dull ache in the lumbosacral area with episodic aching in the posterior aspect of both thighs; it worsens with prolonged standing and sitting. He is concerned about losing his job, while at the same time… Expand
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157 Citations

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Citation Type

The effectiveness of acupuncture in treating chronic non-specific low back pain: a systematic review of the literature
TLDR
Some evidence is provided to support acupuncture as more effective than no treatment, but no conclusions can be drawn about its effectiveness over other treatment modalities as the evidence is conflicting. Expand
Acupuncture for Chronic Low Back Pain
Study Design. Multicenter, randomized, patient-assessor blind, sham-controlled clinical trial. Objective. To investigate the efficacy of acupuncture treatment with individualized setting for… Expand
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Moderate-certainty evidence was found that acupuncture may relieve pain in the immediate term (up to seven days) compared to sham intervention, and low- Certainty evidence that acupuncture seemed not to be more effective clinically in the short term for quality of life. Expand
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TLDR
The primary outcome is the score change of the Modified Roland-Morris Disability Questionnaire responses from baseline to week 8 and the secondary outcomes include the assessment of lower back pain and leg pain using the Numeric Rating Scale (NRS), the change in the number of steps per month, and the Assessment of the specific quality of life using the Swiss Spinal Stenosis Questionnaire (SSSQ). Expand
Acupuncture for Chronic Low Back Pain: A Multicenter, Randomized, Patient-Assessor Blind, Sham-Controlled Clinical Trial
TLDR
This randomized sham-controlled trial suggests that acupuncture treatment shows better effect on the reduction of the bothersomeness and pain intensity than sham control in participants with cLBP. Expand
[Acupuncture for pain and allergic rhinitis-from clinical experience to evidence].
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Acupuncture is effective in chronic pain disorders such as chronic knee joint pain in osteoarthritis, migraine, tension headache, chronic lumbar spinePain, chronic cervical spine pain, shoulder pain, dysmenorrhea, and fibromyalgia under routine conditions. Expand
Electroacupuncture treatment for Knee Osteoarthritis: a case report
TLDR
A 58-year-old woman with knee pain who underwent electroacupuncture therapy for pain relief after 4 weeks of treatment found that her knee pain alleviated, and swelling and stiffness in her knee joints also resolved. Expand
Utility of a Standardized, Multidisciplinary Rehabilitation Program for Chronic Low Back Pain
The relative effectiveness of a multidisciplinary outpatient rehabilitation program, designed for patients with chronic lumbar disorders, was assessed. Patient outcome data over two years were… Expand
Integrative treatment package for degenerative disc disease in the lumbar spine: A retrospective case series
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This study describes the use of acupuncture-related modalities and raises the possibilities of their use in combination therapy for the improvement of function and pain management in patients with DDD. Expand
Acupuncture and Small Needle Scalpel Therapy in the Treatment of Calcifying Tendonitis of the Gluteus Medius: A Case Report
TLDR
The case is presented of a 68-year-old man with calcifying tendonitis involving the lateral part of the gluteus medius who was treated with acupuncture and small needle scalpel therapy and revealed complete disappearance of the calcific deposits. Expand
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References

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TLDR
There is a paucity of high-quality research assessing efficacy of acupuncture in the management of LBP, and it is imperative that further research be performed, both preclinical to help elucidate the mechanisms underlying acupuncture, and clinical to justify its clinical application. Expand
Evidence-informed management of chronic low back pain with needle acupuncture.
TLDR
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Acupuncture for low back pain.
TLDR
There was limited evidence from eight trials that acupuncture is not more effective than placebo or sham acupuncture for the treatment of chronic low back pain. Expand
Diagnostic Evaluation of Low Back Pain with Emphasis on Imaging
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Taking a history is more useful than physical examination in screening for underlying malignancy, at least in the early stages (Table 2) (7, 10). Expand
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TLDR
At equal levels of pressure, patients with CLBP or fibromyalgia experienced significantly more pain and showed more extensive, common patterns of neuronal activation in pain-related cortical areas, consistent with the occurrence of augmented central pain processing in patients with idiopathic CLBP. Expand
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TLDR
It is suggested that SMT does not provide a more clinically beneficial effect compared with sham, passive modalities or any other intervention for treatment of chronic low-back pain, and acupuncture provides a short-term clinically relevant effect when compared with a waiting list control or when acupuncture is added to another intervention. Expand
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TLDR
Weak evidence was found of an effect of acupuncture on persistent non-specific low back pain at 12 months, but stronger evidence of a small benefit at 24 months, and Referral to a qualified traditional acupuncturist for a short course of treatment seems safe and acceptable to patients with low backPain. Expand
Acupuncture in patients with chronic low back pain: a randomized controlled trial.
TLDR
Acupuncture was more effective in improving pain than no acupuncture treatment in patients with chronic low back pain, whereas there were no significant differences between acupuncture and minimal acupuncture. Expand
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