Acupuncture Good For Lower Back Pain – Ulster Research

19th August 2009
A pilot study suggests that the treatment, when combined with exercise , is good for pain in the lower back.
Auricular acupuncture also appears to have a wider good-health impact on patients.

Details were presented to the prestigious North American Conference on Complementary and Integrative Medicine by Professor Suzanne McDonough, Dr Siobhan McCann and Ms Ruth Hunter from the Schools of Health Sciences and Psychology at Ulster.

They said small acupuncture needles in the ear are potentially a very cost effective and innovative approach that could be easily combined with other treatments such as exercise.

Professor McDonough said: The main findings from this study are that a combined approach – acupuncture and supervised exercise classes – improves the management of low back pain more than exercise classes alone.

These results are very timely, given the recent publication of National Institute for Health and Clinical Excellence (NICE) guidelines.

NICE is recommending a course of acupuncture or supervised exercise classes (as tested in the Ulster trial) for people with low back pain.  However, more work needs to be done on how these treatments might be combined in large scale studies in an NHS setting.

Dr McCann said the results produced evidence of well-being effects generally.

The participants reported that the programme had a range of psychological as well as physical benefits and the treatment had, for many, a huge impact on their quality of life.

The conference organisers received more than 1,000 research submissions. Of those selected for delivery, just 12% came from outside North America.

In their presentations, Professor McDonough and Miss Ruth Hunter, who is a PhD student, discussed how the project was developed and its key research findings, while Dr Siobhan McCann focused on the participants’ experiences of receiving acupuncture and exercise.

Auricular acupuncture is commonly used in the treatment of people with substance misuse to reduce cravings and other withdrawal symptoms. A recent and largely untested development has been the use of needles in the ear for treating painful conditions.

It is considered a microsystem of acupuncture and was developed in France after World War II by Dr Paul Nogier, who proposed that a relationship exists between different anatomic areas of the body and specific points on the ear.

The preliminary research study, which is part of an ongoing research programme at Ulster, was funded by the Public Health Agency for Northern Ireland through its Research and Development Office.

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Shiatsu, a specific type of massage, was used as an intervention in this study of 66 individuals complaining of lower back pain.

Each individual was measured on state/trait anxiety and pain level before and after four shiatsu treatments. Each subject was then called 2 days following each treatment and asked to quantify the level of pain.

Both pain and anxiety decreased significantly over time.

Extraneous variables such as gender, age, gender of therapist, length of history with lower back pain, and medications taken for lower back pain did not alter the significant results.

These subjects would recommend shiatsu massage for others suffering from lower back pain and indicated the treatments decreased the major inconveniences they experienced with their lower back pain.

PMID: 11847714 [PubMed - indexed for MEDLINE]

Moxibustion globes of glass by Wonderlane.

 

Do You Have Sciatica? An Overview of Sciatica Symptoms and Causes

Sometimes back pain is back pain. And when that’s the case, many of the back pain remedies we’ve been discussing on this blog can be a big help in providing pain relief.

Sometimes, however, back pain can be just the starting point and you may actually have sciatica. Scatica can develop slowly over time or happen suddenly. If you think you may have sciatic nerve pain, we recommend you visit your health care provider to and have them check you out and provide a diagnosis.

Sciatica is not so much a medical condition as it is a symptom. To help you determine if you have sciatica or not, here is a description of sciatica symptoms.

Numbness

Cramping

Shooting/aching pains that travel up and down your body

Burning sensation

Tingling When you’re suffering from sciatica, any of the above may be felt from your lower back to upper buttock down the thigh and leg to your foot. Also, it’s important to note that experiencing these symptoms every now and then may not indicate sciatica. Usually this symptoms must persist for at least a few days to get a diagnosis of sciatica. Sciatica can be caused by a few things:

Herniated/slipped disc A herniated or slipped disc that results in pressure on a nerve root can cause sciatica. In fact, this is the most common cause.

Spinal stenosis This happens when the spinal canal narrows and puts pressure on the nerves.

Piriformis syndrome The piriformis muscle is a muscle that is in your buttocks. This syndrome occurs when this muscle becomes tight or spasms and puts pressure on the sciatic nerve.

Spondyloslisthesis When one vertebra has some slippage and gets out of line with the one above it which narrows the opening that the nerve exits through.

Internal bleeding

Infection Sciatica can make life miserable and things like walking, bending or lifting almost impossible.

Rest can help alleviate sciatica symptoms, but again, if you think you may be suffering from sciatica, it’s best to visit your health care provider.

 

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