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How Acupuncture Works for Pain Relief
 
Birmingham Acupuncture provides acupuncture treatment for all Painful and emotional conditions in Solihull Birmingham West Midlands UK
 
Acupuncture is an ancient practice in which very fine needles are inserted into the skin at strategic points on the body to relieve pain and treat disease. The Chinese developed acupuncture centuries ago in accordance with the theory that energy flows through channels between the surface of the body and internal organs.
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Chinese medicine maintains that the more than 2,000 acupuncture points on the human body connect with 12 main and eight secondary “meridians” or channels. Pain and disease are the result of these channels becoming blocked. By placing needles at one end of the channel or the other, healthy energy can be restored.
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Western medicine’s view is that the placement of acupuncture needles at specific pain points releases endorphins and opioids, the body’s natural painkillers, and perhaps immune system cells as well as neurotransmitters and neurohormones in the brain. Research has shown that glucose and other bloodstream chemicals become elevated after acupuncture.
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According to the National Institutes of Health’s National Center for Complementary and Alternative Medicine, there is also evidence that stimulating acupuncture points enables electromagnetic signals to be relayed at a greater rate than under normal conditions. This may increase the flow of healing or pain-killing natural chemicals to injured areas.
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When pain is relieved, patients feel a greater sense of well-being overall, physically and emotionally. As a result, they may heal faster. This treatment can be an effective alternative to Physiotherapy, Chiropractors or Osteopaths treatment.

How is it done?
Acupuncture needles are metallic and sterile, used once and discarded. Needles are solid (not hollow, as are hypodermic or vaccination needles) and are slightly bigger than the width of human hair. Patients can feel the needle pierce the skin, but there is no pain. The puncture site is usually swabbed with a disinfectant beforehand. When the needle locates the trigger point, there may be a “grabbing” sensation, followed by a relaxed, heavy feeling and overall body warmth. Some patients even fall asleep during treatment. Side effects of acupuncture are rare, but there may be some soreness or light headedness following treatment.
There are several acupuncture methods beyond simply inserting needles. Sometimes a low electrical charge is sent through the needles and sometimes the needles are heated with a heat lamp or “moxa stick,” which is an herbal heat source that looks and burns like a cigar. Sometimes two needles are used at one trigger point. Sometimes the needles are twirled or manipulated by hand, and sometimes needles aren’t used at all, but trigger points are massaged instead.
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I have used acupuncture Pain Relief with success in treating conditions such as fibromyalgia (a chronic pain condition affecting muscles and connective tissues), chronic headaches, neck pain from whiplash, knee and hip pain from arthritis, chronic abdominal pain, asthma, pain caused by sickle-cell anemia and even shingles (a painful rash caused by a virus).

According to a National Institutes of Health panel, convened in November of 1997, clinical studies have shown that acupuncture is helpful in treating nausea caused by surgical anesthesia and cancer chemotherapy, dental pain after surgery, addiction, headaches, menstrual cramps, tennis elbow, fibromyalgia, myofascial (connective tissue) pain, osteoarthritis, lower back pain, carpal tunnel syndrome, asthma, and to assist in stroke rehabilitation. The World Health Organization lists more than 40 conditions for which acupuncture may be used.
  Acupuncture in Birmingham
A study on Acupuncture for Migraine Relief

Migraine headaches are also one of the leading causes of time missed from work. It is estimated that migraine sufferers lose more than 157 million workdays each year, leading to a loss of approximately 50 billion dollars per year due to absenteeism and medical expenses caused by headache. An additional four billion dollars a year is spent on pain relievers for migraines and other headaches, but many of these remedies either do not work as needed, or simply mask an underlying condition.

Figure II: Average per-patient migraine values at baseline, six and 12 months after initial treatment. In one of the largest studies of its kind to date, a team of investigators in Italy examined the effectiveness of acupuncture versus a variety of pharmacological therapies in treating migraines. Their results, published in a recent issue of the Journal of Traditional Chinese Medicine,2 revealed that patients given acupuncture experienced fewer migraine episodes, missed fewer days from work, and suffered no side effects compared to patients on conventional drug therapy. They also found acupuncture to be more cost-efficient, estimating a savings of hundreds of millions of dollars in private and social health expenditures if it were used to treat headaches alone instead of drugs.

A total of 120 subjects with a history of migraine headaches (without aura) were divided into two treatment groups of 60 patients each. The first group was treated with acupuncture (a maximum of three courses of 10 treatments twice a week, with a one-week break between each course). Acupuncture needles were applied to five points -- ST8; GB5; GB20; GV14; and LU7 -- with practitioners using the reducing method.

Figure III: Total work absences at baseline, six and 12 months after initial treatment. The second group of patients received drug therapy consisting of two or three treatments using a variety of pharmaceutical products (flunarizine; nimodipine; dihydroergotamine; lisuride; sumatriptam; or amitriptiline). A subgroup of pharmaceutical patients received a drug called longastatine, along with electrical stimulation.

All patients received a 30-minute medical examination at the beginning of the study, with 15-minute examinations at intervals of three, six and 12 months. For the month prior to the start of care, and for 12 months following the first course of treatment, patients were also given a set of monthly time-sheets and asked to track several criteria, including the duration and severity of symptoms; general psychological and physical condition; side-effects; and work absences.

To measure the daily impact of migraines, the researchers assigned values to the frequency, duration and severity of migraine symptoms. One unit of value was noted for each hour a patient had a migraine. If the migraine caused moderate pain, another unit was added; if the pain was intense, two units were added. Another unit was added if the migraine lowered the patient's quality of life during that hour; two units were added if the patient became bedridden because of the condition. At the end of each month, the units were totaled and expressed as a negative number, indicating the extent to which a patient's quality of life had been affected by migraine attacks.

Results

Statistical analysis of the groups found that acupuncture improved the symptoms of migraine without aura "more significantly" than any type of pharmacological therapy. Total symptom scores in the acupuncture group dropped more than 7,800 points from the start of study to six months after the first treatment; in comparison, scores in the drug therapy group dropped less than 4,500. Twelve months after the start of the study, total symptoms scores for patients using drug therapy were still nearly twice those compared to subjects treated with acupuncture (see Figure I).
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Figure IV: Side-effects experienced by drug therapy vs. acupuncture patients. These variations were also seen on an individual patient basis (see Figures II and III). Six months after receiving their first treatment, the average migraine value for a patient in the drug therapy group was 65.45, a reduction of nearly 46% from the start of care. For those in the acupuncture group, however, the results were even more dramatic: the average acupuncture patient's migraine values decreased nearly 80%, from 163.72 at the start of the study to just 33.17 six months later. Acupuncture patients also experienced considerably fewer absences from work in the second six months of treatment compared to drug therapy patients.

One of the most significant aspects of the study was that even though patients were asked to document any side-effects from treatment, none were reported by participants in the acupuncture group. According to the investigators, "no negative sign was highlighted" by subjects receiving acupuncture, leading to the conclusion that "the total absence of side-effects after acupuncture treatment can be affirmed."

Patients in the drug therapy group did not appear to fare as well (see Figure IV). Of the 60 patients given pharmaceuticals, over three-quarters - 47 - reported side-effects ranging from nausea and diarrhea to flatulence and burning sensations. For instance, 16 of the 19 patients given flunarizine reported an unwanted weight gain of 3-4 kilograms; all 19 patients taking supatriptam, meanwhile, complained of difficulty breathing, nausea, stuffiness in the chest, and occasional vomiting.

The researchers then extrapolated the information gleaned from the two groups and applied that data to the total number of patients in Italy affected by migraines without aura (approximately 800,000) to determine the costs if every migraine patient were treated with just acupuncture or just pharmaceuticals. The results were overwhelmingly positive for acupuncture, with an estimated cost savings of more than a trillion lira (approximately $653 million in U.S. currency at the time of the study) compared to drug therapy.


Analysis

While the value of acupuncture has gained a grudging acceptance by members of the medical community, few studies have examined the socioeconomic aspects of acupuncture compared to more "conventional" forms of care. The JTCM study addresses that issue while providing the groundwork for larger, more tightly controlled studies.

"Up to now, there has been neither precise data about these savings to the public, nor about the lack of risks for the patients treated with acupuncture for common diseases with a social cost," the investigators noted in their conclusion. "Today, thanks to this study, we have precise data which prove the exceptional usefulness of acupuncture."

The study also indicates that, contrary to those who would like to pigeonhole acupuncture into the realm of pain relief (and little else), it can do much more than just treat a painful condition. If research is conducted professionally and treatment is applied properly, acupuncture's reach can extend beyond the walls of a clinic or pain center to have a positive effect on a nation's social and financial well-being as well.

Birmingham ACUPUNCTURE 
   SOLIHULL   BIRMINGHAM West Midlands  UK