Analgesic effect of electroacupuncture in a mouse fibromyalgia. Acupuncture analgesia manual acupuncture or electroacupuncture ea has convincing therapeutic effects in various painful conditions, and these effects could last for a long period of time even hours after acupuncture application being terminated11. Electroacupuncture an overview sciencedirect topics. Hsu pain management center, santa monicaucla medical center and orthopedic hospital, 1245 16th street, suite 225, santa monica, california 90404, usa email. The qi travels through various channels in the body via meridians. Electrical devices can be internal or external, at the site of pain local or delocalized throughout the whole body. Acupuncture is believed to have started in china over 3000 years ago. Acupuncture anesthesia and analgesia for clinical acute pain in japan article pdf available in evidencebased complementary and alternative medicine 52. Which should i use, milliampere current or microampere current. More broadly, acupuncture is actually a family of different procedures. Successful practice of electroacupuncture analgesia in equine surgery eldessouky sheta 1, safwat ragab 2, haithem farghali 1, asmaa elsherif 3 1 department of surgery, anesthesiology and radiology, faculty of veterinary medicine, cairo university, cairo, egypt 2 department of anatomy and embryology, faculty of veterinary medicine, cairo. Despite the wide use of acupuncture for the management of visceral pain and the growing interest in the pathophysiology of visceral pain. Numerous studies show that acupuncture stimulation increases experimental pain threshold in various animal species 1,6. Since 1970, the mechanism of acupuncture analgesia has been broadly.
Acupuncture is a safe and acceptable form of analgesia, but none of the examined therapies provided optimal acute analgesia. When you have acupuncture, fine needles are put into your skin at specific points. Many other neuropeptides, mediators, and receptors are possible candidates for acupuncture analgesia and are the subject of further research. Peripheral mechanisms underlying acupuncture analgesia. However, from around 1980, the direction of acupuncture investigations turned from anesthesia to analgesia. We summarized that acupuncture enhances the descending inhibitory effect. Sedation effect of electroacupuncture is not mediated by benzodiazepinesgaba pathway. Neurological basis of pain and its possible relationship to. Even though acupuncture induced analgesia is being used in many pain management programs in the united states, the mechanism of action remains unclear. The effectiveness of acupuncture in providing acute analgesia for patients with back pain and ankle sprain was comparable with that of pharmacotherapy. Sims st georges hospital medical school, london, uk summary.
Sep 11, 20 acupuncture analgesia has been a common modality for management of acute and chronic pain. For this purpose, articles referring to the analgesic effect of acupuncture on neuropathic pain and particularly the work performed in our own laboratory were analyzed. Eapa is defined as electroacupuncture analgesia very rarely. A more advanced, communicationslevel technology medical device, known as an electroanalgesic medical device ead, appears to be much more potent in its ability to reduce or mitigate acute andor chronic intractable pain conditions than conventional tens technology. In chronic cervical or low back pain, auricular electroacupuncture was. Laser acupuncture was applied to both sides with 630 nm and 0,10,2 joule at each point which equals 2040 seconds at 5 mw.
The acupuncture analgesic effect has been mediated by descending inhibitory system and endogenous opioid 7. Professor jisheng han of beijing university states that when electrodes are placed on the surface of the skin, and when the point of stimulation is selected according to traditional acupuncture, the process is usually called electroacupuncture ea. Electroacupuncture ea, involving endogenous opioids and. Electroanalgesia is a form of analgesia, or pain relief, that uses electricity to ease pain. Opioid analgesics are generally used to combat the pain associated with cancerous conditions. Electro acupuncture device in clinical practice overview. Electroacupuncture is a form of acupuncture where a small electric current is passed between pairs of acupuncture needles. However, there is no clear data in the literature regarding the specific duration of analgesia induced by altens. In the late 1960s, chinese doctors also started to combine the use of electrical stimulation with acupuncture after some successful experiments with acupuncture anesthesia. Chen xh, han js 1992a all three types of opioid receptors in the spinal cord are important for 215 hz electroacupuncture analgesia. Effect of acupuncture on neurotransmittersmodulators springerlink.
These mechanisms of acupuncture analgesia may be involved in the alleviation of. Simon specialises in the integration of medical acupuncture techniques with manual therapy and therapeutic exercise for the treatment of musculoskeletal pain and dysfunction. Mechanism of acupuncture analgesia based on animal. What acupuncture can and cannot treat university of florida. For moderate pain, weak opioids such as codeine and tramadol are added to nonopioids andor adjuvants, as required. Electroanalgesic medical device practical pain management. Acupunctureinduced activation of endogenous opioid system.
Pdf acupuncture anesthesia and analgesia for clinical. In japan, hyodo reported 30 cases of acupuncture anesthesia in 1972. Acupuncture analgesia was based on the traditional chinese medicine theory of the balance of yin and yang to regulate the qi energy and blood. The results suggest that a combination of electroap.
Thus, in the present study, the effects of electro acupuncture. Analgesia, loss of sensation of pain that results from an interruption in the nervous system pathway between sense organ and brain. Electroacupuncture and stimulatory frequencies in analgesia, acupuncture concepts and physiology, marcelo saad, intechopen, doi. These agents not only inhibit respiratory function and cause constipation, but also induce other significant side effects such as addiction and tolerance, all of which further contribute to a reduced quality of life for cancer patients. Their electrical acupuncture devices were designed to apply electric current to needles inserted into acupoints.
South encyclopedia of life support systems eolss pain has a neuropathic component. Acupuncture for analgesia in veterinary medicine sciencedirect. It involves the insertion of thin needles into the skin to stimulate nerves, muscles, and connective tissues throughout the body with the goal of alleviating pain, tension, and stress. Their involvement in electroacupuncture analgesia is yet to be investigated. Pdf acupuncture anesthesia and analgesia for clinical acute. Pain pharmacology and analgesia encyclopedia of life. Acupuncture anesthesia has been practiced in china since about 1960.
Oct 21, 2014 in fact, a reduced need for opioidlikemedication in patients with chronic pain after acupuncture treatment has been reported. What is the difference between milliampere and microampere. Electro acupuncture is an acupuncture techniques that applies small electrical currents to needles that have been inserted at an specific acupuncture points. Mechanisms of electroacupunctureinduced analgesia on. This study examined the effects of needlefree electroacupuncture, at st36 on postoperative pain following hysterectomy.
In order to better understand the therapeutic effectiveness of acupuncture, questions about the means by which it operates need to be addressed. Jul 29, 2015 a post graduate diploma in medical acupuncture entitles him to accredited membership of the british medical acupuncture society. What are the contraindications for electro acupuncture. The mechanisms of acupuncture analgesia have been widely explored since 1970s. Successful practice of electroacupuncture analgesia in. The noradrenergic system has also been associated with acupuncture analgesia in experimental studies, where a decreased level of noradrenaline in the brain was observed after acupuncture induced analgesia. We studied the effects of acupuncture on local no levels and circulation in a randomized, doubleblind, crossover study with 20 volunteers, each of whom underwent one session each of real and noninvasive sham acupuncture in a single hand and forearm with a 1wk interval between treatments. Acupuncture has been used in china and other asian countries for the past 3000 yr. Based on a doubleblind, sham, and different intervention controlled clinical experimental design, 47 women were randomly allocated to four different groups. Central and peripheral mechanism of acupuncture analgesia on. Acupuncture enhances generation of nitric oxide and. With electroacupuncture, electricity provides the stimulationcalled estimand the acupuncturist controls its intensity by increasing or reducing the current. A study into the effect of ea on labor pain management that the application of electro acupuncture at exb2 and sp6 acupoints could be used as a nonpharmacologic method to reduce labor pain and shorten the duration of active phase of labor 1.
Electroacupuncture ea stimulation of these sites results in activation of descend. Kain, md, mba paul white, phd, md acupuncture has been used in china and other asian countries for the past 3000 yr. Mechanisms of acupunctureelectroacupuncture on persistent pain. All relevant data are within the paper and its supporting information files.
Recently, this technique has been gaining increased popularity among physicians and patients in the united states. Acupuncture enhances generation of nitric oxide and increase. Acupunctureanalgesiamediated alleviation of central sensitization. The mechanisms of acupuncture analgesia has been widely investigated, however, the underlying mechanism still not clear.
Acupuncture like tens altens is a treatment modality that can be used to temporarily reduce pain. Pdf electroacupuncture as peroperative analgesic method and. Spinal mechanisms beyand gate contral jurgen sandkuhler physiology and pathophysiology institute, university of heidelberg. Recently, increased nitric oxide no synthase activity has been found in meridians and acupoints. Acupuncture is now accepted as a complementary analgesic treatment. But plenty of people turn to acupuncture for pain relief. Electroacupuncture and stimulatory frequencies in analgesia. Various endogenous substances have been suggested as mediators of the analgesic effects apparently elicited by acupuncture. Neurological basis of pain and its possible relationship to acupuncture analgesia. Oxytocin, which is a known player in pain modulation, plays a role in acupuncture analgesia. Effect of electroacupuncture on substance p, its receptor and. The sedation effect of electroacupuncture on bilateral zusanli st. Pdf in a previous study on the effect of electroacupuncture ea in combination with a paracervical block pcb as an analgesic method during oocyte. Acupuncture is a traditional chinese practice of medicine that has gained popularity in western culture and around the world.
Duration of analgesia induced by acupuncturelike tens on. Where can i learn about clinical applications of electro acupuncture. Complementary therapies in medicine 1997 5, 102111 pearson professional ltd 1997 the mechanism of acupuncture analgesia. Acupunctures effects lesion of hypothalamus arcuate nucleus or depletion of pituitary endorphins elimination of acupuncture analgesia wang brain res 1990, cheng life sci 1979 intercollicular decerebration or thoracic cord transection eliminates effect on bladder of stimulating calf nerves mcpherson j phys 1966. Bian jt, sun mz, han js 1993 reversal of electroacupuncture tolerance by cck8.
Electroacupuncture analgesia how is electroacupuncture. What acupuncture can and cannot treat huisheng xie, dvm, phd carolina ortizumpierre, dvm department of large animal clinical sciences college of veterinary medicine university of florida, gainesville, fl 32610 abstract acupuncture has been used for over 2,000 years to treat a variety of diseases. Resultsneedle acupuncture as well as laser acupuncture at sp 6 has a. Pain and analgesia ad craig,barrow neurological institute, phoenix, arizona, usa ls sorkin,university of california, san diego, california, usa the accepted definition of pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. Acupuncture is an component of traditional chinese. Electroacupuncture for pain relief and more bottom line inc. With traditional acupuncture not using electricity, the practitioner can boost stimulation at a particular acupuncture point by twirling or otherwise manipulating needles. Pdf 5 electroacupuncture and stimulatory frequencies for. Because no is a key regulator of local circulation, and because change in circulation can. We are doing some work to elucidate the possible mechanisms of acupuncture and electroacupuncture analgesia by this.
Needlefree electroacupuncture for postoperative pain management. What does gabaergic neurotransmission system do in. Even though acupunctureinduced analgesia is being used in many pain management programs in the united states, the mechanism of action remains unclear. Cheng r, pomeranz b 1979 electroacupuncture analgesia could be mediated by at least two painrelieving mechanisms. Several studies demonstrate that electroacupuncture inhibits. Han department of physiology, beijing medical college, beijing china 83, l. Traditional acupuncture believes that energy called chi flows in the body. If youre in pain, the last thing you may want is someone sticking needles in you. The role of acupuncture in pain management springerlink.
782 987 1506 303 792 432 916 188 260 1568 1168 954 871 1531 200 73 1608 35 1423 1133 553 1413 1110 1401 728 423 711 980 1339 1349 978 1033