Search JIM Advanced Search

Journal of Integrative Medicine ›› 2019, Vol. 17 ›› Issue (2): 71-76.doi: 10.1016/j.joim.2019.01.005

• Global Views •     Next Articles

Discussions on real-world acupuncture treatments for chronic low-back pain in older adults

Arthur Yin Fana,b(), Hui Ouyanga,c, Xinru Qiana,d, Hui Weia,e, David Dehui Wanga,f, Deguang Hea,g, Haihe Tiana, h, Changzhen Gonga,i, Amy Mateckia, j, Sarah Faggert Alemia, k   

  1. a American TCM Association (ATCMA), Vienna, VA 22182, USA
    b McLean Center for Complementary and Alternative Medicine, PLC, Vienna, VA 22182, USA
    c YIN & YANG Healthcare, Friendswood, TX 77546, USA
    d Rusk Rehabilitation at NYU Langone Health, New York, NY 10016, USA
    e Wei’s Chinese Medical Center, Lake Worth, FL 33467, USA
    f Ohio State Integrative Medicine, Wexner Medical Center, Ohio State University, Columbus, OH 43221, USA
    g New England School of Acupuncture, Newton, MA 02458, USA
    h Chinese Acupuncture and Herbs Center, Largo, FL 33778, USA
    i American Academy of Acupuncture & Oriental Medicine, Roseville, MN 55113, USA
    j Division of Integrative Medicine, Alameda Health System Affiliated with School of Medicine, University of California San Francisco, Oakland, CA 94602, USA
    k Eastern Roots Wellness, PLC, McLean, VA 22101, USA
  • Received:2019-01-03 Accepted:2019-01-11 Online:2019-03-06 Published:2019-05-17

Chronic low-back pain (CLBP) is one of the most common pain conditions. Current clinical guidelines for low-back pain recommend acupuncture for CLBP. However, there are very few high-quality acupuncture studies on CLBP in older adults. Clinical acupuncture experts in the American Traditional Chinese Medicine Association (ATCMA) were interested in the recent grant on CLBP research announced by the National Center for Complementary and Integrative Health. The ATCMA experts held an online discussion on the subject of real-world acupuncture treatments for CLBP in older adults. Seven participants, each with more than 20 years of acupuncture practice, discussed their own unique clinical experience while another participant talked about the potential mechanism of acupuncture in pain management. As a result of the discussion, a picture of a similar treatment strategy emerged across the participants for CLBP in older adults. This discussion shows that acupuncture may have complicated mechanisms in pain management, yet it is effective for the treatment of chronic pain involving maladaptive neuroplasticity; therefore, it should be effective for CLBP in older adults.

Key words: Acupuncture, Pragmatic clinical trials as topic, Real world, Treatment strategies, Low-back pain, Older adults, Discussion

[1] Sherman Gu, Arthur Yin Fan. Controversial conclusions from two randomized controlled trials for acupuncture's effects on polycystic ovary syndrome or in vitro fertilization support. Journal of Integrative Medicine, 2020, 18(2): 89-91.
[2] Arthur Yin Fan, David Dehui Wang, Hui Ouyang, Haihe Tian, Hui Wei, Deguang He, Changzhen Gong, Jipu Wen, Ming Jin, Chong He, Sarah Faggert Alemi, Sudaba Rahimi. Acupuncture price in forty-one metropolitan regions in the United States: An out-of-pocket cost analysis based on OkCopay.com. Journal of Integrative Medicine, 2019, 17(5): 315-320.
[3] Tamer Aboushanab, Mohamed Khalil, YaserAl Ahmari. The present state of complementary medicine regulation in Saudi Arabia. Journal of Integrative Medicine, 2019, 17(3): 147-149.
[4] Xin-yu Yue, Zhuo-qi Feng, Xi-yi Yu, Jia-min Hu, Xiao-Jing He, Shi Shu. Fire-needle acupuncture for upper limb spastic paralysis after stroke: Study protocol for a randomized controlled trial. Journal of Integrative Medicine, 2019, 17(3): 167-172.
[5] Ya-ru Huangfu, Wei Peng, Bao-jun Guo, Zhi-fu Shen, Li Li, Shi-wei, Liu, Hui Zheng, You-ping Hu. Effects of acupuncture in treating insomnia due to spleen-stomach disharmony syndrome and its influence on intestinal microbiome: Study protocol for a randomized controlled trial. Journal of Integrative Medicine, 2019, 17(3): 161-167.
[6] Michelle T. Jesse, Mathew Kulas, Josephine Unitis, Nemie Beltran, Marwan Abouljoud. Acupuncture in living liver and kidney donors: a feasibility study. Journal of Integrative Medicine, 2019, 17(1): 3-7.
[7] Jillian Marie McDowell, Susan Heather Kohut, Debra Betts . Safe acupuncture and dry needling during pregnancy: New Zealand physiotherapists’ opinion and practice. Journal of Integrative Medicine, 2019, 17(1): 30-37.
[8] Fung-Kei Cheng. An overview of the contribution of acupuncture to thyroid disorders. Journal of Integrative Medicine, 2018, 16(6): 375-383.
[9] Arthur Yin Fan, Sarah F. Alemi, Yingping H. Zhu, Sudaba Rahimi, Hui Wei, Haihe Tian, Deguang He, Changzhen Gong, Guanhu Yang, Chong He, Hui Ouyang . Effectiveness of two different acupuncture strategies in patients with vulvodynia: Study protocol for a pilot pragmatic controlled trial. Journal of Integrative Medicine, 2018, 16(6): 384-389.
[10] Xin-fang Zhang, Shui-ying Xiang, Wen-ye Geng, Wen-juan Cong, Jing Lu, Chuan-wei Jiang, Kun Wang, Zi-bing Liu . Electro-acupuncture regulates the cholinergic anti-inflammatory pathway in a rat model of chronic obstructive pulmonary disease. Journal of Integrative Medicine, 2018, 16(6): 418-426.
[11] Jia Xu, Fu-qing Zhang, Jian Pei, Jun Ji . Acupuncture for migraine without aura: A systematic review and meta-analysis. Journal of Integrative Medicine, 2018, 16(5): 312-321.
[12] Nobuari Takakura, Miho Takayama, Morihiro Nasu, Masako Nishiwaki, Akiko Kawase, Hiroyoshi Yajima . Patient blinding with blunt tip placebo acupuncture needles: Comparison between 1 mm and 2 mm skin press. Journal of Integrative Medicine, 2018, 16(3): 164-171.
[13] Ching-Feng Su. Home care with acupuncture increased the quality of life in a patient with advanced cancer with neuropathic pain induced by bone metastasis: A case report. Journal of Integrative Medicine, 2018, 16(3): 208-210.
[14] Arthur Yin Fan, Sarah Faggert. Distribution of licensed acupuncturists and educational institutions in the United States in early 2015. Journal of Integrative Medicine, 2018, 16(1): 1-5.
[15] Rong-lin Cai, Guo-ming Shen, Hao Wang, Yuan-yuan Guan. Brain functional connectivity network studies of acupuncture: A systematic review on resting-state fMRI. Journal of Integrative Medicine, 2018, 16(1): 26-33.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] Yi-ting He, Qing-lin Zha, Jian-ping Yu, Yong Tan, Cheng Lu, Ai-ping Lv. Principal factor analysis of symptoms of rheumatoid arthritis and their correlations with efficacy of traditional Chinese medicine and Western medicine. Journal of Chinese Integrative Medicine, 2008, 6(1): 32-36
[2] Dong Yang, Yong-ping Du, Qing Shen, Wei Chen, Yan Yu, Guang-lei Chen. Expression of alpha-smooth muscle actin in renal tubulointerstitium in patients with kidney collateral stasis. Journal of Chinese Integrative Medicine, 2008, 6(1): 41-44
[3] SUN Ming-yu, ZUO Jian, DUAN Ji-feng, HAN Jun, FAN Shi-ming, ZHANG Wei, ZHU Li-fang, YAO Ming-hui. Antitumor activities of kushen flavonoids in vivo and in vitro. Journal of Chinese Integrative Medicine, 2008, 6(1): 51-59
[4] Hai-feng Wei, Bai-liu Ya, Ling Zhao, Cui-fei Ye, Li Zhang, Lin Li. Evaluation of tongue manifestation of blood stasis syndrome and its relationship with blood rheological disorder in a rat model of transient brain ischemia. Journal of Chinese Integrative Medicine, 2008, 6(1): 73-76
[5] Xi Lin, Jian-ping Liu. Tai chi for treating rheumatoid arthritis. Journal of Chinese Integrative Medicine, 2008, 6(1): 82
[6] Guo-hong Yuan, Xiao-jing Pang, He-chao Ma. Synergic effects of Danggui Buxue Decoction in reducing toxicity of cytoxan in tumor-bearing mice. Journal of Chinese Integrative Medicine, 2008, 6(1): 83-88
[7] Ning-qun Wang, Liang-duo Jiang, Zong-xing Li. Research progress in asthma-related quality of life. Journal of Chinese Integrative Medicine, 2008, 6(1): 93-97
[8] Daniel Weber, Janelle M Wheat, Geoffrey M Currie. Inflammation and cancer: Tumor initiation, progression and metastasis,and Chinese botanical medicines. Journal of Chinese Integrative Medicine, 2010, 8(11): 1006-1013
[9] Yan-bo Zhu , Qi Wang, Cheng-yu Wu, Guo-ming Pang, Jian-xiong Zhao, Shi-lin Shen, Zhong-yuan Xia , Xue Yan . Logistic regression analysis on relationships between traditional Chinese medicine constitutional types and overweight or obesity. Journal of Chinese Integrative Medicine, 2010, 8(11): 1023-1035
[10] Jing-yuan Mao, Chang-xiao Liu, Heng-he Wang, Guang-li Wei , Zhen-peng Zhang, Jie Xing, Wang Xian liang , Ying-fei Bi . Effects of Shenmai Injection on serum concentration and pharmacokinetics of digoxin in dogs with heart failure. Journal of Chinese Integrative Medicine, 2010, 8(11): 1070-1074