topics: evidence-based acupuncture, research literacy, communication with referring providers
Find yourself talking with physicians about acupuncture and the research base for acupuncture as an evidence-based non-pharm therapy for pain relief and recovery?
Mel Hopper Koppleman, MSc of A Better Way to Health and major contributor to the new, breakthrough international community project, Evidence-Based Acupuncture, recently answered the question,
"If you had to present 3 studies to a neurologist showing the efficacy of acupuncture for chronic pain which ones would you use?"
In just 16 minutes (perfect to watch during your lunch break!), Mel chooses several studies to meet 3 useful criteria when talking with a neurologist.
The criteria categories:
- the effects of acupuncture are long-term and thus acupuncture is not a placebo
- acupuncture treatment improves neuroplasticity
- acupuncture treatment affects the mu-opioid receptors (MOR)
Review your research literacy skills and learn why these 3 categories of research on acupuncture for pain are Mel's favorite when you watch this video.
This video is part of the EBA Connect resources. For full access, become an EBA Connect member.
Want to see more content
Pain Relief Effects of Acupuncture Tx Course Persisted
"Data on longer term follow available for 20 trials, including 6376 patients"
"90% of benefit of acupuncture relative to controls...sustained at 12 months"
A Course of Acupuncture Treatment Improves Neuroplasticity
- verum acupuncture demonstrated improvement in neuroplasticity
- verum acupuncture improved nerve conduction and cortical separation distance with sustained improvements still noted at the 3-month follow-up.
Useful 2014 review article by John McDonald, Allan Cripps, and Peter Smith about how acupuncture works from a biomedical perspective, based on recent mechanistic research: "Mediators, Receptors, and Signalling Pathways in the Anti-Inflammatory and Antihyperalgesic Effects of Acupuncture".
John L. McDonald, Allan W. Cripps, and Peter K. Smith, “Mediators, Receptors, and Signalling Pathways in the Anti-Inflammatory and Antihyperalgesic Effects of Acupuncture,” Evidence-Based Complementary and Alternative Medicine, vol. 2015, Article ID 975632, 10 pages, 2015. doi:10.1155/2015/975632
The Field of Acupuncture Research in Just 10 Minutes, another video with Mel
More about the Acupuncture in the Opioid Crisis, including resources on calculating morphine equivalent dosage (MED, MEQ), and review of systems with focus on side effects of opioid medications
A Validated Pain Scale for the Biopsychosocial, patient-centered clinic care model
The Studies Referenced in the Video
MacPherson, H., Vertosick, E.A., Foster, N.E., Lewith, G, Linde K, Sherman, K.J., et al. (2017). The persistence of the effects of acupuncture after a course of treatment: a meta-analysis of patients with chronic pain. Pain, 158(5), 784-793.
Jackson, J.L, Cogbill, E., Santana-Davila, R. and Eldredge, C. (2015). A comparative effectiveness meta-analysis of drugs for the prophylaxis of migraine headache. PLoS ONE.
Maeda, Y., Kettner, N., Lee, J., Kim, J., cina, S., Malatesta, C., et al. (2013). Acupuncture Evoked Response in Contralateral Somatosensory Cortex Reflects Peripheral Nerve Pathology of Carpal Tunnel Syndrome. Medical Acupuncture, 25(4), 275-284.
Harris, R.E., Zubieta, J.K., Scott, D.J., Napadow, V., Gracely R.H., and Clauw, D.J. (2009). Traditional Chinese Acupuncture and Placebo (Sham) Acupuncture Are Differentiated by Their Effects on 𝞵-Opioid Receptors (MORs). NeuroImage, 47(3), 1077-1085.