Medical AcupuncturePub Date : 2023-06-01Epub Date: 2023-06-15DOI: 10.1089/acu.2022.0074
Arnyce R Pock, Richard C Niemtzow, Songxuan Zhou Niemtzow, Erik K Koda
{"title":"Acupuncture and Static Multipolar Magnets: An Emerging Attraction?","authors":"Arnyce R Pock, Richard C Niemtzow, Songxuan Zhou Niemtzow, Erik K Koda","doi":"10.1089/acu.2022.0074","DOIUrl":"10.1089/acu.2022.0074","url":null,"abstract":"<p><strong>Objective: </strong>Magnetism has been known for >4,000 years. Recently static multipolar magnets have demonstrated analgesic clinical usefulness. Local application of magnets may be beneficial in reducing musculoskeletal pain, particularly when other modalities have failed. A recent series of clinical cases demonstrates how multipolar magnets may be incorporated as an effective adjunctive treatment in an acupuncture clinic.</p><p><strong>Materials and methods: </strong>PubMed database was searched using the key words: magnets, medical magnets, magnets and pain management, therapeutic magnets, multipolar magnets, and history of magnet therapy. In addition, clinical cases were submitted by 4 different medical acupuncturists as examples of how the use of multipolar magnets is incorporated into an acupuncture clinic.</p><p><strong>Results: </strong>Over the past 20 years, 143 articles fulfilled the search criteria and unfortunately demonstrated considerable variability in research methodology. Magnetic tapes, needles, and beads of various magnetic strengths constituted the stimulating apparatus with durations ranging from minutes to years. This article highlights 10 cases, 9 of which reflected situations in which the use of 1 or more multipolar magnets provided an enhanced analgesic effect, often when traditional acupuncture had either failed to produce a satisfactory response or when the application of acupuncture needles needed to be limited.</p><p><strong>Conclusion: </strong>Despite the variability of the literature review, it appears that magnetism is related to pain reduction, and when properly employed, it can be an effective and safe modality as demonstrated by a recent series of cases submitted from the practices of 4 different medical acupuncturists. A clinical trial incorporating the latest technology of multipolar magnets with steep field gradients should be initiated for the more formal investigation of magnet-induced analgesia.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"35 3","pages":"127-134"},"PeriodicalIF":1.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10282821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9710861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical AcupuncturePub Date : 2023-06-01Epub Date: 2023-06-15DOI: 10.1089/acu.2023.0015
Peter Dorsher
{"title":"Re: \"The Anatomical Specificity Between Acupoints and the Facial Nerve: A Cadaveric Study\" by Chiang and Martins.","authors":"Peter Dorsher","doi":"10.1089/acu.2023.0015","DOIUrl":"10.1089/acu.2023.0015","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"35 3","pages":"146-147"},"PeriodicalIF":1.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10282826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9710859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical AcupuncturePub Date : 2023-06-01Epub Date: 2023-06-15DOI: 10.1089/acu.2022.0021
Jiří Horníček, Peter Olšák, Petr Kolář, Barbora Kolářová
{"title":"Perspectives of Electroacupuncture as a New Option for the Treatment of Denervated Muscles.","authors":"Jiří Horníček, Peter Olšák, Petr Kolář, Barbora Kolářová","doi":"10.1089/acu.2022.0021","DOIUrl":"10.1089/acu.2022.0021","url":null,"abstract":"<p><strong>Introduction: </strong>Conservative treatment of peripheral nerve injuries is based on physical therapy approaches, including electrostimulation of denervated muscle. Electrostimulation retards denervation atrophy and prolongs the time window for axon reinnervation.</p><p><strong>Aim: </strong>This article focuses on the potential of electroacupuncture, which combines electrostimulation with acupuncture, in the context of the latest knowledge on the mechanisms of axonal regeneration.</p><p><strong>Results and conclusions: </strong>The possibilities of influencing the growth rate of the axon itself through neurotrophic factors have primarily been previously proven in rodent models. Electroacupuncture as mini-invasive electrostimulation using acupuncture needles appears to be a promising option for the treatment of peripheral nerve paresis. However, this therapy needs to be evaluated in the context of human medicine.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"35 3","pages":"107-110"},"PeriodicalIF":1.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10282816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9710865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical AcupuncturePub Date : 2023-06-01Epub Date: 2023-06-15DOI: 10.1089/acu.2023.29231.editorial
Jennifer A M Stone
{"title":"Artificial Intelligence-Generated Research in the Literature: Is It Real or Is It Fraud?","authors":"Jennifer A M Stone","doi":"10.1089/acu.2023.29231.editorial","DOIUrl":"10.1089/acu.2023.29231.editorial","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"35 3","pages":"103-104"},"PeriodicalIF":1.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10282784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10059547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical AcupuncturePub Date : 2023-06-01Epub Date: 2023-06-15DOI: 10.1089/acu.2023.0021
Jamie M Kitzman, Laura C Bowman, Yuan-Chi Lin
{"title":"Acupuncture in Addiction Medicine: Its History, Evidence, and Possibilities.","authors":"Jamie M Kitzman, Laura C Bowman, Yuan-Chi Lin","doi":"10.1089/acu.2023.0021","DOIUrl":"10.1089/acu.2023.0021","url":null,"abstract":"<p><p>Substance-use disorders (SUDs) and drug addiction are not only national, but also global health concerns that have worsened during and after the COVID-19 pandemic. Acupuncture augments the endogenous opioid system and, therefore, has a theoretical basis as a treatment for opioid use disorders (OUDs). The basic science of acupuncture, its clinical research in addiction medicine, and decades of success of the National Acupuncture Detoxification Association protocol offer positive findings supporting this protocol's utility for treating SUDs. Considering the mounting opioid/substance-use concerns and deficiencies in SUD treatment availability in the United States, acupuncture can be a safe, feasible treatment option and adjunct in addiction medicine. Furthermore, large governmental agencies are lending support to acupuncture for treating acute and chronic pain, which, in turn, could translate to prevention of SUDs and addictions. This article is a narrative review of the background, the basic science and clinical research, and future direction of acupuncture in addiction medicine.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"35 3","pages":"111-116"},"PeriodicalIF":0.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10282830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10299856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical AcupuncturePub Date : 2023-04-01Epub Date: 2023-04-13DOI: 10.1089/acu.2022.0012
Wahyuningsih Djaali, Christina L Simadibrata, Irma Nareswari, Nur Asniati Djaali
{"title":"Acupuncture Therapy for Peripheral Vestibular Vertigo (with Suspected Ménière's Disease).","authors":"Wahyuningsih Djaali, Christina L Simadibrata, Irma Nareswari, Nur Asniati Djaali","doi":"10.1089/acu.2022.0012","DOIUrl":"10.1089/acu.2022.0012","url":null,"abstract":"<p><strong>Background: </strong>Vertigo occurs in the balance system, both peripherally and centrally. Vertigo that occurs due to abnormalities in the peripheral balance system is called <i>peripheral vestibular vertigo</i>. Pharmacologic therapies, such as vestibular suppressants, antiemetics, and benzodiazepines, are often used for complaints of spinning dizziness, but these drugs are not indicated for long-term daily use. Acupuncture can be a therapeutic choice for treating vertigo.</p><p><strong>Case: </strong>Mrs. T.R., age 66, had episodic spinning dizziness for 18 months. Her dizziness recurred 3-4 times per month, and lasted ∼30 minutes to 2 hours. The dizziness was accompanied by cold sweating, but no nausea and vomiting. She also felt fullness in her right ear. A Rinne test was positive in both ears and a Weber test showed lateralization to the left. On a balance examination, the Fukuda stepping test showed 90° to the left. Her Vertigo Symptom Scale-Short Form (VSS-SF) score was 22. She was diagnosed with vestibular peripheral vertigo (Meniere's disease). Manual acupuncture therapy was performed 1-2 times per week at GV 20 (<i>Baihui</i>), TE 17 (<i>Yifeng</i>), GB 20 (<i>Fengchi</i>), LI 4 (<i>Hegu</i>), and LR 3 (<i>Taichong</i>).</p><p><strong>Results: </strong>After 6 sessions of acupuncture therapy, this patient no longer experienced spinning dizziness and her score on the VSS-SF questionnaire was reduced to 4.</p><p><strong>Conclusions: </strong>This case report shows that acupuncture therapy was very helpful for a patient with peripheral vestibular vertigo. Acupuncture can be used to treat patients who have vertigo and contraindications to pharmacologic therapies, and can to reduce side-effects of pharmacologic therapies. Further investigation of acupuncture therapy for peripheral vertigo is warranted.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"35 2","pages":"89-93"},"PeriodicalIF":1.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10122261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9389787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical AcupuncturePub Date : 2023-04-01Epub Date: 2023-04-13DOI: 10.1089/acu.2022.0046
Michael Freedman, Patricia Bierwirth
{"title":"Interosseous Membrane Stimulation: A Treatment for Painful Peripheral Neuropathy.","authors":"Michael Freedman, Patricia Bierwirth","doi":"10.1089/acu.2022.0046","DOIUrl":"10.1089/acu.2022.0046","url":null,"abstract":"<p><strong>Background: </strong>Painful peripheral neuropathy is a condition that may be associated with diabetes as well as other causes of neuropathy. Common treatments for the pain include topical application of capsaicin as well as using oral medications, typically gabapentin. The results are variable and rarely provide substantial lasting relief.</p><p><strong>Cases: </strong>This report describes how a simple and easy to perform acupuncture technique-interosseous membrane stimulation-was used to treat painful neuropathy in 3 patients: 1 with painful diabetic neuropathy; 1 with idiopathic painful neuropathy; and 1 with painful neuropathy caused by exposure to Agent Orange while serving in Vietnam.</p><p><strong>Results: </strong>The 3 patients had much relief from the pain associated with their neuropathy for several weeks at a time. With regular treatments, sustained relief was obtained any without the addition of new medication.</p><p><strong>Conclusions: </strong>Interosseous membrane stimulation is safe, simple, and effective for treatment of painful neuropathy. This treatment should be considered for patients who are suffering with painful neuropathy.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"35 2","pages":"73-75"},"PeriodicalIF":1.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10122244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9759179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical AcupuncturePub Date : 2023-04-01Epub Date: 2023-04-13DOI: 10.1089/acu.2022.0053
Ying-Ling Chen, Mark C Hou, Shun-Chang Chang, Chih-Chung Huang
{"title":"Using a Flipped Classroom to Compare 2 Ultrasonography Operating Methods to Improve Practice in Ultrasound Detection Acupuncture.","authors":"Ying-Ling Chen, Mark C Hou, Shun-Chang Chang, Chih-Chung Huang","doi":"10.1089/acu.2022.0053","DOIUrl":"10.1089/acu.2022.0053","url":null,"abstract":"<p><strong>Objective: </strong>Ultrasound (US) detection acupuncture (UDA) is an innovative acupuncture technique that uses ultrasonography (USG) to detect the depth of the lung before performing acupuncture on the points around the chest to avoid puncturing the lungs. For acupuncturists to use UDA appropriately, it is crucial to have a good operating method to identify the pleura with USG. This study compared 2 US operating methods through active learning in a \"flipped classroom\" setting for acupuncture students.</p><p><strong>Materials and methods: </strong>Students and interns were recruited to complete the UDA flipped classroom course and evaluate the operations of 2 US methods on either of 2 simulation models: (1) a single B-mode or (2) a combined M-mode + B-mode. Participants were interviewed and satisfaction surveys were administered to obtain feedback.</p><p><strong>Results: </strong>A total of 37 participants completed the course and evaluations. The combined mode had better measurement accuracy, acupuncture safety, and operating time (<i>P</i> < 0.05), and no pneumothoraxes occurred. Among both participant groups, the combined mode allowed the student group to learn quickly and the intern group to become more proficient. Both interviews and satisfaction surveys yielded positive feedback.</p><p><strong>Conclusions: </strong>Using a combined mode for UDA can improve its performance greatly. The combined mode is definitely helpful for learning and promotion of UDA.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"35 2","pages":"82-88"},"PeriodicalIF":1.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10196079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9495863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical AcupuncturePub Date : 2023-04-01Epub Date: 2023-04-13DOI: 10.1089/acu.2022.0051
Matthew Hawks, Erik Clauson, Pamela Hughes, Rebecca Lauters, Paul Crawford
{"title":"Treatment of Insertional Achilles Tendinopathy Using Adjunct Electroacupuncture Therapy: A Randomized Controlled Trial.","authors":"Matthew Hawks, Erik Clauson, Pamela Hughes, Rebecca Lauters, Paul Crawford","doi":"10.1089/acu.2022.0051","DOIUrl":"10.1089/acu.2022.0051","url":null,"abstract":"<p><strong>Objective: </strong>Achilles tendinopathy is a common musculoskeletal condition associated with decreased functionality. The insertional variant (<2cm from the calcaneus) is less responsive to eccentric-exercise therapy. This study looked at the effect of electroacupuncture (EA) + eccentric exercise for treating insertional Achilles tendinopathy.</p><p><strong>Materials and methods: </strong>Fifty-two active duty and Department of Defense beneficiaries older than 18 years of age with insertional Achilles tendinopathy were randomized to treatment with either eccentric exercise or eccentric exercise with EA. They were evaluated at 0, 2, 4, 6, and 12 weeks. The treatment group received EA treatment in the first 4 visits. The Victorian Institute of Sports Assessment-Achilles Questionnaire (VISA-A; scored 0-100; higher score = increased function) was used to assess the patients and patient-reported pain (0-10, increasing pain with score) pre- and post-demonstration of the exercises during each visit.</p><p><strong>Results: </strong>Both the treatment group (53.6% reduction; confidence interval [CI]: 2.1, 3.9; <i>P</i> < 0.001) and the control group (37.5% reduction; CI: 0.4, 2.9; <i>P</i> = 0.023) reported decreased pain between the first and last visit. The treatment group had reduced pain (mean difference [MD] = 1.0; <i>P</i> < 0.01) between pre- and post-eccentric-exercise performance at each visit, while the control group did not (MD = -0.3; <i>P</i> = 0.065). VISA-A scores did not show a difference in functional improvement between the groups (<i>P</i> = 0.296).</p><p><strong>Conclusions: </strong>EA as an adjunct to eccentric therapy significantly improves short-term pain control for insertional Achilles tendinopathy.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"35 2","pages":"76-81"},"PeriodicalIF":1.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10122242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9759180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical AcupuncturePub Date : 2023-04-01Epub Date: 2023-04-13DOI: 10.1089/acu.2022.0043
Andy Ishak, Yoshua Viventius, Hasan Mihardja, Wahyuningsih Djaali
{"title":"Re: \"Medical Acupuncture Increasing the Bandwidth of Speciality Care\" by Niemtzow: Medical Acupuncture in Indonesia.","authors":"Andy Ishak, Yoshua Viventius, Hasan Mihardja, Wahyuningsih Djaali","doi":"10.1089/acu.2022.0043","DOIUrl":"10.1089/acu.2022.0043","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"35 2","pages":"99-100"},"PeriodicalIF":1.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10122245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9389794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}