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Physical approaches to the management of back pain: III. Acupuncture

Mike Cummings

in Back Pain

Published on behalf of Oxford University Press

Published in print September 2012 | ISBN: 9780199609772
Published online October 2012 | e-ISBN: 9780191740886 | DOI: http://dx.doi.org/10.1093/med/9780199609772.003.0007

Series: Oxford Pain Management Library

Physical approaches to the management of back pain: III. Acupuncture

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• Acupuncture is a physical technique that works through stimulation of high threshold nerves in deep somatic tissues (usually muscle) • Acupuncture is effective in the short term for pain relief and functional improvement in chronic low back pain (in meta-analysis compared to no treatment or sham control) • In a large clinical trial, sham acupuncture performed twice as well as guideline based standard care in the treatment of chronic low back pain • Target-directed expectation and conditioning effects may contribute to the large effects seen in sham acupuncture groups in clinical trials.

Chapter.  4505 words.  Illustrated.

Subjects: Clinical Medicine ; Pain Medicine

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