HEALTH ADVICE

October 25, 2024

How Acupuncture Works in Treating Chronic Pain

By Laurie Melrose-DoeringOsteopath & Applied Kinesiologist

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Acupuncture, an ancient practice rooted in Eastern medicine, involves the insertion of thin needles into specific points on the body to stimulate the flow of energy, known as qi. Aligned with traditional Chinese medicine principles, acupuncture focusses on balancing the body’s energy channels, or meridians. This stimulation releases natural painkillers such as endorphins and neurotransmitters. Scientific studies support acupuncture’s efficacy, making it a promising option for managing chronic pain alongside or independently of traditional methods.

Conditions Treated by Acupuncture

Acupuncture aims to relieve chronic pain in the following conditions

 

  • Chronic lower back pain
  • Migraines and headaches
  • Osteoarthritis
  • Neck pain
  • Fibromyalgia
  • Shoulder pain

Mechanisms of Action

  • Stimulating Endorphin Release

 

Inserting thin needles into specific points on the body can activate the nervous system, triggering the release of endorphins. Endorphins act as natural pain relievers, similar to morphine, reducing the perception of pain signals reaching the brain. Research has shown that acupuncture can significantly increase endorphin levels, contributing to pain relief. A study published in the Journal of Pain Research found that patients receiving acupuncture treatments had elevated endorphin levels, correlating with reduced pain scores. Another meta-analysis in Pain Management Nursing confirmed these findings, emphasising the role of endorphins in acupuncture’s pain-relieving effects.

 

  • Modulating Pain Perception

 

Acupuncture influences how the central nervous system processes pain. By stimulating specific points, it may help regulate pain pathways, potentially decreasing pain intensity and sensitivity. Studies have indicated that acupuncture can modulate the activity of brain regions involved in pain processing, such as the anterior cingulate cortex and thalamus.

 

Functional MRI (fMRI) studies, as reported in NeuroImage, have shown altered brain activity in response to acupuncture, suggesting a central mechanism in pain modulation. Further research in Pain Medicine supports the notion that acupuncture affects the brain’s pain pathways, leading to reduced pain perception.

 

  • Improving Blood Flow and Reducing Inflammation

 

Acupuncture increases blood circulation to targeted areas, promoting healing and reducing inflammation. This improved blood flow can potentially deliver oxygen and nutrients to promote tissue repair and decrease pain associated with inflammation. Evidence suggests that acupuncture can enhance microcirculation and reduce markers of inflammation, such as C-reactive protein.

 

A systematic review in the Journal of Alternative and Complementary Medicine highlighted acupuncture’s role in improving microcirculation. Clinical studies published in the Journal of Clinical Rheumatology have shown reductions in inflammatory markers following acupuncture treatments, indicating its potential in managing inflammation-related pain.

 

  • Promoting Relaxation and Reducing Stress

 

The act of acupuncture itself can be a relaxing experience. Additionally, it may activate the body’s relaxation response, potentially lowering stress hormones and promoting a sense of calm, which can indirectly contribute to pain management.

 

Studies have found that acupuncture can reduce levels of cortisol, a stress hormone, and enhance overall psychological well-being. A controlled study published in Stress and Health demonstrated significant reductions in cortisol levels among acupuncture patients. Comprehensive reviews in the Journal of Integrative Medicine have also noted the psychological benefits of acupuncture, including reduced anxiety and improved mood.

Chronic Pain Conditions Treated by Acupuncture

  • Chronic Lower Back Pain

 

Chronic lower back pain is one of the most common reasons people seek acupuncture. Studies have demonstrated that acupuncture can provide significant pain relief and improve function for individuals with chronic lower back pain.

 

A Cochrane review found that acupuncture is an effective treatment for chronic lower back pain, providing better outcomes than no treatment or conventional therapies alone. Another study in Spine reported that acupuncture significantly reduced pain and improved mobility in patients with chronic lower back pain.

 

  • Migraines and Headaches

 

Acupuncture has been shown to reduce the frequency and severity of migraines and tension headaches. It can be an effective alternative or complementary treatment for those suffering from chronic headaches.

 

A randomized controlled trial published in JAMA found that acupuncture significantly decreased the frequency of migraine attacks compared to sham acupuncture. Further research in Headache supports the effectiveness of acupuncture in reducing both the intensity and frequency of tension headaches.

 

  • Osteoarthritis

 

For individuals with osteoarthritis, particularly of the knee, acupuncture can help reduce pain and improve joint function. Research indicates that acupuncture may be as effective as conventional pain relief medications for osteoarthritis.

 

A study in the Annals of Internal Medicine found that acupuncture provided long-term pain relief and improved function in patients with knee osteoarthritis.

 

Comparative effectiveness research in Arthritis Care & Research also demonstrated that acupuncture was on par with nonsteroidal anti-inflammatory drugs (NSAIDs) in managing osteoarthritis pain.

 

  • Neck Pain

 

Acupuncture can alleviate chronic neck pain by reducing muscle tension and improving blood flow to the affected area. Studies have found that acupuncture can lead to significant pain relief and improved range of motion in individuals with neck pain.

 

A meta-analysis published in Pain Physician concluded that acupuncture is an effective treatment for chronic neck pain, significantly reducing pain intensity and improving mobility. Another systematic review in the Clinical Journal of Pain highlighted the benefits of acupuncture in managing neck pain, especially when combined with other treatments.

 

  • Fibromyalgia

 

Fibromyalgia, a condition characterized by widespread pain and fatigue, can be challenging to treat. Acupuncture has been found to reduce pain and improve quality of life for individuals with fibromyalgia.

 

A randomized controlled trial in Pain showed that acupuncture significantly reduced pain and fatigue in fibromyalgia patients. Additional research in the Journal of Musculoskeletal Pain noted improvements in quality of life and physical functioning following acupuncture treatments.

 

  • Shoulder Pain

 

Chronic shoulder pain, often due to conditions like rotator cuff tendinitis or bursitis, can benefit from acupuncture. Research supports acupuncture’s role in reducing shoulder pain and enhancing mobility.

 

Clinical trials published in the British Journal of Sports Medicine have shown that acupuncture effectively reduces shoulder pain and improves function. A study in the American Journal of Physical Medicine & Rehabilitation found that acupuncture was beneficial for patients with rotator cuff tendinitis, leading to significant pain relief and improved range of motion.

Acupuncture treatment at Aston Clinic London

If you’re considering acupuncture for chronic pain, consult with a licensed acupuncturist to discuss your specific needs and medical history.

 

Our acupuncturists at Aston Clinic London provide a patient-centred approach, ensuring personalised care. Many patients have benefitted from our treatment, and we are here to help you too.

 

To book a session with our practitioners, click here. Alternatively, you can contact us at 020 8942 3148 to learn how our treatments can benefit you.

 

Aston Clinic London is a third-generation complementary health clinic located in New Malden, serving Kingston, Norbiton, Wimbledon, Raynes Park, Surbiton, Chessington, Worcester Park, Sutton, Richmond, and other areas of southwest London and Surrey.

By Laurie Melrose-DoeringOsteopath & Applied Kinesiologist

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