One of the most frequent injuries suffered by professional athletes and weekend warriors alike is epicondylitis, an inflammation of the muscles and tendons of the forearm. More commonly known as tennis elbow, it is caused by repeated twisting of the wrist or frequent rotation of the forearm, and can lead to a weakened grip, elbow pain, and damage to the tendons that connect to the humerus, the bone of the upper arm.
Traditional treatment of tennis elbow consists of therapies such as braces, medications, heat, physical therapy and rest, the majority of which are effective in relieving pain but do very little to prevent the condition from recurring. Research from a pilot study presented at the annual meeting of the American Academy of Physical Medicine and Rehabilitation in San Francisco1 suggests that acupuncture not only relieves the symptoms of tennis elbow, it appears to resolve the condition completely.
In the study, Dr. Peter Dorsher, a medical doctor certified in acupuncture, performed acupuncture on 22 patients with varying degrees of tennis elbow. Dorsher used "rounded" acupuncture needles, which are designed to pierce the skin and enter the muscle with as little damage as possible. All of the patients were treated with French energetic meridian therapy, with needles inserted at local points on the elbow in tight myofascial bands.
Each patient was treated between 2-10 times. After an average of 3.9 treatments, a "maximal response" was achieved, with every patient reporting a disappearance of their symptoms. This response also appeared to last much longer than that usually seen in patients using painkillers, braces or other traditional methods. At a mean followup time of 8.5 months after receiving acupuncture, 17 patients (77.3%) experienced a resolution of their symptoms and had returned to full, normal activities; another two patients had returned to normal activities except those that involved heavy lifting in the affected arm.
Perhaps the most interesting aspect of Dorsher's study is that many patients had endured months of pain before turning to acupuncture. Subjects in the study group suffered symptoms an average of eight months; six patients had experienced symptoms for more than two years.
Furthermore, nearly every patient who participated had previously attempted to cure their tennis elbow through conventional means, with some patients trying multiple therapies without success before trying acupuncture. Of the 22 subjects in the study, 14 had undergone "extensive hand therapy interventions"; 17 had used an elbow brace or splint; seven received corticosteroid injections for pain relief; and one patient had elbow surgery, all without achieving the desired effect, before turning to acupuncture.
In an interview with Reuters Health, Dorsher said that it was unclear why acupuncture seemed to help patients in the early and latter stages of tennis elbow but added that the needles appeared to immediately loosen the tight muscles around the elbow joint. Acupuncture was found to be so helpful, he noted, that he now performs it as a primary form of treatment.
"This is an extremely powerful tool for pain," he said.2
Based on the pilot study's encouraging results, Dorsher plans to conduct a larger, prospective controlled study in the near future, with some patients receiving acupuncture and some receiving an inactive placebo.
References
Chronic pain afflicts over 20% of the adult population. Sadly, most MDs have essentially no education in treating pain, beyond offering a few toxic medications. Then they tend to steer people with pain away from those health practitioners who are trained. This puts the acupuncture community on the front lines for addressing this epidemic.
When the body is going through a stressful event, the sympathetic system is activated. This activation will help the body with a life-threatening situation. If this state is activated for prolonged periods of time, it starts to consume energy. These traumatic events that generate stressors in the autonomic nervous system (ANS) will eventually become internalized.
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One of the things that makes acupuncture so difficult to measure is that the medicine actually does contain some esoteric aspects. There have been numerous studies that demonstrate the neurochemical reasoning behind why acupuncture points stimulate the autonomic nervous system to enact change However, not all the benefits of TCM can easily be measured by randomized, controlled trials. But does that make them fundamentally and definitively untrue?
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