Medication, including opioids, is commonly prescribed following surgery; and many veterans deal with chronic pain with opioids, independent of surgery. Exciting new research suggests veteran surgical candidates who receive acupuncture prior to their procedure experience less postsurgical pain and are less likely to require opioids – a win-win for both veterans and the acupuncture profession.
Study findings presented at the annual meeting of the American Society of Anesthesiologists (ASA), and subsequently detailed in an ASA press release, detailed the encouraging results involving more than 100 veterans randomly assigned to one of two groups prior to surgery.
In the first group, patients scheduled to undergo hip replacement received either traditional acupuncture (21 patients) or served as controls (also 21 patients). In the second group, patients scheduled to undergo one of several surgeries (gallbladder removal, hernia repair, etc.) received battlefield acupuncture (28 patients) or served as controls (36 patients). The press release did not specify when vets received acupuncture (i.e., how long before surgery).
In group #1, acupuncture recipients required nearly three times less morphine in the first 24 hours after surgery compared to controls. They also reported higher satisfaction scores regarding pain management, less pain and less anxiety than controls.
In group #2, patients receiving battlefield acupuncture required half the opioids 24 hours post-surgery compared to controls; and also had significantly lower pain scores, higher satisfaction scores, and reported minimal nausea / vomiting post-procedure (only 3 percent vs. 38 percent of controls).
The press release includes a great quote from lead study author Brinda Krish, DO, an anesthesiology resident at Detroit Medical Center: "Clearly it is crucial to have multiple options for treating pain, and acupuncture is an excellent alternative. It is safe, cost effective and it works."
Over my almost 30 years in clinical practice, I have used Chai Hu Long Gu Mu Li Tang extensively for a wide array of clinical presentations ranging from chronic headaches to anxiety, insomnia, and prescription drug withdrawal symptoms if these situations fit the appropriate patterns – all with extremely positive clinical outcomes.
There’s no doubt that many of your patients visit your practice because they are in pain. And there’s certainly no doubt that curcumin from turmeric (Curcuma longa) can be incredibly effective in stopping that pain, whether due to chronic conditions like arthritis or acute pain from intensive workouts. But your patients may also benefit from curcumin for other reasons.
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Low back pain is defined as pain the posterior superior iliac spine (PSIS), and it can be acute or chronic, localized or radiating. It is a common ailment for adults in the United States, with a lifetime prevalence as high as 65-80%. Whether or not an MRI is available to provide definitive knowledge of a structural issue, acupuncture can be an effective treatment for low back pain.
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