Pathologies

Library

Il existe de plus en plus de preuves scientifiques sur les bienfaits de l´acupuncture dans le traitement de nombreuses maladies.

Pour certaines maladies dont l´évidence scientifique sur son efficacité reste insuffisante, néanmoins il existe une claire évidence clinique.

Les pathologies que nous traitons habituellement:

Digestif
Ulcère gastrique et duodénal, gastrite, syndrome du colon irritable, diarrhée, constipation, nausées, vomissements, douleurs abdominales, hoquet chronique, dysphagie, dyspepsie, ballonements, hémorroides...

Ostéo-articulaire
Lombalgie,cervicalgie, sciatique, torticolis, contractures musculaires, hernie discale, tendinite, épicondylite, douleur à l´épaule, disfonction de l´articulation temporo-mandibulaire, pathologies ligamentaires...

Rhumatologie
Arthrose, arthrite rumatoïde, polyarthrite, arthralgies, spondylarthrite ankylosante...

Neurologie
Accidents vasculo-cérébraux, hémiplégie, migraine, céphalée, paralysie faciale, névralgie du trijumeau, paresthésies, vertiges, tics...

Troubles émotionnels
Anxiété, dépression, stress et états de tension, neurosis, insomnie, dystonie neurovégétative, désintoxication au tabac, alcool et dépendances pharmacologiques...

Dermatologie
Dermatite, eczéma, urticaire, herpés zoster, acné, alopécie...

Génito-urinaire
Problèmes menstruels, altération de la ménopause, correction de la malposition fétale, pauvre production de lait, impuissance, stérilité, éjaculation précoce, dysurie, prostatisme, incontinence urinaire, cystite, rétention de liquides, oedèmes...

Rhino-laryngologie
Pharyngite et amygdalite chronique, rhinite, sinusite, aphonie, sourdité, acouphènes...

Autres maladies
Fibromyalgie, sindrome de fatigue chronique, hipersensibilité chimique multiple, varices, hipertension et hypotension, complications du diabètes, conjonctivite et blépharite chroniques, maux de dents, gingivite, soins palliatifs des maladies dégénératives et néoplassiques...

ACUPUNCTURE UPDATE.

On February 26, 2011, was first performed at the Official College of Physicians of Barcelona, a scientist Update Acupuncture.

Speakers:

Dr. Mike Cummings. Medical director of the British Medical Acupuncture Association (BMAA). Editor of the journal Acupuncture in Medicine,  

Dr. Ishar Dalmau i Santamaria. MD. Associate Professor, Department of Cell Biology, Physiology and Immunology at UAB (Barcelona Autonomous University). Researcher of the research group of unconventional therapies INTEGRA GRISC / EPSI-UAB.

Dr. Albert Garcia i Janeras. President of the Medical Acupuncture Section of of Official Medical College of Barcelona. Professor of the Masters of Acupuncture Universities of Barcelona (IL3-UB), Lleida and Santiago de Compostela, and the Acupuncture Postgraduate at University of Oporto,

Dr. Pere Marco i Aznar. Scientific Society of Acupuncture of Catalonia and the Balearic Islands Chairman. Catalonia International University (UIC) Acupuncture Associate Professor. Professor of the Acupuncture's Master of University of Barcelona (IL3-UB) .

Dr. Jorge Vas Ruiz. Co-Scientific Director of the Acupuncture's Master of.Universidad Pablo de Olavide. Responsible for the Pain of Health Center of Dos Hermanas. Seville. Investigator of Andalusia Comunity on Acupuncture's application in the painful process.

Dr. Miquel Vilardell i Tarres. President of Official Medical College of Barcelona. UAB Professor of Internal Medicine. Internal Medicine Chief, Hospital Vall d'Hebron in Barcelona.

CONCLUSIONS

In the last ten years there has been an exponential number of clinical studies of acupuncture in journals of high impact factor. This is due to the especial research programs which began in October 2000 in Germany, and presenting results of effectiveness and efficiency, cost effectiveness and safety of acupuncture in certain diseases. These unprecedented programs randomized studies over a large population, some with placebo and other control compared with conventional treatment.

New studies have made possible, because of systematic reviews to start the recommendation process for the inclusion of acupuncture in our health systems.

The treatment of nausea and their postoperative vomiting with acupuncture is more than validated by five systematic reviews, most recently, a Cochrane review in 2009 of Lee & Fan 1. The contribution of this dysfunction postoperative acupuncture is very useful and simple non-drug, because it is based on a single point on the forearm.

Chronic headache Cochrane has three positive, two of Klaus Linde in 2009 2.3 relative to migraine and tension headaches by, and the oldest, Melchart in 2001 for idiopathic headache.

In chronic low back pain, there are currently four systematic reviews. Threse reviews are inconclusive but encouraging. The last one, published in Cochrane by Furlan et al 4 noted that there is evidence that acupuncture, combined with conventional therapies, reduces pain and works in chronic low back pain although studies are still scarce to dictate conclusions. These publications have been made by the American Medical Association in conjunction with the American Pain Society which has published guidelines where is indicated as a treatment option 5.6 and in 2010 an article appears in the New England recommending acupuncture for chronic low back pain unresponsive to standard therapy 7. Relating to back pain, a multicentrer randomized study of Jorge Vas 8 shows that acute nonspecific low back pain, acupuncture achieves a significant clinical improvement compared to conventional treatment at 3 weeks of onset. These results hold for the secondary endpoints of time off work and stay in pain-free rate at 3 weeks.

Today, we know thanks to three systematic reviews, the last one Cochrane Manheimer of 2010 9 that there are statistically significant benefit of acupuncture treatment for osteoarthritis knee pain compared with placebo acupuncture and the control group the waiting list. 10,11,12,13 Other studies indicate that acupuncture as an adjunct to pharmacological therapy in osteoarthritis of the knee is more effective than single drug therapy in reducing pain and stiffness and improved physical function and quality of life.

In a recent systematic review and meta-analysis of Jorge Vas14, proves that for the correction of non-cephalic fetal presentation, moxibustion acupuncture point Bladder-67 is beneficial, alone or in combination with acupuncture or with measures posture, compared with observation or isolated postural measures. Although not conclusive, the technique is shown to reduce certain complications of non-cephalic presentation.

In addition to these revisions, we also have a positive randomized study of Molsberger in 2010 15, comparing real acupuncture with sham acupuncture, concluding that the acupuncture based on Chinese medicine is an effective alternative to conventional treatment in chronic shoulder pain. 16,17,18 Other studies say that acupuncture with physiotherapy improves function and shoulder pain compared with physiotherapy as the sole treatment. This improvement was accompanied by a reduction in consumption of analgesics. Clinical improvement was maintained during the monitoring year. Being a simple and safe technique makes recommended as adjuvant treatment of subacromial pathology.

We also have a randomized and controlled study which shows that the treatment of chronic neck pain with acupuncture is more effective than placebo, and has a safety profile that allows its routine use in clinical practice. 19

We know that acupuncture can be an effective method in treating musculoskeletal pain unrelated to cancer presenting no serious adverse effects and significantly reducing the consumption of analgesics and anti-inflammatory 20.

It has also been shown to be effective in the treatment of overactive bladder due to a clinical trial, double-blind aleatoritzado a stimulation technique that uses electro-tibial nerve at a point on the outer ankle area 21.

On the other hand, there has been a dramatic increase in the basic research that are outstanding Elisabeth Stener-Victorin, Thomas Lundeberg, especially in the study of the effects of acupuncture at gynecologic have demonstrated in experimental mice increases uterine arterial circulation and can have positive results, among others, in the treatment of polycystic ovaries in women, 22,23,24.

This update has been collected and released scientific advances, despite the great difficulties the basic and clinical research in acupuncture. It has been found necessary to create and fund research groups, primary care centers, hospitals and universities, to continue working on new research that integrate acupuncture as a medical procedure more in the field of medicine pathologies current in their proven useful.

It will have to assess that, in the patologies which currently there is enough evidence of efficacy and effectiveness, can take the necessary measures that acupuncture is used on a regular, conventional and articulated in the public health system and private sectors.

BIBLIOGRAPHY

1 - Lee A, Fan LT. Stimulation of the wrist acupuncture point P6 for Preventing Postoperative Nausea and Vomiting. Cochrane Database Syst Rev. 2009 Apr 15; (2): CD003281.

2 - Linde K, Allais G, Brinkhaus B, Manheimer E, Vickers A, White AR. Acupuncture for tension-type headache. Cochrane Database Syst Rev. 2004; (3): CD003281.

3 - Linde K, Allais G, Brinkhaus B, Manheimer E, Vickers A, White AR. Acupuncture for migraine Prophylaxis. Cochrane Database Syst Rev. 2009 Jan 21; (1): CD001218. Review.

4 - Furlan AD, van Tulder MW, Cherkin DC, Tsukayama H, Lao L, Koes BW, Berman BM. Acupuncture and dry-needling for low back pain. Cochrane Database Syst Rev. 2005 Jan 25; (1): CD001351. Review.

5 -. Chou R, Qaseem A, Snow V, et al. Diagnosis and Treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med 2007; 147:478-91.

6 -. Chou R, Huffman LH. Nonpharmacologic therapies for acute and chronic low back pain: a review of the Evidence for an American Pain Society / American College of Physicians clinical practice guideline. Ann Intern Med 2007; 147:492-504.

7 - Brian M. Berman, M.D., Helene M. Langevin, M.D., Claudia M. Witt, MD, MBA, and Ronald Dubner, DDS, Ph.D. Acupuncture for Chronic Low Back Pain .. N Engl J Med 2010; 363:454-61.

8 - Vas J, Perea-Milla E, Mendez C, Silva LC, Herrera Galante A, Aranda JM Regules, DM Martinez Barquin, Aguilar Y, Faus V: Efficacy and safety of acupuncture for the Treatment of acute non-specific low back pain : a Multicentre Randomised controlled trial protocol [ISRCTN65814467]. BMC Complement Altern Med 2006, 6 (1): 14.

9 - Manheimer E, Cheng K, Linde K, Lao L, Yoo J, Wieland S, van der Windt DA, Berman BM, Bouter LM. Acupuncture for peripheral joint osteoarthritis. Cochrane Database Syst Rev. 2010 Jan 20; (1): CD001977. Review.

10 - Vas J, Mendez C, Perea-Milla E, Vega E, Panadero MD, Leon JM, Borge MA, Gaspar O, Sanchez-Rodriguez F, Aguilar Y, Jurado R: Acupuncture as a complementary therapy to the pharmacological Treatment of osteoarthritis of the knee: Randomised controlled trial. BMJ 2004, 329 (7476): 1216-1219.

11 - Vas J, Perea-Milla E, Mendez C. Acupuncture as a complementary therapy to pharmacological treatment of osteoarthritis of the knee. Gac Sanit 2004, 18 [S3]: 80.

12 - Vas J, Mendez C, Perea-Milla E: Acupuncture vs. needle in knee osteoarthritis Streitberger - an RCT. Acupunct Med 2006, 24 Suppl S15-S24.

13 - You J, White A: Evidence from RCTs on optimal acupuncture for knee osteoarthritis Treatment - an exploratory review. Acupunct Med 2007, 25 (1-2): 29-35.

14-You J, Aranda JM, Nishishinya B, Mendez C, Martin MA, Pons J, Liu JP, Wang CY, Perea-Milla E: Correction of presentation with moxibustion nonvertex: a Systematic Review and metaanalysis. Am J Obstet Gynecol 2009, 201 (3): 241-259.

15 - Molsberger AF, Schneider T, Gotthardt M, Drabik A. German Acupuncture Randomized Trial for chronic shoulder pain (GRASP) - a pragmatic, controlled, patient-blinded, multi-center trial in an outpatient care environment. Pain. 2010 Oct, 151 (1) :146-54. Epub 2010 July 23

16 - Vas J, Perea-Milla E, Mendez C, Herrera GA, Madrazo C, Medina Y, Ortega C, Olmo V, FF Perez, Hernandez L, Seminario JM, Brioso M, Luna F, Gordo Y, Godoy AM, Jimenez C, Ruiz MA, Montes J, Hidalgo A, Gonzalez-Quevedo R, Bosch P, Vazquez A, Lozano JV: Acupuncture and rehabilitation in the painful shoulder: study protocol of an Ongoing Multicenter Randomized controlled clinical trial [ISRCTN28687220]. BMC Complement Altern Med 2005, 5 (1): 19.

17 - You J, Ortega C, Olmo V, Perez-Fernandez F, Hernandez L, Medina Y, Seminario JM, Herrera A, Luna F, Perea-Milla E, Mendez C, Madrazo C, Jimenez C, Ruiz MA, Aguilar and : Single-point acupuncture and physiotherapy for the Treatment of painful shoulder: a Multicentre randomized controlled trial.Rheumatology (Oxford) 2008, 47 (6): 887-893.

18 - You J, Aguilar Y, Perea-Milla E, Mendez C: Effectiveness of acupuncture and related techniques in non-oncological pain Treating in primary healthcare - an audit.Acupunct Med 2007, 25 (1-2): 41-46.

19-Vas J, Perea-Milla E, Mendez C, Navarro CS, Leon Rubio JM, Brioso M, Labor IG: Efficacy and safety of acupuncture for chronic uncomplicated neck pain: A Randomized controlled study. Pain 2006, 126 (1-3): 245-255.

20 - You J, Aguilar Y, Perea-Milla E, Mendez C: Effectiveness of acupuncture and related techniques for the treatment of non oncological pain in primary care: a medical audit. Acupuncture Int Rev 2008, 2 (1): 56-62.

21 - Peters KM, Carrico DJ, Perez-Marrero RA, Khan AU, Wooldridge LS, Davis GL, Macdiarmid SA. Randomized trial of percutaneous tibial nerve stimulation versus Sham Efficacy in The Treatment of overactive bladder syndrome: results from the SUMIT trial. J Urol 2010 Apr; 183 (4) :1438-43. Epub 2010 February 20

22 - Stener-Victorin E, Jedel E, mannered L. Polycystic ovary syndrome in Acupuncture: current experimental and clinical evidence.J Neuroendocrinol. 2008 Mar, 20 (3) :290-8. Epub 2007 Nov 28. Review

23 - Stener-Victorin E, Ploj K, Larsson BM, Holmäng A. Rats with steroid-induced hypertension and polycystic ovaries Develop sympathetic nervous system activity INCREASED. Reprod Biol Endocrinol. 2005 Sep 7,3:44.

24 - Stener-Victorin E, Lundeberg T, Waldenstrom U, Manni L, Aloe L, Gunnarsson S, Janson PO. Effects of electro-acupuncture on nerve growth factor and ovarian morphology in rats with experimentally induced polycystic ovaries. Biol Reprod.2000 Nov; 63 (5) :1497-503.