How Acupuncture Works for Acute and Chronic Pain
What you will learn
- Draw clinically relevant lessons from the research, such as
- The need for adequate frequency and duration of treatment sessions to achieve lasting neuromodulation.
- That acupuncture appears to be at least as effective as IV Morphine in treating acute pain.
- That there is a small number of people who are non-responders to acupuncture analgesia (AA) who need to be referred to other therapies.
- Communicate more effectively with patients, other health practitioners and the community at large when asked that question – “So how does acupuncture work?”
- Overview of the acupuncture analgesia research.
Course Overview
“So how does acupuncture work?”
Acupuncture has been found to be effective for numerous types of acute and chronic pain. One of the striking characteristics of acupuncture’s effects on chronic pain is the longevity of the effects, with chronic pain patients 12 months after the last acupuncture session experiencing 85 -90% of the pain relief they felt on the day of their last treatment. This appears to be associated with lasting modulation of the peripheral and central nervous system – neuroplasticity.
This course provides acupuncturists with an overview of the acupuncture analgesia research to enable them to communicate more effectively with patients, other health practitioners and the community at large when asked that question – “So how does acupuncture work?”
Research on the physiological mechanisms underpinning acupuncture’s analgesic effects began with investigation of the neurological pathways taken by the acupuncture-induced signal. Carried principally on Aδ and C sensory fibres the acupuncture signal from the acupuncture point was found to ascend to the brain and brain stem where a complex series of interactions between nuclei dubbed the “mesolimbic loop of acupuncture analgesia” occurred followed by a descending signal to the dorsal horn of the spine, activating the Pain Gate. With the discovery that the body produces its own endogenous opioids, attention turned next to exploring the various categories of endogenous opioids – enkephalins, endorphins, dynorphins and endomorphins. Dozens of non-opioid mediators were also identified as participating in acupuncture analgesia (AA), some acting to enhance AA, some to inhibit AA, and others to selectively enhance or inhibit. As well as further research on both opioid and non-opioid mediators, researchers have more recently turned their attention to identifying the receptor interactions and signalling pathways involved in AA. Adenosine activating adenosine receptors at the needling site has been found to be essential for AA.
The types of pain for which research has found acupuncture to be effective include inflammatory pain and neuropathic pain, musculoskeletal pain, headaches and migraines, gynaecological/obstetric pain, post-surgical pain and some types of cancer-related pain.
This course is approved by:
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NCCAOM PDA Course Participant Attestation
By registering for this course, I agree to abide by the NCCAOM PDA Course Participant Attestation.
I understand that the information in this course presented by the Provider and/or Instructor(s) is for educational purposes only and should only be applied with appropriate clinical judgment and used by a trained and licensed
practitioner. Governmental laws and regulations vary from region to region and the contents of this course vary in permissible usage. The participant is required to check their local, state, and federal laws and regulations regarding the practice requirements and scope of practice issues and the use of the information of this course including, but not limited to, theory, herbal medicine, and acupuncture. I acknowledge that NCCAOM does not endorse any specific treatment regimens of any kind. Furthermore, if I use any modalities or treatments taught in this course, I agree to waive, release, indemnify, discharge, and covenant not to sue NCCAOM from and against any liability, claims, demands, or causes of action whatsoever, arising out of any injury, loss, or damage that a person may sustain related to the use of the information in this course. I understand that this Release is governed by the laws of District of Columbia, U.S.A. and shall survive the termination or expiration of this course.
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Course Content
About the Teacher
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