Acupuncture AE at Huatuojiaji

Stimulated by Jeong et al 2024.[1] Needling the multifidus muscle at one finger breadth from the midline. On the right side the needle aims correctly towards the lamina and on the left the lamina is missed. AE – adverse eventIF – impact factorKMD – Korean medical doctorCXR – chest x-ray (film)CT – computed tomography – … Continue reading Acupuncture AE at Huatuojiaji

Acupuncture and BCRL

Stimulated by Lee et al 2024.[1] Photo by Anna Tarazevich on Pexels.com BCRL – breast cancer-related lymphoedemaBMI – body mass indexNHIS – national health insurance servicePSM – propensity score matchingIRR – incident rate ratioCI – confidence intervalHR – hazard ratio key to acronyms This is another large retrospective cohort study from Korea. The difference from … Continue reading Acupuncture and BCRL

Nerve injury, lymphoedema, and a giant haematoma

Stimulated by Lin et al, Kim et al, and Wei et al 2023.[1–3] Treatment protocol for lymphoedema from one of the trials in Kim et al 2023.[2] NHIRD – National Health Insurance Research Database (Taiwan)CI – confidence intervalCVA – cerebrovascular accidentNF1 – neurofibromatosis type 1 This week I am highlighting 3 papers with different methods but … Continue reading Nerve injury, lymphoedema, and a giant haematoma

Acupuncture and hepatitis C

Stimulated by Hyun et al 2023.[1] Photo by Jocalih on Unsplash. SR – systematic reviewDAA – direct acting antiviralRR – relative riskAE – adverse event key to acronyms This is a new topic for the blog, but one with considerable global significance. Readers in the UK and countries with similar standards aimed at preventing bloodborne … Continue reading Acupuncture and hepatitis C

Acupuncture in the ICU

Stimulated by Ben-Arie et al 2023.[1] What better place to talk of mortality, but unfortunately, I mistook E Ben-Arye for E Ben-Arie on the programme. ICU – intensive care unitSR – systematic reviewAEs – adverse eventsGRADE – grading of recommendations, assessment, development, and evaluation key to acronyms I was thinking of highlighting this SR on … Continue reading Acupuncture in the ICU

TENS in patients with ICDs

Stimulated by Subhail Arain et al 2023.[1] Visual abstract from Subhail Arain et al 2023.[1] TENS – transcutaneous electrical nerve stimulationICD – implanted cardioverter defibrillatorEA – electroacupunctureCRT – cardiac resynchronisation therapyECG – electrocardiogramEMI – electromagnetic interferenceVT – ventricular tachycardiaVF – ventricular fibrillationAEs – adverse events key to acronyms As a keen proponent of EA and … Continue reading TENS in patients with ICDs

Kidney laceration after acupuncture 2023

Stimulated by Cheng et al 2023.[1] Figure 1 from Cheng et al 2023.[1] ES – erector spinae key to acronym The risk of needling the kidney must have come up on every acupuncture course I have ever taught over the last 27 years. My comment is usually that acupuncture needles are unlikely to do much … Continue reading Kidney laceration after acupuncture 2023

Fat embolism after acupuncture

Stimulated by Xu et al 2023.[1] Lung tissue stained for fat with Sudan III demonstrating severe pulmonary fat embolism.[1] SvN – silver needleSSN – stainless steel needleLBP – low back painPID – prolapsed intervertebral discFFA – free fatty acidCRP – C-reactive protein key to acronyms This paper popped up on PubMed last night, whilst I … Continue reading Fat embolism after acupuncture

AEs in Korea and Japan 2022

Inspired by a few rare case reports and a prospective survey.[1–4] Figure 6 from Abe et al (2022) illustrating the trajectory of the lost 40mm needle shaft.[4] AEs – adverse eventsWMA – Western medical acupunctureVP shunt – ventriculoperitoneal shunt (tube connecting one cerebral ventricle to the peritoneal cavity)CSF – cerebrospinal fluidVVAVF – vertebra-vertebral arteriovenous fistulaMRA … Continue reading AEs in Korea and Japan 2022

Sham acupuncture in chronic pain

Inspired by Zhou et al 2022.[1] Photo by Sven Mieke on Unsplash. MA – meta-analysisNMA – network meta-analysisIPDM – individual patient data meta-analysisRA – real acupunctureSA – sham acupunctureNPSA – non-penetrative SAPSA – penetrative SANA – no acupunctureRCT – randomised controlled trialHRQoL – health-related quality of lifeANCOVA – analysis of covarianceES – effect sizeEA – … Continue reading Sham acupuncture in chronic pain