Punctured lungs and eyeballs 2025

Stimulated by Reindorf et al and Song et al 2025.[1,2] Figure 1 from Reindorf et al 2025.[1] The red arrow is indicating a small right apical pneumothorax. According to the text of the case report, you are also supposed to be able to see the needle fragment, but they have not given us an arrow … Continue reading Punctured lungs and eyeballs 2025

Acupuncture for cLBP 2025

Stimulated by DeBar et al 2025.[1] Photo of Multnomah Falls in Oregan by Makayla Asuncion from Pexels. cLBP – chronic low back painIF – impact factorEA – enhanced acupuncture (rather confusing I’m afraid)SA – standard electroacupunctureUMC – usual medical careRMDQ – Roland-Morris Disability QuestionnaireMCID – minimal clinically important differencePEG – pain, enjoyment, and general activity … Continue reading Acupuncture for cLBP 2025

Acupuncture vs gabapentin for sciatica in Bhutan

Stimulated by Gyeltshen et al 2025.[1] Photo by Pema Gyamtsho on Pexels.com IF – impact factorEiC – editor in chiefSLR – straight leg raising (the most famous test for sciatica, but not a terribly good one) – key to acronyms This is a somewhat smaller trial (n=70) than the last one I highlighted on sciatic … Continue reading Acupuncture vs gabapentin for sciatica in Bhutan

APA in cLBP 2025

Inspired by Kawi et al 2025.[1] Vaccaria hispanica seeds from the Government of Canada seed identification site. APA – auricular point acupressurecLBP – chronic low back painIF – impact factorMSK – musculoskeletalNRS – numerical rating scaleRMDQ – Roland-Morris Disability Questionnaire – key to acronyms This is a moderately large 3-arm trial (n=272) from the US. … Continue reading APA in cLBP 2025

Acupuncture plus manipulation in LDH

Stimulated by Shi et al 2025.[1] Diagram illustrating the acupuncture protocol from Shi et al 2025 [1] – unilateral points are in the unaffected side. LDH – lumbar disc herniationRCT – randomised controlled trialVAS – visual analogue scaleJOA – Japanese Orthopaedic Association score for low back painSIJ – sacroiliac jointSR – systematic reviewGRADE – Grading … Continue reading Acupuncture plus manipulation in LDH

Muscle pain – a neuroanatomical basis

Stimulated by Hoheisel et al 2025.[1] Top part of Figure 1 in Hoheisel et al 2025.[1] DRG – dorsal root ganglionFG – fluorogold or fluorochrome yellowc-fos – a protein from the Fos family widely used as a marker for neuronal activityc-fos-ir – c-fos immunoreactivityDH – dorsal horn (of the spinal cord)VLP – ventral posterolateral nucleus … Continue reading Muscle pain – a neuroanatomical basis

Acupuncture AEs 2024

Inspired by a variety of recent case reports. AI generated image. AEs – adverse eventsPDP – personal development planCXR – chest x ray filmSPs – spinous processesBP – blood pressuremmHg – millimetres of mercury (units of fluid pressure)HR – heart ratebpm – beats per minuteTHA – total hip arthroplastyIBD – inflammatory bowel diseaseESI – epidural … Continue reading Acupuncture AEs 2024

MSK mimics of LS radiculopathy – part 2

Stimulated by Jorgensen et al 2024.[1] This is a section from the BMAS TrP chart with referral patterns relevant to the topic of this blog. MSK – musculoskeletalLS – lumbosacralIF – impact factorEDX – electrodiagnostic medicineNCS – nerve conduction studiesMPS – myofascial pain syndromeFAI – femoroacetabular impingementTrPs – trigger points (myofascial is implied)GTPS – greater trochanteric … Continue reading MSK mimics of LS radiculopathy – part 2

Acupuncture for chronic sciatica 2024

Inspired by Tu et al 2024.[1] IF – impact factorBUCM – Beijing University of Chinese MedicineRCT – randomised controlled trialVAS – visual analogue scoreODI – Oswestry Disability IndexMCID – minimum important clinical difference – key to acronyms A general internal medicine physician colleague from UCLH picked up this paper from JAMA Internal Medicine (IF 39.0) … Continue reading Acupuncture for chronic sciatica 2024

Acupuncture in Alberta 2024

Inspired by Lu et al 2024.[1] Moraine Lake, Alberta, by John Lee on Unsplash. ABCHIP – Alberta Complementary Health Integration ProjectBPI – brief pain inventoryPSQI – Pittsburgh sleep quality indexPHQ9 – patient health questionnaire 9PROMIS – patient-reported outcomes measurement information system [2]SF – short formEQ-5D-5L – EuroQol Group 5D-5L instrument [3]NRS – numerical rating scaleQoL – … Continue reading Acupuncture in Alberta 2024