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 →

Acupuncture for DLSS

Stimulated by Zhu et al 2024.[1] DLSS – degenerative lumbar spinal stenosisIF – impact factorRCT – randomised controlled trialNRS – numerical rating scaleRMDQ – Roland Morris disability questionnaireMCID – minimum clinical important differenceSSSQ – Swiss spinal stenosis questionnaire – key to acronyms This paper in Annals of Internal Medicine (IF 39.2) reports on a multi-centre … Continue reading Acupuncture for DLSS →

MSK mimics of LS radiculopathy

Stimulated by Bateman 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 factorLBP – low back painDRG – dorsal root ganglionNCS – nerve conduction studiesEMG – electromyographyOA – osteoarthritisFAI – femoroacetabular impingementQL – quadratus lumborumICT … Continue reading MSK mimics of LS radiculopathy →

PID resorption 2024

Stimulated by Albert et al 2023.[1] Photo by Neonbrand on Unsplash. PID – prolapsed intervertebral discLBP – low back painNSAIDs – non-steroidal anti-inflammatory drugsSD – standard deviation key to acronyms This paper was published online in mid-December, but I could not access the full text. I wrote to the first author, Hanne Albert, and she kindly sent me … Continue reading PID resorption 2024 →

Does sham point location matter?

Stimulated by Lee et al 2023.[1] APs – acupuncture pointsKIOM – Korean Institute of Oriental MedicineNMA – network meta-analysisIF – impact factorEBM – evidence based medicineSATV – sham acupuncture therapy verum pointAT – acupuncture therapySATS – sham acupuncture therapy sham pointVAS – visual analogue scaleRMDQ – Roland-Morris Disability QuestionnaireNRS – numerical rating scale key to acronyms … Continue reading Does sham point location matter? →