Distant vs local needling

Inspired by Yu et al 2021.[1] Photo by Dylann Hendricks | 딜란 on Unsplash. PoPS – principles of point selectionOA – osteoarthritisVAS – visual analogue scaleROM – range of movementHNCS – heterotopic noxious conditioning stimulationDNIC – diffuse noxious inhibitory controlkey to acronyms I will immediately admit that I am always biased in this debate in … Continue reading Distant vs local needling

CHD risk in depression

Inspired by Huang et al 2021.[1] Photo by Jiroe on Unsplash. CHD – coronary heart diseaseFM – fibromyalgiaRA – rheumatoid arthritisOA – osteoarthritisPD – Parkinson’s diseaseNHIRD – National Health Insurance Research Database (Taiwan)aHR – adjusted hazard ratioMA – manual acupunctureEA – electroacupuncturekey to acronyms This is the fourth large retrospective observational cohort from Taiwan measuring … Continue reading CHD risk in depression

EA for guinea pig OAK

Inspired by Spittler et al 2021,[1] Lam et al 2021,[2] and Ko et al 2021.[3] A Hartley guinea pig – a laboratory breed. EA – electroacupunctureMA – manual acupunctureOAK – osteoarthritis of the kneeRCT – randomised controlled trialSR – systematic reviewIF – impact factorC3 – complement component 3 (serum C3 rises in inflammation)VAS – visual … Continue reading EA for guinea pig OAK

Acupuncture and arthroplasty

Stimulated by Chen et al 2021,[1] and Narayana Murthy et al 2021.[2] X ray film of a knee after TKR. Figure 1 from Narayana Murthy et al 2021.[2] TKA – total knee arthroplastyIF – impact factorRCT – randomised controlled trialkey to acronyms This week I have chosen a couple of papers that are linked by … Continue reading Acupuncture and arthroplasty

Intensive EA/MA in OAK

Inspired by Tu et al 2020.[1] Photo by Anna Auza on Unsplash. EA – electroacupunctureMA – manual acupunctureOA – osteoarthritisOAK – OA kneeRR – responder rateNRS – numerical rating scaleWOMAC – Western Ontario and McMaster Universities osteoarthritis indexMCII – minimum clinically important improvementGERAC – German acupuncture (trial)ARC – acupuncture in routine care (trial)key to acronyms … Continue reading Intensive EA/MA in OAK

Reducing TKR surgery

Inspired by Gang et al 2020.[1] Photo by Ketut Subiyanto on Pexels.com OA – osteoarthritisNHIS – National Health Insurance Service (Korea)CCI – Charlson comorbidity indexHR – hazard ratioTKR – total knee replacementkey to acronyms This week we have another big retrospective observational study. This makes number 14 on my list of similar papers published over the … Continue reading Reducing TKR surgery

Knee pain and TrPs

Inspired by Sánchez Romero et al 2020,[1] and Ma et al 2020.[2] Photo by Alora Griffiths on Unsplash – modified by MC in Adobe Spark Post. MTrP – myofascial trigger pointTrP – myofascial trigger point (most of us do not bother with the M, but it is implicit)OA – osteoarthritisPFPS – patellofemoral pain syndromeVMO – vastus medialis obliqueVL … Continue reading Knee pain and TrPs

Frequency of Rx in OAK

Stimulated by Lin et al 2020.[1] Image from HVAC photoshoot 2012.[2] This paper caught my eye for two reasons. First because the title implied the results might be useful for clinical practice, and second because it was an acupuncture trial published in the journal Pain, a journal that does not publish acupuncture trials very often. … Continue reading Frequency of Rx in OAK

CMCj OA and PHN 2020

Stimulated by Barnard et al,[1] and Wang et al.[2] Photo by Engin Akyurt on Unsplash. Barnard et al is the first randomised controlled trial (RCT) of acupuncture versus sham in osteoarthritis (OA) of the carpometacarpal joint (CMCj) of the thumb. Indeed, it may be the first controlled trial of acupuncture in this condition. Technically, of course, there may … Continue reading CMCj OA and PHN 2020

Strong EA & CPM in OAK

Stimulated by Lv et al 2019.[1] My eldest two cherubs demonstrating examination of the knee ;-)One is now an actor - guess which one! The paper that I am highlighting in this piece has two relatively novel features. First, and most interesting is the testing of two different doses of active EA (electroacupuncture) in a … Continue reading Strong EA & CPM in OAK