Point of View: Local and Remote Sustained Trigger Point Therapy for Exacerbations of Chronic Low Back Pain

Spine ◽  
1997 ◽  
Vol 22 (7) ◽  
pp. 797
Author(s):  
Jerome Schofferman
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Trigger Point ◽  
Point Of View ◽  
Low Back ◽  
Trigger Point Therapy

Local and Remote Sustained Trigger Point Therapy for Exacerbations of Chronic Low Back Pain

Spine ◽  
1997 ◽  
Vol 22 (7) ◽  
pp. 786-797 ◽  
Author(s):  
Francisco M. Kovacs ◽  
Víctor Abraira ◽  
Francisco Pozo ◽  
David G. Kleinbaum ◽  
Juan Beltrán ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Trigger Point ◽  
Low Back ◽  
Trigger Point Therapy

Point of View: Chronic Low Back Pain Rehabilitation Programs

Spine ◽  
1997 ◽  
Vol 22 (19) ◽  
pp. 2252-2253 ◽  
Author(s):  
Peter B. Polatin ◽  
Robert J. Gatchel
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Point Of View ◽  
Low Back ◽  
Rehabilitation Programs

Trigger Point Acupuncture Treatment of Chronic Low Back Pain in Elderly Patients – a Blinded Rct

2004 ◽  
Vol 22 (4) ◽  
pp. 170-177 ◽  
Author(s):  
Kazunori Itoh ◽  
Yasukazu Katsumi ◽  
Hiroshi Kitakoji
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Chronic Low Back Pain ◽  
Acupuncture Treatment ◽  
Trigger Point ◽  
Trigger Points ◽  
Acupuncture Group ◽  
Low Back ◽  
Superficial Needling

Objective There is some evidence for the efficacy of acupuncture in chronic low back pain, but it remains unclear which acupuncture modes are most effective. Our objective was to evaluate the effects of two different modes of trigger point acupuncture on pain and quality of life in chronic low back pain patients compared to standard acupuncture treatment. Methods Thirty five consecutive out-patients (25 women, 10 men; age range: 65–81 years) from the Department of Orthopaedic Surgery, Meiji University of Oriental Medicine, with non-radiating low back pain for at least six months and normal neurological examination, were randomised to one of three groups over 12 weeks. Each group received two phases of acupuncture treatment with an interval between them. Nine patients dropped out during the course of the study. The standard acupuncture group (n=9) received treatment at traditional acupuncture points for low back pain, while the other acupuncture groups received superficial (n=9) or deep (n=9) treatments on trigger points. Outcome measures were VAS pain intensity and Roland Morris Questionnaire. Results After treatment, the group that received deep needling to trigger points reported less pain intensity and improved quality of life compared to the standard acupuncture group or the group that received superficial needling to trigger points, but the differences were not statistically significant. There was a significant reduction in pain intensity between the treatment and interval in the group that received deep needling to trigger points (P<0.01), but not in the standard acupuncture group or the group that received superficial needling to trigger points. Conclusion These results suggest that deep needling to trigger points may be more effective in the treatment of low back pain in elderly patients than either standard acupuncture therapy, or superficial needling to trigger points.

scholarly journals Acupuncture for Chronic Pain in Japan: A Review

2007 ◽  
Vol 4 (4) ◽  
pp. 431-438 ◽  
Author(s):  
Kazunori Itoh ◽  
Hiroshi Kitakoji
Keyword(s):  
Chronic Pain ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Animal Studies ◽  
Pain Treatment ◽  
Trigger Point ◽  
Case Reports ◽  
Low Back ◽  
Acupuncture And Moxibustion

Many Japanese reports of acupuncture and moxibustion for chronic pain are not listed in medical databases such as Medline. Therefore, they are not easily accessible to researchers outside of Japan. To complement existing reviews of acupuncture and moxibustion for chronic pain and to provide more detailed discussion and analysis, we did a literature search using ‘Igaku Chuo Zasshi Wed’ (Japana Centra Revuo Medicina) and ‘Citation Information by National Institute of Information’ covering the period 1978–2006. Original articles and case reports of acupuncture and moxibustion treatment of chronic pain were included. Animal studies, surveys, and news articles were excluded. Two independent reviewers extracted data from located articles in a pre-defined structured way, and assessed the likelihood of causality in each case. We located 57 papers written in Japanese (20 full papers, 37 case reports). Conditions examined were headache (12 trials), chronic low back pain (9 trials), rheumatoid arthritis (8 trials), temporomandibular dysfunction (8 trials), katakori (8 trials) and others (12 trials). While 23 were described as clinical control trials (CCTs), 11 employed a quasi-random method. Applying the 5-point Jadad quality assessment scoring system, the mean score was 1.5 ± 1.3 (SD). Eleven (52%) of the CCTs were conducted to determine a more effective procedure for acupuncture; these compared a certain type of acupuncture with another type of acupuncture or specific additional points. In particular, the trigger point acupuncture was widely used to treat chronic low back pain in Japan. Many reports of chronic pain treatment by acupuncture and moxibustion are listed in Japanese databases. From the data, we conclude that there is limited evidence that acupuncture is more effective than no treatment, and inconclusive evidence that trigger point acupuncture is more effective than placebo, sham acupuncture or standard care.

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