Relieve muscle spasms in the joint area, thereby lessening the load on the joint. We will include randomized controlled trials of acupuncture for RCD. If the 2 review authors disagree about whether to include a paper, a third reviewer will decide on whether the paper will be included. Acupuncture for symptomatic rotator cuff disease: Protocol for a [7] Manual therapy includes any clinician-applied movement of the joints and other structures, for example mobilization (of which several types exist) or manipulation. Previous systematic reviews for chronic shoulder pain observed considerable heterogeneity associated with a wide range of different diagnoses, which provide, at best, limited evidence for the effectiveness of acupuncture for RCDs. It will help loosen up stiff neck muscles and reduce neck pain. Some studies have pointed out that the mechanism of acupuncture and moxibustion treatment may be related to the local effect, which refers to the release of neuropeptide and other substances by stimulating the sensory nerve endings of skin and muscle tissue. liver qi stagnation . Acupuncture improves postoperative symptoms of pigmented villonodular synovitis: A protocol for systematic review and meta analysis. [2,6], The extrinsic theory hypothesizes that pressure damage occurs due to pathological contact between the rotator cuff and the acromion while lifting the arm. Most p, Everyone longs for a good nights sleep. Please note: the following is for informational and education purposes, and is not intended as a substitute for professional diagnosis and treatment. Treatment is aimed at stopping pain, decreasing inflammation, and restoring range-of-motion and strength by moving qi and blood, clearing heat and obstruction, and draining dampness from the shoulder region. Its incidence increases with age . The relative safety of acupuncture for shoulder pain makes it worthy of trying in almost all cases. Of course, in a shoulder injury, surrounding muscles may be involved as well, but a simple orthopedic evaluation can identify the source of your pain. food allergies Can Acupuncture Help a Rotator Cuff Tear? | Breeze Academy Apply gentle pressure while breathing deeply to relieve stiffness and pain in the shoulder, neck, and elbow. Fluctuations in your hormones, such as dropping estrogen levels, can result in symptoms such as night sweats, insomnia, hot, Read More Perimenopause Causes Pain: Acupuncture Can HelpContinue, According to the National Institute of Healthit is estimated that some 50-70 million Americans suffer from sleep or wakefulness disorders causing nearly $50B in lost productivity and upwards of 5000 car crashes. We will search the following databases from their inception to November 30, 2019: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Allied and Complementary Medicine (AMED), Physiotherapy Evidence Database (PEDro), 3 Chinese databases (China Academic Journal Full-text Database (CAJ), China Doctoral Dissertations Full-text database and China Masters Thesis Full-text Database), 6 Korean databases (Korean studies Information Service System (KISS), National Digital Science Library (NDSL), Research Information Sharing Service (RISS), Korean Medical Database (KMBASE), Korea Institute of Science and Technology Information (KISTI), Oriental Medicine Advanced Searching Integrated System (OASIS)), and 3 trial registries (ClinicalTrials.gov, International Standard Randomized Controlled Trials Number (ISRCTN) Registry, WHO International Clinical Trials Registry Platform (ICTRP)). The popularity of different acupuncture methods in the nonsurgical treatment of shoulder pain has recently increased. Next the acupuncturist identifies what channels are affected. Some systematic reviews have reported on various nonoperative treatments such as physical therapy, exercise therapy, manual therapy, corticosteroid or hyaluronate injection, analgesics, non-steroidal anti-inflammatory drugs (NSAIDs), extracorporeal shockwave therapy, and acupuncture.[8,9]. It's the one right on the outer side of the hip / buttock. doi: 10.1002/14651858.CD009065.pub2. We will use Rev Man software (Review Manager Version 5.3 for Windows, The Nordic Cochrane Centre, Copenhagen) to carry out statistical analysis. Orthop J Sports Med 2018;6:2325967118797891. A tear can successfully heal with the combination of therapies including acupuncture. There will be no restrictions related to setting or location. Distance consults available during Coronavirus. Multiple treatment groups in a trial will be combined into a single pairwise comparison. [4]. Acupuncture is commonly used for musculoskeletal disorders, and it has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. Tang, Hongzhi MD, PhDa; Luo, Fei MBa; Fan, Huaying MDb; Huang, Li MBa; Liao, Shichuan MBa; Yu, Wenjing MMa; Chen, Yunbei MMa; Qin, Xuefei MMa,; Chen, Jiao MD, PhDb,, aOutpatient department of Sichuan orthopedic hospital. echinacea For crossover trials, data are extracted from the first period only, to avoid potential carryover effects. If there is a low or unclear risk of bias for all main aspects, the trial will be rated as unclear risk. There is evidence that supports the effectiveness and safety of acupuncture for chronic musculoskeletal conditions, including shoulder pain. Work disability, such as length or total days of sick leave. The Best Electro-Acupuncture Strategy For Shoulder Pain & Dysfunction Preferred reporting items for. weight loss Symptoms can include weakness in the arm and throbbing pain while sleeping. Correspondence: Kun Hyung Kim, Pusan National University Korean Medicine Hospital, Geumo-ro 20, Mulgeum-eup, Yangsan 50612, Republic of Korea (e-mail: [emailprotected]). Electric stimulation combined with acupuncture . Details of the search strategy for MEDLINE are available in Appendix, https://links.lww.com/MD/D572. Shoulder pain or omalgia is one of the main types of osteoarticular pain that can be observed in every-day clinical practice and it is considered the third most common osteomuscular cause of medical consultation. Two review authors will independently screen for titles and abstracts. Acupuncture for Shoulder Pain | Advanced Holistic Center We referred to the Cochrane Handbook for Systematic Reviews of Interventions for detailed description of the assessment of risk of bias. Acupuncture techniques with a plastic insertion tube was used to introduce every needle. Some error has occurred while processing your request. Two review authors (THZ and LF) will independently use a specially designed form to extract information on participants, methods, interventions, outcomes, and results. Acupuncture is also an effective option in treating torn rotator cuff as an alternative to, or after, surgery. Pain intensity measured on validated scales, such as the VAS or NRS, over 12 weeks. Background: Arthritis Rheum 1991;34:7669. Rotator cuff tears do not only happen during athletic activities. It is important to talk with your healthcare provider for a diagnosis. If an adequate number of studies are available, subgroup analysis will be performed to find possible sources of the heterogeneity. Some other causes of shoulder pain may require additional treatment beyond acupuncture, including recurrent shoulder dislocation from large cartilage tears (TUBS lesions), severe joint degeneration, and complete rotator cuff tears. The first pressure point for sciatica on the Gallbladder Meridian is the Gallbladder 30 point. depression Minagawa H, Yamamoto N, Abe H, et al. CJ and HL will give analysis suggestions during data synthesis. Dichotomous outcomes will be presented as risk ratios (RR), and continuous outcomes will be presented as weighted or standardized mean differences (SMD). Management of common musculoskeletal problems: a survey of Ontario primary care physicians. Search for Similar Articles LI15: Jianyu On the shoulder girdle, in the depression between the anterior end of ateral border of the acromion and the greater tubercle of the humerus. Dry needling in a multimodal rehabilitation protocol following rotator [16] Effects of manual therapy may be similar to those of glucocorticoid injection and arthroscopic subacromial decompression, but this is also based on low quality evidence. The symptoms of a rotator cuff tear may resemble other conditions or medical problems. Federal government websites often end in .gov or .mil. Acupuncture and manual therapy for rotator cuff tears: A - PubMed A systematic summary of systematic reviews on the topic of the rotator cuff. [8]. A systematic summary of systematic reviews on the topic of the rotator cuff. Kidney Channel: KI3 - Located behind the inner ankle, this point treats asthma, insomnia, sore throat and lower back pain. Trigger point needling is especially effective in reducing pain caused by a rotator cuff injury. 2016 Jun 10;2016(6):CD012224. I believe this is because the shoulder is mostly composed of muscles and tendons, and . Acupuncture is a non-drug therapy being used more and more to treat shoulder pain. Shamseer L, Moher D, Clarke M, et al. Medicine (Baltimore). 2014 Jun 23;(6):CD009065. J Orthop 2013;10:812. Bethesda, MD 20894, Web Policies Published by Wolters Kluwer Health, Inc. The needles were applied to the area of the injured shoulder while the patient was lying in a lateral decubitus position on the stretcher. We will extract details of the acupuncture treatment and control interventions on the basis of the revised Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA). Adult patients (aged 18 years) diagnosed with Rotator cuff tears will be included, with the symptoms of shoulder joint pain or dysfunction enrollment in the research. In particular, we will extract first author's name, year of publication, age, sex, duration of disease, sample size, number and type of centers, treated and analyzed, number of reasons for dropouts, duration of baseline, treatment, and follow-up, details of acupuncture treatments (such as selection of points, number, frequency, and duration of sessions), achievement of De-Qi (an irradiating feeling considered to indicate effective needling), number, training, and experience of acupuncturists, details of manual therapy, and the control interventions (sham technique, type, and dosage of drugs). Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Website (www.md-journal.com). [9,11,12] Methodological limitations of previous reviews, including the exclusion of studies that had reported their findings in languages other than English[12] or failure to register their reviews,[9] also calls for systematic reviews addressing such problems. meditation [13]. doi: 10.1136/bmjopen-2016-015461. Shoulder function measured on validated scales, such as the Constant-Murley score (CMS). We will try to contact the original investigators by email to request missing data. Korean Medicine, including acupuncture and pharmacopuncture, is a part of conservative . This muscle has been mentioned above. Efficacy data will be synthesized and statistically analyzed by using Rev Man software (Review Manager Version 5.3 for Windows, The Nordic Cochrane Centre, Copenhagen). In addition to the needles from acupuncture, moxibustion can also be used which may hasten recovery. bDivision of Clinical Medicine, School of Korean Medicine, Pusan National University, Republic of Korea. 3 Prevalence and incidence of shoulder pain are reported to be . Management of common musculoskeletal problems: a survey of Ontario primary care physicians. The primary outcome is pain intensity and shoulder dysfunction measured on validated scales within 12 weeks. Quasi-randomized, non-randomized controlled trials, uncontrolled clinical trials (e.g., case studies), qualitative studies, and laboratory studies will be excluded. Clin Rehabil 2010;24:99109. Precise knowledge of shoulder orthopedic anatomy is necessary to safely and effectively stimulate these acupuncture points and the underlying muscles, tendons and ligaments to promote tissue healing effects. [8,9] The mechanism of acupuncture treatment has not been fully elucidated. In some cases, however, people with rotator cuff injuries . The rating results will be cross-checked and discrepancies resolved through discussions and the arbitration of a third reviewer. I use local electro-acupuncture treatment at acupuncture locations (points) such at LI 14, 15, and 16; IM 14; and SI 10, 11, 12, 13, and 14, as well as extra point jianneiling. A third review author will resolve disagreements. [4] RCD increases in prevalence with age and is more prevalent among participants who repetitively use arms in overhead motions (e.g., swimming and tennis). Introduction. Chinese Medicine Vas J, Perea-Milla E, Mendez C, et al. Chard MD, Hazleman R, Hazleman BL, et al. At a recent presentation to a group of physical therapists I was asked about acupunctures ability to treat shoulder injuries. Pain and disability may become chronic. Highlight selected keywords in the article text. PRISMA flow diagram of study selection. Acupuncture for symptomatic rotator cuff disease [1]. -. Presence of myofascial trigger points (MTrP) as a result of surgical procedure can aggravate postoperative shoulder pain. Orthop Res Rev 2018;10:8391. Randomized controlled trials that include patients with rotator cuff tears receiving acupuncture and manual therapy versus a control group will be included. This point helps relieve headaches, vertigo, and neck problems. [5], Although the exact mechanisms are unknown, the pathogenesis of RCD has been attributed to both intrinsic and extrinsic mechanisms. men's health Local acupoints chosen for this treatment are Jianyu . Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions. Guyatt GH, Oxman AD, Schunemann HJ, et al. sleep Prospective registration of this study has been approved by the Open Science Framework registries (https://osf.io/registries) with a registration number 10.17605/OSF.IO/M3NKV, and the protocol has been written following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols statement guidelines.[13]. Effectiveness of. Wolters Kluwer Health While the only allopathic protocol is treat with hormones, TCM excels at addressing both the root cause as well as the symptoms of these conditions. The aims of both types of interventions are to improve function, promote healing, increase joint range, strengthen weakened muscles and correct imbalance in the stabilizing function of the rotator cuff. Trigger point needling is especially effective in the treatment of rotator cuff injuries as it helps to release knots within the muscle fibers, ultimately reducing pain and increasing blood flow to the area. [9]. anxiety to maintaining your privacy and will not share your personal information without The weighted mean difference will be used for the same scale or the same assessment instrument; standard mean difference will be used for different assessment tools. . 1, 2 Most individuals with shoulder pain repeatedly visit outpatient clinic by complaining of pain even 12 months after the initial treatment. Rotator Cuff - Physiopedia [5]. Persons experiencing shoulder pain should seek diagnosis from a primary health care professional (physician or acupuncturist). The X's in the diagram are the location of the trigger points, and the red areas are the referral . manifesting Herbal supplements can d, http://orthoinfo.aaos.org/topic.cfm?topic=a00406, Just a Few Sessions: You Can Dip In (and Out) of Acupuncture. Before With the affected arm, reach out and touch the wall at about waist level. LF and CYB will screen full copies of the remaining studies after the title and abstract selection. Cervical nerve root impingement, typically from disc herniation or arthritis in the neck. Relief from Rotator Cuff Injuries Using Acupuncture Abbreviations: RCD = rotator cuff disease, PRISMA-P = Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols, RCTs = randomized controlled trials, VAS = visual analogue scale, NRS = numeric rating scale, CMS = Constant-Murley score, SPADI = Shoulder Pain and Disability Index, SDQ-NL = Dutch Shoulder Disability Questionnaire, DASH = Disabilities of the Arm, Shoulder and Hand, UCLA = University of California-Los Angeles, ASES = American Shoulder and Elbow Surgeons, SF-36 = Short-Form 36, PGIC = Patient Global Impression of Change, MeSH = Combinations of Medical Subject Headings, STRICTA = Standards for Reporting Interventions in Clinical Trials of Acupuncture, RR = risk ratio, SMD = standardized mean difference, GRADE = Grading of Recommendations Assessment, Development and Evaluation. A related disorder called sleep apnea (temporary cessation of breathing while asleep) affects 12-18 million Americans. low back pain Open Science Framework Preregistration. 2020;99:21(e20377). Overview of treatment guidelines and clinical practical guidelines that recommend the use of. Acupuncture for Rotator Cuff Injuries - Peninsula Acupuncture When acupuncture was provided along with other active treatments for the acupuncture group, the same active treatment had to be given to control groups in order for the trial to be included. Song W, Han X, Li K, Chen C, Wang H, Zheng X. Nan Fang Yi Ke Da Xue Xue Bao. The results of this review will be disseminated through peer-reviewed journal articles or conference presentations. official website and that any information you provide is encrypted sharing sensitive information, make sure youre on a federal [15] A summary of findings table will be generated and included in the final report. ginger Rotator Cuff Pain: Treatment, Symptoms, Causes, and More - Verywell Health Socially-distant therapeutic exercise classes coming soon? Injured muscles such as those found in this location of the shoulder often contract and knot up, which pinches nerves and prevents much-needed blood and lymphatic fluids from reaching the area. Eligible manual therapy interventions include mobilization, manipulation and massage. Improve blood flow to the tendon and muscle tissue accelerating the bodys natural tissue healing response. Rotator cuff is an injury to the shoulder muscle and acupuncture is believed to be an effective treatment. FOIA These distal acupuncture effects are mediated primarily through fascial planes and the nociceptive and proprioceptive nervous systems. Shoulder pain is a common complaint in outpatient clinics and can result in an inability to work or perform household activities, leading to significant socioeconomic burden. Wolters Kluwer Health Large Intestine Channel: LI4 - Located on the back side of the hand between the thumb and first finger, this point activates the immune system and helps pain, especially in the face. Keyword Highlighting 1. diagnosis of the study population (i.e., rotator cuff tear or without tear). Ongoing trials with unpublished data will also be retrieved from the following clinical trial registries: the US National Institute of Health, the NIH clinical registry Clinical Trials. 2018 Jan 26;8(1):e015461. [15] However, it is still uncertain whether acupuncture is effective and safe for RCD, partially due to a lack of high quality primary studies and systematic reviews that specifically focus on RCD. The tears of rotator cuff is caused by the tears or aseptic inflammation of tendon tissue such as subscapular muscle, supraspinatus muscle, infraspinatus muscle, teres minor muscle, and so on, which make up the rotator cuff. Managements of rotator cuff disease often include acupuncture and manual therapy, usually delivered together. Improve blood flow to the tendon and muscle tissue accelerating the body's natural tissue healing response. Vickers AJ, Vertosick EA, Lewith G, et al. Treatment can be surgical or non-surgical. RCTs using single-blind, double-blind or open-label design will be included. It correlates pretty well with the gluteus medius and gluteus minimus muscle trigger points. Stock Market | About Us - The San Diego Union-Tribune