Fibromyalgia sufferers might benefit from tailored acupuncture

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FIBROMYALGIA affects an estimated 5
million Americans, 80-90% of whom are
women. The disorder is characterized by widespread pain and diffuse tenderness. Although there is no cure, tailored acupuncture might provide some welcome respite, according to a new study. Although difficult to categorize, fibromyalgia is considered a rheumatic condition because it impairs soft tissue and joints and causes pain.
Fibromyalgia carries with it a number of other life-disrupting symptoms that vary from individual to individual. These symptoms can include muscle stiffness, headaches, irritable bowel syndrome (IBS) and sensitivity to temperature, sounds and bright lights. The exact causes of fibromyalgia are not well understood; however, hypothesized culprits include traumatic or stressful life events and repetitive injuries.
There might also be links to other diseases such as lupus and rheumatoid arthritis; some researchers believe there is a genetic component at work, too. Because there are no known biological markers, diagnosing fibromyalgia can be problematic. To reach a conclusive decision, other overlapping disorders must first be ruled out. Because of these questions surrounding genesis and diagnosis, effective treatments for fibromyalgia are not forthcoming.
A recent study conducted at Doòa Mercedes Primary Health Centre, in Seville, Spain, looked at the potential use of acupuncture to ease fibromyalgia’s symptoms. Perhaps because of the lack of medical treatments for fibromyalgia, one study found that 91% of sufferers seek solace in complementary medicine such as hydrotherapy, massage and acupuncture. Acupuncture is used by 1 in 5 fibromyalgia patients within 2 years of diagnosis.
Previous clinical trials testing acupuncture’s efficacy have been inconclusive, but these studies did not tailor the course of acupuncture to suit the individual needs of each fibromyalgia patient. To investigate whether this might make a difference, the research team, led by Dr. Teresa Leiva, compared tailored acupuncture against sham acupuncture in 153 patients. Sham acupuncture involved using the same guide tubes as the genuine acupuncture group, but without inserting needles. The sham treatment solely focused on the dorsal and lumbar regions.
Each patient (sham and tailored) received 20-minute-long treatments, every week for 9 weeks. During the trial, the patients continued taking any prescription drugs they were already using. The participants completed questionnaires rating various parameters such as levels of pain, depression and the overall impact of the disease on their lives. These reviews were carried out before the trial, at 10 weeks, 6 months and 12 months. At the 10-week mark, the tailored acupuncture group reported a 41% drop in pain, whereas the sham acupuncture group reported a 27% reduction. Twelve months later, the effect was still apparent.