This blog is to share the latest research and development of acupuncture and raise the awareness of alternative treatments for your conditions, and is for information only.

Wednesday, 15 April 2015

Acupuncture improves pain and function of patients with frozen shoulder

Acupuncture with or without bee venom injection at acupoints around affected shoulder markedly improved pain and stiffness of patients with frozen should. The therapeutic effect of acupuncture maintained up to one year after treatment. The studies were published in the J Shoulder Elbow Surg and J Altern Complement Med separately.

Frozen shoulder also known as adhesive capsulitis of shoulder is one of the most common causes of intrinsic shoulder pain. Pain, stiffness and loss of motion with insidious onset are usually the major symptoms. Frozen shoulder occurs when the flexible tissues surrounds the shoulder joint, known as capsule, became inflamed, formed adhesion and thickened. It is estimated that around 3% of people may be affected at some points of their life. Most commonly it affects of people of ages between 45 and 65. It is more common in women. The common approaches include painkillers, local injection of corticosteroid and surgery depending on the severity and length of condition. In china acupuncture has been used to treat frozen shoulder for a very long time.

Recently researchers in Korea carried out a randomized controlled study to assess the effectiveness of acupuncture plus physiotherapy on frozen shoulder, and followed by another a one-year follow-up study. The patients were given treatments that stimulated acupoints surrounding the shoulder, with or without bee venom twice a week for 8 weeks. The following assessments: shoulder pain disability index, pain visual analogue scale and active/passive range of motion were monitored prior to and after the treatment. All patients showed a significantly reduced pain, improved daily activities at the end of treatment.

One year later, researchers did a follow-up studies. They used telephone interview to ask the same patients the same questions as at the end of the treatment. It was found that acupuncture treatment had a very sustainable therapeutic effect one year after treatment.

Reference:
Koh PS et al., Clinical effectiveness of bee venom acupuncture and physiotherapy in the treatment of adhesive capsulitis: a randomized controlled trial. J Shoulder Elbow Surg. 2013 Aug;22(8):1053-62. doi: 10.1016/j.jse.2012.10.045.   http://www.ncbi.nlm.nih.gov/pubmed/23352187

Park YC et al., Long-Term Effectiveness of Bee Venom Acupuncture and Physiotherapy in the Treatment of Adhesive Capsulitis (肩关节冻结; 冻结肩): A One-Year Follow-Up Analysis of a Previous Randomized Controlled Trial. J Altern Complement Med. 2014 Nov 7. 
http://www.ncbi.nlm.nih.gov/pubmed/25380241 

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