Diseases of the Muscles, Bones and Joints
The muscles, bones and joints are usually called collectively the musculo-skeletal system. When disease or damage occurs to this system it nearly always results in pain, and most people use words such as rheumatism or arthritis to describe this type of pain.
There are three main types of damage that occur to the musculo-skeletal system; the first is a sudden injury or sprain which might be a domestic injury, or might be incurred during a sporting activity or in a car accident. This usually causes local pain and bruising lasting for a few days, or even a few weeks or more. The other main group is arthritis and this can be divided into two important types, Osteoarthritis and rheumatoid arthritis.
Sprains: Sudden injury or sprains usually respond well to acupuncture. The pain resulting from a sprained shoulder, ankle etc will often continue for some days or weeks after the initial injury. Once a clear diagnosis has been made acupuncture can usually be used to relieve this type of pain.
The experience of a many of Acupuncture doctors, shows that, of the people treated for differing acutely painful conditions, about 70 percent obtain swift and significant pain relief. If a fracture of the bone is present then the pain relief gained from acupuncture is less effective than if the injury is due to a strain or tear of the muscles, tendons or ligaments. The main advantage of treating these acute pains with acupuncture is that chronic pain can be avoided. A sudden shoulder injury may produce pain and immobility for many months, sometimes years, but if acupuncture is used when the pain occurs then it seems that chronic pain may be avoided.
Osteoarthritis: Osteoarthritis and the rheumatic pains that result from this type of joint damage are quite a common problem. People frequently complain that their arthritic knee pain is worse in cold or damp weather and this demonstrates quite clearly the origin of the concept of pathogens in traditional medicine. The pathogen in osteoarthritis is almost always cold or damp and therefore these pains should be treated by moxibustion.
A great deal of research work has been done to investigate the effects of acupuncture on the pain caused by osteoarthritis. Clinical trials have been completed on knee, hip, elbow, neck and lower back pain, and the information from these trials shows that significant pain relief can be achieved in about 70 per cent of those who receive acupuncture. Some work suggests that only 50 per cent of people benefit from acupuncture while other trials show 95 per cent of the patients benefiting. Acupuncture also has a ‘magical quality’ that drugs do not have, so it is difficult to sort out the effects of the ‘magic’ as compared to the real effects of acupuncture. In spite of these problems, acupuncture is a safe and effective form of treatment for osteoarthritis.
Rheumatoid Arthritis: The effects of acupuncture on rheumatoid arthritis are not so clear cut. During the early, acute, inflammatory stage of rheumatoid arthritis there is some evidence to suggest that Acupuncture might worsen the pain (though which usually may subside gradually) and therefore many acupuncturists do not treat acute rheumatoid arthritis. After some months the acute inflammatory stage subsides and the residual joint destruction may then lead to the development of a secondary osteoarthritis. This type of pain is amenable to acupuncture and responds in the same way as other osteoarthritic aches and pains. Chronic pain, due to disease of the musculo-skeletal system, is frequently amenable to acupuncture treatment. The published research shows that pain which has been present for many years can respond as well as pain that has been present for only a few months; therefore, from the available information, it is fair to say that acupuncture is ‘always worth a try’ in this type of condition.
Headaches: Headaches can be due to a multitude of factors; arthritis of the neck, dental problems, psychological problems, sinusitis, stress and tension, and head injury are a few of the many causes. Headaches are a common complaint and a notoriously difficult one to treat effectively, and they can be the cause of a considerable amount of distress and marital disharmony. Acupuncture treatment has been used to treat a wide variety of headaches, particularly migrainous headaches, and the results obtained have been very encouraging. The published work suggests that between 65-95 per cent of all headache sufferers obtain significant and long lasting pain relief from acupuncture treatment. Migraines seem to respond as well as, if not better than, other types of headache. Acupuncture therapy for headaches may cause the headaches to vanish completely, or occur with a markedly decreased intensity and/or frequency. The pain relief resulting from acupuncture treatment can sometimes be maintained for some years and re-treatment is usually required less frequently for headaches.
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