Acupuncture Presentation

1. Acupuncture Irina Bubnova, Camryn Fisher, Erica Navarro , Stephanie Knippa

2. What is Acupuncture? Acupuncture is a method of encouraging the body to promote natural healing and to improve functioning. This is done by inserting needles and applying heat or electrical stimulation at very precise acupuncture points.

3. History of Acupuncture Acupuncture has existed since the Han Dynasty in China over 2,000 years ago. Introduced in Europe in the 17th century. During the Warring States Era (421 -221 B.C.), metal needles replaced the stone needles.

4. History continued... From 260-265 A.D., physician Huang Fu Mi , organized all of the ancient literature into his classic text . Acupuncture was used exclusively during the long march (1934-35 ). It helped maintain the health of the army.

5. NCCAM Acupuncture is studied on its effect on specific health conditions and how it affects the brain and nervous system. T he NCCAM facilitates the research and evaluation of unconventional medical practices such as acupuncture. NCCAM research has found that: P atients treated with acupuncture after dental surgery had less intense pain than patients who received a placebo. O lder people with osteoarthritis experienced significantly more pain relief after using conventional drugs and acupuncture together.

6. What is Acupuncture used for? Acupuncture is a popular alternative treatment for pain caused by: Injury Arthritis Headaches and migraines Cancer Fibromyalgia Other chronic conditions

7. Sciatic Nerve and Lower Back Pain Those who suffer from back pain can benefit from acupuncture treatments. The treatment allows the muscles to relax and for the patient to feel relief from lower back pain .

8. Parkinson's Disease A study found that patients who suffer from Parkinson's can benefit from receiving acupuncture treatments on a regular basis. Improvements were seen in: Balance Gait Length stride

9. Depression , Stress, and Anxiety Limited evidence is available on the effects of acupuncture on depression due to the inconsistencies in research and studies. S tudies are being performed to determine the efficacy of acupuncture for stress and anxiety, including Post Traumatic Stress Disorder (PTSD). Further research is needed to determine the benefits of acupuncture in these areas.

10. Pain Management New study shows acupuncture to be effective at treating pain in the following conditions: Chronic back, neck, and shoulder pain Migraines Osteoarthritis

11. Varying Results Relief for cancer patients on chemotherapy The Society for Integrative Oncology recommends acupuncture for pain, side effects associated with cancer treatments, as well as nausea and vomiting from chemotherapy. Inconclusive evidence for other illnesses Acupuncture trials show little evidence to support that acupuncture can help relieve Irritable Bowel Syndrome (IBS), Attention Deficit Hyperactivity Disorder (ADHD), and other chronic illnesses.

12. Why Choose Acupuncture? The hope of relieving pain and discomfort associated with alternative treatments are becoming more popular. More and more people want to stray away from pain medication and choose to use alternative methods to reduce their pain and discomfort .

13. Risks of Acupuncture Soreness Bleeding Bruising Infection Organ injury

14. Serious Risks of Acupuncture While serious risks of acupuncture are very low, there have been instances of: Necrotizing Fasciitis MRSA Endocarditis Pneumothorax

15. Acupuncture Opposition Evidence is not conclusive on whether acupuncture or placebo is better. Many past studies were poorly designed. Many pro-acupuncture studies made conclusions based on clinically irrelevant calculations. IS IT A SCAM?

16. Chinese History - Debunked Acupuncture was not always popular in China. One Emperor issued an edict removing acupuncture from the Imperial Medical Academy. The Chinese Communist Party ridiculed acupuncture Acupuncture came to the U.S. in 1972 after President Nixon visited China.

17. The Future of Acupuncture “The effects of acupuncture on the brain and body and how best to measure them are only beginning to be understood. Current evidence suggests that many factors—like expectation and belief—that are unrelated to acupuncture needling may play important roles in the beneficial effects of acupuncture on pain ” -National Center for Complementary and Integrative Health

18. References Academy of Classical Oriental Sciences [ACOS]. 2016, History of Acupuncture . Retrieved from: http// www.acos.org /articles/history-of-acupuncture/ American Association of Medical Acupuncture [AAMA]. 2016, NCAAM Acupuncture Information , Retrieved from: http:// www.medicalacupuncture.org /For-Patients/Articles-By-Physicians-About-Acupuncture/NCCAM-Acupuncture- Information Colquhoun, D., & Novella, S. P. (2013). Acupuncture is theatrical placebo. Anesthesia & Analgesia, 166 , 1360-1363. doi : 10.1213/ANE.0b013e31828f2d5e Jakes, D., Kirk, R., & Muir, L. (2014). A Qualitative Systematic Review of Patients' Experiences of Acupuncture.  Journal Of Alternative & Complementary Medicine , 20 (9), 663-671. Kotton , Y., Soboh , S., & Bisharat , N. (2015). Vibrio vulnificus necrotizing fasciitis associated with acupuncture. Infectious Disease Reports, 7 , 46-49. doi : 10.4081/idr.2015.5901

19. References Lee, M. S., Kim, T. H., & Ernst, E. (2012). Is acupuncture or moxibustion better than a sham or placebo-treatment? Acupuncture and Moxibustion as an Evidence-based Therapy for Cancer, 3 , 249-264. doi : 10.1007/978-94-007-4833-0_11 Lei, Hong, Nima Toosizadeh , Michael Schwenk , Scott Sherman, Stephen Karp, Saman Parvaneh , Esther Esternberg , and Bijan Najafi . "Objective Assessment of Electro-acupuncture Benefit for Improving Balance and Gait in Patients with Parkinson’s Disease (P3. 074)." Neurology 82, no. 10 Supplement (2014): P3-074 . Lubana , S. S., Alfishawy , M., Singh, N., & Brennessel , D. J. (2015). First reported case of methicillin-resistant staphylococcus aureus vertebral osteomyelitis with multiple spinal and paraspinal abscesses associated with acupuncture. Case Reports in Medicine, 2015 , 1-5. Retrieved from http:// dx.doi.org /10.1155/2015/524241 Mayo Clinic. (2015). Acupuncture: Risks . Retrieved from http:// www.mayoclinic.org /tests-procedures/acupuncture/basics/risks/prc-20020778 O'Connor, A. (2012, September 11). Acupuncture provides true pain relief in study. The New York Times . Retrieved from http:// well.blogs.nytimes.com /2012/09/11/acupuncture-provides-true-pain-relief-in-study/?_r=0

20. References The National Center for Complementary and Integrative Health. (2015-a). 6 Things To Know About Mind and Body Practices for Fibromyalgia . Retrieved from https:// nccih.nih.gov /health/tips/fibromyalgia The National Center for Complementary and Integrative Health. (2015-b). Acupuncture: What You Need To Know. Retrieved from https:// nccih.nih.gov /health/acupuncture/introduction#hed3 The National Center for Complementary and Integrative Health. (2015-c). Complementary and Integrative Approaches for Cancer Symptoms and Treatment Side Effects: What the Science Says. Retrieved from https:// nccih.nih.gov /health/providers/digest/ cancer-science#acupuncure The National Center for Complementary and Integrative Health. (2015-d). Depression and Complementary Health Approaches: What the Science Says. Retrieved from https:// nccih.nih.gov /health/providers/digest/depression-science#heading5 Woods, T. (2010). Ten tips to relieve sciatic nerve pain. EmaxHealth . Retrieved from http:// www.emaxhealth.com /1357/45/35893/ten-tips-relieve-sciatic-nerve- pain.html