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Randomized Controlled Trial
. 2011 Jun 5:11:46.
doi: 10.1186/1472-6882-11-46.

Acupuncture for the treatment of severe acute pain in herpes zoster: results of a nested, open-label, randomized trial in the VZV Pain Study

Tamara Ursini  1 , Monica Tontodonati, Lamberto Manzoli, Ennio Polilli, Cristina Rebuzzi, Gabriele Congedo, Sonia Di Profio, Patrizia Marani Toro, Augusta Consorte, Giuseppina Placido, Stefano Laganà, Claudio D'Amario, Carla Granchelli, Giustino Parruti, Lucio Pippa; VZV Pain Study Group
Collaborators, Affiliations
Randomized Controlled Trial

Acupuncture for the treatment of severe acute pain in herpes zoster: results of a nested, open-label, randomized trial in the VZV Pain Study

Tamara Ursini et al. BMC Complement Altern Med. .

Abstract

Background: Data on the potential efficacy of acupuncture (AC) in controlling intense or very intense pain in patients with Herpes Zoster (HZ) has not been so far adequately assessed in comparison with standard pharmacological treatment (ST) by a controlled trial design.

Methods: Within the VZV Pescara study, pain was assessed in HZ patients on a Visual Analogue Scale (VAS) and by the McGill Pain Questionnaire (MPQ) both at the beginning and at the end of treatment. Response rates, mean changes in pain intensity, differences in total pain burden with an area-under-the-curve (AUC) method over a 1-year follow-up and differences in the incidence of Post-Herpetic Neuralgia (PHN) were evaluated.

Results: One hundred and two patients were randomized to receive either AC (n = 52) or ST (n = 50) for 4 weeks. Groups were comparable regarding age, sex, pain intensity at presentation and missed antiviral prescription. Both interventions were largely effective. No significant differences were observed in response rates (81.6% vs 89.2%, p = 0.8), mean reduction of VAS (4.1 +/- 2.3 vs 4.9 +/- 1.9, p = 0.12) and MPQ scores (1.3 +/- 0.9 vs 1.3 +/- 0.9, p = 0.9), incidence of PHN after 3 months (48.4% vs 46.8%, p = 0.5), and mean AUC during follow-up (199 +/- 136 vs 173 +/- 141, p = 0.4). No serious treatment-related adverse event was observed in both groups.

Conclusions: This controlled and randomized trial provides the first evidence of a potential role of AC for the treatment of acute herpetic pain.

Trial registration: ChiCTR-TRC-10001146.

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Figures

Figure 1
Figure 1
Relevant Acupoints used in patients treated with Acupuncture. (adapted from anatomic tables of Traditional Chinese Medicine, Associazione Gruppo Studio "Società e Salute", with permission).
Figure 2
Figure 2
Flow of participants through each stage of the trial.
See this image and copyright information in PMC

References

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