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. 2024 Jan 8:4:1294428.
doi: 10.3389/fpain.2023.1294428. eCollection 2023.

Acupuncture in musculoskeletal pain: analysis of changes in pain perception using the NRS (Numeric Rating Scale)

Lorenzo Fracchia  1 , Alda Maria Olivero  1 , Riccardo Rustichelli  1 , Tiziana Pedrali  1
Affiliations

Acupuncture in musculoskeletal pain: analysis of changes in pain perception using the NRS (Numeric Rating Scale)

Lorenzo Fracchia et al. Front Pain Res (Lausanne). .

Abstract

Objectives: This study is based on data collected at the Acupuncture clinic of the Local Health Authority (ASL) in Turin from 2008 to 2022 and aims at evaluating the effectiveness of acupuncture in the treatment of musculoskeletal pain using the Numeric Rating Scale (NRS) which analyzes changes in pain perceived by patients in different body regions.

Methods: The database consists of data provided by patients during the initial visit and the last session. Only patients who provided data at the beginning and end of treatment were included. The data were processed using JASP 0.17.2.1 software. The sample consisted of 932 patients with musculoskeletal conditions, excluding 254 subjects with internal medical conditions, who were treated during the same period. The selected population includes individuals aged 23-94, comprising 242 men and 690 women. Patients followed a therapeutic protocol based on the initial diagnosis and underwent an initial cycle of six weekly sessions, with the possibility of four additional sessions if needed. Acupuncture was performed by experienced medical personnel following Traditional Chinese Medicine guideline.

Results: The average NRS values were 7.49 at the beginning and 4.27 at the end, with a 43% reduction in pain. The data were analyzed using the Wilcoxon test, confirming statistical significance (p < 0.001). They were then divided by body region, showing a reduction in pain ranging from 40% to 55%. Statistical analysis among different conditions was performed using the Kruskal-Wallis test, with further comparisons using the Dunn test.

Discussion: The study demonstrates that acupuncture is effective in reducing musculoskeletal suffering, with a significant decrease in pain perceived by patients. The results suggest that acupuncture can be a valid treatment for a wide range of conditions, with pain reduction ranging from 40% to 55% and greater effectiveness for elbow-related conditions. However, it is important to note that sample size may influence the results, and further research is needed to confirm and expand these findings, especially for less-represented conditions by the sample.

Keywords: acupuncture; complementary medicine; musculoskeletal conditions; musculoskeletal pain; numeric rating scale; pain reduction.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

References

    1. Prince MJ, Wu F, Guo Y, Robledo LMG, O’Donnell M, Sullivan R, et al. The burden of disease in older people and implications for health policy and practice. Lancet. (2015) 385(9967):549–62. 10.1016/S0140-6736(14)61347-7 - DOI - PubMed
    1. Vickers AJ, Vertosick EA, Lewith G, MacPherson H, Foster NE, Sherman KJ, et al. Acupuncture for chronic pain: update of an individual patient data meta-analysis. J Pain. (2018) 19(5):455–74. 10.1016/j.jpain.2017.11.005 - DOI - PMC - PubMed
    1. Tough EA, White AR, Cummings TM, Richards SH, Campbell JL. Acupuncture and dry needling in the management of myofascial trigger point pain: a systematic review and meta-analysis of randomized controlled trials. Eur J Pain. (2009) 3(3):3–10. 10.1016/j.ejpain.2008.02.006 - DOI - PubMed
    1. Lee J-H, Choi T-Y, Lee MS, Lee H, Shin B-C, Lee H. Acupuncture for acute low back pain: a systematic review. Clin J Pain. (2020) 36(3):222–33. 10.1097/AJP.0b013e31824909f9 - DOI - PubMed

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