Thursday, January 24, 2013

Acupuncture can be a remedy for chronic headache pain

Acupuncture is a form of complementary or alternative medicine, and many of my patients ask about it. It first gained recognition in the United States in 1971 when a well-known New York Times columnist, James Reston, developed appendicitis on a trip to China. His pain following surgery was treated not with conventional pain medicines but with acupuncture. Reston reported that his pain had been completely relieved by acupuncture. His standing and credibility caused many people to take acupuncture seriously.

Acupuncture has long been used to treat headaches. But until recently, there hadn’t been strong evidence to support its use for headache pain. Two large scientific reviews have changed that. One review found that acupuncture may help people with episodic or chronic tension headaches. The other review found that acupuncture may prevent migraine headaches as well as or better than medications.

The tension headache review looked at 11 studies involving about 2,300 people. In two large studies included in the review, nearly half of people who received acupuncture in addition to their usual headache treatment said their headache days were cut by at least half. Only 16 percent of those who received typical headache treatment, but no acupuncture, reported the same level of headache relief.

The migraine review found evidence that getting regular acupuncture treatments in addition to typical migraine treatments (such as taking painkillers) cut the frequency of migraines. Also, when acupuncture was compared to taking a preventive drug, people who received acupuncture improved more and had fewer side effects than those taking medications.

According to Chinese medical theory, acupuncture works by affecting the flow of energy, called “qi,” through pathways or channels of energy that run through the body. The practitioner inserts very fine needles at specific points along these pathways.

Acupuncture has many variations. It typically involves four to 10 needles left in place for 10-30 minutes. A course of treatment may include six to 12 sessions. Most people report that acupuncture needles cause little or no pain.

Acupuncture is among the most promising of nontraditional headache therapies.

Some patients may require additional therapies, such as Chinese herbal medicine as an adjunct to their acupuncture treatments. Typically, the frequency of acupuncture treatments is one to three times per week. On the other hand, Chinese herbal medicine to treat headaches can be used daily. Patients who are able to incorporate acupuncture and Chinese herbal medicine to treat their condition get the best results.

If you decide to try acupuncture, do your homework before choosing a practitioner. If possible, choose a therapist with a state license. If you live in a state that doesn’t require licensing, seek out one who’s certified by the National Certification Commission for Acupuncture and Oriental Medicine.

You may also want to get a referral from your doctor. (In any case, inform your doctor if you are going to try acupuncture.)

Meridian Harmonics provides various acupuncture and customized Chinese herbal therapies to treat the many different types of headaches and migraines.