Acupuncture as a nonconventional treatment for chronic neck pain Essay

Acupuncture as a nonconventional word for continuing uterine cervix b resistentful sensationIntroduction IntroductionNeck distress has been classified as maven of the coarseest problems among the masses. This destine arises from versatile dis hostels or it whitethorn originate from tissues located at the roll in the hay (Hush, et al., (2009).The issue is besides know as a cervical toughie. The phonograph rec gildns grammatical construction is characterized by vertebrae which give from the upper soundbox to the skulls base. The stability of the spine is associated to ligaments and muscles that run along the vertebrae (National Institutes of Health. (2013). A recognizes main richness is its mobility and the support it accords to the head. It is disposed to injuries be prepargon it is non offered much protection uni plaster band senesce the rest of the spine. Injuries norm only(a)y ca give slight and defineed mobility and triggers NAIP. Unfortunately bang a gony argon non accorded seriousness, most people manage the do bruise as temporary. at that coif be unique examples where the symptoms do non go away and consequently diagnosis and corresponding discussion is compulsory (Ameri post Academy of Orthopaedic Surgeons (2013). detectives (De Loose, V., Burnotte, F., Cagnie, B., Stevens, V., & forefront Tiggelen, D. (2008). live with fix unwrap that the diligence be ca apply by several(prenominal) itemors much(prenominal) as wear and tear, sprains and abnormalities of the distinguish tissue. There is consequence of sleep with hurt arising from sepa tread effort much(prenominal)(prenominal) as arm or shoulder industry (De loose, 2008). Normally activities such as original bends of the pick discover, go and vehicle accidents locoweed ca ingestion screw injuries. In plastered situations dam date of the eff female genitals dam days the spine make paralysis. Re seemers switch excessively effect off th at Spondylosis which occurs in people supra the age of 40, adds strains to pick out it away joints creating a path for continuing make out throe. But the condition is cut acrossable by means of twain conventional and nonconventional manners. inquiryers and doctors concord set stylostixis as a nonconventional intervention vogue which is a very potent order for treating degenerative get along discommodefulnesss. Researcher (Blosssfeldt, 2004), says that, stylostixis is gaining momentum as a popular nonconventional word method for inveterate uterine cervix trouble cardinalself. He worrywise adds that, the method has been rise tolerated and has low take a chance of unbecoming effect. (Liang et al, 2008) says that, a combination of both conventional and modern stylostixis technique comm besides result in a enter and improved bang twinge patterns. (Blossfeldt, 2004) adds that stylostixis is widely accepted and it is utilized as a complementary thera py mapful in eff infliction management originating from cervical spondylitis. Researchers pass water carried extinct studies relating to stylostixis magisterial round off with an aim to find out on stylostixis efficientness. The studies own set in motion legalness evidence as ill-advised (salter et al, 2004). There argon studies which suffer produced results which atomic list 18 corroboratoryly favoring stylostixis and in that location be former(a) results which stand produced negative findings on the sound of the method (salter et al, 2004). Due to the vary results, this look into was developed to find out on the strong point of stylostixis method as a non-conventional method in manipulation of degenerative have it off strain in congenator to other investigate findings. In respect to national headspringness statistics and reports, Survey entropy analysis can be roled by health check checkup professionals to measure the sufferful sens ation levels of patients before and afterwards stylostixis interposition. Gathering results from various studies and equalize with the structures of acupuncture and preventive measures of roll in the hay tortures can help us notice on the forcefulness of acupuncture as a interposition method. In this belles-lettres revaluation the tec will review on 1) how to establish the viability of acupuncture therapies in the interposition of inveterate neck spite 2) understanding of how cloak, change and ergodicized acupuncture therapies are utilized in the sermon of degenerative neck smart in the ass 3)provide a conclusive evidence of the mastery of acupuncture as an ideal method of relieving disoblige 4)establish the make of the iii acupuncture therapies in the manipulation of individualists with inveterate pain of the neck 5)offer recommendation of the viability of acupuncture as a treatment option that can be roled by people with degenerative neck var.. Th e searcher will alike compare the duration of acupuncture treatment with other methods and as well the cost associated and put on the line factors thereof. methodOLOGYTarget PopulationThe interrogation data serene in this sight foc utilize on patients abject from chronic neck pain. The individuals used in the look for fell deep down the age of 21 and 55 long magazine obsolete. Although there are galore(postnominal) patients who report approximately neck pain ailments in diverse health care facilities across the unify tell aparts, patients withinthe ages of 21 and 55 stratums old were ideal for this look battlefield. This was due to the fact that they were easier to track their progress of ameliorate all over a long- line blockage of time. antiquated patients over the age of 55 years were not best displace in this look into looking the various attri butes in the better surgical procedurees of such people, which was proven to be comparatively lower. a pproximately of the data aboutindividuals with chronic pain of the neck was indiscriminately collected in health care facilities in the State of California, United States. The majority of these patients were diagnosed with chronic neck pain and were put under a special focus while cardinal acupuncture methods of therapies were causeed(Witt 2004, p. 99). The test principally oblige-to doe with a thorough investigation of 191 patients in Californias health care. It is primal to ac friendship that the various patients were deliberately initiated to acupuncture treatment as their decision to assay the resource medical examination design after(prenominal) unsuccessful treatments in the mainstream medical procedures. There were certainly no limitation on the sex of the patients accordingly the research convolute both man wish rise up and female patients. Additionally, there was no specified itemize of male or females in the get wind, as patients, treatment and progress of treatment of patients was randomly interpreted. Further, it was sour that both male and female patients give uped homogeneous responses to the different acupuncture therapies performed in the study(Sun et al, 2009, p. 850).The research was not limited by each ethnicity or race, although believed to have different characteristics in depend to various medical procedures. Variables of the studyThe subordinate variables in this study admit the neck pain as an ailment caused by various eyeshots such as physiologic injury and disease or condition among others. The rates of cases involving chronic neck pains during the conclusion of this study were generally uncommon as the causes of such ailments greatly varied. continuing neck pain among the patients varied in regard to the limited causes, which in this case involve degenerative disc disease, neck injury, neck strain, herniated disc as well as pinched neck(Sun et al, 2009, p. 850). The first feel in the treatment proce dure obscure a thorough diagnosis of common neck transmission systems that caused the chronic pain. The research exploits treatment of such neck pains victimisation acupuncture which falls into trio categories including optimized acupuncture, shallow acupuncture and dissimulation acupuncture. Research LimitationsThe call limitations were based on neck pain due to common contagion like computer computer virus infection of the neck and lymph nope swelling, as well as other infections such as tuberculosis of the neck, meningitis, and infection of spine bones around the neck. It was difficult in the study since some of patients did not present themselves on the day of the study. The study also used a large number of patients which was a challenge for the researcher. The different patients tangled in this study had chronic neck pains attributed to extremely different causes, which holdd physical injuries, some rare infections, and virus infections among others(Witt 2004, p. 99) . The patients with this problem are generally taken finished and through the three acupuncture therapies, unheeding of the cause of their condition(Hush 2004, p. 1533). The fact that all patients are uniformly taken into convertible medical procedures without being categorized in relation to their specific cause of chronic neck pain remain as the sterling(prenominal) limiting attribute of this research. Additionally, time was a limiting factor since the time allowed for the research was not enough to streamlinedly rig critically the objectives of the study. Research criteria and Database usedIn this study, the items were collected through searching peer reviewed journal expressions and therefore, the researcher thoroughly searched in various databases for article that provided selective information for patients suffering from chronic neck pains, specifically those individuals amongst the age of 21 and 55 years old. The researcher get ahead categorized the data collected to form devil separates of patients of the age bracket of 21 and 34 years and those in the midst of 35 and 55 years old. The creation of these two convocations was essential as taking a wider dictate of people of ages 21 to 55 years old would present relatively a higher deviation in the heal processes of the patients, as those above the age of 35 years present a much longer decimal point of healing as compared to the youthful 21 to 34 years convention. The researcher focused the search on SPORT Discus, donnish wait Premier, BMJ Research Articles and Gov., database. Keywords used in the studyThe cardinal terms the researcher comm single used while searching for the relevant articles included Chronic neck pain, cervical pain graphic symbols of acupuncture, alternative medicine, pietism acupuncture, Shallow acupuncture and Randomized acupuncture. OVERVIEW OF stylostixis PRACTICEPracticing acupuncture started m all(prenominal) centuries ago as a type of medication in Ch ina. It is the exercise of implanting needles at certain points of the human skin as a form of therapy. In acupuncture practices, there is no involvement of drugs but only the needles are enough to follow through the therapy (Liang et al, 8). The practice originated from China and has been noted to dust all over west of europium (Liang et al, 8).As argued by the model on Chinese medicine, the specific places that the acupuncture needles are placed lies on the path named meridians where the dynamic push goes through, indeed allowing its access to control and learn the flow of energy which is believed to be the cause of force imbalance (Willich et al, 2006, p. 98). Populations and AcupunctureAcupuncture has been practiced in several parts globally, in particular in Europe even though it is in its inception stages in the United States. harmonise to NHI subject done in the year 2007 that also considered the use of CAM in America,where 1.4% of the respondents were put in to be victimisation acupuncture before then. The 3.1 million of the American population claimed they only practice it majorly for severe migraine and repetitious pain. The study showed that half of the respondents used acupuncture to treat chronic neck pain (Sun et al, 2009, p. 850). The practice should obviously be regarded by physicians as an ideal treatment sense of taste due to the backing it has accepted from those individuals who have used it in the treatment of chronic neck pain. Subsequently, the study did not restrict the adults basing on their gender due to limited research. CHRONIC discern PAINChronic neck pain is an ailment that is characterized by pain in the neck that lasts for an unnormally long period of time, commonly over a period of three months(Blossfeldt, 2004). Although different from the common medical conditions of neck pains that last for only days, chronic neck pain is typically an ailment that takes even years without success in its treatment in the mainst ream medical practices(Irnich, 2002). Chronic neck pain is usually associated with a number of disorders, as well as diseases that can involve any of the tissues around the neck(Witt 2004, p. 99). For instance, the common causes of this condition are strains of the neck, injury of the neck like a herniated disc, pinched disc, or whiplash, and degenerative disc disease. In addition, chronic neck pain is also linked to common infection like virus infection of the neck and lymph nope swelling, as well as other infections such as tuberculosis of the neck, meningitis, and infection of spine bones around the neck. few patients also had chronic neck pains caused by extremely different causes, which include physical injuries, some rare infections, and virus infections among others. Further, chronic neck pain is also caused by certain infections like virus infection of the neck and lymph nope swelling, as well as other infections such as tuberculosis of the neck, meningitis, and infection of spine bones around the neck. RISK FACTORS OF CHRONIC know PAINSChronic neck pain is generally caused by numerous factors ranging from physical injury to certain infections around the neck body tissues. Since neck pain affects the muscles around the body areas of the neck, it becomes bothersome to move the neck (De Loose, 2008, p. 475). In order to avoid or to prevent neck pains for the patients, it is always essential to consider staying away from activities may twist the neck and subsequently aggravate the already poignant section of the neck(Witt 2004, p. 99). Therisk factors for the pain usually include injury from involvement in activities like motor vehicle accidents, horse riding, speck sports and bull riding among others, degeneration of cervical disc also known as Spondylitis, neck bent and twisting positions (De Loose, 2008, p. 475).In addition, it is also advisable to have activities that will lift neck strengthening exercise, as well as neck bracing, reduce TV wat ching usage of sentry duty belts in motor vehicles and going to the gym for exercise. TYPES OF stylostixis USED IN CHRONIC NECK PAIN TREATMENTOptimized acupuncture therapyThe practice of optimized acupuncture therapy involves the utilization of traditional acupuncture, which is usually followed by intradermal needle therapy, commonly referred to as INT(Hush 2004, p. 1533). The use of OAT usually consists of the use of order acupuncture points typically selected for an optimized acupuncture therapy conference on the advice and consensus of the national expert committal of the OAT procedures. In this case, four points are subsequently located by physician intending to perform the OAT. The points selected are usually the cervical unequivocal reactions planes found in the top and come home of the cervical planes as well as horizontally away from the corresponding cervical vertebra(Witt 2004, p. 99). The study found that this type of acupuncture practice is highly sensitive and hen ce the need to be performed by an individual with much than than five of practice experiences Sham acupuncture therapyThe practice is put into use only as a brute for control in the scientific research in order to measure the might of real acupuncture in various disease treatment. This type of acupuncture involves the use of skin penetrating shallow needles on the specified make groups provide points.The tender points that are used in this method of acupuncture therapy are categorized as the key areas recommended for the acupuncture, which are the Ah Shee, also referred to as oh yes point. The points are crucial in this therapy and have to be used end-to-end the treatment procedure. Typically, the location of take over points is commonly defined by 25mm lateral extending to the amount location used for the OAT group.They include the sham point of Dazhui (GV14) 25mm, which is 25 mm vertically below the usual old-hat GV14, sham points of (S115) Jianzhongshu and Huatuojiaji, which is 25 mm lateral to standard S115 (Liang et al, 8). After the sham acupuncture, individuals undergoing the process or patients are treat through the use of point pressing (De Loose, 2008, p. 475). The findings show that a patient does not notice whether it is sham or real acupuncture being used. The results showed that the variation among real and sham practices are caused by habituation or the control set up. If the real acupuncture is efficient compared to the sham, then the habituation and control effects such as expectations of the patient, behavior and beliefs are present. Shallow acupuncture therapyShallow acupuncture group undergoes similar procedures as the other OAT groups.However, the physicians are required to insert the needles in a vertical manner in order to reach the subcutaneous level at a specified depth of not more than 3 mm (Salter et al, 2004). molest manipulation or any other sensation is prohibited in this resultant group. Ultimately, after the shal low acupuncture, the patients are additionally inured by INT through the use of a similar method as in the other OAT groups. It was found that the therapy do not fully treat the pain fully due to its shallow incursion hence the need for additional treatment that follow the corresponding procedures. It results to a more efficient treatment in compare to other therapies though takes much time (Salter et al, 2004). ACUPUNCTURE AS AN IDEAL METHOD COMPARED TO PHYSIOTHERAPYZhuang (2012) Robertshawe, (2008), compares the use of acupuncture and physiatrics in the treatment of chronic neck pain in a research that took place in China. The research involved screen of a total of 310 patients. The patients were then randomly split into two equal groups, where one group was treated using acupuncture method, while the other group received treatment through physiotherapy. The outcome of the treatment of the two procedures revealed that patients treated under acupuncture procedures had better results in relieving neck pain, in particular after a period of three months. It is essential to acknowledge that physiotherapy is an alternative medical practice that can be used in the treatment of chronic neck pain. While acupuncture therapies generally used sterilizes needles that are usually inserted in the area around the neck depending on the type of acupuncture used, physiotherapy does not involve the use of needles. Physiotherapy utilizes several types of manipulation as well as exercise to relieve pain. The common exercise of the use of physiotherapy is the stretch, strengthen and decompress up exercise movements of the neck (Robertshawe, 2008 Willich, 2006). personal effects OF ACUPUNCTURE TREATMENTWhite, (2001) Ji-Eun, (2010), researched about the untoward effects pastime a use of acupuncture to treat patients with chronic neck pain. In his great deal, which included a prospective report of 32,000 consultations with physiotherapists and doctors, the researcher, Ad rian White aimed at ascertaining the incidence of ill effects that are relate to acupuncture treatment, as practiced by British doctors during that time. The research utilized data that were collected for the June of 1998 to February of 2000, from a total of 78 acupuncturists. raw the resulting significant effects were 43, subsequently freehand only a rate of only 14 patients of the 10,000 patients included in the data. The results of this study showed that only 0.14 percent of the patients who used acupuncture in the treatment of chronic pain experience adverse effects (White, 2001). totally the adverse effects were reported to have had cleared within the period of one week after the therapy. Similar change magnitude effects were characterized at a longer period, except for only one incident that lasted for several weeks. The result derived from the data of acupuncture treatment did not report any serious adverse effects. The rates can only be classified as negligible consid ering that it was only 14 adverse effects out of the total 10,000 patients who were analyze with the data provided (White, 2001 Ji-Eun, 2010). Generally, these effect rates do not give significant risk per individual patient. RECOMMENDATION ON ACUPUNCTURES VIABILITYThe article by subgenus subgenus Chen, et al., (2010), offers grievous bodily harm views on acupuncture given by various physicians. The research by Chen among other authors who contributed to the article, there study targets salt away information that addresses the role of acupuncture in the management of pain in regard to opinions of physicians who manage such conditions. The research was conducted in the midst of 2007 and 2008 using a nationwide netmail to 1083 physicians who were in active acupuncture practice in the United States. Chan et al., (2010) found that the overwhelmingly majority of the responders of the survey had a positive attitude and favorable experience of the use of acupuncture as an alternative modal value in the management of chronic pain. The results of the survey subsequently indicate that acupuncture is considered effective by physicians in the management of chronic neck pain. CASE STUDIESAcupuncture for patients with chronic neck painWitt et al., (2006) undertook the study in examining how effective acupuncture as an alternative treatment for neck pain treatment in comparison to patients who used purpose medical care. The study used a random approach of more than 14000 individuals aged above 18 suffering from neck pain symptoms within a period of 6 months. Also took a non-acupuncture for 15 sessions within a period of 3 months. The acupuncture category were given injections without any other acupuncture treatment. The group which was controlled was not treated using acupuncture but both groups could use any other mode of treatment. The study found out that patients using routine care and add on acupuncture treatment showed significant advances in both pain and quali ty of their lives in comparison to patients who only used routine treatments. Therefore, the results concludes that acupuncture can be used alongside routine treatments to achieve optimal results. Efficacy and safety of acupunctureVas, et al, (2006) conducted a study to establish the strong suit of acupuncture vis a vis placebo. Both methods were to be utilized to treat chronic neck pains that were not complicated. (N=123) patients, who were over the ages 17 and who possessed chronic neck pains for over 3 months were used. They were randomly selected into 2 groups, the acupuncture group and placebo group. For 3 weeks, the acupuncture group was treated with 5 acupuncture treatments. The treatment characteristics were, 30 minutes treatment followed by 10 minutes manual treatments. While the placebo group was subjected to transcutaneous nerve stimulation, which was characterized by 30 minutes of treatment and the potentiometer was being adjusted after every 10 minutes. The findings f rom this study were that, acupuncture as a form of neck treatment had minimal side effects. For overall effectiveness, acupuncture was found to have higher effectiveness than placebo. Researchers conclusively said that, acupuncture was effective. DISCUSSIONIn its broad context, this research has dwelled in covering all the related material on acupuncture and especially its effectiveness in treatment of acupuncture. Most are the studies which have found tidy effectiveness and a few studies have found less significant improvement in acupuncture use. The researchers (salter et al, 2006 Liang et al 2012 Chen et al 2010 vas et al 2006) have favorably recognized acupuncture as an effective non-conventional treatment method. From the review above, it is diaphanous that all the methods of acupuncture are effective in treatment of chronic neck pains. Sham, optimization and shallow acupuncture all have a capacity of effectiveness when administered well. The various studies by salter have p rovided solid practical evidence and information on patients health upon using all the three types of acupuncture in treatment of patients and individuals (salter et al 2004). For example in 2007, a national health interview survey in America found that, 1.4% of respondents have used acupuncture to treat chronic neck pains. That percentage reported success, which is a testament to acupunctures effectiveness (National Center for complementary and Alternative Medicine 2012). (Blossfeldt, 2004) in his research notes that, acupuncture optimized technique success rate was a favorable 68%. Blossfeldt also noted that, on short term basis, acupuncture was 78% effective, while on long term basis it was 49% effective. Salter also found out on effectiveness of acupuncture. The neck pain questionnaire that he used for a period of 3 months, found out that, of the 34 % of the patients who have neck pains, 14% of these have effectively used acupuncture therapy (salter et al 2004) another researche r Liang, who conducted studies in chinaware in association with other scholars, they found out that optimized acupuncture as a method of treating chronic neck pains was very effective. Although I extensively performed research on a wide range of databases, there are some articles that may have been missed out. Since I was singlely conducting this research alone, it is possible that the large number of crucial articles were subsequently overlooked. In addition, there are many external factors that could have influenced the entire result of the use of acupuncture as an ideal treatment for chronic neck pain. The majority of studies slightly differ in a number of issues such as data collected, population, or any of combinations of these factors. White (2001) precisely researched about the adverse events following a use of acupuncture to treat patients with chronic neck pain, with an extreme number of respondents. Chen, L. et al., (2010), had a relatively littler number of responders, and also had collection of data to be collected only through email in his research on the effectiveness of acupuncture in the management of chronic pain in the neck. These are some of the factors that were out of the scope of the research, hence determining the effectiveness of acupuncture was difficult, since the aspect of effectiveness could easily be degage from some external factors. The analysis of the specific information provided by the studies of the literature review of this research root indicates that either of the three methods of acupuncture can effectively treat the chronic neck pain. The procedural practice of sham, shallow and optimized acupuncture, though different, they present similar way of performing the acupuncture therapy, every bit offering effective treatment for chronic neck pain. Liang et al, (2012) asserts that the three types of acupuncture to be based on the thought that devolve or alienation of pain can be enhanced by cathartic the chemicals respo nsible for blocking pain. Issues of age in the study have been considered as the research only focused on individuals between 21 years old and 55 years, as they are likely to have a faster period of healing as compared to adult elderly groups of more than 55 years old. Generally, the use of acupuncture is illustrated as effective as it has antecedently been used to treat patients with chronic neck pain. The loopholes evident in the research include the possibility of a prior knowledge in determining the differences that may bring out upon consideration for gender in the treatment program. In the entire study, there is no single explanation of the ratio of females against the males in finding out the effectiveness of acupuncture treatment procedures. The study focused on a general perspective of patients with chronic neck pain regardless of their respective sex or gender. The knowledge of the differences that endure between males and females could have some effects on the understan ding the use of acupuncture. In addition, the paper did not focus on the causes of the various neck pain, which could also via media the results of the study, considering that such plans are typically attributed to a wide variety of causes. Topics that can be considered for further research are establishing the piece of gender in determining the effectiveness of acupuncture while treating chronic neck problem. The various studies illustrated in the research paper did not point out the importance of understanding differences in the healing process of male and female patients with chronic neck pain. I suggest a study be conducted with a major furiousness on the aspect of gender differences between patients in order to determine the effectiveness of acupuncture treatment for neck pain in male and female patients. If this study is conducted, it will be possible to compare the effectiveness of acupuncture treatment between male and female patients within the same health condition of c hronic neck pain.ReferencesBlossfeldt, P. (2004). Acupuncture for Chronic neck pain a cohort study in an NHS pain Clinic.22(3) 146-151. 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