Low-back pain affects 84% of the world's population. At present, no method of treatment can be considered as the method of choice. Acupuncture is effective, scientific, cost-effective, and free from major side-effects. Three illustrative cases, showing the beneficial effects of acupuncture are presented. Attention is drawn to the possible presence of underlying sacroiliac-joint dysfunction, which could masquerade as sciatica, hip pain, and/or groin pain.
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References
1.
MooreW.The Edwin Smith papyrus. BMJ. 2011; 342:d1598.
2.
van MiddendorpJJ, SanchezGM, BurridgeAL. The Edwin Smith papyrus: A clinical reappraisal of the oldest known document on spinal injuries. Eur Spine J. 2010; 19(11):1815–1823.
3.
StaussWL, CaveJE. Pathology and the posture of Neanderthal man. Q Rev Biol. 1957; 32(4):348–363.
4.
BourkeJB.The paleopathology of the vertebral body in ancient Egypt and Nubia. Med Hist. 1971; 15(4):363–375.
5.
StochikAM, ZatravkinSN. The contribution of T. Sydenham (1624–1689) to the formation of modern Western medicine (on the occasion of the 390th anniversary of his birth [in Russian]. Ter Arkh. 2014; 86(8):138–142.
6.
SherkHH.Commentaries on the history and cure of diseases: Digitorum Nodi by William Heberden, MD. Clin Orthop Relat Res. 2004; 427(suppl):S3–S4.
7.
JohnsonGA.Lecture in [sic] backache and the diagnosis of various causes with hints on treatment. Br Med J. 1881; 1(1050):222–224.
8.
BrownT. On irritation of spinal nerves. Glasgow Med J. 1828:1(2):131–160.
9.
Lancet Commission. The influence of railway travelling on public health. Lancet. 1862;15–19,48–53,79–84.
GoldthwaitJE, OsgoodRB. A consideration of pelvic articulations from an anatomical, pathological and clinical standpoint. Boston Med Surg J. 1905; 152:593–601.
12.
Smith-PetersenMN, RogersWA. End result study of arthrodesis of sacroiliac joint for arthritis, traumatic and non-traumatic. J Bone Joint Surg. 1926; 8:118–136.
13.
YeomanW.The relation of arthritis of the sacroiliac joint to sciatica, with analysis of 100 cases. Lancet. 1928; 212(5492):1119–1122.
14.
MixterWJ, BarrJS. Rupture of the intervertebral disc with involvement of spinal canal. New Engl J Med. 1934; 211:210–215.
15.
BodenSD, DavisDO, DinaTS, PatronasNJ, WieselSW. Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects: A prospective investigation. J Bone Joint Surg Am. 1990; 72(3):403–408.
16.
Mao ShingNI. Acupuncture in the treatment of back pain: In: The Yellow Emperor's Classic of Medicine. Boston: Shambhala; 1995:154–156.
17.
CarlssonCPO, SjolundBH. Acupuncture for chronic low back pain: A randomized placebo controlled study with long term follow-up. Clin J Pain. 2001; 17(4):296–305.
18.
CeccherelliF, GagliardiG, BarbagliP, CaravezloM. Correlation between the number of sessions and therapeutic effect in patients suffering from low back pain treated with acupuncture: A randomized controlled blind study [in Italian]. Minerva Med. 2003; 94(4[supp1]):39–44.
19.
WendenbergK, MoenB, NorlingA. A prospective randomized study comparing acupuncture with physiotherapy for low back and pelvic pain in pregnancy. Acta Obstet Gynecol Scand. 2000; 79(5):331–335.
20.
KvorningN, HolmbergC, GrennertL, AbergA, AkesonJ. Acupuncture relieves pelvic and low back pain in late pregnancy. Acta Obstet Gynecol Scand. 2004; 3(3):246–250.
21.
MolsbergerAF, MauJ, PawelecDB, WinklerJA. Does acupuncture improve orthopedic management of chronic low back pain—a randomized blinded controlled trial with 3 months' follow-up. Pain. 2002; 99(3):579–587.
22.
MengCF, WangD, NgeowJ, et al.Acupuncture for chronic low back pain in older patients: A randomized controlled trial. Rheumatology (Oxf). 2003; 42(12):1508–1517.
23.
Sator-KatzenschlagerSM, ScharbertG, Kozek-LangeneckerSA, et al.The short and long term benefit in chronic low back pain through adjuvant electrical versus manual auricular acupuncture. Anesth Analg. 2004; 98(5):1359–1364.
24.
YuanJ, PurepongN, KerrDP, et al.Effectiveness of acupuncture for low back pain: A systemic review. Spine (Phila Pa 1976). 2008; 33(23):E887–E900.
25.
XiangY, HeJ-Y, TianH-H, CaoB-Y, LiR. Evidence of efficacy of acupuncture in the management of low back pain: A systematic review and meta-analysis of randomized placebo or sham controlled trials. Acupunct Med. 2020; 38(1):15–24
26.
LiuL, SkinnerM, McDonoughS, MabireL, BaxterGD. Acupuncture for low back pain: An overview of systematic reviews. Evid-Based Complement Alternat Med. 2015; 2015:328196.
27.
FoxLM, MurakamiM, DaneshaH, ManiniAF. Battlefield Acupuncture to treat low back pain in the emergency department. Am J Emerg Med. 2018; 36(6):1045–1048.
BalagueF, MannionAF, PelliseF, et al.Non-specific low back pain. Lancet. 2012; 379(9814):482–491.
30.
KatzJN.Lumbar disc disorders and low back pain: Socioeconomic factors and consequences. J Bone Joint Surg Am. 2006; 88(suppl2):21–24.
31.
CasazzaBA.Diagnosis and treatment of acute low back pain. Am Fam Physician. 2012; 85(4):343–350.
32.
EhrlichGE.Low back pain. Bull World Health Organ. 2003; 81(9):671–676.
33.
QaseemA, WiltTJ, McLeanRM, Forciea MA; Clinical Guidelines Committee of the American College ofPhysicians. Noninvasive treatments for acute, subacute and chronic low back pain: A Clinical Practice Guideline from the American College of Physicians. Ann Intern Med. 2017; 166(7):514–530.
34.
StochkendahlMJ, KjaerP, HartvigsenJ, et al.National clinical guidelines for nonsurgical treatment of patients with recent low back pain or lumbar radiculopathy. Eur Spine J. 2018; 27(1):60–75.
WeinsteinJN, TostesonTD, LurieJD, et al.Surgical treatment for lumbar spinal stenosis four year results of the spine patient outcomes research trial. Spine (Phila Pa 1976). 2010; 35(14):1329–1338.
37.
VickersAJ, CroninAM, MaschinoAC, et al.Acupuncture for chronic pain: An individual patient data meta-analysis. Arch Intern Med. 2012; 172(19):1444–1453.
38.
VickersAJ, VertosickEA. Lewith G, et al. Acupuncture for chronic pain: Update of an individual patient data meta-analysis. J Pain. 2018; 19(5):455–474.
39.
MacPhersonH, VertosickEA, FosterNE, et al.The persistence of the effects of acupuncture after a course of treatment: A meta-analysis of patients with chronic pain. Pain. 2017; 158(5):784–793.
40.
WittCM, JenaS, SelimD, et al.Evaluating the clinical and economic effectiveness of acupuncture for chronic low back pain. Am J Epidemiol. 2006; 164(5):487–496.
41.
RatcliffeJ, ThomasKJ, MacPhersonH, BrazierJ. A randomized controlled trial of acupuncture care for persistent low back pain: Cost effective analysis. BMJ. 2006; 333(7569):626.
42.
WhiteA.A cumulative review of the range and incidence of significant adverse events associated with acupuncture. Acupunct Med. 2004; 22(3):122–133.
43.
WittCM, PachD, BrinkhausB, et al.Safety of acupuncture: Results of a prospective observational study with 229,230 patients and introduction of a medical information and consent form. Forsch Komplementmed. 2009; 16(2):91–97.
44.
ShermanKJ, CoeytauxRR. Acupuncture for the treatment of common pain conditions: Chronic back pain, osteoarthritis and headache. J Clin Outcomes Manag. 2009; 16(5):224–230.
LenoirD, DePauwR, Van OosterwijckS, CagnieB, MeeusM. Acupuncture versus sham acupuncture: A meta-analysis of evidence for longer term effects of acupuncture in musculoskeletal disorders. Clin J Pain. 2020; 36(7):533–549.
47.
SchwarzerAC, AprillCN, BogdukN. The sacroiliac joint in chronic low back pain. Spine (Phila Pa 1976). 1995; 20(1):31–37.
48.
KurosawaD, MurakamiE, AizawaT. Referred pain location depends on the affected section of the sacroiliac joint. Eur Spine J, 2015; 24(3):21–27.
