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Acupuncture for Chronic Prostatitis in 89 Men

Acupuncture for Chronic Prostatitis in 89 Men AIM March 2008 Text.qxd 13/03/2008 08:08 Page 59 Research shorts Acupuncture for chronic prostatitis in 89 men Presence of myofascial trigger points in 30 tension-type headache patients Lee SW, Liong ML, Yuen KH, Leong WS, Chee C, Cheah PY, et al. Acupuncture versus sham Fernández-de-Las-Peñas C, Ge HY, Arendt-Nielsen acupuncture for chronic prostatitis/chronic pelvic L, Cuadrado ML, Pareja JA. The local and referred pain. Am J Med 2008;121(1):79.e1-7 pain from myofascial trigger points in the temporalis muscle contributes to pain profile in chronic tension- Chronic prostatitis/chronic pelvic pain syndrome type headache. Clin J Pain 2007;23(9):786-92. (CP/CPPS) afflicts 2%-10% of adult men. Available therapies offer little or no proven benefit. Because Thirty patients with chronic tension-type headache acupuncture represents an attractive ‘natural’ therapy, and 30 age and sex matched healthy controls were we compared the efficacy of acupuncture to sham studied. Aheadache diary was kept for four weeks to acupuncture for CP/CPPS. substantiate the diagnosis and record the pain history. Participants met US National Institutes of Health Both temporalis muscles were examined for the (NIH) consensus criteria for CP/CPPS, were aged presence of myofascial trigger points in a blinded >20 years old, and had a total score >15 on the NIH fashion. Chronic Prostatitis Symptom Index (NIH-CPSI) and Referred pain was evoked in 87% and 54% on symptoms for at least three of the preceding six the dominant and non-dominant sides in headache months. They were randomised 1:1 to acupuncture or patients, which was significantly higher (P<0.001) sham acupuncture. Treatment consisted of twice than in controls (10% vs 17%, respectively). Referred weekly 30 minute sessions for 10 weeks (20 sessions pain spread to the temple ipsilateral to the stimulated in total) without needle stimulation, herbs, or muscle in both patients and controls, with additional adjuvants. The primary response criterion was a six referral behind the eyes in most patients, but none point decrease from baseline to week 10 in NIH- in controls. Headache patients reported a higher pain CPSI total score (range 0-43). intensity than controls in both temporalis muscles Thirty-two (73%) of 44 participants responded in (both, P<0.001). The local and referred pain areas the acupuncture group compared with 21 (47%) of 45 were larger in patients than in controls (P<0.001). sham group participants (relative risk 1.81, 95% Twenty-three out of 30 CTTH patients (77%) confidence interval, 1.3-3.1, P=0.02). Long term had active trigger points in the temporalis muscle responses 24 weeks after completing therapy without leading to their usual headache (17 patients on the additional treatment occurred in 14 (32%) of 44 right side, 12 on the left, and six bilateral). CTTH acupuncture group participants and in 6 (13%) of 45 patients with active TrPs in either right or left sham group participants (relative risk 2.39, 95% temporalis muscle showed longer headache duration confidence interval, 1.0-5.6, P=0.04). than those with latent TrPs (P=0.004). CTTH patients After 10 weeks of treatment, acupuncture proved showed significantly (P<0.001) lower pressure pain almost twice as likely as sham treatment to improve threshold (1.1±0.2 right side, 1.2±0.3 left side) as CP/CPPS symptoms. Participants receiving compared with controls (2.5±0.5 right side, 2.6±0.4 acupuncture were 2.4 times more likely to experience left side). long term benefit than were participants receiving The pain resulting from pressure on active TrPs sham acupuncture. in the temporalis muscle was similar to patients' habitual headache pain. Local and referred pain from active TrPs in the temporalis muscles may constitute one of the sources contributing to the pain profile of CTTH. ACUPUNCTURE IN MEDICINE 2008;26(1):57-60. www.acupunctureinmedicine.org.uk/volindex.php 59 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Acupuncture in Medicine SAGE

Acupuncture for Chronic Prostatitis in 89 Men

Acupuncture in Medicine , Volume 26 (1): 1 – Mar 1, 2008
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Publisher
SAGE
Copyright
© 2008 British Medical Acupuncutre Society
ISSN
0964-5284
eISSN
1759-9873
DOI
10.1136/aim.26.1.59
Publisher site
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Abstract

AIM March 2008 Text.qxd 13/03/2008 08:08 Page 59 Research shorts Acupuncture for chronic prostatitis in 89 men Presence of myofascial trigger points in 30 tension-type headache patients Lee SW, Liong ML, Yuen KH, Leong WS, Chee C, Cheah PY, et al. Acupuncture versus sham Fernández-de-Las-Peñas C, Ge HY, Arendt-Nielsen acupuncture for chronic prostatitis/chronic pelvic L, Cuadrado ML, Pareja JA. The local and referred pain. Am J Med 2008;121(1):79.e1-7 pain from myofascial trigger points in the temporalis muscle contributes to pain profile in chronic tension- Chronic prostatitis/chronic pelvic pain syndrome type headache. Clin J Pain 2007;23(9):786-92. (CP/CPPS) afflicts 2%-10% of adult men. Available therapies offer little or no proven benefit. Because Thirty patients with chronic tension-type headache acupuncture represents an attractive ‘natural’ therapy, and 30 age and sex matched healthy controls were we compared the efficacy of acupuncture to sham studied. Aheadache diary was kept for four weeks to acupuncture for CP/CPPS. substantiate the diagnosis and record the pain history. Participants met US National Institutes of Health Both temporalis muscles were examined for the (NIH) consensus criteria for CP/CPPS, were aged presence of myofascial trigger points in a blinded >20 years old, and had a total score >15 on the NIH fashion. Chronic Prostatitis Symptom Index (NIH-CPSI) and Referred pain was evoked in 87% and 54% on symptoms for at least three of the preceding six the dominant and non-dominant sides in headache months. They were randomised 1:1 to acupuncture or patients, which was significantly higher (P<0.001) sham acupuncture. Treatment consisted of twice than in controls (10% vs 17%, respectively). Referred weekly 30 minute sessions for 10 weeks (20 sessions pain spread to the temple ipsilateral to the stimulated in total) without needle stimulation, herbs, or muscle in both patients and controls, with additional adjuvants. The primary response criterion was a six referral behind the eyes in most patients, but none point decrease from baseline to week 10 in NIH- in controls. Headache patients reported a higher pain CPSI total score (range 0-43). intensity than controls in both temporalis muscles Thirty-two (73%) of 44 participants responded in (both, P<0.001). The local and referred pain areas the acupuncture group compared with 21 (47%) of 45 were larger in patients than in controls (P<0.001). sham group participants (relative risk 1.81, 95% Twenty-three out of 30 CTTH patients (77%) confidence interval, 1.3-3.1, P=0.02). Long term had active trigger points in the temporalis muscle responses 24 weeks after completing therapy without leading to their usual headache (17 patients on the additional treatment occurred in 14 (32%) of 44 right side, 12 on the left, and six bilateral). CTTH acupuncture group participants and in 6 (13%) of 45 patients with active TrPs in either right or left sham group participants (relative risk 2.39, 95% temporalis muscle showed longer headache duration confidence interval, 1.0-5.6, P=0.04). than those with latent TrPs (P=0.004). CTTH patients After 10 weeks of treatment, acupuncture proved showed significantly (P<0.001) lower pressure pain almost twice as likely as sham treatment to improve threshold (1.1±0.2 right side, 1.2±0.3 left side) as CP/CPPS symptoms. Participants receiving compared with controls (2.5±0.5 right side, 2.6±0.4 acupuncture were 2.4 times more likely to experience left side). long term benefit than were participants receiving The pain resulting from pressure on active TrPs sham acupuncture. in the temporalis muscle was similar to patients' habitual headache pain. Local and referred pain from active TrPs in the temporalis muscles may constitute one of the sources contributing to the pain profile of CTTH. ACUPUNCTURE IN MEDICINE 2008;26(1):57-60. www.acupunctureinmedicine.org.uk/volindex.php 59

Journal

Acupuncture in Medicine – SAGE

Published: Mar 1, 2008

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