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Commentary acute tolerance. Among the pharma- Preoperative acupuncture: cological interventions tested, epidural analgesia, peripheral local anaesthetic infi ltrations and systemic non-steroidal postoperative analgesia? anti-infl ammatory drugs have been proved to have an end effect mainly on Thomas Lundeberg a reduction in supplemental analgesics, whereas systemic N-methyl-D-aspartic acid receptor antagonists and systemic In the linked study by Coura and col- central sensitisation. These phenom- opioids have not. This would suggest laborators, it is reported that acupunc- ena, although evoked within a matter that acupuncture treatment given the ture the day before surgery can reduce of minutes, can outlast the surgical day before the surgery either reduces postoperative pain (see article on tissue injury for several hours or days the activity in the nociceptive system page 16). Although the study is and drive acute postoperative pain or more likely reduces the infl amma- small and there are gender differences until the surgical wound has healed. tory response following the surgical between the groups, the fi ndings are Pre-emptive analgesia is a treatment intervention. Acupuncture has been novel, suggesting that acupuncture that prevents establishment of the reported to result in the release of the may be used the day before surgery altered
Acupuncture in Medicine – SAGE
Published: Mar 1, 2011
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