How to Treat Shoulder Pain by Acupuncture and TCM Rotator cuff pain can be caused by playing sports that involve throwing or overhead reaching, such as baseball and swimming. The function of the rotator cuff is to support and stabilize the shoulder and humeral joint, maintain the sealing function of the shoulder joint cavity, maintain the synovial fluid to nourish the articular cartilage, and prevent the secondary osteoarthritis. 3 Prevalence and incidence of shoulder pain are reported to be . Other causes include aging and weakening of the tendons and injuries to the shoulder. [8,9] The mechanism of acupuncture treatment has not been fully elucidated. Proportion of patients who finally ended up receiving shoulder surgery. We will include randomized controlled trials (RCTs) of acupuncture treatment for rotator cuff disease. Introduction. The tears of rotator cuff is caused by the tears or aseptic inflammation of tendon tissue such as subscapular muscle, supraspinatus muscle, infraspinatus muscle, teres minor muscle, and so on, which make up the rotator cuff. Treatment for this disorder consist of 12 treatments for six weeks. Chinese Medicine YWJ will check the accuracy and completeness of the data entry. Adult patients (aged 18 years) diagnosed with Rotator cuff tears will be included, with the symptoms of shoulder joint pain or dysfunction enrollment in the research. Management of common musculoskeletal problems: a survey of Ontario primary care physicians. Please try after some time. Most p, Everyone longs for a good nights sleep. [4]. In anatomy, the rotor cuff is the group of muscles and their tendons that act to stabilize the shoulder and move the upper arm in a variety of directions. 1, 2 Most individuals with shoulder pain repeatedly visit outpatient clinic by complaining of pain even 12 months after the initial treatment. Prospective registration of this study has been approved by the Open Science Framework registries (https://osf.io/registries) with a registration number 10.17605/OSF.IO/M3NKV, and the protocol has been written following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols statement guidelines.[13]. Acupoint-related interventions that do not penetrate the skin with needles (e.g., moxibustion, acupressure, or laser acupuncture) will be excluded. Fluctuations in your hormones, such as dropping estrogen levels, can result in symptoms such as night sweats, insomnia, hot, Read More Perimenopause Causes Pain: Acupuncture Can HelpContinue, According to the National Institute of Healthit is estimated that some 50-70 million Americans suffer from sleep or wakefulness disorders causing nearly $50B in lost productivity and upwards of 5000 car crashes. Quasi-randomized, non-randomized controlled trials, uncontrolled clinical trials (e.g., case studies), qualitative studies, and laboratory studies will be excluded. Acupuncture is often used as the first line of treatment to help reduce pain and increase range of motion ahead of physiotherapy and exercise therapies. Please try again soon. In general, I find that rotator cuff injuries respond very well to acupuncture, with full recovery possible in many cases. According to the Cochrane Handbook for Systematic Reviews of Interventions, assessment of between-trial heterogeneity will be based on visual inspection of the forest plot, and more formally on the I2 statistic. Stock Market | About Us - The San Diego Union-Tribune men's health Two review authors will independently screen for titles and abstracts. They can occur from dysfunctional movements in the shoulder blade and arm that lead to wear and tear over time in the rotator cuff eventually causing a tear. Methodology: Seoyoung Choi, Kun Hyung Kim. HHS Vulnerability Disclosure, Help Ann Intern Med 2014;161:1619. Highlight selected keywords in the article text. [8]. 1. Perimenopause Causes Pain: Acupuncture Can Help, Finding & Treating the Causes of Insomnia, Using Acupuncture to Thrive During Chemotherapy, Tennis elbow? Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions. Registration: Open Science Framework (OSF) Preregistration. The first pressure point for sciatica on the Gallbladder Meridian is the Gallbladder 30 point. The quality of the included trials will be evaluated by 2 reviewers using the Cochrane Collaboration's tool. Evidence quality will be evaluated using the Grading of Recommendations Assessment, Development and Evaluation system. We will exclude trials that include any participants with a history of significant trauma or systemic inflammatory conditions such as rheumatoid arthritis, osteoarthritis, hemiplegic shoulders, or pain in the shoulder region as part of a complex myofascial neck/shoulder/arm pain condition. The authors have no conflicts of interest to disclose. Abbreviation: RCT = randomized controlled trials. We will not perform funnel plots to assess the reporting bias due to the lack of sufficient studies (fewer than 10). Discussion: Kidney Channel: KI3 - Located behind the inner ankle, this point treats asthma, insomnia, sore throat and lower back pain. Evidence quality will be evaluated using the Grading of Recommendations Assessment, Development and Evaluation system. Ethical approval is not necessary as this study will not require data from individual patients. Seoyoung Choi orcid: 0000-0003-0108-8617. acupuncture; protocol; rotator cuff disease; shoulder pain; systematic review. They are also referred to as the SITS muscle, with reference to the first letter of their names ( Supraspinatus, Infraspinatus, Teres minor, and Subscapularis, respectively). To do this we need to figure out which muscles are involved. [1] An epidemiological study in the United States reports that 4.5 million people are hospitalized every year for Rotator cuff tears. [5], Although the exact mechanisms are unknown, the pathogenesis of RCD has been attributed to both intrinsic and extrinsic mechanisms. Relief from Rotator Cuff Injuries Using Acupuncture Choi, Seoyoung KMDa; Kim, Kun Hyung KMD, PhDa,b,, aDepartment of Acupuncture & Moxibustion Medicine, Pusan National University Korean Medicine Hospital. Open Science Framework Preregistration. The searching strategy of PubMed is presented in Supplemental Digital Content (Appendix 1, https://links.lww.com/MD/E265). women's health. Vas J, Perea-Milla E, Mendez C, et al. food allergies The detailed process of study selection will be shown in a PRISMA flow diagram (Fig. Acupuncture is also an effective option in treating torn rotator cuff as an alternative to, or after, surgery. Gradual onset of pain, swelling and weakness at the side and front of the shoulder and upper arm, made worse by overhead motions such as reaching and throwing. All randomized controlled comparisons of acupuncture or manual therapy versus placebo, no treatment, another active intervention will be included. We will obtain full texts of all remaining references and the same 2 review authors will screen and exclude clearly irrelevant papers according to the selection criteria. Ethical approval is not necessary as this review will not require data from individual patients. Acupuncture and manual therapy for rotator cuff tears: A - PubMed PMC However, previous reviews have not completely addressed the role of acupuncture in the management of RCDs. cbd Consigliere P, Haddo O, Levy O, et al. cardiovascular Treatment is aimed at stopping pain, decreasing inflammation, and restoring range-of-motion and strength by moving qi and blood, clearing heat and obstruction, and draining dampness from the shoulder region. The Rotator Cuff (RC) is a common name for the group of 4 distinct muscles and their tendons, which provide strength and stability during motion to the shoulder complex. Bladder 2, on the face, along the eyebrow, where the eyebrow meets the nose. Maturitas 2019;123:914. In general, I find that rotator cuff injuries respond very well to acupuncture, with full recovery possible in many cases. According to the Cochrane Handbook for Systematic Reviews of Interventions, assessment of between-trial heterogeneity will be based on visual inspection of the forest plot, and more formally on the I2 statistic. I also find that some patients respond equally well or better to treatment of the related acupuncture zones/meridians on the calf and wrist, instead of locally. PRISMA = the preferred reporting items for systematic reviews and meta-analyses. Persons experiencing shoulder pain should seek diagnosis from a primary health care professional (physician or acupuncturist). I use local electro-acupuncture treatment at acupuncture locations (points) such at LI 14, 15, and 16; IM 14; and SI 10, 11, 12, 13, and 14, as well as extra point jianneiling. ginger Acupoints selected for this treatment consist of local and distal acupoints. [1] RCD is an umbrella term that refers to anatomical deformities, as well as symptoms and signs of rotator cuff pathologies, including subacromial impingement syndrome, rotator cuff tendinopathy or tendinitis, partial or full rotator cuff tear, calcific tendinitis, and subacromial bursitis. It will help loosen up stiff neck muscles and reduce neck pain. The primary outcome is pain intensity and shoulder dysfunction measured on validated scales within 12 weeks. Crossword; Sudoku; Crossword; Sudoku; Obituaries Acupuncture for Rotator Cuff Symptoms - YouTube FHY and HL will extract information from the included studies and enter into the electronic database. Your rotator cuff allows you to lift your arms and reach upward. [9]. My answer? A third review author will resolve disagreements. HT, FL, and HF contributed equally to this article. The aim of this review is to assess the effectiveness and safety of such interventions in patients with pain and dysfunction caused by rotator cuff tears. Rotator cuff tendonitis, bursitis and impingement are common causes of shoulder pain, particularly in middle-aged patients. For more information, please refer to our Privacy Policy. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. 2016 Jun 10;2016(6):CD012224. orthopedics If the missing data were not obtained, we will analyze only the available data. Keyword Highlighting The authors have no conflicts of interest to disclose. Conceptualization: Seoyoung Choi, Kun Hyung Kim. Shoulder pain is a common complaint in outpatient clinics and can result in an inability to work or perform household activities, leading to significant socioeconomic burden. (1) Health-related quality of life measured on validated scales such as short-form 36 health survey or EuroQol; (2) Patient global assessment of treatment outcomes, such as the patient global impression of change; (4) Active range of motion of shoulder joint; (5) Proportion of patients who finally ended up receiving shoulder surgery. To address your, Read More Acupuncture can put you in a better moodContinue, Its not menopause that causes issues with womens health and well-being. The objective of this systematic review is to evaluate the effectiveness and safety of acupuncture for managing symptoms in patients with RCD. You may be trying to access this site from a secured browser on the server. Pain and disability may become chronic. The mechanisms of. The relative safety of acupuncture for shoulder pain makes it worthy of trying in almost all cases. We will use the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to assess the overall quality of the evidence for each main outcome with respect to the following domains: the risk of bias across studies, directness of evidence, heterogeneity, precision of effect estimates and risk of publication bias. What Causes Rotator Cuff Injuries? Clipboard, Search History, and several other advanced features are temporarily unavailable. Page MJ, Green S, Mrocki MA, et al. It is generally believed that 10%15% of the adult population suffers from chronic insomnia, and an additional 25%35% have transient or occasional insomnia.1 Its no wonder Americans are so desperate for sleep! insomnia Acupuncture for rotator cuff injuries is a safe, noninvasive . Rotator cuff tears is one of the common musculoskeletal complaints, and significantly impacts a person's health-related quality of life. Unauthorized use of these marks is strictly prohibited. Effects of dry needling trigger point therapy in the shoulder region on patients with upper extremity pain and dysfunction: a, [13]. Patients with a provisional diagnosis of RCD include patients who are assumed to have RCD based solely on history taking and physical examinations without radiological assessment. This site needs JavaScript to work properly. Postural correction with scapular stabilization exercises, kinesiotaping and ergonomic modifications are often important to correct the underlying faulty biomechanics that put the shoulder at risk of injury. Orthop J Sports Med 2018;6:2325967118797891. Shoulder pain or omalgia is one of the main types of osteoarticular pain that can be observed in every-day clinical practice and it is considered the third most common osteomuscular cause of medical consultation. Crossover randomized trials, if any, will be included, but only the pre-crossover data will be analyzed in order to avoid carryover effects. We will check the reference lists of the included studies and relevant reviews and, if necessary, contact researchers in the field of RCD to identify additional trials. A systematic summary of systematic reviews on the topic of the rotator cuff. Cochrane Database Syst Rev 2019;10:ED000142. Acta Orthop 2014;85:31422. We will use funnel plots to evaluate reporting bias if we retrieve a minimum of 10 trials reporting the same outcome. [13]. In addition to the needles from acupuncture, moxibustion can also be used which may hasten recovery. 2018 Jan 26;8(1):e015461. We will search the EMBASE, the Cochrane Library, Ovid MEDLINE, PubMed, Web of Science, Chinese Biomedical Literature Database, Chinese National Knowledge Infrastructure, Wanfang Database, the Chongqing VIP, the US National Institute of Health, the NIH clinical registry Clinical Trials, the International Clinical Trials Registry Platform, the Australian New Zealand Clinical Trials Registry and the Chinese clinical registry, from their inception to April 1, 2020. Your message has been successfully sent to your colleague. Overview of treatment guidelines and clinical practical guidelines that recommend the use of, [12]. Song W, Han X, Li K, Chen C, Wang H, Zheng X. Nan Fang Yi Ke Da Xue Xue Bao. This muscle has been mentioned above. Acupuncture Treatment of Shoulder Impingement Syndrome The symptoms of a rotator cuff tear may resemble other conditions or medical problems. Finger walk. For continuous outcomes, data will be analyzed by using a standard mean difference with 95% CIs or a weighted mean difference. Pain intensity measured on validated scales, such as the VAS or NRS, over 12 weeks. Background: Shoulder pain is a common musculoskeletal disorder. How can alternative medicines, like acupuncture, effect my mood? Study eligibility will not be restricted by language or date of publication. Acupuncture treatment of shoulder impingement syndrome: A randomized Medicine. Relieve muscle spasms in the joint area, thereby lessening the load on the joint. modify the keyword list to augment your search. 1). Supplemental digital content is available for this article. Injuries range from acute strains, swelling and bruising, to chronic inflammation and fibrotic thickening and weakening of the rotator cuff tendon. If an adequate number of studies are available, subgroup analysis will be performed to find possible sources of the heterogeneity. Trigger point acupuncture can be an effective way to release the infraspinatus muscle and improve your movement. This point helps relieve headaches, vertigo, and neck problems. Evid Based Complement Alternat Med 2019;2019:2010816. Happily, that trend seems to be changing. Acupressure 101 : Acupressure for a Rotator Cuff Injury The purpose of this protocol is to describe a randomized controlled trial design to evaluate the effect . Supplemental Digital Content is available for this article. Prospective registration of this study was approved by the Open Science Framework (OSF) registries (osf.io/n2e6t), and the protocol was written following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) statement guidelines[13]. Orthop J Sports Med 2018;6:2325967118797891. There are 2 main causes of rotator cuff tears: injury and degeneration. We will contact the authors in China via telephone, and authors from elsewhere via email to obtain missing data, if necessary. menopause This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Treatment can be surgical or non-surgical. How to cite this article: Choi S, Kim KH. Acupuncture is commonly used for musculoskeletal disorders, and it has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. A random effects model will be used to calculate the pooled effect estimates, because substantial clinical heterogeneity is expected among the studies included in this review. There are no limitations on the methods of stimulation (e.g., electro-acupuncture, pharmacopuncture, thread-embedding therapy, acupotomy), points of stimulation (e.g., auricular points, scalp acupuncture points, tender points), types of needle, duration of treatment, or number of treatments. The following electronic databases will be searched from inception to November 30, 2019: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Allied and Complementary Medicine (AMED), Physiotherapy Evidence Database (PEDro), 3 Chinese databases (China Academic Journal Full-text Database (CAJ), China Doctoral Dissertations Full-text database and China Masters Thesis Full-text Database), 6 Korean databases (Korean studies Information Service System (KISS), National Digital Science Library (NDSL), Research Information Sharing Service (RISS), Korean Medical Database (KMBASE), Korea Institute of Science and Technology Information (KISTI), Oriental Medicine Advanced Searching Integrated System (OASIS)), 3 trial registries (ClinicalTrials.gov, International Standard Randomized Controlled Trials Number (ISRCTN) Registry, WHO International Clinical Trials Registry Platform (ICTRP)). It is argued that poor regenerative properties within a zone of hypovascularity and repetitive stresses, which result in inflammatory changes, could be significant factors in the degeneration process. Disclaimer. Trigger point needling is especially effective in the treatment of rotator cuff injuries as it helps to release knots within the muscle fibers, ultimately reducing pain and increasing blood flow to the area. I use local electroacupuncture treatment at acupuncture locations ("points") such at LI 14, 15, and 16; TW 14; and SI 10, 11, 12, . You may be trying to access this site from a secured browser on the server. The updated evidence that would be provided by this review will offer useful information for patients and practitioners, and also have implications for future studies and the development of clinical practice guidelines of RCD. If we do not succeed, we will exclude those trials. Previous systematic reviews have not assessed acupuncture and manual therapy for rotator cuff tears together. The authors have no conflicts of interest to disclose. weight loss We will calculate 95% confidence intervals and two-sided P values for each outcome. Acupuncture for Rotator Cuff Injuries - Peninsula Acupuncture Open Science Framework Preregistration. Registration number 10.17605/OSF.IO/M3NKV. It is important to talk with your healthcare provider for a diagnosis. Rotator cuff injury is the degeneration and tear of the rotator cuff muscle at the stop point of the humerus. Methods: Rotator cuff repair (RCR) is a common surgical procedure for the management of RCTs. [4,5] Acupuncture and manual therapy usually delivered together as components of a physical therapy intervention, are commonly used in the management of rotator cuff tears. Improve blood flow to the tendon and muscle tissue accelerating the bodys natural tissue healing response. -, Glazier RH, Dalby DM, Badley EM, et al. Shamseer L, Moher D, Clarke M, et al. Managements of rotator cuff disease often include acupuncture and manual therapy, usually delivered together. The treatment principle of rotator cuff tears is to reduce pain and improve the function of shoulder joint. One review author will search potentially relevant studies. doi: 10.1097/MD.0000000000021748. FOIA Abbreviations: RCD = rotator cuff disease, PRISMA-P = Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols, RCTs = randomized controlled trials, VAS = visual analogue scale, NRS = numeric rating scale, CMS = Constant-Murley score, SPADI = Shoulder Pain and Disability Index, SDQ-NL = Dutch Shoulder Disability Questionnaire, DASH = Disabilities of the Arm, Shoulder and Hand, UCLA = University of California-Los Angeles, ASES = American Shoulder and Elbow Surgeons, SF-36 = Short-Form 36, PGIC = Patient Global Impression of Change, MeSH = Combinations of Medical Subject Headings, STRICTA = Standards for Reporting Interventions in Clinical Trials of Acupuncture, RR = risk ratio, SMD = standardized mean difference, GRADE = Grading of Recommendations Assessment, Development and Evaluation.
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