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Acupuncture mechanisms for clinical long-term effects, a hypothesis

Carlsson, Christer LU (2002) Satellite Symposium of the 34th World Congress of the International-Union-of-Physiological-Sciences In Acupuncture: Is There a Physiological Basis? 1238. p.31-47
Abstract
In our clinical research, we have drawn the conclusion that meaningful long-term (> 6 months) pain relieving effects can be seen in a proportion of patients suffering from nociceptive pain. What are the mechanisms behind this? From the existing experimental data, some important conclusions can be drawn: A significant proportion of the animal research only represents short-term hypoalgesia probably induced by the mechanisms behind stress-induced analgesia (SIA) and the activation of diffuse noxious inhibitory control (DNIC). Almost all experimental acupuncture research has been performed with electroacupuncture (EA) in spite of the fact that therapeutic acupuncture (TA) is mostly gentle manual acupuncture (MA). Most of the experimental... (More)
In our clinical research, we have drawn the conclusion that meaningful long-term (> 6 months) pain relieving effects can be seen in a proportion of patients suffering from nociceptive pain. What are the mechanisms behind this? From the existing experimental data, some important conclusions can be drawn: A significant proportion of the animal research only represents short-term hypoalgesia probably induced by the mechanisms behind stress-induced analgesia (SIA) and the activation of diffuse noxious inhibitory control (DNIC). Almost all experimental acupuncture research has been performed with electroacupuncture (EA) in spite of the fact that therapeutic acupuncture (TA) is mostly gentle manual acupuncture (MA). Most of the experimental human acupuncture pain threshold (PT) research shows only fast and very short-term hypoalgesia, and, very important, PT elevations in humans does not predict clinical outcome. On the basis of these differences, the effects of acupuncture may be divided into two main components-acupuncture analgesia (AA) and therapeutic acupuncture. A hypothesis on the mechanisms of therapeutic acupuncture will include: Peripheral events that might improve tissue healing effects and local pain relief, ErrorSpinal mechanisms, ErrorSupraspinal mechanisms of anti-stress nature, Cortical, psychological, "placebo" mechanisms. (C) 2002 Elsevier Science B.V. All rights reserved. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Chapter in Book/Report/Conference proceeding
publication status
published
subject
keywords
acupuncture analgesia, acupuncture mechanisms, therapeutic acupuncture
in
Acupuncture: Is There a Physiological Basis?
volume
1238
pages
31 - 47
publisher
Elsevier
conference name
Satellite Symposium of the 34th World Congress of the International-Union-of-Physiological-Sciences
external identifiers
  • wos:000183365700003
  • scopus:0008843340
ISSN
0531-5131
ISBN
978-0444508881
language
English
LU publication?
yes
id
7e684879-244e-4926-9fb8-ac63ac1cdbf7 (old id 1406897)
date added to LUP
2009-06-17 14:08:17
date last changed
2017-10-01 04:51:56
@inproceedings{7e684879-244e-4926-9fb8-ac63ac1cdbf7,
  abstract     = {In our clinical research, we have drawn the conclusion that meaningful long-term (> 6 months) pain relieving effects can be seen in a proportion of patients suffering from nociceptive pain. What are the mechanisms behind this? From the existing experimental data, some important conclusions can be drawn: A significant proportion of the animal research only represents short-term hypoalgesia probably induced by the mechanisms behind stress-induced analgesia (SIA) and the activation of diffuse noxious inhibitory control (DNIC). Almost all experimental acupuncture research has been performed with electroacupuncture (EA) in spite of the fact that therapeutic acupuncture (TA) is mostly gentle manual acupuncture (MA). Most of the experimental human acupuncture pain threshold (PT) research shows only fast and very short-term hypoalgesia, and, very important, PT elevations in humans does not predict clinical outcome. On the basis of these differences, the effects of acupuncture may be divided into two main components-acupuncture analgesia (AA) and therapeutic acupuncture. A hypothesis on the mechanisms of therapeutic acupuncture will include: Peripheral events that might improve tissue healing effects and local pain relief, ErrorSpinal mechanisms, ErrorSupraspinal mechanisms of anti-stress nature, Cortical, psychological, "placebo" mechanisms. (C) 2002 Elsevier Science B.V. All rights reserved.},
  author       = {Carlsson, Christer},
  booktitle    = {Acupuncture: Is There a Physiological Basis?},
  isbn         = {978-0444508881},
  issn         = {0531-5131},
  keyword      = {acupuncture analgesia,acupuncture mechanisms,therapeutic acupuncture},
  language     = {eng},
  pages        = {31--47},
  publisher    = {Elsevier},
  title        = {Acupuncture mechanisms for clinical long-term effects, a hypothesis},
  volume       = {1238},
  year         = {2002},
}