TCM Acupuncture, Massage, and Self-Care Education

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A Randomized Clinical Trial Evaluating the Efficacy of Acupuncture, Therapeutic Massage, and Education on Self-Care in the Treatment of Chronic Low Back Pain

A brief introduction and context We investigated the efficacy of acupuncture, TCM Clinic Singapore therapeutic massage, and self-care instruction in patients who suffered from persistent back pain. This was done because of the lack of clarity surrounding the efficacy of common types of alternative medicine for chronic back pain.

Methods: We conducted a study in which we randomly assigned 262 individuals with chronic back pain, ranging in age from 20 to 70 years, to receive either acupuncture, therapeutic massage, or self-care education materials, depending on their requirements.

During the duration of the trial, which lasted for a total of 10 weeks, participants were permitted to have a maximum of ten massages or acupuncture sessions each. Telephone interviewers who were unaware of the treatment group rated patients’ symptoms on a scale from 0 to 10 and their functional functioning on a scale from 0 to 10. (0-23 scale).

There was not a single patient who withdrew from the Registered TCM Singapore owing to an adverse event, and 95% of patients were accessible for follow-up during this time.

Problems with the back

Back issues are one of the most common disorders that affect people in the United States, and they are also the main cause why people in Singapore seek out complementary and alternative medical (CAM) treatments or traditional Chinese medicine (TCM) herbal therapy.

According to a study that was conducted in 1997, one-third of people in the United States who suffered from low back pain sought treatment from a practitioner of complementary and alternative medicine (CAM). The majority of these patients went to chiropractors, massage therapists, or acupuncturists for their treatment.

Ernst3 found just four randomized research on therapeutic massage, all of which produced conflicting findings; all of the studies were considered to be of poor quality and employed massage as a “control” therapy alone.

7 In this study, we investigated the efficacy and cost of self-management instructional tools, acupuncture, and therapeutic massage for the treatment of persistent low back pain.

Patients and methods

Location of the research 

The research was carried out at the big staff-model Health Maintenance Organization known as Group Health Cooperative, which is located in the state of Washington (HMO).

The treatments were carried out in the private practices of licensed acupuncturists and massage therapists who were participants in a network of complementary and alternative medicine practitioners that was sponsored by a Health Maintenance Organization (HMO).

The methodology of the study was approved by the institutional review board of the Group Health Cooperative, and all of the participants gave their signed informed permission.

Patients

From automatic visit data,

We chose patients between the ages of 20 and 70 who sought treatment from a primary care physician for low back pain.

Respondents were contacted via phone by a research assistant to collect baseline data, verify eligibility, and randomize those who were found to be eligible.

Symptoms of sciatica, recent treatment with acupuncture or massage for back pain, care for the back received from a doctor or practitioner of alternative medicine:

  • Disorders of severe coagulation or treatment with anticoagulants
  • Pacemaker for the heart
  • underlying illness of the viscera or the circulatory system
  • Pregnancy
  • Participation in legal proceedings or the filing of compensation claims for back pain
  • Incapacity to speak in English, as well as significant or deteriorating neurologic deficiencies
  • Recent lumbar surgery
  • Recent vertebral fracture.

Randomization

After patients had their baseline data collected through computer-assisted telephone interviews, they were randomly assigned to one of three groups by a computer using a sequence that was generated by the computer.

The first acupuncture or massage treatment was scheduled for individuals who were assigned to those groups as soon as the randomization was completed.

People in those groups were given resources to help them with their self-care.

Patients will continue to get the standard medical care that has been prescribed for them.

Treatments

It was decided that acupuncturists and massage therapists would be allowed to book a maximum of ten appointments at a time.

TCM herbal medication Singapore prescribed to each patient for a total of 10 weeks and taken throughout the treatment.

On the understanding that both the costs of the therapy and its effectiveness would be tracked. It is vital for healthcare professionals to keep a record of specific treatment information, one of which is the providers’ feelings about being restricted by the protocol.

Conclusions

A therapeutic massage was beneficial in treating chronic low back pain, and the effects of the massage appeared to last for a considerable amount of time after the treatment was completed. Acupuncture was frequently disregarded as ineffective in the practice of traditional Chinese medicine. Massage therapy has the potential to be an effective complementary treatment to conventional medical care for patients who suffer from persistent back pain.