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Rheumatoid arthritis (RA) is a long-term autoimmune disorder that primarily affects joints. [1] It typically results in warm, swollen, and painful joints. [1] Pain and stiffness often worsen following rest. [1] Most commonly, the wrist and hands are involved, with the same joints typically involved on both sides of the body. [1]
[8] [9] [10] Acupuncture is most often used to attempt pain relief, [11] [12] though acupuncturists say that it can also be used for a wide range of other conditions. Acupuncture is typically used in combination with other forms of treatment. [13] The global acupuncture market was worth US$24.55 billion in 2017.
Rheumatologists treat arthritis, autoimmune diseases, pain disorders affecting joints, and osteoporosis. [3] There are more than 200 types of these diseases, including rheumatoid arthritis, osteoarthritis, gout, lupus, back pain, osteoporosis, and tendinitis. Some of these are very serious diseases that can be difficult to diagnose and treat.
Undertreatment of pain is the absence of pain management therapy for a person in pain when treatment is indicated. Consensus in evidence-based medicine and the recommendations of medical specialty organizations establish guidelines to determine the treatment for pain which health care providers ought to offer. [ 91 ]
Trial participants who received acupuncture experienced twice the reduction in pain and nearly three times the reduction in disability. These benefits lasted the entire 52 weeks of the trial.
Osteoarthritis is the most common form of arthritis affecting more than 3.8% of people, while rheumatoid arthritis is the second most common affecting about 0.24% of people. [10] In Australia about 15% of people are affected by arthritis, [ 11 ] while in the United States more than 20% have a type of arthritis. [ 3 ]
While acupuncture leads to improvements in pain relief, this improvement is small and may be of questionable importance. [176] Waiting list–controlled trials for peripheral joint osteoarthritis do show clinically relevant benefits, but these may be due to placebo effects. [177] [178] Acupuncture does not seem to produce long-term benefits. [179]
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