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They consisted of one observational study on acupuncture side effects, and four randomized controlled trials (RCTs) investigating acupuncture treatment for low back pain, knee osteoarthritis, migraine prophylaxis, and tension-type headache. The trials are considered to be one of the largest clinical studies in the field of acupuncture.
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The most commonly involved joints are the two near the ends of the fingers and the joint at the base of the thumbs, the knee and hip joints, and the joints of the neck and lower back. [1] The symptoms can interfere with work and normal daily activities. [1] Unlike some other types of arthritis, only the joints, not internal organs, are affected ...
In the Japanese language, shiatsu means "finger pressure". Shiatsu techniques include massages with fingers, thumbs, elbows, knuckles, feet and palms; acupressure, assisted stretching; and joint manipulation and mobilization. [4] To examine a patient, a shiatsu practitioner uses palpation and, sometimes, pulse diagnosis.
Treatment can vary depending on the cause and severity of the condition. Physical therapy, acupuncture, and anti-inflammatory drugs are commonly used to treat the disease. In more severe cases, intra-articular corticosteroid injections or surgical joint replacement may be necessary. Joint drainage and antibiotics are used to treat septic arthritis.
Acupressure therapy was prevalent in India. After the spread of Buddhism to China, the acupressure therapy was also integrated into common medical practice in China and it came to be known as acupuncture. Scholars note these similarities because the major points of Indian acupressure and Chinese acupuncture are similar to each other. [4] [5]
Some research suggests acupuncture can alleviate pain but the majority of research suggests that acupuncture's effects are mainly due to placebo. [8] Evidence suggests that any benefits of acupuncture are short-lasting. [80] There is insufficient evidence to support use of acupuncture compared to mainstream medical treatments. [81]
There is a high degree of correspondence between published locations of trigger points and classical acupuncture points for the relief of pain. [17] Dry needling, and its treatment techniques and desired effects, would be most directly comparable to the use of 'a-shi' points in acupuncture. [18]