Muscular-skeletal conditions

Woman on treatment tableMore than 6 million Australians (31%) suffer from a chronic muscular skeletal condition (NHS 2004), and the financial burden amounts to more than 4.6 billion each year (AIHW 2004).

Our team of Chinese Medicine practitioners at the Rozelle Acupuncture and Chinese Medicine Centre (RACM) in Sydney have had significant experience using acupuncture for the management of pain in consultation with other health professionals and best evidence guidelines.

Our team have a special interest in the muscular skeletal conditions listed below:

  • Achilles tendon injuries
  • Arthritis
  • Car accident injuries
  • Cartilage and meniscus tears
  • Carpal Tunnel Syndrome
  • Fibromyalgia
  • Frozen shoulder
  • Knee pain
  • Ligaments and tendons
  • Lower back pain
  • Migraine and headache
  • Neck pain
  • Neuropathy and nerve pain
  • Osteoarthritis
  • Plantar faciitis or heel spurs
  • Rotator cuff tears
  • Rheumatoid arthritis
  • Sporting injuries
  • Shoulder pain
  • Tennis elbow

The most common muscular skeletal conditions are back pain, osteoarthritis, and rheumatoid arthritis (NHS 2004), and lower back pain is the single most significant cause of disability world-wide (WHO, 2013).

In 2015 the Australian and New Zealand college of Anaesthetists and Faculty of Pain Medicine published their paper based on Cochrane reviews and endorsing the National Health and Medical Research Council (NHMRC) level 1 evidence that acupuncture may relieve the symptoms of labour pain, oocyte retrieval pain, primary dysmenorrhea (period pain), migraine and tension headaches, chronic back pain, postoperative pain and acute burns pain. (Schug et al., 2015).

Another major report (Arthritis Research 2013) suggested that acupuncture may be the most effective form of complementary therapy to relieve the symptoms of osteoarthritis and lower back pain, as well as fibromyalgia.

Dalamagka (2015), Yuan (2015) and Mu (2017) conducted systematic reviews and meta-analysis that replicated findings to suggest that acupuncture may relieve chronic lower back pain and migraine compared to current and no intervention.

MacPherson (2017), suggested in a meta-analysis that the chronic back pain relief may be sustained for at least 12 months after acupuncture.

Lin and colleagues (2016) conducted a meta-analysis on the use of acupuncture for chronic knee pain related to osteoarthritis and found that acupuncture may assist function and use as well as short term pain relief, but not long-term pain relief.

1. Arthritis Research (2013) Complementary and alternative therapies report:
CAT Report [Accessed 12 February 2016].2. Deluze C, Bosia L, Zirbs A, et al. Electroacupuncture in fibromyalgia: Results of a controlled trial. BCMJ, Vol. 46, No. 1, January, February 2004, page(s) 21-23 Articles.
3. Dalamagka, M. Systematic Review: Acupuncture in chronic pain, low back pain and migraine. Journal of Pain and Relief.
4. Lin et al. The effects of acupuncture on chronic knee pain due to osteoarthritis: A meta-analysis. JBJS: September 21st, 2016 -Volume 98 – Issue 18 -p 1578-1585
5. MacPherson et al., The persistence of the effects of acupuncture after a course of treatment: Ameta-analysis of patients with chronic pain. Pain. 2017 May; 158(5): 784–793.
6. Mu et al., Acupuncture for chronic non-specific low back pain: a systematic review and meta-analysis. The 16th Meeting of (2017)
7. Sfara, Melanie, “The Use of Acupuncture in Sports Medicine” (2013). All Graduate Plan B and other Reports. Paper 252.
8. Schug SA, Palmer GM, Scott DA, Halliwell R, Trinca J. Acute pain management: scientific evidence, fourth edition, 2015. Med J Aust. 2016 May 2;204(8):315-7. 34.
9. Yuan, C., Xing, J. & Yan, C. (1989) Observations on clinical therapeutic effect in treating soft tissue injuries. Journal Of Traditional Chinese Medicine, 9 (1), pp. 40–44.
10. Zhang, B., Zhong, L., Xu, S., Jiang, H. & Shen, J. (2013) Acupuncture for chronic Achilles tendnopathy: a randomized controlled study. Chinese Journal Of Integrative Medicine, 19 (12), pp. 900–904.
11. Zhang, S.P., Yip, T.-P. & Li, Q.-S. (2011) Acupuncture treatment for plantar fasciitis: a randomized controlled trial with six months follow-up. Evidence-based complementary and alternative medicine: eCAM, 2011, p. 154108.
12. MacPherson, H., Tilbrook, H.E., Richmond, S.J., Atkin, K., Ballard, K., Bland, M., Eldred, J., Essex, H.N., Hopton, A., Lansdown, H., Muhammad, U., Parrott, S., Torgerson, D., Wenham, A., Woodman, J. & Watt, I. (2013) Alexander Technique Lessons, Acupuncture Sessions or usual care for patients with chronic neck pain (ATLAS): study protocol for a randomised controlled trial. Trials, 14, p. 209.
13. Molsberger, A.F., Schneider, T., Gotthardt, H. & Drabik, A. (2010) German Randomized Acupuncture Trial for chronic shoulder pain (GRASP) – A pragmatic, controlled, patient-blinded, multi-centre trial in an outpatient care environment. Pain, 151, pp. 146–154.
14. Gadau, M., Yeung, W.-F., Liu, H., Zaslawski, C., Tan, Y.-S., Wang, F.-C., Bangrazi, S., Chung, K.- F., Bian, Z.-X. & Zhang, S.-P. (2014) Acupuncture and moxibustion for lateral elbow pain: a systematic review of randomized controlled trials. BMC complementary and alternative medicine, 14, p.136.
15. Hui, K.K.S., Napadow, V., Liu, J., Li, M., Marina, O., Nixon, E.E., Claunch, J.D., LaCount, L., Sporko, T. & Kwong, K.K. (2010) Monitoring acupuncture effects on human brain by FMRI. Journal of visualized experiments : JoVE, (38).
16. Kumnerddee, W. & Kaewtong, A. (2010) Efficacy of acupuncture versus night splinting for carpal tunnel syndrome: a randomized clinical trial. Journal of the Medical Association of Thailand – Chotmaihet thangphaet, 93 (12), pp.1463–9.
17. Bizzini, M., Childs, J.D., Piva, S.R. & Delitto, A. (2003) Systematic review of the quality of randomized controlled trials for patellofemoral pain syndrome. The Journal of orthopaedic and sports physical therapy, 33 (1), pp. 4–20.
18. Callison, M. (2002) Clinical study. Acupuncture and tibial stress syndrome (shin splints). Journal of Chinese Medicine.
19. Corbett, M.S., Rice, S.J.C., Madurasinghe, V., Slack, R., Faster, D.A., Harden, M., Sutton, A.J., Macpherson, H. & Woolacott, N.F. (2013) Acupuncture and other physical treatments for the relief of pain due to osteoarthritis of the knee: network meta-analysis. Osteoarthritis and cartilage, OARS, Osteoarthritis Research Society, 21 (9), pp.1290–8.
20. Australian Bureau of Statistics 2006c, National Health Survey: Summary of Results, Australia, 2004–05, cat. no. 4364.0, ABS, Canberra.
21. Australian Institute of Health and Welfare 2005, Arthritis and musculoskeletal conditions in Australia, 2005, AIHW Cat. No. PHE67, AIHW, Canberra. World Health Organization. Chapter 6: Priority diseases and reasons for inclusion Priority Medicines for Europe and the World Update Report. Geneva: World Health Organization; 2013.
22. Back Pain Fact Sheet.
23. Ernst E, White AR. Acupuncture as a treatment for temporomandibular joint dysfunction: a systematic review of randomized trials. Arch Otolaryngol Head Neck Surg. 1999; 125(3): 269–272.
24. Smith P, Mosscrop D, Davies S, Sloan P, Al-Ani Z. The efficacy of acupuncture in the treatment of temporomandibular joint myofascial pain: a randomised controlled trial. J Dent. 2007; 35(3): 259–267.
25. Sun Y, Gan TJ, Dubose JW, Habib AS. Acupuncture and related techniques for postoperative pain: a systematic review of randomized controlled trials. Br J Anaesth. 2008; 101(2): 151–160.
26. Martin DP, Sletten CD, Williams BA, Berger IH. Improvement in fibromyalgia symptoms with acupuncture: results of a randomized controlled trial. Mayo Clin Proc. 2006;81(6):749–757.
27. Vas J, White A. Evidence from RCTs on optimal acupuncture treatment for knee osteoarthritis – an exploratory review. Acupunct Med. 2007; 25(1–2): 29–35.
28. Lee MS, Shin BC, Ernst E. Acupuncture for rheumatoid arthritis: a systematic review. Rheumatology (Oxford). 2008; 47(12): 1747–1753.
29. Berman BM, Lao L, Langenberg P, Lee WL, Gilpin AM, Hochberg MC. Effectiveness of acupuncture as adjunctive therapy in osteoarthritis of the knee: a randomized, controlled trial. Ann Intern Med. 2004; 141(12): 901–910.
30. Manheimer E, Linde K, Lao L, Bouter LM, Berman BM. Meta-analysis: acupuncture for osteoarthritis of the knee. Ann Intern Med. 2007; 146(12): 868–877.
31. White A, Foster NE, Cummings M, Barlas P. Acupuncture treatment for chronic knee pain: a systematic review. Rheumatology (Oxford). 2007; 46(3): 384–390.
32. Wang C, de Pablo P, Chen X, Schmid C, McAlindon T. Acupuncture for pain relief in patients with rheumatoid arthritis: a systematic review. Arthritis Rheum. 2008; 59(9): 1249–1256.
33. Green S, Buchbinder R, Hetrick S. Acupuncture for shoulder pain. Cochrane Database Syst Rev. 2005; (2): CD005319.
34. Trinh KV, Graham N, Gross AR, et al., for the Cervical Overview Group. Acupuncture for neck disorders. Cochrane Database Syst Rev. 2006; (3):CD004870.
35. He D, Veiersted KB, Høstmark AT, Medbø JI. Effect of acupuncture treatment on chronic neck and shoulder pain in sedentary female workers: a 6-month and 3 year follow-up study. Pain. 2004; 109(3): 299–307.
36. Vas J, Perea-Milla E, Méndez C, et al. Efficacy and safety of acupuncture for chronic uncomplicated neck pain: a randomised controlled study. Pain. 2006; 126(1–3): 245–255.
37. Witt CM, Jena S, Brinkhaus B, Liecker B, Wegscheider K, Willich SN. Acupuncture for patients with chronic neck pain. Pain. 2006; 125(1–2): 98–106.
38. Fu LM, Li JT, Wu WS. Randomized controlled trials of acupuncture for neck pain: systematic review and meta-analysis. J Altern Complement Med. 2009; 15(2): 133–145.
39. Willich SN, Reinhold T, Selim D, Jena S, Bronchus B, Witt CM. Cost-effectiveness of acupuncture treatment in patients with chronic neck pain. Pain. 2006; 125(1–2): 107–113.
40. Guerra de Hoyos JA, Andrés Martín Mdel C, Bassas y Baena de Leon E, et al. Randomized trial of long term effect of acupuncture for shoulder pain. Pain. 2004; 112(3): 289–298.
41. Wong Lit Wan, D 2016, Acupuncture for chronic musculoskeletal pain: the effect of needle placement, pain adaptability and endogenous pain controls, Doctor of Philosophy (PhD), Health and Biomedical Sciences, RMIT University:
42. Dina Law Suzanne McDonough, Chris Bleakley, George David Baxter, Steve Tumilty. Laser Acupuncture for Treating Musculoskeletal Pain: A Systematic Review with Meta-analysis. JAMS Journal of Acupuncture and Meridian studies. February 2015 Volume 8, Issue 1, Pages 2–16.