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Acupuncture_in_Headache_treatment

Acupuncture_in_Headache_treatment - Neurol Sci(2011...

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ANIRCEF - HCNE JOINT MEETING Acupuncture in primary headache treatment Paola Schiapparelli Gianni Allais Sara Rolando Gisella Airola Paola Borgogno Maria Grazia Terzi Chiara Benedetto Ó Springer-Verlag 2011 Abstract Acupuncture has a long tradition of use for the treatment of many pain conditions, including headache. Its effectiveness has been studied mainly for primary head- aches, particularly for migraine and tension-type headache (TTH). Traditional Chinese Medicine (TCM) has two diagnostic frameworks for headaches: meridian diagnoses , based on the location of the pain and on the meridians (or channels) that pass through it; syndrome diagnoses , dependent on external or internal factors and on the char- acteristics of the pain. The four meridians involved in headache are Shaoyang (TE-GB channels, on the temporal sides of the head); Taiyang (SI-BL channels, occiput); Yangming (LI-ST channels, forehead) and Jueyin (PC-LR channels, vertex). The syndromes may be due to excess or deficit. Very generally, the excess syndromes correspond in the majority of cases to migraine and the deficit syndromes to TTH. Acupuncture is a complex intervention, which is also characterized by a close interaction between patient and therapist. The complicated system of TCM classifica- tion of headaches has frequently generated great diversity among the various therapeutic approaches used in the dif- ferent studies on acupuncture in headache treatment. Despite these differences, the recent Cochrane systematic reviews on acupuncture in migraine and in TTH suggest that acupuncture is an effective and valuable option for patients suffering from migraine or frequent TTH. More- over, acupuncture seems to be a cost-effective treatment. Keywords Acupuncture Á Migraine Á Tension-type headache Á Primary headaches treatment Abbreviations TCM Traditional Chinese Medicine TTH Tension-type headache Introduction Acupuncture originated in China about 2,500 years ago and is the one of the oldest healing practices in the world. The term acupuncture describes a family of procedures involving the stimulation of anatomical points on the body using a variety of techniques. The acupuncture technique that has been scientifically studied most often involves penetrating the skin with thin, solid, metallic needles that are stimulated by hands or by electrical devices. In Tra- ditional Chinese Medicine (TCM) the body is seen as a delicate balance of two opposing and inseparable forces, Yin and Yang , and health is achieved by maintaining the body in a ‘‘balanced state’’. Acupuncture has a long tradition of use for the treatment of many pain conditions, including headache [ 1 ]. Its effectiveness has been studied mainly for primary headaches, particularly for migraine and tension-type headache (TTH), whereas no controlled studies are present in the literature about cluster headache and other primary headaches.
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