People who practiced acupuncture or the Alexander Technique had greater pain reductions than those who got standard treatment
Two alternative therapies get a boost of scientific legitimacy in a new study published in the Annals of Internal Medicine.
Acupuncture, the ancient practice of needle
insertion, and the Alexander Technique, a program that teaches people
how to avoid unnecessary muscle tension throughout the day and improve
posture, coordination, balance and stress, are two complementary
therapies often used to help treat neck pain. Treating it is often
difficult, and it’s common for people to seek out alternative therapies.
The researchers wanted to see how well two of
these worked. They assigned 517 people, all of whom had neck pain for
at least three months (and sometimes many years), to the standard care
for neck pain, which involves prescription medications and physical
therapy. Some of the patients were assigned to also receive one of two
extra treatments: a dozen 50-minute acupuncture sessions or 20 private
Alexander Technique lessons—which focus on teaching people how to move
their body to avoid or correct muscular pain.
A year after the start of the study, people
in the groups doing acupuncture and the Alexander Technique had
significant reductions in neck pain—pain was assessed by
questionnaire—compared to those who just got usual care. Both groups
reported about 32% less pain than they had at the start of the study,
which is far greater than the 9% typically associated with physical
therapy and exercise. The interventions also gave people in the groups
more self-efficacy, which were linked to better pain outcomes.
The study adds to growing evidence suggesting that acupuncture is effective against pain; a landmark review
in 2012 involving almost 18,000 people with chronic pain concluded that
acupuncture was better than standard care and sham acupuncture (which
proved the effect is not due to placebo of simply sticking needles in
the body.)
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