acupuncture points for rotator cuff injuryacupuncture points for rotator cuff injury

Rotator cuff tears do not only happen during athletic activities. There will be no restriction on age, gender, and ethnic origin. Be used in conjunction with an ongoing rehabilitation program, You have significant weakness and loss of function in your shoulder, Your tear was caused by a recent, acute injury. Happily, that trend seems to be changing. Medicine (Baltimore). Treatment is aimed at stopping pain, decreasing inflammation, and restoring range-of-motion and strength by moving qi and blood, clearing heat and obstruction, and draining dampness from the shoulder region. The aim of this review is to assess the effectiveness and safety of such interventions in patients with pain and dysfunction caused by rotator cuff tears. LF and CYB will screen full copies of the remaining studies after the title and abstract selection. PRISMA = the preferred reporting items, MeSH hormones The selection of studies, data extraction and risk of bias assessment will be conducted by 2 independent researchers. Presence of myofascial trigger points (MTrP) as a result of surgical procedure can aggravate postoperative shoulder pain. acupuncture; manual therapy; protocol; rotator cuff tears; Ssystematic review. Dr. Ted offers insights and tips about how to remain calm and healthy. [2,3] Subacromial pain syndrome is a comprehensive term, that describes non-traumatic shoulder problems with subacromial pain during abduction of the arm. Guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopaedic Association. Orthop Res Rev 2018;10:8391. Acta Orthop 2014;85:31422. The muscle are known by the acronym SITS and include the supraspinatus, infraspinatus, teres minor and subscapularis. THZ, LF, and FHY contributed to the conception and design of the study protocol. In general, I find that rotator cuff injuries respond very well to acupuncture, with full recovery possible in many cases. We will include randomized controlled trials of acupuncture for RCD. Kim TH, Lee MS, Kim KH, Kang JW, Choi TY, Ernst E. Cochrane Database Syst Rev. In general, I find that rotator cuff injuries respond very well to acupuncture, with full recovery possible in many cases. Acupuncture is also an effective treatment as an adjunct or alternative option to surgery. 2019, December 5. osf.io/n2e6t, Shoulder pain is one of the common musculoskeletal complaints, and significantly impacts a person's health-related quality of life. Manipulative therapy for shoulder pain and disorders: expansion of a systematic review. A systematic summary of systematic reviews on the topic of the rotator cuff. We will exclude studies that only compare different forms or methods of acupuncture (eg, transcutaneous electrical nerve stimulation) and compare acupuncture with any complementary and alternative therapies for which the efficacy is not yet established (eg, Chinese herbs). Chard MD, Hazleman R, Hazleman BL, et al. Persons experiencing shoulder pain should seek diagnosis from a primary health care professional (physician or acupuncturist). If there is more than 1 outcome measurement in the same time frame, we will extract the last measurement data within the time frame. The authors have no conflicts of interest to disclose. may email you for journal alerts and information, but is committed Open Science Framework Preregistration. stress Many cases of rotator cuff tear surgery may have been able to be prevented with the use of acupuncture. For more information, please refer to our Privacy Policy. 1). [15] A summary of findings table will be generated and included in the final report. What Causes Rotator Cuff Injuries? We referred to the Cochrane Handbook for Systematic Reviews of Interventions for detailed description of the assessment of risk of bias. There will be no restrictions related to setting or location. The kin, Having trouble sleeping? Page MJ, Green S, Mrocki MA, et al. The primary outcome is pain intensity and shoulder dysfunction measured on validated scales within 12 weeks. Correspondence: Xuefei Qin, Outpatient department of Sichuan orthopedic hospital, Chengdu city, Sichuan province, China (e-mail: [emailprotected]), Jiao Chen, The Acupuncture and Tuina School, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu city, Sichuan province, China (e-mail: [emailprotected]). Two review authors (THZ and LF) will independently use a specially designed form to extract information on participants, methods, interventions, outcomes, and results. Previous systematic reviews have not assessed acupuncture and manual therapy for rotator cuff tears together. The needles were perpendicularly inserted to a depth of 2-3 cm. The Authors. There are two main types of rotator cuff tears: acute and degenerative. There are four primary rotator cuff muscles, but the one that is most commonly injured . PRISMA flow diagram of study selection. Search for Similar Articles Management of common musculoskeletal problems: a survey of Ontario primary care physicians. -, Rhon DI, Boyles RB, Cleland JA. Acupuncture is commonly used for musculoskeletal disorders, and it has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. Prospective registration of this study has been approved by the Open Science Framework registries (https://osf.io/registries) with a registration number 10.17605/OSF.IO/M3NKV, and the protocol has been written following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols statement guidelines.[13]. How can alternative medicines, like acupuncture, effect my mood? Device: Acupuncture. ginger It is argued that poor regenerative properties within a zone of hypovascularity and repetitive stresses, which result in inflammatory changes, could be significant factors in the degeneration process. The relative safety of acupuncture for shoulder pain makes it worthy of trying in almost all cases. Subacromial decompression surgery for, [3]. J Orthop 2013;10:812. The weighted mean difference will be used for the same scale or the same assessment instrument; standard mean difference will be used for different assessment tools. The site is secure. For continuous outcomes, data will be analyzed by using a standard mean difference with 95% CIs or a weighted mean difference. The symptoms of a rotator cuff tear may resemble other conditions or medical problems. Open Science Framework Preregistration. Quasi-randomized, non-randomized controlled trials, uncontrolled clinical trials (e.g., case studies), qualitative studies, and laboratory studies will be excluded. exercise An official website of the United States government. It is generally believed that 10%15% of the adult population suffers from chronic insomnia, and an additional 25%35% have transient or occasional insomnia.1 Its no wonder Americans are so desperate for sleep! This work was supported by the NSFC (Natural Science Foundation of China) (grant number 81804203), Sichuan Science and Technology Program (grant number 2015SZ0096), and Chengdu University of Traditional Chinese Medicine Science and Technology Development Fund (grant number YYZX1619). Acupuncture Points Used for Rotator Cuff Tendinitis. Crossover randomized trials, if any, will be included, but only the pre-crossover data will be analyzed in order to avoid carryover effects. nutrition Practice stretching and strengthening exercises for the shoulder joints. It is a common sports injury and a common degenerative injury for manual workers and middle-aged and elderly people. The Rotator Cuff (RC) is a common name for the group of 4 distinct muscles and their tendons, which provide strength and stability during motion to the shoulder complex. The aims of both types of interventions are to improve function, promote healing, increase joint range, strengthen weakened muscles and correct imbalance in the stabilizing function of the rotator cuff. This article focuses on alternative . Santa Cruz Acupuncture Orthopedics and Sports Medicine Clinic, Acupuncture for Pain and Injuries in Santa Cruz, Scotts Valley, San Lorenzo Valley, Capitola since 2003, Acupuncture treatment of rotator cuff tendonitis, Evidence basis for acupuncture for rotator cuff tendonitis, My clinical experience with acupuncture for shoulder pain, Self-care and exercise for rotator cuff tendonitis, Risks of delayed or non-treatment of rotator cuff tendonitis, largest study of acupuncture treatment of shoulder pain, recent study of acupuncture for shoulder impingement syndrome, Acupuncture Orthopedics and Sports Medicine. Registration number 10.17605/OSF.IO/M3NKV. The authors have no conflicts of interest to disclose. The detailed process of study selection will be shown in a the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols flow diagram (Fig. Results of the quality assessment and rationale for the decisions will be presented in risk of bias tables, and will be used for grading the overall quality of evidence for each outcome. According to the Cochrane Handbook for Systematic Reviews of Interventions, assessment of between-trial heterogeneity will be based on visual inspection of the forest plot, and more formally on the I2 statistic. Keyword Highlighting Gradual onset of pain, swelling and weakness at the side and front of the shoulder and upper arm, made worse by overhead motions such as reaching and throwing. Highlight selected keywords in the article text. We will calculate 95% confidence intervals and two-sided P values for each outcome. Control interventions will include active treatments (e.g., oral medication, glucocorticoid injection, electrotherapy, manual therapy, or exercise), waiting list control or placebo treatment. The needles were applied to the area of the injured shoulder while the patient was lying in a lateral decubitus position on the stretcher. 1, 2 Most individuals with shoulder pain repeatedly visit outpatient clinic by complaining of pain even 12 months after the initial treatment. A combined approach to pain management is often the best option because it allows the surgeon to tailor pain control methods to each individual patient. RCTs using single-blind, double-blind or open-label design will be included. Fortunately, there are number of resources out, Read More 4 Ways to a Better Nights SleepContinue, acupuncture Shoulder disorders in the elderly: a community survey. 1. may email you for journal alerts and information, but is committed We will resolve disagreements by discussion or with a third review author. Classifications are as follows: We will perform sensitivity analyses to determine whether the results have been influenced by trials where radiologic diagnosis of Rotator cuff tears is not mentioned in the participant eligibility criteria, where measures of variance are missing, and where different methods of analysis are used (random-effects model or fixed effect model). The results of this review will be disseminated through peer-reviewed journal articles or conference presentations. Rotator cuff tear (RCT) is one of the main causes of shoulder pain and dysfunction. Orthop J Sports Med 2018;6:2325967118797891. Adult patients (aged 18 years) diagnosed with Rotator cuff tears will be included, with the symptoms of shoulder joint pain or dysfunction enrollment in the research. These muscles work together to stabilize the joint, rotate the shoulder and move the arm. Background: The tears of rotator cuff is caused by the tears or aseptic inflammation of tendon tissue such as subscapular muscle, supraspinatus muscle, infraspinatus muscle, teres minor muscle, and so on, which make up the rotator cuff. We will obtain full texts of all remaining references and the same 2 review authors will screen and exclude clearly irrelevant papers according to the selection criteria. We will use Rev Man software (Review Manager Version 5.3 for Windows, The Nordic Cochrane Centre, Copenhagen) to carry out statistical analysis. It will help loosen up stiff neck muscles and reduce neck pain. cortisol Acupoints selected for this treatment consist of local and distal acupoints. The authors have no conflicts of interest to disclose. Local acupoints chosen for this treatment are Jianyu . Cumpston M, Li T, Page MJ, et al. Classifications are as follows: We will perform sensitivity analyses to determine whether the results have been influenced by trials where radiologic diagnosis of RCDs was not mentioned in the participant eligibility criteria, where measures of variance are missing, and where different methods of analysis were used (random-effects model or fixed-effect model). Work disability, such as length or total days of sick leave. IntroductionShoulder pain is one of the most common musculoskeletal disorders among adults and is caused by a variety of shoulder conditions. Shoulder function measured on validated scales, such as the Constant-Murley score (CMS). [7] Acupuncture is under consideration as a technique to be applied in Western medical practice for a great many complaints, especially for cases in which modern techniques are either of limited effectiveness or are unsuitable. Brantingham JW, Cassa TK, Bonnefin D, et al. [1] An epidemiological study in the United States reports that 4.5 million people are hospitalized every year for Rotator cuff tears. A third review author will resolve disagreements. Trigger point needling is especially effective in reducing pain caused by a rotator cuff injury. Bethesda, MD 20894, Web Policies The patient points to the low back area on the right side. Some studies have pointed out that the mechanism of acupuncture and moxibustion treatment may be related to the local effect, which refers to the release of neuropeptide and other substances by stimulating the sensory nerve endings of skin and muscle tissue. The search terms consist of 2 parts: rotator cuff disease (e.g., rotator cuff, impingement, subacromial) and acupuncture (e.g., acupuncture, electroacupuncture, needling, pharmacopuncture, embedding therapy, acupotomy). Key points about rotator cuff injury. Each outcome will be calculated with 95% confidence intervals. 2020 Aug 14;99(33):e21748. For each item, risk of bias will be graded as high, low, or unclear. The detailed process of study selection will be shown in a PRISMA flow diagram (Fig. Federal government websites often end in .gov or .mil. Please enable scripts and reload this page. Precise knowledge of shoulder orthopedic anatomy is necessary to safely and effectively stimulate these acupuncture points and the underlying muscles, tendons and ligaments to promote tissue healing effects. Search for Similar Articles Acupuncture has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. We will extract details of the acupuncture treatment and control interventions on the basis of the revised Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA). [2,6], The extrinsic theory hypothesizes that pressure damage occurs due to pathological contact between the rotator cuff and the acromion while lifting the arm. Eligible manual therapy interventions include mobilization, manipulation and massage. We will exclude trials for patients having shoulder or arm pain due to systemic inflammatory conditions such as rheumatoid arthritis, fractures, adhesive capsulitis, osteoarthritis, hemiplegic shoulders, or myofascial pain of the upper extremity. Multiple treatment groups in a trial will be combined into a single pairwise comparison. Press gently, just above the elbow, to stretch the shoulder. Results are presented separately for rotator cuff disease, adhesive capsulitis, full thickness rotator cuff tear and mixed diagnoses, and, where possible, combined in meta-analysis to indicate effect of acupuncture . Two very effective ways of remedying the rotator cuff are acupuncture and guasha. Clin Rehabil 2010;24:99109. HT, FL, and HF contributed equally to this article. True Frozen Shoulder can also respond poorly to conservative therapies; however some cases mis-diagnosed as Frozen Shoulder are actually rotator cuff impingement and can be treated successfully with acupuncture. . Shoulder pain or omalgia is one of the main types of osteoarticular pain that can be observed in every-day clinical practice and it is considered the third most common osteomuscular cause of medical consultation. In anatomy, the rotor cuff is the group of muscles and their tendons that act to stabilize the shoulder and move the upper arm in a variety of directions. Song W, Han X, Li K, Chen C, Wang H, Zheng X. Nan Fang Yi Ke Da Xue Xue Bao. brain health 8600 Rockville Pike Correspondence: Kun Hyung Kim, Pusan National University Korean Medicine Hospital, Geumo-ro 20, Mulgeum-eup, Yangsan 50612, Republic of Korea (e-mail: [emailprotected]). J Manipulative Physiol Ther 2011;34:31446. menopause Randomized controlled trials that include patients with rotator cuff tears receiving acupuncture and manual therapy versus a control group will be included. Birch S, Lee MS, Alraek T, et al. Here are few more guidelines for when to consider surgery: Learn more about rotator cuff tears here at AAOS. [9]. Acupuncture techniques with a plastic insertion tube was used to introduce every needle. Managements of rotator cuff disease often include acupuncture and manual therapy, usually delivered together. Wolters Kluwer Health Assuming you have had an MRI or a thorough orthopedic workup to rule out surgery, acupuncture can help in several ways: According the American Society of Orthopedic Surgeons (AAOS), continued pain is the main indication for surgery and when your pain does not improve with nonsurgical methods.. Birch S, Lee MS, Alraek T, et al. food allergies Abstract Background: Rotator cuff disease (RCD) consists of subacromial impingement syndrome, rotator cuff tendinopathy or tendinitis, partial or full rotator cuff tear, calcific tendinitis, and subacromial bursitis. You J, Yang F, Liu N, et al. There are 2 main causes of rotator cuff tears: injury and degeneration. [6]. [6] Manual therapy is also commonly used in the management of rotator cuff tears. Minagawa H, Yamamoto N, Abe H, et al. Clinical outcomes of exercise in the management of subacromial impingement syndrome: a systematic review. A trial that is rated as high risk of bias in 1 or more aspects will be graded as high risk, while a low risk of bias in all aspects will be graded as low risk. Jancuska J, Matthews J, Miller T, et al. Acupuncture for Rotator Cuff Injuries Assuming you have had an MRI or a thorough orthopedic workup to rule out surgery, acupuncture can help in several ways: Relieve muscle spasms in the joint area, thereby lessening the load on the joint. We define a definite diagnosis as a diagnosis of RCD that has been confirmed by both clinical assessments and diagnostic imaging (e.g., ultrasound, magnetic resonance imaging). The intrinsic theory describes degeneration in the rotator cuff tendon itself as a primary cause, leading to impingement and a loss of structural integrity. National Library of Medicine Different units of analysis will be planned to be subjected to a sensitivity analysis. modify the keyword list to augment your search. Maturitas 2019;123:914. One common shoulder injury is a rotator cuff tear. CMAJ 1998;158:103740. A meta-analysis will be performed using RevMan software (Review Manager Version 5.3 for Windows, The Nordic Cochrane Centre, Copenhagen). Pain intensity measured on validated scales, such as the VAS or NRS, over 12 weeks. Of course, in a shoulder injury, surrounding muscles may be involved as well, but a simple orthopedic evaluation can identify the source of your pain. Bialosky JE, Bishop MD, Price DD, et al. J Clin Epidemiol 2011;64:3802. Perimenopause Causes Pain: Acupuncture Can Help, Finding & Treating the Causes of Insomnia, Using Acupuncture to Thrive During Chemotherapy, Tennis elbow? Cochrane Database Syst Rev 2019;10:ED000142. allergies 1) The supraspinatus. Dry needling is a modern treatment designed to ease muscular pain. [2] The rotator cuff is composed of supraspinatus muscle, infraspinatus muscle, subscapularis muscle and teres minor muscle. If the missing data is not accessible, we will exclude these articles and synthesis the rest of the included studies. The popularity of different acupuncture methods in the nonsurgical treatment of shoulder pain has recently increased. For each aspect, the trial will be rated as high, low risk, or unclear of bias. Evidence quality will be evaluated using the Grading of Recommendations Assessment, Development and Evaluation system. Glazier RH, Dalby DM, Badley EM, et al. Discussion: A third review author will resolve disagreements. Acupuncture has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. Bladder 2, on the face, along the eyebrow, where the eyebrow meets the nose. [15] However, it is still uncertain whether acupuncture is effective and safe for RCD, partially due to a lack of high quality primary studies and systematic reviews that specifically focus on RCD. Methodology: Seoyoung Choi, Kun Hyung Kim. Fluctuations in your hormones, such as dropping estrogen levels, can result in symptoms such as night sweats, insomnia, hot, Read More Perimenopause Causes Pain: Acupuncture Can HelpContinue, According to the National Institute of Healthit is estimated that some 50-70 million Americans suffer from sleep or wakefulness disorders causing nearly $50B in lost productivity and upwards of 5000 car crashes. We will include randomized controlled trials (RCTs) of acupuncture treatment for rotator cuff disease. -, Jancuska J, Matthews J, Miller T, et al. Thread embedding acupuncture for musculoskeletal pain: a systematic review and meta-analysis protocol. immunity Management of rotator cuff tears in the elderly population. [15]. [3]. For crossover trials, data are extracted from the first period only, to avoid potential carryover effects. Rotator cuff disease (RCD) consists of subacromial impingement syndrome, rotator cuff tendinopathy or tendinitis, partial or full rotator cuff tear, calcific tendinitis, and subacromial bursitis. How to cite this article: Tang H, Luo F, Fan H, Huang L, Liao S, Yu W, Chen Y, Qin X, Chen J. Acupuncture and manual therapy for rotator cuff tears: a protocol for systematic review and meta analysis. dietary supplements gan mao ling Acupuncture has been used for a number of conditions for thousands of years. Next the acupuncturist identifies what channels are affected. A tear can successfully heal with the combination of therapies including acupuncture. They can occur from dysfunctional movements in the shoulder blade and arm that lead to wear and tear over time in the rotator cuff eventually causing a tear. Arthritis Rheum 1991;34:7669. The first pressure point for sciatica on the Gallbladder Meridian is the Gallbladder 30 point. 2020 Jan;99(2):e18716. Introduction. Minimize overhead activity, especially repetitive or forceful motions, Maintain good posture (shoulder blades down and back, chin tucked in, spine kept upright), especially when working at computers, Cold may be applied following acute injury, or heat for chronic pain. Please try again soon. This point helps relieve headaches, vertigo, and neck problems. PRISMA = the preferred reporting items for systematic reviews and meta-analyses. Ethical approval is not necessary as this review will not require data from individual patients. Trigger Point acupuncture on patient experiencing symptoms like a rotator cuff injury. [13]. Previous systematic studies on shoulder pain have found that acupuncture has insufficient evidence support in improving shoulder joint diseases, partially due to a lack of high-quality primary studies. Herbal supplements can d, http://orthoinfo.aaos.org/topic.cfm?topic=a00406, Just a Few Sessions: You Can Dip In (and Out) of Acupuncture. In addition to the needles from acupuncture, moxibustion can also be used which may hasten recovery. We will include randomized controlled trials (RCTs) of acupuncture treatment for pain and dysfunction caused by rotator cuff tears. bThe Acupuncture and Tuina School, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu city, Sichuan province, China. Supplemental Digital Content is available for this article. Shoulder pain is described in Traditional Chinese Medicine as stagnation or obstruction of the flow of qi and blood in the tendons and muscles of the Large Intestine, Small Intestine, and Internal Membrane acupuncture meridians. PRISMA flow diagram of study selection. The treatment principle of rotator cuff tears is to reduce pain and improve the function of shoulder joint. Finger walk. Those are three of the, Symptoms are trying to tell you something. Crossword; Sudoku; Crossword; Sudoku; Obituaries Follow Peninsula Acupuncture onFacebookandInstagram. How to cite this article: Choi S, Kim KH. Rotator cuff repair (RCR) is a common surgical procedure for the management of RCTs. doi: 10.1097/MD.0000000000021748. The good news is that acupuncture for rotator cuff tears can help reduce pain, inflammation, and speed healing. I generally refer to orthopedic physicians for further evaluation if I suspect any of these conditions (while continuing to manage pain with acupuncture). Methods: With the affected arm, reach out and touch the wall at about waist level. Dry needling works by eliciting a twitch response in the muscle, which relaxes it and decreases pain. We will collect information on all outcomes for all periods of time assessed in the included studies, and we will then categories them as short-term (up to 3 months post-randomization), intermediate-term (up to 6 months post-randomization), and long-term (more than 6 months post-randomization). 1 The most prevalent cause (approx. Rhon DI, Boyles RB, Cleland JA. Another recent study of acupuncture for shoulder impingement syndrome in Family Practice found benefits comparable to cortico-steroid injection. Acupuncture is also an effective option in treating torn rotator cuff as an alternative to, or after, surgery. Dry needling is a therapeutic technique that involves inserting thin needles into the skin and underlying tissues to release trigger points, improve muscular pain and dysfunction, and promote tissue healing. Your rotator cuff allows you to lift your arms and reach upward. First the acupuncturist asks the patient to identify the exact location of the pain. neck pain Hall ML, Mackie AC, Ribeiro DC. cardiovascular Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions. [8,9] The mechanism of acupuncture treatment has not been fully elucidated. Project administration: Seoyoung Choi, Kun Hyung Kim. Electrotherapy modalities for. The Liver Governs Blood From a Chinese, Over the last ten years, it wouldve been much more likely for me to see a patient who had cancer in the past than to see a patient actively seeking to manage the side effects of treatment. The X's in the diagram are the location of the trigger points, and the red areas are the referral . Rotator cuff injury is the degeneration and tear of the rotator cuff muscle at the stop point of the humerus. The largest study of acupuncture treatment of shoulder pain to date (424 subjects), published in October 2010 in Pain, showed significant improvement in shoulder range-of-motion 3 months after treatment and documented: 65% response rate at 6 weeks compared with 24% with sham acupuncture and 37% with standard conservative orthopaedic treatmentChinese acupuncture is an effective alternative to orthopedic treatment of CSP (chronic shoulder pain).. RCTs in English and Chinese will be included in the review. 1). [17] In addition, the increasing use of acupuncture and manual therapy around the world has not been mentioned in previous reviews, which means that clinical trials and systematic reviews are necessary to assess the effectiveness and safety of such interventions in patients with pain and dysfunction caused by rotator cuff tears. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Website (www.md-journal.com). Micallef J, Pandya J, Low AK. Two review authors will independently screen for titles and abstracts. If considerable heterogeneity (I2>75%) is observed, we will not meta-analyze the trials and will qualitatively synthesize the data.