The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog is intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at www.Vicus.com, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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  • Recent Comments

    A small study of acupuncture for rheumatoid arthritis

     Considering the negative conclusions other in the past 2 years, what makes this study different?

    First, the details.

    • 6 women with rheumatoid arthritis received 10 acupuncture treatments in 2 months, to 11 traditional acupuncture points around a knee joint considered effective for this disease.
    • Response was based a visual analogue scale (VAS) score for intensity of pain, knee joint range of motion, face scale for patient mood, and modified health assessment questionnaire (MHAQ) for disability of daily activities.
    • In addition, positron emission tomography (PET), erythrocyte sedimentation rate, and C-reactive protein laboratory studies were done.

    And, the results.

    • VAS, range of motion, face scale, and MHAQ improved significantly in all patients after acupuncture.
    • There were no changes in any lab studies.

    The bottom line?
    The authors concluded, “Acupuncture relieves symptom[s], remedies physical function, and improves quality of life in rheumatoid arthritis patients, but may have no or very limited anti-inflammatory effect systemically.”

    Others are less positive about the value of acupuncture for rheumatoid arthritis.

    Universidade Federal do Rio Grande do Sul, in Brazil

    • 40 patients treated with sham or real acupuncture for 9 weeks.
    • Acupuncture was associated with improvement.
    • But there was no difference between sham or real acupuncture.

    Prof. Ernst and colleagues

    • Reviewed 8 studies.
    • “Penetrating or non-penetrating sham-controlled randomized clinical trials failed to show specific effects of acupuncture for pain control in patients with rheumatoid arthritis.”

    It’s difficult to come to firm conclusions based on the response by 6 patients who were not randomly selected. Particularly in the absence of a sham acupuncture or a no treatment group.

    4/2/09 19:10 JR

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