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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    Electroacupuncture for urologic chronic pain

    Urologic Chronic Pelvic Pain Syndromes (UCPPS) refers to pain associated with the bladder (ie, interstitial cystitis/painful bladder syndrome, IC/PBS) and the prostate gland (ie, chronic prostatitis/chronic pelvic pain syndrome, CP/CPPS).

    Researchers from Kyung Hee University, in Seoul, Korea studied the effect of electroacupuncture.

    First, the details.

    • 39 men with this condition were randomly assigned to a treatment group for 6 weeks.
      • Group 1: advice + exercise + 12 sessions of electroacupuncture
      • Group 2, advice + exercise + 12 sessions of sham electroacupuncture
      • Group 3, advice + exercise alone
    • 6 acupuncture points were used to stimulate the sacral nerve and release the piriformis muscle (from the buttock to the top of the thigh bone [photo]) using an electrical pulse generator.
    • Symptoms were assessed using the NIH-Chronic Prostatitis Symptom Index (NIH-CPSI).
    • Prostaglandin E(2)  levels in postmassage urine samples were also measured.

    And, the results.

    • At 6 weeks, pain-related symptoms decreased significantly in Group 1 (electroacupuncture) vs the other groups.
    • All patients receiving electroacupuncture experienced at least a 6-point decrease in the NIH-CPSI total score vs 2 patients with sham-electroacupuncture and 3  points in patients who received advice and exercise alone.
    • Prostaglandin E(2) levels significantly decreased in the electroacupuncture group, but increased in the other 2 groups.
      • High E(2) levels are associated with increased sensitivity to pain.

    The bottom line?
    The results are based on a very small group of patients. However, they are supported by earlier research.

    2008: University of Science, Malaysia

    • “After 10 weeks of treatment, acupuncture proved almost twice as likely as sham treatment to improve chronic prostatitis/chronic pelvic pain syndrome symptoms.”

    2007: Columbia University Medical Center, New York

    • “Findings, although limited, suggest the potential therapeutic role of acupuncture in the treatment of chronic prostatitis/chronic pelvic pain syndrome.”

    A review of CAM for chronic prostatitis/chronic pelvic pain syndrome, including acupuncture, from 2005 is here.

    6/7/09 15:41 JR

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