Acupuncture little better than "sham" for migraines

Lianzi Fields
Tuesday, January 10, 2012
Image: Thinkstock

Acupuncture treatments to cure migraines have been labelled as little more than a "sham" by health experts.

A study published in the Canadian Medical Association Journal suggests that the traditional Chinese medical procedure could in fact offer nothing more than a "placebo affect" to migraine suffers, reports Reuters Health.

While people with migraines have claimed to get some relief from acupuncture, it was found that "true" acupuncture worked no better than "sham" acupuncture.

A team of researchers, led by Dr Ying Li of the Chendu University of Traditional Chinese Medicine in China, conducted the test on 480 adults who suffered from migraines at least twice a month.

The participants were assigned randomly into four groups receiving 20 acupuncture sessions in total over four weeks.

Three of the groups were administered "true" acupuncture treatments, with needles inserted into traditional points, while the fourth group were given "sham" acupuncture sessions, where needles are inserted at a surface skin level, or in areas that are not considered traditional acupuncture points.

In the month following testing, participants in all four groups reported some improvement, claiming to suffer headaches on only three days a month, down from six days at the commencement of treatment.

After three months, the "true" acupuncture groups showed small signs of improvement over the "sham" group, but these results were considered as "not clinically relevant" by Dr Li's team.

While some critics have suggested that people may feel better due to anticipated relief, or receiving personal attention from the practitioner, other experts say that the effects of "sham" acupuncture could still have real effects.

Dr Albrecht Molsberger, of Ruhr University Bochum in Germany, who is also the President of the Forschungsgruppe Akupunktur centre, which offers acupuncture training, wrote an editorial published alongside the study, says that the "sham" treatment is not a true placebo.

Traditional acupuncture works through inserting needles into points of the skin to unblock "qi" or flow of energy through the body, and helping to ease pain.

Though it may not follow the principals of traditional Chinese medicine, Dr Molsberger believes that the physiological effects of the needle stimulation may still ease pain and inflammation by triggering the release of certain chemicals in the body.

"The sham acupuncture effect is so strong and long lasting, that this suggests that other factors, like the stimulation of cytokines or endorphins, are important too," he wrote.

Based on overall research, Dr Molsberger maintains that acupuncture "should be an option" for the treatment of migraines.

Generally, acupuncture is considered a low-risk procedure, with minimal side effects. Procedures vary in cost, with sessions typically beginning around $100.

Have your say: Has acupuncture worked for you?

User reviews
As a qualified Acupuncturist it's very disappointing to see such a poorly constructed study being used as any sort of "evidence" of the efficacy of Acupuncture. I'm amazed that this study was even published considering the control group were actually given two different styles of treatment (one of them actually being Japanese Acupuncture!). How exactly did Dr Li determine the results as not clinically relevant when his own study has shown the treatment groups to have better results than the control group?? From my own personal experience as an Acupuncturist specialising in the treatment of migraines, I think it is amazing how much my patients are able to improve in a short space of time. If you're interested in trying Acupuncture for migraines, ask friends who have had success for a referral to their practitioner.
Works for me many times travel sickness migraine skin conditions many other conditions just have to get the right one it works trust me try it yourself
Let me start by saying that I never believed in Acupuncture. I have been suffering migraines since my childhood and almost nothing else has worked for my migraines (only medication that has worked is the oral version of Cafergot which is no longer produced). 4 years ago, I was persuaded to try acupuncture even if I did not believe in it. The doctor told me it will take 3 weekly treatments with occasional future 'top up' treatments. I tried it, almost never went back because it triggered one of the worst migraines I have ever experienced. I persevered, second visit a week later resulted in another huge migraine. Seeing as I had already gone through the pain of 2 sessions, I thought I might as well do the third session. No migraine this time. In fact, no migraine for the next 6 months. A top up treatment later, and the next migraine I suffered was 3.5 years later. From a sceptic (how can a placebo effect work on a sceptic?) with 2-3 migraines a week to a firm believer without migraines.
There is much conjecture about the benefits of accupuncture in the treatment of many illnesses. The quality of the treatment really hinges on the skill of the accupuncturist he or she may possess in addition to the type of needles and other aids used. It has taken this writer many years of trial and error to find good skillful accupuncturists in the treatment of migraines and especially Meniere's Disease. It is my experience not many accupuncturiusts understand Meniere's and subsequently the patient can find themselves worse off than before. Standard medicene solutions are extremely limited in these areas, and in many cases it may well be that accupuncture will get a better result, if only reasonably minor. Tell your GP you are taking accupuncture and he will tell you, "If it works for you then go for it." That tends to suggest the GP has no better suggestion. I am aware there are many GPs who these days have buried their pride and send patients to accupuncturists seeking better result

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