acupuncture points for rotator cuff injury

Injured muscles such as those found in this location of the shoulder often contract and knot up, which pinches nerves and prevents much-needed blood and lymphatic fluids from reaching the area. Acupotomy therapy for shoulder adhesive capsulitis: a systematic review and meta-analysis of randomized controlled trials. The quality of evidence of a specific study will be assessed according to the risk of bias, inconsistency, indirectness, imprecision, publication bias, large effect, dose-response, and all plausible confounding. I believe this is because the shoulder is mostly composed of muscles and tendons, and . In some situations, an open tendon repair may be a better option. Maturitas 2019;123:914. Acupuncture is also an effective treatment as an adjunct or alternative option to surgery. Rotator cuff tear (RCT) is one of the main causes of shoulder pain and dysfunction. [2,3] Subacromial pain syndrome is a comprehensive term, that describes non-traumatic shoulder problems with subacromial pain during abduction of the arm. We define that an I2 of less than 40% is low, 30% to 60% is moderate, 50% to 90% is substantial, and 75% to 100% is considerable.[14]. 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). 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. Please call the clinic at 831-459-6762 or use our Request Appointment form. 2014 Jun 23;(6):CD009065. This work was supported by a Grant to Korean Medical Science Research Center for Healthy Aging from the National Research Foundation of Korean Government (2014R1A5A2009936). Acupuncture is commonly used for musculoskeletal disorders, and it has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. Data is temporarily unavailable. Home exercises performed without professional diagnosis and supervision may not yield intended results and may have adverse consequences. Patients are taking a much more active role in their care, Read More Using Acupuncture to Thrive During ChemotherapyContinue, Insomnia is one of the most common sleep disorders, with a prevalence of 40% in adults. Kelly SM, Wrightson PA, Meads CA. For each item, risk of bias will be graded as high, low, or unclear. doi: 10.1097/MD.0000000000018716. The good news is that acupuncture for rotator cuff tears can help reduce pain, inflammation, and speed healing. [8]. Cochrane Database Syst Rev 2019;10:ED000142. 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. It will help loosen up stiff neck muscles and reduce neck pain. Please enable scripts and reload this page. Post surgery, acupuncture, when used with the electric stimulation, can help stimulate tissue growth and generate muscle healing. 2020 Oct 30;40(10):1513-1517. doi: 10.12122/j.issn.1673-4254.2020.10.19. With the affected arm, reach out and touch the wall at about waist level. Please try again soon. government site. The patient points to the low back area on the right side. 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). Press gently, just above the elbow, to stretch the shoulder. [6]. . 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. Published by Wolters Kluwer Health, Inc. Consequently, we decided to conduct a systematic review based on the best currently available evidence and methodology to evaluate whether acupuncture and manual therapy is effect and safety for pain and function of rotator cuff tears. Acupuncture is also an effective option in treating torn rotator cuff as an alternative to, or after, surgery. Arthritis Rheum 1991;34:7669. Randomized controlled trials that include patients with rotator cuff tears receiving acupuncture and manual therapy versus a control group will be included. 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. Suction cupping, gua sha and acupressure or deep tissue massage can be helpful if the condition is chronic. You may be trying to access this site from a secured browser on the server. [4] RCD increases in prevalence with age and is more prevalent among participants who repetitively use arms in overhead motions (e.g., swimming and tennis). Attrition rates, for example dropouts, losses to follow up, and withdrawals, will be investigated. Clin Rehabil 2010;24:99109. Correspondence: Kun Hyung Kim, Pusan National University Korean Medicine Hospital, Geumo-ro 20, Mulgeum-eup, Yangsan 50612, Republic of Korea (e-mail: [emailprotected]). The results of a review that provide systematically view and evidence of acupuncture and manual therapy for Rotator cuff tears for clinical practice and further research, and it will be disseminated through peer-reviewed journal articles or conference presentations. No studies were excluded on the basis of outcome measure used. Project administration: Seoyoung Choi, Kun Hyung Kim. Injuries range from acute strains, swelling and bruising, to chronic inflammation and fibrotic thickening and weakening of the rotator cuff tendon. These distal acupuncture effects are mediated primarily through fascial planes and the nociceptive and proprioceptive nervous systems. Prevalence of symptomatic and asymptomatic rotator cuff tears in the general population: From mass-screening in one village. 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. There are two main types of rotator cuff tears: acute and degenerative. Caution: patients with shoulder pain should be evaluated by a primary health care professional (physician or acupuncturist) prior to beginning a home exercise program. Subacromial decompression surgery for, [3]. It's the one right on the outer side of the hip / buttock. Acupuncture for shoulder pain - PubMed J Clin Epidemiol 2011;64:3802. acupuncture; manual therapy; protocol; rotator cuff tears; Ssystematic review. They are also referred to as the SITS muscle, with reference to the first letter of their names ( Supraspinatus, Infraspinatus, Teres minor, and Subscapularis, respectively). 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. 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. Can Acupuncture Help a Rotator Cuff Tear? | Breeze Academy echinacea shoulder pain If trials include a mixed population with shoulder diseases including RCD, we will try to retrieve the data for patients with RCD. The intrinsic theory describes degeneration in the rotator cuff tendon itself as a primary cause, leading to impingement and a loss of structural integrity. Cervical nerve root impingement, typically from disc herniation or arthritis in the neck. Its clinical manifestations are neck and shoulder pain, shoulder weakness, and . [11,12,16] Moreover, various acupuncture techniques, which are increasingly used in East Asian settings, are not addressed in previous reviews, which imply the necessity of both clinical trials and systematic reviews that assess the effectiveness and the safety of such interventions for patients with RCDs. Acupuncture Points Used for Rotator Cuff Tendinitis. You J, Yang F, Liu N, et al. The following electronic databases will be searched from inception to November 30, 2019: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Allied and Complementary Medicine (AMED), Physiotherapy Evidence Database (PEDro), 3 Chinese databases (China Academic Journal Full-text Database (CAJ), China Doctoral Dissertations Full-text database and China Masters Thesis Full-text Database), 6 Korean databases (Korean studies Information Service System (KISS), National Digital Science Library (NDSL), Research Information Sharing Service (RISS), Korean Medical Database (KMBASE), Korea Institute of Science and Technology Information (KISTI), Oriental Medicine Advanced Searching Integrated System (OASIS)), 3 trial registries (ClinicalTrials.gov, International Standard Randomized Controlled Trials Number (ISRCTN) Registry, WHO International Clinical Trials Registry Platform (ICTRP)). may email you for journal alerts and information, but is committed circadian rhythm Management of rotator cuff tears in the elderly population. Acupuncture for Rotator Cuff Injuries - Peninsula Acupuncture PRISMA = the preferred reporting items, MeSH In this procedure, surgeons insert a tiny camera (arthroscope) and tools through small incisions to reattach the torn tendon to the bone. I list them below. One-year outcome of subacromial corticosteroid injection compared with manual physical therapy for the management of the unilateral shoulder impingement syndrome: a pragmatic randomized trial. Birch S, Lee MS, Alraek T, et al. 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. PRISMA flow diagram of study selection. Rotator cuff tears do not only happen during athletic activities. migraine 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. The purpose of this protocol is to describe a randomized controlled trial design to evaluate the effect . If the missing data is not accessible, we will exclude these articles and synthesis the rest of the included studies. Get new journal Tables of Contents sent right to your email inbox, http://creativecommons.org/licenses/by/4.0, MD_2019_12_18_KIM_MD-D-19-09550_SDC1.docx; [Word] (14 KB), Acupuncture for symptomatic rotator cuff disease: Protocol for a systematic review and meta-analysis, Articles in Google Scholar by Seoyoung Choi, KMD, Other articles in this journal by Seoyoung Choi, KMD, Comparison of MRI and MRA for the diagnosis of rotator cuff tears: A meta-analysis, The clinical effect of rehabilitation following arthroscopic rotator cuff repair: A meta-analysis of early versus delayed passive motion, Extracorporeal shock wave therapy is effective in treating chronic plantar fasciitis: A meta-analysis of RCTs, Systemic immune-inflammation index (SII) is a useful prognostic indicator for patients with squamous cell carcinoma of the esophagus, Diabetes mellitus and prognosis in women with breast cancer: A systematic review and meta-analysis, Privacy Policy (Updated December 15, 2022). I use local electroacupuncture treatment at acupuncture locations ("points") such at LI 14, 15, and 16; TW 14; and SI 10, 11, 12, . Search for Similar Articles 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. ginger Relief from Rotator Cuff Injuries Using Acupuncture Each of these medicines has within its constructs the ability to diagnose and treat disharmonies. Relieves pain: Dry needling releases tight muscle tissue, decreases spasms and stimulates the body's natural pain relief system, providing . Clipboard, Search History, and several other advanced features are temporarily unavailable. Quality assessment will be performed using the Cochrane risk of bias tool. Components of this evaluation may include: (a) musculoskeletal screen; (b) cardiovascular profile/aerobic capacity; (c) coordination; (d) lift/carrying analysis; (e) job- specific activity tolerance; (f) maximum voluntary effort; (g) pain assessment/psychological screening; (h) non-material and material handling activities; (i) cognitive and doi: 10.1136/bmjopen-2016-015461. Rotator cuff pain can be caused by playing sports that involve throwing or overhead reaching, such as baseball and swimming. Next the acupuncturist identifies what channels are affected. Highlight selected keywords in the article text. Evidence quality will be evaluated using the Grading of Recommendations Assessment, Development and Evaluation system. You may be trying to access this site from a secured browser on the server. low back pain Local acupoints chosen for this treatment are Jianyu . The Authors. Most p, Everyone longs for a good nights sleep. 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). These distal acupuncture effects are mediated primarily through fascial planes and the nociceptive and proprioceptive nervous systems. official website and that any information you provide is encrypted The selection of studies, data extraction and risk of bias assessment will be conducted by 2 independent researchers. Distance consults available during Coronavirus. Trigger point needling is especially effective in reducing pain caused by a rotator cuff injury. Management of common musculoskeletal problems: a survey of Ontario primary care physicians. Apply gentle pressure while breathing deeply to relieve stiffness and pain in the shoulder, neck, and elbow. Background: Shoulder pain is a common musculoskeletal disorder. 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). Registration number 10.17605/OSF.IO/M3NKV. Acupuncture for treating acute ankle sprains in adults. 2020;99:2(e18716). It starts from the shoulder rib and attaches around the humeral head, forming a sleeve like structure at the anatomical neck of the humeral head. Relieve muscle spasms in the joint area, thereby lessening the load on the joint. The objective of this systematic review is to evaluate the effectiveness and safety of acupuncture for managing symptoms in patients with RCD. Untreated or under-treated rotator cuff impingement can lead to complete tears of the rotator cuff, shoulder joint degeneration (arthritis), frozen shoulder, and neck and arm pain. [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. Chinese Medicine Another recent study of acupuncture for shoulder impingement syndrome in Family Practice found benefits comparable to cortico-steroid injection. immunity At a recent presentation to a group of physical therapists I was asked about acupunctures ability to treat shoulder injuries. We will include randomized controlled trials (RCTs) of acupuncture treatment for rotator cuff disease. Our review will include all patients with a definite diagnosis or provisional diagnosis of RCD. 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. Medicine. Bladder 2, on the face, along the eyebrow, where the eyebrow meets the nose. In general, I find that rotator cuff injuries respond very well to acupuncture, with full recovery possible in many cases. From the inception dates to April 1, 2020, the following databases will be searched: EMBASE, the Cochrane Library, Ovid MEDLINE, PubMed, Web of Science, Chinese Biomedical Literature Database, Chinese National Knowledge Infrastructure, Wanfang Database, the Chongqing VIP. and transmitted securely. 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.. Dry needling in a multimodal rehabilitation protocol following rotator Acupressure Points For Neck, Shoulder, & Rotator Cuff Pain Relief Acupuncture Treatment For Rotator Cuff. 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! What is iTeraCare? | By ITeraCare - PRIFE International - Facebook Patients with RCD accompanied by myofascial pain of the upper extremity will be included, as myofascial pain is a common comorbid condition in patients with chronic shoulder pain. CMAJ 1998;158:103740. Electrotherapy modalities for. nutrition immune system Shamseer L, Moher D, Clarke M, et al. 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. 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. blood sugar The kin, Having trouble sleeping? Hall ML, Mackie AC, Ribeiro DC. PRISMA flow diagram of study selection. 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. Shoulder pain is a common complaint in outpatient clinics and can result in an inability to work or perform household activities, leading to significant socioeconomic burden. The muscle are known by the acronym SITS and include the supraspinatus, infraspinatus, teres minor and subscapularis. This muscle has been mentioned above. [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. See this image and copyright information in PMC. Supplemental digital content is available for this article. 65-70%) of shoulder pain is inflammation of the tendons that form the rotator cuff (the supraspinatus, the infraspinatus, the . Socially-distant therapeutic exercise classes coming soon? Wolters Kluwer Health Acupuncture Treatment of Shoulder Impingement Syndrome The following information will be extracted: study characteristics (e.g., design, authors, date of publication, country, language, sample size), participants (e.g., age, gender, severity of symptoms at baseline), acupuncture and control intervention (e.g., number of sessions, duration, acupuncture points), outcome measures, results of intervention, duration of follow-up assessments, funding, conflict of interest, and reported adverse effects. HHS Vulnerability Disclosure, Help Shoulder function measured on validated scales, such as the CMS, SPADI total scale, SDQ-NL, DASH score, UCLA Shoulder rating scale, or the ASES rating scale, over 12 weeks. Conceptualization: Seoyoung Choi, Kun Hyung Kim. 2020 Aug 14;99(33):e21748. to maintaining your privacy and will not share your personal information without 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. [2]. Writing review & editing: Kun Hyung Kim. [Electro-acupuncture promotes repair of rotator cuff injury in rats]. bDivision of Clinical Medicine, School of Korean Medicine, Pusan National University, Republic of Korea. One common shoulder injury is a rotator cuff tear. Both. All randomized controlled comparisons of acupuncture or manual therapy versus placebo, no treatment, another active intervention will be included. 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). 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. Symptoms can include weakness in the arm and throbbing pain while sleeping. In my practice, I see first-hand the, Read More Finding & Treating the Causes of InsomniaContinue, PMS Pre-menstrual Syndrome and Pre-menstrual Dysphoric Disorder are two conditions on the same continuum, with PMDD being the more severe of the two. -, Rhon DI, Boyles RB, Cleland JA. Rotator cuff diseases (RCDs) are the most common underlying cause of shoulder pain, with estimates of prevalence ranging from 65% to 85% depending on the context and characteristics of the study population. [3]. Acupuncture for symptomatic rotator cuff disease: Protocol for a systematic review and meta-analysis. The function of the rotator cuff is to support and stabilize the shoulder and humeral joint, maintain the sealing function of the shoulder joint cavity, maintain the synovial fluid to nourish the articular cartilage, and prevent the secondary osteoarthritis. Shamseer L, Moher D, Clarke M, et al. PRISMA = the preferred reporting items for systematic reviews and meta-analyses. -. your express consent. Bethesda, MD 20894, Web Policies Perimenopause Causes Pain: Acupuncture Can Help, Finding & Treating the Causes of Insomnia, Using Acupuncture to Thrive During Chemotherapy, Tennis elbow? Here are few more guidelines for when to consider surgery: Learn more about rotator cuff tears here at AAOS. Swimmers shoulde, One of the things that drew me to acupuncture was, Exercise, eat right, sleep. Acupuncture can help but not heal a rotator cuff tear. It is also unlikely to work alone - it is best used in conjunction with other therapies. emotional health 5 Pressure Points For Sciatica Relief (Acupressure For Sciatica) Sjolund B, Terenius L, Eriksson M. Increased cerebrospinal fluid levels of endorphins after electro-, [12]. 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. Rotator cuff is an injury to the shoulder muscle and acupuncture is believed to be an effective treatment. [5], Although the exact mechanisms are unknown, the pathogenesis of RCD has been attributed to both intrinsic and extrinsic mechanisms. Many cases of rotator cuff tear surgery may have been able to be prevented with the use of acupuncture. This acupressure point is great for everything involving your head. insomnia Chard MD, Hazleman R, Hazleman BL, et al. The site is secure. Minagawa H, Yamamoto N, Abe H, et al. [16]. Swelling of the bursa and thickening of the rotator cuff can push the tendon up into the bony arch of the scapular acromion, creating a vicious cycle of tendon injury that can eventually lead to complete tears of the rotator cuff. 2018 Jan 26;8(1):e015461. Rehabilitation of An Analgesic Bracelet Based on Wrist-Ankle Fortunately, there are number of resources out, Read More 4 Ways to a Better Nights SleepContinue, acupuncture Karjalainen TV, Jain NB, Page CM, et al. Acupuncture or Moxibustion for Rotator Cuff Tear? These muscles work together to stabilize the joint, rotate the shoulder and move the arm. Follow Peninsula Acupuncture onFacebookandInstagram. to maintaining your privacy and will not share your personal information without Patients with a provisional diagnosis of RCD include patients who are assumed to have RCD based solely on history taking and physical examinations without radiological assessment. Open tendon repair. Trigger point needling is especially effective in the treatment of rotator cuff injuries as it helps to release knots within the muscle fibers, ultimately reducing pain and increasing blood flow to the area. A third review author will resolve disagreements. There will be no restriction on age, gender, and ethnic origin. If we do not succeed, we will exclude those trials. Hold the stretch for 15 to 20 seconds. Presence of myofascial trigger points (MTrP) as a result of surgical procedure can aggravate postoperative shoulder pain. Evidence quality will be rated high, moderate, low or very low according to the Grading of Recommendations Assessment, Development and Evaluation rating standards. [1-4] BOOK AN APPOINTMENT. Finger walk. Discussion: The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). [14] The 7 domains are as follows: random sequence generation, allocation concealment, blinding of participants, blinding of outcome assessors, incomplete outcome data, selective outcome reporting, and other sources of bias. Trigger point acupuncture can be an effective way to release the infraspinatus muscle and improve your movement. Persons experiencing shoulder pain should seek diagnosis from a primary health care professional (physician or acupuncturist). Improve blood flow to the tendon and muscle tissue accelerating the body's natural tissue healing response. Jancuska J, Matthews J, Miller T, et al. Cox J, Varatharajan S, Ct P. 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