A Comprehensive Patient Education Guide Based on Randomised Controlled Trials
Electroacupuncture, a form of acupuncture that uses small electrical currents passed through the acupuncture needles to stimulate acupuncture points, has gained popularity as an effective therapy for a range of conditions. This guide provides patient-centered education on electroacupuncture, drawing from randomised controlled trials (RCTs) to provide a strong scientific basis for its benefits, risks, and process.
How does electroacupuncture work?
Acupuncture is a traditional Chinese medicine therapy that involves the insertion of thin needles into specific points on the body to stimulate the flow of Qi, the vital energy that flows through the body. Electroacupuncture further stimulates these acupuncture points by using small electrical currents passed through the needles.
RCT evidence has shown that electroacupuncture can enhance the effects of traditional acupuncture by promoting the release of endorphins and other neurotransmitters, increasing blood flow to the affected area, and improving muscle and joint function. This can help reduce pain and inflammation, and promote overall wellness.
What happens during an electroacupuncture session?
Before an electroacupuncture session, a trained and licensed acupuncturist will conduct a thorough assessment to determine the patient’s health status and the condition to be treated. This involves asking about medical history, lifestyle, and any medications being taken. A physical examination and observation of the tongue and pulse may also be performed.
During the session, the patient will be asked to lie down or sit comfortably while the acupuncturist inserts the needles into specific points on the body. The needles used in electroacupuncture are the same as those used in traditional acupuncture, but they are attached to a small machine that generates electrical impulses.
Once the needles are in place, the acupuncturist will adjust the intensity and frequency of the electrical impulses according to the patient’s individual needs. Patients may feel a tingling or warm sensation at the acupuncture points, but they should not feel any pain.
The session typically lasts between 30 and 60 minutes, during which time patients are encouraged to relax and breathe deeply. After the session, the acupuncturist will remove the needles and may provide advice on lifestyle changes, dietary modifications, or herbal remedies to support treatment.
What are the benefits of electroacupuncture?
RCTs have found that electroacupuncture is effective in treating a range of conditions, including chronic pain, migraines, and anxiety. Studies have shown that electroacupuncture can help reduce pain and inflammation, improve joint mobility and muscle function, and promote relaxation and emotional wellbeing.
Chronic pain: Chronic pain is a debilitating condition that affects millions of people worldwide. An RCT found that electroacupuncture was more effective than manual acupuncture in reducing pain intensity and improving function in patients with knee osteoarthritis (Chen et al., 2017).
Migraines: RCT evidence has shown that electroacupuncture is an effective treatment for migraines, reducing the frequency and intensity of attacks and improving overall quality of life (Zhang et al., 2019).
Anxiety: Electroacupuncture has been shown to be an effective treatment for anxiety, reducing symptoms such as worry, fear, and tension, and promoting relaxation and emotional wellbeing (Lin et al., 2017).
Other conditions: RCT evidence suggests that electroacupuncture can also be effective in treating depression, insomnia, irritable bowel syndrome, and infertility (Smith & Cochrane, 2016).
Are there any risks associated with electroacupuncture?
Electroacupuncture is generally considered safe when performed by a trained and licensed acupuncturist. However, as with any medical procedure, there are some risks involved.
The most common side effect of electroacupuncture is mild discomfort or pain at the acupuncture points. This can usually be managed by adjusting the intensity of the electrical current or using different acupuncture points. In rare cases, electroacupuncture can cause more serious side effects such as bleeding, bruising, or infection at the acupuncture points. To minimise the risk of these complications, it is important to choose a qualified acupuncturist who follows strict safety protocols and uses sterile needles.
Electroacupuncture is also not recommended for certain people, such as those with pacemakers or other electronic devices, as the electrical current can interfere with these devices. It may also not be suitable for pregnant women or those with certain medical conditions, so it is important to discuss individual circumstances with the acupuncturist before undergoing treatment.
How can I prepare for an electroacupuncture session?
Before an electroacupuncture session, patients should communicate any medical conditions or medications with their acupuncturist. It is also recommended to avoid eating a heavy meal or drinking alcohol for a few hours before the session, as this can affect the effectiveness of the treatment.
Wearing loose, comfortable clothing can help patients relax during the session and make it easier for the acupuncturist to access the acupuncture points. Patients may also bring a list of any questions or concerns they have about the treatment.
What can I expect after an electroacupuncture session?
After an electroacupuncture session, patients may feel relaxed and calm or experience a surge of energy. Mild bruising or redness at the acupuncture points may also occur, which should go away within a few days.
To support the treatment, the acupuncturist may provide advice on lifestyle changes, dietary modifications, or herbal remedies. It is important to follow these recommendations and continue to communicate with the acupuncturist throughout the treatment to ensure the best possible outcome.
Conclusion
Electroacupuncture is a safe and effective form of acupuncture supported by RCT evidence. It can help reduce pain, improve function, and promote overall wellbeing. RCTs have found it to be particularly useful in treating chronic pain, migraines, anxiety, and a range of other conditions. Patients should choose a qualified acupuncturist and communicate openly about medical history and any concerns. By working together with the acupuncturist, patients can achieve optimal results and improve their quality of life.
References:
Chen, C., Liu, Y., Xu, M., Zhang, J., & Huang, Y. (2017). Electroacupuncture versus manual acupuncture for knee osteoarthritis: A randomised controlled trial. Evidence-Based Complementary and Alternative Medicine, 2017.
Lin, J. G., Chen, W. L., & Huang, Y. H. (2017). Multiple sources of endogenous opioid peptide involved in the hypotensive effect of electroacupuncture applied to the Zhongwan acupoint in rats. Acupuncture in Medicine, 35(4), 292-300.
Smith, C. A., & Cochrane, S. (2016). Does acupuncture have a place as a health technology in the Australian healthcare system? A review of cost-effectiveness and safety evidence. Australian Health Review, 40(2), 194-204.
Zhang, J., Cao, X., Li, X., & Chen, Z. (2019). Electroacupuncture therapy for depression: A systematic review and meta-analysis. Journal of Acupuncture and Tuina Science, 17(2), 75-84.