What is Chemotherapy-Induced Peripheral Neuropathy (CIPN)?
CIPN is a common and distressing side effect of chemotherapy that affects the nerves. It can cause symptoms such as tingling, numbness, pain, or weakness, particularly in the hands and feet. These symptoms can interfere with daily life and sometimes limit cancer treatments. For many patients, CIPN persists even after chemotherapy ends, making effective management crucial.
Can Acupuncture Help with CIPN?
Acupuncture, one of Chinese medicine’s therapies involving the insertion of disposable ultra-thin needles into selected body points, has shown promise in reducing CIPN symptoms. Recent research highlights its potential as a safe and effective complementary therapy alongside traditional cancer care.
What does the research say?
Protective Effects During Chemotherapy (Huang et al., 2023):
A randomised controlled trial found that acupuncture reduced the severity of CIPN in patients receiving chemotherapy with oxaliplatin. Acupuncture was more effective than sham acupuncture in preserving sensory nerve function, as measured by touch thresholds. Remarkably, the benefits lasted for at least six months after the treatment ended, suggesting acupuncture’s long-term protective effects.
Patient-centered feasibility Study (Lagerstedt & Efverman, 2023)
A pilot study investigated the feasibility of using acupuncture for CIPN in an integrative cancer care setting. Patients reported that acupuncture helped alleviate their symptoms and improved their quality of life. Importantly, the study found that acupuncture could be integrated into cancer care without interfering with chemotherapy.
Acupuncture for Symptom Management (Ma, 2009)
While primarily focused on chemotherapy-induced nausea and vomiting, this study supports acupuncture’s broader role in managing chemotherapy side effects. Acupuncture’s ability to reduce discomfort without the risks associated with medications makes it an appealing complementary therapy.
When and how to use acupuncture for CIPN
When to start using acupuncture?
Research suggests that acupuncture can be introduced during chemotherapy to protect against nerve damage (Huang et al., 2023). Starting early, particularly with chemotherapies known to cause CIPN, may help reduce the severity of symptoms. Acupuncture is also effective for managing existing CIPN symptoms, even after chemotherapy has ended.
Frequency and Duration
- Most studies recommend weekly sessions during chemotherapy treatment.
- A typical course involves 6 to 12 weeks, depending on individual needs.
- For long-term symptom management, follow-up treatments can be scheduled as needed.
How does it works in practice?
Patient assessment
Cancer patients with signs of CIPN should be assessed by their oncologist or care team. Acupuncture may be especially beneficial for those seeking non-drug options.
Referral to qualified pactitioners
Patients should be referred to licensed acupuncturists experienced in working with cancer patients. Practitioners should tailor treatments to the patient’s symptoms and medical history.
Complementary approach
Acupuncture should not be used a standalone treatment but works best as part of an integrative approach alongside conventional cancer care.
Monitoring and Evaluation
Patients should be monitored for symptom improvement, and adjustments to the treatment plan should be made based on their progress.
Benefits of acupuncture for CIPN
- Reduced symptoms: Studies show that acupuncture can reduce pain, tingling, and numbness caused by CIPN.
- Improved nerve function: Acupuncture helps preserve sensory nerve function, which may prevent long-term complications.
- Enhanced quality of life: Patients often report feeling more comfortable and better able to carry out daily activities.
- Low Risk: Acupuncture is generally safe, with few side effects, when performed by trained professionals.
Key takeaways
Early Intervention
Acupuncture can be started during chemotherapy to minimise the risk of developing severe CIPN.
Personalised treatment
Frequency and duration should be tailored to the patient’s symptoms and treatment schedule.
Safe and Complementary
Acupuncture is a practical, non-drug option that can be integrated into cancer care without disrupting other treatments.
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