The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog ran from 2006 to 2016 and was 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, 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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    A small analgesic effect with acupuncture

    That’s the conclusion from reviewers at the Nordic Cochrane Centre in Copenhagen, Denmark.

    But a flaw in the review raises doubt about the validity of their findings.

    First, the details.

    • 13 studies in 3025 patients involving a variety of pain conditions were eligible for review.
    • Allocation of patients was adequately concealed in 8 studies.
    • The clinicians managing the acupuncture and placebo acupuncture treatments were not blinded in any of the studies.
    • One clearly outlying trial (70 patients) was excluded.

    And, the results.

    • There was a small difference between acupuncture and placebo acupuncture corresponding to 4 mm on a 100 mm visual analogue scale.
    • There was a moderate difference between placebo acupuncture and no acupuncture, although the studies used for this comparison were very different, making any conclusion difficult.
    • There was no association between the type of placebo acupuncture and the effect of acupuncture.

    The bottom line?
    The authors concluded, “A small analgesic effect of acupuncture was found, which seems to lack clinical relevance and cannot be clearly distinguished from bias.”

    However, the authors of an accompanying editorial point out that the analysis included “such a broad range of pain conditions that it cannot directly inform clinical decisions about patients with particular conditions.”


    Here are 5 summaries from the past year. Acupuncture was found effective for tension-type headache, myofascial trigger points and pain syndrome, and low back pain. But not for arm pain for repetitive use,  or pelvic girdle pain in pregnant women.

    1/29/09 19:26 JR

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