The clinical symptoms of CP are mainly demonstrated in two ways: one is pain in the pelvic cavity and discomfort in other parts and the other is abnormal urination.
In Chinese Medicine doctrine, BL30 is an acupoint corresponding to internal essence, where the essence Qi of the human body infuses. This acupoint has the effect of dredging meridians and collaterals, and supplementing the kidney and essence. BL35 was characterized as having the effect of invigorating Qi and removing wet. Acupuncture at the two acupoints could clear dampness-heat, promote blood circulation, and invigorate Qi for the human body. The scientific action mechanism of the electrical deep needling in the study remains largely unexplored.
It may be partially associated with the pelvic floor stimulation, which has been used as a physiotherapy to relieve the chronic pelvic pain and incontinence in patients [ 22 , 23 , 24 ]. In the present study, we examined whether needling at BL30 and BL35 had a therapeutic effect compared with the TA treatment. Because the control in the study was a positive treatment, the difference between the two treatments is relatively smaller than that which a sham control would provide.
However, it pragmatically reflects real clinical practice and evaluates the effectiveness of LA treatment rather than its efficacy. The pudendal nerve is the main sensory and motor nerve of the perineum and supplies sensation from the genitalia and control of the urethral sphincter and anal sphincter.
Anatomically, the pudendal nerve passes through the tissue under the deep area at BL30 and BL35; therefore, the deep insertion of long needles at these acupoints may enhance the stimulation of the pudendal nerve and thereby promote the inhibition of local sensations passing to the central nervous system [ 25 , 26 ]. The long-needle manipulation may trigger a stronger contraction of the deep transverse perineal muscle, and consequently improve the local blood circulation of prostate and reduce inflammation in the pelvis [ 17 , 27 ].
The mechanism needs to be further determined. In this study, no serious adverse effects were found. Skin bruising and slight bleeding were occasionally observed in both groups and deep needling increases the risk of pelvic injuries. The long-needle treatment should be performed by an experienced acupuncturist.
Urinalysis and a fecal occult blood test are recommended to monitor any potential injuries. The study had limitations. The sample size in the pilot study was small. One of the reasons for dropping out was that the patients were not tolerant to acupuncture treatment. The majority of reasons for dropping out were not detected as most patients could not be reached by telephone.
The study had only one time-point of follow-up while follow-ups need to be made at multiple time-points in the future. Objective parameters, e. As the present study evaluated the effectiveness of acupuncture, the potential placebo effect cannot be excluded.
A sham acupuncture can be used to measure the efficacy of acupuncture by excluding the potential placebo effect. Nat Rev Urol. Int Neurourol J. Nickel JC. Inflammation and benign prostatic hyperplasia. Urol Clin North Am.
Pontari MA. Drugs Aging. Article PubMed Google Scholar. Le B, Schaeffer AJ. Chronic prostatitis. BMJ Clin Evid. Interventions for chronic abacterial prostatitis. Cochrane Database Syst Rev. Google Scholar. Current treatment options in the management of chronic prostatitis.
There are many styles of acupuncture. I also incorporate auricular ear therapy in my treatment plans. Everyone responds to acupuncture differently, but the majority of people will experience results in one to three treatments. As a general rule, chronic conditions will take longer for results. I usually recommend weekly treatments for a month, and then decrease treatment to every other week for another few months. For more information or to book an acupuncture appointment, call Hands of the doctor doing acupuncture of ear Acupuncture is an alternative or complementary medicine that helps treat many conditions.
Is acupuncture safe? The cost of an acupuncture session depends on where you live and on whether or not the practitioner takes your insurance.
You should never try acupuncture on your own. Pressing these points is known as acupressure. Lisa Chan , LAc and certified reflexologist, provided some insight as to which points on your body you can massage on your own. Pressing this point, located on the muscle between your thumb and index finger, is meant to help alleviate headaches, toothaches, stress, and facial and neck pain.
In that case, it could help induce contractions. A professional can demonstrate where and how to apply pressure properly. But while it may not eliminate your symptoms, it could still ease them. So it may be worth a try, especially when it comes to chronic pain. Danielle Sinay is a writer, musician, and educator living in Brooklyn, New York. You can email Danielle. Learn about the benefits and risks of acupuncture for headaches and migraines. Dry needling is a modern treatment designed to ease muscular pain.
Acupuncture has been used for a number of conditions for thousands of years. The United States U. Their manufacture and labelling needs to meet certain standards. The needles must be sterile, nontoxic, and labelled for one use only, by a licensed practitioner. As with any complementary therapy, it is advisable to use it alongside conventional treatments in cases of chronic or severe illness. Most states require practitioners to be licensed by this board. People are advised to ask practitioners about their experience and training.
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