Acupuncture helps Chemo-Induced Neuropathy

Acupuncture helps chemo-induced neuropathy: research from the University of Manchester. Acupuncture helps chemo-induced neuropathy ie peripheral neuropathy caused as a side-effect of chemotherapy, according to researchers from the Christie NHS Foundation Trust and the University of Manchester. In a pragmatic trial, 108 cancer patients receiving chemotherapy and experiencing neuropathy, were randomised to have ten weeks of either acupuncture plus usual care, or usual care alone. Acupuncture comprised a weekly 40 minute session, whilst usual care was medication with gabapentin, pregabalin and/or amitriptyline.

At week 10, 68% of cases in the acupuncture group were classified as successfully treated, compared with 33% in the control group. Beneficial outcomes seen in the acupuncture group included clinicians’ grading of neuropathy, cancer-related quality of life and patients’ subjective pain scores. The team concludes that the data from this study has corroborated results from a previous evaluation and other smaller studies, confirming that this cohort of participants benefited from the acupuncture they received. The results also suggest that acupuncture can impact the complex symptom burden associated with this condition, not just the pain. However, sustainability of any improvements in symptoms requires longer follow-up.

(A randomised pragmatic clinical trial of ACUpuncture plus standard care versus standard care alone FOr Chemotherapy Induced peripheral Neuropathy ACUFOCIN). European Journal of Oncology Nursing, October 2022.)

Acupuncture helps Chemo Neuropathy

Acupuncture helps chemo neuropathy. Acupuncture helps “chemo neuropathy” symptoms ie peripheral neuropathy associated with chemotherapy treatment of cancer, according to researchers at the Faculty of Medicine, Technion-Israel Institute of Technology. A group of 168 participants were enrolled in a pragmatic trial, and treated in accordance with their preferences for either acupuncture and complementary & integrative medicine, or standard care alone as a control. Patients in the intervention arm were randomised to receive either twice-weekly acupuncture for six weeks, or acupuncture plus manual movement or mind-body therapy.

From baseline to six week assessment, the intervention groups improved significantly compared with the control group for criteria including overall chemotherapy-related quality of life, emotional wellbeing, hand numbness/tingling & discomfort, and physical functioning.

The researchers conclude that acupuncture, with or without complementary & integrative medical modalities, can relieve chemo neuropathy symptoms during oncology treatment. This is most pronounced for hand numbness, tingling, pain, discomfort, and for physical functioning.

(Impact of acupuncture & integrative therapies on chemotherapy-induced peripheral neuropathy: A multicentered, randomized controlled trial. Cancer, 12 August 2022.)

Acupuncture Improves Nerve Regeneration in Chemo-Induced Neuropathy

Acupuncture improves nerve regeneration. German researchers at  the University Medical Center, Hamburg-Eppendorf, have found that acupuncture improves nerve regeneration in chemotherapy-induced peripheral neuropathy. The progress is measurable both in terms of subjective reporting by patients, and objective neurological findings.

In a cross-over study, 60 patients were randomly assigned to either an acupuncture group, or to a waiting list control group. Ten acupuncture sessions were given once per week. The groups were then reversed, for a further ten weeks of treatment to be given this time to the former waiting list group.

After 28 weeks, evaluation of both groups showed that sensory nerve amplitude and conduction velocity were both improved after acupuncture, compared with the control group. Acupuncture patients also reported improvements in symptoms such as burning pain, cramps, numbness, symptom frequency and unsteadiness of gait. Physical examination revealed that acupuncture patients had significant improvements in blind walking, heel-to-toe walking, ability to perceive vibration and neuropathy deficit scores, compared with the waiting list group.

(Acupuncture improves chemotherapy-induced neuropathy explored by neurophysiological & clinical outcomes – The randomized, controlled, cross-over ACUCIN trial. Phytomedicine, September 2022.)

Acupuncture helps Chemotherapy-Induced Neuropathy

Acupuncture in Exeter: research from New York says acupuncture helps chemotherapy-induced neuropathy. American researchers investigating whether acupuncture helps chemotherapy-induced neuropathy, have conducted a three-arm randomised trial at Memorial Sloan Kettering Cancer Center, New York.  A group of 75 cancer patients were recruited. All had completed chemotherapy at least three months prior, and were experiencing moderate to severe neuropathy in the form of numbness, tingling or pain. Patients were randomly assigned to either real acupuncture, sham acupuncture or usual care. Acupuncture was given in the form of ten sessions over eight weeks, and biweekly for the first fortnight.

The real acupuncture group exhibited statistically significant improvements in quality of life, anxiety, insomnia and fatigue.

(Health-Related Quality of Life in Cancer Survivors with Chemotherapy-Induced Peripheral Neuropathy: A Randomized Clinical Trial. Oncologist, November 2021.)

Acupuncture and Radiotherapy

A clinical trial in London has shown the feasibility and usefulness of providing acupuncture within a busy NHS radiotherapy unit. A total of 101 cancer patients were randomised to receive either standard care in the unit, or standard care plus acupuncture. The latter was given to assist with common symptoms such as fatigue, nausea, vomiting, hot flushes, mood and sleep problems. Patients were given between three and eight acupuncture treatments, one week apart.

Patients reported qualitatively that they valued the positive impact acupuncture had, with improvements in fatigue, nausea, vomiting, pain, insomnia and shortness of breath being noted. Quantitatively, only improvements in fatigue were identified.

(A feasibility trial of acupuncture in cancer patients undergoing radiotherapy treatment. Complementary Therapies in Clinical Practice, May 2021.)