Abstract

ObjectiveTo evaluate a method to identify which patients with chronic pain could benefit from acupuncture and to compare response to acupuncture between patients with fibromyalgia and those with other types of chronic pain. DesignObservational, prospective, longitudinal, independent evaluation study. SettingAcupuncture Unit, Reina Sofia University Hospital, Cordoba, Spain. ParticipantsA total of 150 consecutive patients with chronic pain referred for acupuncture treatment were divided into a fibromyalgia group and a general chronic pain group. Twenty patients withdrew from the study. InterventionsDung's indirect method was applied in the arm to determine the patient's pain grade and pain sensitivity category before receiving personalized acupuncture treatment. Main outcome measuresDifferences in the pain scale before and after treatment. ResultsMultiple linear regression did not demonstrate that pain reduction was related to the pain grade of the pain sensitivity categories, age, sex or number of acupuncture sessions. Pain reduction was related only to the disease. Response to acupuncture was 57% lower in patients with fibromyalgia in those with chronic pain (p<0.001; 95% confidence interval). ConclusionsResponse to acupuncture in patients with chronic pain does not seem to depend on the categories of pain in Dung's abbreviated predictive method applied in the arm.

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